This website is being reviewed for updates. Some information is offline. We apologize for any inconvenience.
Skip to main content
Rural Health Information Hub

Rural Health
Resources by Topic: Emergency medical services

Developing Regional STEMI Systems of Care: A Review of the Evidence and the Role of the Flex Program
Discusses the evidence base for the development of regional systems of care for patients presenting with ST-segment elevation myocardial infarction (STEMI). Places special emphasis on the role of Critical Access Hospitals (CAHs) and emergency medical services (EMS) providers, and is designed to act as a guide for State Flex Programs as they develop these local and regional systems of care.
Author(s): John A. Gale
Date: 10/2011
Sponsoring organization: Flex Monitoring Team
view details
Missouri 2010-2013 Rural Health Plan
Identifies and addresses 4 priority rural health issues in Missouri, including: access to affordable health care, transportation, emergency services, and lack of rural health workforce.
Date: 04/2011
Sponsoring organization: Missouri Office of Rural Health and Primary Care
view details
Preparedness and Response to a Rural Mass Casualty Incident: Workshop Summary
Discusses problems in contacting emergency medical services when incidents occur in rural areas, such as delayed assistance, limited or no cell phone service, limited access to land lines, no 911 service, transportation, lack of hospital resources, and distances between hospitals and incident sites.
Additional links: Read Online
Author(s): Kristin Viswanathan, Theresa Wizemann, Bruce Altevogt
Date: 2011
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
view details
A Novel Emergency Medical Services-Based Program to Identify and Assist Older Adults in a Rural Community
Describes a program using EMS providers to screen older adults for common geriatric syndromes and provide referrals to case managers and community resources.
Author(s): Manish N. Shah, Thomas V. Caprio, Peter Swanson, et al.
Citation: Journal of the American Geriatrics Society, 58(11), 2205-2211
Date: 11/2010
view details
State Flex Program EMS/Trauma Activities and Integration of Critical Access Hospitals into Trauma Systems
Examines State Flex Program trauma-related and emergency medical system (EMS) activities and the designation of Critical Access Hospitals (CAHs) as trauma centers. Includes data by state on CAH trauma center designation.
Additional links: Policy Brief
Author(s): Walter Gregg, Nicholas Jennings, Christopher Dickerson
Date: 03/2010
Sponsoring organization: Flex Monitoring Team
view details
Experiences of Critical Access Hospitals in the Provision of Emergency Medical Services
Examines the experiences of Critical Access Hospitals (CAHs) in operating an emergency medical services (EMS) unit. Findings are based on a rural ambulance service literature review and interviews with administrators and ambulance staff from five CAHs. Discusses the benefits and challenges that CAH providers face in operating EMS services.
Author(s): Janet P. Sutton, June Eichner
Date: 10/2008
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
view details
Challenges for Rural Emergency Medical Services: Medical Oversight
Examines the challenges faced by rural emergency medical service agencies in recruiting a medical director and providing medical direction for EMS personnel.
Author(s): Victoria Freeman, Rebecca Slifkin, Daniel Patterson
Date: 05/2008
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
view details
Rural-Urban Differences in Characteristics of Local EMS Agencies
Describes the characteristics of local rural EMS agencies and important ways that they differ from the characteristics of agencies located in urban areas.
Author(s): Victoria Freeman, Rebecca Slifkin, Daniel Patterson
Date: 05/2008
Sponsoring organization: North Carolina Rural Health Research Program
view details
Issues in Staffing Emergency Medical Services: A National Survey of Local Rural and Urban EMS Directors
Explores rural-urban differences in medical oversight and the recruitment and retention of emergency medical technicians and paramedics as reported by a survey of 1,425 local EMS directors.
Author(s): Victoria Freeman
Date: 05/2008
Sponsoring organization: North Carolina Rural Health Research Program
view details
State Initiatives Funded by the Medicare Rural Hospital Flexibility Grant Program
Explores activities funded by the Medicare Rural Hospital Flexibility Program (Flex Program) in the previous two years to strengthen the rural health care infrastructure. Discusses which activities were considered most successful by State Flex Coordinators.
Additional links: Policy Brief, December 2007
Author(s): John Gale, Jennifer Lenardson, Walt Gregg, et al.
Date: 10/2007
Sponsoring organization: Flex Monitoring Team
view details