Mono County EMS is responsible for emergency medical calls and inter-facility ambulance transports within the specified region. As the area consists of high deserts and remote mountains, environmental challenges such as rugged terrain and weather extremes are often the norm. A close working relationship with the local (predominantly volunteer) Fire Departments helps to maximize available personnel and resources to provide emergency services. Additional training beyond the scope of EMS duties allows the Paramedic/EMT members to assist on the fire ground, and congruently the Fire Departments provide first responder medical support and manpower to assist the ambulances. Mono County EMS members are also trained in Low Angle Rope Rescue and Ice Rescue (cold water rescue).