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Rural Emergency Medical Services (EMS) and Trauma Models and Innovations

These stories feature model programs and successful rural projects that can serve as a source of ideas and provide lessons others have learned. Some of the projects or programs may no longer be active. Read about the criteria and evidence-base for programs included.

AGRIMEDIC
Added September 2018
  • Need: To reduce farm injuries and improve EMS and fire/rescue's response to these injuries in rural Louisiana.
  • Intervention: AGRIMEDIC is a two-day training for first responders.
  • Results: 650 first responders have received training.
Fostering Futures in Menominee Nation
Updated/reviewed September 2018
  • Need: Since the late 1800’s, trauma caused by historic events have greatly affected the way of life for Menominee Indians living on the Menominee Reservation. Economic, socioeconomic, behavioral health, and physical health issues have risen and are causing direct implications for Menominee youth.
  • Intervention: Through Fostering Futures, clinic, school, and Head Start/Early Head Start staff are trained in administering trauma-informed care and building resilience among children.
  • Results: Behavioral health visits at the Menominee Tribal Clinic have increased, school suspension rates have decreased, and graduation rates have improved from 60% to 85% since 2008.
Rural Nevada EMS Conference
Updated/reviewed September 2018
  • Need: To provide rural Nevada EMS personnel an opportunity to receive quality training and current EMS information from national EMS educators.
  • Intervention: The Rural Nevada EMS Conference offers continuing education units and engaging sessions for EMS personnel.
  • Results: Over 300 participants attended the 2018 conference.
funded by the Federal Office of Rural Health Policy EMS Live@Nite
Updated/reviewed July 2018
  • 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.
funded by the Federal Office of Rural Health Policy E-RHIT Network
Updated/reviewed June 2018
  • Need: To provide rural Louisiana ambulance services with the necessary resources to establish electronic patient care reports and participation in both the state trauma registry and the state health information exchange.
  • Intervention: A network was established providing equipment, software, training, data collection, data analysis, and support.
  • Results: EMS Electronic Patient Care Reporting has been implemented, allowing members to participate in a statewide health information exchange system and to provide data for the statewide trauma registry.
Rescue Divas EMT Recruitment
Updated/reviewed January 2018
  • Need: Increase number of emergency medical technicians in rural northern Wisconsin.
  • Intervention: Creation of a program, Rescue Divas, for middle school girls to spark interest in emergency medical services careers.
  • Results: Post-participation results demonstrate the camp increases interest in an emergency medical services career.
Simulation in Motion-South Dakota (SIM-SD) EMS Educational Outreach Program
Updated/reviewed January 2018
  • Need: To provide increased educational opportunities for emergency care personnel in rural and frontier South Dakota.
  • Intervention: A technologically advanced training was created to enhance the delivery of emergency patient care.
  • Results: Hundreds of EMS staff and volunteers received training that in turn helped them in the field of emergency patient care.
funded by the Federal Office of Rural Health Policy Great Basin College Emergency Medical Services Program
Updated/reviewed December 2017
  • Need: Recognizing the need to increase emergency response times, rural Nevada struggled to recruit and retain EMTs, AEMTs, and Paramedics.
  • Intervention: Great Basin College created the EMS program to recruit and train new EMTs and paramedics.
  • Results: The program has now trained hundreds of state-certified EMTs and AEMTs in rural Nevada.
funded by the Federal Office of Rural Health Policy Nevada Rural Opioid Overdose Reversal (NROOR)
Updated/reviewed December 2017
  • Need: To reduce the number of overdoses and deaths related to opioid overdose in rural Nevada.
  • Intervention: The Nevada Rural Opioid Overdose Reversal (NROOR) Program, led by a Critical Access Hospital (CAH), furnished naloxone and provided education on prescription opioid use and overdose.
  • Results: In total, 117 EMTs were trained on the administration of naloxone. EMTs greatly appreciated the naloxone training and the naloxone kits.
Savvik Buying Group (Formerly North Central EMS Cooperative (NCEMSC)
Updated/reviewed June 2017
  • Need: Due to its reduced Medicare ambulance service reimbursement, the 1997 Balanced Budget Act threatened to put many rural volunteer emergency medical services (EMS) providers out of business across the country.
  • Intervention: Savvik (formerly North Central EMS Cooperative, or NCEMSC) created a mechanism for EMS providers to achieve cost reduction through group purchasing.
  • Results: The program brings discounts on EMS supplies to over 6,300 members across the United States, Canada, and Mexico.

Last Updated: 9/26/2018