Paramedics are the highest level of pre-hospital providers, according to "The Princeton Review," and are responsible for saving thousands of lives every year. They treat injured and sick people in emergency medical settings, and must make accurate diagnoses to determine the proper treatments

Paramedics respond to 911 emergencies such as car accidents, fires, tornadoes and athletes who are injured in sports events. They assess patients' conditions and treat them accordingly, whether they adminster CPR or apply tourniquets to stop massive bleeding. These medical workers also take patients' vital signs, transport them to hospitals, and discuss their injuries and condition with doctors and nurses. Paramedics are also responsible for checking equipment to ensure it's working properly, and keeping supplies such as bandages, neck braces and splints stocked in their vehicles. They must also write reports on all incidents and the treatments they administer.

Be it pledged as an Emergency Medical Technician, I will honor the physical and judicial laws of God and man. I will follow that regimen which, according to my ability and judgment, I consider for the benefit of patients and abstain from whatever is deleterious and mischievous, nor shall I suggest any such counsel. Into whatever homes I enter, I will go into them for the benefit of only the sick and injured, never revealing what I see or hear in the lives of men unless required by law.


I shall also share my medical knowledge with those who may benefit from what I have learned. I will serve unselfishly and continuously in order to help make a better world for all mankind.


While I continue to keep this oath unviolated, may it be granted to me to enjoy life, and the practice of the art, respected by all men, in all times. Should I trespass or violate this oath, may the reverse be my lot.


So help me God.

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•to conserve life,  alleviate suffering, promote health, do no harm, and encourage the quality and equal availability of emergency medical care.

•to provide services based on human need, with compassion and respect for human dignity, unrestricted by consideration of nationality, race, creed, color, or status; to not judge the merits of the patient’s request for service, nor allow the patient’s socioeconomic status to influence our demeanor or the care that we provide.

•to not use professional knowledge and skills in any enterprise detrimental to the public well being.

•to respect and hold in confidence all information of a confidential nature obtained in the course of professional service unless required by law to divulge such information.

•to use social media in a responsible and professional manner that does not discredit, dishonor, or embarrass an EMS organization, co-workers, other health care practitioners, patients, individuals or the community at large.

•as a citizen, to understand and uphold the law and perform the duties of citizenship; as a professional, to work with concerned citizens and other health care professionals in promoting a high standard of emergency medical care to all people.

•to maintain professional competence, striving always for clinical excellence in the delivery of patient care.

•to assume responsibility in upholding standards of professional practice and education.

•to assume responsibility for individual professional actions and judgment, both in dependent and independent emergency functions, and to know and uphold the laws which affect the practice of EMS.

•to be aware of and participate in matters of legislation and regulation affecting EMS.

•to work cooperatively with EMS associates and other allied healthcare professionals in the best interest of our patients.

•to refuse participation in unethical procedures, and assume the responsibility to expose incompetence or unethical conduct of others to the appropriate authority in a proper and professional manner.

Medina County Emergency Services District 4 206 Dixon Drive - Devine Texas 78016

In Memoriam


Pat Bourcier, EMT-P


January 2014

Term Expires

January 2020

Beth Leonesio


Board Chair

January 2014

Term Expires

January 2020

Juan Cuellar



January 2014

Term Expires

January 2020

Viola Potter, EMT-P

July 2018

Term Expires

January 2019

Emergency Services District (ESD) No. 4 is a political subdivisions established by local voters for the purpose of raising money through ad valorem taxes on all real property located within the district. The ad valorem taxes support the ESD - designed to protect life through the provision of emergency medical ambulance services.


Board History

History of Previous Commissioners

Emergency Service District's are created under Texas Health and Safety Code, Chapter 775 or Chapter 776 as a means to better provide public funding for urban, suburban and rural emergency services organizations. Districts created under Chapter 776, Texas Health & Safety Code are generally designated for counties with populations of less than 125,000. However, the trend is to create all future ESDs under Chapter 775 since this chapter of the Texas Health and Safety Code provides greater flexibility and authority to an ESD and these district's may be created in any county in Texas, regardless of population.


Emergency Service District's are the only practical way to adequately support emergency services in many Texas municipalities as well as suburban and rural areas of the state.

Bill Marshal

 Vice Chair


Emergency Services District # 4, Medina County, Texas. 2013 All Rights Reserved. Website Design by Crux Technologies