Improving rural emergency medical services (EMS) through transportation system enhancements.
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2014-05-01
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Abstract:Improved emergency medical services (EMS) will impact traffic safety and public health in rural
communities. Better planned, designed, and operated roadway networks that connect hospitals with
communities in need will enhance EMS performance. To provide safe, timely and quality services, it is
necessary to obtain a realistic estimate of the medical demand and the capacity of current transportation
infrastructure pertaining to the services. The gaps between service providers, patients, and transportation
network connecting the two need to be identified and filled to support better EMS. The goal of this
project was to identify issues with respect to the delivery of quality EMS to rural residents in South
Dakota (SD) and to conduct a needs assessment from the rural transportation system perspective. Study
objectives were:
1. Identify the service needs from the rural communities
2. Evaluate the rural transportation system components in support of swift and safe EMS
3. Identify the existing issues with the SD EMS providers or first responders related to roads
and traffic controls
Study objectives were achieved through a combination of literature review, spatial and temporal analysis
of SD EMS data, and EMS personnel surveys and focus groups. In addition to survey results, this report
summarizes the SD EMS data from the geographic (e.g., counties in SD) and temporal (e.g., time of day,
day of week, and month of year) perspectives and concentrates on several time- and distance-dependent
variables such as response time, en-route time, on-scene time, and transporting time as well as the
distance to and from the incident scene.
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