Training and consulting for government buyers.
First To Last Health Services Solutions, Inc. (F2L Health) provides healthcare consulting and advanced tactical and clinical medical training to military units, federal agencies, and state and municipal government organizations. Courses are delivered on demand at the unit's location or at sites in and around Bangor, Maine, and are built around the requesting organization's equipment, protocols, and mission.
Core Competencies
Tactical and combat medical training: TCCC-based skills programs, Combat POCUS, combat lifesaver and combat medic skill sustainment
Prolonged casualty care and sustainment medicine: the Advanced Trauma and Sustainment, Community Sustainment, and Advanced Community Sustainment Medical Specialist programs
Wilderness, rescue, and austere environment medicine: Wilderness EMT, collapsed structure / urban search and rescue medicine, technical rope rescue with a low-angle focus for EMS agencies
Clinical skills training: resuscitative point-of-care ultrasound (RESONATE), critical care ventilator management
Healthcare workforce development: Hospital and Rural Health Medical Care Assistant programs under delegated practice frameworks, specialty programs tailored to your organization’s workforce needs
Consulting: Care systems and service line delivery design, EMS medical direction, community paramedicine/MIH program development, curriculum design, protocol development, operational medical planning, community health access needs assessments
Differentiators
Physician-led: every program designed and directed by a practicing emergency physician and EMS medical director
Maximum 5:1 (typically 4:1) student-to-instructor ratio — hands-on repetition, not lecture hours
Training on the requesting unit's actual equipment, with take-home skills-maintenance curricula and equipment options
ACCME and Maine EMS accredited offerings
On-demand scheduling and delivery flexibility with the option to bring the programming to you
Prior Work
Critical Access Integrated Paramedic. Lead consultant and co-developer of the first-of-its-kind Maine EMS pilot enabling specially trained paramedics to provide after-hours urgent care at the Jackman Community Health Center with telemedicine supervision in partnership with Penobscot Community Health Care, North East Mobile Health Services, Eastern Maine Community College, and St. Joseph Hospital.
Maine Community Paramedicine. Developed and supported the delivery of the first community paramedicine affiliate and technician classes under the new Maine EMS Chapter 19 requirements; supporting the implementation of 5 new CP programs and reimplementation of established dormant programs.
CDS Outdoor School. Co-owner and medical director for 20 years, delivering Wilderness EMS courses worldwide.
Urban search and rescue medicine. Multiple courses delivered in collapsed structure / USAR medicine.
Technical rope rescue. Instruction focused on building low-angle rescue capability for EMS agencies and fire departments.
Company Data
| Field | Value |
|---|---|
| Legal name | First To Last Health Services Solutions, Inc. (DBA F2L Health) |
| Business type | S-Corporation, State of Maine |
| CAGE | 9CFJ6 |
| NAICS | 611430 · 611699 · 541611 · 621399 |
| PSC | U008 · U009 |
| Point of contact: | Jonnathan Busko, MD — via the Contact page |
| Address | 152 Webster Ave., Bangor, ME 04401 |