Pacific County Fire District 1 began providing advanced medical life support to South Pacific County in 1998. As of 2018 eighty-nine percent (89%) of the calls to Fire District 1 are requests for medical assistance. In addition to answering 911 calls, the District also responds to local hospitals and extended care facilities for transport of patients to higher level care facilities in Seattle, Tacoma, Olympia, Vancouver, and Portland.

Delivery of pre-hospital Emergency Medical Services (EMS) requires a high level of skill and expertise; and, as in the hospital and clinical settings, medical technology changes frequently. Fire District 1 strives to keep abreast of these changes through Continuing Medical Education (CME) and by reviewing and testing the newest and most up-to-date equipment. Paramedics and Emergency Medical Technicians (EMTs) today provide some of the most advanced pre-hospital emergency care known to the world. Paramedics and EMTs can provide many of the highly technical treatments that are administered in hospital emergency rooms.