Fairbanks North Star Borough is Alaska’s third largest municipality, with a population of approximately 100,000 citizens and home to the University of Alaska Fairbanks. The community has 11 fire departments and 321 firefighters, most of whom are volunteers. The borough sought to address the rural community’s challenges of low bystander engagement and slower response times in out-of-hospital (OOH) sudden cardiac arrest (SCA) response. Supported by the Interior Fire Chiefs, then-University of Alaska Fairbanks Fire Chief, Doug Schrage, spearheaded the borough’s efforts. In this episode, Chief Schrage speaks in detail about the borough’s comprehensive strategy that included pulling together the fire departments, engaging the citizens, and implementing PulsePoint Respond, PulsePoint Verified Responder, and PulsePoint AED. Within two years of implementing the program, the borough exceeded its participation and performance goals.