The Monona Fire Department added an Emergency Medical Services (EMS) division in 1978 and upgraded that division from a basic EMS level to paramedic level with advanced life support capabilities in 2013. Monona residents now have the highest level of emergency services available 24 hours/day, 7 days/week. Monona EMS responds to more than 1,000 calls per year.

Monona Fire/EMS currently employs eight full-time firefighter/paramedics. They each work 24-hour shifts in teams of two, so a minimum of two certified paramedics are on-duty in Monona at all times. While all of our apparatus have basic EMS capabilities, we also maintain two ambulances with advanced life support capabilities. The primary ambulance, Medic 60, is staffed 24 hours per day, 7 days per week by two paramedics.  The second ambulance, Medic 62, is reserved for use when staffing allows or when the primary ambulance is out for maintenance. Monona Fire/EMS is also a member of an advanced life support consortium. This means that Monona EMS is called to respond to other neighborhoods or communities if it is the closest available unit with advanced life support capabilities.