Cole County EMS operates a fleet of 14 Advanced Life Support Ambulances.
- (7) Seven ambulances are in front line service daily.
- (3) Three ambulances are kept in “immediately deployable status”, these apparatus can be deployed at a moment’s notice in case of a large-scale incident or in instances when additional staff are needed due to increased system demand.
- (4) Four ambulances are kept as system reserves, these ambulances are utilized during maintenance of front-line apparatus.
Each frontline and immediately deployable apparatus carry the following compliment of medical equipment:
- Stryker PowerPro2 ambulance cots and Stryker PowerLoad system.
- Zoll X-series defibrillator and 12-lead EKG monitor with wireless data transmission, transcutaneous pacing, NIBP, EtCo2, Spo2, invasive line monitoring, see through CPR and CPR feedback capabilities.
- LUCAS 2 Mechanical CPR devices.
- Stryker Stair Chairs.
- Hamilton T1 Transport Ventilators.
- McGrath Mac Video Laryngoscopes.
Current Apparatus:
Type I, Super Warriors from Osage Ambulances, built on a gas Ford F550 4x4 chassis. (Two additional units on order, delivery anticipated November 2023) 
Type III, MX170 from Demers Ambulances, built on a gas Ford E450 chassis.
Type III, Super Warriors from Osage Ambulances, built on diesel Chevy G4500 chassis. 