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Rural Emergency Medical Services (EMS) and Trauma – Resources

Selected recent or important resources focusing on Rural Emergency Medical Services (EMS) and Trauma.

Air Ambulance Use and Surprise Billing
Provides an overview of air ambulance services, including the types and number of air ambulance providers and suppliers, utilization rates by patients, average costs, and the potential for balance billing for air ambulance transport. Summarizes key policies and legislation related to air ambulances, including the No Surprises Act. Presents data on air ambulance utilization by rurality between 2014-2018.
Author(s): Gina Turrini, Joel Ruhter, Andre R. Chappel, Nancy De Lew
Date: 09/2021
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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The EMS Compact
Information on the agreement enabling emergency medical service (EMS) personnel licensed in Compact member states to cross state borders to practice and work in other Compact states without getting an EMS license in the remote state. Describes ways in which this agreement may enhance communities' responses to COVID-19 when local resources are reduced. Includes a map showing locations of EMS Compact states and contact information for each member state's Compact Commissioner.
Date: 09/2021
Type: Website
Sponsoring organization: Interstate Commission for EMS Personnel Practice
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Traffic Safety Facts 2019
Presents rural and urban fatal crash data and reports average emergency medical service response times at the state level. Includes rural fatal crash data by roadway function, crash type, speed limit, and vehicle occupants killed.
Date: 08/2021
Type: Document
Sponsoring organization: National Highway Traffic Safety Administration
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American College of Emergency Physicians: COVID-19
Information to assist with patient care during the response to COVID-19. Addresses clinical assessment and management, testing, emergency department issues, EMS issues, and more.
Date: 08/2021
Type: Website
Sponsoring organization: American College of Emergency Physicians
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Rural Healthcare Surge Readiness
Up-to-date and critical resources for rural healthcare systems preparing for and responding to a COVID-19 surge. Includes resources for emergency medical services, inpatient and hospital care, ambulatory care, and long-term care settings. Addresses a wide range of topics including healthcare operations, space, supplies, funding, and more.
Date: 07/2021
Type: Website
Sponsoring organization: COVID-19 Healthcare Resilience Working Group
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Arizona READI
Discusses the Arizona Rural EMS Advanced Telemedicine Demonstration Initiative (AzREADI) program, which uses telemedicine to support rural emergency services by connecting EMS with physicians during service calls. Discusses challenges of providing EMS services in rural Arizona.
Date: 05/2021
Type: Video/Multimedia
Sponsoring organization: Arizona Public Media
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Evaluation of the 2020 Pediatric Emergency Physician Workforce in the US
Results of a study of 2,403 self-identified pediatric emergency physicians (EPs), examining their characteristics and their practice locations. Features a county-level map showing pediatric EP density per 100,000 population, and statistics with breakdowns by age, sex, U.S. census division, training specialty area, board certification, and urban, large rural, or small rural location.
Author(s): Christopher L. Bennett, Janice A. Espinola, Ashley F. Sullivan, et al.
Citation: JAMA Network Open, 4(5)
Date: 05/2021
Type: Document
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Emergency Medical Services Personnel as Vaccinators: Status by State
Information from all states, the District of Columbia, Guam, and American Samoa, showing scope of practice by level of licensure for paramedics, advanced-emergency medical technicians, emergency medical technicians, emergency medical responders, and other intermediate levels. Features maps with shadings showing whether vaccination administration is always allowed, currently or temporarily allowed, never allowed, or under consideration for administrative or executive action. Information is current as of March 4, 2021.
Date: 03/2021
Type: Document
Sponsoring organization: National Association of State EMS Officials
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COVID-19 Resources for EMS
Resources to help emergency medical services (EMS) personnel appropriately and safely serve communities during the COVID-19 pandemic. Addresses EMS workforce protection, vaccination, patient care, crisis planning, and more.
Date: 03/2021
Type: Website
Sponsoring organizations: National Highway Traffic Safety Administration, NHTSA Office of EMS
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Rural EMS Workforce: A Call to Action
Policy brief discussing rural emergency medical services (EMS) systems. Highlights challenges facing the rural EMS workforce, including the costs of training and reimbursement concerns. Outlines policy recommendations to strengthen rural EMS systems.
Author(s): Christopher McLaughlin, Olivia Riutta, Jonnathan Busko
Date: 02/2021
Type: Document
Sponsoring organization: National Rural Health Association
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Last Updated: 9/13/2021