Trends in Technical & Scientific Research Abstract Objective: To explore the self-satisfactory service and association of emergency medical technicians at facing emergency dispatch when encountering international tourists. Method: Within the period from September to November in 2016, we delivered 970 questionnaires to Emergency Medical Technicians (EMT) who worked in the fire departments of Taipei City (220 copyies), Kaohsiung City (540), and Chiayi County (210). A total of 937 eligible respondents completed their responses with a return rate of 96.59%. Data including personal demography, technician expertise ability, emergency experience (34 items), foreign language ability, self-satisfactory service level, and suggestions to the issue for improving ambulance services treating international tourists (6 items) were collected. We (1) proposed a model with 7 hypotheses and used Smart-PLS software to examine their path coefficients effective, and applied Rasch mod...