Operations Division


The Cole County EMS Operations Division is responsible for completing all calls for service throughout the County. Daily staffing consists of (7) seven advanced life support ambulances, (1) EMS Battalion Chief, and (1) EMS Duty Chief, for a total of 17 personnel.  Operational personnel are divided in to 3 platoons (A,B,C shifts) and work a rotating 48-hours on and 96-hours off schedule.  Each advanced life support ambulance is staffed with at least one paramedic and can deliver advanced and critical care level life support.

 Cole County EMS utilizes Emergency Medical Dispatch (EMD) and a tiered response system to ensure appropriate resources are dispatched to each call for service.

  • Omega, Alpha, Bravo, and Charlie level call types are handled by a single ambulance resource.
  • Delta level call types are handled by an ambulance and first responders. First responders in our jurisdiction consist of ALS and BLS fire department resources, and BLS volunteer medical first responders.
  • Echo level call types are handled by an ambulance, a Battalion/Duty Chief, first responders, and law enforcement. 
  • Cole County EMS also responds to other various emergencies such as vehicle accidents with injuries, structure fires, rescues, and public assists.