EMS scheduling software for cycles, callbacks,and the tours in between.
Filling every apparatus is the floor. What wears crews down is the shape of the schedule around it — holdovers stacked on a 24, forced overtime landing on the same names, and recovery time that exists on paper but not in sleep. CAIER scores that shape so it can be managed instead of absorbed.
What EMS scheduling software has to handle
EMS and fire scheduling isn't a monthly grid. It's a repeating cycle, a certification matrix, and a constant stream of trades, callbacks, and holdovers layered on top.
Kelly cycles, 24/48, 48/96, and rotating platoon patterns are modeled as recurring cycles, so the schedule extends forward without rebuilding it every month.
ALS/BLS unit requirements, paramedic and EMT certifications, and officer coverage are treated as constraints a shift must satisfy before it counts as filled.
Track holdovers and mandatory overtime against the roster so forced hours are visible and distributed by rule rather than by whoever answers the phone.
Night density, rotation direction, and recovery between tours are scored with CAI™, so two compliant rosters can be compared before one is posted.
From cycle pattern to a posted roster
- 01Model the agency
Define shifts, apparatus and unit staffing minimums, certification requirements, and the cycle pattern each platoon runs.
- 02Collect leave and trades
Time off, trades, and availability come in through one channel with a clear cutoff instead of texts and a whiteboard.
- 03Build and compare
Generate rosters that satisfy staffing minimums, then compare them on fairness, overtime exposure, and circadian cost.
- 04Post and adapt
Post to crew calendars, then handle callbacks, holdovers, and swaps without unwinding the whole cycle.
Where CAI™ fits into EMS tours
The Circadian Alignment Index (CAI™) reads a posted schedule and scores how well its temporal structure fits human circadian rhythm. It is a schedule-design metric — not a medical device and not a wearable. CAIER is currently validating CAI in emergency medicine before extending it to other 24/7 operations, including EMS and fire.
- Compare cycle variants that both meet staffing minimums
- See how holdovers change the real recovery window
- Check whether forced overtime lands on the same crews
- Show the union and the crews how burden was distributed
Common questions
- Do you support Kelly and 24/48 cycles?
- Yes. Recurring cycle patterns are modeled directly, including platoon rotations, so the schedule projects forward instead of being rebuilt each period.
- Can we keep our current payroll and CAD systems?
- Yes. Scheduling and scoring sit on top of the roster; exports and calendar sync are designed to feed the systems you already run.
- How are trades and holdovers handled?
- Trades run through an approval workflow that checks certification and staffing minimums, and holdovers are tracked against the roster so overtime exposure stays visible.
- Is the EMS configuration available today?
- EMS is in active development on the same engine that runs live in emergency medicine. We're onboarding early agencies now — tell us about yours below.
Tell us about your agency
Share your cycle pattern, unit staffing, and where overtime piles up. We'll follow up with a walkthrough built around your schedule.