An emergency message handling system manages emergency SMS text messages sent by mobile stations. The system also includes an emergency handling platform comprising an SMS gateway server, an SMS application server, and an SMS-To TTY message converter. In response to an emergency SMS text message received via a mobile communication network, the emergency handling platform determines the location of the mobile station and identifies the Public Safety Answering Point (PSAP) assigned to cover the location of the mobile station. If the PSAP assigned is only TTY compatible, the text message is converted to TTY. A TTY selective router is configured to deliver each of converted emergency SMS text message in TTY format to the TTY messaging system of the TTY PSAP. However, if the PSAP assigned is IP network compatible, then the text message is delivered directly to the IP compatible PSAP without any TTY conversions.