San Juan Island EMS is the county tax supported Emergency Medical Service providing emergency 9-1-1 advanced life support rescue and transport to the residents and visitors of San Juan Island, the Town of Friday Harbor, and the outer islands of Brown, Henry, Pearl, Speiden, Johns, and Stuart. Through mutual aid contract with the San Juan County Sheriff’s Office we also respond to calls on the waterways and other non-ferry served islands of the county.
Our department operates 3 advanced life support units, and 4 paramedic first-responder vehicles. Two of our ambulances are housed at Station Number 1 located at 540 Spring Street in the Town of Friday Harbor and one is located at a Station No. 2 at Roche Harbor on the north end of the island. Our paramedic responders and over 30 volunteer EMTs are located throughout the island.
Depending on weather and availability, patients can be flown from the islands aboard a helicopter from Airlift Northwest, on fixed wing flight with Island Air or taken via water aboard the Sheriff’s boat or on the Washington State Ferry. In extreme circumstances, patients will be transported by US Coast Guard or Navy.
We seek affiliations and associations with regional, national, and international organizations and agencies to enhance our local response. Click here for more information about these affiliations.






