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 the largest Bureau within the Chicago Fire Department. The Bureau of Operations commands the following Divisions: Fire Suppression & Rescue, Emergency Medical Services (EMS), Special Operations, and the Office of Fire Investigation (OFI). The Bureau of Operations is composed of over 4,500 Firefighters and Paramedics and is commanded by a Deputy Fire Commissioner.