Colleton County Fire-Rescue

Emergency Medical Services / Emergency Ambulance Transports

Fire-Rescue is the sole 9-1-1 provider of Emergency Medical Services / Emergency Ambulance Transports within Colleton County and is licensed as an Advanced Life Support / Paramedic Level Emergency Medical Service. Each ambulance is staffed by Emergency Medical Technicians, at least one being of the Paramedic level. All ambulances are equipped with modern equipment to include cardiac medications, 12-Lead ECG, CPAP and advanced airway management. All units have the ability to perform Rapid Sequence Intubation (RSI) in extreme emergencies. Additionally, five other vehicles are designated as ALS First Response units to extend pre-hospital medical care.

As an emergency pre-hospital responder, Fire-Rescue does not perform non-emergency transports, such as doctorís office calls, return trips from the hospital to a residence or nursing home. Inter-facility transports, from one hospital to another, are typically handled by a private ambulance service, however Fire-Rescue does assist Colleton Medical Center with critical care transports from the ED to a hospital providing a higher level of care.

Fire-Rescue operates seven ALS ambulances with six serving Colletonís mainland and one ambulance stationed on Edisto Island to serve this Atlantic Coastal community. The mainland ambulances usually transport all patients to Colleton Medical Center , the only hospital located in Colleton County . Critical patients are generally stabilized and later transferred by private ambulance or medical helicopter to another facility. The Edisto ambulance, generally transports to the closest Charleston County hospital.


First responder, pre-hospital basic and advanced life support is provided by a vast medical first responder network. From each local fire station, volunteer and career firefighters respond at a moments notice to those suffering from life threatening medical emergencies. All full-time career employees are cross-trained as firefighters and the various levels of Emergency Medical Technicians. Many volunteer personnel have also trained to these levels, as well as First Responder and CPR. All first out Fire Engines in Colleton County are equipped with an assortment of medical equipment including AEDs (Automatic External Defibrillators). This allows the closest fire station from any specific community to quickly reach those in need, while the Paramedic Level Ambulance is enroute to the scene.


Critical Trauma patients are usually flown directly from the accident site to one of three Trauma Centers in the area. Medical helicopters from one of the three services are utilized for this purpose. Each is staffed with a pilot, paramedic and flight nurse.