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"A lot of our volunteer EMTs, a lot of our volunteer fire department personnel, live in small rural communities, but they don necessarily work in that community," Skiles said.

to it is that it requires training, very specialized training, very unique training, and very intense training," Skiles said.

Rural communities rely on its members to take on that intense training in order to provide fast help.

the signs and symptoms and then being able to appropriately treat that heart attack victim," Skiles said.

Skiles will be starting an EMT training class August 2 at Training Solutions Institute of Southeast Tech. He seen a decline in the number of people enrolling, but he hoping the need, along with new training standards will encourage people to give it a shot.

"Sometimes the most important or the hardest thing is getting them to be committed to actually take a scheduled call," West said.

Skiles says the shortage of EMTs in rural areas isn necessarily because there a shortage of volunteers, but rather a shortage of availability.

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It not that people don want to do it but the bedroom type community makes it hard to find the time. But there may be a solution.

"I sure they need more volunteers to handle the day shift," Klingbile said.

"We have to be ready to respond," Skiles said.

"Every once in a while we do have somebody that does fall and to have the medical service close by is very important to us," Senior Center Employee Janice Boomgarden said.

"If we had to wait for someone from Sioux Falls to come we be waiting maybe 20 30 minutes," West said.

"We had our ups and downs with having EMTs," Lennox Volunteer EMT Sharla West said.

A Need For Rural EMTs

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services are staffed almost completely with volunteers. But, some are seeing a shortage, and some EMT training classes are seeing a decline as well.

Boomgarden and Klingbile are pleased with the fast response times and service they seen from their local medical emergency staff. But, they know it not always easy for them to keep volunteers handy.

West has been a volunteer EMT with the Lennox Ambulance Service for more than 15 years.

It currently operates with 15 community volunteers, a couple of paid staff, and one full time employee. Chad Skiles is that full time employee who is also a regional EMS trainer.

"We going more into why things happen. For example, why does a patient have a heart attack? Not just recognizing Nike Air Uptempo X Supreme

LENNOX, SD Nike Zoom Uptempo 5 Premium Having the volunteers to respond to medical emergencies is important in every community, but especially in rural areas.

"They came almost before you hang up the phone," Senior Center Employee Marie Klingbile said.

"Let get people in our community involved, let get them the training, let them volunteer, it such a rewarding thing for the community to do," Skiles said.