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.
Dr. Pickett serves as the EMS System Deputy Medical Director for the City of Austin and Travis County, Texas and is an Assistant Professor in the Department of Emergency Medicine at Wright State University. Dr. Pickett is the Tactical EMS Co-Chair for the Special Operations Medicine Scientific Assembly and is a member of the Guidelines and Practice Committee for the National Association of EMS Physicians. He is also a member of the Guidelines Committee for the Committee on Tactical Emergency Casualty Care. Dr. Pickett is Board Certified in Emergency Medicine and Subspecialty Board Certified in Emergency Medical Services.
Prior to his position in Austin, Dr. Pickett served as the Director of the Center for Prehospital and Operational Medicine at Wright State University. He has served as Medical Director for several fire departments and police SWAT teams. He is currently a Lieutenant Colonel in the West Virginia Army National Guard as a Battalion Surgeon in a special operations unit.
Dr. Pickett’s current responsibilities include education, clinical guidelines, community health, rescue, and tactical medicine.
Pickett JR, Dickinson ET. Dealing with Dig: A comprehensive review of digoxin and its therapeutic and toxic effects. Journal of Emergency Medical Services (JEMS) 2005 Aug;30(8):70-8, 82, 84 Schwartz, McManus, et al. Tactical Emergency Medicine. Chapter 35: "Emerging Technologies in Tactical Medicine". LWW. 2007.
Singer J, Pickett JR, Chuuon P. Food Borne Illness. Pediatric Emergency Medicine Reports. Oct. 2007 Kagel, et al. International Trauma Life Support Manual, Military Edition, 2ed. Appendix 3: “Environmental Considerations”. 2010 Wipfler EJ, Heiskell LE, et al. Tactical Medicine Essentials. Peer reviewer, Ch 24 “Weapons of Mass Destruction”. Jones and Bartlett. 2010 American College of Emergency Physicians, Ohio Chapter. Ohio ACEP EMS Medical Director’s Course. Chapter 11: Protocols and Standing Orders. Chapter 13: EMS Quality and Performance Improvement. Published online. 2013 Kwon PO, Pickett JR. Coinfection of Mycoplasma pneumonia with chronic Q fever in a nurse deployed to Operation Iraqi Freedom: a case study. US Army Med Dep J. 2014 Jul-Sep:51-4 Pickett JR, Kallsen TW, Schott EE. Damage control resuscitation. Trauma Reports. 2015 July Ciottone GR (Ed.) Disaster Medicine, 2ed. Ch 87 “Tactical Emergency Medical Support”. Elsevier. 2016 Barnhart GC, Cullinan WF, Pickett JR. Prolonged field care of a casualty with penetrating chest trauma. Journal of Special Operations Medicine. Breakaway Media. Accepted for publication 2016
American College of Emergency Physicians
Emergency Medical Services Section
Tactical Medicine Section
Disaster Medicine Section
National Association of EMS Physicians
Practice and Standards Committee
Council of EMS Fellowship Directors
Committee on Tactical Emergency Casualty Care
Standards and Practice Committee Special Operations Medical Association, Lifetime member, Program Committee National Tactical Officer’s Association Ohio Tactical Officer’s Association Society of US Army Flight Surgeons
Deputy Medical Director - Travis County
Mark Ackrell, MD, FACEP
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.
Associate Medical Director
Katherine (Kate) Remick, MD, FAAP, FACEP
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.
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 is a patient safety and healthcare quality professional currently serving the Austin-Travis County Office of the Medical Director. In this role, he guides the development and implementation of all patient safety and healthcare quality efforts at the System level. Louis views the areas of patient safety and healthcare quality as public health issues requiring a systems-thinking approach combined with a culture that truly values quality, safety and service.
Louis earned a Bachelor of Science degree in Safety Engineering and a Master of Public Health from Texas A&M University. He completed paramedic training in Texas in 1983 and through the Seattle Medic One program in 1992. During his career, he has served with eight ground and air EMS systems in Texas and Washington. Louis is also a certified professional in patient safety (CPPS) and in healthcare quality (CPHQ). In his early career, Louis gained safety management and systems safety experiences serving in various occupational safety & health roles including his last role as a Division Safety Manager with the Boeing Company in Seattle.
Many of Louis’ research and quality efforts have centered on out-of-hospital cardiac arrest and systems of care. He has published peer-reviewed and trade journal articles on resuscitation, CPR, STEMI systems, and workplace emergency response. Most recently, Louis served on a NHTSA funded committee that developed CPR LifeLinks - a set of resources for EMS Systems seeking to improve their high-performance CPR and telecommunicator CPR programs, https://www.ems.gov/projects/cpr-lifelinks.html. His primary areas of interest include patient safety, prospective systems safety reviews, and improvement through adverse event review.
William Leggio, EdD, NRP, Clinical Operations, Practices and Standards Coordinator
Dr. William Leggio holds an Educational Doctorate of Interdisciplinary Leadership from Creighton University. He also completed his graduate degree in Negotiation and Dispute Resolution and undergraduate degree in Emergency Medical Services at Creighton University. William has a national and international background in EMS research and education. He has scholarly contributions published in peer-reviewed journals, professional publications and textbooks. William served on the Technical Expert Panel for EMS Agenda 2050. He continues to be an active contributor to the profession on a national level. Prior to joining the OMD team, William was an assistant professor and Paramedic Program Coordinator at Creighton University.
William is an experienced paramedic serving on suburban and rural EMS agencies, as well as in a level-1 trauma and academic medical center, all in the greater Omaha, Nebraska area. William started his EMS career in high school when he completed his EMT-B education then shortly thereafter volunteering on his hometown’s fire and rescue department in southwest Iowa.
Chris Parker, MSN/Ed, RN, CEN, TCRN, 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.