Emergency Medical Service (EMS) is one of the most important health care services as it plays a vital role in saving people’s lives and reducing the rate of mortality and co-morbidity. The importance and sensitivity of decision making in the EMS field have been recognized by researchers who studied many problems arising in the management of EMS systems since the 1960. Some authors of similar research present a review of the many simulation models that have been developed over the years: most of the available simulation approaches are based on a Discrete Event Simulation (DES) approach.