Impact of traffic on the spatiotemporal variations of spatial accessibility of emergency medical services in inner-city Shanghai

2018 ◽  
Vol 47 (5) ◽  
pp. 841-854 ◽  
Author(s):  
Wenyan Hu ◽  
Jinkai Tan ◽  
Mengya Li ◽  
Jun Wang ◽  
Fahui Wang
Keyword(s):  
Response Time ◽  
Inner City ◽  
Emergency Medical Services ◽  
Traffic Congestion ◽  
Spatial Accessibility ◽  
Medical Services ◽  
Policy Makers ◽  
Large Cities ◽  
Emergency Medical ◽  
Transportation Simulation

Variability in spatial accessibility of emergency medical services has become a major concern in evaluating the quality of emergency medical services in China. Unlike some other public services, response time is critical in the provision of emergency medical services. Traffic congestion may significantly affect response time, especially in large cities. This study uses a transportation simulation model to estimate the travel time under free-flow and congested road conditions and measure the corresponding spatial accessibility of emergency medical services for various hours of a day in inner-city Shanghai. When traffic congestion is considered, the overall spatial accessibility is significantly reduced, and the effect is further magnified in certain congested areas. The results help policy makers in planning the emergency medical services resource that is sensitive to the spatiotemporal variation of its accessibility.

scholarly journals Implementation of Ambulance Hotspot Strategy in Reducing Ambulance Response Time

2020 ◽  
pp. 3
Author(s):  
Su Na Chin ◽  
Phee Kheng Cheah ◽  
Muhamad Yaakub Arifin ◽  
Hui Shan Kang ◽  
Zaturrawiah A Omar ◽  
...  
Keyword(s):  
Response Time ◽  
Emergency Medical Services ◽  
Traffic Congestion ◽  
Road Traffic ◽  
Mortality Rates ◽  
Medical Services ◽  
Congested Traffic ◽  
Emergency Medical ◽  
Road Traffic Congestion

Introduction: Ambulance response time (ART) has an inseparable relationship with mortality rates and therefore is important to be reduced. However, an unprecedented increase in road traffic congestion has led to longer ART, especially during peak hours. To reduce ART despite congested traffic, a pre-dispatched ambulance is deployed at hotspot locations during peak hours. This study aims to determine if the hotspot strategy is able to reduce ART in an Urban Emergency Medical Services system.

scholarly journals Strengthening the Capacity of Emergency Medical Services in Low and Middle Income Countries using Dispatcher-Coordinated Taxis

2020 ◽  
Vol 2674 (9) ◽  
pp. 338-345
Author(s):  
Vipul Mishra ◽  
Richa Ahuja ◽  
N. Nezamuddin ◽  
Geetam Tiwari ◽  
Kavi Bhalla
Keyword(s):  
Response Time ◽  
Emergency Medical Services ◽  
Road Traffic ◽  
International Standards ◽  
Medical Services ◽  
Road Traffic Crash ◽  
Middle Income ◽  
Middle Income Countries ◽  
Emergency Medical ◽  
Low And Middle Income

International standards recommend provision of one ambulance for every 50,000 people to fulfill demand for transporting patients to definitive care facilities in low and middle income countries (LMICs). Governments’ consistent attempt to build capacity of emergency medical services (EMS) in LMICs has been financially demanding. This study is an attempt to assess the feasibility of capacity building of existing EMS in Delhi, India by using taxis as an alternative mode of transport for emergency transportation of road traffic crash victims to enable improvement in response time for road traffic crashes where time criticality is deemed important. Performance of the proposed system is evaluated based on response time, coverage and distance. The system models the performance and quantifies the taxi–ambulance configuration for achieving EMS performance within international standards.

Prehospital Emergency Medical Services Departure Interval: Does Patient Age Matter?

2016 ◽  
Vol 31 (6) ◽  
pp. 608-613 ◽  
Author(s):  
Bruno Schnegg ◽  
Mathieu Pasquier ◽  
Pierre-Nicolas Carron ◽  
Bertrand Yersin ◽  
Fabrice Dami
Keyword(s):  
Response Time ◽  
Emergency Medical Services ◽  
Time Of Day ◽  
Medical Services ◽  
Time Interval ◽  
Patient Age ◽  
Emergency Medical ◽  
Patient Âgé ◽  
Prehospital Emergency ◽  
The Impact

AbstractIntroductionThe concept of response time with minimal interval is intimately related to the practice of emergency medicine. The factors influencing this time interval are poorly understood.ProblemIn a process of improvement of response time, the impact of the patient’s age on ambulance departure intervals was investigated.MethodThis was a 3-year observational study. Departure intervals of ambulances, according to age of patients, were analyzed and a multivariate analysis, according to time of day and suspected medical problem, was performed.ResultsA total of 44,113 missions were included, 2,417 (5.5%) in the pediatric group. Mean departure delay for the adult group was 152.9 seconds, whereas it was 149.3 seconds for the pediatric group (P =.018).ConclusionA statistically significant departure interval difference between missions for children and adults was found. The difference, however, probably was not significant from a clinical point of view (four seconds).SchneggB, PasquierM, CarronPN, YersinB, DamiF. Prehospital Emergency Medical Services departure interval: does patient age matter?Prehosp Disaster Med. 2016;31(6):608–613.

Challenges to Use Response Time Standard in Assessing Emergency Medical Services in Iran: A Systematic Review

2017 ◽  
Vol 6 (4) ◽  
pp. 55
Author(s):  
Mohammadreza Maleki ◽  
SeyyedMohammad Reza Hosseini ◽  
HasanAbolghasem Gorji ◽  
Davoud Khorasani-Zavareh ◽  
Masoud Roudbari
Keyword(s):  
Systematic Review ◽  
Response Time ◽  
Emergency Medical Services ◽  
Medical Services ◽  
Emergency Medical ◽  
Time Standard
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