Technical Report Documentation Page

1. Report No.
DOT HS 809
2. Government Accession No.
3. Recipient's Catalog No.
4. Title and Subtitle

The REACT Project:
Rural Enhancement on Access and Care for Trauma

5. Report Date
October 2002
6. Performing Organization Code
7. Author(s)

Herbert G. Garrison, MD, MPH; Sallie B. Gough, RN, MSN; Melvin S. Swanson, PhD, and Paul R.G. Cunningham, MD

8. Performing Organization Report No.


9. Performing Organization Name and Address

East Carolina University
Eastern Carolina Injury Prevention Program
Department of Emergency Medicine and Surgery
Greenville, North Carolina 27858

10. Work Unit No. (TRAIS)
11. Contract or Grant No.
12. Sponsoring Agency Name and Address

National Highway Traffic Safety Administration
Office of Research and Traffic Records
Research and Evaluation Division
400 Seventh Street, SW, Washington, D.C. 20590

13. Type of Report and Period Covered
Final Report
June 1996 - July 2002
14. Sponsoring Agency Code
15. Supplementary Notes

The Contracting Officer's Technical Representative for this project was Patty Ellison-Potter, Ph.D. 

16. Abstract

Preventable mortality refers to deaths that could have been prevented medically under different circumstances. Typically, rural areas have a higher preventable mortality rate than urban regions. This may be due to a number of factors, such as the time elapsed from the emergency call to the arrival of the ambulance at the scene of the incident, the time for the ambulance to reach the trauma center, insufficient experience with certain trauma procedures due to infrequent occurrences, and inadequate training for EMS personnel in rural areas. This project evaluated the impact of a continuous quality improvement system, aimed at pre-hospital and hospital emergency providers of trauma care in rural areas, on the overall preventable mortality rate in rural eastern North Carolina. This program significantly contributed to the decrease in preventable deaths and inappropriate care in north eastern rural North Carolina.

17. Key Words
  • EMS
  • Trauma
  • Rural
  • Preventable Mortality
18. Distribution Statement


19. Security Classif. (of this report)


20. Security Classif. (of this page)


21. No. of Pages


22. Price
Form DOT F 1700.7 (8-72) Reproduction of completed page authorized

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