Farming isn't that big of an industry in the Appalachian Region any more. A lot more likely to have common calls, the only true difference is time and distance between equipment and the scene. Like in a city, in the country, you can't train for everything. There will always be calls that you have to apply skills learned through education, with ideas you dream up on a whim. Your best tool, is your mind. You need to be able to think fast, lead, and know how to improvise. Also; farm accidents. You need other farmers. Barn fires, esp. in fresh hay season, you can be on scene for a day or two. They have a lot of really nasty shit in there, that can kill you very quickly.
We stock heavier on items like rope, climbing gear, heavy duty jacks, rescue baskets, medical kits made specifically for wilderness EMS, the ability to run several rescue tools at once. We have so much on our rescue, that we need to bring a trailer along just to get everything to the scene. Typical rural accident; two cars, or trucks, bunch of kids, unrestrained; dirt road, going fast, betting on a sharp curve that nobody else is coming.. and losing the bet. You see more Rescue mixed in with EMS. Cross training is key, basically, so someone is able to provide initial care, quickly. There are a lot of special pieces of equipment for emergencies off the beaten path; ATV's that can transport like a small ambulance, etc. We have members that own dogs for K-9 SAR; and Search and Rescue itself is broken down into specialties. In fact, we have several people that ONLY do SAR, because they spent a lot of time learning how to do it right. Uninformed, poorly trained rescuers; and poorly planned SAR operations delay rescue and endanger lives.
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