​The Wake County Department of Emergency Medical Services is responsible for the provision of EMS throughout Wake County.
Prompt, Compassionate, Clinically Excellent Careambulance
The responsibility is met with
paramedic staffed ambulances, 
Advanced Practice Paramedics,
district chiefs,
professional development staff and administrative support staff.

The Department of EMS is headed by Dr. Jose Cabanas, who serves as both EMS System Director and Medical Director.



The EMS system responded to about 107,000 requests for service in 2018. A combination of duo-paramedic and paramedic/EMT ambulances are supported by Advanced Practice Paramedics and District Chiefs for field response.  Wake County EMS marked 40 years of service in 2016.


Wake County EMS is a data-driven system and regularly participates in research to determine a multitude of strategic approaches to emergency medical care. Here is a partial list of papers, abstracts, reports and other documents in which the Wake County EMS Department or members of Wake County EMS have participated.

WCEMS Bibliography 7-2015

Wake County EMS is actively engaged in Mobile Integrated Healthcare (MIH) initiatives, designed to provide more efficient means of care for our community. To learn more, here are two references:

Mobile Integrated Healthcare white paper

Mobile Integrated Healthcare vision statement

Among the system's major achievements have been a nationally recognized cardiac arrest save rate, implementation of a pioneering ICE (induced hypothermia by EMS) protocol for post-cardiac arrest patients, and system-wide closest-vehicle dispatching using GPS-based automatic vehicle location and the MARVLIS in-vehicle navigation system.

The Wake County EMS Division is supplemented by three additional contracted EMS provider agencies – Apex EMS, Cary Area EMS, and Eastern Wake EMS.