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. SJIEMS is operated under the San Juan County Public Hospital District. You may contact the Hospital Commissioners at that link.
Our department operates 3 Mobile Intensive Care Units (MICU’s), and 4 paramedic first-responder vehicles. Two of our MICUs are housed at 540 Spring Street in the Town of Friday Harbor and one is located 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 Ambulance 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.






