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Booze, blood and blurred lines: Should EMS play cop?

Is this role expansion or a mission gone sideways?

This week on the Inside EMS podcast, hosts Chris Cebollero and Kelly Grayson dig into a hot-button issue lighting up EMS forums: DUI blood draws by paramedics. In Vanderburgh County, Indiana, a new program lets fire department medics perform evidentiary blood draws at the request of law enforcement — right on scene, even if the suspect isn’t being transported. Supporters say it’s efficient; critics say it’s unethical.

The hosts share their own history with blood draws in the field and reflect on how their professional philosophies have evolved.

It’s a passionate, no-holds-barred conversation about legal gray zones, moral boundaries, patient advocacy, operational burdens and the blurry line between healthcare and law enforcement.

Spoiler: There’s no easy answer. But if your agency is considering such a program, this episode is required listening.

Memorable quotes

  • “My job is to do medical care, period, end of file. Quite often in doing my job, I make the point, ‘Hey, I’m not a cop, man. You can trust me.’”
  • “There’s a moral dilemma there. Are we caregivers or are we evidence collectors?”
  • “Even if the laws permitted me to do so for one reason and one reason only, it’s very hard to shift from a caregiver mindset to a defensive mindset.”

EMS DUI blood draws in the field: Join the conversation

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Catch a new episode of the Inside EMS podcast every Friday on Apple Podcasts,  SoundCloud,  Amazon Music,  Stitcher,  Spotify, and RSS Feed. Enjoying the show? Please take a moment to  rate and review us on Apple Podcasts. Contact the Inside EMS team at  theshow@ems1.com  to share ideas, suggestions and feedback, or let us know if you’d like to join us as a guest.

Previously on Inside EMS:
Leadership theory meets day-to-day EMS reality as Chris shares the challenges of fixing workflows, rebuilding morale and creating standards crews can believe in

EMS1 uses generative AI to create some content that is edited and fact-checked by our editors.

The Inside EMS podcast is a regular expert discussion of hot topics, clinical issues, operational and leadership lessons for EMTs, paramedics and chiefs