Hostname: page-component-76fb5796d-r6qrq Total loading time: 0 Render date: 2024-04-25T08:46:14.229Z Has data issue: false hasContentIssue false
  • English
  • Français

A Method to Reduce Rural EMS Response Times

Published online by Cambridge University Press:  28 June 2012

David R. Johnson ,
W. Ann Maggiore  and
David Ralph Davis
David R. Johnson*
Affiliation:
Medical Director, Sandoval County EMS, Medical Director,University of New Mexico Emergency Medical Services AcademyAssistant Professor, Division of Emergency Medicine, University of New Mexico
*
Division of Emergency Medicine, 620 Camino de Salud NE, Albuquerque, New Mexico 87131, USA; Telephone (505) 277-5062
Get access Rights & Permissions [Opens in a new window]

Abstract

Prolonged EMS response times are a significant problem in rural areas. In this study, VHF radios and personal medical kits were placed in the private vehicles of rescue squad members. By coordinating the responses using radios, higher level EMTs were sent directly to the scene to initiate patient assessment and other procedures while others proceeded to an unstaffed station to pick up the rescue truck.

Using this response system, EMTs arrived at the scene prior to the rescue vehicle on 30 of 35 calls (85.7%). In 25 of 35 calls (71.4%), the first person at the scene was at an advanced EMT level even though the majority of responses (56%) were made by Basic EMTs (p<0.001). The mean response time for EMTs using privately owned vehicles was 9±4 minutes (means±SD) compared with 16±9 minutes for the rescue truck (p<0.01). There also was a significant difference in response times between the privately owned vehicles and the rescue truck when the time between the receipt of the call and the initial acknowledgement of response was measured (1±1 minutes vs. 7±3 minutes; p<0.01).

An effective EMS response can be made in rural areas by sending EMTs directly to a scene in private vehicles. Providing EMTs with VHF radios and personal medical kits enhances this response.

Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 6 , Issue 2 , June 1991 , pp. 143 - 147
Copyright
Copyright © World Association for Disaster and Emergency Medicine 1991

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Roth, R, Stewart, RD, Rogers, K, Cannon, GM: Out-of-hospital cardiac arrest: Factors associated with survival. Ann Emerg Med 1984;13:237–243.CrossRefGoogle ScholarPubMed
2. Olson, DW, LaRochelle, J, Fark, D, et al. EMT-Defibrillation: The Wisconsin experience. Ann Emerg Med 1989;18:806–811.CrossRefGoogle ScholarPubMed
3. Garnett, GF, Hall, JE, Johnson, MS: Rural Emergency Medical Services. In: EMS Medical Director's Handbook. Kuehl, AE (ed). St. Louis: CV Mosby Co. 1989; pp. 133–140.Google Scholar
4. Ornato, JP, McNeil, SE, Craren, EJ, et al. Limitation of effectiveness of rapid defibrillation by emergency medical technicians in a rural setting. Ann Emerg Med 1984; 13:1096–1099.CrossRefGoogle Scholar
5. Vukov, LF, White, RD, Bachman, JW, et al. New perspectives on rural defibrillation. Ann Emerg Med 1988;17:318–321.CrossRefGoogle ScholarPubMed
6. Bachman, JW, McDonald, GS, O'Brien, PC: A study of out-of-hospital cardiac arrests in northeastern Minnesota. JAMA 1986;256: 477–483.CrossRefGoogle ScholarPubMed
7. Stults, KR, Brown, DD: Special considerations for defibrillation performed by emergency medical technicians in small communities. Circulation 1986;74(suppl. IV):13–17.Google ScholarPubMed