Miller selected as EMS Division Chief of Medina County Fire/EMS

April 2, 2026–Press Release by Medina County Fire/EMS — Please join us in welcoming Vaughan Miller to Medina County Fire/EMS as our Division Chief of EMS
Chief Miller brings an exceptional depth of experience across the full spectrum of emergency medicine, leadership, and system development—exactly what a growing, ground-up organization and the community we serve need. With nearly three decades in prehospital medicine and critical care, Chief Miller has served as a flight nurse and paramedic, ICU/CCU registered nurse and preceptor, operations lieutenant, field supervisor, logistics manager, and tactical medic in some of the most progressive EMS systems in Texas.
Chief Miller holds an Associates and Bachelor of Science in Nursing. He is a Registered Nurse, Texas Licensed Paramedic, and also holds a Texas Peace Officer Certification.
His advanced certifications reflect his commitment to clinical excellence, including:
Critical Care Registered Nurse (CCRN)
Certified Flight Registered Nurse (CFRN)
Board-Certified Cardiovascular Registered Nurse (CVRN-BC)
ACLS, PALS, NRP, TNCC, TPATC, TCAR, and S.T.A.B.L.E. Provider
Chief Miller’s background uniquely bridges street-level EMS, hospital critical care, aviation medicine, logistics, and executive operations. He has led complex initiatives such as managing large-scale disaster logistics, and contributing to the implementation of the nation’s first prehospital whole blood administration program.
Just as importantly, Chief Miller is a proven educator and mentor, serving as a preceptor and instructor while fostering a culture of accountability, professionalism, and high performance.
As Division Chief of EMS, Chief Miller will oversee all EMS clinical operations for the department, guiding protocol development, quality improvement, and training. His experience ensures that Medina County Fire/EMS will grow with strong clinical governance, evidence-based medicine, operational efficiency, and a relentless focus on patient outcomes.
Welcome to Medina County Fire/EMS, Chief Miller. We are excited to have you leading the future of EMS for our organization and the citizens we proudly serve.