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Rural Health
Resources by Topic: Emergency medical technicians and paramedics

Rural First Responder Access to Mental Health Care: A National Crisis
Explores mental health challenges experienced by first responders and increased risk of suicide. Describes barriers to accessing adequate mental healthcare within the scope of their employment, especially in rural areas where services remain limited and stigma may be associated with the need for assistance.
Author(s): Jeffrey Hintz, Carrie Hintz
Date: 10/2019
Type: Document
Sponsoring organization: Journal of Emergency Medical Services
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Traumatic Injury and Access to Care in Rural Areas: Leveraging Linked Data and Geographic Information Systems for Planning and Advocacy
Analyzes county-level data representing traumatic injury rates in rural Colorado. Discusses challenges to trauma care in rural areas, including distance to trauma centers, rates of injury, prevention resources, EMS response times, and limited EMS capacity. Includes county-level maps showing transportation time to trauma centers, mortality rates, and hospitalization rates for traumatic injury.
Author(s): Paula Yuma, Rebecca Orsi, Julie Dunn, et al.
Citation: Rural Remote Health, 19(3), 5089
Date: 09/2019
Type: Document
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Mobile Telehealth Units and Care Coordinators Improve Emergency Care Services for Rural Arizona Patients
Features an Arizona program focused on lowering ER readmissions through care coordination and EMS telehealth services. Explains how the telehealth services are provided via mobile telehealth units. Describes how care coordination helps meet the behavioral health needs of patients with chronic diseases.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 08/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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Mental Health Crisis in Colorado
Explores mental healthcare access in Colorado. News series from The Gazette details Colorado's mental healthcare system for youth, veterans, jails, and in rural areas, among other areas of disparity.
Date: 06/2019
Type: Document
Sponsoring organization: The Gazette
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Idaho Community Paramedic Toolkit
Toolkit providing step-by-step instructions on how to develop, operate, and evaluate a Community Paramedic program. Includes tools, resources, guidelines, and recommendations.
Author(s): Anne Montera, Christopher Montera, Pat Songer, Mikaela Greene
Date: 05/2019
Type: Document
Sponsoring organization: Idaho Department of Health and Welfare
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Making Informed Decisions about Rural EMS
Provides an overview of the Informed Self-Determination Process, which can help a rural community make an informed decision about the level of emergency medical services (EMS) response the community wants and will support. Highlights how this approach was used in St. George, Maine.
Author(s): Tami Lichtenberg
Citation: Rural Monitor
Date: 04/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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Perspectives From the Frontline of Two North American Community Paramedicine Programs: An Observational, Ethnographic Study
Discusses the motivations, job satisfaction, and challenges from the viewpoints of community paramedics and their managers in two independent programs in rural Ontario, Canada and Colorado, USA. Presents qualitative data derived through interviews, informal discussions, focus groups, and direct observation of practice.
Author(s): Angela C Martin, Peter O'Meara
Citation: Rural and Remote Health, 19(1), 4888
Date: 02/2019
Type: Document
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EMS Agenda 2050: A People-Centered Vision for the Future of Emergency Medical Services
Serves as an update to the 1996 EMS Agenda for the Future. Reports the vision of emergency medical services (EMS) of the future and describes 6 guiding principles to help EMS and communities create a more people-centered EMS system. Discusses challenges specific to rural communities, such as EMS workforce issues.
Additional links: Infographic
Date: 01/2019
Type: Document
Sponsoring organization: National Highway Traffic Safety Administration
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The Relationship Between Rural Setting and Health: Factors that Influence Individuals With or at Risk of CVD - A Summary of the Literature
Describes current literature on rural challenges and opportunities, including cardiovascular risk due to obesity, lack of access to healthcare, workforce shortages, importance of paramedics and community health workers, telehealth and broadband, and impact of the substance use disorder epidemic. Intended to help stakeholders understand the causes of health disparities and to support action to improve the health of rural communities.
Date: 2019
Type: Document
Sponsoring organization: American Heart Association
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Trauma Training Initiative Teaches Rural Laypeople How to "Stop the Bleed"
Features the Stop the Bleed initiative, which trains community members to help control blood loss while waiting for medical help. Highlights training provided in rural North Dakota and Nebraska.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 10/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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