Being a dual-tier system, there are basic and advanced life support ambulances scheduled around the clock. Between 25 and 31 units are scheduled during daylight hours and 15 to 18 at night. The fleet consists of 49 type-1 extended cab ambulances, 18 support vehicles, 2 Special Operations vehicles, and an all-terrain ambulance. Each ambulance is equipped with hydraulic stretchers, power-load system, and mapping technology. Employees have the option to work 10 or 12-hour shifts. A work unit-hour utilization program is used to assign new calls equitably to preserve the workforce and lessen employee stress. The system operates in a flexible deployment strategy with periodic demand analysis updates. There are 47 posting locations throughout the County, most of which are fire stations.

Support services is responsible for ensuring operational efficiencies by maintaining the warehouse and field preparedness. Support Service Technicians are accountable for ensuring ambulances are clean, prepped, properly stocked, and ready for service.

Greenville County EMS offers exciting opportunities for team members to join various Special Operations units, including the Bicycle Response Team, Honor Guard, and the Greenville County Emergency Response Team.

The Bicycle Response Team is composed of highly trained EMTs and paramedics who provide rapid medical care at large-scale events. They also work alongside the Greenville City Police Department’s Bicycle Crowd Management Team, ensuring public safety in dynamic environments. An all-terrain ambulance was recently acquired to augment patient care in mass gathering events.

The Emergency Response Team brings together EMS, law enforcement, and fire personnel to tackle high-risk situations such as hazardous materials incidents, confined space rescues, water and dive operations, and search-and-rescue missions. This specialized team responds to emergencies both within the County and across the region, making a critical impact when it matters most.

A newly formed Honor Guard is a ceremonial unit that performs at many special events including Academy Graduations, parades, and high-profile County events.