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Inside Honolulu EMS




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Honolulu's paramedics are available to serve you 24 hours a day, 7 days a week.  Each year on Oahu, they respond to more than 66,000 calls for medical emergencies and traumatic injuries.


The City and County of Honolulu has 22 ambulance units under two districts.  All ambulance units are designated as advanced life support (ALS) units, meaning they are staffed by at least two people: Emergency Medical Technicians (EMT) are trained in basic life support.  Mobile Intensive Care Technicians (MICT) are trained and authorized to perform advanced life support and invasive medical techniques.  To maintain their licenses from the State of Hawaii Board of Medical Examiners, paramedics must attend at least 72 hours of retraining and continuing medical education courses every two years.




Paramedics work closely with other emergency responders to provide prehospital patient care. Ocean rescues are coordinated between the City and County of Honolulu Ocean Safety and Lifeguard Services, EMS, the U.S. Coast Guard, and the Honolulu Fire Department (HFD).  HFD also co-responds to medical emergencies with personnel trained at the first responder level, and coordinates HAZMAT (Hazardous Materials) incidents, search and rescue missions, and vehicle extrication.


The City and County of Honolulu has an automated defibrillator program (AED) in place that increases the likelihood of survival for someone who has a cardiac arrest.  HFD and the Honolulu Police Department (HPD) staff are trained to use AED machines that can stabilize patients until EMS arrives.



Last Reviewed: Monday, October 29, 2012