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Lack of change, not increased training, is causing volunteer shortage

Consolidating services, hiring paid staff, and evolving the existing system are necessary changes to ensure the public remains protected

A recent article that blames a lack of volunteers on expanded EMT training really shows the level of complexity that comes with using volunteers to respond to EMS service calls.

While an increase from 120 hours to 170 hours for hazmat and weapons of mass destruction training might be a contributing cause to the scarcity of volunteers, I doubt that it’s the driving force.

News flash, folks: EMS has changed.

What used to be a few runs a year managed by well-staffed volunteer departments, have steadily evolved into complex systems of care with community expectations to respond in a timely manner, and provide care under a uniform standard.

Simultaneously, we live in a society where two-income families who are commuting long distances are the norm. These two forces have been working in tandem for at least the past 20 years to drain the volunteer pool.

New York State has tried a variety of initiatives to attract volunteers over the decades, but none have halted, or even slowed the loss of EMS staffing. It’s evident that at least some of the areas of the state are responding to the crisis by consolidating services, hiring paid staff, and otherwise evolving their systems to respond to environmental changes.

Unfortunately, those who fear change will continue to weigh heavily on any progress being made. The state’s political leadership will likely need to make some unpopular decisions to ensure that the public remains protected.

After all, isn’t that one of the main purposes of government?

Art Hsieh, MA, NRP teaches in Northern California at the Public Safety Training Center, Santa Rosa Junior College in the Emergency Care Program. An EMS provider since 1982, Art has served as a line medic, supervisor and chief officer in the private, third service and fire-based EMS. He has directed both primary and EMS continuing education programs. Art is a textbook writer, author of “EMT Exam for Dummies,” has presented at conferences nationwide and continues to provide direct patient care regularly. Art is a member of the EMS1 Editorial Advisory Board.