The American Journal of Surgery
Volume 197, Issue 1 , Pages 30-34 , January 2009

Does increased emergency medical services prehospital time affect patient mortality in rural motor vehicle crashes? A statewide analysis

Presented at the American Association for the Surgery of Trauma 65th Meeting, September 28–30, 2006, New Orleans, LA.

  • Richard P. Gonzalez, M.D.

      Affiliations

    • Department of Surgery, Center for the Study of Rural Vehicular Trauma, University of South Alabama, 2451 Fillingim St., Mobile, AL 36617, USA
    • Corresponding Author InformationCorresponding author. Tel.: +1-251-471-7971; fax: +1-251-471-7837
    • ,
  • Glenn R. Cummings, M.B.A., H.C.M., R.N.

      Affiliations

    • Department of Surgery, Center for the Study of Rural Vehicular Trauma, University of South Alabama, 2451 Fillingim St., Mobile, AL 36617, USA
    • ,
  • Herbert A. Phelan, M.D.

      Affiliations

    • Department of Surgery, Center for the Study of Rural Vehicular Trauma, University of South Alabama, 2451 Fillingim St., Mobile, AL 36617, USA
    • ,
  • Madhuri S. Mulekar, Ph.D.

      Affiliations

    • Department of Mathematics and Statistics, Center for the Study of Rural Vehicular Trauma, University of South Alabama, 2451 Fillingim St., Mobile, AL 36617, USA
    • ,
  • Charles B. Rodning, M.D., Ph.D.

      Affiliations

    • Department of Surgery, Center for the Study of Rural Vehicular Trauma, University of South Alabama, 2451 Fillingim St., Mobile, AL 36617, USA

Received 15 August 2007 ,Revised 27 November 2007

References 

  1. Baker SP, O'Neil B, Ginsburg MJ. The Injury Fact Book. 2nd ed. New York: Oxford University Press Inc; 1992;26–8, 52, 65–70
  2. Gonzalez RP, Cummings C, Mulekar M, et al. Increased mortality in rural vehicular trauma: identifying contributing factors through data linkage. J Trauma. 2006;61:404–409
  3. Grossman DC, Hart LF, Rivara FP, et al. From roadside to bedside: regionalization of trauma care in a remote rural county. J Trauma. 1995;38:14–21
  4. Vane DW, Shedd FG, Grosfeld JK, et al. An analysis of pediatric trauma deaths in Indiana. J Pediatr Surg. 1990;25:955–960
  5. Rogers FB, Shackford SR, Osler TM, et al. Rural trauma: the challenge for the next decade. J Trauma. 1999;47:802–821
  6. US General Accounting Office. Rural Development: Profile of Rural Areas. Fact Sheet for Congressional Requestors GAO/RECD-93-40FS. Washington, DC: US General Accounting Office; 1993:26–30.
  7. Blackwell TH, Kaufman JS. Response time effectiveness comparison of response time and survival in an emergency medical services system. Acad Emerg Med. 2002;9:320–321
  8. Karsteadt LL, Larsen CL, Farmer PD. Analysis of a rural trauma program using the TRISS methodology: a three-year retrospective study. J Trauma. 1994;36:395–400
  9. Mueller BA, Rivara FP, Bergman AB. Urban-rural location and the risk of dying in a pedestrian-vehicle collision. J Trauma. 1988;28:91–95
  10. Rogers FB, Shackford SR, Hoyt DB, et al. Trauma deaths in a mature urban versus rural trauma system. Arch Surg. 1997;132:376–382
  11. Mock CN, Adzotor E, Conklin E, et al. Trauma outcomes in the rural developing world: comparison with an urban Level I trauma center. J Trauma. 1993;35:518–523
  12. Morrisey MA, Ohsfeldt REL, Johnson V, et al. Trauma patients: an analysis of rural ambulance trip reports. J Trauma. 1996;41:741–746
  13. Feero S, Hedges JR, Simmons E, et al. Does out-of-hospital EMS time affect trauma survival?. Am J Emerg Med. 1995;13:133–135

 This research and article were funded through a cooperative agreement between the University of South Alabama and the Department of Transportation and the National Highway Traffic Safety Administration (NHTSA). The views expressed are those of the authors and do not represent the views of the sponsors or the National Highway Traffic Safety Administration.

PII: S0002-9610(08)00269-9

doi: 10.1016/j.amjsurg.2007.11.018

The American Journal of Surgery
Volume 197, Issue 1 , Pages 30-34 , January 2009

Article Tools