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This community paramedicine program provided by the Terlingua Fire and EMS (TFEMS) allows community paramedics to bridge the gap in hopes of reducing the frequency of visits to clinics or emergency rooms. This type of program is easily designed to fit the needs of the community it serves in order to improve access to healthcare and prevent patients from making a 911 call for a patient or visiting the local ER which is more than an hour away for residents in the national park, Study Butte, Terlingua, and Lajitas. According to Susan Martin, there are many communities across the state both rural and urban that are offering these types of programs with great success.