12/05/2025
I have no fact checked this article. But it does speak to the heart of anyone involved in EMS.
No one in New York ever forgot that afternoon in 1869. A woman sprinted across Fifth Avenue, skirts gathered in one hand, a leather bag clutched to her chest. She was 43-year-old Marie Zakrzewska—and as the crowd opened a path for her, the same thought flickered through their minds: What could a woman possibly do?
On the pavement lay a motionless man, crushed by a passing carriage. People stared. Whispered. Pointed. But no one moved. Not until Marie knelt beside him.
“Step aside,” she said calmly.
“Madam, are you out of your mind?” a policeman barked. “You’ve no business interfering.”
“If I don’t interfere,” she answered without looking up, “he dies.”
While others froze, Marie worked. She checked his pulse, loosened his shirt, listened to his breathing. Then—clear, firm orders: “I need an empty carriage. And a blanket.”
Strangers scattered to fulfill her requests. Marie supported the man’s neck as they lifted him. “Not like that,” she warned. “You’ll damage his spine.”
The policeman gaped. “Who are you?”
Marie finally met his eyes. “The person doing the job you should be doing.”
That scene haunted her. Later that night, writing alone in her tiny office, she could still see the man lying helpless in the street. What barbarity, she thought. A city of thousands… and no one knows how to help.
But Marie was no ordinary woman. She was a German physician—a battle-tested pioneer who had spent years fighting for the right to practice medicine. She knew countless New Yorkers died simply because help arrived too late… or without any real training. Something had to change.
And once the idea came, it didn’t let her go.
Two weeks later, in a small East Side hall, she gathered two doctors and a nurse. “We need a rapid-response corps,” she said. “Trained people. Specialized vehicles. Basic medical supplies. Something that can reach any street in minutes.”
“A mobile medical brigade?” one asked.
“Exactly.”
The doubts poured in. The chuckles. The warnings.
“Marie, that’s impossible to fund.”
“The city will never approve it.”
“No one will trust a system invented by a woman.”
Marie placed her hands flat on the table. “Then we’ll launch it ourselves. Whoever joins will work for free—until we prove it works.”
Silence. Then, one by one: “I’m in.”
Their first “emergency vehicle” was nothing more than a reinforced horse-drawn carriage, carrying a crude stretcher and a wooden box stocked with bandages, alcohol, and a few surgical tools.
Marie drilled her team relentlessly: how to carry an injured person, stop bleeding, immobilize fractures, calm panicked crowds.
But the hardest part wasn’t the training—it was the ridicule.
“There go the doctor’s lunatics!” people jeered.
“What is this—some kind of circus?”
Marie never answered. She waited.
And the moment came.
One Saturday, a child fell from a second-story window. Chaos erupted in the street.
Marie’s carriage arrived in minutes. “Make room!” she shouted, leaping down. “Let me reach him!”
The boy was breathing. His pulse was steady. “We can save him,” she said.
She immobilized him with wooden boards, issued rapid instructions, and rushed him to the hospital.
He lived.
That single rescue changed the city.
What began as “Marie’s impossible idea” became the world’s first modern urban ambulance system. New York adopted it. Then Boston. Then cities across the country.
Marie never wanted fame. She only wanted to stop watching people die while crowds looked on helplessly.
When asked why she fought so fiercely for the idea, she said simply:
“Because I cannot bear to see a person die surrounded by spectators. Anyone can save a life… if someone dares to begin.”
