Announcements

🚧 Website modernization in progress. Mahalo no kou ʻae ʻana.
We are actively improving the website for easier access and better information. Please excuse any layout or navigation changes during this period. Mahalo for your understanding!
📕🏥 ACS Resources for Optimal Care of Injured Patient
The American College of Surgeons publishes standards for trauma system excellence.
View ACS Standards
🚁 New Air‑Medical Event Reporting Form – Now Live
All EMS and hospital partners may now use the new online form to report air-medical events.
Open the Air Medical Event Reporting Form
🚑📈 2025 Standing Orders & Correction Memo – Available
Download the latest Hawaii EMS Standing Orders and correction memo for 2025.
Download PDF
🚑📈 2025 Standing Orders Presentation
View the educational presentation used in the 2025 Standing Orders training.
View Presentation
📢📘 EMS Measles Response Bulletin
Read the latest EMS statewide measles response preparedness bulletin.
Download Bulletin
🌊⚠️🏊 2025 Hawaii Water Safety Plan
Access the newly published 2025 Hawaii Water Safety Plan.
View Plan
💸🗂️ EMS Contractors Report of Expenditures
Download the most recent EMS contractor expenditure report.
Download Report
🏥⚕️📢 Trauma System Resources Submission Form
Submit new or updated trauma system resources for Hawaii’s network.
Open Submission Form
🏥⚕️📘 Hawaii Trauma Transfer Guide
Download the official Hawaii Trauma Subspecialty Transfer Guide.
Download Guide
State Emergency Medical Services (EMS) System

Statewide EMS Calls Year-to-date

98,419
as of June 30, 2025
Sate EMS System National EMS Quality Alliance (NEMSQA)

Statewide EMS Confirmation of Invasive Airway

79%
Statewide EMS YTD KPI of documented EtCO2.
National Median 66.7% National Top Box 87.5% or Higher.
as of June 30, 2025, N=741 Invasive Airways N=588 with waveform EtCO2
State Trauma System

Statewide Trauma Registry Encounters Year-to-date

4,344
as of June 30, 2025
EMS & Injury Prevention Systems Branch

Statewide Average EMS Scene Time for Trauma

15.9Mins
KPI Threshold Less Than 20 Minutes.
as of June 30, 2025
EMS & Injury Prevention Systems Branch

Statewide EMS Opioid Related Encounters

725
63% (431) Received at least 1 dose of Naloxone by EMS.
as of June 30, 2025

Public Health Stats
Opioid Overdose Incidents (YTD)

Opioid Overdose Chart

725
EMS-documented opioid-related encounters as of June 30, 2025.
Naloxone Administrations

 

431
EMS patients who received at least 1 dose of Naloxone, 2025 year to date.
Fall Prevention Kupuna Connections (2025)
200+
people during 6 outreach Health Fairs statewide, 2025 year to date.
Keiki Water Safety Lessons
960
water safety interventions, 2025 year to date.



Journey to Modernize Banner

Journey to Modernize Emergency Medical Services (EMS) into Hawaii’s Emergency Medical Systems of Care

In Hawaii, the Emergency Medical Services (EMS) System and the Injury Prevention and Control System originally operated under separate branches of the Department of Health. In 2008, they merged to form the Emergency Medical Services and Injury Prevention Systems Branch (EMSIPSB). Since 2015, this partnership has evolved into a strategic, data‑driven collaboration.

In 2024, EMSIPSB spearheaded data modernization across acute care networks, 911 communications, and air‑medical transport—identifying critical puka (gaps) and enabling faster, more coordinated responses.

Now, in 2025, we’re setting out on a journey to building a unified, resilient emergency medical systems of care network founded on six critical pillars: Injury Prevention, Emergency Medical Services (EMS) & First Responders, Acute Care Systems, Quality / Performance Improvement and Patient Safety, Emergency Preparedness, and Systems Integration. By weaving together dispatch, pre‑hospital care, hospital-based teams, surgical specialists, and post‑acute rehabilitation, our Emergency Medical Systems of Care will ensure every patient journey is seamless, efficient, and life‑saving.

1. Injury Prevention

Reducing preventable injuries through data-driven education & upstream interventions.

2. EMS & First Responders

Strengthening prehospital care, field triage, & 911 coordination.

3. Acute Care Systems

Coordinating trauma, stroke, cardiac, burn & specialty centers statewide.

4. Quality & Patient Safety

Implementing CQI frameworks with real-time data & standards.

5. Emergency Preparedness

Ensuring readiness for disasters, mass casualty & public health emergencies.

6. Systems Integration

Advancing interoperability across EMS, hospitals & public health.

Our Mission: Nā Lawelawe Ola

(The Servants of Life)

Prepared to protect, promote, and deliver critical time-sensitive emergency care services where and when they are needed most for our island’s public health and safety.

Our Vision: Making A Difference

Transforming public health and safety through modernized practices in preparedness, prevention, and education, while delivering accountable, aloha-centered emergency care.

Dashboards will appear here.

Our Six Keys outline the foundational principles that guide our branch’s approach to emergency public health systems across Hawaii. They ensure safe, timely, effective, efficient, community‑centered, and equitable care. Click each key to learn more.
🔑 Safety
Promoting safe emergency and disaster care through education, prevention, and regulation.
🔑 Timely
Reducing delays in time‑sensitive care for patients and providers.
🔑 Effective
Ensuring high‑quality care by avoiding underuse, overuse, and misuse.
🔑 Efficient
Eliminating waste of resources—time, tax dollars, and ideas.
🔑 Community‑Centered
Delivering care that respects community preferences, needs, and values.
🔑 Equitable
Providing care that doesn’t vary in quality based on geography or socioeconomic status.

Contact Us by email at DOH.EMSIPSB@doh.hawaii.gov