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Emergency Medical Services (EMS)
Injury Prevention
Trauma System
Poison Center
Since 1978, the mission of this program has been to administer, maintain, and operate a State comprehensive emergency medical services system throughout Hawaii that is designed to reduce medical emergency deaths, injuries, and permanent long-term disability through the implementation of a fully integrated cohesive network of related. The state system provides for the arrangement of personnel, facilities and such equipment, primarily in the pre-hospital setting, for the effective and coordinated delivery of health care services under emergency conditions whether occurring as a result of the patient’s condition, natural disasters, or other causes.
State of Hawaii Emergency Medical System Insights
Statewide EMS Calls Year-to-date
EMS System
146,418
as of Sept 30, 2025
Confirmation of Invasive Airway
National EMS Quality Alliance
79%
Statewide EMS YTD KPI of documented EtCO2.
National Median 66.7%
as of Sept 30, 2025
National Median 66.7%
as of Sept 30, 2025
Trauma Registry Encounters
State Trauma System
6,526
as of Sept 30, 2025
EMS Scene Time for Trauma
EMS & Injury Prevention
16.2 min
KPI Threshold: < 20 min
as of Sept 30, 2025
as of Sept 30, 2025
EMS Opioid Related Encounters
EMS & Injury Prevention
1436
as of Sept 30, 2025
EMS Related Links
EMS Related Links
Other Information
Other Information
EMS Frequently Asked Questions (FAQ)
What is EMSIPSB?
EMSIPSB is the Emergency Medical Services & Injury Prevention Systems Branch — Hawaii’s statewide branch overseeing emergency medical services, injury prevention, trauma systems, and related public health programs.
Who should attend the Hawaiian Islands Trauma Symposium?
The symposium is intended for EMS providers, hospital clinicians, trauma center staff, public health partners, and other healthcare professionals involved in acute care and trauma systems. Check the announcements/registration link for details.
Where can I download the 2025 EMS Standing Orders?
The 2025 Standing Orders and correction memos are available for download:
Download Standing Orders (PDF)
Download Standing Orders (PDF)
How do I report an air‑medical event?
Where can I find the Hawaii Trauma Transfer Guide?
The official Hawaii Trauma Subspecialty Transfer Guide is published and can be downloaded:
Download the Trauma Transfer Guide (PDF)
Download the Trauma Transfer Guide (PDF)
How can I submit or update trauma system resources?
Submit new or updated trauma system resources using the submission form:
Open Trauma System Resources Submission Form
Open Trauma System Resources Submission Form
Where can I find guidance about measles preparedness for EMS?
How do I contact EMSIPSB?
Email: [email protected]
For program-specific inquiries, use the contact links in the “EMS Related Links” section above.
For program-specific inquiries, use the contact links in the “EMS Related Links” section above.