Division of Emergency Medical Services and Trauma

The Division of Emergency Medical Services and Trauma (DEMST) serves as North Dakota's lead emergency medical services (EMS) agency.

DEMST is responsible for:

Licensing ambulance services and quick response units.
Training, testing, certification and licensure of EMS personnel.
Coordinating the state trauma system.
Administering the EMS for children program.
Coordinating the State CISM Team.
Coordinating the State Stroke System of Care.
Coordinating The State Cardiac System of Care.


The DEMST office has moved to a new location!

1720 Burlington Dr

Bismarck ND 58504

Click here for a map.


2015-2016 Rural EMS Assistance Fund Awards

Click here to view the awards.


EMS Leadership Academy: Level III

Courtyard Marriott, Bismarck; October 10 - 11, 2015

Further Information and Registration Information









Read about this exciting new opportunity with ND Emergency Medical Services for Children!


"Pediatric Prepared" Ambulance Program Launched; West Traill Ambulance Service Awarded Recognition



NREMT Authorization to Test (ATT) policy effective as of 1/1/2015.

See Instructor Resources Page.


Current North Dakota Ebola Information Available at:

The North Dakota Department of Health Website


For more education opportunities (including NCCR hours) see the EMS Continuing Education / Training Opportunities Page


Squad Leader's Guide to Big Picture

How to Use Big Picture


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Attention Instructors!!

With the ongoing transition, please make sure you are using the correct forms and checking the correct courses on those forms to be sure you get the correct paperwork.

**Contact the DEMST office with any questions**

Level National Standard Curriculum Ends Transition Must Be Completed
First Responder December 31, 2011 September 30, 2016
EMT-Basic December 31, 2011 March 31, 2016
Intermediate/85 March 31, 2011 March 31, 2017
Intermediate/99* December 31, 2013 March 31, 2019
EMT-Paramedic January 1, 2013 March 31, 2017


***** Instructor Resources *****





Any individual who encounters or recognizes a situation in which an EMS safety event occurred, or could have occurred, is strongly encouraged to submit a report by completing the appropriate  E.V.E.N.T. Notification Tool. The confidentiality and anonymity of this reporting tool is designed to encourage EMS practitioners to readily report EMS safety events without fear of repercussion.