Article
Management
Samuel Ridler, Andrew J. Mason, Andrea Raith
Summary: This paper introduces JEMSS, a free and open-source software package for simulation and optimization of Emergency Medical Services (EMS). JEMSS incorporates integer programming optimization, heuristic local search, and simulation capabilities to evaluate and optimize EMS decision-making and strategies. The package includes flexible and customizable decision protocols for ambulance dispatch and dynamic redeployment. It runs simulations quickly, allowing for efficient evaluation of realistic city models. The software also includes visualization tools and has been validated against existing EMS simulation software.
EUROPEAN JOURNAL OF OPERATIONAL RESEARCH
(2022)
Article
Transportation Science & Technology
Gaby Joe Hannoun, Monica Menendez
Summary: Advancements in vehicular and wireless communication technologies have shaped the future of transportation systems, but emergency medical services (EMS) still face issues with response delays. This research introduces a smart EMS system using modular vehicle technology to improve resource allocation and rescue efficiency. Results show that the system can respond quicker to emergencies, especially in large-scale disaster scenarios.
TRANSPORTATION RESEARCH PART C-EMERGING TECHNOLOGIES
(2022)
Article
Economics
Marcos Colla, Gilson Ditzel Santos, Gilson Adamczuk Oliveira, Renata Braga Berenguer de Vasconcelos
Summary: Research on ambulance response times for EMS calls has been conducted for decades, primarily in developed countries. However, there is limited scientific research on this topic in Brazil, a developing country, which mainly focuses on cities with a population of over one million. This highlights the need to extend research to small and medium-sized cities.
SOCIO-ECONOMIC PLANNING SCIENCES
(2023)
Review
Emergency Medicine
Brandon Marshall, Erin McGlynn, Andrew King
Summary: The high costs associated with acute alcohol intoxication patients visiting emergency departments have attracted attention. Research suggests that sobering centers may be a cheaper and more effective alternative treatment option, but further studies are needed to investigate the connection and effectiveness between EMS and sobering centers.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2021)
Article
Emergency Medicine
Eli Jaffe, Roman Sonkin, Refael Strugo, Erik Zerath
Summary: During the COVID-19 pandemic, EMS experienced changes in call volume for different categories. Analyzing the consistency between symptoms and confirmed cases curve shape, as well as changes in types of phone calls, helps to better prepare for epidemic periods.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2021)
Article
Automation & Control Systems
Ran Liu, Weiliang Liu, Yuxin Liu, Ershun Pan, Xiaolei Xie
Summary: The paper addresses the issue of ambulance offload delays in emergency healthcare services by analyzing and optimizing the emergency medical services network. By developing resource configuration and optimization models, the study aims to reduce delays and congestion in emergency departments. The research also identifies reasons for overcapacity in EDs and ambulance offload delays and proposes effective approaches to reconfigure resources for a new equilibrium.
IEEE TRANSACTIONS ON AUTOMATION SCIENCE AND ENGINEERING
(2022)
Article
Medicine, General & Internal
Hang A. Park, Sola Kim, Sang Ook Ha, Sangsoo Han, ChoungAh Lee
Summary: This study analyzed emergency medical service records of 219,763 patients in Gyeonggi Province to evaluate the effectiveness of designated emergency medical centers for critical care during the COVID-19 pandemic. The intervention led to increased distances traveled by patients, but significantly reduced daily ambulance diversion rates and significantly lengthened prehospital times.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Public, Environmental & Occupational Health
Yang Zou, Ling Jia, Saijuan Chen, Xinyi Deng, Zhiyi Chen, Ying He, Qiuting Wang, Dianguo Xing, Yan Zhang
Summary: This study aimed to explore the accessibility of ambulance services and complete emergency medical services (EMS) in Chongqing, China and its regional differences. The results showed that while the accessibility of ambulances in Chongqing was relatively high, the accessibility of monitoring ambulance was relatively low. There were significant regional and urban-rural differences in the accessibility of complete EMS. Recommendations to improve spatial accessibility of EMS include increasing financial investment, enhancing EMS resources, strengthening road construction, and providing reasonable planning of rural settlements.
FRONTIERS IN PUBLIC HEALTH
(2023)
Review
Medicine, General & Internal
Caleb Hanson Gage, Charnelle Stander, Liz Gwyther, Willem Stassen
Summary: This study aimed to map the existing literature on emergency medical services (EMS) and palliative care by answering the question of what literature exists in this field. Through literature review and analysis, it was found that EMS have a role in out-of-hospital palliative care, but there are also many challenges that need to be addressed. Recommendations and solutions have been proposed to overcome these challenges.
Article
Emergency Medicine
Burak Bekgoz, Ebru Erek Kazan, Ahmet Fatih Kahraman, Ishak San
Summary: This study evaluates the change in the number of EMS cases during the lockdown period, non-lockdown period, and pre-pandemic period. The results show that the number of EMS cases decreased during the pandemic, especially during the lockdown. However, the number of calls increased significantly during the lockdown period, resulting in longer response times and talk times.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2022)
Article
Pediatrics
Chantal Tan, Clementien Vermont, Joany Zachariasse, Ulrich von Both, Irini Eleftheriou, Marieke Emonts, Michiel van der Flier, Jethro Herberg, Benno Kohlmaier, Michael Levin, Emma Lim, Ian Maconochie, Federico Martinon-Torres, Ruud Nijman, Marko Pokorn, Irene Rivero-Calle, Maria Tsolia, Werner Zenz, Dace Zavadska, Henriette A. Moll, Enitan Carrol
Summary: This study found that there is a high percentage of discordant emergency medical services (EMS) use in febrile children attending European emergency departments (EDs). Although some of these children had markers of urgency, 29% of them were still transferred by EMS unnecessarily. Future research is needed to investigate non-medical factors influencing discordant EMS use in febrile children across Europe, in order to implement preventive strategies.
EUROPEAN JOURNAL OF PEDIATRICS
(2023)
Article
Engineering, Industrial
Taiyi Zhao, Yuchun Tang, Qiming Li, Jingquan Wang
Summary: Emergency medical services (EMSs) are crucial in ensuring timely and effective medical treatment during disasters, but the functionality of damaged transportation systems can hinder their operations. This study integrates two network reconfiguration strategies to maximize community disaster resilience. A bilevel resilience-based optimization model is developed to adaptively select implementation locations for these strategies, while the effectiveness is evaluated using a traffic assignment model. Numerical results from the case of a destructive earthquake in Tangshan city, China, show that the optimized plan can achieve a maximum normalized value of 0.76 for community disaster resilience. Parameter sensitivity analysis reveals that the effectiveness of the reconfiguration strategies is highest when the penetration of an advanced traveler information system is 50% or greater.
RELIABILITY ENGINEERING & SYSTEM SAFETY
(2023)
Article
Economics
David Martimort, Guillaume Pommey, Jerome Pouyet
Summary: The study analyzes the optimal regulation design for airports when they invest in infrastructure quality. It compares the optimal regulation with more constrained scenarios and investigates the impact of commercial services on the need for regulation. The study also looks into the consequences of non-observability of airport investments.
TRANSPORTATION RESEARCH PART B-METHODOLOGICAL
(2022)
Article
Business
Craig Loschmann, Katrin Marchand
Summary: The study found that the labor market outcomes of returned refugees are significantly influenced by factors such as educational attainment and the strength of social networks related to socioeconomic status. Additionally, the migration and return experience play a crucial role in their current employment status.
SMALL BUSINESS ECONOMICS
(2021)
Article
Medicine, General & Internal
Ole Erik Ulvin, Eivinn ardal Skjaerseth, Andreas J. Kruger, Kjetil Thorsen, Trond Nordseth, Helge Haugland
Summary: The aim of this study was to evaluate the impact of introducing video calls in the emergency medical communication centres on the precision of helicopter emergency medical services dispatch.