Prehospital critical care education in St. Louis.
The Critical Care Association of St. Louis (CCASTL) is a regional association of paramedics, physicians, educators, and EMS leaders working to improve care for critically ill and injured patients outside the hospital.
Our Beginnings
CCASTL grew from the Critical Care Consortium, a collaboration of paramedics and physicians who came together to share experience and strengthen prehospital critical care.
Established in 2026, CCASTL builds on that collaboration through physician-led education, mentorship, and shared learning across the St. Louis region.
Association leadership
Dr. Mike DeFilippo
Executive Director and Chief Medical Officer
Leads CCASTL’s educational direction and regional collaboration.
Dr. Nishil Patel
Co-Director and Medical Director of Critical Care Services
Provides clinical expertise and leadership for CCASTL’s critical care education.
Get involved
We welcome inquiries from clinicians, educators, and EMS agencies interested in learning, teaching, or collaborating with CCASTL. Tell us about your interests or your team’s educational needs.