CODE ZERO is a term we use to indicate that there are no ambulances available in Lincoln County.  When the last ambulance is dispatched on a call a tone is sounded so that the on duty Battalion Chief and Chief Administrator are made aware of the Code Zero status.  At this point the Battalion Chief takes a quick inventory of where all of the ambulances are and how close they may be to retuning in service.  If a call comes in during the CODE ZERO time the Battalion Chief will run a call until a mutual aid ambulance from another county can take over care and transport.

At the same time, the Chief Administrator, who is also a Paramedic, will keep an ear to the radio and should another call come in while the Battalion Chief is busy the Chief will run the call while at the same time dispatch will request a mutual aid ambulance most likely from St. Charles County Ambulance District to transport and take over care from either the Battalion Chief or Chief.

At this point you may be asking why the Battalion Chief and Chief do not grab a reserve ambulance to run a call.  If we have a specific run such as to an accident scene, we may choose to do this. However, if the call volume is such that we ran out of ambulances due to individual calls and not a mass casualty it makes more sense to keep two paramedics available rather than put them together on one response.

CODE ZERO status can last anywhere from a few seconds to over an hour.  If the Battalion Chief or Chief feel that all ambulances will be on calls for an extended period of time a move up from St. Charles can also be requested.  A move up is when an ambulance from another county is requested to position themselves in a Lincoln County Base to be closer to the next potential 911 call.

Compare ambulance responses now to ambulance responses with 8 ambulances.

Toggle between page one with 4 ambulance bases and page two with 8 proposed bases.

The first Town Hall Meeting will be in the Silex Auburn Area at Base 5 on Tuesday July 16 at 6:30 pm.  (101 Hwy E, Elsberry MO 63343)

On Sunday July 21 A Town Hall Meeting will be held at Headquarters Troy Base 1 at 2:00pm (1392 S. Third St. Troy MO 63379)

On Monday July 22 a Town Hall Meeting will be held at Winfield/Foley Fire House 1 at 6:30pm.  (The Winfield Base 4 does not have a community room)

On Friday August 2 a Town Hall Meeting will be held at Elsberry Base 3 at 6:30pm (902 New Hope Rd, Elsberry MO 63343)



5-Year CIP final complete

The link takes you to our Capital Improvement Plan.  This is our 5 year plan to improve response times, increase service to our community and SAVE MORE LIVES.  If you have any questions, Contact Chief Administrator Ray Antonacci 636-528-8488 ext 302

The two winners of a $500 Scholarship are Kelsey Sachs and Jordan Hurt.

Kelsey Sachs is a graduate of Troy Buchanan High School.  Kelsey is the daughter of Mark and Karen Sachs.  Kelsey plans on attending McKendree University in the fall and is going to study Nursing.  Good Luck Kelsey Nursing is a tough but rewarding career.  We wish you the best and we hope this Scholarship will buy you a book or two!

Our other Scholarship winner is Jordan Hurt.  Jordan is the daughter of Jim and Janis Hurt.  Jordan graduated from Silex High School.  Jordan plans on attending either Boone County EMS Education or IHM Academy of EMS.  In either case, Jordan will be pursuing an EMT/Paramedic License and Firefighter certifications.  We will be keeping an eye on Jordan.  We love it when our home town kids come back and work in the community they grew up in.  Good Luck Jordan!

Star of Life Scholarship


Professional EMS Association

(Employees of Lincoln County Ambulance District)

1392 S. Third Street

Troy Mo 63379


Scholarship Criteria:

  • Applicant must be currently enrolled as a full time student in a Lincoln County School.
  • Applicant must currently possess senior status as determined by his or her school report card, which must be included with the application.
  • Applicant must possess a minimum of a 2.50 cumulative on recent report card, which must be included with application.
  • Applicant must obtain a written recommendation from a member of the faculty or staff at the school in which he or she is enrolled.



Application Process:

  • All applicants must complete the personal information form.
  • All applicants must include the faculty/staff letter of recommendation.
  • All applicants must complete a one to two page essay, including the following information:
      • List all of the extracurricular actives during high school, both within the school and outside.
      • List of professional goals after graduation from college.
      • Describe your personal mission statement as you  move forward into adult life.
      • A photo/ which could be used on ambulance district social media


Submission of Application:



  • All material must be received by APRIL 19TH, 2019
  • Recipients and their schools will be notified by APRIL 29TH  2019.
  • Questions call 636-262-2180 Lisa
  • Winner will be chosen by a panel of District employees.



Lincoln County Ambulance District will be accepting applications for a Spring 2019

Part-Time Paramedic hiring.

Applications will be accepted from February 5th- February 22nd

* Must be 21 years of age

* Up to date Resume

* Must possess a High School Diploma or GED equivalent

* Must hold a current and valid Missouri EMT Paramedic License

* Must hold a current ACLS or Instructor Card

* Must hold a current and valid Missouri Drivers License

* Must hold a current and valid Healthcare Provider CPR or Instructor Card

* Must submit valid ICS 100, 200, 700, & 800 Certificates * MSHP Background check

Applications can be found at EMS application

Completed applications must be submitted by hand to Lincoln County Ambulance District Headquarters at: 1392 S. 3rd ST. Troy MO, 63379 no later than 16:00 February 22nd with Copies of all listed items above. Incomplete applications will not be considered.

Testing and interviews will be held at District headquarters March 20th and 21st Candidates will only need to attend 1 day of testing. (Limited time slots per day)

Selected candidates chosen for hire will be subject to: Physical agility testing, Drug and alcohol screening.

Hired candidates will need to attend both days of orientation held at District headquarters. April 1st and 2nd from 0900-1500.

Part-Time Paramedic pay is $15/Hr



EMS application

UV-C Light Technology Helps Keep Ambulances Clean

The Lincoln County Ambulance District is keeping our community safe from nasty viruses like Ebola, Flu, MRSA and C-Diff.  LCAD recently purchased 4 EDU-435 UV-C Disinfection Lamps, one for each ambulance base.  These lamps will be used to help disinfect ambulances and the ambulance bases.  These lamps have been shown to protect the public and our personnel from exposure to contagious organisms.

These lamps, when used regularly, will provide 99.999999% disinfection and kills all known bacteria, virus, mold, protozoa and yeast.  When our staff uses these lamps in conjunction with topical disinfection this technology will provide a safer environment for our patients and staff.

In addition to killing virus and bacteria in the ambulance, the crews will be able to use these portable UV-C lamps to disinfect living spaces like bunk rooms where an individual may have become ill. This technology can stop the transmission of diseases that before may have caused an outbreak of colds and flu in areas such as an ambulance base where many people share close quarters 24 hours a day.  The new UV-C Lamps will keep our staff healthy and it will keep our ambulances and bases clean for those who visit or tour our facilities.