This is a 'Nascar: Tony Stewart' thing, but using an open shadow box like this,  you could paint it colors to match E! or any fire dept.(or stain it) and spell out Emergency! or  E! across the top, with one picture or more from Emergency! inside.

   Paint or stain a plain wooden tray. I used one of the Poster Pics by Sheryl off  my site for the photo and scissors that cut designs for the edging. It's modge  podged on, but there's a neater way, as this one leaves streaks. See the next idea. :o)

   Same as the other tray, but I just glued the corners of the design in and my  husband  is going

to cut a sheet of Plexiglas to go over the inside picture.

   This is a new one I thought of. This is a large letter  'E' that can

hang on the wall. Make a collage of E! pictures on it. You can buy  these letters in various sizes,  maybe you'll want to spell out the whole title:  'Emergency!'

   Have you seen the coaster sets where you can insert your own photos? I made a  set of four using E! photos.

   Make a greeting card using still shots from the show. My sister did this one for me this year, another one last year and they are great fun to receive. I laughed so hard, I had tears. You can give a friend or relative their own little birthday (or holiday) episode.   My sister gets full credit on this idea.