Syracuse Rescue
As far as Otoe County Goes...I used to be on Syracuse Rescue, and they had their own Frequency...it used to be 453.350, which was Fire/Rescue Dispatch, Syracuse PD, and Syracuse Hospital. That's what we used to contact them. Not sure what Nebraska City uses to contact the hospital. Palmyra and Douglas transport most of their patients to Lincoln. They might still be using 39.82, but I wouldn't be surprised if they use the EDACS Talkgroups that we use in Lincoln.
I'll try to check and update when I find out....