08/27/2026
EMS is evolving. The days of a transport-only model are going by the wayside. Thank you to JEMS - Emergency Medical Services for highlighting one of Shelburne Rescue’s initiatives to meet patients where they are and bring lifesaving care directly to the people who need it.
A Prehospital Buprenorphine Program in a Small Rural-Suburban EMS Agency: https://ow.ly/xY3950ZFR8o
Opioid-related mortalities increased substantially with a marked escalation beginning in 2013 and further exacerbation during the COVID-19 pandemic. Recent data found a modest decline in opioid-related deaths, which is likely attributable to targeted public health interventions emphasizing harm reduction and improved access to medication for opioid use disorder treatment.
Emergency medical services (EMS) have assumed an increasingly critical role in addressing this crisis. In 2024, the State of Vermont launched an innovative pilot program, Prehospital Vermont Buprenorphine Treatment (PREVENT), designed to expand prehospital interventions for the management of acute opioid withdrawal.
This case study examines the implementation, successes, and challenges of PREVENT within a small municipal EMS agency serving a rural–suburban population of approximately 8,126 residents with an annual call volume of 1,800+ calls.