District of Columbia Fire and Emergency Medical Services Department
In June 2015, Jullette M. Saussy was named the medical director of DC Fire and EMS. On January 29, 2016, she announced her resignation from that position in a letter to Mayor Muriel Bowser. In her letter, she called the department's culture "highly toxic to the delivery of any semblance of quality pre-hospital medical care."
Chicago Fire Department
The Bureau of Operations is one of four Bureaus within the organization of the Chicago Fire Department. Like the other three Bureaus, the Bureau of Operations is commanded by a Deputy Fire Commissioner, who reports to the 1st Deputy Commissioner, who in-turn reports to the Fire Commissioner. The Bureau of Operations is currently the largest Bureau within the Chicago Fire Department and is organized into four Divisions: Fire Suppression and Rescue, Emergency Medical Services (EMS), Special Operations (including the Technical Rescue Unit, the Hazardous Materials Unit, and the Air-Sea Rescue Unit), and the Office of Fire Investigation (OFI). The Fire Suppression and Rescue Division is commanded by an Assistant Deputy Fire Commissioner. The Special Operations Division and the EMS Division are also commanded by an Assistant Deputy Commissioner. The Office of Fire Investigation (OFI) is under the command of the Commanding Fire Marshall, equivalent to the rank of Deputy District Chief.