In the last decade, there has been a growing concern in Japan about proper use of resources related to emergency medical services, including ambulances. This letter proposes two new methods optimize ambulance deployment using dynamic model, which precisely represents sequential decision-making process ambulances dispatched each request. These give allocations minimize arrival times all requests...

BACKGROUND Good coronary care begins from the patient's home, including early transportation. As such, it is recommended that the patients activate ambulances, rather than to use their own transportations to reach the hospitals. It is not known whether Malaysian patients prefer to use private transportations or ambulances when they develop chest pain. OBJECTIVES This study is conducted to exp...

Emergency medical service (EMS) providers continually seek ways to improve system performance particularly the response time to incidents. The demand for ambulances fluctuate throughout the week, depending on the day of week, and even the time of day, therefore EMS operators can improve system performance by dynamic relocation/redeployment of ambulances in response to fluctuating demand patters...

BACKGROUND The utilization of ambulances in low- and middle-income countries is limited. The aim of this study was to ascertain frequency of ambulance use and characteristics of patients brought into emergency departments (EDs) through ambulance and non-ambulance modes of transportation. METHODS The Pakistan National Emergency Departments Surveillance (Pak-NEDS) was a pilot active surveillanc...

OBJECTIVES To evaluate infection control and the incidence of bacterial pathogens in Emergency Medical Service (EMS) ambulances in Riyadh, Saudi Arabia. The effectiveness of fumigation techniques used for these ambulances to minimize the spread of infection to transported patients and pre-hospital care providers was also assessed. METHODS Based on previous literature review indicating a highe...

This paper studies the ambulance routing problem (ARP) in disaster situations when a large number of injured people from various locations require receiving treatments and medical aids. In such circumstances, many people summoning the ambulances but the capacity and number of emergency vehicles are not sufficient to visit all the patients at the same time. Therefore, a pivotal issue is to manag...

The aim is to develop a robust methodology for dispatching and routing of emergency vehicles (EVs) in a post-disaster environment with the support of data fusion for decision-making. In this work we consider an earthquake scenario with a large number of casualties needing medical attention. With the influx of information (about the casualties, road and traffic conditions, etc.) data is fused to...

BACKGROUND Increased ambulance utilisation is closely linked with Emergency Department (ED) attendances. Pressures on hospital systems are widely acknowledged with ED overcrowding reported regularly in the media and peer-reviewed literature. Strains on ambulance services are less well-documented or studied. AIMS To review the literature to determine the trends in utilisation of emergency ambu...