Carroll County Iowa Ambulance, Carroll, IA (2026)

10/10/2026

🚑 BEYOND THE LIGHTS & SIRENS — PART 6
SO... WHAT’S ACTUALLY INSIDE AN AMBULANCE?

You’ve seen the flashing lights.
You’ve heard the sirens.
You’ve probably driven past an ambulance a hundred times.

But have you ever wondered what’s actually inside one?
Spoiler: It’s a heck of a lot more than a stretcher.

An ambulance is essentially a mobile treatment room, packed with equipment, medications and supplies designed to let EMS begin caring for patients before they ever reach the hospital.

Depending on the ambulance and level of service, you may find:
❤️ CARDIAC EQUIPMENT
Cardiac monitors, 12-lead ECG capability, defibrillation, pacing and equipment used during cardiac arrest.

🫁 AIRWAY & BREATHING EQUIPMENT
Oxygen, suction, bag-valve masks, airway devices, nebulizer supplies and equipment to assist or control a patient's breathing.

💉 IV/IO & MEDICATIONS
IV supplies, fluids, IO equipment and emergency medications used to treat everything from allergic reactions and seizures to cardiac emergencies and severe pain.

🩸 TRAUMA & BLEEDING CONTROL
Tourniquets, dressings, splints, pelvic stabilization equipment and other supplies for serious injuries and hemorrhage.

🧠 ASSESSMENT & MONITORING
Blood-pressure equipment, pulse oximetry, blood-glucose testing, temperature monitoring and other tools that help us figure out what's happening and whether it's changing.

👶 PEDIATRIC & OBSTETRIC EQUIPMENT
Because emergencies don't have an age requirement. Ambulances carry specialized equipment and supplies for infants, children and childbirth emergencies.

🚑 AND A WHOLE LOT MORE...
Behind those cabinet doors and inside those bags are supplies for medical emergencies, trauma, cardiac arrests, respiratory problems, strokes, overdoses and countless situations we may encounter.

And here's the important part:
THE EQUIPMENT DOESN’T PROVIDE THE CARE. PEOPLE DO.

👉 A cardiac monitor is only useful if someone knows how to interpret what it's showing.
👉 A medication only helps if someone recognizes when it's indicated, when it isn't and how to administer it safely.
👉 A ventilator is just a machine until someone understands how to manage the patient connected to it.

That's why an ambulance isn't simply a vehicle full of expensive equipment.

It's trained EMS professionals + medical equipment + medications + clinical decision-making—all brought directly to the patient.

📦 SO... WHAT’S IN THE BOX?
Quite a bit.

But everything inside has the same purpose:
TO BRING THE EMERGENCY ROOM CLOSER TO YOU WHEN MINUTES MATTER.

🚑 CARROLL COUNTY AMBULANCE SERVICE
BEYOND THE LIGHTS & SIRENS
Understanding Your Local EMS
Serving. Educating. Ready when you need us.💙🚑

10/05/2026

This past Friday, October 2nd, we enjoyed having the Kuemper preschoolers at CCAS! They learned about our jobs, got to see some of our equipment we use, and toured an ambulance!
Thank you for coming and visiting us! 🩵🚑

09/25/2026

🚑 BEYOND THE LIGHTS & SIRENS — PART 5
BLS? ALS? WHAT DOES ALL THIS EMS ALPHABET SOUP MEAN?

BLS. ALS.
If you don’t work in EMS, those letters probably don’t mean much.

You call 911. An ambulance arrives. EMS providers get out. From the outside, it may all look the same.

But BLS and ALS describe different levels of medical care and capabilities available to a patient. Iowa EMS reporting distinguishes BLS and ALS levels of care based on the treatment capabilities available during an EMS response.

So, let’s decode some EMS alphabet soup.

🚑 BLS — BASIC LIFE SUPPORT

First things first:
“BASIC” DOES NOT MEAN “JUST A RIDE.”

And it definitely doesn’t mean unskilled, unimportant or unnecessary.
BLS is the foundation of emergency medical care.

Depending on the provider's scope, protocols and medical direction, BLS care may involve:
❤️ CPR and AED use
🫁 Airway management and breathing support
🩸 Control of life-threatening bleeding
🩺 Patient assessment and vital signs
🦴 Splinting and trauma care
💊 Certain medications within the provider's scope
🚑 Continued monitoring and reassessment during transport

Think about what that actually means.
🔹️Opening an airway can save a life.
🔹️Providing effective CPR can save a life.
🔹️Early defibrillation can save a life.
🔹️Stopping catastrophic bleeding can save a life.
There is absolutely nothing insignificant about “basic.”
BLS SAVES LIVES.

⚡ ALS — ADVANCED LIFE SUPPORT

ALS builds on the foundation of BLS by adding providers with additional education, clinical training and an expanded scope of practice.

Depending on provider level, protocols and medical direction, ALS capabilities can include:
🫀 Advanced cardiac monitoring
📈 12-lead ECG acquisition and interpretation
💉 IV and IO access
💊 A broader range of emergency medications
🫁 Advanced airway management
⚡ Manual defibrillation, cardioversion and cardiac pacing
🧠 Advanced management of seriously ill or injured patients

Paramedics function with advanced clinical protocols and medical oversight and may use a wide range of pharmacology, airway and monitoring equipment while making complex clinical and transport decisions.

But here's the important part:
ALS DOESN'T REPLACE BLS. IT BUILDS ON IT.
The cardiac monitor doesn't replace good CPR.
An IV doesn't replace managing an airway.
A medication doesn't replace controlling life-threatening bleeding.
Advanced equipment doesn't replace a solid patient assessment.
The fundamentals still matter.

🏥 CRITICAL CARE — THE SPECIALIZED SIDE OF ALS

Sometimes even routine ALS isn't enough for the complexity of a patient's transport needs.

That's where Critical Care Transport comes into the picture.
In Iowa, Critical Care Transport is a paramedic-level service program with an additional state endorsement for specialty-care patient transportation. A Critical Care Paramedic is a certified paramedic who has completed an approved critical-care course and received the state's CCP endorsement.

Critical-care patients may require things such as:
🫁 Advanced ventilatory support
💉 Complex medication infusions
🫀 Advanced monitoring
💊 Management of multiple medications and therapies
🏥 Continued management of a critically ill patient during transport
This is especially important in rural EMS.

A critically ill patient may need specialized treatment at a hospital hours away.
But their medical care can't simply stop when they leave one hospital and restart when they reach the next.

For those patients:
THE AMBULANCE BECOMES A MOBILE TREATMENT ROOM.
Iowa's scope-of-practice guidance specifically recognizes that paramedics may provide specialized interfacility care, while the CCP endorsement allows additional critical-care skills under medical oversight and approved protocols when working with an approved critical-care transport service.
👉The majority of CCAS paramedics are CCP endorsed. 💙🚑

🤔 SO DOES EVERY PATIENT NEED ALS?

No.

And that's an important misconception to clear up.
Not every patient needs an IV.
Not every patient needs cardiac medications.
Not every patient needs an advanced airway.
And not every patient needs critical-care transport.

More interventions do not automatically equal better medical care.
Sometimes BLS is exactly what the patient needs.
Sometimes ALS is necessary.
And sometimes a critically ill patient requires the additional capabilities of Critical Care.

The question isn't:
“What's the highest level of care we can throw at this patient?”
The question is:
“WHAT DOES THIS PATIENT NEED?”

🚑 HERE'S THE SIMPLE VERSION:

🔵 BLS = THE FOUNDATION.
Fundamental assessment, stabilization and lifesaving care.

🔴 ALS = ADVANCED CARE BUILT ON THAT FOUNDATION.
Advanced assessment, monitoring, medications, procedures and clinical management.

🟣 CRITICAL CARE = THE SPECIALIZED SIDE OF ALS.
Additional capabilities for critically ill patients whose transport needs exceed routine ALS care.

Different capabilities.
Different patients.
Same mission:
GETTING THE RIGHT LEVEL OF CARE TO THE RIGHT PATIENT AT THE RIGHT TIME.💙

🚑 CARROLL COUNTY AMBULANCE SERVICE
BEYOND THE LIGHTS & SIRENS
Understanding Your Local EMS
Serving. Educating. Ready when you need us.

Next up: 🚑 BEYOND THE LIGHTS & SIRENS — PART 6
SO... WHAT'S ACTUALLY INSIDE AN AMBULANCE?

09/21/2026

🚑 BEYOND THE LIGHTS & SIRENS — PART 4

🚑 AMBULANCE DOES NOT MEAN TAXI. 🚕

Calling 911 because you need medical help and calling 911 because you simply want a ride to the hospital are two very different things.

🌟An ambulance isn’t just a vehicle with flashing lights. It’s staffed by trained EMS professionals and equipped to assess, treat and monitor patients before and during transport.

👉When you call 911 for a medical emergency, you’re activating an emergency medical system—not requesting a taxi.

🚨 AN AMBULANCE IS A LIMITED RESOURCE

When an ambulance responds to a call and transports someone to the hospital, that crew and vehicle may be unavailable for another emergency until the transport and hospital handoff are complete.

If someone requests an ambulance solely because they want transportation—not because they need medical assessment, treatment or monitoring—it can take skilled providers away from patients experiencing genuine medical emergencies.

In rural communities like ours, where another available ambulance may be farther away, that matters.

💙🚑 We want people who need emergency medical care to call 911. The concern isn’t someone who is unsure whether their symptoms are serious. It’s using an emergency medical resource when the only need is a ride.

💵 AN AMBULANCE RIDE CAN BE EXPENSIVE

An ambulance is not priced like a taxi.

Depending on the ambulance service, level of care, distance traveled and insurance coverage, a transport can result in a bill exceeding $1,000—even when the patient primarily wanted transportation.

Charges and out-of-pocket costs vary, so there is no single price for every ambulance trip.

🏥 CALLING 911 DOESN’T GUARANTEE YOU’LL BE SEEN FASTER

Another common misconception is:

“If I go by ambulance, I’ll get straight into an ER room.”

Not necessarily.

Emergency departments use triage, which means patients are prioritized according to the severity of their illness or injury—not simply by how they arrived.

A critically ill patient may need immediate treatment. A stable patient who arrives by ambulance may still wait if other patients have more urgent medical needs.

🌟 An ambulance is not a shortcut around the emergency department waiting room.

🩺 SO WHEN SHOULD YOU CALL 911?

🚑 Call 911 when you believe someone may be experiencing a medical emergency—such as chest pain suggestive of a heart attack, stroke symptoms, severe difficulty breathing, uncontrolled bleeding, unconsciousness or another potentially life-threatening condition.

You do not need to know exactly what’s wrong before calling. If you’re uncertain whether a situation is an emergency, tell the dispatcher what’s happening so they can help guide the response.

But if you’re medically stable and only need transportation, consider a family member, friend, taxi, rideshare or an available non-emergency transportation service instead.

THE BOTTOM LINE 🚑 🆚 ️🚕

A taxi gets you from Point A to Point B.

An ambulance brings medical professionals, equipment, assessment and treatment to patients who may need care along the way.

🌟 Using EMS appropriately helps keep crews available for the next emergency—and ensures patients who need medical care can receive it.

The ambulance is the vehicle. The EMS crew is the medical resource.

🚑 CARROLL COUNTY AMBULANCE SERVICE:
BEYOND THE LIGHTS & SIRENS; Understanding Your Local EMS

Serving. Educating. Ready when you need us.

➡️ NEXT — PART 5: BLS? ALS? WHAT DOES ALL THIS EMS ALPHABET SOUP MEAN?

09/17/2026

🚑 BEYOND THE LIGHTS & SIRENS — PART 3

EMT? PARAMEDIC? AREN’T THEY THE SAME THING?

Same ambulance. Same uniform. Same mission. Different levels of training and responsibility; different scope-of-practice.

One of the most common misconceptions about EMS is that everyone working on an ambulance is a Paramedic or an EMT.

They aren’t.

Depending on the crew, you may be cared for by an EMT, Advanced EMT (AEMT), Paramedic/RN Exception or Critical Care Paramedic/RN Exception. Each has a different level of education, training and scope of practice—and each plays an important role in patient care.

🚑 EMT — Emergency Medical Technician

EMTs provide Basic Life Support (BLS). They assess patients, recognize emergencies and provide lifesaving interventions such as CPR/AED use, airway and breathing support, oxygen, bleeding control, splinting, certain medications and ongoing patient care.

And don't let the word “basic” fool you. High-quality CPR, early defibrillation, opening an airway and stopping severe bleeding can save a life.

🚑 AEMT — Advanced Emergency Medical Technician

AEMTs build on EMT training with additional skills and an expanded scope of practice. Depending on protocols and medical direction, this can include IV access, fluids, additional medications and other advanced interventions.

🚑 PARAMEDIC

Paramedics provide Advanced Life Support (ALS) and have significantly more education and clinical training.

Their capabilities can include advanced cardiac monitoring and 12-lead ECG interpretation, IV/IO access, advanced airway management, emergency medications, defibrillation, cardioversion, pacing and management of critically ill or injured patients.

But being a paramedic isn't just about performing more procedures.

A huge part of paramedicine is recognizing what's happening, deciding what needs to happen first and continuously reassessing whether the patient is getting better—or worse.

🚑 CRITICAL CARE PARAMEDIC

Critical Care Paramedics are paramedics with additional education and specialized training in caring for critically ill or injured patients during transport.

These patients may require complex medication infusions, advanced ventilatory support, specialized monitoring or other therapies while being transferred to a facility capable of providing a higher level of care.

This is especially important in rural EMS.

When a critically ill patient needs specialized care hours away, the medical care can't stop between hospitals.

The ambulance becomes a mobile treatment room, and the crew must continue managing that patient every mile of the way.

🚑 RN EXCEPTION — REGISTERED NURSE IN EMS

Can a registered nurse work on an ambulance without also being certified as an EMT or Paramedic? In Iowa, yes—through the Registered Nurse (RN) Exception.

An RN Exception allows a licensed registered nurse to serve on an authorized EMS crew after documenting education and additional skills training appropriate for out-of-hospital emergency care.

The EMS service’s medical director reviews the nurse’s qualifications, determines the level of EMS care they may provide, and submits the application for approval by the Iowa Department of Health and Human Services.

🤝 DIFFERENT LEVELS. ONE TEAM.

Not every patient needs the same level of care.

Sometimes BLS is exactly what's needed.
Sometimes the patient requires ALS.
And some patients require critical-care transport.

An EMT isn't simply a “lesser paramedic,” and a Critical Care Paramedic isn't simply another title.

Each level has different education, responsibilities and capabilities—but we're all working toward the same goal.

So the next time you see a Carroll County Ambulance Service crew, remember:

EMT → AEMT → PARAMEDIC/RN EXCEPTION → CRITICAL CARE PARAMEDIC/RN EXCEPTION

Different levels of training.
Different scopes of practice.
One EMS team. One patient. One goal.

🚑 CARROLL COUNTY AMBULANCE SERVICE
BEYOND THE LIGHTS & SIRENS
Understanding Your Local EMS

Serving. Educating. Ready when you need us.💙🚑

Included in this post is the Iowa Scope-of-Practice for EMS Providers, with a more in-depth explanation at iowa_ems_provider_scope-of-practice_sept_2019.pdf https://share.google/kzXET2vd740kEbeX8

09/12/2026

🚑 BEYOND THE LIGHTS & SIRENS — PART 2

YOU CALLED 911. NOW WHAT?🤔

You dial 911. You hear, “911, what’s the address of your emergency?”

From that moment, a system starts moving—even while you’re still on the phone.

Most people only see the ambulance arrive. But what happens between “I need help” and our crew walking through the door involves dispatchers, EMS providers, sometimes multiple responding agencies, medical equipment, communication, and a lot of decision-making.

Here’s what’s happening behind the scenes.

📞 STEP 1: YOUR 911 CALL

One of the most important pieces of information you can give the 911 telecommunicator/dispatcher is your location.

Before EMS can help you, we have to find you.

The dispatcher will ask questions such as what happened, whether the patient is conscious and breathing, the patient’s approximate age, and whether there are any immediate dangers at the scene.

It can feel like a lot of questions during a stressful moment, but those questions have a purpose.

Answering them does not mean help is being delayed.

Information can be gathered and relayed to responders while resources are being dispatched. Depending on the emergency and local dispatch protocols, the telecommunicator/dispatcher may also provide instructions for things that can be done before responders arrive.

📻 STEP 2: THE CALL REACHES EMS

Once we're dispatched, the information available from the 911 call is passed along to our crew.

We may receive information such as:

“Chest pain.”
“Difficulty breathing.”
“Fall with injury.”
“Unresponsive patient.”
“Motor vehicle crash.”

That initial information gives us somewhere to start—but dispatch information isn't a diagnosis.

A call that sounds relatively minor can turn out to be life-threatening. A patient’s condition can also change between the time someone calls 911 and the time we arrive.

So while we're responding, we're already thinking ahead.

What could we be walking into? What equipment might we need first? What treatments might be necessary? Could additional resources be needed?

We don't wait until we're standing beside the patient to start preparing.

🚑 STEP 3: THE AMBULANCE RESPONDS

This is the part everyone recognizes: the ambulance heading toward the call.

Lights and sirens may be used when appropriate, but they aren't magic.

We still have to navigate traffic, intersections, weather, road conditions, construction, rural roads and other hazards safely.

If you see an emergency vehicle approaching with its emergency lights activated, please safely yield and give us room.

Those few moments matter.

And in rural EMS, location matters too. Our response area includes communities, highways, farms and rural properties—not just addresses a few blocks from an ambulance station.

🚨 STEP 4: WE ARRIVE—BUT WE DON'T AUTOMATICALLY RUN STRAIGHT IN

Before we can treat anyone, we have to be able to safely reach them.

EMS may encounter traffic, fire, downed power lines, hazardous materials, aggressive animals, violence, farm machinery or other hazards.

Depending on the call, law enforcement, fire departments or other resources may respond alongside us.

Once it's safe to approach, the medical assessment begins immediately.

We are figuring out how to get the patient from their location to the back of our ambulance safely and securely.

We're already looking at the patient as we walk toward them.

Are they awake?

Are they breathing normally?

What does their skin look like?

Can they speak normally?

Are they bleeding?

Are they sitting upright trying desperately to breathe—or walking around talking to us?

Sometimes those first few seconds tell us a lot.

🩺 STEP 5: NOW WE START PUTTING THE PUZZLE TOGETHER

This is where patients sometimes wonder:

“Why are you asking me so many questions?”

Because your answers matter.

We're gathering medical history, medications, allergies, symptoms, what happened before the emergency and when things changed.

At the same time, we may be checking blood pressure, pulse, respiratory rate, oxygen saturation, blood glucose, temperature or obtaining a 12-lead ECG.

We may perform a neurological assessment, examine an injury or listen to the patient's lungs.

We're combining what you tell us + what we see + what we find + what our equipment shows us.

That's how we begin determining what needs to happen next.

💊 STEP 6: TREATMENT CAN START RIGHT THERE

This is one of the biggest misconceptions about EMS:

We don't have to reach the hospital before medical care begins.

Depending on the patient's condition and the provider's level of care, treatment may include oxygen, airway management, ventilation, IV or IO access, medications, cardiac monitoring, 12-lead ECGs, defibrillation, pacing, bleeding control, splinting, CPR and other emergency interventions.

For a critically ill patient, several things may be happening at the same time.

One provider may be assessing the patient while another prepares equipment. Treatment may begin while we're gathering history. Additional resources may be requested while we're preparing to move the patient.

EMS is constantly prioritizing:

WHAT NEEDS TO HAPPEN FIRST?

🏥 STEP 7: WHERE SHOULD THE PATIENT GO?

Sometimes the answer is straightforward.

Sometimes it isn't.

The closest hospital isn't necessarily the right destination for every patient. Certain emergencies may require resources available only at particular facilities.

That means we may need to consider the patient's condition, severity, time, distance, available resources, protocols and hospital capabilities.

Getting a patient to the appropriate level of care is part of EMS.

This becomes especially important in rural Iowa, where specialized care may be a significant distance away.

🚑 STEP 8: CARE CONTINUES DURING TRANSPORT

Loading the patient into the ambulance doesn't mean our assessment is finished.

We're continually reassessing.

Did the medication help?

Is the oxygen level improving?

Has the blood pressure changed?

Is the patient's pain changing?

Has their mental status changed?

Is the heart rhythm different?

Do we need to change our treatment?

Meanwhile, we may communicate with the receiving hospital so its team can begin preparing before we arrive.

When we reach the hospital, we provide a report and transfer responsibility for the patient to the receiving healthcare team.

Only then is that portion of the EMS call complete.

🏠 YOU CAN HELP BEFORE WE ARRIVE

If you call 911, a few simple things can make a big difference when they're safe and practical:

🔹 Give dispatch the correct location and answer their questions as clearly as possible.
🔹 Turn on exterior lights at night.
🔹 Make sure your house number is visible from the road.
🔹 Secure pets before responders enter.
🔹 Unlock the door if you're able.
🔹 Have medications or an updated medication list available.
🔹 If someone can safely meet the ambulance outside, especially at a difficult-to-find rural location, it can help guide responders in.

And most importantly:

If the patient's condition changes while you're waiting, tell the dispatcher.

---

So what actually happens after you call 911?

📞 CALL → 📻 DISPATCH → 🚑 RESPONSE → 🩺 ASSESSMENT → 💊 TREATMENT → 🏥 TRANSPORT DECISION → 🚑 CONTINUED CARE → 🏥 HOSPITAL HANDOFF

You're not simply calling for an ambulance.

You're activating an emergency medical system designed to bring medical care to you.

The lights and sirens are the part everyone notices.

Everything happening before, during and after them is the part we want our community to understand.

🚑 CARROLL COUNTY AMBULANCE SERVICE
BEYOND THE LIGHTS & SIRENS
Understanding Your Local EMS

Serving. Educating. Ready when you need us.

➡️ NEXT IN THE SERIES: Who exactly shows up when you call 911? EMTs, AEMTs and Paramedics—and what those different levels actually mean.

09/11/2026

🐾🇺🇸 THE DOGS OF 9/11 — AN IMPORTANT PART OF THE RESPONSE

When we remember the first responders of September 11, 2001, we should also remember the four-legged partners who worked beside them.

After the attacks, specially trained working dogs and their handlers were deployed to help search through enormous fields of twisted steel, concrete, dust, and debris.

Their powerful sense of smell gave rescue teams something incredibly valuable: the ability to detect human scent in places people could not see or safely reach.

🐾 Search-and-rescue dogs searched for survivors.
They climbed across unstable debris and worked in difficult, dangerous conditions looking for signs of life.

🐾 Recovery dogs helped locate those who had died.
As the mission transitioned from rescue to recovery, specially trained dogs helped locate human remains—an incredibly difficult but important role that helped provide answers and allowed victims to be returned to their families.

🐾 Therapy and comfort dogs cared for the responders.
While some dogs searched the debris, others provided emotional support to firefighters, EMS personnel, law enforcement officers, recovery workers, survivors, and families experiencing unimaginable grief and exhaustion.

But perhaps one of the most remarkable things about these dogs was their willingness to simply keep working.

They climbed where their handlers climbed.

They searched where their handlers asked them to search.

They worked through noise, dust, destruction, long hours, and an environment unlike anything they had encountered before.

And behind every one of those dogs was a handler working right beside them—protecting them, reading their behavior, directing their searches, and trusting their abilities.

The dogs of 9/11 weren't a symbolic part of the response.

They were working members of the response and recovery teams.

They searched for life.

They helped bring the lost home.

They provided comfort when words couldn't.

And alongside their handlers, they served.

Twenty-five years later, as we honor the people who answered the call on September 11 and in the difficult days that followed, we also remember the paws that walked beside them.

🇺🇸 Their service as well is part of the story of September 11, 2001.

-Carroll County Ambulance Service

09/11/2026

🇺🇸 SEPTEMBER 11, 2001 — 25 YEARS LATER 🇺🇸

We remember. We honor. We will never forget.

Twenty-five years ago, on September 11, 2001, our nation experienced a tragedy that forever changed America.

Nearly 3,000 lives were lost that day—people who went to work, boarded airplanes, responded to calls for help, and began an ordinary Tuesday morning never knowing how profoundly the world was about to change.

Among those lost were firefighters, law enforcement officers, EMS professionals, military personnel, and other first responders who ran toward danger without hesitation.

They climbed stairwells.
They treated the injured.
They carried equipment.
They helped strangers.
They stayed at their posts.

And many never came home.

For those of us in EMS, September 11 carries a particularly powerful reminder of what it means to answer the call. The first responders of 9/11 demonstrated extraordinary courage, sacrifice, service, and commitment to others in circumstances few could ever imagine.

But today, we also remember everyone affected—the victims, their families, the survivors, the dispatchers and healthcare workers, the recovery crews, and the countless responders who later became ill or lost their lives because of their work at the disaster sites.

Twenty-five years have passed. The responsibility to remember has not.

As a new generation grows up with no personal memory of that day, it becomes our responsibility to tell the story, honor those who served, and remember those who never came home.

Today, Carroll County Ambulance Service pauses in remembrance of the lives lost, the families forever changed, and the first responders who answered when they were needed most.

May we never forget their courage.
May we never forget their sacrifice.
May we never forget the unity that followed.

🇺🇸 September 11, 2001 — September 11, 2026 🇺🇸

25 YEARS LATER.
WE REMEMBER.
WE HONOR.
WE WILL NEVER FORGET.

— Carroll County Ambulance Service

(Graphic from: 9/11 Timeline: Three Hours That Changed Everything https://share.google/vAZCiNp0UpiSNyEaU)

09/10/2026

On August 24, 2026 our very own EMT Erky Schulze and EMT Kevin Liechti have embarked on their Paramedic School journey at Iowa Central Community College!

It will take them a year to complete the classes, ride time, and clinical time before they can take the National exam, the NERMT.

Upon completion of school and the passing of the NREMT, Erky and Kevin will go through a Paramedic orientation period at CCAS to ensure their knowledge of protocols and practices at CCAS and be able to continue to serve the wonderful citizens of Carroll County with a higher scope-of-practice!

Good luck Erky and Kevin! You got this! 💙🚑

Carroll County Iowa Ambulance

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