In 2020, the states with the most emergency medical services personnel were California, Florida, Texas, New York and Illinois, with California topping out at 91,236 EMS personnel.
The states with the fewest EMS personnel were Mississippi, Hawaii, South Dakota, Delaware and Vermont. Vermont had only 2,839 EMS personnel, the lowest number.
Maryland had 20,426 EMS personnel, and the District of Columbia had 4,737 EMS personnel.