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The aim is to analyze the impact of rurality on EMS response times for adult patients suspected of sepsis and shock.

1629: Time to Hospital Among Adults With Suspected Sepsis and Shock: A National Time-Component Analysis

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The aim is to analyze the impact of rurality on EMS response times for adult patients suspected of sepsis and shock.
Analyzed adult EMS activations for sepsis using the National EMS Information System database.
Compared EMS response times for sepsis with other conditions like acute myocardial infarction and stroke.
Applied multivariable linear regression to control for patient and EMS characteristics.
Rural EMS times were shorter for sepsis without shock, but longer for sepsis with shock compared to urban areas.
Transport and scene times were significantly longer in rural areas for patients with septic shock.
Greater delays were observed in rural areas for shock cases from acute myocardial infarction, stroke, and trauma.

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Analysis reveals longer pre-hospital delays for septic shock in rural areas, suggesting urgent need for improved EMS efficiency.

Angelo et al. (2026) studied this question.

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