Emergency care
starts here.
Fourteen counties. One standard of prehospital care. We're the association of EMS directors across the Upper Cumberland — sharing training, setting regional standards, and hosting the annual Fall Symposium in Cookeville.
One region, one standard of care.
The directors who run EMS in each Upper Cumberland county don't do the job in isolation. The association is how they share what works — and speak with one voice when it counts.
A network of directors
EMS leadership from across Region 4, meeting to compare protocols, problems, and solutions.
Shared education
Continuing education and hands-on training that a single county could rarely stand up alone.
Mutual aid, coordinated
When a call outgrows one county, neighbors respond. The relationships are built here first.
Recognition & remembrance
We honor the region's best each year — and we don't forget those we've lost.
The Upper Cumberland Fall Symposium.
Our annual gathering in Cookeville: continuing education for providers, a vendor expo, the Region 4 awards, and the one time each year the whole region is in one room.
Provider registration
Reserve your seat for a full slate of accredited continuing-education sessions. Pay by PayPal, or contact us to bill your county.
Vendor & exhibitor registration
Reach every EMS decision-maker in the region from the expo floor.
Symposium agenda
Speakers, session tracks, and the awards presentation — published ahead of the event.
EMS Providers Golf Scramble — Oct 13
Kick off symposium week on the course. A 4-person scramble at White Plains GC, Cookeville, benefiting EMS blood product access. Register or sponsor →
Paying by county pay-in / PO? Contact us and we’ll bill your service.
Paramedic Graduation 2026.
Photos from the graduation ceremony will be posted here for families and services to view and download. Scan the code at the ceremony to jump straight to the gallery.
View the gallery
graduation gallery
Recognizing the region's best.
Each year at the symposium, the association presents its Region 4 awards — nominated by directors, earned on the worst days of someone else's year.
EMT of the Year
For an emergency medical technician whose skill and character set the regional standard.
Paramedic of the Year
Honoring advanced-level care that goes above and beyond in the field.
Call of the Year
For the crew whose response to a critical incident exemplified the best of EMS.
The counties we cover.
Fourteen counties make up Tennessee's Region 4 — the Upper Cumberland. Select a county to see its service and go straight to their website.
Hoyte Eugene Hale
A leader in Region 4 EMS who mentored the medics around him and championed the very awards this association still presents in his honor. We remember his service.
Read the obituary →