As a 24-year veteran of the Philadelphia Fire Department and 30-year veteran Paramedic. I began my EMS career in Critical Care Transport for a University Hospital before dedicating my attentions to the unique challenges of urban fire-based EMS. I have focused my attention mainly on achieving clinical excellence and engendering the same in others through education and mentorship. Additionally, I have been involved with first responder mental health both within the department and externally through the IAFF at the local, regional and national level.