Littlefield EMSLittlefield Emergency Medical Services (EMS) is a city owned and operated ambulance service that was organized in September of 1987. Its mission is to provide the best in pre-hospital care at the lowest taxpayer burden. The EMS is a combination service of 20 certified members that include a staff of paid employees and volunteers. The EMS currently has 12 EMTs; two intermediate, and six paramedics.

Littlefield EMS serves a population of nearly 8,000 people covering 350 square miles in the southeastern part of Lamb County and the northern part of Hockley County. Call volume average 1,250 calls for service per year including scene calls and emergency transports from the local level-four hospital into tertiary care centers in Lubbock. Littlefield EMS is the primary provider for the cities of Littlefield, Spade, Fieldton, and Anton and provides daytime coverage for the city of Amherst. It also acts as paramedic back-up for Sudan and Amherst.

As a member of South Plains EMS, medical direction is provided by the director of the level one trauma center emergency room at University Medical Center in Lubbock. Treatment protocols are very progressive and are reviewed and updated each year to assure the best in pre-hospital care. The SPEMS' QI / QM and peer review programs have been copied and used throughout the state. The service has also been recognized and has received rewards on a local, regional, and state level.

Littlefield EMS is involved in the community in teaching CPR classes, assisting in safety and health fairs, conducting child safety classes and fall prevention education, and promoting EMS education.