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flag U.S. EMS grappled with staffing and safety issues in 2025, despite policy wins and innovations.

flag In late 2025, U.S. emergency medical services faced ongoing challenges including staffing shortages, rising costs, and safety concerns, while also seeing key policy wins like the Social Security Fairness Act and the EMS Counts Act. flag High-profile incidents, such as disciplinary actions against EMTs and a paramedic charged in a restraint-related death, drew national attention. flag Operational innovations included nurse-paramedic units in California and a new $500 lift assist fee in Illinois. flag The American Heart Association released updated CPR guidelines, and a Pennsylvania study called for regional EMS cooperation. flag Notable events included a deadly nursing home explosion, a joint training exercise using a gymnastics foam pit, and the launch of the Xtension Pro Neonatal system as a top innovation. flag First responders also engaged in community outreach and reflected on resilience amid holiday demands.

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