911 calls are immediately answered by the Sheriff Department Emergency Communication Center and are transferred to the Emergency Communication Center (ECC) to dispatch fire/ambulance within a standard of one minute. NWCFD responds to every call, as a medical first response, with a large percentage being medically related. Firefighters are also trained as EMTs, and a county paramedic squad is housed at Station 191. Lift assist is available to help someone who has fallen and can't get up.

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There are 17 Med-Act Ambulance Fixed Station Units located throughout Johnson County providing advance life support emergency care within a standard eight minutes. All agencies operate under a common set of medical protocols to assure a smooth continuum of care for medical emergencies. 

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There is a medical tiered response from non-emergency/non-severe to Trauma which are transported to the closest trauma center - Overland Park Regional or KU medical Center. Not all calls involve lights and sirens on a response call, allowing for safer response. 

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Vehicle accidents are dispatched similar to medical calls with a multiple tier system, the higher the tier the more units involved. If there is a possibility of injuries, the Fire Department, Med-Act, and Sheriff's Department are all dispatched. These departments all work together to assess, act, and clear the scene as safely and quickly as possible. When a fire call is received, the level of response is determined by what is on fire - a field, structure, or automobile. Building fires dispatch many more units. There is an  Automatic Aid Agreement within the county supplementing the NWCFD units with additional resources. 

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Med-Act is dispatched on all structure fire responses to treat someone rescued from a burning building and also to monitor the safety and well being of firefighters. Vitals and water consumption are checked to meet standards before returning to a burning structures.