All special event coverage is provided at the paramedic level.

Ambulance, 2 staff: $165/hr.  
Bike or Cart Team, 2 staff: $133/hr. 
Venue Foot Team, 2 staff: $96/hr. 
Supervisor or single staff coverage: $74/hr.

Organizers should anticipate a 3% rate increase each July 1. 
Above rates were updated on July 1, 2020. 

*See information below on how we determine which of the above types of EMS coverage are used.

Information on Special Event Coverage
The Wake County EMS System provides medical coverage of many large public gatherings each year. We may offer EMS coverage for some smaller events, but we're not able to offer coverage for all events.  Regardless, we will be there quickly for any emergent need at any special event in Wake County, with a call to 9-1-1.

Event organizers requesting dedicated medical coverage of an event by EMS:

Public Safety agencies
requesting EMS coverage see information here.

Important Information
There are more events in Wake County than we can cover without negatively impacting  9-1-1 operations. We consider the following criteria in determining whether we will offer EMS coverage:

  • 2,500+ event participants
  • High risk factors for participants
  • Total event crowd size
  • Traffic impedance caused by the event (e.g., major road closures)
  • Availability of EMS personnel
  • Impact of the event on 9-1-1 operations

If we are able to offer coverage 
We will determine what type of EMS resources we need to cover the event (ambulances, bike team, cart, supervisor, etc.). Those are operational decisions that we make based on what's needed to provide coverage.

You will receive a form confirming dedicated EMS coverage for your event, the type of EMS resources used, and an estimate of the total costs, which are based on rates set by the Wake County Commissioners.

In most cases we will mail an invoice after the event.  Non-recurring single events require pre-payment based on estimated costs prior to the event.

Unfortunately, we are unable to donate services for nonprofit and/or fundraising events.

EMS special event coverage is intended for individual patient evaluation, treatment and/or transportation to an emergency department.

It is beyond the scope of EMS to provide "first aid station" services such as mass supply of pain medicine for headaches, multiple ice packs or elastic bandages, other medical supply handouts, bottled water, etc.

*EMS coverage types are posted to publish hourly rates for a given asset. EMS evaluates the venue, the activity, and operational logistics to determine which assets are used based on a tactical approach to providing EMS coverage.

For further questions, contact:

Candice Carter
Special Events Coordinator