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."
British Columbia Ambulance Service
The British Columbia Ambulance Service (BCAS) is the sole ambulance service and provider of pre-hospital emergency care in the province of British Columbia. BCAS is managed by British Columbia Emergency Health Services (BCEHS) and falls under the jurisdiction of the Provincial Health Services Authority (PHSA). The service is tasked with the provision of emergency medical response province-wide. Today, BC Ambulance is among the largest Emergency Medical Services (EMS) provider in Canada and North America. The fleet consists of more than 500 ground ambulances operating from 183 stations across the province along with 80 support vehicles. BCAS provides inter-facility patient transfer services in circumstances where a patient needs to be moved between health care facilities for treatment. BCAS also operates an airevac program that utilizes both fixed-wing and rotary aircraft.