In a poem titled “Fence or Ambulance” written more than one hundred years ago, Joseph Malins described the policy dilemma a city faced in tackling the rising morbidity and mortality from accidental falls from a dangerous cliff. The 2 policy options considered included building a strong fence around the edge of the cliff or raising funds to support an ambulance down in the valley. The city initi...

The use of a helicopter as a primary response vehicle for the Cornwall Ambulance Service is presented. A brief analysis of the activities of the First Air Ambulance is described and an appraisal of its effects on the overall performance of the Service is given. Emphasis is given to patient acceptability and also to the flexibility of the helicopter in terms of its response to different situatio...

In modern and crowded traffic life, it becomes mandatory to save the human life by reaching the hospital very sooner than possible. This paper explains about the advancement in tracking the ambulance presence amidst the traffic with the usage of GPS tracking system calculating the position of the ambulance from the traffic signal which replaces the RF transmitter receiver circuitry. This paper ...

In this paper, a model is presented to locate ambulances, considering backup facility (to increase reliability) and the restriction of ambulance capacity. This model is designed for emergencies. In this model the covered demand for each demand point depends on the number of coverage times and the amount of demand. The demand amount and ambulance coverage radius are considered...

OBJECTIVES To investigate the effect of hot and cold temperatures on ambulance attendances. DESIGN An ecological time-series study. SETTING AND PARTICIPANTS The study was conducted in Brisbane, Australia. The authors collected information on 783 935 daily ambulance attendances, along with data of associated meteorological variables and air pollutants, for the period of 2000-2007. OUTCOME ...

OBJECTIVE To describe and compare characteristics and outcomes of patients who arrive by ambulance to the ED. We aimed to (i) compare patients with a delayed ambulance offload time (AOT) >30 min with those who were not delayed; and (ii) identify predictors of an ED length of stay (LOS) of >4 h for ambulance-arriving patients. METHODS A retrospective, multi-site cohort study was undertaken in ...

BACKGROUND Stroke is a very time-sensitive pathology, and many new solutions target the optimization of prehospital stroke care to improve the stroke management process. In-ambulance telemedicine, defined by live bidirectional audio-video between a patient and a neurologist in a moving ambulance and the automated transfer of vital parameters, is a promising new approach to speed up and improve ...

Results: Ten thousand three hundred one adult, non–trauma-system ED patients arrived by ambulance in 2002 and 2003, with average hospital revenues of $4,492. Each hour spent on diversion was associated with $1,086 (95% confidence interval $611 to $1,461) in forgone hospital revenues from ambulance patients. In August 2002, the study hospital increased its staffed ICU beds from 47 to 67, and div...

OBJECTIVES Alternative response schemes for emergency calls are being set up by many UK ambulance services. The barriers to such developments from the perspective of ambulance service staff have not been formally investigated. The aims of this study are to identify attitudes and barriers to the development of alternative response schemes and ways of easing the transition as they are implemented...

Ambulance vehicles are a unique passenger environment with complex crashworthiness and occupant protection issues, eg. occupants in various orientations, unique human factors aspects and an array of aftermarket interior modifications. In the USA, ambulance vehicle occupant protection, crashworthiness and safety testing lags 30 years behind current general automotive safety technology. This pape...