EMS Services

Emergency Medical Services

Ambulance/EMS services demonstrationThe Emergency Medical Services (EMS) Division is responsible for providing advanced life support (ALS) ambulance transport service as well as ALS first response engine and ladder companies, EMS training for district members, and Community CardioPulmonary Resuscitation (CPR) and First Aid Classes.

All district paramedics are trained in Advanced Cardiac Life Support (ACLS), Pre-Hospital Trauma Life Support (PHTLS), and Pediatric Advanced Life Support (PALS).

Monthly training sessions on EMS related subjects are provided to insure that district members are kept informed of the most current patient trends.

Ambulances 4417 & 4427 are staffed by two paramedic/firefighters and carries technologically advanced patient care equipment to provide the highest quality care possible to all of our patients.


Lifepack 15The Life Pack 15: One of many Weapons in the MHFIRE Arsenal...The Lifepack 15 allows paramedics to perform a full 15 lead EKG on patients experiencing chest pain and transmit that EKG to the receiving Cardiac Center. By transmitting this information, it allows the Emergency Department Physician, Cardiologists, and the Cardiac Cath Lab to prepare for a patient’s arrival. The Lifepack 15 also allows the paramedics to monitor for carbon monoxide poisonings.

Engine Company 4414 and Ladder Company 4425 both carry ALS equipment (Physio-Control LifePak 15, airway kit, intubation equipment, suction unit and cardiac arrest drug kit) and have at least one paramedic on board at all times. On life-threatening EMS calls, both the ambulance and the closet fire truck will be dispatched. This practice allows us to place multiple paramedics and ALS equipment on the scene within one to four minutes.

As part of our commitment to our residents, the fire district provides community education programs. American Heart Association Cardio Pulmonary Resuscitation (CPR) classes are offered monthly and National Safety Council First Aid classes are offered quarterly at Engine House 2. Classes are offered to district residents free of charge but reservations are required. For more information, contact the District Administrative Office at 314-298-4400.

Requesting Medical Records

To request your Medical Records, please download and fill out the Patient Authorization Form. Then return the signed and notarized copy back to us at 2600 Schuetz Rd, Maryland Heights, 63043. Medical reports are $20 each and billing requests are also $20 each.

Hospital Info

When transportation to a hospital is necessary, the Maryland Heights Fire Protection District makes every effort to transport patients to the medical facility of their choice. In many cases that facility is DePaul Health Center, Mercy Medical Center, Missouri Baptist Medical Center, Barnes-Jewish West County, St. Luke’s Hospital, or St. Joseph Health Center-St. Charles. Depending on the nature of the illness or injury, we may transport patients to the closest appropriate hospital (which may not be the patient’s hospital of choice). In severe weather or extremely heavy call volume, it may also be necessary to transport patients to the closest facility so that the ambulance may answer other emergency calls.

The Maryland Heights Fire Protection District continues to provide state-of the-art advanced life support fire apparatus and advanced life support ambulances with the finest cross-trained paramedic-firefighters.


Ambulance 4417


Ambulance 4417 is a 2021 Ford F550 Osage Advanced Life Support Ambulance.  4417 responds to emergency medical service alarms as well as to residential and commercial first alarms. 4417 is stationed at Engine House 1.

Ambulance 4427


Ambulance 4427 is a 2018 Osage life support vehicle. The Osage patient care module is mounted on an International 4300 Chassis. It was placed in service in September 2017 at Engine House 2. 4427 responds to emergency medical service alarms as well as to residential and commercial first alarms.  4427 is stationed at Engine House 2.

Reserve Ambulance 4497


Reserve Ambulance 4497 is a 2014 Osage life support vehicle. The Osage patient care module is mounted on an International 4300 chassis. It was placed in service in April 2014 at Engine House 2. 4497 is placed in service when 4417 or 4427 is out of service for maintenance or for special assignments.

Notice of Privacy Practices

In accordance with the Health Information Portability and Accountability Act, the Maryland Heights Fire District has published a Notice of Privacy Practices as an Adobe PDF document.