Emergency Medical Services (EMS) providers are on the frontlines of the opioid response. This study explored the EMS training needs in Baltimore County, Maryland. An online survey conducted between January-June 2021 assessed knowledge, attitudes, awareness, and self-efficacy to use opioid overdose prevention strategies; burnout, compassion fatigue, stress, and wellness; and training needs among EMS providers (N = 256). Participants reported positive attitudes toward the use of opioid treatment guidelines and confidence in their ability to use the guidelines. They indicated positive attitudes toward harm reduction, but less favorable attitudes toward opioid use disorder (OUD). Although the participants understood the role of a peer recovery specialist moderately well, they were not fully comfortable with making a referral. They reported relatively low levels of burnout and compassion fatigue and good wellness practices, but indicated a moderate level of stress associated with COVID-19. Perceived training needs included: lifetime fitness and wellness, trauma-informed care, stigma awareness, stages of change, and harm reduction. Offering these trainings and enhancing EMS providers’ comfort to make referrals to peer recovery support services may strengthen the referral systems and connect overdose survivors to a continuum of care.

紧急医疗服务 (EMS) 提供者处于阿片类药物应对的最前线。本研究探讨了马里兰州巴尔的摩县的 EMS 培训需求。2021 年 1 月至 6 月期间进行的一项在线调查评估了使用阿片类药物过量预防策略的知识、态度、意识和自我效能；倦怠、同情疲劳、压力和健康；EMS 提供者的培训需求 (N = 256)。参与者对使用阿片类药物治疗指南持积极态度，并对自己使用这些指南的能力充满信心。他们对减少伤害表示积极态度，但对阿片类药物使用障碍 (OUD) 持不太积极的态度。尽管参与者对同伴康复专家的角色有一定的了解，但他们对进行转介并不完全放心。他们报告称，倦怠和同情疲劳水平相对较低，并且有良好的健康习惯，但表明与 COVID-19 相关的压力处于中等水平。感知的培训需求包括：终生健身和健康、创伤知情护理、耻辱意识、改变阶段和减少伤害。提供这些培训并提高 EMS 提供者转介同伴康复支持服务的舒适度，可能会加强转介系统，并将服药过量幸存者与持续护理联系起来。