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Lexington County EMS was first organized in 1974 with 16 employees working 24-hour shifts on a total of four ambulances.
Today the service employs over 150 full and part-time employees working 12-hour shifts on up to eighteen ambulances, answering nearly 50,000 calls per year. Administrative and Operational staff includes the EMS Coordinator, two Deputy Chiefs, two Assistant Chiefs, eight Shift Supervisors and eight Lieutenant Paramedics, an Administrative Assistant, two Billing Clerks and a Logistics Coordinator. The ambulances are staffed with Paramedics and Emergency Medical Technicians.
Up to eighteen ambulances are available throughout the day, including staggered shift 12-hour peak-time units available during the busiest times of the day. In addition, Command Staff in Quick Response Vehicles (QRV's), and Fire Service rescue vehicles provide first response and Automated External Defibrillator (AED) capability when ambulances are far from the scene. Units are dispatched to nearly 50,000 responses annually by a 911 computer-aided-dispatch center using Automatic Vehicle Locators
and staffed by Emergency Medical Dispatchers trained in the use of Priority Dispatch Software.