Louisville Emergency Medical Services (LEMS) was the primary advanced life support provider within the corporate limits of Louisville, Kentucky from 1972 to 1995. The integration of LEMS into the Louisville Division of Fire

Louisville Division of Fire

The Louisville Division of Fire, commonly known as Louisville Fire Department or Louisville Fire & Rescue , is the sole fire suppression agency for the former city of Louisville, Kentucky and comprises one of 19 fire departments within Louisville-Jefferson County, Kentucky.The Louisville Fire...

 as its EMS Bureau in 1995 brought about the end of LEMS as a separate and distinct entity.

In 2005 the EMS Bureau was withdrawn from the fire department

Fire department

A fire department or fire brigade is a public or private organization that provides fire protection for a certain jurisdiction, which typically is a municipality, county, or fire protection district...

 and merged with the surrounding Jefferson County EMS

Jefferson County EMS

Jefferson County Emergency Medical Services was the primary advanced life support provider for Jefferson County, Kentucky outside the limits of the City of Louisville. The merger of Jefferson County Government with the City of Louisville brought about the combining of JCEMS with the EMS bureau of...

 and became Louisville Metro EMS

Louisville Metro EMS

Louisville Metro Emergency Medical Services is the primary provider of pre-hospital life support and emergency care within Louisville-Jefferson County, Kentucky. LMEMS is a governmental department, separate from, but equal to, the police and fire services...

.