What question did this study set out to answer?

The study aims to update the understanding of rural-urban differences in emergency medical services and mortality rates based on new data from the NEMSIS.

August 1, 2026Prehospital Emergency Care

National Characteristics of Emergency Medical Services in Rural and Frontier Areas: A 2024 Update on Rural-Urban Differences in EMS Care

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The study aims to update the understanding of rural-urban differences in emergency medical services and mortality rates based on new data from the NEMSIS.
Cross-sectional analysis of 911-initiated EMS responses and interfacility transports reported to NEMSIS in 2024.
Rural-urban classification based on NEMSIS-computed Rural Urban Area Commuting Area Codes (RUCA).
Statistical analyses include t tests, Wilcoxon rank-sum tests, odds ratios, and multivariable logistic regression for trauma-related on-scene mortality.
Of 60,298,684 EMS records analyzed, rural responses constituted 6.9%.
Rural patients had higher on-scene mortality (8.3 vs 6.0 per 1,000; OR 1.39), especially among trauma cases (OR 2.00; 95% CI 1.84-2.18).
The study notes significant improvements in stroke mortality rates in rural areas compared to data from 2012.

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Implication

Observational study examines EMS response and outcomes in rural versus urban areas, indicating significant disparities in care.

Cite This Study

Henry et al. (2026) studied this question.

synapsesocial.com/papers/6a6d98aae258b358b3c6c533 https://doi.org/10.1080/10903127.2026.2712606

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National Characteristics of Emergency Medical Services in Rural and Frontier Areas: A 2024 Update on Rural-Urban Differences in EMS Care

Key Points

Discussion

Implication

Cite This Study

National Characteristics of Emergency Medical Services in Rural and Frontier Areas: A 2024 Update on Rural-Urban Differences in EMS Care

Key Points

Discussion

Implication

Cite This Study

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