Wake County presented interim response-time performance showing E1 compliance rose to 82.2% (from 74.8%), an average E1 response of ~8:40, and set targets for E2'E4; commissioners asked for further geographic equity analysis at six months.

Wake County EMS told commissioners that its June reconfiguration to a four-category triage model improved E1 compliance from 74.8% to 82.2%, with average E1 response about 8 minutes 40 seconds; staff described ongoing analysis and a planned six-month review.

Commissioner Vicki Adamson marked 50 years of Wake County EMS, saying the service now has nearly 500 frontline staff and 90 ambulances and citing a 15% cardiac-arrest survival rate in 2025 compared with a national average of 10.5%.

Wake County EMS commemorated five decades since its 1976 founding, recounting milestones from its start with four trucks and 24 employees to adoption of paramedic services, a 2009 advanced-practice paramedic program and recent peer-support initiatives, officials said.

Commissioners greenlight schematic design for a new 4,400 sq ft EMS station in Raleigh.