Scotland County Emergency Medical Service is a countywide paramedic level EMS organization, founded in 1974, and operating from one location within the county. It is funded by general tax revenues and by fees charged to users. The service is licensed by the North Carolina Office of Emergency Medical Services and employs fifteen (15) full-time paramedics, four full-time EMD telecommunicators, three administrative staff and approximately 20 part-time staff certified in a varity of different levels. The system operates two (2) ambulances and one (1) supervisor QRV on 24 hour shifts. Patients are transported to Scotland Memorial Hospital and Moore Regional Hospital. Dr. Douglas Nederostek, the Medical Director for the Emergency Department at Scotland Memorial Hospital also serves as the Medical Director for Scotland County EMS.
Scotland County Emergency Services building, located at 1403 West Blvd. in Laurinburg, was constructed in July of 1987. It serves as the headquarters for Emergency Medical Services, Emergency Management and one of the County's E-911 Public Safety Answering Point. The facility is equipted with full sleeping quarters, shower facilities, a kitchen, and back up generator power to allow the continued operation of both EMS and E-911 in a disaster situation.