The Office of the Medical Director

Boston EMS is at the forefront of pre-hospital emergency medical care innovation and advancement. Under the leadership of Medical Director Dr. Sophia Dyer, MD, the Department brings cutting edge pre-hospital care to the streets of Boston. All physicians at Boston EMS are board certified in Emergency Medicine. Maintaining one of the best cardiac survival rates in the country, Boston EMS has a national reputation for excellence. Through education, training, and research, the Office of the Medical Director ensures that the men and women of Boston EMS are well-trained and highly skilled. The Office of the Medical Director conducts influential research, manages community outreach and education initiatives, and plays a critical role in preparing physicians for careers in emergency medicine through the Boston EMS Fellowship Program. Boston EMS administrative and operational directors work in concert with the Office of the Medical Director to ensure that the citizens and visitors of Boston receive exceptional pre-hospital emergency medical care.

Sophia Dyer, MD, FACEP

Portrait - Dyer (121x151)

Medical Director, Boston EMS, BPD, BFD
Director, Boston EMS RTQI

Dr. Sophia Dyer, MD has been with Boston EMS since 1999. She served as Assistant Medical Director and Associate Medical Director before being named the City’s first female Medical Director in March 2009. In this role, Dr. Dyer is charged with providing medical oversight to Boston EMS, the Boston Police Department, and the Boston Fire Department. As Medical Director, she is also the supervising physician of Boston EMS’ Research, Training, and Quality Improvement (RTQI) team. Dr. Dyer is an active Emergency Medicine physician at Boston Medical Center with a specialty in toxicology and is an Associate Professor of Emergency Medicine at the Boston University School of Medicine. She serves as the Co-Medical Director for the Boston Marathon.

Dr. Dyer is a graduate of the Boston University School of Medicine, MD, the Massachusetts College of Pharmacy and Allied Health Sciences, BS, and received a Certificate in Environmental Management from the Tufts University School of Engineering.

She has also been the recipient of many awards, including the EMS Physician of the Year Award, Metropolitan Boston Emergency Medical Service Council, 2003; the Frommer Award for Excellence in Emergency Medicine, Boston City Hospital, June 1997; and the Award for Excellence in Academic Emergency Medicine, Boston University School of Medicine, May 1993. Additionally, Dr. Dyer has authored more than 30 medical publications.

View a Selection of Publications By Dr. Dyer


Lori L. Harrington, MD

medical director 2

Associate Medical Director, Boston EMS, BPD, BFD

Dr. Lori L. Harrington, MD has been with Boston EMS since 2006. She served as Assistant Medical Director for one year after completing the Boston EMS Fellowship Program in 2008. In July 2009, she was named Associate Medical Director.

Dr. Harrington has a special interest in pre-hospital training and research. Her current research projects include the implementation and success of pre-hospital Continuous Positive Airway Pressure (CPAP), advanced airway management by Paramedics, and the use of therapeutic hypothermia in the pre-hospital setting.

Dr. Harrington is an Attending Emergency Physician at Boston Medical Center, as well as an Assistant Professor of Emergency Medicine. She is currently matriculated in the Master of Public Health Program at the Boston University School of Public Health. Dr. Harrington is a graduate of the NYU School of Medicine, MD, and Tufts University, BS. She completed her residency training in the Department of Emergency Medicine at Boston Medical Center in 2006.

View a Selection of Publications by Dr. Harrington


Ricky C. Kue, MD, MPH

Kue small

Associate Medical Director, Boston EMS, BPD, BFD

Dr. Ricky C. Kue joined Boston EMS as an Associate Medical Director in December 2009.  Prior to this role, he served as the Medical Director of the Johns Hopkins Lifeline Ground & Air Critical Care Transport in Baltimore, MD.  At Hopkins, he was also an Attending Emergency Physician and Assistant Professor of Emergency Medicine.

Dr. Kue began his career in emergency medicine as a volunteer EMT-Basic in Ridgewood, Queens prior to medical school.  Originally a New York City native, Dr. Kue attended medical school at The State University of New York in Syracuse and worked as a Senior Paramedic at Rural/Metro Medical Services providing EMS for the City of Syracuse.  He completed a residency in Emergency Medicine and fellowship in EMS and Disaster Medicine at the University of Massachusetts Medical School in Worcester, MA also earning a Masters in Public Health.  He is board certified in Emergency Medicine and sub-specialty board certified in EMS Medicine.

As a Major in the Unites States Army Reserve, Dr. Kue has deployed to Tikrit, Iraq in support of Operation Iraqi Freedom in 2008 and to Camp Buehring, Kuwait as Task Force Flight Surgeon in 2012.  He spends time teaching trauma care and tactical combat casualty care to military residents and medics.  Dr. Kue’s professional focus includes disaster medicine and emergency preparedness.  He is a medical team manager with the MA Urban Search and Rescue (USAR) Task Force-1 and medical officer with the Disaster Medical Assistance Team (DMAT) MA-2.  Locally, Dr. Kue works with the Metro-Boston Region USAR Medics and is the tactical medical director for Boston PD SWAT.  He has completed various training programs such as the FEMA USAR Medical Specialist Course, CONTOMS Medical Director’s Course and CONTOMS EMT-T Provider course, the USAMRIID Chem/Bio Casualty Management Course and the DMRTI Combat Casualty Care Course.  Dr. Kue’s military education includes completion of the Command and General Staff College.

Dr. Kue is currently an Attending Emergency Physician at Boston Medical Center, as well as an Assistant Professor of Emergency Medicine at the Boston University School of Medicine.  

View a Selection of Publications by Dr. Kue