The Service

Oldham County Emergency Medical Services

Nestled between the Ohio River and the beautiful rolling farmland of Kentucky lies Oldham County. A quiet, pastoral area where you're more likely to hear the mournful drone of a distant train than the traffic sounds associated with a large city. It's a place where everyone still waves to their neighbors—and strangers for that matter—as they drive down the street. It's home to prize-winning horse farms, historical homesteads, and caring people.

Oldham County is a 187 square mile area of Kentucky named for the American Revolutionary War Colonel William Oldham and has a population of around 60,000. Situated adjacent to Jefferson County, Oldham County residents enjoy the serenity of a country setting with the convenience of living just a few minutes to Louisville, Kentucky's largest metropolitan area.

Oldham County EMS is a third-service advanced life support (ALS) agency that provides both emergency 911 services and non-emergent medical transfers to the county citizens. The service staffs an average of five trucks daily with additional ALS coverage provided by paramedics in response vehicles during peak times.

The department is assisted by a great group of fire departments that provide first response. Their assistance allows our patients to receive skilled treatment even before our first unit makes it to the scene.


Oldham County EMS is working to become the most progressive service in the state. All ambulances are equipped with 12 lead EKG capabilities, allowing for advanced EKG readings of patients and the ability to transmit those readings to the hospital for early activation of cardiac catheterization labs for heart attack patients. Later in the fiscal year, we will begin electronic patient care reporting, allowing for more standardized and more in-depth documentation.

Oldham County EMS also utilizes IO-drills and advanced pain management. BLS members administer epinephrine for anaphylaxis, Albuterol treatments for asthma, and aspirin for initial treatment of heart attacks.


The primary ambulance for Oldham County EMS is a MedTec Type III on a Ford 450 chassis. These give us ample room to work while still allowing us to maneuver through the little country roads that make up so much of the county. All of our vehicles are constantly being cycled through a rigorous preventive maintenance program so our personnel can concentrate all of their efforts on the patient.

For our ALS response vehicles, we utilize Ford Expeditions.

Board of Directors

Oldham County Ambulance Taxing District is governed by a five-member Board of Directors who are appointed by the Oldham County Fiscal Court.

Command Staff

Oldham County EMS is led by Colonel Todd Early and Lieutenant Colonel Keith Smith.

EMS Headquarters

The OCEMS headquarters is located at 1101 New Moody Lane in LaGrange, Kentucky. Though we operate on a 24/7 schedule, the offices are only open 8-4, Monday through Friday.

EMS Dispatch

Oldham County Dispatch, or OCD as it is commonly referred to, is a centralized dispatch center that consolidates communications for 911, the Oldham County, LaGrange, and Pewee Valley Police Departments, Oldham County Sheriff's Office, Oldham County EMS, and all Oldham County Fire Departments. All emergency runs are initiated by OCD through 911 calls from the public or requests for dispatch from other agencies.