We also live in a small community-less that 4,000.  My daughter is registered through the county program that regulates all the EMS’s in this area.  That means her name, diagnosis (we use adrenal insufficiency) and need for injection is available for the local ambulances if there is a 911 call for my daughter.  We have provided the solu-cortef for our two ambulances in our town.  This way there will be a volunteer who is allowed to inject who would respond to the call.  We have very dedicated volunteers and I have spoken to them personally.  We have not had to test the system yet, because I have always been available-but they had the injection ready if I had not been there to give it before the truck arrived at the house (I did have to call once this year).  We even had a meeting with all the volunteers the first time we contacted them and the volunteers recieved an in-service about her condition-they let her tour an ambulance (she wa 3 at the time) and they gave her a little teddy bear.  Our daughter is 9 now, and even the school nurse has not had to inject her-I have always been able to get to her first-but if I couldn’t we are as prepared as possible.