ABOUT THE AUTHOR
“Where the call ends, the story doesn’t.”
J.E. D’Alelio writes from the back of the rig—where decisions are fast, outcomes aren’t guaranteed, and nothing feels scripted. An EMT and Occupational Health Specialist, their work strips away the polished version of emergency medicine and focuses on what’s real: pressure, systems, and the moments that don’t make it into reports.
Author of Shears and Sirens & What Wasn’t Written
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…read more : Pre-Order Now: Not in My Rig: Bias, Decision-Making, and the Calls That Get Missed
Pre-Order Now: Not in My Rig: Bias, Decision-Making, and the Calls That Get Missed
In emergency medical services, most missed calls are not the result of inadequate training, poor technical skill, or a failure to follow protocol. They occur in quieter ways—through decisions that feel reasonable in real time. A call appears straightforward, the patient presentation aligns with previous experience, and nothing immediately signals the need to look deeper.…
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…read more : Coming Soon! “What Wasn’t Written”
Coming Soon! “What Wasn’t Written”
Not every call is documented the way it actually happened. A report is completed, submitted, and archived, and on paper the call is finished. The timeline is clear, the interventions are recorded, and the outcome is defined within the limits of documentation. It creates a version of events that is structured, defensible, and necessary. But…
OUT NOW: Shears and Sirens
Not every emergency comes with lights and sirens.
Some are quiet.
Some stay with you long after the shift ends.
Shears and Sirens: A Collection of Stories from the Back of an Ambulance is a powerful EMS memoir and real-life EMT story collection that takes readers inside the reality of emergency medical services, beyond what’s shown on TV.
Written by an experienced EMT, this medical memoir explores the emotional and human side of paramedic and EMT work, where every call is unpredictable—and not every outcome can be controlled.
Pre-Order Now!
Not in My Rig examines the hidden assumptions that influence assessment, communication, and decision-making in emergency medical services. Through realistic field scenarios and practical discussion, this book explores how cognitive bias, burnout, familiarity, frustration, and organizational culture can quietly shape the way providers think long before an assessment is complete.
Rather than assigning blame or offering simplistic solutions, Not in My Rig encourages providers to examine how everyday thinking patterns influence patient encounters and clinical outcomes.
Written for EMTs, paramedics, supervisors, educators, students, and anyone committed to improving patient care, this book provides a thoughtful look at one of the most important questions in emergency medicine:
Release date: July 22, 2026.