Randall Schaefer

Chief Charles Coyle has served Palm Beach County Fire Rescue (PBCFR) since 2004, rising through the ranks from Paramedic and Firefighter to Division Chief of Wellness & Engagement. A national speaker and innovator in prehospital medicine, Chief Coyle has been instrumental in advancing trauma and mental health care models for first responders. Selected in 2013 to join the Training and Safety Division, he developed new EMS protocols and designed PBCFR’s comprehensive paramedic training and testing system from the ground up. As the department’s sole EMS educator, he oversaw training for more than 1,500 paramedics. Chief Coyle later established the Medical Services Division and now leads initiatives that enhance the physical, mental, and emotional well-being of PBCFR personnel—continuing his lifelong commitment to protecting those who serve.

Mark Piehl is a pediatric critical care physician at WakeMed in Raleigh, NC, and a Medical Director with WakeMed Mobile Critical Care transport. He is also Founder and Chief Medical Officer of 410 Medical, a company developing technology to improve resuscitation in shock, sepsis, and trauma. Mark teaches frequently on the pre-hospital management of trauma and critical illness, has faculty appointments at the University of North Carolina and Duke University, and has numerous Department of Defense grants funding the development of technology to improve trauma care. He is also a founding member of the SPARC Academy and the North Carolina Prehospital Regional Blood Coalition.

Randall Schaefer, DNP, RN, CEN (Lieutenant Colonel, Retired), is a retired US Army Trauma Nurse with multiple deployments who advocates for civilian prehospital blood programs, so we don't forget the hard lessons we learned on the battlefield. She has assisted nearly 90 agencies nationwide in implementing prehospital blood transfusion programs using a standardized process. She is the President of the Prehospital Blood Transfusion Coalition (PHBTC). She serves as a subject matter expert for the Association for the Advancement of Blood and Biotherapies (AABB) Prehospital Emergency and Out-of-Hospital Scheduled Transfusion Standards Working Group Committee and a Technical Expert for the National Institute for Defense Health Cooperation (NIDHC)/National Center for Disaster Medicine and Public Health (NCDMPH) Prehospital Blood Transfusion Implementation initiative supporting the research and implementation strategy of the DOT NHTSA grants.

Chief Bank is a fellow of the Academy of Emergency Medical Services, National Association of EMS Physicians. Continuing his distinguished career in Emergency Services, he currently serves as Vice President of the Pre-Hospital Blood Transfusion Initiative Coalition, is a Committee Member of the AABB Pre-Hospital Standards Committee, and Committee Member of the AABB THOR (Trauma Hemostasis and Oxygenation Research) Pre-Hospital Work Group. Mr. Bank is a graduate of EMS Management, Hahnemann University, Philadelphia, PA in 1996. Among his accomplishments, he developed the first ground blood transfusion program in 2016 working with Dr. John Holcomb and the Texas Department of State Health Services, developed several pre-hospital transfusion protocols and was instrumental in the deployment of Low Titer Group O Whole Blood Products for Ground EMS in 2017.

Randall Schaefer, DNP, RN, CEN (Lieutenant Colonel, Retired), is a retired US Army Trauma Nurse with multiple deployments who advocates for civilian prehospital blood programs, so we don't forget the hard lessons we learned on the battlefield. She has assisted nearly 90 agencies nationwide in implementing prehospital blood transfusion programs using a standardized process. She is the President of the Prehospital Blood Transfusion Coalition (PHBTC). She serves as a subject matter expert for the Association for the Advancement of Blood and Biotherapies (AABB) Prehospital Emergency and Out-of-Hospital Scheduled Transfusion Standards Working Group Committee and a Technical Expert for the National Institute for Defense Health Cooperation (NIDHC)/National Center for Disaster Medicine and Public Health (NCDMPH) Prehospital Blood Transfusion Implementation initiative supporting the research and implementation strategy of the DOT NHTSA grants.

Holly O’Byrne is a Lieutenant/Paramedic and the Blood Program Coordinator for DC Fire and EMS. She integrates evidence-based trauma care, advanced training, and multi-system data collaboration across EMS, hospital, and public health partners. Holly’s work focuses on improving early resuscitation, health equity, and system performance through innovative policies and robust quality improvement frameworks. She has authored peer-reviewed publications, contributed to national clinical practice guidelines, and presented at NAEMSP, EMS World, THOR, and multiple regional blood coalition conferences. Her leadership continues to advance prehospital care, trauma readiness, and lifesaving transfusion practices nationwide.