2025 Florida Ambulance Association Star of Life
Alec Mealing, Critical Care Paramedic
MCT Express

Alec Mealing began his EMS career in 2012 and started working for American Ambulance in South Florida in 2017 as an emergency medical technician (EMT). He rose to becoming a paramedic shortly after and then a certified ventilator paramedic. He was promoted to field training officer (FTO) and then became a critical care paramedic in 2019. He continued his accolades as he was promoted to supervisor and then Operations Manager shortly before the organization was acquired by MCT Express, Inc. (MCT). After the transition, he was made a paramedic lead for Joe DiMaggio Children’s Hospital transport unit for MCT for almost two years. Mr. Mealing has worked hand in hand with nurses, respiratory therapists, and doctors at Joe DiMaggio Children’s Hospital. Alec has taken care of many very sick children and learned to be patient and understanding with them and their families which again has made him a better husband and father. During that time, he continued to work with many critical patients, many with positive outcomes and some with tragic outcomes. Understanding that in this field you can experience many situations, these experiences have all made Mr. Mealing a better paramedic and a better person. Mr. Mealing is a family man and met his wife when he was in EMT school back in 2011. He has been married to her for 10 years and they have a son who just turned 10. What sets Alec apart is a particular transport that stands out among the many patients he has transported over the years. This call was an interfacility transport from Holy Cross Hospital to Boca Raton Regional Hospital with a critically ill patient that required advanced hemodynamic management. The patient, a 43-year-old male, had been diagnosed with a dissecting aortic aneurysm extending the entire length of the aorta. Given the severity of the condition, strict blood pressure control was paramount to prevent further dissection or rupture. Upon arrival, the patient was found to have bilateral radial arterial lines in place for continuous invasive blood pressure monitoring. The patient was receiving a Cardene (nicardipine) infusion, titrated to maintain systolic blood pressure below 100 mmHg, per physician orders. Throughout transport, Mr. Mealing continuously monitored the patient’s hemodynamic status, making precise adjustments to the Cardene drip as needed to ensure optimal blood pressure control. The 15-mile transport was completed without incident. The patient remained hemodynamically stable, with blood pressure maintained within the target range. Upon arrival, the patient was successfully transferred to the receiving medical team for definitive care. This transport required continuous critical care interventions and precise pharmacologic management to ensure patient stability. Through meticulous monitoring and precise titration of vasoactive medications, Mr. Mealing demonstrated unwavering dedication to both his patient and the field of emergency medicine.