Joseph Casciotti

Battalion Chief, Community Medicine

Joe Casciotti began his career in Fire/EMS at the age of 15 as a junior firefighter in Schnecksville, PA. He obtained his EMT certification in 1994 and his Paramedic certification in 1997. He worked as a Paramedic for various EMS services in the Eastern PA EMS Council region over several years before attending St. Luke’s School of Nursing in Bethlehem, PA.

Joe graduated with his Diploma in Nursing in 2011 and obtained his RN license in 2012. He worked at various campuses in the St. Luke’s Health Network in both the Emergency Department and Intensive Care Unit. In early 2014, Joe accepted a Flight Nurse position with Memorial Hermann Life Flight and moved from PA to Katy. He joined HCESD 48 as a part-time Paramedic in January 2018 and was hired full-time as the Community Health Paramedic in September 2018. He was promoted to Battalion Chief of Community Medicine in January 2020.

Joe is a Certified Flight Registered Nurse (CFRN) and Certified Emergency Nurse (CEN), certified by the Board of Certification for Emergency Nursing. He is also a Certified Community Paramedic (CP-C)  and licensed Registered Nurse, Paramedic and Community Health Worker in the State of Texas.

Joe completed his Bachelor of Science in Nursing in early 2019 and is currently enrolled in the Doctor of Nursing Practice (DNP) Family Nurse Practitioner Program at UT Health Sciences Cizik School of Nursing.

Message from Chief Casciotti

Welcome to the Community Medicine page for Harris County ESD 48 Fire Department.  The mission of the Community Medicine Division is to provide health education and increased access to healthcare to residents within our community. We also work closely with the Community Risk Reduction Division to assist in special events and public relations requests.

The Community Medicine Division provides low or no-cost classes such as CPR, Stop The Bleed, and A Matter of Balance. Classes such as CPR and Stop The Bleed are designed to increase the amount of “immediate responders” in the community. In other words, individuals who are present when an emergency happens and can provide life-saving care immediately until emergency services arrive.

Our Community Paramedic Program is designed to provide medical care to individuals who, for a variety of reasons, have difficulty navigating the healthcare system. Our team works with patients directly in their home in effort to reduce hospital readmission rates and to direct them to the most appropriate resources that can assist with fall prevention/management, medication assistance, and education.

Through our robust partnerships with local nonprofit organizations, acute care hospitals, rehabilitation hospitals, and primary care groups and clinics, we are able to provide a variety of solutions for the complex healthcare needs of our community.

Programs and Services

Community Paramedic Program

The Emergency Medical Services (EMS) division, in conjunction with our medical direction team and community partners, is proud to offer an enhanced community paramedic program to assist community members in need.

Our group of advanced practice paramedics is available from 8:00 a.m. – 8:00 p.m., 7 days a week, to guide community members to the most appropriate health care destination. Working closely with EMS physicians, HCESD 48 EMS team members will respond to calls and initiate care and work with patients and families through a variety of referral options:

  • Virtual and Tele-Medicine
  • Referral directly to established or new primary care providers
  • Urgent Care
  • In-patient Rehab or Skilled Nursing facilities
  • Assist with medication refills and medical equipment needs or social needs such as food assistance
  • Non-emergent mental health counseling services
  • Medical care and medication assistance for those who are uninsured

Community members are encouraged to contact the Community Paramedic Team at 832-739-6514 for assistance between 8:00 a.m. to 8:00 p.m. Community members are urged to call 9-1-1 for emergencies. In the event the need for emergency room or hospital transport is needed, our crews will quickly and safely deliver care.

Tactical Emergency Casualty Care

Tactical Emergency Casualty Care (TECC) is a 16-hour course through the National Association of EMTs. HCESD 48 leads the course in partnership with the Katy ISD Police Department and the Spring Branch ISD Police Department.

The main purpose of TECC is to develop a co-operative medical and police team, referred to as a Rescue Task Force, to rapidly stabilize and evacuate injured persons in a threat environment, such as an active shooter situation or other type of violent/potentially violent setting.

The purpose of TECC is to train personnel to think differently in high-stress situations. The emphasis is on priorities instead of scripted routines. The TECC model can be implemented in a wide variety of circumstances faced by first responders. 

The course presents the three phases of tactical care and integrates parallel EMS classification:

  • Hot Zone/Direct Threat Care that is rendered while under attack or in adverse conditions.
  • Warm Zone/Indirect Threat Care that is rendered while the threat has been suppressed but may resurface at any point.
  • Cold Zone/Evacuation Care that is rendered while the casualty is being evacuated from the incident site.

Community Classes

AHA Heartsaver Classes

American Heart Association Heartsaver® First Aid CPR AED classes are taught by a dedicated team of volunteer, full-time, and part-time team members. All instructors are certified by the American Heart Association as CPR instructors.

HCESD 48 offers several options for CPR certification. The classes listed below are for ages 8 and up. All children under the age of 16 must have a parent present for the duration of the class.

  • For those who need a healthcare provider certification, we offer a 4-hour Basic Life Support (BLS) class. Cost of the class is $55.00 per person and includes a student handbook and electronic certification card (E-card) valid for two years.
  • If you are a non-healthcare provider, we offer Heartsaver® CPR/AED with and without First Aid. The Heartsaver® class without the First Aid component is a 4-hour class. The Heartsaver Class with First Aid is an 8-hour class. The cost for both classes is $35.00 per person and includes a student handbook and electronic certification card (E-card) valid for two years.

Stop the Bleed

The purpose of the STOP THE BLEED campaign is to make our nation more resilient by better preparing the public to save lives if people nearby are severely bleeding. Classes are 2 hours in length and students are taught a variety of techniques to control severe bleeding. Instruction includes a brief lecture portion followed by hands-on instruction. A Certificate of Completion will be given at the end of the course.

The course cost is $45.00, which includes a Stop The Bleed kit that has all the tools needed to control severe bleeding. This class is suitable for ages 12 and older.

A Matter of Balance

A Matter of Balance is a community-based, small-group (8-12 participants) program that helps older adults reduce their fear of falling and increase activity levels. Coaches work in pairs to lead small group classes that consist of eight 2-hour sessions. The behavior change curriculum addresses the fear of falling and engages the participant to view falls and the fear of falling as controllable. Exercises are introduced and performed in 6 of the 8 sessions.

Participants are involved in group discussion, problem-solving, skill-building, assertiveness training, sharing practical solutions, and exercise training. Developing an action plan to address ongoing exercise, reducing risk factors, and changing behaviors that contribute to risk factors supports ongoing efforts to reduce the fear of falling in participants.

This class is for adults, 60 years old and older, regardless of physical ability or limitation.

Upcoming Community Medicine Events

There are no upcoming events at this time

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