DCFEMS Medical Director Leaves for New Post

WASHINGTON – Washington DC EMS Chief and Medical Director, Dr. David Miramontes, will be leaving the Nation’s Capital to assume a position as Assistant Clinical Professor of Medicine at the University of Texas Health Science Center in San Antonio (UTHSC) and serve as the physician medical director for the City of San Antonio Fire Department (SAFD).

His responsibilities will include: medical oversight of the SAFD system including education, online medical control, quality assurance/performance improvement; teaching in continuing education programs; educational program medical direction for the EHS Department’s EMT and Paramedic Certification Programs; participation in EHS teaching and research; serve on local, regional and national committees; and active participation in field evaluations. He will also have a clinical practice of medicine at the University Hospital Emergency Center.

The San Antonio Fire Department, with a staff of over 1,200 personnel, serves the 7th largest city in the United States, with a population of more than 1.1 million people and a service area of more than 504 square miles. The department maintains 35 fulltime ALS ambulances, up to 10 “peak hours” ambulances, 49 engine companies, 19 truck companies, and 18 first responders with over 1200 personnel.

JEMS Editor-in-Chief, A,J. Heightman, praised Miramontes’ accomplishment as DC’s EMS leader and Medical Director since 2011, said, “Dave Miramontes is a very forward thinking physician and EMS visionary who accomplished a tremendous amount in a department with a history of fire personnel that have resisted EMS system changes. Taking the reins from another EMS visionary, Jim Augustine, MD, who left DC for another post, and having to filled two positions when the department’s EMS Chief was moved to a firefighting position, Miramontes dedicated countess hours to keep DC Fire & EMS in pace with the rest of the country’s major fire/EMS agencies.”

Miramontes went to the District of Columbia with significant experience in EMS Medical Direction in 2011. He is double board certified in Emergency Medicine and EMS, the newest subspecialty of medicine. He was one of only a few physicians to become EMS board certified when the first exam was offered in 2013.

During his three-year tenure at DC Fire and EMS he was able to implement innovative programs such as:

  • The deployment of controlled medications for pain relief, seizure control and sedation and introduced the Intranasal medication delivery system for those medications.
  • Introduced new Lifepack 15 monitor defibrillators and implemented an EKG transmission system using cellular data transmission that shortened the time of patient delivery to specialized Cardiac Cath labs.
  • Had 10 medication dispensing machines deployed at area hospitals and fire stations to allow quick restocking of medications by paramedics and store medication in a secure, temperature controlled environment.
  • Enhanced DC’s protocols and had new medications added, such as Cardiazem, Racemic Epinephrine, Zofran, Versed, Fentanyl, Etomidate , and (soon to be deployed) Tranexemic Acid (TXA) that reduces bleeding in trauma patients.
  • He facilitated disease-specific coalitions among area hospitals to improve the care of patients with Stroke, STEMIs, psychiatry and trauma.
  • Enhanced protocols and training that increased the scope of practice for DCFR EMTs allowing them to do procedures and administer medication therapies not traditionally allowed in other jurisdictions.
  • Initiated a focused “Pit Crew” CPR training program in 2013 as well of the use of the ResQPOD (Impedence Threshold Device — ITD) to improve cardiac arrest resuscitations in the busy DC region.
     

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