Emergency Medical Systems

  • Licensing ambulance services and quick response units.
  • Training, testing, certification and licensure of EMS personnel.
  • Coordinating the State Trauma System.
  • Administering the EMS for Children Program.
  • Coordinating the State CISM Team.
  • Coordinating the State Stroke System of Care.
  • Coordinating the State Cardiac System of Care.

Injectable Epinepherine/Adrenaline Enhanced Module Available for Ambulance Services

The module was made available to ambulance services on November 7, 2018.

The Division of Emergency Medical Systems memo can be seen here.

Rural EMS Assistance (REMSA) Fund Part III

The basis for Part III funding and the funding formula used was developed by the REMSA subcommittee and approved by the EMS Advisory Council as well as the North Dakota Department of Health. All related information can be found here.

In an effort to continuously improve the grant process and obtain a clear financial picture relative to future funding formulas, the Department is asking all services receiving funding from Part III REMSA funds to submit their current budget numbers in order to be eligible for reimbursement payments. Further information and the Budget Form Template can be found here.


EMS Database Information

The North Dakota Department of Health, Division of Emergency Medical Systems (DEMS) is in the process of transitioning ESO Solutions as the new state repository electronic Patient Care Report (ePCR) software vendor.


NREMT webinars are available for help with the recertification process.

'Recert' - for help with NREMT NCCP recertification


Information regarding Rural EMS Assistance Grant Part II Funding


Click HERE for important information from Sanford Health - Fargo to all regional ambulance service partners and EMS organizations.


Effective February 1, 2017, the NREMT implemented a new attestation method for recertification for those completing recertification using the NCCP 2012 and 2016 models. The new process allows providers to select which NCCP model they are using (either 2012 or 2016); after selecting a model, the system then auto-completes the requirements for the national component.

Our website is continuously under construction. If you are looking for something that is not available on the website at this time, please contact us.



DEMS no longer provides paper Patient Care Reports (PCRs). Click here for further information.

** Naloxone administration is NOW included in the skillset for EMR and EMT **


Are you interested in joining the North Dakota Public Health Emergency Volunteer Reserve (PHEVR)/ Medical Reserve Corps (MRC)? Our mission is to improve the health and safety of communities across North Dakota through the organization of volunteers sharing the common goals to serve their communities in times of need, prevention, and proactive planning. Click the link below for further information and online registration.         



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