Cheshire EMS Training Program’s goal is to raise level of clinical competence of Cheshire EMS personnel so that they excel in their scope of practice, improve the quality of patient care, and ensure public safety. Objectives include (1) Create a Cheshire EMS training program and offer at least 60 hours of training; (2) Recruit and provide initial EMR or EMT training to at least 6 employees of large businesses; (3) Provide initial EMS training to firefighters; and (4) Purchase equipment and supplies, including Naloxone. The population of focus is the 378 EMS personnel currently actively practicing EMS in Cheshire County. This project aims to serve at least 56 personnel (40 current Cheshire EMS personnel, plus 16 new EMR/EMT/AEMT) annually and over the lifetime of the project; however the training opportunities will be open to all EMS serving Cheshire County, including emergency medical responders, emergency medical technicians, advanced emergency medical technicians, and paramedics from 28 agencies. This EMS training project will benefit all 76,458 residents, as well as those who work in and visit the region.