Rural Health
Resources by Topic: Emergency medical services
Evaluation of Rural vs Urban Trauma Patients Served by 9-1-1 Emergency Medical Services
Evaluates differences in rural and urban emergency medical services (EMS) using injury severity, care process, and mortality among injured patients based on data from rural and urban Oregon and Washington. Addresses distance to trauma centers, EMS structures, timing of death, and other factors.
Author(s): Craig D. Newgard, Rongwei Fu, Eileen Bulger, et al.
Citation: JAMA Surgery, 152(1), 11-18
Date: 01/2017
Type: Document
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Evaluates differences in rural and urban emergency medical services (EMS) using injury severity, care process, and mortality among injured patients based on data from rural and urban Oregon and Washington. Addresses distance to trauma centers, EMS structures, timing of death, and other factors.
Author(s): Craig D. Newgard, Rongwei Fu, Eileen Bulger, et al.
Citation: JAMA Surgery, 152(1), 11-18
Date: 01/2017
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: Trauma Surgery and Acute Care Open, 2(1)
Date: 2017
Type: Document
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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: Trauma Surgery and Acute Care Open, 2(1)
Date: 2017
Type: Document
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Rural Risk: Geographic Disparities in Trauma Mortality
Examines injury mortality between rural and urban residents with traumatic injuries using data from the 2009 to 2010 Nationwide Emergency Department Sample study. Includes rural and urban statistics by age group, mortality, trauma designation, census region, and other variables.
Author(s): Molly P. Jarman, Renan C. Castillo, Anthony R. Carlini, Lisa M. Kodadek, Adil H. Haider
Citation: Surgery, 160(6), 1551-1559
Date: 12/2016
Type: Document
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Examines injury mortality between rural and urban residents with traumatic injuries using data from the 2009 to 2010 Nationwide Emergency Department Sample study. Includes rural and urban statistics by age group, mortality, trauma designation, census region, and other variables.
Author(s): Molly P. Jarman, Renan C. Castillo, Anthony R. Carlini, Lisa M. Kodadek, Adil H. Haider
Citation: Surgery, 160(6), 1551-1559
Date: 12/2016
Type: Document
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Community Paramedic Toolkit
Toolkit for ambulance services, hospitals, and others considering the development or expansion of a community paramedicine program in Minnesota. Includes program planning, education and training, financing, and models of care, among other discussions.
Date: 12/2016
Type: Document
Sponsoring organization: Minnesota Department of Health - Office of Rural Health and Primary Care
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Toolkit for ambulance services, hospitals, and others considering the development or expansion of a community paramedicine program in Minnesota. Includes program planning, education and training, financing, and models of care, among other discussions.
Date: 12/2016
Type: Document
Sponsoring organization: Minnesota Department of Health - Office of Rural Health and Primary Care
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Innovations in Rural Health System Development: Service Delivery Advances in Care Coordination, Emergency Care, and Telehealth
Offers examples of emergency services, telehealth technology, and care coordination initiatives with a focus on Maine, and how they impact rural service delivery and safeguard rural access to critical health services.
Author(s): Amanda Burgess, Andrew Coburn
Date: 10/2016
Type: Document
Sponsoring organizations: Maine Health Access Foundation, Maine Rural Health Research Center
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Offers examples of emergency services, telehealth technology, and care coordination initiatives with a focus on Maine, and how they impact rural service delivery and safeguard rural access to critical health services.
Author(s): Amanda Burgess, Andrew Coburn
Date: 10/2016
Type: Document
Sponsoring organizations: Maine Health Access Foundation, Maine Rural Health Research Center
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Adequacy of EMS Systems of Care Protocols for Adults with OHCA, STEMI & Stroke in Oregon: A Structured Review
Examines the emergency medical services (EMS) treatment protocols practiced in ambulance agencies in Oregon. Focuses on how they align with evidence-based practices for EMS treatment for adult patients with out-of-hospital cardiac arrest (OHCA), STEMI (ST Elevation Myocardial Infarction), and stroke. Includes rural/urban comparisons.
Additional links: Executive Report
Author(s): Paul S. Rostykus
Date: 10/2016
Type: Document
Sponsoring organization: Oregon Office of Rural Health
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Examines the emergency medical services (EMS) treatment protocols practiced in ambulance agencies in Oregon. Focuses on how they align with evidence-based practices for EMS treatment for adult patients with out-of-hospital cardiac arrest (OHCA), STEMI (ST Elevation Myocardial Infarction), and stroke. Includes rural/urban comparisons.
Additional links: Executive Report
Author(s): Paul S. Rostykus
Date: 10/2016
Type: Document
Sponsoring organization: Oregon Office of Rural Health
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EMS Leaders Speak
Five experts discuss emergency medical services in a changing rural healthcare delivery system. Topics addressed include EMS challenges and potential opportunities, such as community paramedicine and telehealth.
Author(s): Kevin McGinnis, Diane Calmus, Don Wood, Tom Nehring, Gary Wingrove
Citation: Rural Monitor
Date: 09/2016
Type: Document
Sponsoring organization: Rural Health Information Hub
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Five experts discuss emergency medical services in a changing rural healthcare delivery system. Topics addressed include EMS challenges and potential opportunities, such as community paramedicine and telehealth.
Author(s): Kevin McGinnis, Diane Calmus, Don Wood, Tom Nehring, Gary Wingrove
Citation: Rural Monitor
Date: 09/2016
Type: Document
Sponsoring organization: Rural Health Information Hub
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Emergency Transport of Stroke Suspects in a Rural State: Opportunities for Improvement
Examines transport time and destinations for stroke suspects in Arkansas. Focuses on transportation to facilities that commonly provide acute stroke therapy and offers recommendations for emergency medical service agencies.
Author(s): Aliza T. Brown, Feifei Wei, William C. Culp, et al.
Citation: American Journal of Emergency Medicine, 34(8), 1640-1644
Date: 08/2016
Type: Document
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Examines transport time and destinations for stroke suspects in Arkansas. Focuses on transportation to facilities that commonly provide acute stroke therapy and offers recommendations for emergency medical service agencies.
Author(s): Aliza T. Brown, Feifei Wei, William C. Culp, et al.
Citation: American Journal of Emergency Medicine, 34(8), 1640-1644
Date: 08/2016
Type: Document
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Alternative Models to Preserving Access to Emergency Care
Explores proposals for maintaining timely access to emergency and other basic healthcare services in rural communities that may not be able to support a full-service hospital, including frontier extended stay clinics and free-standing emergency departments. Identifies models of care and various ideologies for the Secretary and the Department of Health and Human Services to consider when evaluating policy options.
Date: 07/2016
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Explores proposals for maintaining timely access to emergency and other basic healthcare services in rural communities that may not be able to support a full-service hospital, including frontier extended stay clinics and free-standing emergency departments. Identifies models of care and various ideologies for the Secretary and the Department of Health and Human Services to consider when evaluating policy options.
Date: 07/2016
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Impact of a Rural Regional Myocardial Infarction System of Care in Wyoming
Study of time-to-treatment for patients experiencing ST-segment elevation myocardial infarction heart attacks in Wyoming, a rural, frontier state. Examines data from 11 hospitals capable of providing primary percutaneous coronary intervention (PCI), 4 of which are in Wyoming and 7 in surrounding states, looking at rates of PCI and other treatment strategies. Discusses cooperation between hospitals and emergency medical services and implications for statewide efforts in rural areas.
Author(s): James R. Langabeer II, Derek T. Smith, Marylou Cardenas-Turanzas, et al.
Citation: Journal of the American Heart Association, 5(5), e003392
Date: 05/2016
Type: Document
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Study of time-to-treatment for patients experiencing ST-segment elevation myocardial infarction heart attacks in Wyoming, a rural, frontier state. Examines data from 11 hospitals capable of providing primary percutaneous coronary intervention (PCI), 4 of which are in Wyoming and 7 in surrounding states, looking at rates of PCI and other treatment strategies. Discusses cooperation between hospitals and emergency medical services and implications for statewide efforts in rural areas.
Author(s): James R. Langabeer II, Derek T. Smith, Marylou Cardenas-Turanzas, et al.
Citation: Journal of the American Heart Association, 5(5), e003392
Date: 05/2016
Type: Document
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