Middletown First Aid and Rescue Squad utilized many of its resources after the September 11th terrorist attacks on New York City. Middletown First Aid along with other members of the Middletown EMS set up a staging and treatment center for the Highlands Ferry. Many of the victims and people in New York City took the ferry service to escape the city. The EMS services assisted in the decontamination of debris from the tower collapse, treatment of minor injuries on scene, and triage and transport to area hospitals. Middletown First Aid coordinated most of these efforts.