Paramedic Experience Across the Full Continuum

Most recently, I served as lead/primary paramedic for Hamilton County Hospital District’s Mills County EMS across roughly 800 square miles. On single-paramedic/EMT truck, additional ALS support could be 30+ minutes away and transports commonly ranged from 45 to 90 minutes, ensuring that our full skill set, guidelines and capabilities were leveraged.

Independently assessed both routine and high-acuity, medical and trauma patients, initiated and continued advanced treatments, functioned in high performance team environment, coordinated multiple resources, maintained positive relations with peers, fire and the public. Completed occasional critical-care transfers, reviewed charts, recommended protocol improvements, training, and precepted EMS students. Concurrent service with Brady Fire & EMS, Pecan Plantation EMS, Santo Fire & EMS, and Palo Pinto County EMS broadened my experience across various protocols, operations, and crew resource models.

I previously helped open a rotor-wing base and worked on a flight nurse/flight paramedic crew averaging approximately six missions per 24-hour shift, primarily scene responses in the Dallas metro area. Even further back, I filled in prn in a military flight medic capacity in Ptongteak South Korea. Ground critical care includes transporting multiple patients on multiple continuous infusions and ventilator support.

Recent advanced practice has included RSI/DSI, invasive and noninvasive ventilation, Hamilton T1 and Zoll Z Vent operation, infusions, thoracostomy, surgical airway, antibiotics, aggressive sepsis care, and prolonged transport management.

I maintain current ACLS-EP, PALS, PHTLS, AMLS, EPC, ABLS, and advanced neonatal resuscitation certification, supplemented by things like difficult-airway training, point-of-care ultrasound, cadaver labs, and critical-care coursework.

As a lead, advanced practice, tactical paramedic under contract on a U.S. Department of State diplomatic-security assignment in Baghdad Iraq, I held responsibility for immediate action offensive and defensive security operations, primary medical and trauma response and care for team members, VIPs and diplomats. Additionally, I was classified as "medical officer" and managed stationary clinical care, and medical operations supporting more than 500 personnel from over a dozen countries and led a six-person multinational medical team.

The role combined clinic care, emergency and trauma response, logistics, tactical support, evacuation coordination, and things like combative operations, convoys and high-performance - high threat driving and static high value security details. I am SWAT trained and completed multiple advanced weapons proficiency courses.

Disaster response and large-scale medical operations required adaptability when normal infrastructure, staffing, or logistics were disrupted. These environments sharpened my approach to triage, resource stewardship, contingency planning, and care under operational constraints. I have responded to multiple flood and tornado events, volunteered post 9/11 NYC Ground Zero, responded to Hurricanes Katrina, Harvey and Rita as well as some other smaller events such as search and rescue operations where I also leveraged my geoanalytical skillset.

The lesson carries into everyday EMS: prepare early, communicate clearly, and protect the team’s ability to continue the mission.

My time and exposure to the fire service was a great opportunity to learn a multitude of new skills and contribute to public safety in entirely new ways. While EMS was always my calling, Fire-Rescue work reinforced scene safety, incident command, accountability, extrication skills and awareness, haz mat operations, rescue techniques, as well as some of my own limitations. It reinforced the importance of defined roles during complex events and I am now more comfortable integrating with fire, law enforcement, and other agencies.

I have served as a field training officer, preceptor, Texas EMS instructor, mentor, and independent educator. Earlier in my career I taught over 500 students in ACLS, PALS, AMLS, PHTLS/BTLS, EVOC, and performance driving; more recently I precepted students, mentored new crew and assisted with EMT training.

I am passionate about training and I lead with a calm, patient, humble approach. I really want students to feel respected, valued, empowered and actually taught instead of just talked to. 

I approach clinical improvement as practical field work: careful chart review, honest case discussion, protocol literacy, deliberate training, and willingness to change, especially when the evidence supports it. Importantly I believe that in EMS, almost nothing goes exactly to plan and there are many gray areas in this profession. I believe that doing right by the patient is our first priority and if that is honored, most everything falls into place. 

My goal is not to perform advanced procedures. It is to recognize the right patient, select the right intervention, know when not to treat vs treat, anticipate complications, document the reasoning, and if possible, help the entire team learn from the case. I am open to all critiques and expect to be held to high standards.

Volunteer and PRN service has kept me connected to smaller systems, mixed staffing models, and communities where trust matters. I have worked alongside volunteer responders, firefighters, EMTs, and local leaders while adapting to different protocols and resource environments.

I value the responsibility of representing an agency well on every call; clinically, professionally, and personally. I think that regardless of care delivery type, patient and customer service is paramount to success. Working to establish trust in the community every day is vital and I work hard to do so.

My background in analytical geography and geospatial systems adds a practical operational dimension to EMS. GIS and data can reveal response gaps, deployment patterns, access barriers, workload trends, and opportunities to improve readiness. I have history and an advanced understanding of data, statistics, analytics, research, data ETL, data integration, and both cartography and visualization. 

I understand both sides of those decisions: the data seen by leadership and the field conditions experienced by the clinician.

From 2007 through 2025, I also built and led geospatial and data-consulting operations, building world class, integrated mapping and analysis systems, conducted multi-variate regression analysis, data forecasting and predictions, location-allocation study and others for over a dozen clients to include work with EMSA, First Watch Solutions, Air Evac and Air Medical Group Holdings prior to the GMR merger.

In business I have managed teams of 3, 6, 10 and 17 with annual budgets up to $3,000,000. I have a history of identifying gaps and finding and implementing solutions that improve efficiency, decrease loss or increase revenue. I am comfortable in the back of an ambulance, in a tent in a field, a hotel room or a board room. My experience strengthened my ability to organize complex operations, communicate with executives and field personnel, translate data into decisions, and remain accountable for outcomes.

Those skills now support my EMS practice through disciplined documentation, situational awareness, resource planning, and a systems-level view of operations and patient care.