Monterey County Regional Fire District has provided continuous Emergency Medical Services and ambulance transport since 1948, when the Carmel Chapter of the American Red Cross extended their response area into the Carmel Valley and down the Big Sur coast.

Today, the District employees 37 paramedics and provides constant paramedic staffing at all fire stations. As a result of long-standing ambulance services, four fire-based ambulances transport patients from Carmel and Carmel Valley, and provide assistance outside of the District boundary during periods of peak demand.

With 3,000 annual requests for medical care, and nearly 1,000 ambulance transports, the EMS Division is an active component of District operations. With commitments to EMS education, training and quality management, the health and safety of our community remains our top priority.