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Long Road to Care by Steve Miller

The rural nature of the Northern Cheyenne Reservation can mean that by the time first responders reach a patient, an emergecy can go from bad to worse.

On the 14th second of every minute, the green punch clock on the wall of the Lame Deer Emergency Response Service's kitchen emits a pressurized snap. Paramedic Sandy Bruised Head and on-duty dispatcher Karilyn Brady don’t seem to notice it much as they play one of their countless games of Yahtzee.

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Photos by Adam Eschbach

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