Middlebury Regional EMS operates one of only two ambulance-based Heavy Rescue services in the state of Vermont.

Heavy Rescue provides a specialized vehicle, equipment, and trained personnel, in order to free entrapped patients. Most often, these operations involve specialized equipment, such as hydraulic tools and air bags, used for stabilization and lifting.

From medical assistance and motor vehicle accidents, to mass casualties and helicopter landing zones, the Heavy Rescue service responds to around 70 calls per year.