Article
Computer Science, Artificial Intelligence
Pablo Ferri, Carlos Saez, Antonio Felix-De Castro, Javier Juan-Albarracin, Vicent Blanes-Selva, Purificacion Sanchez-Cuesta, Juan M. Garcia-Gomez
Summary: This study developed a deep learning model named DeepEMC2 for real-time classification of emergency medical call incidents, showing excellent performance in life-threatening level, response delay, and emergency system jurisdiction. The model outperformed the current in-house triage protocol of the Valencian emergency medical dispatch service, indicating its potential to capture more information from emergency calls and model complex data dependencies.
ARTIFICIAL INTELLIGENCE IN MEDICINE
(2021)
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)
Article
Clinical Neurology
Martijne H. C. Duvekot, Henk Kerkhoff, Esmee Venema, Hans W. D. J. C. Bos, David Smeekes, Bianca Ivonne Buijck, Anouk D. Rozeman, Walid Moudrous, Frederique H. Vermeij, Geert J. Lycklama a Nijeholt, Pieter Jan van Doormaal, Adriaan C. G. M. van Es, Aad van der Lugt, Diederik Dippel, Bob Roozenbeek
Summary: More than half of patients with suspected stroke do not directly call emergency medical services (EMS), but instead call their general practitioners (GPs) first. Patients with higher FAST scores, alert outside office hours, and a rapid alert are more likely to directly call EMS. Patients who directly call EMS receive intravenous thrombolysis treatment 30 minutes earlier than those who call their GPs first.
CLINICAL NEUROLOGY AND NEUROSURGERY
(2022)
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
Public, Environmental & Occupational Health
Dalia Khoury, Alexander Preiss, Paul Geiger, Mohd Anwar, Kevin Paul Conway
Summary: This study examined changes in the occurrence of naloxone administrations and multiple naloxone administrations during EMS runs for opioid-related overdoses during the COVID-19 pandemic in Guilford County, North Carolina. The results showed that all outcomes increased during the COVID-19 period, with significant proportional increases.
JMIR PUBLIC HEALTH AND SURVEILLANCE
(2021)
Article
Obstetrics & Gynecology
Rebecca E. Cash, Robert A. Swor, Margaret Samuels-Kalow, David Eisenbrey, Anjali J. Kaimal, Carlos A. Camargo
Summary: Prehospital obstetric events encountered by EMS personnel are infrequent but often high-risk, with about one-third of cases being classified as high acuity. The most common presentation is early or threatened labor, while abdominal complaints are the most common primary symptoms and impressions. More research is needed to optimize prehospital care and outcomes for these patients.
BMC PREGNANCY AND CHILDBIRTH
(2021)
Review
Clinical Neurology
Christopher T. T. Richards, J. Adam Oostema, Sherita N. N. Chapman, Lauren E. E. Mamer, Ethan S. S. Brandler, Anne W. W. Alexandrov, Alexandra L. L. Czap, Juan Carlos Martinez-Gutierrez, Christian Martin-Gill, Ashish R. R. Panchal, Jason T. T. McMullan, Kori S. S. Zachrison
Summary: This topical review discusses the current state of prehospital acute stroke screening and transport, as well as new and emerging advances in prehospital diagnosis and treatment of acute stroke. Topics include prehospital stroke screening, stroke severity screening, emerging technologies to aid in the identification and diagnosis of acute stroke in the prehospital setting, prenotification of receiving emergency departments, decision support for destination determination, and the capabilities and opportunities for prehospital stroke treatment in mobile stroke units. Further evidence-based guideline development and implementation of new technologies are critical for ongoing improvements in prehospital stroke care.
Article
Chemistry, Analytical
Victor A. Convertino, Robert W. Techentin, Ruth J. Poole, Ashley C. Dacy, Ashli N. Carlson, Sylvain Cardin, Clifton R. Haider, David R. Holmes, Chad C. Wiggins, Michael J. Joyner, Timothy B. Curry, Omer T. Inan
Summary: This study compared the predictive ability of two machine learning algorithms for detecting decompensated shock in healthy volunteers undergoing simulated hemorrhage. The results showed that both algorithms were effective in predicting decompensated shock, particularly in patients with central hypovolemia.
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)
Article
Health Care Sciences & Services
Daifallah Alrazeeni, Ahtisham Younas, Subia Parveen Rasheed
Summary: This study found that experiential learning significantly improved students' psychomotor skills in the field of EMS during internship, with an overall success rate ranging from 85.49% to 99.4%. This highlights the significant impact of experiential learning on students' competency development.
JOURNAL OF MULTIDISCIPLINARY HEALTHCARE
(2021)