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Rural Emergency Medical Services and Trauma Technical Assistance Center
What's New

  • REMSTTAC to Continue in a Volunteer Capacity

    As of March 27, 2007, HRSA's contract for the Rural EMS and Trauma Technical Assistance Center (REMSTTAC) will expire.

    Updates on all REMSTTAC products (see below) as they become available will be posted as well as other rural EMS and trauma related activities of interest. Additionally, REMSTTAC is working closely with the Rural Assistance Center to ensure that all products are available through that excellent rural healthcare resource as well. Emergency Medical Services page at the Rural Assistance Center (not a government website)

  • HRSA's REMSTTAC Products to be Available Soon

    The Health Resources and Services Administration's Rural EMS and Trauma Technical Assistance Center has completed 9 products to assist rural EMS managers and policy level personnel in strengthening their local EMS agencies. The products have all been submitted to the Office of Rural Health Policy and are in various stages of approval, printing and web-based dissemination. The title, a brief description of the product and the current status includes:

    • Farm Rescue and EMS: A State by State Directory
      This resource provides contact information for individuals and agencies interested in improving their response to agriculturally related products.

      Available on-line at: Full-Text Documents

    • Rural Ambulance Service: Budget Model
      This product includes a Microsoft Excel ™ worksheet and a written instruction manual that allows rural EMS agencies to calculate a detailed budget. The value of "volunteer" time is included in the calculations. Once completed the worksheet can be imported into Intuit's QuickBooks ™.

      Available on-line at: Full-Text Documents

    • Rural and Frontier EMS Agenda for the Future: A Service Chief's Guide
      This is a companion document to the Rural and Frontier EMS Agenda for the Future (National Rural Health Association, 2004). The Service Chief's Guide outlines specific activities that rural EMS agency managers can participate in to position their individual agency to take achieve the vision outlined in the Agenda.

      Available on-line at: Full-Text Documents

    • Community-Based Needs Assessment: Assisting Communities in Building a Stronger EMS System
      This document builds on the concept outlined in the Rural and Frontier EMS Agenda for the Future that suggests that local communities should participate in a structured planning process to determine the attributes of the EMS system serving their community.

      Available on-line at: Full-Text Documents

    • Distance Education in EMS: A Literature Review and Rural/Urban Comparison
      This manuscript reviews the current and potential role of distance education in meeting the training needs for rural and frontier prehospital care providers. A must read for agencies considering a transition to distance or distributive learning applications.

      Available on-line at: Full-Text Documents

    • Quality Through Collaboration: The Future of Rural & Frontier EMS in the U.S. Health System
      This paper compares the findings of the Institute of Medicine's Future of Emergency Care reports with their previous work on Rural Health and with the Rural and Frontier EMS Agenda for the Future and HRSA Model Trauma System Planning and Evaluation document. It clearly identifies the similarities and overlaps of the recommendations and approaches contained in these and other documents.

      Available on-line at: Full-Text Documents

    • Rural & Frontier EMS Town Hall Meeting Summary
      This report captures the essence of several town hall meetings that were conducted by HRSA's REMSTTAC during which rural EMS providers identified various issues of interest and concern to their local agency.

      Available on-line at: Full-Text Documents

    • Rural EMS Manager's Awareness Program
      Designed for new local EMS agency managers or service chief's this document provides an overview of the issues and activities that he/she should be aware of and involved in from the outset of their tenure. Designed as a "survival guide" until the individual can receive more formal training on various aspects of his/her responsibilities.

      Status: Final editing and formatting in progress.

    • Rural Ambulance Crash: Literature Review
      This manuscript reviews the previous literature pertaining to the risks for ambulance crashes and suggests policy and technology recommendations to reduce the incidence and severity of such crashes.

      Status: Final editing and formatting in progress.

  • Canada Publishes "The Future of EMS in Canada".

    On February 22, 2007, the EMS Chiefs of Canada released their white paper The Future of EMS in Canada. Canada is the third country to release an EMS futures document in as many years. Taking Healthcare to the Patient: Transforming the NHS Ambulance Services was released in the UK in 2005, and Emergency Medical Services: At the Crossroads was released in the US by the Institute of Medicine in 2006. Each of these documents builds on the vision of EMS becoming more integrated into health care systems published in the National Highway Traffic Safety Administration's EMS Agenda for the Future (1996) and the National Rural Health Association's Rural and Frontier EMS Agenda for the Future (2004).

    These documents and a related one - An Exploration of Expanded Paramedic Healthcare Roles for Queensland - are available for download (only a summary of the final IOM document is available for download - the final edition is not yet published) on the International Roundtable on Community Paramedicine website at:, under the Future of EMS tab. (not a government website).

    The Future of EMS in Canada calls for the fulfillment of six strategies:

    1. A Clear Core Identity for EMS
    2. Stable Funding
    3. Systematic Improvement
    4. Personnel Development
    5. Leadership Support
    6. Mobilized Healthcare (integration)
  • National Volunteer Fire Council Provided Volunteer "Value" Calculator.

    A handy little tool to show folks the cost savings, or said another way, financial contributions volunteers have on rural services. Download at:
    Cost Savings Calculator (not a government website)

  • Institute of Medicine Releases Report on the Future of Emergency Care.

    The Institute of Medicine formally released the reports on the future of emergency care on June 14, 2006. The release of the report involved a variety of activities, including a web cast, press conferences and dissemination workshops. These landmark reports will help guide congressional leaders and policy makers about EMS and trauma care for several years to come. One of the commissioned papers for the project was on rural emergency care and discussions about rural and frontier issues and needs are scattered throughout the three reports. Prepublication copies of the three reports (hospital, prehospital and pediatric) can be found on the following website: The Future of Emergency Care in the United States Health System (not a government website). The final published reports will be available in May of 2007.

    Four dissemination workshops were held across the country. Each of the four workshops focused on a different aspect of the reports. The first meeting, held in September, 2006, in Salt Lake City focused on the potential impact of the reports on rural areas of the nation. The workshop series concluded with a capstone event in Washington DC in December, 2006. Several hundred people were at the events with many of them providing oral or written comments concerning the reports. Additional information on the workshops can be found at: The Future of Emergency Care Series: Dissemination Workshops. (not a government website). A workshop summary report will also be available in May of 2007.

  • HRSA Publishes New Model Trauma System Planning and Evaluation Document.

    The HRSA Trauma and EMS program unveiled the Model Trauma System Planning and Evaluation Document at the recent Trauma Leadership meeting in Washington DC. This document represents more than two years of development, vetting and field testing. Of particular interest is a set of Benchmarks, Indicators and Scoring criteria that allow trauma care systems to conduct a baseline assessment, establish benchmarks and mark progress toward the attainment of those goals. An Adobe Acrobat ™ version is available at

  • More Direct Link to Rural and Frontier EMS Agenda for the Future Available

    The Rural and Frontier EMS Agenda for the Future is now available for free download in Adobe Acrobat ™ format at the following address: RFEMSAgenda (not a government website). Limited quantities of printed FREMS Agendas are available for purchase at (not a government website).

  • Checklists to help businesses and State and local agencies prepare for a pandemic

    To help businesses develop specific plans to protect employees and maintain operations during a pandemic, HHS Secretary Mike Leavitt, joined by Homeland Security Secretary Michael Chertoff and Commerce Secretary Carlos Gutierrez, released a Business Pandemic Influenza Planning Checklist today. The checklist was presented at a Business Roundtable meeting with chief executive officers of leading companies in Washington, DC.

    The new checklist identifies specific activities that companies can do now to prepare for a pandemic and will also be helpful in other types of emergencies. Developed by the Centers for Disease Control and Prevention, the checklist suggests companies plan how they would forecast employee absences during a pandemic; disseminate information to employees; establish flexible work sites; and establish policies for employees who have been exposed, are suspected to be ill or become ill at the worksite.

    Additional information can be found at

  • The American Heart Association Launches CPR Anytime

    The CPR Anytime™ for Family and Friends Personal Learning Program allows families, friends and the general public - those who most likely would never attend a traditional CPR course - to learn the core skills of CPR in just 22 minutes using their own personal kit.

    The kit contains everything needed to learn basic CPR, and skills can be learned anywhere, from the comfort of a family home to a large community group setting. Also, at under $30, the CPR Anytime™ kit is a cost-effective way for the entire family to learn CPR at home. The American Heart Association's goal is for each person who receives the kit to take it home and share it with family members, increasing the number of potential rescuers.

    Each CPR Anytime™ for Family and Friends kit contains:

    • A personal, inflatable CPR manikin - "Mini Anne"
    • CPR Anytime Skills Practice DVD
    • An American Heart Association CPR for Family and Friends booklet
    • Accessories for the program

    The American Heart Association aims to help increase the number of bystanders trained in CPR to 20 million per year by 2010. CPR Anytime™ will play an important role in meeting that goal. For more information go to (not a government website).

  • City and Rural KIDS COUNT Data Book available from the Annie E. Casey Foundation

    The City and Rural KIDS COUNT Data Book uses 10 key measures of child well-being to track the conditions of children living in the rural (non-metropolitan) portion of each state as well as 71 large cities across the country. This information may be useful when developing applications for funding or making presentations to key policy makers. (not a U.S. government web site)

Meetings of Interest

  • 2007 EMS Outcomes National Consensus Meeting - April 26-27, 2007. Kansas City MO
    The North Central EMS Institute and several other prominent national sponsors will be holding a follow-up meeting to the meeting held on June, 2005. The 2005 meeting focused on identifying a limited set of performance measures for the EMS industry. A pilot set of indicators that can be derived from the data elements included in the NEMSIS data set was established. For the past two years select EMS agencies have worked with the indicators to determine their efficacy. The 2007 meeting will report on those findings and move toward the development of "systems" outcome measures. See EMS Outcomes (not a government website)
  • National Rural Health Association Annual Conference - May 15 - 18, 200. Anchorage AK
    The challenges and opportunities for living and working in rural America vary remarkably. As they say, "if you've seen one rural community, you've seen one rural community." Alaska's geography, weather, culture and history have resulted in an unusual health care system. The "Alaska Experience" is an opportunity to get an informative glimpse of where and under what conditions primary and acute healthcare services are offered. Learn how challenges faced by Alaskan health care facilities can spark ideas for solutions in your own state, community and facility. For more information go to: NRHA Annual Conference. (not a government website)
  • National Association of State EMS Officials Mid-Year Meeting - June 18 & 19, 2007. Silver Springs MD
    The NASEMSO Mid-Year Meeting purpose is to address emergency medical services and homeland security legislative and regulatory issues, the EMS work force, NASEMSO project updates (pandemic flu, mentor program, air medical task force, intelligent transportation/traffic incident management developments, model trauma plan), the National EMS Education Standards project, and more. For additional information see: National Association of State EMS Officials. (not a government website)
  • National Rural Health Association Annual Quality Conference - July 25-26, 2007. Kansas City MO
    The Third Annual NRHA Quality Conference offers practical information you can use to improve the quality of health care in your rural setting. National experts and practitioners from the field will speak from their own experience and provide examples of how to develop patient-centered care, successfully network with facilities in your community and implement a health information technology system that works. For additional information see: NRHA Quality Initiative. (not a government website)
  • 2007 International Roundtable of Community Paramedicine - September 19-21, 2007. Queensland, Australia.
    The 2007 IRCP meeting will be held in Queensland, Australia, on September 19-21, 2007. This is the third annual meeting of this interest group. Additional details will be made available on the following website: International Roundtable of Community Paramedicine (not a government website)

    Nearly 50 delegates from Australia, Canada, Scotland and the United States met July 27 - 28, 2005, in Nova Scotia to share ideas on integrating rural EMS providers into rural health care delivery systems. The historic meeting was hosted by National Association of EMS Physicians (NAEMSP) founder Ron Stewart, MD, and the Emergency Health Services (EHS) Division of the Nova Scotia Department of Health at the Medical School of Dalhousie University in Halifax. The delegates convened a second meeting July 24-27 at the Mayo Clinic in the United States to continue the discussion and to hear about lessons learned in the last year. Monthly conference calls on a variety of topics have been conducted to keep the group engaged and moving forward.

  • National Rural Intelligent Transportation Conference - October 7 - 10, 2007. Traverse City MI
    The 2007NRITS conference will provide opportunity for transportation professionals to obtain information on rural transportation issues, exchange valuable ideas and information and information regarding the challenges faced in rural transportation. A special emphasis will be placed on rural intelligent transportation and public safety issues and applications. National Rural ITS Conference. (not a government website)
  • Rural and Frontier EMS Summit at the Lake - May 20 - 24, 2008. Coeur d' Alene ID
    The Critical Illness and Trauma Foundation will be hosting the Rural and Frontier EMS and Trauma Summit at the Coeur d' Alene Resort in Idaho from May 20 - 24, 2008. The Summit at the Lake will build on the successes of the inaugural Rural and Frontier EMS Summit at the Summit held in 2006 in Big Sky MT. The Summit at the Lake will review recent developments and highlight future opportunities for rural and frontier EMS and trauma systems. This meeting is of particular importance to federal, state and agency level decision makers and service managers. The preliminary speaker's list is filled with key policy makers from the federal government along with leaders from private industry. Second Rural and Frontier EMS and Trauma Summit (not a government website)

The Office of Rural Health Policy (ORHP) promotes better health care service in rural America. As an essential part of that mission, ORHP seeks to preserve and improve EMS and trauma care in rural and frontier areas of the U.S.

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