We reported here on the provision of emergency medical services at the Taiwan lantern festival, which was held in Hsinchu County during 24 February to 10 March in 2013. Five medical stations and eight fire stations were set up for medical care. Approximately 12 million tourists participated in the event and in total 464 people required emergency medical care. Men were 47.0%. Young age, day time and holiday had more medical need. Forty-six patients needed to be transferred by ambulance to hospital; most were opened wounds and abdominal pain. The medical use rate was 0.0039% and the ambulance transfer rate was 9.9%. To our knowledge this is the first time using medical emergency motorcycle in lantern festival in Taiwan. We also compared emergency medical services in other mass gatherings with longer times in Taiwan.