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 Medical Direction as well as at Cleveland Clinic Main Campus.

All Pre-hospital personnel within this medical direction 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 Tom Beers EMT-P, EMSI - EMS Coordinator/Educator, at 216.444.4515

coned4Medical Direction Departments: 

Cleveland Clinic Critial Care Transport (CCT)             MERT Squad   

caduceusMain Campus Medical Direction Staff


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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.


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Thomas Beers, EMT-P,  EMS-I, NHDP
EMS Manager
Manager of Emergency Services
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Thomas Beers has been with the Cleveland Clinic Health System since 2004. After spending nearly five years at Huron Hospital, Tom was recruited by the Cleveland Clinic's Emergency Services Institute to develop a new EMS program at the Main Campus. Tom has been involved in EMS since 1994 when he helped develop the University of Dayton's EMS response department, UD Rescue Squad. He has also worked for the City of Dayton Fire Department where he was a firefighter and paramedic as well as EMS educator and supervisor. Currently Tom is a full time firefighter and paramedic with the City of Cleveland Heights. He is a nationally recognized author in Fire Engineering's former publication, FireEMS, as well as a contributing author to IFSTA Essentials 6th Edition, and EMS World Magazine. Tom is a US Army veteran. He serves as a Tactical/Operational Medic with the Cleveland Clinic Police Department where he works with local, state, and federal law enforcement and is a recognized SME and instructor on Rescue Task Force for Active Shooter Response. Tom is a former Chapter Captain for Team RWB and is Ohio’s Deputy Administrator at Team Rubicon. He is a Board Certified National Healthcare Disaster Professional. His interests include fishing, cycling, swimming, and long distance competitive running. Tom lives in NE Ohio with his wife Megan and their four sons. He is currently pursuing a Master’s Degree in Public Administration. Tom received the honorific of knighthood by the sovereign leader Prince Michael of Sealand in 2018. Tom also discusses EMS, firefighting, veterans issues, and disaster and tactical medicine on Twitter at @OneTallMedic.

Classroom Location:
Emergency Department, Room E1-160 (2 Doors down from EMS Room)

  • All classes are at 11 a.m. unless noted.
  • Lunch will be provided. Certificates will be issued for 2 hours of Continuing Education.
  • Please RSVP 24 hours in advance by calling Tom Beers at 216.444.4515 or email This email address is being protected from spambots. You need JavaScript enabled to view it.

 Cleveland Clinic is always available for special lectures concerning cardiac and neuro diseases and disorders. To arrange a Con Ed session at your department, please contact Tom Beers at 216.444.4515


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