Management of road vehicle fleet requires modern technological solutions and infrastructure for better management in terms of faster and more efficient receipt of information and decision-making based on them in terms of improvement and savings in business in general. The aim of the paper is to show the historical development of vehicle tracking technology in the world, to analyze the management of the fleet in modern times, based on the introduction of satellite tracking systems for vehicles as well as their monitoring, control and control. The system is important in this segment because it records the parameters in the vehicle fleet and sends this information in real time. This information can be standing time, distance traveled, speed, number of revolutions and based on them business decisions can be made as precisely as possible. Without the use of such vehicle tracking systems nowadays it is unthinkable in both private and business life. Simply, if you need any type of location, you just need to get the device, turn it on and it is ready to use. At the end of the work, the characteristics of the vehicle monitoring system in the Department of Emergency Medicine of Koprivnica-Križevci County will be described as well as the composition of its fleet. The fleet of the Department of Emergency Medicine of Koprivnica-Križevci County is divided into two basic types: vehicles for emergency transport of the patient and vehicles for the sanitation transport of the patient. As for the vehicle monitoring system in the Department of Emergency Medicine of the Koprivnica-Križevci County, the BlackBLOX system is used, which is intended for monitoring emergency vehicles, while in ambulance transport the Raptor program is used to monitor vehicles.