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Sector

Careers in Ambulance & Emergency Transport

Ambulance and emergency transport provides pre-hospital emergency care and medical transportation. High credential requirements (EMT, paramedic certifications) in an inherently on-site, shift-based field.

164K
U.S. jobs
In this sector
$49K
Median salary
Across all roles
Ambulance & Emergency Transport jobs by metro area
Bubble size = total employment
Ambulance & Emergency Transport employment by metro · ~393 areas
1.New York-Newark-Jersey City, NY-NJ3K
2.Chicago-Naperville-Elgin, IL-IN1K
3.Los Angeles-Long Beach-Anaheim, CA1K
4.Philadelphia-Camden-Wilmington, PA-NJ-DE-MD947
5.Dallas-Fort Worth-Arlington, TX893

Jobs per 100K workforce — measures industry density

1.Johnstown, PA87.1
2.Florence, SC87
3.Eagle Pass, TX77.6
4.Glens Falls, NY74
5.Spartanburg, SC69.5
BLS OEWS May 2024
Understanding this Sector
What it's like to work in Ambulance & Emergency Transport

Ambulance and emergency transport provide critical care when seconds matter — there's profound satisfaction in stabilizing patients, making a difference in emergencies, and being first on scene when people need help most. Many find meaning in the immediacy.

The challenge can come from the physical and emotional demands. Scenes can be traumatic; death and suffering are part of the job. Shifts are long, often 12-24 hours. The work is physically demanding — lifting patients, working in all conditions. Pay varies significantly; some EMS is volunteer.

The field varies by service type and role. Fire-based EMS operates differently than private ambulance, hospital-based, or third-service agencies. EMTs have different scope than paramedics. 911 emergency differs from interfacility transport.

For those who thrive here, the rewards are genuine: saving lives, adrenaline of response, crew camaraderie, and direct patient impact. If you're drawn to emergency medicine, can handle trauma exposure, and want careers with immediate purpose, EMS offers meaningful work.

How people break in

EMT certification is entry level. Paramedic programs for advanced care. Fire departments often integrate EMS.

Work environment tends toward
Shift workHigh-stakes momentsEMT/paramedic certMunicipal and privatePhysical demands
Industries it connects to
HealthcareFire/EMSHospitalsGovernment
Salary vs. national average
-31%
$49K median vs. $71K national
$239K$179K$119K$60K$0K$17K$37K$150K$239K*387 metro areas across 50 states, sorted by salary level →
Salary range across all ambulance & emergency transport roles
Where your dollar goes furthest
1. San Jose-Sunnyvale-Santa Clara$88K
2. Boulder$76K
3. Washington-Arlington-Alexandria$73K
4. Trenton-Princeton$70K
5. Durham-Chapel Hill$69K
BLS OEWS May 2024
* Top salaries exceed this figure. BLS caps reported wages at ~$240K to protect individual privacy in high-earning roles.

Median salaries range from ~$70K in mid-market metros to ~$99K in top-tier cities. But cost of living closes a lot of that gap — metros with lower regional price parities often offer the best purchasing power.

Highest paying
San Jose-Sunnyvale-Santa Clara · $99K
San Francisco-Oakland-Fremont · $86K
Washington-Arlington-Alexandria · $80K
Best purchasing power
San Jose-Sunnyvale-Santa Clara · $88K adj.
Boulder · $76K adj.
Washington-Arlington-Alexandria · $73K adj.
Most jobs
New York · 20.5M
Los Angeles · 13.2M
Chicago · 9.8M
BLS OEWS May 2024 · BEA Regional Price Parities

What the data says about this sector

Beyond salary and job counts — signals that shape the day-to-day experience of working in Ambulance & Emergency Transport.

🚪
Annual Quit Rate
Based on all Healthcare data
23%
Higher than average turnover. This could indicate challenging conditions, seasonal work, or abundant external opportunities.
1%vs. 22% all industries
🏢
Typical Employer Size
Small-skewed
Small businesses dominate. More variety in roles but less formal structure and benefits.
86%
Small
<50
12%
Mid
50–249
2%
Large
250+
🏠
Remote / Hybrid Prevalence
mostly_onsite
Many roles can be done remotely. Location flexibility is a realistic expectation.
Mostly on-siteHybrid commonRemote-first
📋
Credential Density
Moderate-high
Most roles don't require formal credentials. Skills and experience matter more than certificates.
Few credentialsSome requiredMany required
🤝
Union Presence
Based on all Healthcare data
~6%
Minimal union coverage means compensation is individually negotiated. Know your market rate going in.
6%vs. 11% all industries
BLS JOLTS 2024 · BLS QCEW 2024 · O*NET Work Context · BLS Union Members Summary 2024
Career Tracks

Career tracks in Ambulance & Emergency Transport

How jobs in this sector break down by function, and what they typically pay.

Transportation · Medical transport, patient logistics, and healthcare supply chain — ambulance services, medical couriers, and hospital logistics.
21%
$45K median
Explore →
Healthcare · Hospitals, clinics, and medical practices. Direct patient care, specialization paths, shift work common. Meaningful impact, strong demand.
20%
$47K median
Explore →
Social Services · The heart of social services employment — hospitals, mental health facilities, and community health organizations providing direct care and support.
19%
$48K median
Explore →
Protective Services
18%
$46K median
Explore →
Admin & Office · Medical offices, hospitals, and clinics need organized admins who can handle sensitive information. Stable, meaningful work with clear career paths.
4%
$60K median
Explore →
Business Operations · Hospitals and clinics balance patient care with complex operations. Regulatory pressure, 24/7 demands, meaningful impact. Growing field with strong demand.
3%
$65K median
Explore →
Median salary for occupations employed within Ambulance & Emergency Transport. BLS OEWS May 2024.

Explore careers in Ambulance & Emergency Transport

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Federal data: BLS Occupational Employment & Wage Statistics (May 2024) · BLS JOLTS 2024 · BLS QCEW 2024 · O*NET Work Context · BLS Employment Projections 2024–2034
Truest editorial: Industry narrative, sector context, career track mapping, working signals analysis.