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Rural Health
Resources by Topic: Emergency medical services

Survey of Pennsylvania Emergency Medical Services Agencies
Results of a December 2021 survey of 389 directors of urban, rural, and mixed Pennsylvania emergency medical services agencies. Features statistics on topics including staffing, finances, changes in providers, recruitment and retention, and strategic planning, with breakdowns by rural and urban/mixed classifications.
Date: 07/2022
Type: Document
Sponsoring organization: Center for Rural Pennsylvania
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UVM CORA Community Rounds: Strategies for Distributing Naloxone to Rural Communities
Webinar recording discusses rural opioid overdoses and methods for distributing naloxone to prevent overdoses. Explores the use of data, technology, and working with emergency services partners to deliver naloxone to people at risk of overdosing, among other factors.
Additional links: Webinar Slides
Author(s): Geoff Capraro, Brooke A. Lawrence
Date: 07/2022
Type: Video/Multimedia
Sponsoring organization: University of Vermont Center on Rural Addiction
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Strategies for Enhancing Prehospital Outcomes for Cardiac Arrest (EPOC)
Analyzes results of the National Heart, Lung, and Blood Institute–funded Enhancing Prehospital Outcomes for Cardiac Arrest (EPOC) study, which lays the foundation for future quality improvement efforts in out-of-hospital cardiac arrest (OHCA). Identifies 49 strategies across the incident, stakeholder, and system levels to improve pre-hospital OHCA survival and care delivery. Includes rural references and considerations throughout.
Author(s): Mahshid Abir, Stephen R. Dowker, Wilson Nham, et al.
Date: 07/2022
Type: Document
Sponsoring organization: RAND Corporation
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Prehospital Emergency Medical Services Personnel: Comparing Rural and Urban Professional Experience and Provision of Evidence-Based Care
Describes the relationship between prehospital emergency medical services (EMS) providers' levels of experience and provision of evidence-based care for rural and urban populations. Features statistics on EMS agency sample characteristics and evidenced-based care for seizure, stroke, hypoglycemia, and trauma as of 2018, with breakdowns by urban, large rural, small rural, and isolated rural locations.
Author(s): Davis G. Patterson, Nikiah G. Nudell, Lisa A. Garberson, C. Holly A. Andrilla
Date: 05/2022
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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Year Two Evaluation of the Flex EMS Supplemental Funding Projects: Building an Evidence Base Through Outcome Measurement Not Shown
Examines the outcome management strategies of four of the Flex Program's Emergency Medical Services (EMS) Supplemental funding grant recipients. Describes the outcome measures selected, the timing of those measures, and data sources used to support their outcome measures. Identifies strengths and challenges to the outcome management strategies and offers recommendations to refine these strategies.
Author(s): John Gale, Karen Pearson, Sara Kahn-Troster
Date: 04/2022
Type: Document
Sponsoring organization: Flex Monitoring Team
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The Association of Crash Response Times and Deaths at the Crash Scene: A Cross-Sectional Analysis Using the 2019 National Emergency Medical Service Information System
Compares EMS response times with rates of crash scene deaths by rural and urban region and by rush and non-rush hour periods. Breaks down the demographic characteristics of the people involved in the crash, such as age, sex, substances involved, and injuries, as well as mortality and rurality, among other measures.
Author(s): Oluwaseun J. Adeyemi, Rajib Paul, Charles DiMaggio, et al.
Citation: Journal of Rural Health
Date: 04/2022
Type: Document
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Rural Emergency Hospital Conversion: Critical Factors for EMS Support
Policy position paper focused on emergency medical services (EMS) in communities with hospitals converting to Rural Emergency Hospital (REH) status. Outlines barriers to EMS delivery in rural areas including funding, workforce, and community engagement and support. Includes policy recommendations.
Author(s): Julie Bosak, Jed Hansen
Date: 02/2022
Type: Document
Sponsoring organization: National Rural Health Association
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How Actual Practice of Emergency Medical Services Personnel Aligns with the Recommended National Scope of Practice in Rural Versus Urban Areas of the U.S.
Results of a study examining the extent to which EMS professionals perform skills that correspond to their credential levels, and determining whether there are variations in adherence to guidelines between agencies serving rural or urban populations and agencies with unpaid versus paid staffing models. Examines credentials for emergency medical responders, emergency medical technicians (EMTs), advanced EMTs, and paramedics, and uses data from EMS encounters in 2018 from 1,056 EMS agencies nationally. Features statistics on various procedures and predictors of performing a procedure within the scope of practice model, with breakdowns by 4 levels of population density.
Author(s): Davis G. Patterson, Benjamin A. Stubbs, Nikiah G. Nudell
Date: 02/2022
Type: Document
Sponsoring organization: Center for Health Workforce Studies
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Public-Safety Broadband Network: Congressional Action Required to Ensure Network Continuity
Provides an overview of the implementation progress of the First Responder Network Authority (FirstNet) public-safety broadband network, including network coverage in rural and non-rural areas as of March 2021. Reviews FirstNet's statutory requirements and contract responsibilities Congress should consider before FirstNet's authority sunsets in 2027. Explores options to oversee and manage the network when this authority sunsets, as well as the associated operational implications and potential costs.
Additional links: Full Report
Date: 02/2022
Type: Document
Sponsoring organization: Government Accountability Office
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Maine Baseline Needs Assessment: First Responders
Report highlights a the results of a baseline needs assessment identifying substance use disorder (SUD) treatment needs and barriers for rural first responders in Maine. Breaks down data by county, substances used, and rural versus non-rural areas.
Date: 02/2022
Type: Document
Sponsoring organization: University of Vermont Center on Rural Addiction
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