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Learn more about Hamilton EMS

Hamilton EMS is the exclusive provider of emergency medical services to the citizens of Hamilton, Mills, San Saba, Lampasas and Llano counties. The EMS Department began operations in May 1990 with one ambulance and a dedicated team of first responders serving Hamilton County licensed at the Basic Life Support with Mobile Intensive Care capabilities.  Today, Hamilton EMS operates a fleet of 10 full-time and 3 reserve Mobile Intensive Care Units, all equipped with the Stryker PowerLoad XTS System (auto-loading stretchers); and licensed at the highest-level of pre-hospital emergency medical care possible in Texas.  In addition to 13 MICU ambulances, HEMS manages each county service area with a 24-hour Paramedic Supervisor in a 4x4 Command truck.  Each EMS Command truck is equipped and stocked as not only a command vehicle with communications and incident command equipment; but also carries a full complement of medical gear, medications, and equipment in a climate-controlled vehicle.  Not only does an EMS Supervisor provide an emergency response to 911 calls in a supervisory capacity; they also routinely assist EMS ambulance crew with complex emergency patient transports and interfacility transfers.  This ability to provide two Paramedics in the back of an ambulance performing critical care medicine in real-time while a third drives, truly allows the best possible patient outcome.


Our service area extends from the rolling plains and ranching country of Hamilton and Mills counties south to the Texas Hill Country of San Saba and finally to the Highland Lakes Region of Llano County.  To ensure we can access any portion of our service area and provide an effective rapid response, the EMS Department MICU and Command vehicle fleet are all 4x4 vehicles.  For Special Operations, the department also owns and operates a Polaris 6x6 Ranger specially equipped for EMS rescue operations in rugged terrain.

With over 80 full-time licensed employees, the EMS Department specializes in rural emergency medicine bringing Mobile Intensive Care to the patient with advanced critical care paramedicine.  Using the latest technology and state-of-the-art equipment, medications, and science based clinical practice guidelines; Hamilton EMS brings the hospital to the patient minimizing the delays in life-saving emergency medical care often found in rural environments.  Our staff are trained to rapidly assess each patient’s injury or illness, initiate advanced pre-hospital emergency medical care based on a differential diagnosis, and transport to an appropriate hospital, Trauma Center, Burn Center, or other Specialty Care Center that can provide the appropriate level of care to each patient.

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