Medic maintains its own communication center known as CMED (Central Medical Emergency Dispatch). 

CMED's three primary responsibilities are

• Dispatch and coordination of all EMS resources within Charlotte-Mecklenburg
• Dispatch of all Mecklenburg County volunteer fire departments 
• Serves as the central warning point for two nuclear power facilities. 

All requests for emergency service are handled via an enhanced 911 system.  All 911 calls for Medic and/or County fire are routed to CMED by the Charlotte-Mecklenburg Police Department or two other communications centers, which serve as the primary public safety answering points (PSAP). 

Efficient use of emergency medical resources is achieved by use of a state-of-the-art Computer Aided Dispatch System, Medical Priority Dispatch Protocols and Emergency Fire Protocols, global positioning satellite tracking equipment, on-board mobile mapping and data systems and System Status Management.

All dispatchers are nationally certified as Emergency Medical Dispatchers (EMD's) and Emergency Fire Dispatchers (EFD's). They staff the Communications Center and provide potentially life-saving instructions to callers while paramedics are responding to their location. Typical examples of pre-arrival instructions include providing information on performing CPR, assisting with childbirth and helping a person who is choking.