Emergency Medical Services (EMS)
Injury Prevention
Trauma System
Poison Center
Hawaiian Islands Trauma Symposium – Save the Date: November 21, 2025
Aloha! The Department of Health’s EMSIPSB is partnering with Queen’s Level I Trauma Center to bring back the Hawaiian Islands Trauma Symposium on November 21, 2025. More info coming soon.
Announcements
Website modernization in progress. Mahalo no kou ʻae ʻana.
State Emergency Medical Services (EMS) System
Statewide EMS Calls Year-to-date
98,419
as of June 30, 2025
Sate Emergency Medical Services (EMS) System National EMS Quality Alliance (NEMSQA)
Statewide EMS Confirmation of Invasive Airway
79%
Statewide EMS Year-to-date Key Performance Indicator (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
Emergency Medical Services & Injury Prevention Systems Branch
Statewide Avergae EMS Scene Time for Trauma Related Encounters
15.9Minutes
Key Performance Indicator (KPI) Threshold Less Than 20 Minutes
as of June 30, 2025
Emergency Medical Services & 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
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
Prepared to protect, promote, and deliver critical emergency care where and when it’s needed most for Hawaii’s island communities.
Our Vision: Making A Difference
Modernizing public health & safety through best practices in preparedness, prevention, education & accountable, aloha-centered care.
Dashboards will appear here.
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.