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The Changing Landscape of Emergency Medical Services


By Allison G. S. Knox
Contributor, EDM Digest

Almost everyone knows that industries change with the introduction of new technology and alterations in public taste. The healthcare industry is no different. Healthcare is experiencing demands and changes that affect the overall management and administration of the system.

However, emergency medical services have not experienced any real transformations in the past few decades. But changes in the field are coming due to serious difficulties in recruiting individuals to work in both professional and volunteer settings. In fact, the very nature of patient care associated with the Community Paramedicine Model is changing.

Public Safety Agencies Have Trouble Finding Qualified Individuals for Volunteer Work

Many public safety agencies have traditionally relied on volunteers because they cannot afford to pay for staff. There was a time when individuals had more free time to volunteer. But with shifting economic times, it has become increasingly difficult to find qualified volunteers.

As reporter Olivia Belanger found out from a volunteer, “It’s difficult for volunteers to leave their families to go on calls when the local ambulance is paged, maintain the supplies on the ambulances, then be expected to attend trainings and conferences to maintain certifications.”

The Community Paramedicine Model Is Turning EMS into Visiting Nurse Agencies

The Community Paramedicine Model is altering the way municipalities handle emergency medical services. As Rural Health put it, “Community paramedicine is a relatively new and evolving healthcare model. It allows paramedics and emergency medical technicians (EMTs) to operate in expanded roles by assisting with public health and primary healthcare and preventive services to under-served populations in the community.”

This model is a major national paradigm shift. It lets patients be treated at home with regular visits from healthcare professional. It is changing EMS into something like a visiting nurse agency by keeping some patients out of hospital emergency departments in participating towns and cities.

Emergency medical services will continue to face obstacles that alter their overall structure. As a result, it will be interesting to see how emergency medical services will be transformed over the next few decades with the shifting needs and demands of society.

Allison G. S. Knox Passionate about the issues affecting ambulances and disaster management, Allison focuses on Emergency Management and Emergency Medical Services policy. Allison has taught at the undergraduate level since 2010. Prior to teaching, she worked in a level-one trauma center emergency department and for a member of Congress in Washington, D.C. She holds four master’s degrees in Emergency Management, National Security Studies, International Relations, and History; a Graduate Certificate in Homeland Security; and a Bachelor of Arts in Political Science. Allison is an Emergency Medical Technician, Lifeguard, and Lifeguard Instructor, and is trained in Technical Large Animal Emergency Rescue. She serves on the Board of Trustees for Pi Gamma Mu International Honor Society as Chancellor of the Southeast Region, Vice Chair of the Tactical Emergency Medical Support Committee with the International Public Safety Association, and serves as the Advocacy Coordinator of Virginia with the National Association of Emergency Medical Technicians. She is also a member of several committees including the Editorial Committee with APCO, the Rescue Task Force Committee with the International Public Safety Association, and the Advocacy Committee with the National Association of Emergency Medical Technicians. She also serves as Chair of the Leadership Development Program for the 2020 Pi Gamma Mu Triennial Convention. Allison has published several book reviews and continues to write about issues affecting ambulances, emergency management, and homeland security.