Which of the following best describes why there are more long-term con

Which of the following best describes why there are more long-term consequences (such as death) to a driver injured in a truck accident in a rural area than a driver injured in a truck accident in an urban area? (Select all that apply.)

a. Rural drivers are more likely to speed over long distances than urban drivers.
b. Rural drivers are not as skilled with vehicles as urban drivers, so they are more severely injured in a crash.
c. The urban driver is taken immediately for care, whereas the rural driver might be injured on an isolated field and not found by anyone for hours.
d. Urban drivers are more likely to use their seat belts than rural drivers.
e. Urban drivers are probably rushed to an emergency department, whereas the rural driver lives far away from emergency services, often over bad roads and possibly through severe weather.
f.
Urban drivers trade their vehicles in rather frequently, whereas rural drivers keep their vehicles for as long as they can make them run, so the vehicles are much less roadworthy.

ESSAYBID ANSWER

ANS: A, C, D, E
Getting patients from the place of injury to the trauma center within the “golden hour” is frequently not possible in rural areas because distance, terrain, climatic conditions, and communication methods produce barriers. Some rural facilities are more than 1 hour away by air from the nearest trauma center or tertiary care hospital. Driving at high speeds, driving long distances, driving in winter conditions, not using seat belts, and consuming alcohol have been cited as contributing to greater levels of injury deaths and disability by rural residents in the West. There is no evidence to suggest that rural drivers are not as skilled as urban drivers or that their vehicles are less roadworthy.