TY  - CHAP
M1  - Book, Section
TI  - Rural Trauma
A1  - Duchesne, Juan C.
A1  - Hunt, John P.
A1  - Marr, Alan B.
A2  - Feliciano, David V.
A2  - Mattox, Kenneth L.
A2  - Moore, Ernest E.
PY  - 2020
T2  - Trauma, 9e
AB  - KEY  POINTSBy  the  World  Bank’s  calculation,  45.7%  of  the  world’s  population  still  lives  in  a  rural  area.In  the  United  States,  at  least  31%  of  rural  residents  live  more  than  an  hour  from  a  Level  I  to  III  trauma  center.In  one  study  in  a  rural  area,  patients  transported  directly  to  the  Level  I  trauma  center  from  the  field  arrived  1.6  hours  after  injury,  compared  to  5.3  hours  when  patients  were  first  sent  to  a  local  hospital  that  was  not  a  trauma  center.Recruiting  and  retaining  emergency  medical  personnel  in  rural  areas  is  difficult  because  of  low  wages,  lack  of  training  opportunities,  and  the  need  to  cover  a  broad  geographic  region.The  Rural  Trauma  Team  Development  Course  of  the  American  College  of  Surgeons  is  aimed  at  small  hospitals  without  surgical  capability  and  only  nonsurgical  personnel  to  treat  the  occasional  injured  patient.According  to  the  National  Highway  Traffic  Safety  Administration,  rural  fatal  crashes  account  for  61%  of  all  traffic  fatalities  but  only  39%  of  vehicle  miles  traveled.Many  of  the  most  dangerous  occupations  are  found  in  rural  areas,  most  notably  mining  and  agriculture.The  percentage  of  homes  that  experience  a  fire  and  have  a  working  smoke  alarm  is  41.8%  in  urban  areas  but  only  20.8%  in  rural  areas.  
SN  - 
PB  - McGraw Hill
CY  - New York, NY
Y2  - 2024/04/20
UR  - accesssurgery.mhmedical.com/content.aspx?aid=1175131090
ER  -