Actions taken immediately following a life-threatening personal health incident are critical for the survival of the sufferer. The timely arrival of specialist ambulance crew in particular often makes the difference between life and death. As a consequence, it is critical that emergency ambulance services achieve short response times. This objective sets a considerable challenge to ambulance services worldwide, especially in metropolitan areas where the density of incident occurrence and traffic congestion are high. Using London as a case study, in this paper we consider the advantages and limitations of data-driven methods for ambulance routing and navigation. Our long-term aim is to enable considerable improvements to their operational efficiency through the automated generation of more effective response strategies and tactics. A key ingredient of our approach is to use a large historical dataset of incidents and ambulance location traces to model route selection and arrival times. Working on the London road network graph modified to reflect the differences between emergency and civilian vehicle traffic, we develop a methodology for the precise estimation of expected ambulance speed at the individual road segment level. We demonstrate how a model that exploits this information achieves best predictive performance by implicitly capturing route-specific persistent patterns in changing traffic conditions. We then present a predictive method that achieves a high route similarity score while minimising journey duration error. This is achieved through the combination of a technique that correctly predicts routes selected by the current navigation system of the London Ambulance Service and our best performing speed estimation model. This hybrid approach outperforms alternative mobility models.
The study of computational techniques for the effective and efficient management of Emergency Medical Service (EMS) resources has a relatively long history @cite_1 . The main focus of research in this domain has been on the development of models for the placement of EMS facilities, such as ambulance stations, and on strategies for resource relocation so that specific performance metrics are maximised @cite_27 @cite_18 . The survey @cite_24 provides a chronological perspective on the development of research in this area.
@cite_24 @cite_27 @cite_1 @cite_18
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Emergency rescues require that first responders provide support to evacuate injured and other civilians who are obstructed by the hazards. In this case, the emergency personnel can take actions strategically in order to rescue people maximally, efficiently and quickly. The paper studies the effectiveness of a random neural network (RNN)-based task assignment algorithm involving optimally matching emergency personnel and injured civilians, so that the emergency personnel can aid trapped people to move towards evacuation exits in real-time. The evaluations are run on a decision support evacuation system using the Distributed Building Evacuation Simulator (DBES) multi-agent platform in various emergency scenarios. The simulation results indicate that the RNN-based task assignment algorithm provides a near-optimal solution to resource allocation problems, which avoids resource wastage and improves the efficiency of the emergency rescue process. Abstract This article traces the evolution of ambulance location and relocation models proposed over the past 30 years. The models are classified in two main categories. Deterministic models are used at the planning stage and ignore stochastic considerations regarding the availability of ambulances. Probabilistic models reflect the fact that ambulances operate as servers in a queueing system and cannot always answer a call. In addition, dynamic models have been developed to repeatedly relocate ambulances throughout the day. Background Computational models play an increasingly important role in the assessment and control of public health crises, as demonstrated during the 2009 H1N1 influenza pandemic. Much research has been done in recent years in the development of sophisticated data-driven models for realistic computer-based simulations of infectious disease spreading. However, only a few computational tools are presently available for assessing scenarios, predicting epidemic evolutions, and managing health emergencies that can benefit a broad audience of users including policy makers and health institutions. Information systems that provide decision support in an efficient and timely manner can prove beneficial for emergency response operations. In this paper we propose the use of a system that provides movement decision support to evacuees by directing them through the shortest or less hazardous routes to the exit and evaluate it with a specialised software platform that we have developed for simulation of disasters in buildings. The system operates in a distributed manner, and computes the best evacuation routes in real-time while a hazard is spreading inside the building. It is composed of a network of decision nodes and sensor nodes, positioned in specific locations inside the building. The recommendations of the decision nodes are computed in a distributed manner, at each of the decision nodes, which then communicate them to evacuees or rescue personnel located in their vicinity. We use a multi-agent simulation platform for Building Evacuation that we developed, in order to evaluate our proposed system in various emergency scenarios. Our simulation results show that the overall outcome of the evacuation procedure is improved when the decision support system is in operation.