Mono County Paramedic Fire/Rescue 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 members to assist on the fire ground, and congruently the Fire Departments provide first responder medical support and manpower to assist the paramedic ambulances. Mono County Paramedic Fire/Rescue members are also trained in Low Angle Rope Rescue and Ice Rescue (cold water rescue).
Mono County Paramedic Fire/Rescue employs twenty-three paramedic/firefighters and one EMT/firefighter. They staff four advanced life support ambulances around the clock, usually with two paramedics. In addition, one reserve ALS ambulance is fully equipped and is placed in service when needed. They provide advanced life support services 24 hours a day in all weather conditions to the citizens of this county and visitors.