Amy Gutman

MD, FACEP

Emergency Medicine Physician / CEO
ToughLoveMD LLC

Orlando, FL

Amy Gutman, MD, FACEP, is an emergency medicine physician with fellowships in prehospital care and resuscitation. She has worked in prehospital care since 1987, beginning as an EMT-Basic before serving in fire rescue and advancing throughout her EMS career. Her accomplishments include numerous research publications, book chapters, national awards, and serving as the medical director for some of the largest EMS systems in the United States, as well as Deputy Chief for the island of Bermuda. She is the CEO of ToughLoveMD and the author of Powerhouse Living: Lead Your Life Like a Resuscitation. Amy is thrilled to continue her more than three decades of EMS education by returning to EMS Pro.

The First Responder Obesity Epidemic: Practical Solutions To Our Major Cause of Morbidity and Mortal (Thursday, October 22, 2026 - 8:00-9:15am)

Obesity poses a significant threat to the health and safety of first responders. It increases the risk of job-related disabilities and contributes to various illnesses, including neurovascular, cardiovascular, endocrine, and oncologic diseases. It is also a primary contributor to sudden cardiac events, the most common cause of on-duty firefighter and prehospital provider mortality.

The number of overweight, obese, and physically unfit first responders has risen to alarming levels in EMS and fire departments across the nation, mirroring trends seen in the general population. All first responders must maintain good physical condition and adequate cardiovascular fitness to manage job-related physical and mental stressors while performing their duties with minimal health risks.

Without a strong focus on health and wellness, first responders may struggle to meet the strenuous physical demands of their profession and increase the risk of injury or illness for themselves, their colleagues, and the communities they serve. Being overweight or obese can negatively impact job performance and increase the risk of injury during prehospital operations and training.

Despite first responders’ bravery and commitment to public service, the growing obesity epidemic threatens their ability to respond effectively to emergencies. This lecture addresses this challenge in a practical and empathetic manner while offering realistic solutions to help protect those who protect us all.