Emergency Medical Services ( EMS) is critical to saving lives by proper execution in a high-stress situation. There are many factors that can affect the performance of the EMS unit. Everyone must know their job and execute in order to get the job done right and fast. Sometimes there are added external factors that can hinder or challenge the performance of an EMS unit. For instance, the operation of an EMS in urban versus rural areas. Do lower-middle-income areas/countries have an effect on EMS?

Here is an interesting paper that was recently published looking at EMS performance in rural versus urban areas. What are the factors?

See more below:

https://www.researchgate.net/publication/333133425_Factors_Impacting_Patient_Outcomes_Associated_with_Use_of_Emergency_Medical_Services_Operating_in_Urban_Versus_Rural_Areas_A_Systematic_Review