I work in a rural ER department in Northern BC. We are facing the reality of closing our ER overnight due to lack of nursing staffing. For a rural ER department it is not as simple as closing the doors as transports are long and the ambulance is not always available. I am looking to connect with other physicians that have faced this scenario to work on an algorithm that would be useful to frontline providers. We still have physicians able to respond overnight but want to be clear on what we can sustain and support. I am contemplating creating jump bags that we can take along in the ambulance for critical emergencies during the 90 min transport to the closest ER (think of taking a page from advanced care paramedics on this one). If anyone has resources please share.