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."
Service de sécurité incendie de Montréal
Service de sécurité incendie de Montréal (SIM) is responsible for fire and rescue operations in Montreal, Quebec, Canada. EMS first-response has been available in limited areas since 1976 and to the entire service area since 2009. The SIM is the 7th largest fire department in North America. The department offers High Angle Rescue (stations 13 & 27), Collapse Rescue (station 47), HazMat Response (station 29), Ice Rescue and Nautical Rescue.