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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.


Critical Incident Stress Management Team Training!

A joint effort between ND Department of Health and ND Department of Emergency Services

Become a member of the State CISM Team - help your fellow responders in their time of need.

CISM Training Information - Fargo - September 9 - 11, 2014


ND State Trauma Program

Register now for the 17th Annual North Dakota Statewide Trauma Conference!

September 24 - 25, 2014 - Fargo Holiday Inn

View the conference brochure here.

North Dakota Trauma Foundation Website



Updated Forms Being Posted on DEMST Website!

Please verify you are using the most up-to-date form before completing.


Lucas Mechanical CPR Device Grant Opportunity

Click here to see information that has been mailed to all ambulances in ND.

Contact Amanda with questions.

Click here for training information located on the NDEMSA website.


NREMT Answers some of your frequently asked questions regarding the

ND Pilot Program



Be A Lifesaver


Want to participate in the North Dakota Community Paramedic Pilot Program?

Read here for information.

Community Paramedic Memo


Squad Leader's Guide to Big Picture

How to Use Big Picture



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Approved by North Dakota DEMST.

Supported by Stryker.

Free EMS Continuing Education!!





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.




Frequently Requested


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Online Registration / Licensure