Patricia Ann Castle, 42, Appalachian First Response Ambulance, died in the line of duty of complications following an ambulance accident that occurred in 2007. Patricia was truly dedicated to her patients and always put their interests first. This was especially evident on her last call in which she was seriously injured when her ambulance was struck by a coal truck while she was carefully attending to the patient in the patient compartment. Patricia was loved by her colleagues and many friends. She loved her family, including her husband James, her two brothers, Todd and David, her parents and extended family in EMS.