EMS (Ambulance) Division

The City of Council Bluffs Emergency Medical Service provides an Advanced Life Support (ALS) system that has evolved since 1996 and grown to the level of excellence that it is today. 

The system benefits from enhanced 911, Advanced Life Support staffed engine companies, ALS ambulances, actively involved hospitals, and a comprehensive continuous quality improvement process to produce one of the highest cardiac arrest save rates in the nation. In 2022, the national average of survival from cardiac arrest was 6% to 10%. Council Bluffs had a 42% survival rate. Eight (8) patients walked out of the hospital without any neurological deficits from their cardiac arrest. 

Each year, our department responds to more than 11,400 fire and EMS incidents, with over 80% being EMS responses. Cardiac arrests are approximately one percent of our EMS responses.  

Staffing and Equipment 

  • Council Bluffs Fire Department (CBFD) has 108 full-time staff members
  • 58 EMTs and 48 certified paramedics
  • Three state-of-the-art ambulances, each staffed with a paramedic and seven fire apparatus to provide a quick response ALS service

Mission Lifeline EMS Recognition Award

The Council Bluffs Fire Department continues to meet the Mission Lifeline standards from the American Heart Association for its work with local hospitals to identify STEMI patients and ensure proper intervention within a timely manner (<90 minutes).  

EMS Quality of Care

The EMS system continues to develop and maintain new methods of delivering high-quality EMS care to the City of Council Bluffs. The Fire Department works in conjunction with hospitals and trauma centers to provide cost-effective and superior clinical emergency medical services. Medics are given daily feedback on the diagnosis and outcome of their transported patients, which allows for analytic review. 

The system operates on a countywide EMS protocol that is continually reviewed and updated to the most current evidence-based treatments and equipment available. Some skills included in the protocol are CPAP, 12 Lead EKGs, field-activated Cath lab notifications, aggressive pain management protocol including intranasal medications, IO drills, video laryngoscopes, and COand CO monitoring devices, to name a few. 

Studies by the American Heart Association show those who received CPR started by a bystander had a greater chance of survival than those who did not. Each year, our statistics show about half of our cardiac arrest saves receive bystander CPR; therefore, we encourage everyone to learn bystander CPR to help us continue and maintain a high survival rate from cardiac arrest. To learn more, contact the American Red Cross, the American Heart Association, or your local fire department.

EMS Billing

The Council Bluffs Fire Department works with Digitech, a third-party billing company, to create and process invoices incurred from ambulatory services.

There are several ways to pay an ambulance bill:

For questions about ambulance billing, call 1-888-899-1388 or email [email protected]