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Rural Health
Resources by Topic: Emergency medical services

Secondary Overtriage in a Statewide Rural Trauma System
Analyzes secondary overtriage in West Virginia hospitals to determine the efficiency of a statewide rural trauma system. Table 1 details non-transfer and transfer patient characteristics and table 5 details factors linked with secondary overtriage.
Author(s): Jorge Con, Dustin Long, Emily Sasala, et al.
Citation: Journal of Surgical Research, 198(2), 462-467
Date: 10/2015
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Prehospital Emergency Medical Services Personnel in Rural Areas: Results from a Survey in Nine States
Results of a 2008 Centers for Disease Control survey comparing patterns of supply and demand in rural and urban areas for prehospital emergency response personnel and examining involvement of medical directors and availability of medical consultation. Includes statistics on organizations, personnel, and types of medical emergencies, with breakdowns by four population density categories.
Author(s): Davis G. Patterson, Susan M. Skillman, Meredith A. Fordyce
Date: 08/2015
Sponsoring organization: WWAMI Rural Health Research Center
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Rural Healthy People 2020: A Companion Document to Healthy People 2020, Volume 1
Provides a rural focus for the Healthy People 2020 priorities. Includes overviews of the top 10 rural health priority areas identified by rural stakeholders. (Volume 2 discusses priorities 11-20.) Topics addressed include: health insurance, primary care, emergency services, nutrition and weight status, diabetes, mental health, substance abuse, heart disease and stroke, physical activity, older adults, maternal and child health, and tobacco use. Each overview includes reviews of the relevant literature and models that rural communities can use to address the issues. Document is available for free download, after providing brief information about intended use.
Author(s): Jane N. Bolin, Gail Bellamy, Alva O. Ferdinand, Bita Kash, Janet W. Helduser
Date: 2015
Sponsoring organization: Southwest Rural Health Research Center
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Integrating Safety in the Rural Transportation Planning Process
Provides techniques for integrating safety into the planning and program process at the local and state level to assure rural roads are safe and accessible for a variety of multimodal needs including emergency medical services and use by fire departments and law enforcement.
Author(s): Nicole Waldheim, Susan Herbel, Carrie Kissel
Date: 11/2014
Sponsoring organization: Federal Transit Administration
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How EMS in Rural Methow Valley, Washington, Coped with a Devastating Wildfire
Describes the emergency medical service (EMS) response in the aftermath of a wildfire, in which patients and providers were cut off from hospitals, 911 coverage, and power. Shows the importance of advanced preparedness and planning by rural EMS agencies.
Author(s): Cindy Button
Citation: JEMS (Journal of Emergency Medical Services), 39(10), 46-9
Date: 10/2014
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Responding to Medical Surge in Rural Communities: Practices for Immediate Bed Availability
Describes strategies and practices that enable local health departments and healthcare organizations serving rural areas to assist their communities during emergencies resulting in medical surge. Explores ways to ensure adequate levels of care for all patients, including telehealth services and integrated information sharing systems.
Date: 09/2014
Sponsoring organization: National Association of County and City Health Officials
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Paediatric Trauma on the Last Frontier: An 11-Year Review of Injury Mechanisms, High-Risk Injury Patterns and Outcomes in Alaskan Children
Describes the development of a pediatric trauma system in remote, very rural, and urban Alaska from 2001 to 2011 using trauma data for all children 17 years and under. Includes comparative data for the type of injury and frequency, geographic region, high risk patterns, and outcomes.
Author(s): Christopher W. Snyder, Oliver J. Muensterer, Frank Sacco, Shawn D. Safford
Citation: International Journal of Circumpolar Health, 73(1)
Date: 08/2014
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A Systems Development Guide for Rural Emergency Medical Services: A Systematic Approach to Generate Budgets for Rural Emergency Medical Services
Guidebook designed to help rural emergency medical services (EMS) and emergency response systems with development, modification, consolidation, and collaboration. Discusses EMS system upgrades, administration, funding, and budgeting.
Additional links: How to Use the EMS Budget Generator, Rural EMS Budget Generator
Author(s): Cheryl F. St. Clair
Date: 08/2014
Sponsoring organization: National Center for Rural Health Works
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Pediatric Emergency Care Capabilities of Indian Health Service Emergency Medical Service Agencies Serving American Indians/Alaska Natives in Rural and Frontier Areas
Analyzes the Indian Health Service's (IHS) emergency medical services (EMS) agencies providing services for children. Discusses the importance of EMS services for healthcare access and challenges IHS EMS agencies face.
Author(s): Andrea L. Genovesi, Betty Hastings, Elizabeth A. Edgerton, Lenora Olson
Citation: Rural and Remote Health, 14(2), 2688
Date: 05/2014
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Rural Emergency Medical Technician Pre-Hospital Electrocardiogram Transmission
Rural communities face challenges to rapid emergency response services for heart attacks, mostly related to prolonged travel time. As a strategy to address this, this research article sought evidence of the risks and benefits associated with electrocardiogram (ECG) protocols, which urban ambulance teams staffed with paramedic level providers have been successful in implementing.
Author(s): Angela Powell, Joshua Halon, Jessica Nelson
Citation: Rural and Remote Health, 14(2), 2690
Date: 05/2014
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