The Shinglehouse Volunteer Fire Department and Ambulance Association hosted a conversation with state EMS leaders this week to discuss the many challenges facing emergency medical services in rural areas, such as rising costs, regulatory burdens, staffing shortages and increased demand for services. Pictured from left are Anthony Martin, director of the state’s Bureau of EMS within the Department of Health; Shinglehouse EMS Captain Amber Salada; Rep. Martin Causer  (R-Cameron/McKean/Potter); and EMS West Executive Director Brian Shaw.