The Effect of All-Terrain Vehicle Crash Location on Emergency Medical Services Time Intervals

Wubben, Brandon; Denning, Gerene M.; Jennissen, Charles A.

doi:10.3390/safety5040073

Cited by 3 publications

(5 citation statements)

References 27 publications

(51 reference statements)

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“…This increased driving time is not unusual in literature related to emergency services and has been related to distance from services in literature related specifically to paramedic transport in rural areas (Adeyemi, Paul, & Arif, 2022;Miller, James, Holmes, & Van Houtven, 2020;Smith, English, Whitman, Lewis, & Gregg, 2022). Discussion about adverse terrain indicates that such driving conditions can be dangerous, particularly in rural and remote areas with poor road conditions, lighting, and adverse weather conditions, however urban areas also have issues related the possibility of additional vehicles being involved or traffic congestion (Liu, 2022;Spencer-Goodsir et al, 2022;Wubben, Denning, & Jennissen, 2019). Similar issues have also been identified in literature related to firefighting, where response times are also considered to be important (Wan Jusoh et al, 2023).…”

Section: Discussionmentioning

confidence: 90%

Paramedic Workforce Disparities Marked by Geographical Positioning

Betts,

Stoneley,

Anderson

et al. 2024

Intl J Paramedicine

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Introduction: Effective service delivery and the wellbeing of the paramedic workforce is reliant on confounding factors and is effectuated by geographical positioning. It is important to be aware that there may be several disparities between the rural and urban workforce due to differences in circumstances. However, there is limited literature available examining these. The objective of this review was to investigate where and how these disparities exist to make recommendations in achieving equity in the paramedic workforce and thus achieve patient-centred care universally across rural and urban populations. Methods: The JBI approach was used to perform a scoping review to assess the availability of literature. Key words including paramedic*, EMT, urban OR metro*, rural OR remote and disparit* were inserted into the search engines MEDLINE, CINAHL Plus and Scopus. Titles and abstracts of the 282 results were screened by two authors and inclusion and exclusion criteria applied. The full text of the remaining 77 results were screened to inform the results of the review. Results: The search identified 282 potentially relevant articles, of which 33 informed the results of the review. The included studies identified emerging themes relevant to the objective including: (1) the skills, training availability and confidence of the workforce (2) resourcing of ambulances inclusive of both workload and case load; (3) timings of each group regarding response, scene, and transport; and (4) the health status of paramedics in each subset location. Conclusion: This review identified several disparities between rural and urban paramedic locations. However, it does not allow us to understand the extent at which these influence paramedics health and wellbeing and their ability to provide optimal patient-centred care which is equitable across locations. Further research is recommended to establish the extent to which these disparities are impacting the lives of paramedics and provision of emergency healthcare.

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Section: Discussionmentioning

confidence: 90%

Paramedic Workforce Disparities Marked by Geographical Positioning

Betts,

Stoneley,

Anderson

et al. 2024

Intl J Paramedicine

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“…The higher fatality rates in more rural and remote areas may be partially explained by longer EMS patient access and transfer times. On average, first aid rendering times are 38% longer for crashes in remote locations versus accessible locations, disregarding the time interval from crash to EMS notification (Wubben et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

“…Although the desired outcomes may seem well below the accuracy delivered by state-of-theart GPS devices/tracking algorithms, very high accuracy is not critical for the success of this system. For instance, personal locator beacons (PLBs), which have an accuracy of about 100 m when interfaced with GPS, have been used successfully to aid EMS responders in locating ATV crash patients and stranded mount hikers (Maritime New Zealand, 2018;Mountain Gear and ACR Electronics, 2007;BusinessWire, 2008;The Gisborne Herald, 2017;Wubben et al, 2019). In addition, a benchmark of 100 m, 67% of the time, was previously proposed by Funke et al (2000) when evaluating the accuracy of automated collision notification systems (ACNs) for automobiles.…”

Section: Vehicle Trackingmentioning

confidence: 99%

“…Emergency medical service (EMS) alert time intervals for ATV crashes likely have a critical impact on patient health (e.g., chances of survival, injury severity, and hospital length of stay) (Wubben et al, 2019). For instance, a previous study about car incidents reported that riders are three times more likely to survive a crash if EMS is notified within 60 seconds (Champion et al, 2003).…”

Section: Crash Report Systemmentioning

confidence: 99%

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AgroGuardian: An All-Terrain Vehicle Crash Detection and Notification System

Khorsandi,

De Moura Araujo,

Ferreira Lima dos Santos

2024

Journal of Agricultural Safety and Health

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Highlights Off-road ATV incidents can be problematic due to long EMS alert times. An ATV crash-detection-and-report system is expected to reduce EMS response time. The developed system can accurately detect ATV rollovers. The alert time of our system is 10 times faster than the national U.S. average. Any rider using our system is 3 times more likely to survive an off-road crash. Abstract. All-Terrain Vehicle (ATV) incidents are a common cause of injury and death in the agricultural industry in the United States. Many ATV off-road crashes on farms and ranches may result in trauma requiring immediate care, but the injured rider is unable to seek help due to their injuries. Moreover, many of these crashes occur in isolated areas that may be difficult to access and have unreliable cellular phone service, making contact with emergency medical services (EMS) challenging. This study aimed at developing and testing a low-cost ATV crash detection device (AgroGuardian) that immediately alerts EMS and emergency contacts, even when the rider is unable to take action and/or there is no cellular phone service available. AgroGuardian includes an embedded data logging system, a smartphone application, and a remote database. The embedded system includes an Inertial Measurement Unit (IMU) for attitude estimation, a Global Positioning System (GPS) for location estimation, and a Rock7 modem for off-board communication. A smartphone application was developed for the users to input information about their vehicle (e.g., make and model) and emergency contacts. Also, it allows them to interact with their ATV data. An emergency signal along with the ATV’s coordinates is transmitted through the Rock7 modem and received in the remote database when a rollover is detected by the system. This emergency signal is then processed and sent to EMS and emergency contacts. Our results indicated that the device: (1) is unlikely to miss an ATV rollover; (2) has a fast EMS notification time (40.7 s); and (3) the ATV localization system presented an average error of 2.34 m. Keywords: ATV, EMS alert time, Farm, Off-road incidents, Quadbike, Rollover.

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“…For example, fatal crash information cannot be used for analysis if invalid or unknown emergency response times recorded. [ 17 18 ] Other recent investigations consider ERT issues related to all-terrain vehicle crash location,[ 19 ] cardiac arrest,[ 20 ] ambulance crashes,[ 21 ] and machine learning analysis approaches. [ 22 ]…”

Section: Introductionmentioning

confidence: 99%

Effects of different crash data variables on EMS response time for a rural county in alabama

Ligrani

Vanga

Doustmohammadi

et al. 2022

Journal of Family Medicine and Primary Care

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Response time of Emergency Medical Services (EMS) is an important factor related to preventable deaths in road crash incidents. This study focuses on analyzing the effects of different independent variables on the EMS Response Time (ERT). Independent variables considered for this investigation are travel time, day of the week, crash severity, weather, time of the day, and lighting condition. Understanding outcomes resulting from variations of the considered parameters on ERT is crucial to minimize the possibility of adverse outcomes which are tied to different types of injuries, and vital to limit the prospect of fatalities. Crash data used for this study is from a rural county in Alabama where only one EMS control location is available. Results from the analysis indicate that ERT becomes larger as travel time increases. ERT is also larger on weekends than on weekdays. ERT is larger in the evening and night when compared with morning. When the weather is clear or cloudy, the ERT parameter is shorter. But when the weather is extreme, with mist, fog, or rain, the parameter is longer. When roads are dark, ERT is long. When daylight is present, the ERT is shorter. If the crash is fatal, the parameter is longer compared with situations when crash injuries are non-severe.

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The Effect of All-Terrain Vehicle Crash Location on Emergency Medical Services Time Intervals

Cited by 3 publications

References 27 publications

Paramedic Workforce Disparities Marked by Geographical Positioning

Paramedic Workforce Disparities Marked by Geographical Positioning

AgroGuardian: An All-Terrain Vehicle Crash Detection and Notification System

Effects of different crash data variables on EMS response time for a rural county in alabama

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