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Rural Health
Resources by Topic: Emergency medical technicians and paramedics

Rural and Urban Experiences with EMS Overdose Treatment
Results of a survey of 90 urban and rural emergency medical service (EMS) providers practicing in Indiana during the period from November 2020 to March 2021, to determine how many training hours they receive and how comfortable they are with treating opioid overdoses and general drug overdoses. Features survey responses with breakdowns by urban and rural location. Poster presented at the 2021 RTT Collaborative Annual Meeting.
Author(s): Brycen Ratcliffe, Robin Danek, Ellen Ireland, Eric Reyes
Date: 04/2021
Type: Document
Sponsoring organization: Indiana University School of Medicine
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The EMS Compact
Information on the agreement enabling emergency medical service (EMS) personnel licensed in Compact member states to cross state borders to practice and work in other Compact states without getting an EMS license in the remote state. Describes ways in which this agreement may enhance communities' responses to COVID-19 when local resources are reduced. Includes a map showing locations of EMS Compact states and contact information for each member state's Compact Commissioner.
Date: 04/2021
Type: Website
Sponsoring organization: Interstate Commission for EMS Personnel Practice
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Emergency Medical Services Personnel as Vaccinators: Status by State
Information from all states, the District of Columbia, Guam, and American Samoa, showing scope of practice by level of licensure for paramedics, advanced-emergency medical technicians, emergency medical technicians, emergency medical responders, and other intermediate levels. Features maps with shadings showing whether vaccination administration is always allowed, currently or temporarily allowed, never allowed, or under consideration for administrative or executive action. Information is current as of March 4, 2021.
Date: 03/2021
Type: Document
Sponsoring organization: National Association of State EMS Officials
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CDC: Emergency Preparedness and Response
Presents resources for emergency preparedness and response, including information on COVID-19. Features an information exchange, webinars, trainings, and other resources for healthcare professionals and first responders.
Additional links: En Español
Date: 03/2021
Type: Website
Sponsoring organization: Centers for Disease Control and Prevention
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Rural EMS Workforce: A Call to Action
Policy brief discussing rural emergency medical services (EMS) systems. Highlights challenges facing the rural EMS workforce, including the costs of training and reimbursement concerns. Outlines policy recommendations to strengthen rural EMS systems.
Author(s): Christopher McLaughlin, Olivia Riutta, Jonnathan Busko
Date: 02/2021
Type: Document
Sponsoring organization: National Rural Health Association
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COVID-19 Resources for EMS
Resources to help emergency medical services (EMS) personnel appropriately and safely serve communities during the COVID-19 pandemic. Addresses EMS workforce protection, vaccination, patient care, crisis planning, and more.
Date: 02/2021
Type: Website
Sponsoring organizations: National Highway Traffic Safety Administration, NHTSA Office of EMS
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Characteristics and Challenges of Rural Ambulance Agencies - A Brief Review and Policy Considerations
Examines challenges including prolonged response and transport times, insufficient payment by insurers, transitions from volunteer to paid workforce, and lack of plans and policies to coordinate services. Features recommendations for identifying public policy considerations to stabilize rural ambulance agencies.
Author(s): A. Clinton MacKinney, Keith J. Mueller, Andrew F. Coburn, et al.
Date: 01/2021
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Kansas Emergency Medical Services Association - COVID-19 Resources
Provides national, state, and county-level resources to help emergency medical services (EMS) agencies respond to the COVID-19 pandemic. Includes information on N95 masks; funding; webinars and trainings; news updates; documents, such as EMS protocols and policies; and more.
Date: 12/2020
Type: Website
Sponsoring organization: Kansas Emergency Medical Services Association
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Introducing the Rural Community Paramedicine Toolkit
Webinar recording presents the Rural Community Paramedicine Toolkit. Discusses benefits, lessons learned, and provides an overview of the community paramedicine model for rural communities. Features presentations from representatives of NORC Walsh Center for Rural Health Analysis, the William Bee Ririe Hospital, the Queen Anne's County Department of Health, the United Ambulance Service/United Training Center, and the United Ambulance Service.
Additional links: Audio Recording, PowerPoint Handout
Date: 09/2020
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Rural EMS COVID-19 Preparedness Checklist
Provides a checklist for rural response agencies to evaluate their current level of preparedness and identify areas that need additional action to better respond to COVID-19. Covers planning, strategy, personal protective equipment and supplies, workforce and recruiting, and funding.
Date: 08/2020
Type: Document
Sponsoring organizations: American Ambulance Association, Federal Healthcare Resilience Working Group
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