Mark E. Escott, MD, MPH, FACEP, NRP, EMS System Medical Director
Dr. Escott serves as the EMS System Medial Director for the City of Austin and Travis County, Texas and is an Assistant Professor in the Section of Emergency Medicine at the Baylor College of Medicine. He also is appointed as a Senior Lecturer at Flinders University in Adelaide, Australia. Dr. Escott was elected Chair-elect of the Section of EMS and Prehospital Medicine of the American College of Emergency Physicians in 2015 and serves on the EMS Committee of ACEP. He is Board Certified in Emergency Medicine and Subspecialty Board Certified in EMS. He has published numerous articles, abstracts, papers, and presentations related to EMS, Disaster Management, and Public Health.
Prior to his position in Austin, Dr. Escott served as the Director of the Division of EMS and Disaster Medicine and EMS Fellowship Director for Baylor College of Medicine, Health Authority for the Montgomery County (Texas) Public Health District and Medical Director for the Montgomery County Hospital District EMS, Harris County ESD #48, and San Jacinto Community College-North. In addition, he served as the Medical Director for the EMS Service and EMS education program at Rice University which he founded as an undergraduate student in 1996 after completing his training as a Firefighter and Paramedic.
Associate Medical Directors
Mark Ackrell, MD, FACEP, Associate Medical Director
Dr. Ackrell graduated from the University of California at Berkeley with undergraduate degrees in biochemistry and physiology. Upon graduation, he entered medical school at the University of Pittsburgh. He completed his medical education and did an internship in internal medicine at the University of Florida/Shands, Jacksonville. Upon completion of his internal medicine internship, Dr. Ackrell remained at the University of Florida Shands/Jacksonville to complete his residency requirements in emergency medicine and was appointed Chief Emergency Medicine Resident his final year.
He has also maintained a clinical relationship with Shands/Jacksonville as a clinical instructor in their emergency medicine residency program. Currently, Dr. Ackrell serves as the Director of Emergency Medicine at South Austin Hospital. In addition to his full-time status with South Austin Hospital and his part-time status as an Associate Medical Director, he serves as a Team Physician with Florida's Disaster Medical Assistance Team (DMAT), Team Physician with the State of Florida's Emergency Response Team and is a NASA Shuttle Launch physician.
James Kempema, MD, MS, FACEP, Associate Medical Director
Dr. Kempema graduated from Calvin College in Grand Rapids, MI with a B.A.. in Physical Education/Exercise Science. Upon completing his undergraduate degree, he attended University of Arizona to obtain a Masters of Science in Exercise Physiology/Sports Medicine and worked for two years in Cardiac Rehabilitation in Tucson, AZ. He then went on to attend University of Arizona College of Medicine where he completed a residency in Emergency Medicine at Arizona Health Sciences Center, serving as Chief Resident his senior year.
In 1999 he moved to Austin and began working as an Emergency Physician at University Medical Center at Brackenridge Emergency Department and Dell Children's Emergency Department. He currently serves as the Assistant Director of the Emergency Department at UMC-Brackenridge. Dr. Kempema was also the former Regional Medical Director for Critical Air Medicine and Air Evac Lifeteam. In August 2007, he became an Associate Medical Director with OMD and full-time Medical Director for Travis County's STAR Flight Helicopter Program.
B. Duke Kimbrough, MD, FACS, FACEP, Associate Medical Director
Dr. Kimbrough graduated from the University of Texas Health Science Center in San Antonio and began his medical career in the United States Army. He was initially trained as a general surgeon and completed his surgical residency at both North Carolina Memorial Hospital in Chapel Hill and Madigan Army Medical Center in Tacoma, Washington. Upon completion of his surgical residency, he was assigned to Landstuhl Army Medical Center as the Surgery Service Chief and Staff Surgeon where he worked as a surgeon, mobilization officer in support of field deployment and clinical coordinator for Special Forces Senior Medics Training. He completed his term at Landstuhl and was transferred to Silas B. Hays, Army Community Hospital in Ford Ord, CA.
He served as Assistant Service Chief providing clinical support in the hospital, while coordinating the educational program for residents, interns and medical students. Dr. Kimbrough was awarded the Army Commendation Medal for his service at Silas B. Hays. Dr. Kimbrough completed his term as active duty and became an active Army Reservist at 5501 US Army Hospital in San Antonio. He served as Chief of the Department of Surgery until his retirement from the US Army as a Colonel. In civilian service, Dr. Kimbrough obtained his board certification as an Emergency Physician and worked as an Emergency Department Physician at Brackenridge Hospital, South Austin Hospital, and currently at the Heart Hospital. Dr. Kimbrough is also active in the EMS Education field, serving as the Medical Director and part-time faculty for the EMS Professions Program at Austin Community College.
Orlando Magallanes, MD...... Associate Medical Director
Katherine (Kate) Remick, MD, FAAP, FACEP, Associate Medical Director
Dr. Kate Remick is Interim Deputy Medical Director for Austin/Travis County EMS System, EMS Director for the Pediatric Emergency Medicine Fellowship at Dell Medical School, Trauma Liaison for the Emergency Department at Dell Children’s Medical Center, and Executive Core for the newly funded EMS for Children Innovation and Improvement Center whose mission is to transform emergency care for children across the healthcare continuum through quality improvement methodology.
Her primary focus is clinical quality and patient safety through provider education, development of evidence-based management guidelines, and system-level readiness. She is the Medical Director for the National Association of EMT’s Emergency Pediatric Care course, a member of the Governor’s EMS and Trauma Advisory Council Medical Director’s Committee, and Chair of the Education Task Force for the National Association of EMS Physicians’ Pediatric Committee.
Dr. Remick has also spent the last five years as one of the leaders of a national quality improvement effort entitled the National Pediatric Readiness Project with the goal of helping emergency departments to meet the needs of children. She serves as a member of the National Pediatric Readiness Steering Committee, Chair of the NPRP Special Interest Group for the American Academy of Pediatrics and liaison to the Committee on Pediatric Emergency Medicine. She has worked collaboratively with multiple professional organizations including the EMS for Children Program to develop webinars on pediatric readiness and quality improvement.
Prior to joining the team in Austin, Dr. Remick completed a Pediatric Residency and Chief Residency at Washington University in St. Louis, a Pediatric Emergency Medicine Fellowship at Harbor-UCLA, and an EMS Fellowship at Los Angeles County EMS Agency. Dr. Remick is board certified in Pediatrics, Pediatric Emergency Medicine, and Emergency Medical Services.
Jeff Hayes, MPH, LP, Chief of Staff
Jeff Hayes holds a Master’s Degree in Public Health in Health Policy & Management from the Texas A&M Health Science Center School of Rural Public Health. His undergraduate degree is in Biology, Health and Physical Education from East Texas State University (now Texas A&M – Commerce). He served both as an EMT and a Paramedic with Austin EMS from 1986 to 1992. He left to take the position of Department Chair of the Austin Community College EMS Program. From there he was selected as the Director of Operations and Assistant Emergency Management Coordinator for Williamson County where he was employed for ten years. Hayes then returned to our System as the Chief of Staff for the Office of the Medical Director.
Hayes is a member of the following professional organizations: the National Association of EMS Physicians (NAEMSP), National Association of EMTs (NAEMT) and the National EMS Management Association (NEMSMA).
Hayes has made numerous EMS conference presentations on various subjects relating to emergency care, research and EMS Education. He has also authored articles in EMS trade publications and serves as a content reviewer for various EMS Textbooks.
Larry Arms, LP, Clinical Operations, Practices and Standards Coordinator
Larry Arms after attending college and holding several corporate positions and owning his own company began his career with Pedernales Volunteer Fire Department. He became certified as an ECA in 1988 then, became a Paramedic in 1991.
He began his career with Austin EMS in 1992, initially as an EMT and later as a Paramedic. Arms has held training positions on BLS and ALS transport units.
In 2001, he was promoted to Clinical Commander and was designated as the County Medical Liaison for all first responder organizations and; later he was designated as a System Medical Officer. In May of 2005, the Office of the Medical Director was formed and he was designated as the Clinical Operations, Practices and Standards Coordinator.
Bill Coll, B.A., M Pub. Affs. LP, REHS, Infection Preventionist
Bill Coll holds a Bachelor of Arts degree in Community Health Education from Montclair State University with a Master in Public Affairs from the Lyndon B. Johnson School of Public Affairs, The University of Texas at Austin.
He has about 40 years of EMT and Paramedic experience as a volunteer and with the Austin EMS System. Coll served with the City of Austin EMS Department from 1980 through 1993 in a variety of field and administrative positions. He was reassigned to the Austin Fire Department Medical Operations section for ten years. He has been in the Office of the Medical Director since its inception with a primary focus on Infection Prevention issues.
Coll has made numerous presentations and published several articles and chapters related to infection prevention. He is an Adjunct Faculty member with The Texas Engineering and Extension Service in the EMS Leadership Academy. He serves on the Emergency Preparedness Committee of Association for Professionals in Infection control and Epidemiology, Inc.
Louis Gonzales holds a Master’s Degree in Public Health with a concentration in Health Policy & Management from the Texas A&M Health Science Center School of Public Health in addition to a Bachelor of Science in Safety Engineering from Texas A&M University. Louis began his EMS career in the early 1980s as a volunteer with the Texas A&M Emergency Care Team serving in a variety of clinical and administrative leadership roles. During this time, he completed paramedic training and worked as an EMT and paramedic for the City of Victoria and Calhoun County EMS departments.
Louis spent several years as an Occupational Safety and Health professional in the petrochemical, explosives, electronics and aerospace industries. His focus areas included system safety analysis, accident investigation, and program management. He returned to EMS in 1990 as a volunteer firefighter/EMT prior to completing the Seattle Medic One paramedic training program. He then served as a paramedic with the King County Medic One program (Seattle, Washington) and was active with the King County EMS System serving as the County's Early Defibrillation Program Coordinator.Louis returned to Texas in 1997 for a short stint with Calhoun County EMS. Prior to joining the Office of the Medical Director, Louis served as Faculty in the Temple College Department of EMS Professions, Flight Paramedic for Scott & White Medevac 1, and as Clinical Practices Commander for Williamson County EMS.
Gonzales is co-author of EMT Manual, 3rd edition and has published both peer-reviewed and trade journal articles on resuscitation, CPR, STEMI initiatives, workplace emergency response and first aid. He has served in several positions with the National American Heart Association Emergency Cardiovascular Care (ECC) programs including the role of Senior Science Editor for Community Products. Currently, his primary areas of focus are in healthcare quality and patient safety.
Chris Parker, MSN/Ed, RN, LP, System Education and Professional Development Coordinator
Chris Parker holds a Master's of Nursing and Healthcare Education from the University of Phoenix, a Bachelor's of Communication from the University of Texas, and dual Associate Degrees in Nursing and Emergency Medical Services Technologies from Austin Community College.
She was a full-time professor and the clinical coordinator for ACC’s Emergency Medical Services program for 13 years and now serves as adjunct faculty. Chris is also a guest lecturer at the University of Texas and the University of Phoenix. She worked as a paramedic for Williamson County EMS for nine years and has been an Emergency Department nurse and educator for the St. David's Healthcare System since 1997.
Chris is a member of the Emergency Nurses Association, serves on the education committee for the National Association of EMS Educators and served as the chair of the Education Committee for the Capital Area Trauma Regional Advisory Council for seven years. She has contributed to multiple publications and reviews content for both nursing and EMS textbooks.