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Insider analysis: Remembering Kansas City paramedic stabbed in the line of duty

Graham Hoffman’s death underscores the unpredictable risks and the need for stronger safety measures in EMS

What happened: Paramedic and firefighter Graham Hoffman, 29, was fatally stabbed while transporting a patient in Kansas City during the early morning hours of Sunday, April 27. The patient allegedly stabbed Hoffman in the heart while in the back of the ambulance. Hoffman’s partner managed to stop the vehicle and attempt to render aid before police subdued the attacker. Despite emergency treatment at the hospital, Hoffman succumbed to his injuries. The EMS and firefighting communities are mourning the loss of a provider who was dedicated to helping others.

MORE | LODD: Mo. FF/medic fatally stabbed by patient during transport

Highlights: Watch as Ed Bauter, MBA, MHL, NRP, FP-C, CCP-C; and Daniel Schwester, MICP, highlight the significance of this tragic incidence, including:

  • The tragedy of a life lost in service. Graham Hoffman was carrying out his duty to care for others when he was killed, an act of service that makes his death particularly heartbreaking for the EMS community.
  • The importance of allowing time for grief. Immediate responses must prioritize supporting the affected department and personnel before shifting to operational reviews or procedural analysis.
  • The need to learn from line-of-duty deaths. While avoiding premature speculation, Bauter and Schwester stress the importance of robust investigations to honor Hoffman’s legacy by improving safety for future EMS providers.

The path forward: The tragic death of Firefighter/Paramedic Graham Hoffman serves as a sobering reminder that scene safety is not static, even during patient transport. The EMS community must focus on grieving this profound loss while also committing to thorough reviews and learning opportunities to prevent similar incidents. Providers must stay vigilant, recognize that hazards can emerge at any moment, and advocate for stronger safety protocols in all settings — including inside the ambulance.


The heartbreaking death of a Kansas City FF/paramedic reminds us that every shift carries unseen dangers

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Ed Bauter, MBA, MHL, NRP, FP-C, CCP-C

Ed is a managing partner and chief executive officer of Overrun Productions, LLC; and co-host of The Overrun Podcast. Ed is a recovering medical student and paramedic.

His academic interests are in healthcare policy, team leadership and development, resuscitation and EMS medicine. Before attending medical school, he was a field preceptor and EMS educator for 10 years.

A second-generation paramedic, Ed works to inform the public about the importance of EMS and strives to encourage other EMS providers to move the profession forward using the most up-to-date data and technology.

He is a fan of old movies, the New Jersey Devils and the Philadelphia Eagles.

Daniel Schwester, MICP

Daniel Schwester has been a paramedic since 2000. He has served in a variety of roles including education, field training, clinical supervision and active practice as a paramedic.

He is the managing partner of Overrun Productions, LLC; and a co-host of The Overrun Podcast.

He is married to Jennifer, and is father to Caroline and William. He resides in Toms River, New Jersey.