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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.

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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EMS Services in Rural America: Challenges and Opportunities
Policy brief describing challenges for rural EMS providers, including workforce shortages and inconsistent funding. Features statistics including percentage of potentially excess deaths for 5 leading causes of death, with breakdowns by metropolitan and nonmetropolitan areas, and average EMS call time response and distribution of all-volunteer and all-paid staff EMS agencies, with breakdowns by 4 levels of population density. Discusses effects of the opioid crisis and Critical Access Hospital closures on provision of EMS services.
Author(s): Nikki King, Marcus Pigman, Sarah Huling, Brian Hanson
Date: 05/2018
Type: Document
Sponsoring organization: National Rural Health Association
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Recruitment and Retention: Overcoming the Rural EMS Dilemma
Reports on rural emergency medical services (EMS) workforce challenges and identifies innovative approaches to meet these challenges, highlighting programs in several states. Includes a list of 4 EMS recruitment and retention tactics for rural communities.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 02/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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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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Estimated Costs of Rural Freestanding Emergency Departments
Provides an overview of the rural freestanding emergency department (RFED) model as a feasible alternative for hospitals at risk of closure, or preparing for closure, to keep emergency services within the rural community.
Author(s): J. Dunc Williams, Paula H. Song, George H. Pink
Date: 11/2015
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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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
Type: Document
Sponsoring organization: National Center for Rural Health Works
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Resources for Optimal Care of the Injured Patient 2014
Discusses regional trauma systems and levels of trauma centers. Chapter 13 focuses on rural trauma care.
Author(s): Michael F. Rotondo, Chris Cribari, R. Stephen Smith
Date: 2014
Type: Document
Sponsoring organization: American College of Surgeons
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2011 National EMS Assessment
Provides a comprehensive description of emergency medical services (EMS), EMS emergency preparedness, and 911 systems at state and national levels. Chapters 9, 10, 158, and 194 discuss rural EMS, including rural status, rural patient transports, and Critical Access Hospitals.
Author(s): Greg Mears, Beth Armstrong, Antonio R. Fernandez, et al.
Date: 12/2011
Type: Document
Sponsoring organization: National Highway Traffic Safety Administration
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Safety in Numbers: Are Major Cities the Safest Places in the United States?
Compares injury risk in urban areas to those in suburban and rural areas. Reports that death rates for injury are higher in frontier and rural areas.
Author(s): Sage R. Myers, Charles C. Branas, Benjamin C. French, et al.
Citation: Annals of Emergency Medicine, 62(4), 408-418
Date: 10/2011
Type: Document
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Challenges for Rural Emergency Medical Services: Medical Oversight
Examines the challenges faced by rural emergency medical service agencies in recruiting a medical director and providing medical direction for EMS personnel.
Author(s): Victoria Freeman, Rebecca Slifkin, Daniel Patterson
Date: 05/2008
Type: Document
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
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Last Updated: 6/7/2024