Homepage / Administration & Leadership / DC FEMS MD Quits, calls FD Leadership "Toxic"
FDIC 2017 – Structural Response to Aviation Incidents: Engine Company Operations I Got Lost Going to a Call – So I made sure everyone knew about it Crossover Podcast Ep 102 Mrs Happy Medic and Mike the Cop Arby’s Roast Beef Ad angers EMTs, not sure why Strippers and Cocaine watch – 2017 Seizures! Seizures Everywhere! Nothing is certain except death and taxes. I can help you with both What to do when the powers that be – just can’t. Episode 99 the Crossover Ep 98 – Off Duty and Fancy Free NO is Never Easy to Hear Ohio Cop vs Ambulance Crew Member on Video – Crossover Show Investigates! An MCI With Wings: Aviation Incidents EMS Today 2017 First in Ambulance MCI at EMS Today 2017 Crossover Show Learns How to Take a Joke To Haul or Not to Haul – Should the Complexity of a Refusal Influence Transport? Crossover Show – Ep 91 – ACLU cameras Tip of the Helmet – Bj’s Brewhouse the Crossover Show – Episode Eighty Eight Eminence Based Medicine If You Don’t Give Him Insulin He’s Going to Die Lost Cause Strikes Again the Crossover Podcast – Ep 85 – Florida Cry Baby “I Can’t Breathe!” you keep using those words… the Crossover Show – 84 – TN Bus Crash Happy 150th Anniversary San Francisco Fire Department! Thank You For Your Service? A Complete Secondary Assessment the Crossover Episode 81 – Let’s Talk Politics! Aircraft skids off runway, rescue task force ill equipped Crossover Show – Ep 79 – Do we need so much active shooter training? How to Ignore Everyone in the Room: Be an Intern Your Meme is Bad and You’re Not One of Us Anymore Goodbye tarps, I never loved you The Crossover Episode 76 – Flashback to the Beginning You found me how? Less CSI, More Columbo EMS Festival Standby – You can’t just park a car there the Crossover Show Ep 72 – Florida EMT photo game A&O vs able to make decisions Kilted to Kick Cancer Cops vs Firemen Writer calls for Medics to risk more in shootings, misses the target What’s with the French? the Crossover – Ep 69 – Twelve Ninety Désolé the Crossover Show – Ep 67 – Traffic Stops and Profiling Actually, Officer, No. It Really isn’t that hard to try When Patients Don’t Play by the Old Rules Letters in the File – Oklaloosa Selfies the Crossover Podcast – Ep 64 – Turning Passion into Retirement Why Pokemon GO is so much like EMS Us Against Us Apathy is worse than absence So Now I’m Back! Changes are a-comin’ The Sounds of Silence I know that feel, Bro TCS – Ep 59 – SHOOT HIM! CISD with OK GO part VI the Crossover – Ep 56 – Rooms for Shooting the Ballad of Big Dave the Crossover Episode 55 – Text me Bro Why vs How and Book vs Street A Mother’s Day Crossover Show Dear Valencia County Fire Chiefs Dear Random Township Fire Department at FDIC the Crossover Show – ep 50 – Revenge of the Vine Stars Strippers and Cocaine need your help Educational Standards in EMS Engine Company First Strike MCI – FDIC 2016 the Crossover Show – Ep 48 – What’s in your feed? Washing the Chief’s Car What Should I Do With This Knife? – The Crossover Ep 46 Firefighter Jokes Medical/Legal Advice, Google Style the Crossover Show – Episode 45 – Cop Vines and the Cajun John Wayne You Make the Call ebook Now Available To the Intern Who Froze the Crossover Show – Episode 44 – Day of Remembrance New at Uniform Stories – Raising Revenue BLS Fire Officer or Paramedic – Who Makes Scene Decisions? the Crossover Show – Episode 43 – Viewer Questions Why Budgeting Matters – Our Plumbing Nightmare the Crossover Show – Episode 42 – Protesting a Rally with a March DC FEMS MD Quits, calls FD Leadership “Toxic” the Crossover Show – Episode 41 – America Ball The more things change… Hey Board of Supervisors, You’re Remembering the Wrong People the Crossover Show – Episode 38 – How not to Get Tazered the Crossover Show – Episode 37 – What Makes a Good Chief? Johnny and Roy lied to me – I write receipts Defining System Abuse – A Response to Ambulance Chaser the Crossover Show – Episode 36 – Perception vs Reality Good Morning America skims over Fatigue in EMS Police-24,336,756 EMS-4 EMS Bike Program from the ground up Become a Patron of the Arts – Support the Crossover Show! Engine Company First Strike MCI in San Bernardino Video Shows Woman Banging on Ambulance Accusing Them of Organ Harvesting

Administration & Leadership, EMS, EMS 2.0

DC FEMS MD Quits, calls FD Leadership “Toxic”

Jullette Saussy, the most recent Medical Director to try to turn around our Capitol’s failing EMS service, resigned with a scathing indictment of the DC FEMS Leadership on Tuesday, Feb 9th.

DC FEMS, for those of you wondering what a FEMS is, was an attempt by DC Metro Fire to rebrand themselves from a Fire Department to a Fire and EMS Department. Turns out you have to do a little bit more than just change the logo on the side of the trucks.


Saussy is not the first Director (Assistant Chief) to quit, but is the first to do so with such blatant honesty I find it odd that there is so much uproar about it.

DC FEMS is broken. Has been for a long time. In the past we have all known why, but it was easier to blame the revolving door of EMS Directors for the short comings and move along.

DC FEMS changed Medical Directors and EMS Directors more often than most systems change the oil in their ambulances, Saussy lasting only 7 months before throwing in the towel.

At what point do you stop wondering why all your girlfriends leave you and look in the mirror?

According to DC FIRE…never. “It isn’t me, it’s them.”


This needs to be an awakening; a wake up call to all fire based EMS services. A disturbance in the Force so strong that it rattles the crossed bugles into realizing that the bulk of their business needs to be the bulk of their business. They need to hire and retain people who know what a healthy EMS system needs to survive and focus their energy entirely on that. Whatever other time we have we can devote to fire. You know, kind of the inverse of what you do now.

Full disclosure, I work in a fire based system. I work in one and go in everyday trying to make it better than it was yesterday and we’re seeing improvements.

Jullette Saussy tried to make DC FEMS better and was met with lies, distortions and outright negativity when trying to even assess the system. She states in her detailed resignation letter that she was not even allowed access to basic intervention information, provider charts or run time data. These are the nuts and bolts of the system that need to be adjusted to dial in the right levels of service. Without access to the true data and information, how can one propose changes to the system?

How can a Doctor treat a patient if they are never shown the patient?

Let’s call this what it is: DC FIRE is alive and well within the folds of DCFEMS while blaming EMS crews for long response times and not giving anyone in the tiny EMS Supervisory positions any ability to assess the system, let alone change it.

DCFEMS has failed. Again.

I call on the leadership of DC FEMS to admit that they are wrong, that their interior attack against EMS has failed and become a life safety threat to their citizens, their visitors and each other. It is time for DC FIRE to call a MAYDAY, evacuate and go defensive. The building is a loss, guys, get out before anyone else gets hurt. Get out of EMS.

If you won’t let people who know what they’re talking about do what they need to do, then you might as well hire a librarian as your next Fire Chief. Why hire someone who knows what they’re doing if you’re already decided on what you think might, possibly work based on a dream you had.

More ambulances does not mean shorter response times.

Shorter response times does not mean better patient outcomes.

More fire engines going to medical calls to “stop an imaginary clock” as Saussy says, isn’t working, never has, yet you are ready to double down on failure.

DC FEMS should be renamed DC EMS and the governing body devote the lion’s share of the operating budget to addressing the services provided. Then let DC FIRE fight for the scraps and figure out how to be revenue neutral while being managed by a Paramedic or Physician.


Is it dangerous to manage a fire department if they have no idea how to do so?


Now you sound like us. You sound like the Paramedics, EMTs, Physicians and anyone with eyes who see what you are doing isn’t working. Your management is non-existent and when you had the brain cells fire to hire Saussy you forgot to do the one thing a true leader does:

Trust their people to do their jobs.


I recommend Dr Saussy be immediately instated as Chief of DCEMS and get this thing turned around. And if you need some more help, Doc, give me a call. Resume on request.

Related posts:

Post a Comment

Your email address will not be published. Required fields are marked *