Since 1995 the department has provided Advance Life Support (ALS) services as part of our mission. This is accomplished using all 14 of the engine companies located throughout our community. By doing this, we continue to provide rapid response to medical emergencies arriving on average in less than 3.5 minutes to assist citizens in need.

The department has:

1. Added pulse oximetery to routine patient care and the medical protocols
2. Added external cardiac pacemaking to all defibrillators in the City and to the medical protocols
3. Switched from paddles to hands free (safer) defibrillation
4. Added Automatic External Defibrillators (AEDs) to all apparatus and to the medical protocols
5. Added Intraosseous IV capability to medical protocols for pediatric patients
6. Added heated IV fluids to all apparatus responding to medical emergencies
7. Added nasopharyngeal airways to medical protocols and to all apparatus responding to medical emergencies
8. Added Rapid Sequence Intubation (RSI) capability to protocols and responding ambulances' capability
9. Added End-Tidal (ETCO2) Carbon Dioxide capabilities to the ambulances in the city and to the medical protocols
10. Added scoop (orthopedic) stretchers to the City's ambulances
11. Added the use of Esophageal Intubation Detectors (EIDs) to the protocols for routine use to confirm intubation tube placement

In January 2001, the department assumed responsibility for ambulance service in Lincoln and many areas of the Lincoln 911 system service area. Providing both emergency and non-emergency ambulance transportation.