Systems and methods for selectively routing emergency calls between public safety answering points and in-field first responders. One example method includes determining one or both of an identity and a location of an emergency caller. The method includes retrieving, based on the identity and/or the location, active incident information identifying one or more active incidents associated with the identity and/or the location. The method includes identifying identities and/or locations of one or more in-field first responders associated with the one or more active incidents and comparing the identity and/or location of the emergency caller to the identities and/or locations of the in-field first responders associated with the active incidents. When a match is found based on the comparison, the emergency call is routed to one of the matching in-field first responders and not to the PSAP. When a match is not found, the emergency call is routed to the PSAP.