Training rural ambulance officers in life-saving practical procedures

As some of these procedures can actually cause harm if used inappropriately, it is doubtful whether training in any procedure not demonstrated to improve survival rates should be provided. Where such training is provided, emphasis should be placed on continuing education, provision of two person crews, and communication between ambulance and medical staff to ensure adequate monitoring and medical supervision of the pre-hospital phase. Clearly, rural doctors have an important role in ensuring that local ambulance services meet the needs of their communities.