Louisville Metro Emergency Medical Services is the primary provider of pre-hospital life support and emergency care within Louisville-Jefferson County, Kentucky. LMEMS is a governmental department that averages 90,000 calls for service, both emergency and non-emergency, each year. The current agency executive head is Edward J. Meiman, III and the chief of service is Colonel Jesse Yarbrough, EMT-P. History Louisville Metro EMS has its history rooted in the two major EMS providers that served the area since the earliest days of pre-hospital care of the 1970s. Police officers transferred the severely ill or injured to hospitals in Louisville and Jefferson County until 1972 when the Jefferson County Medical Society created the first EMS service. The first licensed paramedics in Kentucky graduated in 1975 from a pilot program at Louisville General Hospital, now University of Louisville Hospital. Included were fifteen City of Louisville EMS paramedics and one Jefferson County Police officer paramedic. City of Louisville Louisville police officers transported patients for many years until Louisville EMS (LEMS) was created in 1974. The Park-Duvalle Neighborhood Health Center In 1968 provided ambulance service first to just patients with in their service area,then eventually to the city. The service was taken over by Louisville government. The program was operated by the city and Robert Shaver PhD was recruited as its founder and first Director, as well as Director of Public Health, and disaster planning, and was the first EMS service provided in Louisville. Dr. Shaver created a unique first response system staffed by registered nurses who were housed in Medi-cars and operated under the guidance of advanced medical directives. In 1995 the city transferred EMS duties to the Louisville Division of Fire in an effort to streamline emergency services in the city. The EMS bureau of the Louisville Division of Fire utilized firefighters cross-trained as EMTs and paramedics as well as non-firefighting personnel. Jefferson County Jefferson County EMS had its beginnings in the now-defunct Jefferson County Police Department. Beginning with police officer paramedics in 1975 and eventually evolving into non-law enforcement personnel assigned only to providing emergency medical care, the Emergency Medical Squad of the county police became Jefferson County Emergency Medical Services (JCEMS) in 1987. JCEMS provided emergency medical services to all areas within Jefferson County outside of the cities of Louisville, Anchorage and Jeffersontown. JCEMS always fielded ambulances containing at least one paramedic. The JCEMS Disaster Response Team (DRT) responded to all hazardous