Synthesis of Information Related to Highway Problems. Topic 43-15. Models for Effective Emergency Responses within the 'Golden Hour' in Rural Areas

Approximately 23% of the U.S. population lives in rural areas, yet rural crashes account for 56% of highway fatalities. The average fatality rate for rural roads is more than twice the rate for urban roads--2.4 per 100 million vehicle miles of travel (VMT) for rural roads compared to 1.0 per 100 million VMT average fatality rate for urban roads. There are many factors contributing to these high figures, such as the challenge for emergency medical services (EMS) to be notified, locate, respond, stabilize, transport, and care for patients in definitive care facilities in a timely and effective manner. There is limited evidence-based research on practices in state, tribal, and local agencies that improve EMS systems and patient outcomes. However, there are many innovative practices in place today that can serve as models for other rural EMS practices to follow. For this study, EMS includes incident detection and notification, emergency dispatch (e.g., 911), first responders, ground and air ambulance services, other local EMS agencies, intermediate community and rural hospitals, and trauma centers. The study will focus on rural roads in rural regions. The objective of this study is to obtain information on effective rural emergency medical systems. The study will gather information on effective EMS practices and system deficiencies as reported by agencies.


  • English


  • Status: Active
  • Funding: $40000.00
  • Contract Numbers:

    Project 20-05, Topic

  • Sponsor Organizations:

    Federal Highway Administration

    1200 New Jersey Avenue, SE
    Washington, DC  United States  20590

    American Association of State Highway and Transportation Officials (AASHTO)

    444 North Capitol Street, NW
    Washington, DC  United States  20001

    National Cooperative Highway Research Program (NCHRP) Synthesis

    Transportation Research Board
    500 Fifth Street, NW
    Washington, DC    20001
  • Project Managers:

    Gause, Jo

  • Performing Organizations:

    Transportation Research Board

    500 Fifth Street, NW
    Washington, DC  United States  20001
  • Start Date: 20110701
  • Expected Completion Date: 0
  • Actual Completion Date: 0
  • Source Data: RiP Project 29057

Subject/Index Terms

Filing Info

  • Accession Number: 01463263
  • Record Type: Research project
  • Source Agency: Transportation Research Board
  • Contract Numbers: Project 20-05, Topic
  • Files: TRB, RiP, USDOT
  • Created Date: Jan 3 2013 2:20PM