Hit a Grand Slam!

Day 1
Hit a Grand Slam:
Post-Crash Care on Rural Roads

As practitioners and safe road users, our goal is to stop crashes from occurring in the first place. We do this through the Safe System Approach. Of the system’s five elements, post-crash care is the final safety net.

According to the National Highway Traffic Safety Administration’s Office of Emergency Medical Services, 911 dispatched EMS to 1.5 million crashes in 2022. Of the 42,514 people that died in traffic crashes, 42 percent of those crash victims were alive when first responders arrived at the scene. Additionally, death rates increase by 3% for every minute medical response is delayed, which is especially critical in rural and Tribal communities.

The Safe System Approach’s post-crash care element affirms the critical role of first responders and others to save lives after a crash has occurred. After a crash, the first hour (often referred to as the golden hour) is when life-saving medical care can be provided.

But in rural and Tribal communities there are many challenges that preclude receiving the necessary medical care within the “golden hour.” These include, but are not limited to:

  • Lack of communications infrastructure to notify first responders of a crash
  • Large geographical jurisdictions, making response times longer
  • Increased need to traverse difficult terrain and adverse weather conditions
  • Limited Emergency Medical Services (EMS) resources such as “ambulance deserts,” making response times longer; these deserts impact an estimated 2.3 million people in rural counties
  • Transport time to the closest rural hospital and additional time to transfer to level 1 and 2 trauma centers
  • Limited funding available for innovative, scenario-based, rural-specific EMS training
  • In some very remote locations, there is a lack of technology and communications in ambulances to allow for on-scene triage and notification of the hospital/doctor

It’s also important to note, though EMS provides immediate life-saving services, it is not universally designated in the U.S. an essential service. This lack of designation can lead to financial challenges for EMS providers and affect their ability to effectively and innovatively serve communities.

Over #RRSAW2025, we will explore the various collaborations and strategies of post-crash care that can reduce fatalities and serious injuries and get everyone home safely.

Actions to Take

For Rural Road Safety Awareness Week (RRSAW), we are exploring what practitioners and the general traveling public can do to promote the success of post-crash care and save lives on our rural roadways.

  • Practitioners

    • Incorporate post-crash care into your Strategic Highway Safety Plan (SHSP), Local Road Safety Plan (LRSP), Safety Action Plan, and Vision Zero Plan
    • Utilize data from the National EMS database, NEMSIS, as a supplement to the Fatality Analysis Reporting System (FARS) data for transportation planning to help fill gaps
    • Consider deploying rural-specific training for first responders such as Rural Trauma Team Development and simulated or virtual reality car crash scenarios
    • Deploy Next Generation 911 (NG911) systems which will help improve location accuracy of calls
    • Notify first responders about road closures/detours in your community that may impact their response time
  • Public

    • Thank a first responder
    • Consider supporting your community’s EMS team(s) and EMTs
    • Practice safe driving behaviors

Resources

  • Rural Emergency Medical Services and Trauma | View Webpage
  • Improving Rural Road Safety with the Safe System Approach Part 6: Post-Crash Care | Watch Webinar
  • Post Crash Care Summit: The Role of EMS in Reducing Roadway Deaths & Injury | Watch Summit
  • FHWA’s Safe System Approach Page | View Website
  • Doubling Down on What Works: Trauma Care | View Webpage
  • USDOT’s Post-Crash Care Page | View Website
  • State Policies Defining EMS as Essential | View Website
  • Rural Trauma Team Development Course | View Website
  • Post-Crash Care: EMS Response to MVC-Related Injuries | View Report
  • Motor Vehicle Collisions and the Golden Hour, Platinum 10 | View Article

Noteworthy Practices

  • Washington Traffic Safety Commission’s Rural Safety Program | View Webpage
  • Minnesota’s Project on Rural Access to Trauma Centers and Crash Response Travel Time | View Website
  • Arizona’s NextGen 911 | View Webpage

See the whole lineup!

DAY 1

Hit a Grand Slam!
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DAY 2

Assemble Your Dream Team!
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DAY 3

Be a Pinch Hitter!
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DAY 4

Change the Game!
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DAY 5

Come in Clutch!
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