Emergency Medical Services is delivered to the citizens of the district in a congruent and streamlined manner, making South Metro the largest fire-based, EMS provider in the State of Colorado. SMFR provides medical transport through our highly trained Firefighter Paramedics and EMT-Basics, emerging as an industry leader through outcome-based medicine and cardiac arrest survivability. Innovative practices such as point-of-care ultrasound have paved the way to improved patient outcomes and better chances of survival for our citizens in need.