“Most people expect an ambulance to arrive quickly when they call for help. But Wyoming’s EMS system isn’t funded like an essential service, and a critical failure can cost lives.” Madelyn Beck examines the dire situation of Wyoming’s ambulance services, which are facing significant financial and operational challenges due to inadequate funding. In many rural…

The Wilderness Medical Team, a specialized unit within Wyoming Regional EMS (WREMS), is making significant strides in enhancing backcountry rescue operations through rigorous training, strategic partnerships, and innovative medical practices. The Campbell County Health article highlights how the team members are trained in wilderness medical care and maintain physical fitness to handle challenging environments. They collaborate…

Origins of Good Samaritan Laws Good Samaritan laws are designed to protect individuals who provide reasonable assistance to those who are injured, ill, or otherwise incapacitated.  The concept originates from the biblical Parable of the Good Samaritan, which tells the story of a man who helps a stranger in need.  In modern legal contexts, Good…

Origins of COBRA The Consolidated Omnibus Budget Reconciliation Act (COBRA) was enacted in 1985 as a federal law in the United States.  While COBRA encompasses a wide range of provisions, it is primarily known for allowing employees and their families to temporarily continue their health insurance coverage after losing their job or experiencing another qualifying…

Origins of EMTALA The Emergency Medical Treatment and Labor Act (EMTALA) was enacted by the U.S. Congress in 1986 as part of the Consolidated Omnibus Budget Reconciliation Act (COBRA). EMTALA was established in response to growing concerns about “patient dumping,” a practice where hospitals denied emergency medical treatment or transferred patients without insurance or adequate…

The Health Insurance Portability and Accountability Act (HIPAA) was enacted by the U.S. Congress in 1996. Its primary goal was to improve the portability and continuity of health insurance coverage for individuals changing or losing their jobs.  Over time, HIPAA evolved to address the need for standards in protecting sensitive patient health information, particularly as…

In addition to the foundational ethical principles that guide EMS providers in delivering patient care, there are several other key ethical concepts that are equally important in the practice of prehospital medicine.  These concepts focus on ensuring fairness, respect, honesty, integrity, and advocacy in all interactions with patients.  EMS providers frequently encounter diverse populations and…

Ethics play a crucial role in the field of Emergency Medical Services (EMS), where decisions must often be made quickly and under pressure.  As prehospital care responders, EMS providers are frequently faced with challenging situations that require a strong understanding of ethical principles to ensure that patient care is delivered effectively and compassionately.  Ethics in…