# Hyper-turbulent times: EMS economics and AI guardrails with Matt Zavadsky and Dr. Shannon Gollnick Page: https://stenobird.com/podcast/ems-one-stop-5691901/hyper-turbulent-times-ems-economics-and-ai-guardrails-with-matt-zavadsky-and-dr-shannon-gollnick Text version: https://stenobird.com/podcast/ems-one-stop-5691901/hyper-turbulent-times-ems-economics-and-ai-guardrails-with-matt-zavadsky-and-dr-shannon-gollnick.md Podcast: [EMS One-Stop](https://stenobird.com/podcast/ems-one-stop-5691901) Published: 2025-12-03T22:34:51+00:00 Episode link: https://emsonestop.podbean.com/e/hyper-turbulent-times-ems-economics-and-ai-guardrails-with-matt-zavadsky-and-dr-shannon-gollnick/ Audio file: https://mcdn.podbean.com/mf/web/3e49j2svvxsga87x/Matt_Z_Shannon_G_OneStop_Finalbqvdn.mp3 Processing state: not_requested JSON: https://stenobird.com/v1/public/podcasts/ems-one-stop-5691901/episodes/hyper-turbulent-times-ems-economics-and-ai-guardrails-with-matt-zavadsky-and-dr-shannon-gollnick Duration seconds: 1645 ## Resource Recorded on the floor of the EMS|MC EMSpire Conference in Charleston, South Carolina, this episode of EMS One-Stop finds host Rob Lawrence in conversation with long-time collaborator and EMS advocate Matt Zavadsky. Fresh off the longest federal government shutdown in history, Rob and Matt unpack what the hyper-turbulence in Washington really means for EMS: suspended Medicare extenders, disrupted grant programs, agencies taking out loans just to meet payroll and training programs put on hold. They break down NAEMT’s flash poll on the shutdown’s impact, the promise of the Treatment in Place (TIP) legislation, and why associations “hunting as a pack” on Capitol Hill matters more than ever. Along the way, they spotlight EMSIntel.org as a national barometer of EMS funding, staffing and response time crises, and issue a clear call to action for providers, billers and leaders to use association tools to contact their members of Congress. | MORE: Government reopens: What EMS providers need to know right now In the second half, Rob is joined by Dr. Shannon Gollnick, paramedic, EMS leader and organizational psychologist, to explore how artificial intelligence is reshaping EMS — right now. Shannon makes the case that AI is “not the future; it is the present,” and that agency leaders must urgently build literacy, policies and guardrails around its use. They dig into the difference between HIPAA-compliant, embedded AI in ePCR systems, and risky open tools like ChatGPT, touching on hallucinations, embedded code and emerging Medicare fraud-detection programs. | MORE: Artificial to augmented intelligence. How Dr. Shannon Gollnick wants EMS to work smarter, not harder Rob and Shannon talk about AI as a powerful but potentially dangerous tool — “like having a tiger” — and outline practi… ## Actions - request_transcript: `POST https://stenobird.com/v1/public/podcasts/ems-one-stop-5691901/episodes/hyper-turbulent-times-ems-economics-and-ai-guardrails-with-matt-zavadsky-and-dr-shannon-gollnick/transcription-requests` — Idempotently request low-priority transcript generation for this episode. - read_markdown: `GET https://stenobird.com/podcast/ems-one-stop-5691901/hyper-turbulent-times-ems-economics-and-ai-guardrails-with-matt-zavadsky-and-dr-shannon-gollnick.md` — Read the agent-friendly Markdown representation of this episode resource. A page view does not enqueue transcription. Agents should invoke `request_transcript` explicitly when they need this episode processed. ## Transcript Full transcripts are not published on public pages unless there is a clear rights basis.