On Monday, January 11, 2015, The Southeast Texas Regional Advisory Council (SETRAC) hosted their first ever awards banquet to recognize outstanding services in the Region. SETRAC is a coalition of hospitals, air medical providers, fire departments and emergency medical services in the southeast Texas region who provide stakeholder support for preparedness, trauma, injury prevention, stroke, cardiac and pediatric services. At this banquet Montgomery County Hospital District and Porter Fire Department were presented with the Multi-Agency/ First Responder Team Award for their combined efforts in saving the life of a patient who sustained life threatening injuries while trimming a tree. The patient fell and became pinned in the tree by his broken leg. The rapid response and quick thinking of the crew of Porter Fire Department and MCHD greatly contributed to the patient’s survival. The crews had to make the tough decision to amputate the part of the leg that kept the patient dangling in the tree. Amputation of limbs is not a task typically performed by paramedics much less on a patient entrapped 25 feet in a tree. SETRAC honored the crews for their extraordinary performance. We would like to commend Travis Clay, Hayden Rampy and Erik Richenberger of Montgomery County Hospital District and Howard Rinewalt, Natalie Landvogt, Timothy Carrithers, Cody Pope, Kenneth Joffrion, Anthony Hayes and Toby Stripling of Porter Fire Department for their outstanding work.