Rural Emergency Medical Services (EMS) and Trauma – Resources
Selected recent or important resources focusing on Rural Emergency Medical Services (EMS) and Trauma.
Philanthropic Funding Helps Rural Providers Access Ultrasound Equipment and Training
Discusses the benefits of point-of-care ultrasound (POCUS) for rural patients and facilities. Describes funding from the Leona M. and Harry B. Helmsley Charitable Trust for POCUS equipment and training and shares experiences of rural Minnesota and North Dakota providers who received this support.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 10/2026
Sponsoring organization: Rural Health Information Hub
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Discusses the benefits of point-of-care ultrasound (POCUS) for rural patients and facilities. Describes funding from the Leona M. and Harry B. Helmsley Charitable Trust for POCUS equipment and training and shares experiences of rural Minnesota and North Dakota providers who received this support.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 10/2026
Sponsoring organization: Rural Health Information Hub
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Medicare Payment Basics: Ambulance Services Payment System
Provides an overview of Medicare payments for ambulance services. Discusses rural add-on payment policies, geographic categories determining payment rates, super-rural ZIP codes, and ambulance fee schedules.
Date: 10/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Provides an overview of Medicare payments for ambulance services. Discusses rural add-on payment policies, geographic categories determining payment rates, super-rural ZIP codes, and ambulance fee schedules.
Date: 10/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Closer to Home: Strengthening Rural Emergency Care Through EMS, Trauma Systems, and Mobile Integrated Health
Describes ways in which North Carolina is improving rural healthcare by connecting emergency medical services, mobile integrated health, and trauma systems. Discusses the state's Rural Health Transformation Program (RHTP) investment and offers suggestions for ensuring sustainable funding, workforce investment, and regional partnerships.
Author(s): Kimberly Clement
Citation: North Carolina Medical Journal, 87(3)
Date: 09/2026
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Describes ways in which North Carolina is improving rural healthcare by connecting emergency medical services, mobile integrated health, and trauma systems. Discusses the state's Rural Health Transformation Program (RHTP) investment and offers suggestions for ensuring sustainable funding, workforce investment, and regional partnerships.
Author(s): Kimberly Clement
Citation: North Carolina Medical Journal, 87(3)
Date: 09/2026
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Unequal Paths to Care: How Region, Rurality, and Deprivation Determine Transport to Verified Trauma Centers among the Critically Injured
Examines the relationship among rurality, area deprivation index (ADI), and trauma center transport of critically injured patients. Utilizes 2018-2022 National Emergency Medical Services Information System data from 36,897,269 critically injured patients and analyzes rural versus urban transport to a trauma center, region of the country, and ADI.
Author(s): Amani Sampson, Edward Helderop, Tokoya Williams, et al.
Citation: Surgery, 196, 110232
Date: 08/2026
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Examines the relationship among rurality, area deprivation index (ADI), and trauma center transport of critically injured patients. Utilizes 2018-2022 National Emergency Medical Services Information System data from 36,897,269 critically injured patients and analyzes rural versus urban transport to a trauma center, region of the country, and ADI.
Author(s): Amani Sampson, Edward Helderop, Tokoya Williams, et al.
Citation: Surgery, 196, 110232
Date: 08/2026
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Who Lives in Ambulance Deserts? Demographic and Geographic Differences in Accessing Ambulance Services
Presents data on ambulance deserts, or populated areas more than 25 minutes from an ambulance station, across 41 states, using a mix of state and federal data sources. Discusses how rurality and other factors such as U.S. region, age, and socioeconomic status are associated with living in an ambulance desert.
Author(s): Yvonne Jonk, Heidi O'Connor, Brianna Holston, Celia Jewell, Tyler DeAngelis
Date: 07/2026
Sponsoring organization: Maine Rural Health Research Center
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Presents data on ambulance deserts, or populated areas more than 25 minutes from an ambulance station, across 41 states, using a mix of state and federal data sources. Discusses how rurality and other factors such as U.S. region, age, and socioeconomic status are associated with living in an ambulance desert.
Author(s): Yvonne Jonk, Heidi O'Connor, Brianna Holston, Celia Jewell, Tyler DeAngelis
Date: 07/2026
Sponsoring organization: Maine Rural Health Research Center
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Rural Pediatric Readiness: Improving Emergency Care for Kids
Features rural providers in Texas and Wyoming working to improve their ability to provide quality emergency care to pediatric patients, as well as a pediatric readiness training program in Georgia.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 07/2026
Sponsoring organization: Rural Health Information Hub
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Features rural providers in Texas and Wyoming working to improve their ability to provide quality emergency care to pediatric patients, as well as a pediatric readiness training program in Georgia.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 07/2026
Sponsoring organization: Rural Health Information Hub
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MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2026
Evaluates Medicare payment issues and provides recommendations to the U.S. Congress. Covers payment incentives in Medicare, the complexity of Medicare enrollment decisions for beneficiaries, Medicare payment operations and their role in identifying improper payments, the estimated association between Medicare Advantage (MA) enrollment and hospitals' and post-acute care providers' finances, and access to hospice and certain complex palliative services for beneficiaries with end-stage renal disease or cancer. Includes a mandated report regarding the Medicare Ground Ambulance Data Collection System. Includes rural references throughout.
Additional links: Executive Summary
Date: 06/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Evaluates Medicare payment issues and provides recommendations to the U.S. Congress. Covers payment incentives in Medicare, the complexity of Medicare enrollment decisions for beneficiaries, Medicare payment operations and their role in identifying improper payments, the estimated association between Medicare Advantage (MA) enrollment and hospitals' and post-acute care providers' finances, and access to hospice and certain complex palliative services for beneficiaries with end-stage renal disease or cancer. Includes a mandated report regarding the Medicare Ground Ambulance Data Collection System. Includes rural references throughout.
Additional links: Executive Summary
Date: 06/2026
Sponsoring organization: Medicare Payment Advisory Commission
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The Golden Hour Is Elusive in Rural Trauma: A 10-year Analysis from a Level I Trauma Center in Montana
Analyzed 4,213 trauma patients between 2012 and 2022 at a Level 1 trauma facility in Montana to determine whether trauma transfer patterns and rurality impacted outcomes. Discusses the goal of offering definitive care within 1 hour of injury and the impact of workforce shortages in rural areas.
Author(s): Jung G. Min, Maggie Smith, Michael S. Englehart, et al.
Citation: The American Journal of Emergency Medicine, 103, 127-131
Date: 05/2026
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Analyzed 4,213 trauma patients between 2012 and 2022 at a Level 1 trauma facility in Montana to determine whether trauma transfer patterns and rurality impacted outcomes. Discusses the goal of offering definitive care within 1 hour of injury and the impact of workforce shortages in rural areas.
Author(s): Jung G. Min, Maggie Smith, Michael S. Englehart, et al.
Citation: The American Journal of Emergency Medicine, 103, 127-131
Date: 05/2026
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Ambulance Deserts and Health Care Deserts
Story maps illustrating the intersection of ambulance deserts and rural healthcare deserts in 2020 across 41 states. Maps include the locations of hospitals, Federally Qualified Health Centers (FQHCs), and Rural Health Clinics (RHCs). Presents data on the number and percent of rural residents living in ambulance deserts and healthcare deserts in each state and by region. Builds on a 2023 chartbook, Ambulance Deserts: Geographic Disparities in the Provision of Ambulance Services.
Author(s): Yvonne Jonk, Tyler DeAngelis, Celia Jewell, Thomas Griffin, Heidi O'Connor
Date: 04/2026
Sponsoring organization: Northeast Rural Health Research Center
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Story maps illustrating the intersection of ambulance deserts and rural healthcare deserts in 2020 across 41 states. Maps include the locations of hospitals, Federally Qualified Health Centers (FQHCs), and Rural Health Clinics (RHCs). Presents data on the number and percent of rural residents living in ambulance deserts and healthcare deserts in each state and by region. Builds on a 2023 chartbook, Ambulance Deserts: Geographic Disparities in the Provision of Ambulance Services.
Author(s): Yvonne Jonk, Tyler DeAngelis, Celia Jewell, Thomas Griffin, Heidi O'Connor
Date: 04/2026
Sponsoring organization: Northeast Rural Health Research Center
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March 2026 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) March 2026 meeting. Covers research and proposals related to the Medicare ground ambulance data collection system, access to hospice and certain complex palliative services for beneficiaries with end-stage renal disease and beneficiaries with cancer, provider participation in Medicare Advantage (MA) networks, MA encounter data in risk adjustment, the complexity of Medicare enrollment decisions for beneficiaries, and Medicare Part B premium payment basics. Includes rural references and considerations throughout.
Additional links: Mandated Report: Assessment of the Medicare Ground Ambulance Data Collection System
Date: 03/2026
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) March 2026 meeting. Covers research and proposals related to the Medicare ground ambulance data collection system, access to hospice and certain complex palliative services for beneficiaries with end-stage renal disease and beneficiaries with cancer, provider participation in Medicare Advantage (MA) networks, MA encounter data in risk adjustment, the complexity of Medicare enrollment decisions for beneficiaries, and Medicare Part B premium payment basics. Includes rural references and considerations throughout.
Additional links: Mandated Report: Assessment of the Medicare Ground Ambulance Data Collection System
Date: 03/2026
Sponsoring organization: Medicare Payment Advisory Commission
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