Organizational Structure


Middlesex - London Emergency Medical Services employs over 310 working men and women. The service is organized into the following divisions:

Operations Division

  • Provides emergency and non-emergency medical care and transportation by paramedic ambulance crews.
  • Responsible for operational oversight, planning and support.

Professional Standards Division

  • Provides continuing medical education to paramedics
  • Responsible for complaint investigation and operational reviews.
  • Facilitates Freedom of Information Ambulance Call Report requests.
  • Provides public education to promote rapid and appropriate use of 9-1-1 and emergency resources.
  • Provides public First Aid, CPR and AED training.
  • Responsible for the Public Access Defibrillation program throughout Middlesex-London.
  • Responsible for the Community Paramedicine Program for Middlesex-London.

Administration Division

  • Supports service operations.
  • Provides human resources services to the department, including Accommodations, Fleet Operations, Facility Maintenance and Materials Management.
  • Responsible for maintenance and distribution of medical supplies and equipment.
  • Responsible for paramedic scheduling.