James J. Augustine, MD, is an emergency physician and the director of clinical operations at EMP in Canton, OH. He serves on the clinical faculty in the Department of Emergency Medicine at Wright State University and as an EMS medical director for fire-based systems in Atlanta, GA; Naples, FL; and Dayton, OH. He was assistant fire chief and medical director for District of Columbia Fire and EMS. Jim also served as chair of ASTM Task Group E54.02.01, which develops standards for hospital preparedness under Committee E54 on Homeland Security Applications. He spent 32 years as a firefighter and EMT.