Christina began her career in emergency services in 1987 and earned her National Registry and Virginia Paramedic certifications from Northern Virginia Community College in Annandale, Virginia, in 1995. Her passion for EMS led her to serve as the Executive Director of the Rappahannock EMS Council for 12 years, following over a decade as a Paramedic with the City of Fredericksburg.
Since February 2011, Christina has been a vital part of Mary Washington Healthcare, serving as the EMS Coordinator. In this role, she has worked closely with state and local EMS leaders to support and advance regional initiatives. Her efforts have been instrumental in improving the transition of patients from pre-hospital care to our emergency departments.
Christina’s leadership has consistently guided and inspired others. Most notably, she played a pivotal role during the major emergency department remodel and the construction of a new stand-alone emergency department, ensuring that the needs of both patients and EMS professionals were met at every stage. Her commitment to excellence and her deep understanding of EMS’s critical role in healthcare have been central to the success of these projects. Christina is widely recognized as the “go-to” person for EMS providers and leadership regarding all things related to MWHC. Her open communication and knowledge-sharing have kept regional providers well-informed on status updates and changes.
Mary Washington Healthcare’s tagline, “Here for you,” is more than just a marketing phrase—it embodies the spirit of helpfulness and support that Christina brings to the regional EMS system and the broader community. Behind the scenes, she is a steadfast pillar of support in various EMS activities, including but not limited to Rock the Rescue, EMS Night Out, and the PACES Conference. She is also a key contributor to several committees and workgroups within the REMS Council.
Her outreach efforts include co-hosting the region’s first Anatomage tournament, which helped grow a local high school’s HOSA program from 30 students to over 70 in just one year. She has also taught Stroke Smart programs and led career development initiatives for high school students interested in emergency preparedness.
Christina, your contributions have set a new standard for EMS leadership, and your impact on patient care and community outreach is profound. With deep gratitude and respect, we present you with the Outstanding EMS Leadership Award.
Outstanding EMS Agency – Little Fork Volunteer Fire and Rescue
Little Fork Volunteer Fire and Rescue Company has been a vital part of northern Culpeper County, showing consistent dedication to the community. With 113 active members and 15 supporting members, Little Fork has expanded significantly since 1995, tripling its facility size in 2022 to better meet the community’s needs.
For the past 13 years, Little Fork has maintained a 100% response rate for all dispatched EMS and fire calls across a 65-square-mile area, extending assistance to neighboring counties. Their roster includes 48 EMTs, 5 Advanced EMTs, 1 Intermediate EMT, and 8 Paramedics, enabling them to provide 24/7 coverage. The station's Technical Large Animal Rescue Team (TLAR), Virginia’s only 100% volunteer team of its kind, is recognized as one of the top teams in the country, responding across Virginia, West Virginia, and Maryland.
Community involvement is a cornerstone of their operations. Little Fork participates in local events like the Culpeper County Volunteer Fire Department’s annual parade, winning the 2024 trophy for best-appearing Fire and EMS Company. Their annual Santa visits, a beloved tradition for over 20 years, also help strengthen bonds with residents.
Funding comes from community-driven initiatives, including letter drives and door-to-door visits. Communication with the community is ensured through newsletters, local newspapers, and television, with a quarterly newsletter sharing safety tips, incident reports, and member profiles.
Training is a priority at Little Fork, with daily sessions and an in-house continuing education program led by three Education Coordinators and two state-certified MCI instructors. They also offer EMS and fire safety programs to schools and community groups. Little Fork sets a high standard for volunteer fire and rescue services. Their commitment to service, community engagement, and excellence in emergency response makes them a deserving recipient of the Outstanding EMS Agency Award.
Outstanding Contribution to EMS by a High School Student – Genevieve Muise
The 2024 Outstanding Contribution to EMS by a High School Student recognizes Genevieve Muise for her exceptional dedication to emergency medical services. A recent graduate of Mountain View High School in Stafford County, Genevieve completed the EMT program at Colonial Forge High School, where she made a significant impact on her community.
Genevieve earned her EMT Certification for Virginia and the National Registry of EMTs, becoming one of the first in her class to achieve this milestone. She excelled in her coursework and clinicals, consistently demonstrating competence and commitment. In addition to her academic success, Genevieve volunteered with Stafford County Fire & Rescue at Hartwood, actively responding to calls and displaying a passion for helping others.
Throughout her time in the EMT program, Genevieve displayed dependability, critical thinking, and leadership. Her enthusiasm for learning extended beyond the classroom, as she participated in additional training with her volunteer company and through the Health Occupation Society of America (HOSA). As a crew leader, she guided and supported her peers, helping them improve their skills and confidence.
Genevieve’s commitment to EMS education will continue as she takes on the role of a Stop the Bleed Instructor, teaching life-saving skills to her community. She is now beginning her studies in Health Sciences at Duquesne University in Pittsburgh, PA, while continuing to volunteer with Stafford County Fire & Rescue when home.
In addition to her achievements in EMS, Genevieve excelled academically and athletically. She graduated with distinction from a rigorous academic program and earned numerous awards as a gymnast and runner. Her leadership extended to serving as an officer in HOSA, Family, Career & Community Leaders of America, and the National Honor Society. She was also awarded a highly competitive Army ROTC scholarship and plans to serve in the military after college.
Genevieve Muise exemplifies leadership, dedication, and a passion for service. Her contributions to EMS and her community, alongside her academic and extracurricular accomplishments, make her a deserving recipient of the 2024 Outstanding Contribution to EMS by a High School Student Award.
Nurse with Outstanding Contribution to EMS – Jennifer Surles
Jennifer Surles has been a driving force in enhancing the integration of EMS within the emergency department at Mary Washington Healthcare. In her role as Emergency Care Educator, she has fostered strong partnerships that have significantly improved the quality and efficiency of patient care. Jennifer’s unique perspective, shaped by her extensive background—including an MSN, RN, CMSRN, NPD-BC, and a current Virginia EMT-Paramedic certification—enables her to see both the EMS and emergency department worlds as one, leading to better outcomes for patients.
One of Jennifer’s key contributions has been her advocacy for acute stroke patients. Her leadership as a member of the Door In Door Out (DIDO) Team has been instrumental in improving how quickly EMS can transfer LVO stroke patients to the appropriate facility. In 2024, she spearheaded a project aimed at strengthening partnerships with EMS by implementing new procedures and updating stroke transfer forms. Jennifer also developed targeted education for EMS and ED personnel based on survey results, all with the goal of enhancing stroke care and improving outcomes.
Her commitment to EMS education is evident through her coordination of continuing education opportunities, including the Annual Emergency Department Skills Fair and the ED Medic/Tech Back to Basics Course. These initiatives ensure that EMS personnel are well-prepared to handle critical situations.
Jennifer has also played a crucial role in improving communication between EMS and the emergency department. In 2024, she helped to update the EMS HEAR Intake Form, a key tool used to document incoming patient transport alerts from EMS. This update has streamlined the process, ensuring that vital information is accurately captured and integrated into patient care, leading to faster and more effective hospital activations for stroke, trauma, and STEMI patients.
Additionally, she led a project to update cervical collars used in the ED, aligning them with the equipment used by EMS agencies.
Jennifer Surles has made invaluable contributions to improving the processes used by both EMS and Mary Washington Healthcare, ultimately enhancing the quality of healthcare that our community receives. Her dedication and innovative approach make her a deserving recipient of the 2024 Regional Award for Nurse with Outstanding Contribution to EMS.
Innovation in EMS – Caroline Juran
Caroline Juran has dedicated 19 years to the Virginia Board of Pharmacy, including 13 years as its Executive Director. Throughout her career, Ms. Juran has been a steadfast advocate for EMS, working to improve and streamline the regulatory processes that impact EMS agencies across the Commonwealth. Her leadership has been instrumental in ensuring EMS systems receive the support they need to continue providing high-quality care to their communities.
Ms. Juran's commitment to EMS became especially evident when changes in federal regulations required a new process for EMS medication management. She led the Virginia Board of Pharmacy with determination, swiftly enacting emergency regulations to minimize disruption for EMS agencies. Her collaborative efforts with EMS leaders, pharmacists, and stakeholders resulted in the Board initiating a Notice of Intent for Regulatory Action and repealing outdated guidance on EMS drug kits.
The approved regulatory changes include allowing EMS agencies within a jurisdiction or region to be served by a single CSR license, permitting all Virginia EMS-certified personnel to access medications for supply management, and facilitating the transport of controlled substances in EMS vehicles. Additionally, regulations were updated to eliminate the need for alarm systems for temporary storage of Schedule 6 medications and to align with FDA and DEA standards for EMS operations.
Ms. Juran demonstrated an exceptional willingness to listen to EMS stakeholders throughout the process, ensuring that their feedback was considered. The Board of Pharmacy's responsiveness during this critical period provided EMS agencies with greater flexibility and efficiency in managing medications, enhancing the care they provide to the public.
These regulatory updates also expanded the role of Regional EMS Councils, allowing them to manage medication kit systems and provide much-needed resources to EMS agencies. As 501(c)(3) organizations, councils now have added capabilities that local governments do not, further strengthening their support for the EMS system.
Ms. Juran’s dedication to learning EMS operations, coupled with her professionalism and commitment to interagency cooperation, set a remarkable example of innovation and problem-solving. Her leadership was critical in driving these significant changes that benefit EMS across the Commonwealth.
On behalf of the Rappahannock EMS Council’s 52 agencies and 3,400 providers, we extend our deepest gratitude to Ms. Caroline Juran for her outstanding leadership and her invaluable contributions to Innovation in EMS.
Physician with Outstanding Contribution to EMS – Dr. Matthew Rhames
Dr. Rhames is recognized for his exceptional contributions to emergency medical services in Culpeper County. Since joining Culpeper Hospital as an emergency room physician in 2017, Dr. Rhames has raised the standard for clinical excellence and fostered a collaborative environment that has greatly benefited the hospital, EMS community, and the patient.
In 2023, Dr. Rhames stepped into the role of Operational Medical Director for Culpeper County Office of Emergency Services. Over the past year, he has demonstrated unwavering commitment to both career and volunteer EMS providers, exemplifying a strong work ethic and the highest levels of integrity. His hands-on approach, which includes riding along with EMS providers, has earned him deep respect and admiration from those he works alongside. His providers appreciate his willingness to understand their challenges firsthand and value his genuine support and guidance.
Under his leadership, Dr. Rhames has significantly enhanced the county's EMS protocols, policies, and procedures, improving the department's ability to respond to life-threatening emergencies. He has been pivotal in advancing initiatives such as the development of an RSI program and the exploration of a whole blood program for the county. His active promotion of continuing education ensures that EMS personnel are equipped with the latest skills and knowledge, fostering a culture of excellence and continuous improvement.
Dr. Rhames' efforts to improve communication and equipment exchange between EMS and the ED, including updating cervical collars to align with field practices, have further solidified his role as a dedicated advocate for EMS providers. His commitment extends beyond day-to-day operations, as he works closely with both field and command staff to create new programs that enhance patient care and safety across the region. Projects on the horizon include ultrasound in the field, community paramedicine, as well as rising to the challenge of supporting recruitment to increase staffing levels.
Notably, Dr. Rhames’ nomination stands out tonight because there was not just one package submitted, but rather multiple individuals submitted his name for recognition – a testimony to the respect and admiration his providers have for him. Dr. Rhames, while this award is presented to you tonight by the Rappahannock EMS Council, you should know that this award is given on behalf of the providers, both career and volunteer, who you support, mentor, and encourage with your leadership, example, and friendship, making you truly a deserving recipient of the 2024 Physician with Outstanding Contribution to EMS Award.
Outstanding Prehospital Educator – EMS Chief Cheree Hogan
Chief Hogan is recognized for her exceptional dedication to training and education, which has been pivotal in keeping the Richardsville Volunteer Fire and Rescue Squad prepared and fully staffed. As an educator, Chief Hogan has demonstrated unwavering commitment to equipping her squad members with the skills and knowledge necessary to deliver the highest level of care to their community.
Throughout her career, Chief Hogan has consistently organized and taught a wide range of classes. In the past year alone, she conducted 10 BLS Provider courses, 4 BLS Instructor courses, 4 ACLS Instructor courses, and 4 PALS Instructor courses. She also held spring and fall EMT classes for Culpeper County, training 38 students. Additionally, she taught two cohorts in Germanna’s Paramedic program, leading 8 lesson/skills days and coordinating a two-day MCI drill with both EMS and nursing students.
Her dedication to education not only enhances the capabilities of her team but also fosters a culture of continuous learning and improvement within the squad. Her passion for teaching and her ability to inspire confidence in her students have been instrumental in maintaining the readiness and effectiveness of the volunteer team.
In addition to her teaching responsibilities, Chief Hogan responded to 40% of the EMS calls in 2023, ranking second in call volume. She has consistently been among the top five call runners for the past decade.
Her efforts have directly strengthened and bolstered the resilience of the volunteer squad, making her a truly deserving recipient of the 2024 EMS Educator of the Year Award.
Outstanding Prehospital Provider – Timothy Ducheney
Lieutenant Timothy Ducheney, a dedicated professional with 23 years of service with Spotsylvania County Fire, Rescue, and Emergency Management is recognized for his outstanding contributions to emergency medical services. Serving within the EMS, Health, and Safety Division for over nine years, Lt. Ducheney has consistently demonstrated exceptional leadership and clinical expertise.
As an EMS supervisor, Lt. Ducheney is responsible for responding to critical incidents and overseeing important administrative projects. His calm and composed presence at the scene of emergencies has earned him the reputation of bringing "calm to chaos," a testament to his leadership under pressure.
Lt. Ducheney is highly regarded by his peers for his extensive knowledge and clinical abilities. He is actively engaged in teaching and plays a key role in administering the RSI training programs, both for new providers and for annual updates. His contributions extend beyond the front lines; he was instrumental in implementing transport ventilators and medication pumps, and he led the initiative to upgrade LifePak devices with enhanced connectivity, which significantly contributed to the department's recognition by the American Heart Association's Mission Lifeline program.
In addition to his clinical duties, Lt. Ducheney has been crucial in managing multiple levels of equipment for the county, including ECG monitors, stretchers, stair chairs, and Lucas devices. His role in the initial implementation and ongoing management of the community AED program highlights his commitment to improving public safety. Lt. Ducheney is also deeply involved in the mentorship of new providers, guiding them through the ALS internship and offering feedback on incident responses to foster continuous improvement.
Tim Ducheney's professionalism and competence are evident in both his on-scene actions and his behind-the-scenes contributions. His impact on Spotsylvania County's emergency medical services is profound, and his dedication to advancing the capabilities of the department makes him a truly deserving recipient of the 2024 Outstanding EMS Prehospital Provider Award.
Outstanding Contribution to EMS Telecommunication – Jennifer Rosenfeld
This award honors Jenny Rosenfeld for her remarkable dedication and professionalism in emergency medical services. Since joining the Culpeper County Public Safety Communications Center in 2007, Jenny has demonstrated her expertise, quickly advancing through the ranks to become Training Coordinator in 2011 and Deputy Director in 2013. Her calm demeanor under pressure, professionalism, and exceptional communication skills have made her an invaluable asset to emergency response operations.
Jenny's technical acumen is evident in her role as the Center's Training Coordinator, where she oversees the entire training program, manages certifications and recertifications, and ensures the highest standards are met for Emergency Medical Dispatch. Her commitment to continuous improvement is reflected in her multiple certifications, including becoming a VCIC/NCIC instructor through the Virginia State Police Academy. She also created a new QA/QI program for law enforcement and fire calls.
Jenny’s leadership played a crucial role in achieving the APCO P33 certification, ensuring that Culpeper’s Communications Center met stringent training and operational standards. She also meticulously coordinated the APCO MEDS software project following a significant CAD server upgrade and revamped the center’s shared forms folder for greater efficiency. Additionally, she worked collaboratively with the Culpeper County Volunteer Fire and Rescue Association to update their SOPs.
Jenny is also responsible for bringing innovative solutions to the community. She assisted in securing a $150,000 grant from the Virginia 911 Board for a new phone system to replace the aging critical infrastructure. She is currently leading the agency in the implementation of the Rave Alert Mass Emergency Notification system, part of Smart911, and is actively developing training and testing programs for the center.
Beyond her local impact, Jenny has shared her talents at the state level, serving as Director-At-Large with the Virginia Chapter of the National Emergency Number Association (NENA). She was recently selected by the 911 Services Board to serve on the Legislative Committee, responsible for monitoring legislative and regulatory activities, both state and federal, which impact public safety communications.
Jenny’s unwavering commitment to excellence and her contributions to both her team and the community make her a truly deserving recipient of the 2024 Outstanding EMS Dispatcher Award.
Regional Only Awards - New for 2024, REMS Council is recognizing Lifetime Achievement and Outstanding EMS Calls. Because they are regional awards there can be more than one recipient recognized in the categories.
REMS Regional Lifetime Achievement Award - Chief Shawn Simmons
We are honored to present the Lifetime Achievement Award to Chief Shawn Simmons, a true embodiment of public service whose legacy will endure for generations.
Shawn Simmons exemplifies the true spirit of a public servant. Her journey began in 1985 as a volunteer with the Chesapeake, VA Volunteer EMS Agency. Her commitment to service led her to join the Navy, where she excelled as both a Data Processing Technician and a Navy Corpsman. While stationed at the National Naval Medical Center in Bethesda, MD, she continued her volunteer work with the Oxon Hill Volunteer Fire Department. Her dedication to serving others continued at Camp Lejeune, NC, where she joined the Jacksonville Volunteer Rescue Squad from 1993 to 1995.
In 1995, Shawn moved to King George and, true to her character, joined the Dahlgren Rescue Squad, eventually becoming a full-time member in 1998. She was one of the original hires when the Department of Emergency Services was established by the County on July 1, 1999. Since then, Shawn has risen through the ranks, making invaluable contributions that have shaped the history and future of our Department.
Shawn’s career spans five years of active duty service with the U.S. Navy, 13 years of volunteer Fire and EMS service, and 26 years of dedicated career Fire and EMS service to the King George community. Her unwavering commitment, exemplary service, and outstanding leadership have left an indelible mark on our Department and on the lives of countless individuals.
Division Chief Shawn Simmons, your dedication and achievements are a testament to the highest standards of public service. This Lifetime Achievement Award recognizes your extraordinary career, tireless efforts, and the profound impact you have made on our community. Your legacy will continue to inspire and guide future generations of public servants.
Please join us in congratulating Shawn Simmons on this prestigious honor and celebrating her extraordinary contributions to our Department and community as we present her with the REMS Regional Lifetime Achievement Award.
REMS Regional Lifetime Achievement Award – Chief Maurice “Bud” Moody
We are proud to present the Lifetime Achievement Award to Maurice “Bud” Moody, whose extraordinary dedication and service have left an indelible mark on both Lake of the Woods Volunteer Rescue Squad in Orange, Virginia, and the broader regional EMS system. Over decades of commitment, Bud became a cornerstone of the EMS community, renowned for his superb patient care and unwavering leadership.
Bud’s journey in EMS began with a commitment to excellence. He earned his Advanced EMT certification and continuously enhanced his skills through numerous training courses, ensuring he consistently delivered the highest level of care to the citizens of Orange County and the surrounding areas. His dedication to professional growth was matched by his commitment to the community, making him a trusted and respected figure in EMS.
Throughout his career, Bud served in nearly every role within his agency, including Rescue Chief, Assistant Chief, Deputy Chief, and as a member of the Board of Directors. His leadership guided the agency through many challenges, and his contributions were instrumental in its growth and success. Bud also took on critical responsibilities for maintaining the agency’s equipment, vehicles, and Station 29, ensuring everything operated smoothly and efficiently.
Bud’s influence extended beyond his immediate community. Appointed by Orange County Supervisor Lee Frame, Bud represented the county on the Rappahannock EMS Council Board of Directors for over a decade, serving as a board member for twelve years. His official position was as the representative for the Orange County volunteers, but his contributions to our region went far beyond that role. Bud served on various committees, supported regional initiatives, and was instrumental as the Council navigated through the challenges posed by the pandemic.
Bud's leadership and commitment were evident not only locally but also on the global stage. Last year, when a need arose for ambulances and response vehicles to support an initiative in Ukraine, Bud and his team at Lake of the Woods Volunteer Rescue Squad stepped up, donating a response vehicle to assist with the cause. This act exemplified Bud’s dedication to making a difference, not just within our region, but across the world.
Rescue Chief Bud Moody, your career embodies the highest standards of public service. This Lifetime Achievement Award is a testament to your dedication, countless contributions to the community, and the legacy you have built. Your work will continue to inspire and guide future generations of EMS professionals.
Please join us in congratulating Bud Moody for this well-deserved lifetime achievement award.
REMS Regional Outstanding Call – Spotsylvania Cardiac Arrest Response
Tonight, we are honored to recognize the exceptional efforts of the team from Spotsylvania Emergency Communications Center, Ladder 11, A11-1, and EMS-2, who responded to an urgent call involving a 68-year-old male in cardiac arrest. Upon arrival, they found the patient with CPR already initiated by family members.
For 45 intense minutes, this team demonstrated extraordinary teamwork, professionalism, and skill, conducting a complex assessment and highly coordinated response that ultimately led to the return of spontaneous circulation (ROSC) just before arriving at Spotsylvania Regional Medical Center. Their dedication went beyond achieving ROSC; thanks to their precise and skillful intervention, the patient was taken off the ventilator, neurologically intact, and is now on the path to a full recovery.
This team's outstanding performance during such a challenging and extensive cardiac arrest incident showcases the highest standards of emergency medical response. According to some studies, the chance of survival after 30 minutes of CPR drops to less than 5%. Their actions not only saved a life but ensured that the patient could make a full recovery despite facing seemingly insurmountable odds.
Please join us in honoring the Spotsylvania team for their remarkable response and Outstanding EMS call award.
REMS Regional Outstanding Call – House Fire in King George
While heading home after his shift, Lieutenant Harold Myers of King George Fire and Rescue noticed a column of black smoke rising behind a tree line, initially suspecting someone was burning tires. Upon passing the tree line, he saw that the smoke was coming from the eaves of a house. Acting quickly, he made a U-turn, parked on the shoulder, and grabbed his radio. On the "B" side of the structure, he encountered a woman breaking a window, covered in soot and with apparent burns and cuts on her hands. When asked if someone was inside, the woman confirmed that her daughter was trapped in a bedroom. Lieutenant Myers immediately alerted dispatch of the structure fire with confirmed entrapment.
As the fire advanced, Lieutenant Myers made a brave attempt to reach the trapped victim by entering through the front door, where he encountered heavy smoke and growing flames. Although he managed to rescue a cat hiding under a chair, he could only hear faint shouting from the trapped woman, who did not respond to his calls. When RE2 arrived with Master Tech Balderson, Lieutenant Myers began attacking the fire from the "C/D" corner while other firefighters dressed out and entered the structure. Firefighters Halsall, Mondragon, and Tyrell eventually found the woman, who was later discovered to be a neurodivergent 31-year-old female, under the covers on her bed. Despite her resistance, the firefighters successfully carried her to safety. Lieutenant Myers, working without protective gear, directed the arriving fire crews to the bedroom where she was trapped, ensuring a coordinated and effective rescue effort.
Both the mother and daughter had to be treated by the King George EMS team and were Medevac’d in two separate helicopters for smoke inhalation and possible airway burns. LT Myers performed the attempted rescue with no protective gear or SCBA and suffered some mild smoke inhalation himself.
The bravery and quick actions of Lieutenant Myers, along with the teamwork of firefighters Halsall, Mondragon, Tyrell, and the mutual-aid support from NDW Company 28, were instrumental in saving two lives that day. Their selfless acts of heroism under extreme conditions merit the Rappahannock EMS Council’s designation of Outstanding EMS Call.
2023 Regional EMS Awards
Jordan Gaglio gained her EMT certification in 2022 as a Junior in the EMT Program at Colonial Forge High School while she was a member of Fredericksburg Rescue Squad. This past year as a senior she has served as a Student Instructor for this year’s EMT students as well as participating in the EMT III course where she is learning advanced practice skills and furthering her education. Jordan has consistently demonstrated dependability, commitment, discipline, dedication, critical thinking, problem solving and excellent time management. She performs skills with competent precision, demonstrates integrity and professionalism in all that she does. She continues to be an active member with Fredericksburg Rescue Squad in addition to running shifts she assists with community events. In addition, she is a Stop the Bleed instructor. She has conducted classes with the EMT students, Introduction to Health & Medical Sciences Course students, the JROTC cadets and any other classroom that requested the course. She recently took the role as coordinator for the 2nd Annual Stafford County Public Schools Health Fair that was held at Colonial Forge on April 22nd. She developed a training platform, the training materials, scheduled and conducted training sessions, and evaluated the Health & Medical Sciences students and EMT students to ensure they were capable of performing blood pressure checks to the public. She scheduled student volunteers and attended herself all on the day of the Prom. She is creating certificates of participation for all who worked at this event. Jordan is a member of the CFHS Chorus, Show Choir, Theater, Cheer Team and Dance Team as well as competing with a Competitive All-Star Cheer and Competitive All-Star Dance outside of school. In addition, she earned an Advanced Diploma with a strong GPA of 4.394. Jordan plans to pursue education as Paramedic. She states she has discovered that her passion is to help people- this brings her joy more than anything else to make people feel better.
Samantha Ashby is an experienced emergency dispatcher with Fauquier County. She works for both the Fauquier County Department of Fire, Rescue & Emergency Management (DFREM) and the Fauquier County Sheriff’s Office. She can readily anticipate the appropriate units needed for a call based on the information she has received. Her voice is calming and reassuring to all she communicates with. She has demonstrated an exceptional contribution to the improved delivery of emergency medical services. She recently has assisted in coordinating training between DFREM and her coworkers to foster better understanding of what happens on calls. This is immensely helpful, as sometimes dispatchers are expected to read the minds of personnel on the scene due to incomplete or garbled transmissions. Samantha is also part of the Fauquier Drone Team which is utilized in variety of situations to include missing persons, sizing up a wildfire and even in the reconstruction of a massive MCI that occurred on I-66 last year. Samantha’s calm attitude and decisive actions recently earned her a Meritorious Service Award when her efforts helped to protect Fauquier citizen’s during a ‘hold up’ incident at a local bank in January 2022.
Jack Kelley is an active member of the Lake of the Woods Fire-Rescue Department and has been serving the citizens of Orange County and beyond for over 30 years. He has been so instrumental in the EMS System for Orange County that the Board of Supervisors drew a proclamation that March is “Jack Kelley Month”. He has received countless Squad Member of the Year Awards, Captain Choice Awards, as well as many other local awards for dedication, performance, lifesaving and being an all-around provider dedicated to helping citizens in their time of need. Jack is also a dedicated AHA CPR Instructor through Mary Washington Healthcare. He donates his time and skill to teach others the basics of lifesaving. These groups include all ranges of healthcare providers, citizens, scouts and community groups. Over the past year he has become active with the Rappahannock EMS Councils Heart and Stroke Workgroup where he championed meeting with the Orange County Schools to deliver the Stroke Smart Program for all 7th graders in hopes of increasing recognition of stroke amongst younger people that may witness a stroke and can have the tools to recognize a stroke and rapidly call 911 which will decrease the door to intervention time in our area.
Jack continues to staff an ambulance several times a week which are 12-hour shifts. He is also a staple of the agencies EMT program, showing up for nearly every class to assist the instructor with their needs. He maintains his Advanced EMT. He has held every rank in the department all the way to Rescue Chief. He is passionate about the community outreach and will not miss an opportunity to conduct tours of the agency building or to attend other PR events. Jack Kelley is the ‘face’ of the Lake of the Woods Rescue Squad. He is a very dedicated member of this agency.
The Stafford County Fire and Rescue Department is an all-hazard response agency that protects over 150,000 residents and visitors. Today the department provides basic and advanced life support medical services, community paramedicine, tactical EMS, emergency management and public health service, which align to bring proactive and responsive healthcare services into the community. As demand for services has significantly increased the department needed to find innovative ways to maintain services without running out of resources. They developed a new and innovative dispatch process that focuses on reducing EMS resource utilization with the goal of improving response times for the most critical incidents across the county. This has successfully reduced the number of units responding to incidents by over 8%, resulting in improved EMS unit availability. In 2022 the department also invested in a new comprehensive and proactive quality management program. Today EMS clinicians receive critical patient care feedback in near real-time. This approach has been beneficial in identifying critical trending analysis that is used to focus on clinical education relevant topics that directly impact patient outcomes. Enhancements in treatment capabilities were also identified and adopted to include implementing a whole blood program and training for point-of-care Ultrasound to improve outcomes for critical trauma patients.
This comprehensive approach to improving patient care is why Stafford County Fire and Rescue is no longer just an emergency services agency, it is an essential component of the overall healthcare system in the REMS Council region.
Inova Blood Donor Services has demonstrated their commitment to improving patient outcomes through the expansion of whole blood availability into the Rappahannock EMS Council Region. As a non-traditional partner to EMS, they were able to find innovative solutions for storage, deployment, and rotation of these critical supplies which made the whole blood program a reality. As a result of their willingness to recognize the benefits of this life-saving treatment, patients in hemorrhagic shock can now receive this critical treatment on the scene of emergency incidents.
In an effort to improve patient outcomes and ensure critical whole blood resources were available, the Inova Blood Donor Services had the vision to expand the whole blood pilot program being offered in the Northern Virginia EMS Council into Fauquier County. Despite the challenges of expanding its services outside of their normal supply area Inova leadership saw opportunities to save lives. This resulted in Fauquier County successfully deploying a whole blood program through their EMS Supervisors. Numerous lives have been positively impacted by the treatment and administration of whole blood. In 2023, Inova Blood Donor Services took the opportunity to expand the whole blood program into Stafford County. They worked tirelessly to make the program a reality in Stafford County. Inova continues to provide mentorship to both agencies to ensure this critical program is maintained.
Due to Inova Blood Donor Services willingness to identify solutions to ensure critical blood supplies are available for EMS and expanded outside of the traditional hospital system into the hands of EMS professionals we are honored to present the Inova Blood Donor Services the 2023 Innovation in EMS Award.
Dr. Michael Jenks is the OMD for Fauquier County Department of Fire, Rescue and Emergency Management (DFREM). Dr Jenks exemplifies outstanding leadership and dedication in the delivery of prehospital care through the training he provides, his participation in developing protocols and guidelines, and his willingness to listen to new ideas brought to him by his EMS providers. These qualities have led DFREMS to be at the forefront of patient care at the national level. Dr. Jenks frequently goes above and beyond his duties to enhance EMS Care. His open mindedness has led to exponential growth in DFREMS’s EMS system over the last few years. Specifically, he has implemented protocols that allow critical providers to administer whole blood, Phenobarbital for seizures, 23.4% hypertonic saline for head injuries, finger thoracostomies, use of ultrasound and RSI. Small portable refrigerators were added to every transport unit so that Medics can carry and administer Cardizem and Pepcid when needed. IV pumps were also added to every unit to allow for precision when administering medication drips. Additionally, IM Glucagon, IM Narcan and CPAP were opened to BLS providers. Thanks to Dr. Jenks, DFREM has seen many successful outcomes of critically ill patients.
Susan Halpin has been The Stroke Coordinator at Mary Washington Healthcare for close to 5 years. Her contributions to EMS are not only dedicated to her hospital; she is dedicated to regional, state and national stroke care improvement. She has been instrumental in developing and maintaining a stroke survivor group, the MWHC “Lightening Fast” award which is awarded quarterly to the EMS Agency that has the fastest time from ‘last known well’ to intervention. This award has brought even better awareness to the pre-hospital responders that ‘Time is Brain’. In addition, she is a member of the Virginia State Stroke Systems Task Force which is one of the best groups for sharing best practices in the Commonwealth for Stroke Care. Susan shares her depth of knowledge with all of the localities and teaches any chance she has to bring awareness. This includes being a vital part of the Stroke Smart Virginia in the Fredericksburg Area. She is also an active member of the Rappahannock EMS Council Heart and Stroke Workgroup where she expertly advises and guides our prehospital providers on the latest stroke treatments and interventions. Protocol advancements have included adding a Wake-Up Stroke Protocol several years ago that has been adopted by other hospital systems. Her leadership and excellence has paved the way for better stroke outcomes not only in REMS but the state and nation.
In 2020 Richard Cluff was one of three individuals chosen to be Fauquier County Department of Fire, Rescue and Emergency Management (DFREM) first EMS Supervisors and has since been promoted from Captain to Battalion Chief of EMS. BC Cluff has demonstrated an ability to be an effective and organized leader within DFREM. His vast knowledge and experience helps him to manage and problem solve any issues that come up either on the scene of a call or in the administrative office. BC Cluff wears many hats within DFREM to include EMS Supervisor providing excellent and progressive patient care while supporting his field providers and as Battalion Chief where he is expected to command active and potentially dangerous fireground operations, traffic crashes and other emergency situations. He also leads the DFREM EMS Protocol Committee which is responsible for bringing his agency to the forefront of patient care at a national level. BC Cluff played a vital role in writing the head injury protocol which included the use of 23.4% hypertonic saline solution in head injury patients. This proved successful in improving patient outcomes. He is constantly looking for ways to expand EMS protocols and introduce new and innovative equipment to include recently trialing a new Zoll monitor and new Hamilton ventilator. BC Cluff is always up to date on the latest and most progressive EMS Topics.
BC Cluff has earned the following recognitions:
2022 Unit Citation for efforts in administrating the Covid vaccine;
2023 Emergency Medical Services Commendation Medal awarded by the Culpeper Chapter of the Sons of the American Revolution for his accomplishments and outstanding contributions to EMS;
2023 Valor Award-Lifesaving Award- awarded by the Fauquier County Government for his efforts in the successful resuscitation of a 10 year old male who suffered a cardiac arrest;
2023 Valor Award-Meritorious Unit Award – awarded by the Fauquier County Government for his efforts in helping to remove an elderly female from a smoke-filled apartment at the scene of a fire.
Lieutenant Carolyn McGee has served with King George County Department of Fire, Rescue & Emergency Services since April 2013.
Not only is she Supervisory Officer, Assistant Training Officer but heads the Child Passenger Seat Program (CPST) as the Site Coordinator. Her duties as a Site Coordinator in addition to maintaining her child safety seat technician certification are to promote car passenger safety on the agency’s social media websites and plan and host events in the community. In August 2022, Lt. McGee coordinated a co-sponsored Car Passenger Safety Technician course with her agency and the King George Sheriff’s Office. She then established the Standard Operating procedures and created the process (online and in-person) for the public to be able to request inspections. She is responsible for scheduling, inspecting, overseeing the 7 other technicians, and maintaining supplies as well as reporting monthly on the activities. The agencies Car Seat Program was established and became official in April 2023. At that time there were already 2 fire stations that were CPST sites, but a third fire station was added. She is responsible for acquiring the equipment and supplies that are necessary to conduct inspections at all three stations. Since August the technicians have successfully conducted 17 inspections while promoting best practice safety measures during public events.
Our departments Child Safety Seat Inspection program would not be where it is at today without the selfless actions and dedication by Lt. Carolyn McGee.
She has helped in advancing EMS education and the prevention of traumatic injury and death in children throughout our Region and in the Commonwealth.
Lisa Davis started her EMS career in 2003 by obtaining her EMT certification, then EMT-I in 2007 and Paramedic in 2013. She obtained her EMT-Instructor in 2011 which moved onto Education Coordinator. Lisa has been a member of Remington Volunteer Fire and Rescue Department since 2000 and is now a life member. She has held numerous administrative and operational positions and is currently managing EMS training and equipment & supplies. She routinely teaches CPR and Stop the Bleed courses for the general public. From 2007-2017 she worked for Fauquier County Department of Fire, Rescue and Emergency Management.
In 2017 Lisa was selected as the EMT-Instructor for Stafford County’s Colonial Forge High School EMT Program. Lisa has developed a teaching style and education environment that does not resemble the typical high school classroom. When EMT students enter Lisa’s classroom they ‘leave’ Colonial Forge High School and enter EMS Station 427. Students are organized into a 4-person crew with a lead provider assigned, they check out their EMS equipment and begin their daily chores to include daily duties, daily training, simulated emergency responses, meals, personnel inspections, presentations, and administrative duties. She puts an agenda on the board just like a real station with duties and expectations which makes a big difference when her students do their ride-along time. Lisa makes certain to teach her student to be good clinicians not just cookbook EMT’s who can memorize acronyms. One prior student stated that she is visibly invested in every student and tailors’ instruction to meet their learning styles. Over the last 6 years hundreds of EMT students have come through Lisa’s program and have become highly motivated providers and many are now EMT’s and Paramedics working our streets today.
Technician Scott Chamberlin exemplifies outstanding dedication and service to the statewide Virginia Emergency Medical Services system through his years of leadership, passion and hard work. Over the course of his 40-year career, Technician Chamberlain has demonstrated a commitment to a comprehensive, integrated system of emergency services throughout the Commonwealth. He retired as an Assistant Chief of MWAA and since then has been working for Fauquier County Department of Fire, Rescue and Emergency Management (DFREM) for nearly a decade as a firefighter/paramedic. While at MWAA he helped to author several NOVA manuals that are still used today. Technician Chamberlin remains highly involved by fulfilling the following roles: Member of the Fleet and Apparatus Design Committee, Member of the Local 3762 Executive Board and an ALS/BLS preceptor. Additionally, Technician Chamberlin still volunteers time at Amissville Volunteer Fire & Rescue where he started his career and continues to provide life-saving care to the citizens of Rappahannock County.
In the past few years, he has received the following awards:
2020 Firefighter of the Year in Fauquier County
2021 Chiefs Recognition of Service- awarded for his 7+ years.
2022 Unit Citation from DFREM for his efforts in successfully identifying and treating a critically ill patient.
2022 Unit Citation from DFREM for his efforts in administering the COVID vaccine to the community.
2023 EMS Public Servant of the Year- awarded by the Robert E. Laing Memorial VFW Post 9835 for his services to the community.
We are honored to present the Excellence in EMS award to Scott Chamberlin.
The 2022 Regional Awards
William Ooten, Outstanding EMS Leadership
William began his career in Culpeper. He worked his way from Firefighter/EMT to EMT-Advanced to Paramedic. With a passion for growth, he then became a Lieutenant, was promoted to Captain, and now serves as Director. He has changed the landscape of EMS for Culpeper County, with his primary goal of ensuring delivery of services to their citizens as quickly as possible. Director Ooten is currently involved in making Culpeper County a Heart Safe Community while simultaneously working on other initiatives, like supporting and providing guidance for the Culpeper Police Opiate Antidote Program. William has also been instrumental in implementing safety initiatives with the School Board, which include the School Safety Exit Program where the county school buildings had doors marked and mapped for quick response by Fire and EMS in the event of a mass casualty or other event. William Ooten currently serves on several local and regional committees to advance the safety profession as a whole and gain transferable leadership experience. William is currently active as a:
- Member of the Rappahannock EMS Council Board of Directors representing Culpeper County
- Member of the Germanna Community College EMS Advisory Board for EMT and Paramedic education
- Member of the Culpeper County Public Safety Committee
- Member of the Culpeper County Fire & Rescue Association (representing career staff)
We are proud to present Director William Ooten with the Outstanding EMS Leadership Award.
King George Department of Fire Rescue & Emergency Services, Outstanding EMS Agency
The King George Department of Fire Rescue & Emergency Services is a leading and well-respected Fire & Rescue agency throughout the region and state. The Department operates four stations that cover the County and is licensed at the Advanced Life Support (ALS) ground transport level. The department serves an area covering 183 square miles and containing 25,300 citizens. Members of the department have served in numerous capacities on regional and statewide Fire and EMS initiatives. The Department has a history of being the first to take on many new and innovative ways to provide EMS services to the area. For example: they were the first in our region to create a combined Fire and EMS agency that was a truly unified paid and volunteer station. The King George Department of Fire Rescue and Emergency Services was also one of the first to introduce the use of pre-hospital ultrasound, using an approved Point-of-Care ultrasound (PoCUS) protocol to identify various life-threatening conditions. And more recently, the Department has undergone special training to implement the region’s first pre-hospital whole blood administration program. The goal of this new pilot program is to reduce the mortality in patients with hemorrhagic shock. They continue to be on the cutting edge of new technology, science-based approaches and enhanced opportunities for leadership growth.
We are truly excited to present the Outstanding EMS Agency award to the King George Department of Fire Rescue & Emergency Services.
Jessica King, Nurse with Outstanding Contribution to EMS
Nurse Jessica King is the Trauma Educator and Performance Improvement Coordinator for Mary Washington Hospital Trauma Services. In this nursing role, she works closely with the EMS community to provide awareness and instruction in such areas as Trauma Triage, Stop the Bleed, and prevention. Through her nursing role and work, Mary Washington Healthcare has been able to move away from passing out flyers at tables to really making a difference and providing valuable educational opportunities to the community. She is honest and to the point, treats people with dignity and empathy and always strives to do her personal best in the work she does with EMS for MWHC trauma patients. This cooperation is also shown through her active involvement with regional and statewide committees on trauma for EMS to include:
- Mary Washington ED & Trauma Performance Improvement Committee
- Stop the Bleed Steering Committee, Co-Chair
- PHI AirCare2 PACES Planning Committee
- Mary Washington Healthcare EMS Advisory Group
Jessica shines each year as part of the planning team for PACES, an all-day critical care symposium for our community hosted by PHI AirCare2 and Mary Washington Hospital Trauma Center. In addition, she has partnered with VCU’s Project IMPACT with visits to local schools to promote injury and violence prevention, while simultaneously conducting classes to increase the number of STOP THE BLEED Instructors in the region, which is a campaign she spearheaded in 2017. Jessica was instrumental in the 2021 kick-off of the first Mary Washington Healthcare Virtual EMS Night Out. As Outreach Coordinator and Educator for the Mary Washington Hospital Trauma Center, Jessica has consistently demonstrated high standards and iCARE values in working with EMS agencies and other healthcare partners. She is honest and to the point, treats people with dignity and empathy and always strives to do her personal best in the work we do in EMS for our trauma patients.
We are proud to present the Nurse with Outstanding Contribution to EMS award to Jessica King.
Dr. William Reese, Physician with Outstanding Contribution to EMS
During the last several years, Dr. Reese was a vital part in creating the Emergency Stroke protocol which allowed LifeCare to be able to transfer patients receiving tPA. The ability to continue medication during transport allows for quicker In-Door/Out-Door times with Mary Washington Healthcare, which provides the patient with a better chance of a favorable outcome. He was also major part of LifeCare’s new initiative for the AIRVO 2. The AIRVO 2 generates high flows of warmed and humidified respiratory gases, delivered to spontaneously breathing patients through a variety of nasal, tracheostomy and mask interfaces. Through Dr. Reese’s guidance and support, LifeCare was able to create this high-flow protocol becoming one of Virginia’s first medical transport companies to do so.
Dr. Reese has received many accolades which include being nominated for the Governor’s Award for Outstanding Achievement in Virginia. And being honored as “Teacher of the Year” at LifeCare Medical Transports.
Over the last year, Dr. Reese has been an advocate and mentor at LifeCare Medical Transports by assisting in the creation of LifeCare's EMT Boot Camp. This program is an accelerated EMT course over the span of 4 weeks. Dr. Reese has been monumental in ensuring that LifeCare is able to provide the highest level of care for our community.
We are proud to present the award for Physician with Outstanding Contribution to EMS to Dr. William Reese.
Matthew Russell, Outstanding Prehospital Educator
Lt. Matthew Russell is an outstanding asset and stellar EMS provider at the King George County Department of Fire, Rescue, and Emergency Services. Lt Russell has assisted with instructing new employees in the department’s recruitment academies and he frequently teaches continuing education classes to shift personnel and volunteers. As a certified Flight Paramedic, he assists the department by teaching some of their monthly in-house critical care continuing education classes.
He is an active participant on the REMS Regional EMS Protocol Committee and provides his expertise to ensure that our entire regional is operating with the latest advancements in medical protocols.
In an effort to bring innovative programs to the region, Lt Russell developed and conducted the training program for the King George County Department of Fire, Rescue, & Emergency Department’s employment of Point of Care Ultrasound assessments. Then in July of this year the agency implemented a blood administration pilot program. Lt. Russell was indispensable in the coordination and realization of this program, including training advanced practice providers and other field staff on their specific roles and responsibilities.
Lt. Matthew Russell is an active Critical Care Paramedic and holds a variety of EMS educator certifications. He stays on the cutting edge of advanced care in an effort to keep the King George Department of Fire and Rescue at the forefront of EMS when it comes to excellence in patient care, while striving to provide the highest level of patient care outcomes.
We are proud to present the award for Outstanding Prehospital Educator to Lt. Matthew Russell.
Augustin Garcia Prieto, Outstanding Prehospital Provider
Agustin Garcia Prieto has quickly excelled as an EMT at the Sperryville Volunteer Rescue Squad. Agustin started with the squad as a Junior member while he was a senior in high school. Shortly thereafter, he enrolled in the EMT class and began running calls as plus-one. After coming on board in 2021, halfway through the year he had a record of responding to 237 calls. He never missed a 911 call. He is polite, congenial, inquisitive and willing to work. Gus is compassionate and respectful with both patients and coworkers. His calm demeanor reflects a maturity beyond his 19 years. While running hundreds of calls with the agency, Gus has truly earned a highly regarded reputation and admirable respect from the patients and his peers.
In 2022, Agustin was honored by the Rappahannock County Volunteer Fire & Rescue Association with an award for “EMS Provider of the Year.” Agustin’s ambitious demeanor and thirst for learning has prompted him to apply and get accepted to the Virginia Commonwealth University. His clear drive and dedication to healthcare will be an asset to those he comes in contact with along his EMS journey. For Agustin Prieto, the sky is truly the limit!
We are proud to present the award for Outstanding Prehospital Provider to Agustin Garcia Prieto.
Tracey Werner, Outstanding EMS Telecommunications Dispatcher
Tracy Werner has been a public safety telecommunicator for almost 16 years. Since her employment with the Fauquier County Sheriff's Office, Tracy has honed her skills in all aspects of emergency telecommunications, including Emergency Medical Dispatching. She obtained her EMT-B and completed ALS training, participated with a search and rescue group and has become an APCO (Association of Public-Safety Communications Officials) and Department of Criminal Justice Services Instructor.
Tracy has participated on a few different committees with APCO International. She was a member of a local volunteer fire and rescue department, a regional K9 search and rescue team, and is currently a member of the Sheriff's Office UAS Team. In 2018 Tracy was one of three presenters for search and rescue for communications at the Virginia APCO/NENA/Interop Fall Conference. Tracy is currently the Fauquier County Communications center go-to EMD instructor for new recruits. Over the last few years, Tracy has taken the initiative to create a search and rescue for communications training herself which includes specific information on:
- Call taking for incidents
- How to have a missing person find their GPS location on their cell phone
- And providing triage and pre-arrival instructions including EMD if appropriate.
- The training also includes different resources telecommunicators can expect to contact for assistance.
Tracy exhibits outstanding dedication and service to the field of telecommunications and the field of EMS.
We are proud to present the award for Outstanding EMS Telecommunications Dispatcher to Tracey Werner.
Robert Fry, Outstanding Contribution to EMS by a High School Senior
Robert Fry was inspired to enter into EMS by his father, who is a FF/EMT. He quickly gravitated to Reva Volunteer Fire & Rescue as a senior in high school. During the past year he obtained his NREMT, Firefighter 1, and Hazmat Operations certification. Robert has been so dedicated that he completed his certifications while being dually enrolled in coursework in High school and at Germanna Community College. Upon his graduation, Robert has plans to continue his education in Fire & EMS while attending college. This year Robert was inducted into the National Technical Honor Society at the Culpeper Technical Education Center.
The Reva Volunteer Fire and Rescue Chief said, “Robert Fry has exceeded his agency’s expectations for junior members and surpassed many of the other members within the last year.” Robert Fry will be a tremendous asset to EMS in years to come. We look forward to see the trail he creates on his way a successful career in the EMS field.
We are truly proud to present the award for Outstanding Contribution to EMS by a High School Senior to Robert Fry.
Fauquier Department of Fire Rescue & Emergency Management, Outstanding Contribution to EMS Health & Safety
In 2017, the Fauquier County Department of Fire, Rescue, and Emergency Management, along with the Fauquier County Volunteer Fire and Rescue Association, started an Operational Health and Safety Committee. This committee was established to improve the overall safety of operating procedures and conserve personnel, vehicles, and equipment through accident prevention, training, and maintenance. The committee is comprised of volunteer, career, and union representation. The Health and Safety Committee has implemented two distinct programs whose sole purpose is to support their personnel's physical and mental health. In 2015 they established a Peer Support Team, and in an effort to progress in their services using the Department's Peer Support Team framework, Fauquier County established a Peer Fitness Committee in 2022. Several of the Peer Fitness members have assumed the financial and time obligations of becoming nationally certified personal trainers and nutritionists. The first initiative of this group has been managing recruit school physical training. The Fauquier County Operational Health and Safety Committee also includes a comprehensive gear cleaning and replacement program. In April of 2022, they implemented an alert section called PSTrax, which is used to address and document health and safety-related concerns. PSTrax allows members to document issues, ensure that they are reviewed, make recommendations to the appropriate administrators, and keep accurate records. The Fauquier County Department of Fire Rescue and Emergency Management continues to work closely with local and state partners and a broad variety of related stakeholders to develop a culture in which safety considerations and risk awareness permeate the full spectrum of EMS activities and decisions.
We are truly excited to present the Outstanding EMS Health & Safety Award to the Fauquier Department of Fire Rescue & Emergency Management.