[1] In 2001, the MCFRS went to Pentagon in Arlington County, Virginia aboard RideOn buses to assist in urban search and rescue (USAR) efforts immediately after the September 11 attacks.

The county uses the standard incident command system to coordinate the efforts of career and volunteer personnel at the scenes of emergencies.

In April 2020, MCFRS implemented a COVID-19 Surge Plan which included the staffing of more BLS ambulances, as well as moving ALS providers from AFRA and medic units to chase cars.

This, paired with a continuous Blue Alert, which goes in effect when an EMS jurisdictional system is temporarily taxed to its limits in providing pre hospital care and ambulance transportation due to extraordinary situations that contribute to high demand for ambulance service, and decontamination teams stationed at each of the main hospitals in the county enabled proper patient distribution and lessoned the burden on the system.

[4] On July 9, 2024 Montgomery County Council confirmed Corey Smedley appointment as Chief of MCFRS.