The Committee for Tactical Emergency Casualty Care (C-TECC) offers its congratulations to Dr. Frank Butler, Jr. for his receipt of the prestigious Presidential Citizens Medal. This award is one of the highest honors a civilian can receive and recognizes Dr. Butler’s extraordinary contributions to battlefield trauma care and his enduring impact on both military and civilian medicine. Dr. Butler was a key advocate for the formation of C-TECC as the civilian counterpart to the Department of Defense CoTCCC and remained an important mentor to the organization as the C-TECC built what is now the civilian standard in high threat casualty care.