RESUMO
INTRODUCTION: As early as 2002, researchers were calling the occupational fatalities in Emergency Medical Service (EMS), a hidden crisis. Little consideration has been given to the needs for a safer working environment. METHODS: This is a secondary data analysis of Line of Duty Death (LODD) data of NJ EMS workers from 1912 to 2020. RESULTS: There were 81 reported LODDs. LODDs were greater for the 2000s period than the 1900s period and the results were the same when outliers were excluded. CONCLUSIONS: Efforts are needed to study the plethora of threats to EMS providers in order to target mitigation measures to implement a safety environment within a hot zone of potential threats. These threats are not novel, but it is time for novel solutions to mirror the efforts afforded to fire and police personnel, ensuring a fully safe and resilient public safety sector.