The County of Middlesex is responsible for providing land ambulance services to all residents of the County of Middlesex, including those in the City of London. The Middlesex-London EMS service provides 24-hour emergency and non emergency pre-hospital medical care and transportation to individuals experiencing injury or illness.

These services are delivered in accordance with the standards set by the County and the Ministry of Health and Long Term Care.

Ambulance services include the following:

  • All EMS paramedics are certified to provide Basic Life Support and Advance Life Support;
  • All ambulances are equipped to provide 12-lead electrocardiograms and airway management; and
  • Middlesex-London EMS and London Helath Sciences Centre have implemented a procedure to provide rapid intervention for patients who may be having an ST Elevation Myocardial Infraction (STEMI), which if left untreated can result in a fatal heart attack.

The program is overseen by the LHSC's Southwest Ontario Regional Base Hospital Program.


Use our interactive MiddlesexMap to explore the County.

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Job Opportunities

Careers at Middlesex County are widely varied reflecting the broad spectrum of services we provide.

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Strathmere Lodge

Strathmere Lodge, a not-for-profit, long-term-care home is owned by the County of Middlesex.

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