A specialist team of East Midlands-based paramedics trained to deal with major incidents responded to almost 600 cases in the last year.
The Hazardous Area Response Team, based at East Midlands Airport, provides an ambulance response alongside fire and rescue services.
The unit was set up in 2009 and comprises of 44 paramedics and two managers.
The specially trained paramedics work with fire crews on dangerous rescues.
Hazardous response crews also deal with incidents such as train crashes, large-scale motorway accidents, buildings that collapse or significant fires.
Ian McAleese, HART team leader, said: "We're providing medical care where traditionally we wouldn't be allowed to do it.
"We've done extra training, we've got extra equipment and people are surviving more and they're coming out alive."
The East Midlands team also supports other HART crews nationally.
They were recently called upon to help at the G20 protests in London and will be available to provide support at the upcoming Olympics in 2012.