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Rural Health
Resources by Topic: Emergency medical services

Hospitals and Health Systems Ensuring Access in Their Communities: A Compendium of Case Examples
Identifies 9 primary strategies used by hospitals to increase access to healthcare services in rural and urban areas and offers examples of each. Covers virtual care options such as telehealth, emergency and urgent care models such as freestanding emergency departments (EDs), rural hospital networks, partnerships with Indian Health Service providers, and strategies to address social determinants of health.
Date: 02/2018
Type: Document
Sponsoring organization: American Hospital Association
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Recruitment and Retention: Overcoming the Rural EMS Dilemma
Reports on rural emergency medical services (EMS) workforce challenges and identifies innovative approaches to meet these challenges, highlighting programs in several states. Includes a list of 4 EMS recruitment and retention tactics for rural communities.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 02/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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Promising Practice: Wisconsin Office of Rural Health Rallies EMS Providers in the State
Describes how EMS Day at the Wisconsin capitol brought 50 local EMS agencies and two state EMS associations together to meet with state legislators and advocate for their support and recognition of their needs. This event developed out of an effort by the Wisconsin Office of Rural Health (WI-ORH) to design and implement an assessment tool evaluating rural ambulance services within the state.
Author(s): Beth Blevins
Date: 01/2018
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
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EMS Response to Multiple Casualty Incidents: A Description of the EMS Responses to Multiple Casualty Incidents in Minnesota, 2014 - 2016
Analyzes emergency medical services (EMS) data to describe multiple casualty incidents in Minnesota from 2014 through 2016. Includes data on multiple casualty by age, race, gender, rural versus urban areas, provider first impression, and more. Compares response time benchmarks for rural and urban incidents. Offers data describing rural EMS staffing challenges.
Date: 2018
Type: Document
Sponsoring organization: Minnesota Department of Health Statewide Trauma System
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Traffic Safety Facts 2016
Presents rural and urban fatal crash data and reports average emergency medical service (EMS) response times at the state-level. Includes rural fatal crash data by roadway function, crash type, speed limit, and more.
Date: 2018
Type: Document
Sponsoring organization: National Highway Traffic Safety Administration
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State Flex Program Rural Emergency Medical Services Assessment Strategies
Policy brief describing the emergency medical service (EMS) assessment projects and tools implemented by five State Flex Programs in Arizona, California, Minnesota, Nebraska, and Wisconsin to improve the integration of EMS into rural systems of care. Identifies differences in EMS focused State Flex activities and collaborations to improve local and regional EMS capacity and performance.
Author(s): Karen Pearson, John Gale, Sara Kahn-Troster, Andrew Coburn
Date: 11/2017
Type: Document
Sponsoring organization: Flex Monitoring Team
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Emergency Medical Services Response Times in Rural, Suburban, and Urban Areas
Analyzes 2015 emergency medical services (EMS) data from 485 EMS agencies across the U.S. to describe the time period between a 9-1-1 call and EMS arrival, or response time. Includes EMS response time data for rural, suburban, and urban zip codes.
Author(s): Howard K. Mell, Shannon N. Mumma, Brian Hiestand, et al.
Citation: JAMA Surgery, 150(10), 983-984
Date: 10/2017
Type: Document
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Antifibrinolytics in a Rural Trauma State: Assessing the Opportunities
Retrospective review evaluating the use of tranexamic acid (TXA) at a level 1 trauma center located in a rural area as a treatment to improve mortality and prevent hemorrhagic death in trauma patients. Documents the number of rural trauma patients who met the criteria for receiving TXA treatment, and determines if patients experiencing longer transport times and/or transfers from other hospitals such as Critical Access Hospitals (CAHs) would be regarded as ineligible for effective TXA treatment.
Author(s): James M Bardes, Amanda Palmer, Jorge Con, Alison Wilson, Gregory Schaefer
Citation: Journal of Trauma and Acute Care Surgery, 2(1)
Date: 10/2017
Type: Document
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FirstNet: Efforts to Establish the Public-Safety Broadband Network
Testimony describing the First Responder Network Authority's (FirstNet) efforts as it works to establish a reliable, secure, and interoperable national public-safety broadband network. Includes a discussion on the challenges associated with providing coverage in rural areas, and addresses concerns about inadequate communication with tribal stakeholders.
Additional links: Full Report
Date: 10/2017
Type: Document
Sponsoring organization: Government Accountability Office
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Ambulance Services for Medicare Beneficiaries: State Differences in Usage, 2012-2014
Policy brief analyzing how ambulance use varies among U.S. communities. Features state-level statistics including number of Medicare patients transported by ambulance, miles transported, and number of days ambulance transport was used per patient. Compares mean characteristics of states by census division, including percentage of population living in rural areas.
Author(s): SuZanne Troske, Alison Davis
Date: 10/2017
Type: Document
Sponsoring organization: Rural & Underserved Health Research Center
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