Dominic Gurule
San Antonio,TX
Summary
Results-driven Paramedic / Firefighter and 12-year U.S. Air Force veteran with extensive experience delivering high-acuity patient care in fast-paced, high-stress environments. Proven ability to perform advanced life support (ALS), collaborate with multidisciplinary healthcare teams, and provide accurate clinical documentation. Seeking an Emergency Department Paramedic / Patient Care Technician role within HCA Healthcare / Methodist Hospital to contribute strong clinical skills, discipline, and patient-centered care.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Paramedic / Firefighter
La Salle County Fire Rescue
10.2023 - Current
- Deliver high-acuity ALS care in a rural 9-1-1 emergency response system, managing medical, traumatic, and cardiac emergencies across the lifespan. Perform advanced airway management including endotracheal intubation and ventilatory support in critically ill patients. Serve as lead paramedic during cardiac arrest resuscitations, directing ACLS-based care, coordinating team roles, administering resuscitative medications, and managing post-ROSC stabilization. Establish and manage IV and IO access; administer emergency medications, analgesics, sedatives, and vasoactive agents per protocol. Obtain, interpret, and continuously monitor 12-lead ECGs and cardiac rhythms. Conduct comprehensive patient assessments and initiate evidence-based treatment plans prior to emergency department arrival. Transport high-risk patients to San Antonio-area emergency departments and air-medical rendezvous locations, providing clear, concise clinical handoffs to receiving staff.
Special Warfare Student
United States Air Force
12.2020 - 02.2024
- Completed advanced training toward Air Force Special Warfare capabilities in physically and mentally demanding environments. Successfully completed Paramedic training, Combat Dive School, Survival, Evasion, Resistance and Escape (SERE Level C), Army Basic Parachutist School, and Special Warfare Assessment and Selection. Demonstrated adaptability, resilience, teamwork, and decision-making under extreme stress.
- Key Achievements: Texas Licensed Paramedic (EMT-P); SOCOM Certified Diver; Advanced Open Water Diver; Qualified Airborne Parachutist
Fire Truck Mechanic / Non-Commissioned Officer
United States Air Force
09.2018 - 12.2020
- Maintained and inspected 17+ fire apparatus and emergency response vehicles, ensuring operational readiness and compliance with safety and environmental regulations. Diagnosed and repaired mechanical and electrical systems. Maintained documentation of all maintenance performed. Supervised personnel and completed performance evaluations as a Non-Commissioned Officer.
Honor Guard Member
United States Air Force
10.2012 - 08.2018
- Executed 300+ Air Force and Joint Service ceremonial events across Arlington National Cemetery, the Pentagon, and the National Capital Region. Directly supported the Office of the Secretary of Defense, senior DoD leadership, U.S. Air Force leadership, and foreign dignitaries. Represented the U.S. Air Force as a public-facing ambassador by leading 1,000+ public and VIP tours.
Education
Bachelor of Science - Biology
University of Texas at San Antonio (UTSA)
San Antonio, TX08.2025
Skills
- Advanced Life Support (ALS); Emergency Department Operations; Patient Assessment & Monitoring; Cardiac Monitoring; 12-Lead ECG Interpretation; IV / IO Access; Medication Administration; Advanced Airway Management; Ventilation; Trauma & Medical Emergency Care; Code Blue / ACLS Response; Patient Transport; Handoff Communication; Electronic Medical Records (EMR); Infection Control; Patient Safety; Team-Based Clinical Care
Certification
Nationally Registered Paramedic (NRP); Texas Licensed Paramedic (EMT-P); Advanced Cardiac Life Support (ACLS); Pediatric Advanced Life Support (PALS); Basic Life Support (BLS); Firefighter I & II; Hazardous Materials Awareness; Hazardous Materials Technician
Timeline
Paramedic / Firefighter
La Salle County Fire Rescue
10.2023 - Current
Special Warfare Student
United States Air Force
12.2020 - 02.2024
Fire Truck Mechanic / Non-Commissioned Officer
United States Air Force
09.2018 - 12.2020
Honor Guard Member
United States Air Force
10.2012 - 08.2018
Bachelor of Science - Biology
University of Texas at San Antonio (UTSA)
ADDITIONAL INFORMATION
Eligible to work in hospital-based emergency departments. Strong verbal and written clinical communication skills. Experienced working with interdisciplinary healthcare teams. Highly disciplined, reliable, and adaptable.