July Member of the Month

Lee Cabaniss
Director, Elko County Ambulance Services
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Held the position since August 2016. Prior to coming to Elko County Ambulance Service I served as an Operations Division Chief for ASG-Kuwait EMS at Camp Arifjan, Kuwait for over 7 years implementing and managing the first US standard, civilian ALS agency in support of US Army Central Command. I have experience in hospital, third service, and fire department based EMS Services, including over 10 years as a volunteer for Cave Spring Rescue Squad in Roanoke, Virginia serving 4 years as EMS Chief. My experience also includes working for Western Virginia Regional EMS Council.

I am a graduate of the paramedic program at National College in Salem, Virginia and I am currently completing a Bachelors in Healthcare Management through Southern New Hampshire University. I am a Nevada and Virginia EMS Instructor, and instruct CPR, ACLS and PALS.

I am a member and EMS representative to the Elko County Local Emergency Planning Committee, Elko Central Dispatch Administrative Authority Operations Board, and the Elko County Enhanced 911 Advisory Board.

EMS agency name
Elko County Ambulance Service

Agency location/area served (City/State)
Elko County, Nevada. Elko County, Nevada is the 4th largest county in the continental United States.

Service type: (Municipal, Private, Hospital, Volunteer)
Elko County Ambulance Service is a municipal EMS agency providing services with full-time, part-time, and volunteer EMS providers. Provide services out of three stations that are separated by 50-70 miles each.

Number of staff:
EMT’s: 50
Paramedics: 9
Support staff 2

Annual call volume statistics (FY 2016)

  • 911 responses - 3,727
  • 911 transports - 2,720
  • Non-emergency transports (if applicable) - 709
  • Public and Community Standbys - 128

Population of coverage area: Approximately 53,000
Square mileage of coverage area: 17,203 square miles

Ambulance Fleet information

  • Number of BLS ambulances - 5
  • Number of ALS ambulances - 4
  • Number of supervisory units - 1
  • Specialty units/resources – 1 Bariatric Ambulance (ALS)

MIH, Community paramedicine and/ or other programs
Elko County Ambulance Service provides primary and continuing education to both internal and external providers and external agencies.

Elko County Ambulance Services is a primary field internship location for Advanced EMT and Paramedic students from Great Basin College, the only Paramedic program based in the frontier areas of Nevada.

Agency challenges:
Elko County is classified as Elko County Ambulance Service is the sole Advanced Life Support ground ambulance provider within Elko County, Nevada except for a service 110 miles away that straddles the Utah/Nevada border. Elko Ambulance provides ALS transport services throughout Elko County, but normally staffs our two rural stations at the Advanced EMT level. Additionally, ALS intercept services are provided to two cities, the Duck Valley Indian Reservation, and several industrial EMS agencies servicing the area’s many gold mines.
There is a single hospital providing emergency and inpatient care within the county borders, with many patients transported via ground or air to referral centers such as University of Utah in Salt Lake City, or Renown Regional Medical Center in Reno. Elko Ambulance works closely with three air medical providers also based in the county. Elko County does not currently have Enhanced or NextGen 911 in place, which is a project we are currently involved in with Elko County.

May Member of the Month

Tabatha Butcher
Chief, Collier County Emergency Medical Services
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(239) 252-3780

Tabatha Butcher is the Chief of Collier County Emergency Medical Services Department. She has held this position since May 2016. During her 20 years at Collier County Emergency Medical Services, Tabatha has held various positions, including: Emergency Medical Technician, Paramedic, Lieutenant, Captain, Flight Paramedic, Battalion Chief and Assistant Chief.

Tabatha studied Emergency Medical Services Technology at Edison State College and Public Administration at Barry University. In addition she is a 2014 graduate of the Certified Public Manager Program administered by the Florida Center for Public Management, which is part of the Askew School of Public Administration at Florida State University. Tabatha is an experienced instructor of American Heart Association courses, including: Basic Life Support, Advanced Cardiovascular Life Support and Pediatric Advanced Life Support. Tabatha is a graduate of Leadership Collier Class of 2016.

Tabatha served as an EMS representative on the EMS Advisory Council and works closely with the Emergency Medical Authority, Collier County Injury Prevention Coalition and Safe and Healthy Kids Coalition.

Tabatha resides in Naples, Florida with her husband and two children.

EMS agency name
Collier County Emergency Medical Services

Agency location/area served (City/State)
Naples Florida-Collier County

Service type: (Municipal, Private, Hospital, Volunteer)
County Owned and Operated

Number of staff:
EMT’s: 49
Paramedics: 126
Support staff 25, 4 pilots, 2 aircraft mechanics

Annual call volume statistics (FY 2016)

  • 911 responses 39,699
  • 911 transports 28,031

Population of coverage area: Approximately 360,000
Square mileage of coverage area: 2,000 square miles

Ambulance Fleet information

  • Number of BLS ambulances 0
  • Number of ALS ambulances 25 ground units, 1 helicopter, 1 Bariatric Ambulance, 16 reserve units
  • Number of supervisory units 1 MedFlight Battalion Chief, 3 field Battalion Chiefs
  • Specialty units/resources: Search and Rescue Team, Tactical Paramedic Team, MedFlight, ToxMedic Hazmat Team

MIH, Community paramedicine and/ or other programs
CCEMS is Nationally Accredited by Commission on Accreditation of Ambulance Services (CAAS) and our MedFlight Program is Nationally Accredited by Commission on Accreditation of Medical Transport Systems (CAMTS)
CCEMS is exploring the possibility of a Community Paramedic Program as well as a telemedicine program within the field. We are in the data gathering phase of the Community Paramedic Program and will begin a pilot program in June to implement Telemedicine.
We have partnered with the local Sheriff’s Office to train citizens the “Stop the Bleed” program.

Agency challenges: Collier County is a rapidly growing community with a large influx of visitors during the seasonal period from October thru March. Keeping up with the rapid growth and call demand is very challenging.

Feburary Member of the Month

Randy Mellow
Chief of Paramedics/President Paramedic Chiefs of Canada



As Chief of Peterborough County/City Paramedics, Randy brings over 30 years’ experience in Emergency Services. He began his EMS career in 1986 in south-western Ontario as a paramedic. Before assuming his current position, Randy progressed through various roles including Supervisor of Quality Assurance and Human Resources, Deputy Chief of Peterborough County/City Paramedics and Chief of Essex-Windsor EMS.

Randy currently promotes the priorities of Canadian Paramedic leadership by serving as the President of The Paramedic Chiefs of Canada. In addition to IAEMSC, Randy is a contributing member of the Ontario Paramedic Chiefs Association, NEMSMA and NAEMSP. He also serves as the Canadian representative on the JEMS International Editorial Board.

Randy is a graduate of St. Clair College Windsor and was awarded the Alumni of Distinction as a graduate of the Ambulance and Emergency Care Program. He holds a Master’s Certificate in Municipal Leadership and has achieved accreditation as a Certified Municipal Manager Level III (CMM III) with EMS Executive and Emergency Management Professional Designation.

January Member of the Month

Chief Carl A. Flores, Deputy Director/Chief of EMS, New Orleans, Louisiana

Carl A. Flores is the Deputy Director / Chief for New Orleans EMS. Chief Flores has served in his current role since the winter 2007. With a team of 150 paid employees and over 150 volunteers at New Orleans EMS, he continues to perform in this critical role as the New Orleans EMS system develops with his experience and leadership.

Chief Flores first studied to be an EMT at Pima Community College in Tucson, AZ, where key training focuses went beyond the basic EMS curriculum and concentrated on rope and water rescue training. Upon completing his training and gaining his national certifications, Chief Flores began his career in a path that is not unfamiliar to successful leaders in New Orleans EMS – as a volunteer in 1993 through the Volunteers in Government of Responsibility (VIGOR). After accepting a position as an EMT Basic, he quickly advanced his level to an EMT-Intermediate where he served the citizens and visitors of New Orleans in several capacities while training to be a Paramedic. During this time Chief Flores cross-trained as dispatcher where he obtained his Emergency Medical Dispatcher (EMD) certification and achieved the level of dispatch supervisor. In the position of rescue technician, Chief Flores was able to provide critical extrication services on difficult rescue scenes; although in his new role he maintains the passion to teach others as a vehicle extrication instructor for New Orleans EMS. Emergency Medicine focused, Chief Flores continued to advance his knowledge obtaining his instructors certifications in CPR, Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS), Basic Trauma Life Support (BTLS), and Pre-Hospital Trauma Life Support (PHTLS) which helped in training new employees and Paramedic students. In 2004 he became an Emergency Medical Coordinator, Assistant (Supervisor) where he served as a Field Supervisor. Immediately preceding his current role, Chief Flores was appointed as the Director of Logistics following Hurricane Katrina, a position which played a pivotal role in the rebuilding and procurement process that replaced the destroyed and lost equipment following Hurricane Katrina. Since that time, Chief Flores has led New Orleans EMS in the acquisition of greater than $4.0 million dollars in new equipment and the rebirth of New Orleans EMS.

This rebirth was culminated in 2012 when New Orleans EMS was named the Dick Ferno Emergency Medical paid Service of the year.

Although Chief Flores is very dedicated to the City of New Orleans and its citizens, the major focus of his life revolves around his family. Without the support and sacrifice of his wife Heather and their three children he would not be able to commit such time and efforts to make New Orleans EMS one of the premiere EMS services in the country.

EMS agency name
New Orleans EMS
Agency location/area served (City/State)
City of New Orleans/Orleans Parish- Louisiana
Service type: (Municipal, Private, Hospital, Volunteer)
Third service municipal
Number of staff:
# EMT’s 42 Field EMT-Basics, 6 Field EMT-Advanced #Paramedics 75 Field Paramedics #Support staff 9 Administrative Staff Members, 7 Logistics Team Members

Annual call volume statistics

  • 911 responses- 61,077 CFS in 2015; Trending 64,000 for 2016
  • 911 transports- 39,107 patients transported in 2015; Trending 40,000 Transports
  • ALS percentage of transports- 100%
  • BLS percentage of transports- N/A
  • Non-emergency transports (if applicable)- N/A

Population of coverage area- 389,617
Square mileage of coverage area- 169.42 square miles

Ambulance Fleet information

  • Number of BLS ambulances- N/A
  • Number of ALS ambulances – 11 Trucks at Peak Hours (7-8 Day; 3 Swing; 6 Night)
  • Number of supervisory units 3 Captains and 1 Lieutenant at Peak Hours (2 Day Captains; 1 Swing Captain; 1 Night Captain – 1 Day Lieutenant; 1 Night Lieutenant)

Specialty units/resources

  • EMSU-1 is the MCI bus utilized during major events/disasters. It has the capability of transporting __18__ supine patients and __9___ wheelchair patient, can support tele-monitoring for __12___ patients simultaneously
  • Total of _10_ trained tactical medics that assist local/state/federal law enforcement
  • Total of __9__ active shooter/Rescue Task Force kits capable of outfitting _18__ personnel with ballistic equipment and hemorrhage control kits for use during an active shooter situation
  • Five specialty response vehicles- fully ALS-capable, miniature all-terrain ambulances used to extract patients from areas typically inaccessible to standard ambulances. Utilized during major events such as Mardi Gras, NFL football games, or Mass Casualty Incidents.
  • EMS Bike Team- total of ___21__ EMTs and Paramedics who are IPMBA-certified, total of __16__ bikes (10 Frontline and 6 Training/Spare).
  • EMS Rescue truck- total of __9___ personnel trained as rescue technicians. The rescue truck is stocked with all tools required to perform vehicle and light technical rescue. It also hosts SWRT gear as well as high angle rescue gear.

MIH, Community paramedicine and/ or other programs

  • Robust volunteer program with over 150 active volunteers who assist with coverage for major events and ride third on a unit in order to gain clinical/hands-on experience
  • Community Paramedicine program- we identify our patients who frequently call EMS & go to Emergency Rooms, and provide them with care coordination, readmission prevention, & access to an array of social services with our many community partners, as well as teaching on disease prevention & self-management
  • Community Outreach program- multiple preventative health and safety initiatives including free public training in compression only CPR (over 1K citizens trained annually for the last 4 years), the New Orleans EMS T.A.S.K. Force- Teaching Awareness and Safety to Kids, partnerships with Louisiana State Police and the Level 1 Trauma Center at UMC as part of the Sudden Impact Program, which strives to instill responsible practices in teens who will soon be behind the wheel

Agency challenges: if applicable
As a municipal third service we experience the same challenges as other providers including funding and staffing. Specific challenges include balancing the operational needs with structured funding associate with government systems, especially, given the increased call volume of approximately 38% from 2010 to 2016. Other challenges include, operating a public safety agency under a business model without sacrificing patient care and the ever changing improvements in technology and treatments.

Special projects/other:
In 2015, we were awarded a grant from the Louisiana Highway Safety Commission to begin a car seat distribution program. All of our units carry car seat referral cards; when a crew sees or interacts with a child who is unrestrained or improperly restrained, they issue a referral card to the driver/caregiver. The adult is instructed to come into EMS headquarters on a designated day of the week to receive a free car seat as well as instruction on the car seat’s proper installation and use. The grant has been renewed for FFY 2016.