Emergency Medical Services


Onslow County EMS (OCEMS) is a full service Advanced Life Support (ALS) system. We provide prehospital emergency medical care to all citizens and visitors of Onslow County. OCEMS is a leader in prehospital clinical guideline development in North Carolina. 

We employ both full time and part time paramedics and emergency medical technicians (EMTs) to achieve this mission. Paramedics are expected to be proficient in the application of ALS techniques inclusive of cardiac monitoring, rapid sequence intubation, and advanced trauma care including whole blood administration. EMTs are expected to work in conjunction with their paramedic partners to apply all Basic Life Support (BLS) procedures in accordance with state and local standards and protocols.

OCEMS was established in October of 1987, built upon the foundation laid by our Volunteer Rescue Squads. The system first began with only two ambulances operating at the EMT-Intermediate level. Within two years, OCEMS achieved the paramedic level status and in March of 1990, we became a county-wide service, utilizing 6 ambulances to provide ALS emergency care to the citizens of Onslow County. 

In 1987, OCEMS averaged about 4,000 calls a year. Today, our call volume totals over 22,000 emergency medical calls per year! We maintain 11 ALS ambulances, 3 quick response vehicles, and 2 community paramedic response vehicles.

Our employees are dedicated to the highest quality of care. We work 12 hour shifts, responding from 10 stations strategically located around the county. Want to join our team?