The Operations division coordinates, staffs, and commands the department's response to over 79,000 annual calls.

Special Operations manages the department's medical operations as well as specialty team operations. This section manages all aspects of medical operations and ensures continuity of care from the time emergency response teams arrive on scene of a medical emergency until the patient is transported and delivered into the hands of hospital staff. More information on the specialty teams, please visit the Swift Water Rescue Team, Technical Rescue Team, Hazardous Material Team, and Bike Medic team portion of the website.

All emergency vehicles including fire trucks and engines are staffed with personnel who are trained to assist with both fire and medical emergencies. Vehicles are also staffed with paramedics, in addition to EMTs, in order to provide the highest level of medical assistance. Please visit the Stations portion of the website for more information.