Metro Area Ambulance Service

Metro Area Ambulance Service Metro Area Ambulance Service is an ALS ambulance service that has been providing emergency medical care for the Bismarck/Mandan area since 1983.
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Metro Area Ambulance Service is involved in many areas related to pre and post hospital emergency medical care. We have 9 ALS ambulances staffed with highly trained Paramedics and EMT’s. Our emergency response area includes Bismarck/Mandan as well as most of Morton and Burleigh County, responsible for approximately 110,000 residents. We also provide both emergent and non-emergent ALS intercept with many outlying ambulance services in our region and beyond. Metro Area also provides many dedicated and non-dedicated ALS coverage via standby events from rodeos to road races. Additionally MAAS can also provide long distance ground transfers to Minneapolis and Rochester or wherever you need the patient to go, as we can provide outstanding ALS care. Our sister company, Bismarck Air Medical, has 2 fixed wing aircraft at our disposal. Staffing consists of a Flight Paramedic and RN with critical care experience. With the Beechcraft King Air aircraft BAM is capable of providing specialized patient care to any destination in the continental United States. We can guarantee our air transfer rates to be the most economical in our region. Metro Area Ambulance is home to the Southwest Regional Response equipment with an Ambus, command post, and trailers filled with Mass casualty equipment capable of handling from several to hundreds of pt.’s involved in a MCI event.

12/14/2025

Congratulations Peter

Send a message to learn more

12/14/2025

Congratulations Eden

Send a message to learn more

12 lead things to know
12/14/2025

12 lead things to know

Nice looking EKG for discussion.  No calling Howard this time!!!  😆
12/11/2025

Nice looking EKG for discussion. No calling Howard this time!!! 😆

62-year-old male with sudden severe central chest pain radiating to left arm and jaw, associated with sweating, dizziness and nausea.
Diagnosis??




12/10/2025
What do you think??
12/10/2025

What do you think??

🚨🫀 35-year-old woman faints while watching TV, complaining of palpitations and nausea...

She just started a new antiarrhythmic and has low magnesium from recent vomiting.

What's your diagnosis?

12/10/2025

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12/10/2025

Syncope = transient loss of consciousness
• Characterized by unresponsiveness + loss of postural tone
• Caused by temporary cerebral hypoperfusion
• Spontaneous recovery and no resuscitation needed

Syncope can look like a seizure because:
• Brain hypoxia can cause limb movements and shaking
• Sometimes hard to differentiate seizure vs syncope
🧠 Take-home points
• Syncope can mimic seizures
• Asystole or cardiac arrhythmias can cause convulsive movements
• EEG + ECG together help differentiate seizure vs syncope
• Normal activity resumes after circulation returns

📌 Why important?

Because treating this patient as epilepsy (seizures) would be wrong—she actually needed evaluation for cardiac causes of asystole (possibly pacemaker).

Have you thought about a change in career?  There are opportunities waiting for you today!!!
12/10/2025

Have you thought about a change in career? There are opportunities waiting for you today!!!

It’s not too late to enroll in the Emergency Medical Technician (EMT) program! Application deadline has been extended to Dec. 31.🚨

Get hands-on training for a rewarding career in emergency medical services! This is a 7-credit program that must be taken and completed within one semester. Contact your advisor to claim your spot!

Making us proud Mona!!
12/09/2025

Making us proud Mona!!

“There’s this culture of being tough and having to suck it up, and that is why you have such a high burnout rate,” she says. She speaks from experience. In 1991, Thompson moved to Steele from Wisconsin. A new neighbor asked her if she wanted to join the ambulance squad. She agreed. The neighbo...

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Bismarck, ND

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