Selected work + speaking

Readiness proven in the field. Ideas built for the room.

D2EMC turns complex emergency-management consulting assignments into assessments, exercises, training and decision-ready evidence—then brings those real operational lessons to leaders, conferences and professional audiences.

Public examples are presented at the scope level. Client-sensitive findings, proprietary ORI™ methods and protected operational details remain private.

32+ Years of military service and emergency-management leadership
9 Years leading Massachusetts HazMat operations
40+ Hospital readiness assessments completed
U.S. + Global Healthcare, public-safety and professional audiences

Selected work

The scope changes. The evidence standard does not.

These selected emergency management case studies begin with a specific readiness question and end with something leaders can use: a defensible baseline, observed performance, documented priorities or a clear path to improvement.

4 projects shown
01 American Samoa2025Exercise + Planning Operation Fa’ama’i Pepesi A two-day tabletop and operations-based public-health exercise connecting hospital, public health, EMS, clinics, transportation and public safety.
Readiness question

How would multiple agencies coordinate decisions, patient movement, information and operational responsibilities during a fast-moving infectious-disease event?

D2EMC action

Supported exercise design and evaluation across the two-day program, then translated observations into an After-Action Report and Improvement Plan.

Documented outputs
  • Objectives and scenario materials
  • Control and evaluation documentation
  • After-Action Report and Improvement Plan
  • Improvement matrix for follow-through
02 Massachusetts2024Assessment + Planning Statewide MCI Asset Program Review A three-phase review of 14 deployable mass-casualty assets, program governance, activation procedures and modernization options.
Readiness question

What was the defensible current-state picture across a statewide support program, and what decisions were needed to strengthen its future use and oversight?

D2EMC action

Reviewed deployable resources, activation and governance procedures, relevant national alternatives and practical options for modernization.

Documented outputs
  • Current-state asset and program review
  • Activation and governance assessment
  • National-alternative comparison
  • Tiered recommendations in the final report
03 Connecticut + Vermont2024–25Assessment + Training Hospital CBRN Readiness Programs Facility-specific CBRN and decontamination readiness assessments followed by practical first-receiver, PPE and team training.
Readiness question

Could each hospital’s plans, equipment and personnel support safe first-receiver, PPE and decontamination operations under real constraints?

D2EMC action

Delivered facility-specific readiness reviews and tailored follow-on instruction that connected documented plans to the roles and equipment teams would actually use.

Documented outputs
  • Individualized assessment reports
  • Prioritized readiness recommendations
  • Hands-on first-receiver and PPE instruction
  • Training and program documentation
04 Multi-agencyCompleted scopeExercise Technology Shared Exercise Visualization + Replay A shared operational map and time-stamped session replay gave participating agencies and command staff a common exercise picture.
Readiness question

How could distributed participants see the same simulated hazard picture while leadership retained evidence for structured post-exercise review?

D2EMC action

Used a shared operational map to connect agencies and command staff during exercise play, then provided a time-stamped three-dimensional replay for review. The technology supported training and simulation only.

Documented outputs
  • Shared live exercise picture
  • Remote command observation
  • Time-stamped session replay
  • Evidence supporting post-exercise review

Disclosure standard: selected work is presented at the scope level. D2EMC does not publish private reports, facility findings, individual performance data, proprietary ORI™ scoring or protected operational information.

The evidence trail

What the work leaves behind.

A strong engagement should improve more than the day itself. It should leave leadership with a clearer view of capability and an owned next step.

01 / Baseline

Know what is actually ready today.

Assessments connect plans, people, equipment and operating conditions so leadership can separate documented intent from demonstrated capability.

02 / Performance

See the system behave under pressure.

Exercises and practical training reveal decisions, handoffs, timing and execution gaps that a document review alone cannot show.

03 / Priorities

Convert observations into decisions.

Findings are organized around operational consequence and leadership action—not buried inside a long list of equal-weight recommendations.

04 / Ownership

Make improvement assignable and trackable.

Decision-ready reports, AAR/IPs and improvement matrices clarify what should change, who must own it and how progress can be revisited.

Documented feedback

The instruction is practical. The feedback is recorded.

Aggregate post-course evaluations provide one transparent view of how submitted participants rated D2EMC instruction.

151Submitted post-course evaluations
4.68/5Average overall rating
96%Selected a rating of 4 or 5

These figures describe submitted post-course evaluations. They do not represent unique individuals, the number of courses delivered, client counts or measured operational outcomes.

David A. DiGregorio speaking at a professional emergency-management conference
David A. DiGregorio, MSEM, MSPASFounder + Principal · D2 Emergency Management Consulting

Speaking + professional education

Built from operations—not abstractions.

“Preparedness is documented intent. Readiness is demonstrated capability.”

As an emergency management, hospital readiness and CBRN/HazMat speaker, David brings lessons from military medicine, state HazMat leadership and exercise evaluation into direct, practical conversations about the decisions leaders and teams must make under pressure.

32+ years of military service and emergency-management leadership
Former Massachusetts HazMat Director
Core Faculty and CBRN Concentration Director, Beth Israel Deaconess Medical Center Disaster Medicine Fellowship
Hospital CBRN, decontamination, exercise and readiness specialist

Speaking topics

Start with the decision your audience must own.

Every engagement is adapted to the audience, mission and desired outcome. The topic sets the direction; the operational context makes it useful.

Signature topic

Preparedness vs. Readiness

A plan can be complete while the organization remains unable to perform. This talk gives leaders a practical way to distinguish documented intent from demonstrated capability.

Best forExecutives, emergency managers, healthcare leaders and public-safety audiences
Audience leaves withA clearer standard for testing capability and prioritizing improvement
Healthcare readiness

Hospital CBRN + HazMat Readiness

From self-presenting patients to PPE, decontamination and command decisions, this session connects the written program to the first operational period.

Best forHospitals, health systems, coalitions, public health and emergency departments
Audience leaves withA practical view of first-receiver roles, gaps and leadership priorities
Operational leadership

Leadership Under Pressure

Readiness becomes visible when information is incomplete, time is short and consequences are real. This talk focuses on authority, decisions, handoffs and disciplined action.

Best forLeadership conferences, government, public safety, healthcare and veteran audiences
Audience leaves withA decision framework grounded in operational accountability
CBRN / WMD

Chemical Threat Awareness + Response

A clear, operational look at recognition, toxidromes, responder and hospital implications, protective actions and the decisions that shape a safe response.

Best forHazMat, fire, EMS, healthcare, emergency management and security audiences
Audience leaves withA stronger link between threat recognition, protective action and coordinated response

Engagement formats

One voice. Built for different rooms.

The mission sets the format—not a generic slide deck.

01

Keynote + Conference

A focused, high-energy message built around the leadership decision or readiness challenge the event needs to move.

02

Professional Education

Evidence-based instruction for healthcare, CBRN/HazMat, disaster-medicine and emergency-management audiences.

03

Interactive Workshop

A facilitated session that applies the topic to participant roles, decisions, scenarios and operating conditions.

04

Executive Briefing

A direct leadership conversation focused on risk, readiness, ownership and the next defensible action.

Selected appearances

Completed professional and educational appearances shown with their publicly documented session title or topic.

2026 SAPA & NSPA Annual CME Conference

San Antonio, Texas

Session: Preparedness versus Readiness: Are Healthcare Facilities Ready for Disasters?

2026 New England Hazmat Conference

Springfield, Massachusetts

Session: Prepared vs Ready: Why Organizations Fail When It Matters Most

Emergency Medicine BootCamp

120Compressions

Session: Prepared Isn’t Ready: The First Minutes in the ED

Deadly White Powder Symposium

Gillette Stadium, Massachusetts

Topic: Coordinated community response to illicit-drug threats and CReDO teams

Merrimack College Criminology Club

North Andover, Massachusetts

Topic: Fentanyl, pharmaceutical-based agents and potential weaponization

Work + speaking questions

Clear answers before the next conversation.

D2EMC scopes both project and speaking requests around the decision, audience and operating environment.

01Can D2EMC discuss work without exposing client-sensitive information?

Yes. Public examples can describe the mission, scope and deliverable types while keeping findings, reports, facility details, individual performance and security-sensitive information confidential.

02What organizations does D2EMC support?

D2EMC supports hospitals and health systems, healthcare coalitions, government agencies, public-safety organizations, emergency-management programs and other teams responsible for readiness under pressure.

03Are speaking engagements customized?

Yes. The audience, event purpose, operational context and desired takeaway shape the content. The listed topics are starting points, not fixed presentations.

04Can a speaking engagement include an interactive exercise?

Yes. Workshops and professional-education sessions can incorporate facilitated decisions, scenario discussion or practical application when that format supports the event’s goals.

05Does David speak for domestic and international audiences?

Yes. David’s experience includes U.S. and international professional forums. Availability, travel and delivery format are confirmed during scoping.

06How do we request project support or a speaking engagement?

Use the appropriate request option below. Tell D2EMC what decision or capability is driving the need, who must be involved and what successful support should make possible.

Choose the next conversation

Bring D2EMC into the work—or into the room.

Start with the operational need, audience or decision. D2EMC will recommend the right engagement and next step.