West Midlands Ambulance Service had a very busy New Year's Eve taking on average five 999 calls every 60 seconds.
The number steadily increased towards midnight. Between 8pm and midnight, the service received 638 calls - a 15% increase compared to the same period last year.
In the first five hours of 2013, the service received 1291 calls - a 9% increase compared to a year ago.
Anthony Marsh, Chief Executive, said: "It comes as no surprise to us that NYE has been the busiest night of the year for the Ambulance Service. It is a year in the planning for which as many staff as possible work through the night to ensure patient’s get help when they need it the most."
More top news
Twin boys with a rare genetic condition have defied the odds after becoming the UK's first twin transplant patients.
Krissoni Henderson called his victim a non-believer and a prostitute before branding police "disgusting" atheists.
They were taken as a precaution, and residents are being advised to keep windows and doors closed as teams continue to clear the spill.