[relaytheurgency]

The decline in equipment deaths and injuries is mostly due to automation. Not nearly as many people with their hands near a PTO as there used to be.

[Jtsummers]

And the distance from medical care means that severe but survivable injuries become severe and fatal injuries out in farm country. Near my grandparents' farm most of the older folks had moved away precisely because of the lack of access to the (due to age) needed medical facilities. When standard care isn't accessible, emergency and trauma care will almost certainly be worse.