Guardian Medical Transport (GMT), a division of Flagstaff Medical Center, serves more than 6,200 square miles in Northern Arizona - from Happy Jack to the south rim of the Grand Canyon, our team is dedicated to providing prompt pre-hospital emergency medical services and non-emergent transport 24 hours a day, seven days a week.

GMT's 14 ambulances respond to the 911 system from three bases within Flagstaff city limits, and since May 2000 a crew and ambulance has been stationed in Tusayan, at the south rim of the Grand Canyon.

On average, GMT responds to more than 14,000 calls for service, demonstrations and stand-by support every year.

Often referred to as a mobile emergency room, each ambulance is staffed with a minimum of one paramedic and one emergency medical technician (EMT). The two-person crew provides basic life support and advanced cardiac life support services using state-of-the-art medical equipment. Under the direction of an attending FMC physician, crew members are cross-trained to provide specialty care for adult, pediatric and cardiac patients.

Emergency Services

  • GMT is an integral part of the 911 system and works cooperatively with local police and fire departments to deliver care and transportation for a variety of emergency requests.
  • GMT operates with a fleet of 14 four-wheel-drive ambulances capable of responding to remote locations in severe weather.
  • Each ambulance is equipped with satellite cellular phones, UHF and VHF mobile radios, and a mobile data computer which allows the team to stay in contact with the GMT Communication Center and the Emergency Department.
  • GMT operates a command vehicle which provides specialty rescue services, such as patient extrication at motor vehicle accidents, mountain rescues and incident command at major accidents.
  • GMT is the Emergency Medical Services (EMS) representative for the Coconino County Emergency Operations Center during local disasters.
  • GMT's paramedic Bike Team is available for special community events where paramedics are needed to standby and provide emergency response at crowded venues.
  • Standard medical equipment includes advanced airway and trauma, spinal immobilization and each unit and staff are equipped to handle injuries from minor to serious to trauma.

Communication Center

  • The GMT Communication Center is the central hub for tracking and dispatching ambulances. The center operates 24 hours a day and works closely with the 911 alarm dispatchers to provide the field medics with the resources and information to care for patients.
  • The GMT Communication Center dispatchers may receive calls for wildland fire ambulance standbys, mutual aid requests from neighboring agencies, as well as arranging non-emergent transfers of patients from FMC to other medical facilities and coordinating emergency helicopter requests for critical patients.

Specialized Medical Care

  • Cardiac Monitor Defibrillator identifies if a patient is having a heart attack.
  • Pre-hospital 12-lead ECG allows a detailed electrical image of the heart which can be faxed from the ambulance to the Emergency Department before the patient's arrival so the Cardiac Catheterization Lab can be prepared for immediate intervention.
  • Cardiocerebral Resuscitation (CCR) emphasizes continuous chest compression and eliminates mouth-to-mouth breathing.   
  • Continuous Positive Airway Pressure delivers continuous air to the lungs by way of a face mask covering your nose and mouth or nostril prongs.
  • Pulse oximeter to measure the oxygen levels in the bloodstream and end-tidal carbon monoxide monitoring.
  • Equipped with portable ventilators and CPAP (continuous positive airway pressure) to assist patients in respiratory distress.
  • Equipped with carbon monoxide monitors to assess the level of CO in a patient's blood.


  • GMT promotes public education in our community and focuses on 911 education, safety and prevention. GMT will schedule an ambulance and crew to give a demonstration about our services and the roles and responsibilities of paramedics for a variety of organizations such as schools, church groups, day care centers, adult centers and private organizations.
  • GMT is very proud to introduce its new public education "Monster Ambulance." The Monster Ambulance provides a unique format to talk about safety and prevention with children.
  • GMT works with FMC and other local health agencies such as the Coconino County SAFE KIDS Coalition, Community CPR Day, American Heart Association, American Cancer Society and other notable agencies to deliver public education about healthcare.
  • GMT coordinates with local high schools to provide health career presentations and mentoring opportunities to high school students.
  • GMT is a partner with Coconino Community College to provide EMT students with the opportunity to observe ambulance operations.
  • GMT is a leader in providing "Hands Only" CPR training to the community.