The North Egypt E.M.S. System was established in 1979 and serves Jefferson, Marion, Franklin, Washington, Perry, Wayne, Williamson, Pulaski, Massac and Saline County. The North Egypt E.M.S. System is located in E.M.S. Region Five as established by the Illinois Department of Public Health. The paramedics within the North Egypt E.M.S. System operate under direct medical direction and standing medical orders.