Many Tribal areas are rural with public safety services covering vast areas using limited resources. In addition, the remoteness of these locations requires individuals to make long commutes for employment, health services, education, and supplies. When a crash occurs in a remote Tribal area response times can be very long for police, emergency medical services, towing services, and fire and rescue crews. In addition, trauma centers can be a great distance away.

Training for officers in rural Tribal areas can be difficult to obtain. In some cases, enforcement officers do not have basic medical training and must wait with a victim until trained emergency medical personnel arrive. Training on basic roadway safety and efficient incident scene management techniques can also be needed.


  • Provide basic medical training for volunteer community members who can respond to emergencies. The Community Emergency Response Teams program and the American Red Cross training are two options.
  • Work with professional law enforcement associations that develop medical training and strategies such as the International Association of Chiefs of Police (IACP) Police Physicians Section.
  • Provide first responders with incident management training to ensure safety and efficient crash scenes.
  • Assess emergency notification, dispatch, communication, and response procedures to identify optimization needs.
  • Collect incident management performance measure data.
  • Address gaps in coverage for emergency communication systems.
  • Train law enforcement in basic medical response.
  • Ensure that EMS providers are using appropriately structured patient evaluations to provide the needed level and speed of care.
  • Assess and identify the need for landing sites for medical transport helicopters.
  • Install and maintain emergency notification call boxes.
  • Retain qualified staff at local health clinic
emergency response times graph
Comparison of EMS response times for Tribal areas and the rest of the USA in Fatal Crashes 2010-2014 from the Tribal Transportation Strategic Safety Plan


Community Emergency Response Team (CERT) Program
American Red Cross Training Link
IACP, Physicians Section Link
Using Data to Improve Traffic Incident Management Link
Traffic Incident Management Responder Training
U.S. Department of Homeland Security, Federal Law Enforcement Training Centers
 Federal Emergency Management Agency (FEMA) Tribal Contacts Link

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