Regionalization of Rural Emergency Medical Services (EMS)


This study retrieved data on every vehicular injury accident occurring in Okanogan County, Washington, in 1990. Information was collected on location of accident, type and severity of injury, initial pre-hospital response, initial transportation, involvement of local health care system, transfer to facility outside county, patient outcomes, and demographics. The study included (1) a description of the type and nature of crashes and injuries and the involvement of local and distant components of the EMS, (2) an examination of the extent to which the existing rural EMS is regionalized, and (3) policy-oriented recommendations.