Communication is a vital part of any EMS Medical Direction System. Knowing whom to contact when you need medical direction/issues is vitally important and can be aggravating at times. Listed below are the various Medical Direction facilities as well as the Medical Directors and EMS Coordinators responsible for medical direction.

Please feel free to contact the appropriate EMS Coordinators if you have questions related to your scope or practice, protocols or any other operational issues.

EMS Continuing Education classes are scheduled and conducted at the respective Fire Departments listed under our edical Direction as well as at Hillcrest Hospital.

All Pre-hospital personnel within this medical command are welcome, please call the respective department prior to coming, to make sure the class has not been changed. Any other questions can be directed to Karen Shelby RN, EMSI EMS Coordinator/Educator, at 440.312.4215


coned4Medical Direction Departments: 

Bainbridge Fire Department            Gates Mills Fire Department                  Lyndhurst Fire Department

Mayfield Hts Fire Department          Mayfield Village Department                 Pepper Pike Fire Department

Russell Fire Department                  South Euclid Fire Department

caduceusHillcrest Medical Direction Staff


sauto pic


James W. Sauto, Jr., MD, FACEP
Emergency Services Institute
Cleveland Clinic
Procedure Lab Co-Director
EMS Medical Director
Clinical Assistant Professor of Medicine CWRU
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216.870.0395 CCF iPhone

Dr. James Sauto, Jr., MD is now responsible for Medical Command/direction for Fire/EMS departments serving the following communities

Lyndhurst                          Russell Twp
Mayfield Heights               Mayfield Village
South Euclid                     Pepper Pike

Dr. Sauto will continue to serve as Co-director of the Cadaver procedures lab and resident instructor at Cleveland Clinic main campus. He is also working some shifts in at Hillcrest Emergency Department.



Karen Shelby, RN,  EMS-I
EMS Coordinator
EMS Educator
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Karen Shelby, RN, CEN, EMS-I has been Cleveland Clinic Hillcrest hospital’s EMS Coordinator since 2007. She is a certified ACLS and PALS instructor. Prior to her current role, Karen spent 25 years working at Hillcrest hospital Emergency department in various roles, including interim nurse manager, assistant nurse manager, staff nurse and ED/EMS educator.



Bruce Shade, EMT-P, EMSI
EMS Educator
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Bruce Shade is currently employed as the EMS Educator for Cleveland Clinic Hillcrest Hospital. He is also a paramedic instructor at Cuyahoga Community College (Tri-C). Bruce is also a past Chairperson of the Ohio Emergency Medical Services Board and just recently retired as a part-time firefighter for the City of Willoughby.
Bruce has been involved in emergency services since 1972. He started as a volunteer firefighter/EMT for Granger Township and then served as paramedic, educational supervisor, paramedic training program director, and commissioner for the City of Cleveland’s Division of Emergency Medical Service for the next 25 years. During those years, he also worked as a part-time firefighter/paramedic for Willowick Fire Department and the para¬medic faculty at Lakeland Community College. For the remainder of his career with Cleveland, he served as an Assistant Public Safety Director. Since retiring, Bruce worked as a Homeland Security Consultant, Operations Director for Community Care Ambulance, and Assistant Safety-Service Director for the City of Elyria, all in Northeast Ohio.

Bruce is past President, Vice President, and Treasurer of the National Association of EMTs and chairperson of the Instructor Coordinator Society. He has served as president of several local associations and chairperson of many committees and task forces. Bruce has authored several EMS textbooks and written many EMS-related articles. He has lectured at local, regional, state, and national EMS conferences.


 Class Locations: Auditoriums A, B, & C

Refreshments will be provided.
Classes are tentatively scheduled and can be viewed via the training calendar, but are subject to change.

Continuing education will be awarded through the Hillcrest EMS Office EMS Con Ed accreditation #2140.
For questions, please contact the EMS Offices at Hillcrest Hospital, at 440.312.4215.

Ongoing Courses:

Cardiac Cath Lab Observation in Hillcrest Cardiac Cath Lab
Best days to observe: Tuesday and Friday
Call 440.312.3219 to schedule

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