NASEMSO Consolidated Blood and Blood Product Guidance – Now Available
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Tag: National Association of State Emergency Medical Services Officials (NASEMSO)
NCSL Podcast | Emergency Medicine in Rural America
Emergency Medicine in Rural America | OAS Episode 198
NOVEMBER 19TH, 2023 | 36:56 | E198
EPISODE SUMMARY
Two experts in emergency medical services joined the podcast to discuss a variety of challenges to providing care in rural areas, including long waits for ambulances and a serious workforce shortage. They also talked about the role of legislatures in addressing EMS needs.
EPISODE NOTES
Emergency medical services face significant challenges in rural America. Just one is the time it takes to summon an ambulance. While most people living in urban and suburban areas expect an ambulance to show up within minutes of making a 911 call, the situation is very different for about 4.5 million Americans who live in ambulance deserts, according to a nation study conducted by Maine Rural Health Research Center and the Rural Health Research & Policy Centers. Those folks can expect to wait 25 minutes or more for emergency services to arrive.
We sat down with two experts on the subject — Dia Gainor, executive director of National Association of State EMS Officials, and Davis Patterson, director of the WWAMI Rural Health Research Center at University of Washington—to discuss that and other challenges to EMS in rural areas. Other issues they discussed included the severe workforce challenges in staffing rural EMS services, the role of legislatures in addressing rural EMS needs and the promise of community paramedicine in addressing both emergency and nonemergency care in rural areas.
RESOURCES
- Ambulance Deserts: Addressing Geographic Disparities in the Provision of Ambulance Services, Rural Health Research Gateway (May 2023)
- Beyond 911: Expanding the Primary Care Role of First Responders through Community Paramedicine
- Community Paramedicine: Connecting Patients to Care and Reducing Costs
- EMS Legislative Database
- The EMS and Community Paramedic Workforces Respond to COVID-19, WWAMI Rural Health Research Center (June 2023)
- The National Association of State Emergency Medical Services Officials
- State Actions To Address EMS Workforce Shortages
- You might need an ambulance, but your state may not see it as ‘essential,’ Stateline (September 2023)
- WWAMI Rural Health Research Center
NASEMSO | Model EMS Clinical Guidelines v3
From NASEMSO on March 23, 2022
Overview
The National Model EMS Clinical Guidelines Project was first initiated by NASEMSO in 2012 and has produced three versions of model clinical guidelines for EMS: the first in 2014, a revision 2017, and now this third version in 2022. The guidelines were created as a resource to be used or adapted for use on a state, regional or local level to enhance prehospital patient care and can be viewed here. These model protocols are offered to any EMS entity that wishes to use them, in full or in part. The model guidelines project has been led by the NASEMSO Medical Directors Council in collaboration with six national EMS physician organizations, including: American College of Emergency Physicians (ACEP), National Association of EMS Physicians (NAEMSP), American Academy of Emergency Medicine (AAEM), American Academy of Pediatrics, Committee on Pediatric Emergency Medicine (AAP-COPEM), American College of Surgeons, Committee on Trauma (ACS-COT) and Air Medical Physician Association (AMPA). Co-Principal Investigators, Dr. Carol Cunningham and Dr. Richard Kamin, led the development of all three versions. Countless hours of review and edits are contributed by subject matter experts and EMS stakeholders who responded with comments and recommendations during the public comment period.
NASEMSO gratefully acknowledges the Technical Expert Panel, the Technical Reviewers, and many others who volunteered their time and talents to ensure the success of this project.
The comprehensive review and revision of these guidelines was made possible by funding support from the National Highway Traffic Safety Administration Office of EMS and the Health Resources and Services Administration Maternal and Child Health Bureau EMS for Children Program.
For More Information
Andy Gienapp, MS, NRP
Deputy Executive Director
andy@nasemso.org
NASEMSO | Evidence Based Guidelines for Prehospital Pain Management
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Jan 5 | EMS360: Fatigue Risk Management in EMS Webtool Demo
Fatigue Risk Management in EMS: Project Summary and Webtool Demo
EMS360: Fatigue Risk Management in EMS Webtool Demo
Fatigue Risk Management in EMS: Project Summary and Webtool Demo
CNN | Rural ambulance crews are running out of money and volunteers
From CNN on May 22, 2021
Rural ambulance crews are running out of money and volunteers. In some places, the fallout could be nobody responding to a 911 call
America’s rural ambulance services, often sustained by volunteers, are fighting for their survival — a crisis hastened by the impact of Covid-19.
More than one-third of all rural EMS are in danger of closing, according to Alan Morgan, CEO of the National Rural Health Association. “The pandemic has further stretched the resources of our nation’s rural EMS.”
REPLICA Compact Enacted
REPLICA Meets Goal, Interstate Compact Becomes Official
May 8, 2017
For Immediate Release
Contact:
Sue Prentiss
603-381-9195
prentiss@emsreplica.org
May 8, 2017 (Falls Church, VA). With the 10th member state enactment, the Recognition of
Emergency Medical Services Licensure Interstate Compact (REPLICA) has become official.
Governor Nathan Deal of Georgia signed Senate Bill 109 on today activating the nation’s first EMS
licensure compact. States that have passed REPLICA to date include: Colorado, Texas, Kansas,
Virginia, Tennessee, Idaho, Utah, Mississippi, Wyoming and Georgia.
Released in 2014, REPLICA’s model legislation creates a formal pathway for the licensed individual
to provide pre-hospital care across state lines under authorized circumstances. According to Keith
Wages, president of the National Association of State EMS Officials (NASEMSO), “REPLICA
represents a collective, nationwide effort to address the problems faced by responders when needing
to cross state borders in the line of their duties.” Wages highlighted the compact’s abilities to
“increase access to healthcare, reduce regulatory barriers for EMS responders, and place an
umbrella of quality over cross border practice not previously seen in the EMS profession.” Wages
also noted that the partnership with the National Registry of Emergency Medical Technicians
(NREMT) has been essential during the advocacy and implementation phases. “We are grateful for
their continued support and contributions.”
Through funding provided by the Department of Homeland Security (DHS), NASEMSO led 23 EMS,
fire, law enforcement organizations and associations as well as key federal partners in the design and
drafting of REPLICA. The National Registry of EMTs (NREMT) currently provides funding to finalize
the development of the Commission.
The compact calls for establishment of an Interstate Commission with each state that has passed
REPLICA holding a seat, as well as a national EMS personnel coordinated database. Member states
will be able to rapidly share personnel licensure information, develop policy focused only on cross
border EMS practice, and hold EMS personnel originating in other states accountable in an
unprecedented way. The National Registry of EMT’s (NREMT) has committed to the development
and hosting of the coordinated database.
Twelve national associations and organizations support REPLICA. Three states have REPLICA bills
under consideration in their legislative sessions. Learn more at www.emsreplica.org.
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