This study is performed to determine the priorites of the evaluation factors for the improvement of fire emergency medical service by increasing it’s efficiency to protect the people’s lives effectively, and by recognizing it’s mid-long term development. Based on the output of the analysis, the critical evaluation factors of the fire emergency medical services to be improved shall be identified, and shall be intended to use strategically for increasing the efficiency of all the activity in the EMT service, and also for providing the basic date to product and manage the good quality services. To calculate the priority of the evaluation factor for each level as shown on this study, AHP(anaysis hierarchy process) with pairwise comparison method is applied. According to the priority analysis for the evaluation factors in main category (evaluation zone), ‘medical service professional aspect’ is recognized as highest one, and ‘service infrastructure aspect, ‘service management aspect’ are indicated in order. According to the priority analysis for the evaluation factors in evaluation index, ‘professional personal arrangement’ in the service infrastructure aspect, ‘appropriateness and timeliness of emergency medical care’ in the medical service professional aspect, and ‘clinical training’ in the service management aspect are respectively recognized as most important factors.