August Member of the Month

Brian Frankel
Emergency Medical Services Commander
Assistant Fire Chief Prince George’s County Fire/EMS Department

Brian Frankel, Assistant Fire Chief Prince George’s County Fire/EMS Department is currently assigned as the Emergency Medical Services Commander. With over 20 years’ experience in the Fire/EMS service, he has severed in various positions to include: Advanced Life Support Training Coordinator, EMS Quality Assurance Officer, Battalion Chief in Emergency Operations and a Firefighter / Paramedic. In addition, he has also served in the United States Air Force as an Aeromedical Technician with several operational deployments to Kuwait, Saudi Arabia and Bahrain. In his current position, he oversees EMS operations, EMS Development, Quality Management Team and the newly formed Mobile Integrated Healthcare team.

Brian has completed an Associate’s Degree in Applied Health Sciences through the Community College of the Air Force and a Bachelor’s Degree in Fire Science from the University of Maryland University College. He is an experienced EMS instructor and has taught numerous initial and continuing education EMS programs. In addition to his teaching experience, Brian serves on numerous State and local EMS committees, most notably is his recent appointed by the Governor of Maryland to the State EMS Advisory Council.

From his start as a 16 year old volunteer EMT to his current position, Brian’s unwavering commitment to the delivery of high quality EMS has never changed. He believes that through consensus and teamwork, the EMS industry will continue to find ways to adapt and overcome today’s challenges.

Brian resides in Prince Fredrick, Maryland with his wife and four children.

EMS agency name
Prince George’s County Fire/Emergency Medical Services Department

Agency location/area served (City/State)
Prince George’s County (located on the eastern boarder of Washington D.C.), Maryland

Service type: (Municipal, Private, Hospital, Volunteer)
County Based Fire/EMS Department

Number of staff:
EMT’s: 2000
Paramedics: 390
Support staff :78

Annual call volume statistics (FY 2016)

  • 911 responses – 148,572
  • 911 transports – 77,224
  • ALS percentage of transports: 14%
  • BLS percentage of transports: 85%
  • Non-emergency transports:

Population of coverage area: 909,535
Square mileage of coverage area: 499 square miles

Ambulance Fleet information

  • Number of BLS ambulances - 42
  • Number of ALS ambulances - 19
  • Number of supervisory units - 10 (7 Battalion Chiefs, 2 EMS Supervisors, 1 Assistant Fire Chief-Operations)
  • Specialty units/resources – Department has a Technical Rescue Division, HazMat response, Marine Division, Special Events Unit (Fed-Ex Stadium)
  • Mobile Integrated Health Unit – Currently has 2 Community Paramedics Assigned but anticipated growth to 8 Community Paramedics and a Community Nurse within the next 6 months.

Agency challenges:
Like many agencies throughout the industry, we are challenged by all the following: EMS Culture, provider safety, EMS provider burn out, fatigue, increasing call volumes with increasing calls for non-medical-low acuity calls, frequent utilization of 911 services.

Special projects/other:
We are extremely proud of our Mobile Integrated Health program, within a short period of time, we have seen dramatic reductions in 911 use for our enrolled patients. The opportunity to get EMS involved in the greater health picture has led to many unforeseen benefits. It has opened the door to conversations of the importance of EMS in the greater healthcare community and the opportunities to reduce over utilization of healthcare services. Although we have many challenges in our industry, this new program has renewed our commitment to helping patients receive the care they need and deserve.

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.