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Emergency Medical Services

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About Emergency Medical Services (EMS)

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EMS logo

Emergency Medical Services, more commonly known as EMS, is a system that provides emergency medical care to Hoosiers more than 2,000 times per day. Once it is activated by an incident that causes serious illness or injury, the focus of EMS is emergency medical care of the patient. EMS is most easily recognized when emergency vehicles or helicopters are seen responding to incidents, but EMS is much more than a ride to the hospital. It is a system of coordinated response and emergency medical care, involving multiple people and agencies. The Indiana EMS system is ready every day for every kind of emergency. With more than 800 provider agencies, operating more than 2,000 emergency ambulances, by more than 24,000 emergency medical personnel, EMS is the frontline of our health care system safety net and stands proudly at the intersection of health care, public health and public safety.

Map of Indiana counties with color-coded districts with numbers and people's contact info
EMS District Managers (click for contacts)

EMS personnel earn certifications at different levels: emergency medical responder (EMR), emergency medical technician (EMT), advanced EMT (AEMT) and paramedic. These certifications prepare and authorize them to perform specific types of medical care, which are listed in the EMS scope of practice.

State legislation in recent years has paved the way for an innovative patient-centered model of care called Mobile Integrated Health (MIH), also known as community paramedicine. Learn more about MIH in Indiana as the field of EMS continues to change.

EMS District Managers

EMS district managers are assigned to IDHS districts and are resources and liaisons for EMS information for individuals and organizations. They address questions about EMS operations and rules, the ImageTrend data system and complaints and investigations. District managers handle provider organization certifications and serve as points of contact on questions for individual certifications.

Map of Indiana counties with color-coded districts with numbers
EMS District Managers (click for contacts)


Online Training Available

    Find these courses on the Acadis Portal.

    • New EMS Leadership Series
      • EMS Organization Director and Operations State Responsibilities Overview (“Operations” in Acadis)
      • So Ordered ... the EMS Complaint and Disciplinary Process (“Complaints and Disciplinary Process” in Acadis)
    • Meeting Recordings
      • Watch recent EMS Commission and EMS Education Workgroup meetings for EMS continuing education credit.
    • Other New Courses
      • IV Maintenance
      • Triage Exercises (companion to the Multiple Casualty & Triage course)

Online Training Available

    Find these new courses on the Acadis Portal.

    • EMS Patient Privacy and EMS Right to Know Overview
      • Part of the IDHS/IDOH COVID-19 series. Covers basics of patient privacy, what is protected and when information can be released. Also includes what information EMS has a right to know in terms of exposure to infectious diseases including COVID-19.
    • Mental Awareness During a Pandemic
      • Part of the IDHS/IDOH COVID-19 series. Covers basics of mental health and awareness of first responder well-being in connection to the challenges COVID-19 has brought to EMS responders.
    • Triage Exercises
      • Companion course to Multiple Casualty Incidents & Triage. Intended to use knowledge of START triage system and triage 30 scenarios.
    • EMS Leadership Series: Training Officer
      • Third offering of the EMS Leadership Series focuses on the EMS Training Officer for EMS provider organizations and its roles and responsibilities, including recordkeeping.

Recent News

Hospital Diversion Guidance

As hospital capacity has diminished and ambulance providers are experiencing challenges with diversion and off-loading delays, the EMS Section has worked with the Indiana Department of Health (IDOH) to come up with guidance for EMS providers. The guidance below includes specific guidance for EMS on how diversions and off-load delays can be handled by EMS and also how diversion status can be checked via an EMS organization's EMResource account.

COVID-19 Guidance

With increasing cases of COVID-19 and the new challenges created by the increase in the outbreak, the State EMS Director has approved a General Waiver Order #5. This order supersedes the prior waiver orders which have all expired. Individuals and organizations are encouraged to monitor the guidance of the CDC and the Indiana Department of Health.

For previous COVID-19 updates, go to the Coronavirus Updates section of the News/Updates Archive.

Recent Updates

View archived updates


The Acadis Portal is the hub for online EMS training and certifications.

Find a forgotten Public Safety ID number or verify if one has been assigned yet.

Connect to news and resources about the growing field of community paramedicine in Indiana.


EMS Commission

EMS Commission logo

The EMS Commission is responsible for the establishment and maintenance of an effective system of emergency medical services. This includes the necessary equipment, personnel and facilities to ensure that all emergency patients receive prompt and adequate medical care throughout the range of emergency conditions encountered. The commission has also established the Mobile Integrated Health Advisory Committee. Visit the EMS Commission page for more information, including instructions on submitting a waiver and recent meeting minutes.

EMS Commission Logo

Free "in.gov" Domains, Affordable Website Service Available via State Program

County and municipal EMS providers, fire departments and emergency management agencies are eligible to obtain official "in.gov" domain names for use in websites or email addresses via the IN.gov Program offered by the Indiana Office of Technology (IOT). The state's website service is also available at affordable rates.


FREE: Any Indiana local government entity can request an official "in.gov" domain name. This can be used to change website URLs from using ".com" or ".org" to using "in.gov." Email addresses can also use the "in.gov" domain name once established. These domain records can be managed by the IN.gov team on an agency’s behalf, or the records can be delegated for locals to handle. Get started today!


PAID: Any Indiana local government entity can sign on to the state’s website service for as little as $100 a month. This provides an easy-to-use website management system for a professional-quality website, official domain trustworthiness, online security, ADA compliance and attentive customer support. No coding is necessary, and training on the tool is included. For more information, contact IOT at its Local Government webpage.