The sound of emergency sirens is becoming more common in Altavista.
"Some days are worse than others, but there have been days where the entire building is empty of ambulances," said Mark Moss, Executive Vice President of Altavista EMS.
Calls for service are way up, not just in Altavista, but across Campbell County.
911 dispatchers have answered nearly 10,000 calls in the last year. That's an increase of nearly 7-percent from the year before.
"Each year we've noticed a trend where it gets more and more and more," said Moss.
One thing that may be driving the increase in calls is 911 abuse. EMS workers say they're getting a ton of calls from people wanting an ambulance who really don't need the service.
"I think education is the better thing to get across to the public, to know when to call 911," said Scott Hechler, Campbell County's Director of Public Safety.
911 calls are also going up because the population is aging and more people need emergency services.
Regardless of what's causing the increase, the county is having to face the issue.
"Were looking at ways of addressing the resource capacity to fill that need," said Hechler.
Campbell County relies on a combination of volunteers and paid staff to work emergency calls. With the increased demand for service, the county may have to put more EMT's on the payroll, or find a better way to use the staff that's already in place.
"We'll brainstorm ideas of how to utilize the career staff more efficiently," said Hechler.
As county leaders look at the numbers, EMS agencies like Altavista are already making a few changes. They've brought on three new people, who work a 24-hour shift, and they may add a fourth person soon.
"We're here to serve the community and we're always looking for ways that we can better serve the community," said Moss.