Prehospital 9-1-1 emergency response is one of the essential public safety functions provided by the United States fire service in support of community health, security, and prosperity. Fire service-based emergency medical services (EMS) systems are strategically positioned to deliver time-critical response and effective patient care. Fire service-based EMS provides this pivotal public safety service while also emphasizing responder safety, competent and compassionate workers, and cost-effective operations.
In doing their work, fire service-based EMS personnel face a variety of challenges, including ensuring personal safety on the job and addressing behavioral and physical health challenges that stem from the job. More systemically, fire service-based EMS faces significant challenges with staffing shortages, as well as reimbursement and other issues affecting departmental finances.