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Rural Health
Resources by Topic: Emergency medical technicians and paramedics

Fired Up: Community Paramedicine Models Blaze a Trail for Healthcare Delivery Reform
Discusses how fire departments can target frequent 911 users to reduce emergency room visits. Highlights community paramedicine program models in Arizona, including examples from rural communities.
Date: 02/2016
Type: Document
Sponsoring organization: Vitalyst Health Foundation
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National Characteristics of Emergency Medical Services in Frontier and Remote Areas
Outlines national characteristics for emergency medical services in frontier and remote (FAR) areas. Includes patient demographics, provider clinical impression and injuries, and procedures performed in FAR and non-FAR patients.
Author(s): Landon R. Mueller, John P. Donnelly, Karen E. Jacobson, et al.
Citation: Prehospital Emergency Care, 20(2), 191-199
Date: 2016
Type: Document
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Pinch Hitting
Provides an overview of the role community paramedicine can play in meeting rural healthcare needs, with examples from several states. Highlights the pros and cons of this approach, describes how it is funded, and identifies states that have taken legislative action on the issue. Article begins on page number 22.
Author(s): Michelle Ancell
Citation: State Legislatures, 22-25
Date: 09/2015
Type: Document
Sponsoring organization: National Conference of State Legislatures
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EMS Office Assessment of the Status of Community Paramedicine/Mobile Integrated Healthcare in the States and Territories
Results of a survey of 49 National Association of State EMS Officials (NASEMSO) member states and territories, documenting existing or planned programs. Features statistics on reimbursement strategies, involvement of hospitals/health systems, state legislation, certification, medical direction, community health assessments, and use of quality improvement measures.
Date: 05/2015
Type: Document
Sponsoring organization: National Association of State EMS Officials
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Community Paramedic Pilot Study Recommendations
Policy brief presenting recommendations regarding the implementation of a Community Paramedicine Program in North Dakota. Discusses the gaps in the North Dakota healthcare delivery system, especially in rural areas.
Date: 09/2014
Type: Document
Sponsoring organization: North Dakota Center for Nursing
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Rural Emergency Medical Technician Pre-Hospital Electrocardiogram Transmission
Rural communities face challenges to rapid emergency response services for heart attacks, mostly related to prolonged travel time. As a strategy to address this, this research article sought evidence of the risks and benefits associated with electrocardiogram (ECG) protocols, which urban ambulance teams staffed with paramedic level providers have been successful in implementing.
Author(s): Angela Powell, Joshua Halon, Jessica Nelson
Citation: Rural and Remote Health, 14(2), 2690
Date: 05/2014
Type: Document
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Blueprint for Community Paramedicine Programs Especially for EMS Agencies
Describes implementation of a Community Paramedicine program in Abbeville, South Carolina, and identifies ways that emergency medical technicians can expand their roles in order to bridge healthcare gaps in rural areas. Includes strategies for program promotion and evaluation.
Date: 03/2014
Type: Document
Sponsoring organization: South Carolina Office of Rural Health
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The Evidence for Community Paramedicine in Rural Areas: State and Local Findings and the Role of the State Flex Program
Examines the role of the Flex program in supporting state Emergency Medical Services (EMS) in rural communities. Analyses the evidence base for community paramedicine in rural communities, the role of community paramedics in rural healthcare delivery systems, and the challenges faced by states in implementing community paramedicine programs.
Additional links: Policy Brief
Author(s): Karen Pearson, John Gale, George Shaler
Date: 02/2014
Type: Document
Sponsoring organization: Flex Monitoring Team
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Patient Simulators Sharpen Skills of Rural Practitioners
Discusses medical innovations in simulation training and the associated benefits for rural practitioners, who often see fewer emergencies than their urban counterparts.
Author(s): Candi Helseth
Citation: Rural Monitor
Date: 02/2014
Type: Document
Sponsoring organization: Rural Health Information Hub
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Community Paramedic Program Handbook
A comprehensive planning manual to be used by paramedic services or a community for the development of a community paramedic program. Provides an array of resources focused on assessing community needs, determining program scope, identifying services to provide, engaging the community, developing policies and procedures, conducting training, and developing an evaluation plan. Requires filling out a form to download the program manual.
Author(s): Jill Hunsaker Ryan, Christopher A. Montera, Anne Robinson
Date: 2014
Type: Document
Sponsoring organization: The Savvik Foundation
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