As Mike stated, this sounds like you're hearing a Fleetnet frequency. That said, 141.745 is not valid based on the 15kHz steps used in that range. Change the radio to 141.735 and see if it's the same content only clearer on the analog calls. If not, it's possible you're close enough to one of the more local Fleetnet towers that you're receiving signals due to intermodulation between it and another unidentifed source. Either way, EMS is analog (both dispatch and the mobile radios by the way) on Fleetnet but the vast majority of users are digital, so it's going to be very annoying to sit listening to anything for very long.