Ambulance - pre-hospital emergency services

General information

Pre-hospital emergency services are regulated by the Act respecting pre-hospital emergency services. The objective of pre-hospital emergency services is to ensure that persons in need may at all times obtain an appropriate, efficient and quality response aimed at reducing the mortality and morbidity rate among the recipients of pre-hospital emergency services, according to recognized quality standards.

The Act establishes a framework for the organization of pre-hospital emergency services and fosters their integration into and harmonization with all other health and social services. It also identifies the services to be put in place and the various players, and defines their rights, roles and responsibilities.


Organization of pre-hospital services in the Montérégie

With a territory of 11,074 km2 and a population of close to 1,500,000 people, the Montérégie region is served by 8 ambulance companies with more than 100 vehicles strategically positioned to respond to emergency calls from the population and the healthcare network.

The Montérégie region is subdivided into 24 ambulance service zones. An ambulance service zone is a territory comprised of one or more municipalities in the same socio-sanitary region. More than 980 ambulance technicians/paramedics are trained to respond to the needs of this population.

The pre-hospital sector is in constant evolution. To maintain their skills, the ambulance technicians/paramedics receive the equivalent of 32 hours of training each year.

All interventions that involve medical acts are subject to a quality assurance and continuous improvement process.

The ambulance companies transport more than 120,000 patients each year. Their cases include:

  • 1,500 cardiac arrest calls;
  • 500 calls involving respiratory assistance;
  • 8,000 calls in which medications are administered;
  • 350 major trauma calls.

Ambulance service is an essential link in the pre-hospital response chain, and undoubtedly the most familiar.

However, the services provided by first responders (FRs) play an equally important role in ensuring an effective response to any emergency situation.

First responders

In the Montérégie region, there are more than 1,500 first responders who are trained to make sure a patient’s condition does not deteriorate while waiting for paramedics to arrive. Consult the map of first responders for the municipalities that offer this service.

First respondents receive 4-16 hours of training each year, and are equipped with a defibrillator, among other equipment.

The Centre de communication santé (or “Groupe Alerte Santé”) coordinates the response calls. In emergencies, it communicates with first responders (if available in the municipality and depending on their level of training) and ambulance technicians/paramedics within the first few seconds of the call.

Finally, the ambulance technicians/paramedics transport patients to the hospital indicated in their medical record or that corresponds to the service structure (map of Montérégie-region hospital catchment areas).

For more information about the pre-hospital response chain and its links, the cost of ambulance services and payment exceptions, and the call response priority, consult


Ambulance companies in the Montérégie

Les Ambulances Michel Crevier inc. 
485, boulevard Renault
Beauceville (Québec) G5X 1N5

Dessercom inc.
(Sainte-Hyacinthe – Acton Vale – Bedford – Granby)
592, avenue Sainte-Marie
Saint-Hyacinthe (Québec)  J2S 4R5
450 773-5223 

Ambulances Demers inc.
(Beloeil – Boucherville – Lacolle/Hemmingford – Saint-Jean et Marieville – Farnham)
727, rue Laurier
Beloeil (Québec) J3G 4J7
450 467-4191  

HRH Services Préhospitaliers inc.
151, avenue de l’Hôtel-Dieu
Sorel-Tracy (Québec)  J3P 1M2
450 742-9443

Coopérative des techniciens ambulanciers de la Montérégie (CETAM)
(Rigaud-Dorion – Valeyfield – Ormstown – Châteauguay – La Prairie – Longueuil Ouest – Longueuil Est – Saint-Hubert – Saint-Bruno)
1400, rue René Descartes
Saint-Bruno-de-Montarville (Quebec)  J3V 0B7
450 465-5000

Les Services Préhospitaliers Paraxion inc
(Huntingdon – Waterloo)
309, rue des Entrepreneurs
Montmagny (Québec)  G5V 4S9
418 248-0605

Kahnawake Fire Brigade Ambulance Service
450 632-2010  

MCA Akwesasne Mohawk Ambulance
31 Hilltop Drive
Akwesasne (Québec)  H0M 1A0


How can I file a complaint?

If you are dissatisfied with the service you received, you can file a complaint with the Comissaire aux plaintes et à la qualité des services of the CISSS de la Montérégie-Centre. You can make your complaint verbally or in writing. The Commissioner has 45 days to respond to you. If you do not receive a response within this time or if you are dissatisfied with the response you received, you can take your complaint to the next level: the Québec Ombudsman.



Community paramedicine

Please visit the CISSS de la Montérégie-Centre's page