SPENCER COUNTY, Ky. — The Kentucky Board of Emergency Medical Services says the staffing crisis that hit local EMS agencies in 2024 has continued into 2025, with acute needs for EMTs and paramedics.

Officials said rural counties with limited tax bases are feeling the greatest strain compared with larger jurisdictions like Louisville. WHAS 11 reported Spencer County EMS Director Robert Klinglesmith called staffing a chronic challenge, citing competition from higher-paying departments and a wave of post-COVID retirements.

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In a county without a hospital, EMS is essential and the shortage of EMTs and paramedics has pushed Spencer County to seek new fixes. Klinglesmith said one effort partners with the high scho

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