Summary. The goal of the study is to show, on the basis of analysis of the experience of the unified center of dispatching, monitoring and medical evacuation in the structure of the Territorial Center for Disaster Medicine of Sverdlovsk region, the efficiency of unified dispatching service, operating on the functional basis in the same information field as the regional emergency medical service. Materials and research methods. Sources of information and materials on the research theme: normative and methodological documents regulating order and organization of the Disaster Medicine Service and emergency medical aid; publications in “Disaster medicine”, “Emergency Medical Aid” journals; reports of heads of joint centers and independent territorial disaster medicine centers. Research methods: analytical, statistical, method of direct observation, method of logical and informational modeling. Research results and their analysis. The work of three departments of unified center of dispatching, monitoring and medical evacuation was analyzed: operative-dispatching department, department of consultation and monitoring of intensive care patients, department of monitoring of ambulance calls. It is concluded that this model of a single dispatch service is financially inexpensive, efficient and can be recommended to the regions of Urals, Siberia and the Far East, where there are strong territorial disaster medicine centers and specialized resuscitation and consultative centers.