- Need: Distance, time, and cost make it difficult for EMS volunteers to attend continuing education and maintain certification.
- Intervention: Inland Northwest Health Services delivers free online training to rural EMS providers via video teleconferencing.
- Results: The EMS Live@Nite program provides free, monthly training to rural EMS providers in the northwestern part of the United States. The program is available through live video conferencing from certified locations in rural communities.
time, and cost make it difficult for emergency medical
service (EMS) volunteers to attend mandatory training and
Inland Northwest Health
Services (INHS), a nonprofit organization serving the
northwest United States, received funding from the
Federal Office of Rural Health Policy's Rural Emergency
Medical Services program in 2003 to create the
EMS Live@Nite program. This program delivers free
online training once a month to EMS providers, fire and
law enforcement personnel, public health and hospital
staff, as well as other members of the community.
Healthcare centers in Washington, Oregon, Idaho, Montana,
Wyoming, The Aleutian Islands, and Alaska offer the
EMS Live@Nite trainings.
EMS Live@Nite has recently been combined with INHS's
Ongoing Training and Evaluation Program (OTEP) for
EMS personnel (advanced emergency medical technicians,
emergency medical technicians, and paramedics). The
OTEP helps EMS personnel become certified and
re-certified in their field. OTEP evaluations following
the courses helps determine competence of topic content.
INHS funds the program in partnership with Spokane County EMS. The
Northwest TeleHealth video conferencing network and
other partnering video conferencing networks provide 140
rural locations with connectivity throughout the region.
EMS Live@Nite has been approved by the Washington
Department of Health as an
EMS Ongoing Training and Evaluation Program (OTEP).
INHS broadcasts EMS Live@Nite on the second Tuesday of
each month from September through June. A pre-test is
given before the training and a post-test after the
training to test for levels of learning and retention.
Each training focusing on a different topic taught by an
Trainings meet the standards of the following
- American Heart Association (AHA)
- American Geriatrics Society
- American Academy of Pediatrics
- National Association of
Emergency Medical Technicians
The training covers a wide variety of issues. Many of the
topics are based on participants' recommendations, which
ensures classes will be relevant. Topics covered in 2019
- Infectious disease
- Shock, trauma, and bleeding
- Pediatric care
- OB/GYN emergencies
- Mental healthcare
- Medication and naloxone
INHS has added GoToWebinar as another option to view EMS
Live@Nite. This provides agencies immediate access from
their ambulance bay or any ambulance via a smart phone or
To view archived courses, visit
Archived EMS Live@Nite Courses.
Live trainings are available via video teleconferencing
to an average of 250 EMS professionals in 140 rural
Many EMS providers are able to receive continuing medical
education and maintain their certification, as all
participating states have accepted the interactive
program to meet state continuing education requirements.
More than 80% of students have been satisfied or very
satisfied with the courses and feel better prepared to
respond to emergency situations after taking them.
Additional reading about EMS Live@Nite:
The biggest challenge has been the change in how rural
communities or individuals receive training. Rural
communities may wait until many of their EMS
professionals need to recertify and then bring in an
instructor to have the whole group complete their
recertification at once. Other EMS professionals complete
This program has provided an innovative way for rural EMS
providers to receive training. Because there is little
funding available for EMS training, the EMS Live@Nite
program been well-received as a convenient and
cost-effective way to train EMS providers and help them
maintain their certification. Other programs may benefit
from being receptive and listening to those they are
training by holding classes on topics relevant to them.
This helps to keep the trainees engaged and the trainers
providing relevant, current information.
Emergency medical services
Emergency medical technicians and paramedics
Health workforce education and training
Alaska, Idaho, Montana, Oregon, Washington
June 11, 2007
Date updated or reviewed
September 17, 2019
Suggested citation: Rural Health Information Hub,
EMS Live@Nite [online]. Rural Health Information Hub. Available at:
[Accessed 1 December 2022]
Please contact the models and innovations contact directly for the most complete and current information
about this program. Summaries of models and innovations are provided by RHIhub for your convenience. The
programs described are not endorsed by RHIhub or by the Federal Office of Rural Health Policy. Each rural
community should consider whether a particular project or approach is a good match for their community’s
needs and capacity. While it is sometimes possible to adapt program components to match your resources, keep
in mind that changes to the program design may impact results.