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Puspita, Kumara, Samriananda Septiyani, and I. Gde Sandy Satria. "EFEKTIVITAS TIM ESCORT SEBAGAI PEMBUKA JALAN AMBULANS DI INDONESIA." Jurnal Hukum Bisnis Bonum Commune 3, no. 2 (July 22, 2020): 189–200. http://dx.doi.org/10.30996/jhbbc.v3i2.3576.
Testo completoAbstract (sommario):
AbstractThis study aims to identify the formation of the escort team community and the important role of the ambulance escort. Research methods used by researchers are empirical studies by obtaining live data from interviews via social media with escort teams and communities in Indonesia. Research on the role of escort team helps the ambulance travel quickly to the assigned hospital. Early in the development of the escort team in Indonesia, due to people's indifference to the presence of ambulances when the ambulance sirens went off, this caused patients to bet their lives on the streets. Several communities and police departments disagreed on the escort team's presence, as it was in the interest of security and order in police traffic that had the authority to escort ambulances. In this case the host team helps the ambulance, since the ambulance asks escort teams to escort ambulances, for a definite decision or discrete of the police force to provide a specific clearance for the escort team's communities.Keywords: ambulance escort; escort team community; roleAbstrakPenelitian ini bertujuan untuk mengetahui awal terbentuknya komunitas tim escort dan peranan penting dalam melakukan pengawalan ambulans. Metode penelitian yang digunakan peneliti adalah penelitian empiris dengan cara memperoleh data langsung dari hasil wawancara melalui media sosial dengan pihak tim escort dan masyarakat di Indonesia. Melalui penelitian ini peneliti peranan tim escort dapat membantu perjalanan ambulans agar cepat sampai ke rumah sakit yang dituju. Pada awal terbentuknya komunitas tim escort di Indonesia, disebabkan karena ketidakpedulian masyarakat akan keberadaan ambulans ketika sirine ambulans berbunyi, hal ini yang menyebabkan pasien bertaruh nyawa di jalan. Beberapa masyarakat dan pihak kepolisan tidak setuju akan keberadaan komunitas tim escort, karena demi keamanan dan ketertiban dalam berlalu lintas pihak kepolisian yang memiliki wewenang untuk melakukan pengawalan ambulans. Dalam hal ini keberadaan komunitas tim escort sangat membantu pihak ambulans, karena pihak ambulans yang meminta tim escort untuk mengawal ambulans, supaya adanya kepastian diperlukan keputusan atau diskresi kepolisian agar memberikan ketegasan berupa izin khusus untuk komunitas tim escort dalam melakukan pengawalan ambulans.Kata kunci: komunitas tim escort; pengawalan ambulans; peranan
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Tshokey, Tshokey, Ugyen Tshering, Karma Lhazeen, Arpine Abrahamyan, Collins Timire, Bikash Gurung, Devi Charan Subedi, Kencho Wangdi, Victor Del Rio Vilas, and Rony Zachariah. "Performance of an Emergency Road Ambulance Service in Bhutan: Response Time, Utilization, and Outcomes." Tropical Medicine and Infectious Disease 7, no. 6 (May 31, 2022): 87. http://dx.doi.org/10.3390/tropicalmed7060087.
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Background: An efficient ambulance service is a vital component of emergency medical services. We determined the emergency ambulance response and transport times and ambulance exit outcomes in Bhutan. Methods: A cross-sectional study involving real-time monitoring of emergency ambulance deployments managed by a central toll-free (112) hotline (20 October 2021 to 20 January 2022) was carried out. Results: Of 5092 ambulance deployments, 4291 (84%) were inter-facility transfers, and 801 (16%) were for emergencies. Of the latter, 703 (88%) were for non-pregnancy-related emergencies (i.e., medical, surgical, and accidents), while 98 (12%) were for pregnancy-related emergencies. The median ambulance response and patient transport times were 42 (IQR 3–271) and 41 (IQR 2–272) minutes, respectively. The median round-trip distance travelled by ambulances was 18 km (range 1–186 km). For ambulance exit outcomes that were pregnancy-related (n = 98), 89 (91%) reached the health facility successfully, 8 delivered prior to ambulance arrival at the scene or in the ambulance during transport, and 1 had no outcome record. For the remaining 703 non-pregnancy deployments, 29 (4.1%) deployments were deemed not required or refusals, and 656 (93.3%) reached the health facility successfully; 16 (2.3%) died before the ambulance’s arrival at the scene, and 2 (0.3%) were not recorded. Conclusions: This first countrywide real-time operational research showed acceptable ambulance exit outcomes. Improving ambulance response and transport times might reduce morbidities and mortalities further.
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Næss, Lars Eide, Andreas Jørstad Krüger, Oddvar Uleberg, Helge Haugland, Jostein Dale, Jon-Ola Wattø, Sara Marie Nilsen, and Andreas Asheim. "Using machine learning to assess the extent of busy ambulances and its impact on ambulance response times: A retrospective observational study." PLOS ONE 19, no. 1 (January 5, 2024): e0296308. http://dx.doi.org/10.1371/journal.pone.0296308.
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Background Ambulance response times are considered important. Busy ambulances are common, but little is known about their effect on response times. Objective To assess the extent of busy ambulances in Central Norway and their impact on ambulance response times. Design This was a retrospective observational study. We used machine learning on data from nearby incidents to assess the probability of up to five different ambulances being candidates to respond to a medical emergency incident. For each incident, the probability of a busy ambulance was estimated by summing the probabilities of candidate ambulances being busy at the time of the incident. The difference in response time that may be attributable to busy ambulances was estimated by comparing groups of nearby incidents with different estimated busy probabilities. Setting Medical emergency incidents with ambulance response in Central Norway from 2013 to 2022. Main outcome measures Prevalence of busy ambulances and differences in response times associated with busy ambulances. Results The estimated probability of busy ambulances for all 216,787 acute incidents with ambulance response was 26.7% (95% confidence interval (CI) 26.6 to 26.9). Comparing nearby incidents, each 10-percentage point increase in the probability of a busy ambulance was associated with a delay of 0.60 minutes (95% CI 0.58 to 0.62). For incidents in rural and urban areas, the probability of a busy ambulance was 21.6% (95% CI 21.5 to 21.8) and 35.0% (95% CI 34.8 to 35.2), respectively. The delay associated with a 10-percentage point increase in busy probability was 0.81 minutes (95% CI 0.78 to 0.84) and 0.30 minutes (95% CI 0.28 to 0.32), respectively. Conclusion Ambulances were often busy, which was associated with delayed ambulance response times. In rural areas, the probability of busy ambulances was lower, although the potentially longer delays when ambulances were busy made these areas more vulnerable.
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Piórkowski, Adam. "Construction of a dynamic arrival time coverage map for emergency medical services." Open Geosciences 10, no. 1 (June 11, 2018): 167–73. http://dx.doi.org/10.1515/geo-2018-0013.
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Abstract This article presents a design of coverage maps for emergency journeys made by emergency medical services. The system was designed for the Malopolskie Voivodeship Office in Cracow, Poland. The proposed solution displays maps of the ambulance coverage of areas and ambulance’s potential journey times. There are two versions of the map: static and dynamic. The static version is used to appropriately allocate ambulances to cover an area with the ability to reach locations in less than 15 or 20 minutes; the dynamic version allows monitoring of ambulance fleets under normal conditions or in the event of a crisis. The article also presents the results of archival data related to the movement of ambulances on the roads of Malopolskie Voivodship. Particular attention was paid to the relation between the speed of vehicles and the traffic on the road, the day of the week or month, and long-term trends. The collected observations made it possible to assume a general model of ambulance movement in the voivodeship to calculate arrival time coverage maps.
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Ismail, Samina, Nukhba Zia, Khalid Samad, Rubaba Naeem, Haris Ahmad, Amir Raza, Muhammad Baqir, and Uzma Rahim Khan. "Prehospital Airway Management in Emergency and Trauma Patients: A Cross-sectional Study of Ambulance Service Providers and Staff in a Low- and Middle-income Country." Prehospital and Disaster Medicine 30, no. 6 (November 12, 2015): 606–12. http://dx.doi.org/10.1017/s1049023x15005385.
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AbstractBackgroundPrehospital airway management (AM) is the first priority in the care of emergency and trauma victims as it has shown to improve survival in these patients.ObjectiveThe aim of this study was to assess training and knowledge of ambulance staff and availability of AM equipment in ambulances of Karachi, Pakistan.MethodsThis cross-sectional study was conducted from June through September 2014. Interviews were conducted with management of six ambulance service providers and 165 ambulance staff. Data from the management included availability of AM equipment in the ambulances, number and designation of staff sent for emergency calls, and AM training of staff. Ambulance staff were assessed for their awareness, knowledge, and training pertaining to AM.ResultsAll the ambulance services (A through F) had basic equipment for AM but lacked qualified and trained staff. All services had solo drivers (98.3%) for emergency calls; however, Ambulance Service A also had doctors and paramedics. Only 35.7% (59/165) of ambulance staff had awareness regarding AM, out of which 77.9% (46/59) belonged to Ambulance Service A. Of these 59 staff, 81.4% received some form of AM training. Staff with AM awareness, when assessed for knowledge pertaining to AM steps and AM equipment, had a mean score of 4.7/5 and 8.4/12, respectively.ConclusionEven though ambulances are equipped with basic equipment, due to lack of trained staff, these ambulances only serve the mere purpose of transportation. There is a need to train ambulance staff and increase ambulance to staff ratio to improve prehospital AM and patient survival.IsmailS, ZiaN, SamadK, NaeemR, AhmadH, RazaA, BaqirM, KhanUR. Prehospital airway management in emergency and trauma patients: a cross-sectional study of ambulance service providers and staff in a low- and middle-income country. Prehosp Disaster Med. 2015;30(6):606–612.
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Meites, Elissa, and John F. Brown. "Ambulance Need at Mass Gatherings." Prehospital and Disaster Medicine 25, no. 6 (December 2010): 511–14. http://dx.doi.org/10.1017/s1049023x00008682.
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AbstractIntroduction:Scant evidence exists to guide policy-making around public health needs during mass gatherings. In 2006, the City and County of San Francisco began requiring standby ambulances at all mass gatherings with attendance of >15,500 people. The objectives were to evaluate needs for ambulances at mass gatherings, and to make evidence-based recommendations for public health policy-makers. The hypothesis was that the needs for ambulances at mass gatherings can be estimated using community baseline data.Methods:Emergency medical services plans were reviewed for all public events with an anticipated attendance of >1,000 people in San Francisco County during the 12-month period 01 August 2006 through 31 July 2007. Ambulance transport data were confirmed by event coordinators and ambulance company records, and the rate was calculated by dividing ambulance transports by event attendance. Baseline ambulance transport rate was calculated by dividing the annual ambulance transports in the county's computer-aided dispatch system by the census population estimate. The risk ratio was calculated using the risk of transport from a mass gathering compared with the baseline risk of ambulance transport for the local community. Significance testing and confidence intervals were calculated.Results:Descriptive information was available for 100% of events and ambulance transport data available for 97% of events. The majority of the mass gatherings (47 unique events; 59 event days) were outdoor, weekend festivals, parades, or concerts, though a large proportion were athletic events. The ambulance transport rate from mass gatherings was 1 per 59,000 people every six hours. Baseline ambulance transport rate in San Francisco was 1 per 20,000 people every six hours. The transport rate from mass gatherings was significantly lower than the community baseline (risk ratio [RR] = 0.15, 95% CI = 0.10–0.22, p <0.001). At events reserving a standby ambulance, 46% of ambulances were unused.Discussion:San Francisco mass gatherings appear to present a lower risk of ambulance transports compared to the community baseline, suggesting that the community baseline sets an appropriate standard for requiring standby ambulances at mass gatherings. The initial ambulance requirement policy in San Francisco may have been overly conservative.Conclusions:Local baseline data is a recommended starting point when setting policy for public health needs at mass gatherings.
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Irmajidain, Ifani Nurul, and Risnawati Risnawati. "Pengaruh Response Time Ambulance terhadap Keberhasilan Penanganan Pasien out of Hospitals Cardiac Arrest (OHCA)." MAHESA : Malahayati Health Student Journal 4, no. 11 (November 1, 2024): 4742–52. http://dx.doi.org/10.33024/mahesa.v4i11.15276.
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ABSTRACT Ambulance response time determines the level of success in achieving the golden period in out-of-hospital cardiac arrest patients where the faster the medical staff provides quality first aid, the lower the patient's mortality rate. The purpose of this study was to determine the effect of ambulance response time on the success of handling out-of-hospital cardiac arrest patients. Quantitative research design The number of samples used in this study was 18 respondents using accidental samples. The instruments used in this study were observation sheets and questionnaires. In this study, the results were obtained, namely from 12 people who received an ambulance response time <15 minutes, 11 patients (55.5%) survived and 1 patient died. Meanwhile, from 6 people who received a slow ambulance response time >15 minutes, 1 patient (5.5%) survived and 5 patients (27.8%) died. The results of the Man Whitney statistical test obtained p value = 0.002 (p value <0.05) The conclusion is that there is an influence between ambulance response time in handling cardiac arrest. Fast and responsive response time from medical staff and ambulances is needed in handling OHCA patients. Keywords: Response Time, Out of Hospital Cardiac Arrest (OHCA), Ambulance ABSTRAK Waktu tanggap ambulans menentukan tingkat keberhasilan dalam mencapai periode emas untuk pasien henti jantung di luar rumah sakit, di mana semakin cepat petugas medis memberikan penanganan pertama yang berkualitas, maka semakin rendah tingkat kematian pasien. Tujuan dari penelitian ini adalah untuk mengetahui pengaruh waktu tanggap ambulans terhadap keberhasilan penanganan pasien henti jantung di luar rumah sakit. Desain penelitian kuantitatif Jumlah sampel yang digunakan dalam penelitian ini adalah 18 responden dengan menggunakan accidental sampling. Instrumen yang digunakan dalam penelitian ini adalah lembar observasi dan kuesioner. Pada penelitian ini didapatkan hasil bahwa dari 12 orang yang mendapatkan waktu tanggap ambulans <15 menit, 11 pasien (55,5%) selamat dan 1 pasien meninggal dunia. Sedangkan dari 6 orang yang mendapatkan waktu tanggap ambulans lambat >15 menit, 1 orang (5,5%) selamat dan 5 orang (27,8%) meninggal dunia. Hasil uji statistik Man Whitney didapatkan nilai p = 0,002 (p value < 0,05). Kesimpulannya adalah terdapat pengaruh antara waktu tanggap ambulans dalam penanganan henti jantung. Respon time yang cepat dan tanggap dari tenaga medis dan ambulans sangat dibutuhkan dalam penanganan pasien OHCA. Kata Kunci: Waktu Tanggap, Henti Jantung Di Luar Rumah Sakit (OHCA), Ambulans
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Ibsen, Stine, Birgitte Schantz Laursen, Erika Frischknecht Christensen, Ulla Møller Weinreich, Søren Mikkelsen, and Tim Alex Lindskou. "How Patients Who Are Transported by Ambulance Experience Dyspnea and the Use of a Dyspnea Scale: A Qualitative Study." Healthcare 10, no. 7 (June 28, 2022): 1208. http://dx.doi.org/10.3390/healthcare10071208.
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Approximately 7% of all dispatched ambulances in Denmark are for patients for whom breathing difficulties are the main cause for using ambulance services. Objective measurements are routinely carried out in the ambulances, but little is known of the patients’ subjective experience of dyspnea. The purpose of this study was to investigate how patients with acute dyspnea, transported to hospital by ambulance, experience their situation, along with their experience of the use of a dyspnea scale. The study was carried out in the North Denmark Region. Transcribed patient interviews and field notes were analyzed and interpreted with inspiration from Paul Ricoeur. For interviews, we included 12 patients with dyspnea who were transported to the hospital by ambulance: six women and six men all aged 60 years or above. Observations were made over six ambulance transports related to dyspnea. Three themes emerged: “anxiety”, “reassurance in the ambulance” and “acceptance of the dyspnea measurements in the ambulance”. Several patients expressed anxiety due to their dyspnea, which was substantiated by observations in the ambulance. The patients expressed different perspectives on what improved the situation (treatment, reassurance by ambulance professionals). The patients and the ambulance personnel were, in general, in favor of the dyspnea scale.
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Sanjana, I. Wayan Edi, Ni Putu Kamaryati, I. Gede Edy Sagitha, Ni Made Candra Citra Sari, and Ni Kadek Sutini. "Frequency of Prehospital Ambulance Utilization by Patients with Chronic Disease: A Retrospective Study." Babali Nursing Research 4, no. 3 (July 31, 2023): 299–310. http://dx.doi.org/10.37363/bnr.2023.43239.
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Ambulance services are becoming a trend for early response to emergencies in major cities. The performance of the ambulance service will increase in line with the population and possible problems in the area. EMS services are essential at this time, as any life-threatening condition requires immediate action to prevent disability and death. Ambulances are required to provide assurance to chronically ill patients that the service they provide is adequate and can handle them in case of deterioration. This study aims to describe the frequency of pre-hospital ambulance use in patients with chronic diseases. This research method is an observational study with a retrospective approach to find the frequency of ambulance use by chronic diseases during the period 2019-2021. The results showed the three highest cases of pre-hospital ambulance use in Denpasar City were accident, fire and evacuation services for sick patients. The use of prehospital ambulances by chronic diseases has not reached half of the ambulance services. Stroke, diabetes mellitus and heart disease are the three most common chronic diseases that use pre-hospital ambulance services.
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Jailani, Zakiul Fahmi, Dita Nurmadewi, Raden Bambang Syumanjaya, and Ni Kadek Sri Manik. "Mapping the Golden Hour: A Spatiotemporal Analysis of Ambulance Response Time in Urban Jakarta." GEOSAINS KUTAI BASIN 6, no. 2 (August 31, 2023): 98. http://dx.doi.org/10.30872/geofisunmul.v6i2.1188.
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This study aims to map the ambulance response time in Jakarta city and assess the current ambulance to population ratio. The data used in this study include hospital point data retrieved from OpenStreetMap (OSM), manually digitized data points, and a database from community/non-government organizations that manage their own ambulance. The analysis was conducted using a combination of buffer, service area, and overlay tools in GIS (Geo-information System) software. The results show that the current ambulance to population ratio in Jakarta is inadequate, with only 78 ambulances available that can only serve a total population of 5,598,058 out of all 10,748,230 people in Jakarta. This means that at least 215 ambulances are needed to provide comprehensive coverage for the entire population. Furthermore, the golden time for ambulance response, as set by the Ministry of Health in Indonesia, is less than 15 minutes. However, the current ambulance to population ratio in Jakarta makes it difficult to meet this standard.
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Sanjana, I. Wayan Edi, Ni Made Ayu Sukma Widyandari, and Ni Luh Putu Inca Buntari Agustini. "Kompetensi yang Dibutuhkan Perawat Saat Bekerja di Ambulans Pra-Rumah Sakit: Scoping Review." JURNAL INFO KESEHATAN 21, no. 2 (June 21, 2023): 212–25. http://dx.doi.org/10.31965/infokes.vol21.iss2.960.
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Prehospital care has historically provided medical care with the aim of saving lives and preventing disability. Prehospital services that are accommodated by ambulances have complex and unpredictable care arrangements, so ambulance personnel, namely nurses, must prepare themselves to deal with all situations and conditions. This study aims to describe the competencies possessed by nurses while on duty in prehospital ambulances. This research is a literature study from several databases, and we obtained 20 articles for analysis. The results of the article analysis show that nurses who work in prehospital ambulances must have the competence to be able to save patients' lives, which is formed from knowledge, attitudes, and skills. Knowledge that must be possessed by ambulance nurses includes assessment, triage, and situation analysis. The positive attitudes of ambulance nurses include decision-making, communication, collaboration, caring, ethics, and culture. The skills possessed by ambulance nurses are BHD, intubation, examination of vital signs, interpretation of supporting examinations, and drug management. Ambulance nurses can improve their emergency care competencies through continuous education and training.
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Ahmad, Rifqi Fauzi, Harry Tjahjodiningrat, and Dedi Warsana. "Pentingnya Safety Riding dalam keselamatan Relawan Escorting Ambulans." Jurnal Keselamatan Transportasi Jalan (Indonesian Journal of Road Safety) 10, no. 2 (December 27, 2023): 157–68. http://dx.doi.org/10.46447/ktj.v10i2.567.
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Medical treatment for the community needs to be carried out quickly and immediately. For this reason, safety riding is knowledge that needs to be understood by volunteers accompanying ambulances in ensuring quick medical treatment to their destination and safety for these volunteers in accompanying ambulances in carrying out their duties. This research aims to determine the importance of understanding ambulance escort volunteers regarding safety riding in accompanying ambulances in carrying out their duties. The method in this research was carried out using a descriptive qualitative method using a qualitative ethnographic approach. Data was collected through an interview process with the ambulance escorting volunteer community in Greater Bandung. The research results show that awareness of the importance of driving safety among ambulance escorting volunteers is very high. Factors such as defensive driving skills, use of protective equipment, and compliance with traffic laws have a direct impact on the success of an emergency medical mission. Ambulance escort volunteers' practice and understanding of safe driving methods tends to respond to emergency situations more effectively and safely. Keywords: Safety Riding, medical, Voulenteers, Escorting Ambulance
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Gong, Jung Ho, Chao Long Azad, Gongliang Zhang, Kenneth R. Means, Oluseyi Aliu, and Aviram M. Giladi. "Site of Ambulance Origination and Billing for Out-of-Network Services." JAMA Network Open 7, no. 2 (February 21, 2024): e240118. http://dx.doi.org/10.1001/jamanetworkopen.2024.0118.
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ImportanceThe No Surprises Act implemented in 2022 aims to protect patients from surprise out-of-network (OON) bills, but it does not include ground ambulance services. Understanding ground ambulance OON and balance billing patterns from previous years could guide legislation aimed to protect patients following ground ambulance use.ObjectiveTo characterize OON billing from ground ambulance services by evaluating whether OON billing risk differs by the site of ambulance origination (home, hospital, nonhospital medical facility, or scene of incident).Design, Setting, and ParticipantsCross-sectional study of the Merative MarketScan dataset between January 1, 2015, and December 31, 2020, using claims-based data from employer-based private health insurance plans in the US. Participants included patients who utilized ground ambulances during the study period. Data were analyzed from June to December 2023.ExposureMedical encounter requiring ground ambulance transportation.Main Outcomes and MeasuresGround ambulance OON billing prevalence was calcuated. Linear probability models adjusted for state-level mixed effects were fit to evaluate OON billing probability across ambulance origins. Secondary outcomes included the allowed payment, patient cost-sharing amounts, and potential balance bills for OON ambulances.ResultsAmong 2 031 937 ground ambulance services (1 375 977 unique patients) meeting the inclusion and exclusion criteria, 1 072 791 (52.8%) rides transported men, and the mean (SD) patient age was 41 (18) years. Of all services, 1 113 676 (54.8%) were billed OON. OON billing probabilities for ambulances originating from home or scene were higher by 12.0 percentage points (PP) (95% CI, 11.8-12.2 PP; P &amp;lt; .001 for home; 95% CI, 11.7-12.2 PP; P &amp;lt; .001 for scene) vs those originating from hospitals. Mean (SD) total financial burden, including cost-sharing and potential balance bills per ambulance service, was $434.70 ($415.99) per service billed OON vs $132.21 ($244.92) per service billed in-network.Conclusions and RelevanceIn this cross-sectional study of over 2 million ground ambulance services, ambulances originating from home, the scene of an incident, and nonhospital medical facilities were more likely to result in OON bills. Legislation is needed to protect patients from surprise billing following use of ground ambulances, more than half of which resulted in OON billing. Future legislation should at minimum offer protections for these subsets of patients often calling for an ambulance in urgent or emergent situations.
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Buzna, Ľuboš, and Peter Czimmermann. "On the Modelling of Emergency Ambulance Trips: The Case of the Žilina Region in Slovakia." Mathematics 9, no. 17 (September 5, 2021): 2165. http://dx.doi.org/10.3390/math9172165.
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The efficient operation of emergency medical services is critical for any society. Typically, optimisation and simulation models support decisions on emergency ambulance stations’ locations and ambulance management strategies. Essential inputs for such models are the spatiotemporal characteristics of ambulance trips. Access to data on the movements of ambulances is limited, and therefore modelling efforts often rely on assumptions (e.g., the Euclidean distance is used as a surrogate of the ambulance travel time; the closest available ambulance is dispatched to a call; or the travel time estimates, offered by application programming interfaces for ordinary vehicles, are applied to ambulances). These simplifying assumptions are often based on incomplete data or common sense without being fully supported by the evidence. Thus, data-driven research to model ambulance trips is required. We investigated a unique dataset of global positioning system-based measurements collected from seventeen emergency ambulances over three years. We enriched the data by exploring external sources and designed a rule-based procedure to extract ambulance trips for emergency cases. Trips were split into training and test sets. The training set was used to develop a series of statistical models that capture the spatiotemporal characteristics of emergency ambulance trips. The models were used to generate synthetic ambulance trips, and those were compared with the test set to decide which models are the most suitable and to evaluate degrees to which they fit the statistical properties of real-world trips. As confirmed by the low values of the Kullback–Leibler divergence (0.004–0.229) and by the Kolmogorov–Smirnov test at the significance level of 0.05, we found a very good fit between the probability distributions of spatiotemporal properties of synthetic and real trips. A reasonable modelling choice is a model where the exponential dependency on the population density is used to locate emergency cases, emergency cases are allocated to hospitals following empirical probabilities, and ambulances are routed using the fastest paths. The models we developed can be used in optimisations and simulations to improve their validity.
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Cortez, Eric J., Ashish R. Panchal, James E. Davis, and David P. Keseg. "The Effect of Ambulance Staffing Models in a Metropolitan, Fire-Based EMS System." Prehospital and Disaster Medicine 32, no. 2 (January 18, 2017): 175–79. http://dx.doi.org/10.1017/s1049023x16001539.
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AbstractIntroductionThe staffing of ambulances with different levels of Emergency Medical Service (EMS) providers is a difficult decision with evidence being mixed on the benefit of each model.Hypothesis/ProblemThe objective of this study was to describe a pilot program evaluating alternative staffing on two ambulances utilizing the paramedic-basic (PB) model (staffed with one paramedic and one emergency medical technician[EMT]).MethodsThis was a retrospective study conducted from September 17, 2013 through December 31, 2013. The PB ambulances were compared to geographically matched ambulances staffed with paramedic-paramedic (PP ambulances). One PP and one PB ambulance were based at Station A; one PP and one PB ambulance were based at Station B. The primary outcome was total on-scene time. Secondary outcomes included time-to-electrocardiogram (EKG), time-to-intravenous (IV) line insertion, IV-line success rate, and percentage of protocol violations. Inclusion criteria were all patients requesting prehospital services that were attended to by these teams. Patients were excluded if they were not attended to by the study ambulance vehicles. Descriptive statistics were reported as medians and interquartile ranges (IQR). Proportions were reported with 95% confidence intervals (CI). The Mann-Whitley U test was used for significance testing (P<.05).ResultsMedian on-scene times at Station A for the PP ambulance were shorter than the PB ambulance team (PP: 10.1 minutes, IQR 6.0-15; PB: 13.0 minutes, IQR 8.1-18; P=.01). This finding also was noted at Station B (PP: 13.5 minutes, IQR 8.5-19; PB: 14.3 minutes, IQR 9.9-20; P=.01). There were no differences between PP and PB ambulance teams at Station A or Station B in time-to-EKG, time-to-IV insertion, IV success rate, and protocol violation rates.ConclusionIn the setting of a well-developed EMS system utilizing an all-Advanced Life Support (ALS) response, this study suggests that PB ambulance teams may function well when compared to PP ambulances. Though longer scene times were observed, differences in time to ALS interventions and protocol violation rates were not different. Hybrid ambulance teams may be an effective staffing alternative, but decisions to use this model must address clinical and operational concerns.CortezEJ, PanchalAR, DavisJE, KesegDP. The effect of ambulance staffing models in a metropolitan, fire-based EMS system. Prehosp Disaster Med. 2017;32(2):175–179.
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Brismar, Bo. "The Alarm Center in Stockholm County Council." Prehospital and Disaster Medicine 1, S1 (1985): 131–32. http://dx.doi.org/10.1017/s1049023x00044125.
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During the last ten years, both in Western Europe and in the USA, the attitude towards medical transport activities has radically changed. From being a purely transportation vehicle the ambulance is now increasingly regarded as an extended arm of medical care. At the same time as ambulance crews have received more qualified medical training, the equipment of the ambulances themselves has been improved. In several countries such as the USA, France and West Germany, a differentiated ambulance organization has been built up, with specially equipped emergency ambulances manned by paramedics, and standard ambulances with emergency technicians for planned transports. During this time helicopters have been put into increasing use as a supplement to ambulances for emergency long distance transport to units such as trauma and burn centers.
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Sanddal, Teri L., Nels D. Sanddal, Nicolas Ward, and Laura Stanley. "Ambulance Crash Characteristics in the US Defined by the Popular Press: A Retrospective Analysis." Emergency Medicine International 2010 (2010): 1–7. http://dx.doi.org/10.1155/2010/525979.
Testo completoAbstract (sommario):
Ambulance crashes are a significant risk to prehospital care providers, the patients they are carrying, persons in other vehicles, and pedestrians. No uniform national transportation or medical database captures all ambulance crashes in the United States. A website captures many significant ambulance crashes by collecting reports in the popular media (the website is mentioned in the introduction). This report summaries findings from ambulance crashes for the time period of May 1, 2007 to April 30, 2009. Of the 466 crashes examined, 358 resulted in injuries to prehospital personnel, other vehicle occupants, patients being transported in the ambulance, or pedestrians. A total of 982 persons were injured as a result of ambulance crashes during the time period. Prehospital personnel were the most likely to be injured. Provider safety can and should be improved by ambulance vehicle redesign and the development of improved occupant safety restraints. Seventy-nine (79) crashes resulted in fatalities to some member of the same groups listed above. A total of 99 persons were killed in ambulance crashes during the time period. Persons in other vehicles involved in collisions with ambulances were the most likely to die as a result of crashes. In the urban environment, intersections are a particularly dangerous place for ambulances.
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Adetoyi, Helen N., Olatunde O. Solaja, Abiodun S. Abiodun, Tolulope G. Daini, and Obafemi A. Solesi. "The Impact of Ambulance usage on the Conveyance of Accident Victims in Lagos State Emergency Management Agency (Lasema)." Oct-Nov 2022, no. 26 (November 23, 2022): 1–5. http://dx.doi.org/10.55529/jnrpsp.26.1.5.
Testo completoAbstract (sommario):
The benefits of planning a reliable and effective ambulance and emergency service for healthcare delivery are an indicator of sustainable development. This study assessed the impact of ambulance usage on the conveyance of accident victims in the Lagos State Emergency Management Agency (LASEMA). Simple random sampling was used to sample respondents from the Agency. A total of fifty (50) structured questionnaires were administered to respondents. The questionnaire consists of twenty-one items and was prepared in such a way that it contains all the items under the survey. A simple frequency table was employed to analyze the data obtained. The research revealed that 62 % of the respondents were male and 38 % female while about 42 % accounted for insufficient ambulance vehicles which made the ambulance and emergency services not effective and efficient due to poor planning. Other factors include poor telecommunication service, negative perception that ambulances carry dead bodies, the demand for payment before patients are transported by ambulances, high cost of fuel, shortage of ambulances and the patients’ renege to fulfil an agreed bills and services. At a significant level of 0.05 using Pearson Correlation, Ho calculated (0.630) was less than H1 tabulated (1) and it was inferred that the positive impact of ambulance usage by accident victims can help promote sustainable ambulance usage and good healthcare delivery. The study concluded that public education on ambulance and emergency services will help rid of false perceptions.
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Linda, Uchenna Oghenekaro, and Opeyemi Adeyemi Adepoju. "Interactive Mapping of Ambulance Dispatch System using LeafletJS." Journal of Scientific and Engineering Research 10, no. 4 (April 30, 2023): 75–83. https://doi.org/10.5281/zenodo.10457213.
Testo completoAbstract (sommario):
<strong>Abstract </strong>This project work solves the problem encountered in the dispatching of ambulance to civilians manually, using the University of Port Harcourt Teaching Hospital dispatch system as a case study. Some of the problem encountered when dispatching ambulance manually includes; Increase in ambulance tracking time as tracking is manual, high possibility of losing data since method of processing and documentation is paper trail, increasing loss of life since waiting time is longer especially when most of the ambulances are busy, wastage of dispatching resources, and longer time to retrieve data or information that has been store, among others. In respect to all these existing problems, the system is designed to manage a database for ambulance dispatching whose criteria meet the appropriate condition and policies of the University of Port Harcourt Teaching Hospital. This system have a form for tracking ambulance location and communicating necessary information and resources among civilians, dispatch operators and drivers. This system is user friendly and compatible with the existing manual systems. The methodology used for the system design is an Object-Oriented analysis and design methodology. The system was implemented using HTML, CSS and Java code. The result of this research is a fully functional web-based ambulance dispatch system that offers improved emergency medical service resources dispatching by best optimizing the response time of ambulances and makes tracking of ambulances more convenient.
20
Kang, Kyunghee. "Analyzing the Frequency of Emergency Room Visits and the Use of 119 Ambulance Services." Fire Science and Engineering 34, no. 5 (October 31, 2020): 104–11. http://dx.doi.org/10.7731/kifse.2c0009d5.
Testo completoAbstract (sommario):
This study aimed to the socioeconomic and clinical characteristics associated with the use of 119 ambulance/private cars and the number of emergency room visits based on the 2017 data from the Korea Health Panel. The analysis revealed that during emergencies, the use of private cars (59.02%) was more common than 119 ambulance services (18.89%). Moreover, 119 ambulance users were significantly older, had a lower annual total household income, and had relatively more accidents than diseases when compared to private car users. On comparing the number of emergency room visits between single and multiple visits, there were statistically significant differences in age, total annual household income, season of use, and reasons for use for private car usage than 119 ambulances. The 119 ambulance service is an essential public safety net. Therefore, it is increasingly important to solve the frequent use of 119 ambulances by non-emergency patients, and efficiently utilize limited ambulance resources.
21
Saritha, Dr Kuppala, Rahul Yadav Boini, Mohana Ranga T, Shaik Irfan, B. Bharath Reddy, and D. V. Tejesh Reddy. "Ambulance Services." International Journal for Research in Applied Science and Engineering Technology 13, no. 1 (January 31, 2025): 727–33. https://doi.org/10.22214/ijraset.2025.66442.
Testo completoAbstract (sommario):
Abstract—This paper aims at identifying the role of lucky EMS comes at the right time to save lives due to its fast flow of events in today’s world. The services involve transporting client or clients to other relative facilities for diagnosis, stabilization or further treatment after receiving an emergency call. Although, various parts of the world are experiencing the challenge of delivering ambulances as fast as possible within the shortest time possible; situations that often come with terrible results. The advancement in mobile technology is a chance to improve the ambulance service by presenting one with an easier way to call for help. As the world goes mobile, installing an ambulance services app is a way of closing the gap between the two parties and ensuring that they get help as early as possible. In today’s ever increasing busy lives, quick response to the need of emergency medical services becomes very important in saving lives. Emergency ambulance services form the vital link of any health care delivery system since they bring timely medical care to patients who require urgent care. But then again, many parts of the world still have to struggle to get their ambulances to respond within the shortest time possible, a factor usually associated with so many fatalities. In this case the issue of mobile technology presents a way to improve the ambulance services by easing the process involved in the call for help. By the help of a smartphone an application for ambulance services will create a link between the user and the facilitating ambulances thereby helping to reduce the response time and hence briefing the communication gap between the users and the required emergency response.
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Jensen, Frederikke Bøgh, Kathrine Tornbjerg Ladefoged, Tim Alex Lindskou, Morten Breinholt Søvsø, Erika Frischknecht Christensen, and Maurizio Teli. "Understanding the Effect of Electronic Prehospital Medical Records in Ambulances: A Qualitative Observational Study in a Prehospital Setting." International Journal of Environmental Research and Public Health 18, no. 5 (February 27, 2021): 2330. http://dx.doi.org/10.3390/ijerph18052330.
Testo completoAbstract (sommario):
Little is known of ambulance professionals’ work practices regarding the use of medical records, their communication with patients, before and during hand over to Emergency Departments (ED). An electronic Prehospital Medical Record (ePMR) has been implemented in all Danish ambulances since 2015. Our aim was to investigate the use of ePMR and whether it affected the ambulance professionals’ clinical practice. We performed a qualitative study with observations of ePMR use in ambulance runs in the North Denmark Region. Furthermore, informal interviews with ambulance professionals was performed. Analysis was accomplished with inspiration from grounded theory. Our main findings were: (1) the ePMR is an essential work tool which aided ambulance professionals with overview of data collection and facilitated a checklist for ED hand overs, (2) mobility and flexibility of the ePMR facilitated conversations and relations with the patients, and (3) in acute severe situations, the ePMR could not stand alone in hand over or communication with the ED. The ePMR affected the ambulance professionals’ work practice in various ways and utilization of ePMR while simultaneously treating patients in ambulances does not obstruct the relation with the patient. To this end, the ePMR appears feasible in collaboration across the prehospital setting.
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Teo Sin Di, Mohd Boniami Yazid, Mohd Shaharudin Shah Che Hamzah, Tuan Hairulnizam Tuan Kamauzaman, Normalinda Yaacob, and Nik Hisamuddin Nik Ab. Rahman. "FACTORS ASSOCIATED WITH DELAYED AMBULANCE RESPONSE TIME IN HOSPITAL UNIVERSITI SAINS MALAYSIA, KUBANG KERIAN, KELANTAN." Malaysian Journal of Public Health Medicine 20, no. 1 (May 1, 2020): 9–14. http://dx.doi.org/10.37268/mjphm/vol.20/no.1/art.551.
Testo completoAbstract (sommario):
Ambulance response time is one of the key performance of ambulances services. The objective of this study is to determine the factors associated with delayed ambulance response time in Hospital Universiti Sains Malaysia (HUSM). This was a cross sectional study conducted in Department of Emergency Medicine, Hospital Universiti Sains Malaysia (EDHUSM) between January 2016 to January 2017. A total of 300 ambulance calls were included in our analysis. Data were collected by ambulance paramedic using validated ambulance form. All ambulance forms with missing data were excluded from this study. Of the 300 ambulance calls within the study periods, 254 cases (84.7%) were determined to have delayed ambulance response time. Current ambulance response time is 14 minutes with interquartile range of 5 minutes. Factors which showed significant association delayed ambulance response time include distance from hospital, location, type of emergency and ambulance mechanism. The odd of delayed ambulance response time by every increase in distance unit was 1.59 (95% CI, 1.37 to 1.85). For location type, the odd of delayed ambulance response time for public location as compared to road was 0.13 (95% CI, 0.04 to 0.45). For ambulance mechanism, the odd of delayed ambulance response time for beacon type as compared to siren type was 0.22 (95% CI, 0.01 to 0.69). Further intervention should be initiated based on our findings to improve current ambulance response time.
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Lim, Jae-Man, and Sang-Gyun Roh. "Measures to Prevent Traffic Accidents and Reduce Damages in 119 Ambulances." Fire Science and Engineering 37, no. 6 (December 31, 2023): 136–45. http://dx.doi.org/10.7731/kifse.d154645f.
Testo completoAbstract (sommario):
In 2021, the National Fire Agency recorded 141 traffic accidents involving 119 ambulances. A common scenario involves collisions at intersections, where ambulances often running into a red light intersect with vehicles proceeding with a green light. These accidents entail special attention because of the potential threats they pose not only to emergency medical service (EMS) personnel but also to the safety of patients and other vehicles on the road. Many studies have emphasized that it is necessary to reinforce the priority rights of ambulance and the duty of other vehicles to yield. However, research addressing challenges faced by ambulance drivers has remained insufficient. This study conducted a survey of EMS personnel about their psychological status while driving an ambulance and the use of warning lights and sirens. Prevention of traffic accidents related to 119 ambulances entails data collection and statistical analysis, reinforcement of professionals, expansion of emergency vehicle priority signaling systems, and development of simulator-based training programs. Policies that do not reflect ambulance drivers’ psychological state and driving patterns might turn out to be ineffective.
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Aslam, Shiraz, Muhammad Akhlaq, Bilal Hussain, Farooq Tajjamal Khan, Lamia Yusuf, and Asif Mahmood. "Are ambulance drivers exposed to loud siren noise within their ambulances? Identifying the risks involved." Pakistan Postgraduate Medical Journal 30, no. 03 (January 2, 2021): 107–10. http://dx.doi.org/10.51642/ppmj.v30i03.249.
Testo completoAbstract (sommario):
Objective To identify the risk to the ambulance drivers from the siren systems of their rescue vehicles.
 Study design This was a cross sectional study.
 Place duration This study was carried out at two rescue centres, namely, Gulberg and Johar Town areas of Lahore, where the ambulances were parked.
 Methodology A sound pressure meter was used to measure the sound intensity inside and in the vicinity of the ambulance in use. This was done in two centers in Lahore in 10 vehicles.
 Result It was evident that the ambulance drivers are constantly exposed to unsuitable and noxious levels of noise which can over time damage their hearing. A recommendation is contributed regarding hearing assessment for ambulance drivers and their compulsory periodical hearing assessment.
 Conclusion
 The sirens in the Pakistani ambulances have almost the same sound intensity levels as the ones abroad which can have a damaging effect on the inner ear. Pakistani ambulance drivers should wear ear protection while in their vehicles to protect against ear damage.
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Bahari, Mohd Shahri, Farhana Aminuddin, Sivaraj Raman, Ainul Nadziha Mohd Hanafiah, Mohd Shaiful Jefri Mohd Nor Sham Kunusagaran, Nur Amalina Zaimi, Nor Zam Azihan Mohd Hassan, and Ahmad Tajuddin Mohamad Nor. "Analysis of costs and utilization of ambulance services in the ministry of health facilities, Malaysia." PLOS ONE 17, no. 11 (November 4, 2022): e0276632. http://dx.doi.org/10.1371/journal.pone.0276632.
Testo completoAbstract (sommario):
Background Despite emergency ambulance services playing a pivotal role in accessibility to life-saving treatments in Malaysia, there are still numerous gaps in knowledge in terms of their utilization and cost. This leads to current policies on procurement, maintenance, and allocation being predicated on historical evidence and expert opinions. This study thus aims to analyse the cost and utilization of ambulance services in selected public health facilities in Malaysia. Methods A cross-sectional study was employed involving 239 ambulances from selected hospitals and clinics. Ambulance service utilization was based on the number of trips, distance and duration of travel obtained from travel logbooks. A mixed top-down and activity-based costing approach was used to estimate the monthly cost of ambulance services. This constituted personnel, maintenance, fuel, overhead, consumables, ambulance, and medical equipment costs. The utilization and costs of ambulance services were further compared between settings and geographical locations. Results The average total cost of ambulance services was MYR 11,410.44 (US$ 2,756.14) for hospitals and MYR 9,574.39 (US$ 2,312.65) for clinics, albeit not significantly different. Personnel cost was found to be the main contributor to the total cost, at around 44% and 42% in hospitals and clinics, respectively. There was however a significant difference in the total cost in terms of the type and age of ambulances, in addition to their location. In terms of service utilization, the median number of trips and duration of ambulance usage was significantly higher in clinics (31.88 trips and 58.58 hours) compared to hospitals (16.25 trips and 39.25 hours). Conclusions The total cost of ambulance services was higher in hospitals compared to clinics, while its utilization showed a converse trend. The current findings evidence that despite the ambulance services being all under the MOH, their operating process and utilization reflected an inherent difference by setting.
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Zonzini, Camilla, Sara Chiossi, and Stefano Musolesi. "Ambulance sanitation in Italy: a pilot study." infermieristica journal 1, no. 1 (June 29, 2022): 17–24. http://dx.doi.org/10.36253/if-1642.
Testo completoAbstract (sommario):
Abstract
 Introduction: the assessment of biological agents' exposure in the work environment is an employer's duty. Air and surfaces could be transmission's vehicles of pathogens. We consider the ambulance as the work environment where, respecting hygienic targets of low risk, we can prevent out-of-hospital infections for workers and patients. Our study analyzes standard sanitation and fumigation; the aim is to reach the lower level of surfaces' contamination. 
 Materials and Methods: we chose, thanks to bibliography, three points of sampling: stretcher, oxygen knob and backdoor's handle. The points were tested before sanification on three different ambulances. We made thus standard sanitation with Sodium Hypochlorite on two ambulances and fumigation on the other one. After that, we sampled the same three points on each ambulance. Samples were analyzed with standard culture methods after 72 hours. 
 Results: first samples showed a high bacterial load on every surface. Both standard sanification and fumigation showed success in decreasing bacterial load. Without approved rating standards for ambulance's hygiene we refer to ISPESL's Guidelines about safety and hygiene in surgical wards. Here the standard is 50 cfu/sample, referred to a surface of 20 cm², without pathogens. 
 Discussion and Conclusions: our analysis is just quantitative, further qualitative analysis should be conducted in order to assess pathogens on ambulances. Both standard sanitation and fumigation show success in decreasing bacterial load however with higher levels than those indicated by guidelines. Further analysis would be needed to define load standards in order to ensure a safe environment for workers and patients.
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Srinivas, Dr K. Phani, D. Manikanta, P. Vamsi, and N. Praveen. "Traffic Monitoring and Signal Controlling using RFID for Emegency Vehicles." International Journal for Research in Applied Science and Engineering Technology 12, no. 5 (May 31, 2024): 1935–43. http://dx.doi.org/10.22214/ijraset.2024.61940.
Testo completoAbstract (sommario):
Abstract: This paper presents the concept, Traffic Monitroting and signal controlling using RFID technology to prioritize ambulance passage during emergencies. Traffic lights are crucial for managing the flow of vehicles on the road. In particular, when there are emergencies, the traffic situation is getting worse. Emergency vehicles find it challenging to cross busy road during periods of traffic congestion. A medical emergency vehicles like ambulances, or victims of accidents must be transferred to it as soon as possible. They could be late for rescue efforts because of traffic signals. Identification of emergency vehicles, control of traffic lights, and provision of a clear path for their travel are the objectives of our paper. The main element of this system that implements the control system is radio frequency Identification (RFID). Through RFID detection, the system identifies the presence of an ambulance approaching any lane and promptly initiates a sequence wherein traffic lights for the ambulance's intended lane turn green, while simultaneously halting traffic flow in other lanes. By integrating RFID technology into the traffic management infrastructure, the prototype ensures swift and efficient response to emergency situations, minimizing delays in medical assistance. The system's intelligent algorithm enables it to override regular traffic light patterns, granting immediate passage to ambulances without compromising safety or causing disruptions to traffic flow in adjacent lanes. This approach enhances emergency response capabilities, optimizing the delivery of critical healthcare services and potentially saving lives in urgent medical situations. The system's ability to dynamically adapt traffic signals based on real time ambulance detection underscores its potential to revolutionize emergency response protocols, contributing to enhanced public safety and well-being in densely populated urban areas. The RFID tag helps to verify that emergency vehicles The emergency vehicle can clear all junctions without wasting time at the traffic signals this keeps happening until the ambulance arrives at its destination.
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Ganesh, Bande, Amit Gangopadhyay, Raghu Kumar Lingamallu, S. V. Devika, Pradeep Balasubramani, M. N. Sharath, Koppuravuri Gurnadha Gupta, Dola Gobinda Padhan, and Lalit Bhalla. "IoT-based centralized wireless patient tracking and surveillance system with a cutting-edge approach for advanced healthcare oversight and data-driven analysis." MATEC Web of Conferences 392 (2024): 01125. http://dx.doi.org/10.1051/matecconf/202439201125.
Testo completoAbstract (sommario):
The construction of smart cities has been progressing quickly due to advancements in 5G and Internet of Things (IoT) technology. Smart transportation systems and smart medical ideas are also being explored alongside smart city initiatives. Integrating the two mentioned technologies, a smart navigational method for ambulances is being developed. When severe patients arrive via ambulance, significant time is wasted in relaying data, and the hospital needs to gain prior knowledge of the patient's condition. An efficient system called the IoT-based Wireless Patient Tracking Method (IoT-WPTM) is proposed to diagnose patients quickly by recording vital metrics such as heartbeat, temperature, and breathing rate using detectors. These variables are transmitted wirelessly to the healthcare before the ambulance is dispatched, allowing doctors to begin medical care promptly. If necessary, the patient monitors the ambulance's position to anticipate arrival and get immediate directions to the closest hospital. The user carries the gadget and is also placed in the ambulance. The gadget allows IoT devices and Android apps to enhance user interaction and streamline information delivery. IoT-WPTM can be surpassed with ease and in a more effective manner for smart medical surveillance systems.
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Lindskou, Tim Alex, Laura Pilgaard, Morten Breinholt Søvsø, Torben Anders Kløjgård, Thomas Mulvad Larsen, Flemming Bøgh Jensen, Ulla Møller Weinrich, and Erika Frischknecht Christensen. "Prehospital dyspnoea patients in the North Denmark Region." Dansk Tidsskrift for Akutmedicin 2, no. 3 (April 30, 2019): 41. http://dx.doi.org/10.7146/akut.v2i3.112947.
Testo completoAbstract (sommario):
Background: Prehospital dyspnoea patients are a frequent group with a high mortality. However, there is limited knowledge about their characteristics. We aimed to investigate causes for dispatched ambulances to patients diagnosed with dyspnoea, and diagnoses given to patients to whom an ambulance was dispatched due to dyspnoea.
 Method: Retrospective cohort study in the North Denmark region in the period 2012-2015. We included all emergency ambulance patients where the main cause for a dispatched ambulance was “Breathing difficulty”, and all emergency ambulance patients who were diagnosed within the ICD-10 chapter “Diseases of the respiratory system” at hospital. 
 Results: 4933 patients had an ambulance dispatched due to “Breathing difficulty”. Their most frequent diagnoses at hospital were ICD-10 chapter “Diseases of the respiratory system” (49.45%), “Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified” (18.56%), “Diseases of the circulatory system” (9.20%), and “Factors influencing health status and contact with health services” (5.71%). Contrariwise, 5163 emergency ambulance patients received a diagnosis within ICD-10 chapter “Diseases of the respiratory system” at hospital. The most frequent causes for dispatched ambulances to these patients were “Breathing difficulty” (49.45%), “Unclarified problem” (11.16%), and “Chest pain - heart disease” (9.55%). 16.00% of dispatches were without cause.
 Conclusion: Only half of the patients had both ambulance dispatch and hospital diagnose related to breathing difficulties. The variation and distribution of causes for ambulance dispatch and diagnoses given at hospital, suggests that dyspnoea is a symptom present in many conditions and the patient group is complex.
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Yu, Sen-lin, Miao Cheng, and Qian Tian. "Community Micro-Ambulance Design Based on QFD and TRIZ Theories." Mathematical Problems in Engineering 2023 (May 11, 2023): 1–25. http://dx.doi.org/10.1155/2023/6698270.
Testo completoAbstract (sommario):
In recent years, with the sharp rise in the number of vehicles in China, traffic congestion is becoming increasingly serious, affecting the rapid passage of ambulances. In addition, it is common that vehicles are generally parked indiscriminately in some old communities, which also hinders ambulances into residential areas and reduces rescue efficiency. Apart from external factors, the root cause is that existing ambulances are too large to easily pass narrow roads. Besides, there are problems such as frequent empty runs and serious homogenization in traditional ambulances. Therefore, it is necessary to improve the design of traditional large ambulances. First, the user needs of different users for ambulances were determined through questionnaires and user interviews; then, the need judgment matrix of ambulances was constructed by using the analytic hierarchy process to rank user needs by weight, so as to determine the direction for new type ambulance design. Through quality function deployment, the user’s demands were transformed into the technical demands of ambulances, and the conflicts were found. Meanwhile, top-ranked needs were analyzed by using theory of inventive problem solving to seek the corresponding feasible solutions quickly, and innovative design of ambulances was conducted on this basis. However, many designers have not considered the product validation link when using these three methods for innovative design. On the contrary, in this improved ambulance design, the FCE is introduced to score the new design, find the deficiencies, and improve them, thus completing the missing link in the traditional design and forming a complete set of scientific design process. The traditional large ambulance with standard length, width, and height of 5,800 mm, 2,000 mm, and 2,600 mm is modified into a mini-ambulance with length, width, and height of 3,500 mm, 1,600 mm, and 2,250 mm. Simultaneously, various details are optimized to design a community micro-ambulance that truly meets the needs of users and enhances user satisfaction. Quantifying and ranking users’ various functional needs for ambulances by using the AHP/QFD/TRIZ theory and providing corresponding feasible solutions have identified the breakthrough direction for the research on innovative design of community ambulances and have also provided references for the design of other products.
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Maguire, MSA, EMT-P, Brian J. "Ambulance safety in the United States." Journal of Emergency Management 1, no. 1 (April 1, 2003): 15. http://dx.doi.org/10.5055/jem.2003.0005.
Testo completoAbstract (sommario):
This paper reviews the dangers associated with ambulances in the United States. According to the National Highway Traffic Safety Administration (NHTSA) data, vehicle collisions involving ambulances result in twice as many injuries as the national average.Other dangers include: the safety of the vehicle itself; the lack of sufficient occupant protection in the ambulance patient compartment; distractions of the ambulance operator associated with operating lights, sirens, and communication equipment during emergency responses; drowsiness of the ambulance operator associated with extended work hours; and the lack of standardized or test- ed emergency vehicle operator training.Recommendations for improvement include: safety testing for vehicle crashworthiness, testing of diesel fume exposure among emergency medical services (EMS) personnel, and improved safety procedures for EMS personnel. Every effort must be made to make ambulances the safest vehicles on the roads of the United States.
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Coid, Donald R. "Measurement for Management: Report of a Pilot Project to Quantify Ambulance Misuse for Managers of a Fife Hospital." Health Services Management Research 2, no. 3 (November 1989): 213–16. http://dx.doi.org/10.1177/095148488900200305.
Testo completoAbstract (sommario):
Ambulance services appear to be under increasing pressure to provide a full range of services to the Community. It is important, therefore, that the service is appropriately utilised by patients. Health Service Managers, however, have little readily available information which identifies ‘appropriate’ utilisation. A simple technique is suggested to measure ‘appropriateness’ of utilisation of ambulances and a pilot survey of ambulance use by patients attending Dunfermline and West Fife Hospital Out-Patient clinics is described. In each case of ambulance use a panel of health professionals evaluated the ‘appropriateness’ of the patient having utilised this service. In the clinics surveyed, 91% of the sample of 328 patients did not use an ambulance to travel to clinics; in only two cases was use of the ambulance considered to be ‘probably inappropriate’. Misuse of the ambulance service was minimal during this study. Health Service Managers have been provided with some evidence to refute suggestions of substantial, inappropriate use of the ambulance service.
34
Siddiqui, Hassan Rasheed. "ESTABLISHING AIR AMBULANCE SERVICES IN PAKISTAN: A REGULATORY AND INVESTMENT FRAMEWORK FOR EMERGENCY MEDICAL AVIATION." Journal of Advanced Research in Medical and Health Science (ISSN 2208-2425) 2, no. 5 (January 30, 2016): 17–30. https://doi.org/10.61841/z1tjva12.
Testo completoAbstract (sommario):
Air ambulances can also deliver access to medical care faster than ground ambulances for rural, underserved and hard to reach populations. The current spread of ambulance resources between metropolitan and rural areas is determined largely by individual operator decisions rather than being health outcomes-based. Herein we present a framework for optimizing air ambulance services among competing demand for healthcare services in constrained locations with respect to alternate means of transport. It particularly emphasizes the importance of collating data and studies on where air ambulances can be effectively placed based on impact. Pakistan’s limited ground ambulance network and bad road links slow down the provision of critical medical support, especially in rural and remote areas. The paper presents a policy framework for establishing regulated air ambulance operations — air taxis — with helicopters and fixed-wing aircraft. It introduces a new certification categorization under CAA (Civil Aviation Authority of Pakistan), provides investment incentives for the private sector, and specifies detailed operational and oversight protocols. To make it a modern, safe, and accessible air medical transport system that saves lives and changes the way emergency healthcare is delivered in Pakistan.
35
Manoj, Rishi, Arvind Viswanath, Esampalli Karunya Siva Sai Kumar, and Darsana G. "Uberization of New Age EV Ambulance Fleet: Opportunities and Challenges in India." International Journal of Health Technology and Innovation 4, no. 01 (April 7, 2025): 64–75. https://doi.org/10.60142/ijhti.v4i01.10.
Testo completoAbstract (sommario):
One of the most important compartments of the healthcare ecosystem is Ambulance services, which enables the effective transportation of the healthcare seeker to the healthcare provider. India, as a developing country has a lot of opportunities and challenges to improve, wherein, architecting a proper infrastructure uberizing Ambulance service. This paper draws a picture into the current state of ambulance service available in India, especially considering the tier 1 cities. A mathematical model has been designed to measure the impact of introducing a fully electric fleet of electric ambulances with modern facilities, integrating the environmental impact. This can be used to analyze and understand the feasibility of implementing a uberized system in a particular city. A basic user interface (UI) has been designed for a mobile-based application, which can essentially mediate the process of providing an ecosystem between the hospital, ambulances and the end user. Thus, an overall understanding of the challenges and opportunities of uberizing an electric ambulance fleet is discussed.
36
Caliskan, Cuneyt, and K. Hakan Altintas. "Time, island and ambulance type characteristics of patient transfers from two Turkish islands." International Journal of Emergency Services 9, no. 1 (October 2, 2019): 47–55. http://dx.doi.org/10.1108/ijes-12-2018-0065.
Testo completoAbstract (sommario):
Purpose The purpose of this paper is to evaluate the time, place and ambulance types specified on the ambulance patient registry forms for cases transferred through 112 EMS in the Bozcaada and Gökçeada island districts of the province of Çanakkale. Design/methodology/approach The universe of the descriptive – cross-sectional epidemiological study was composed of the ambulance patient registration forms of the cases which were transferred from Bozcaada and Gökçeada islands between January 1, 2009 and December 31, 2013. Findings Of the transfers made, 28.1 percent were in the year 2012, 39.5 percent were in summer, 16.6 percent were in July, 17.9 percent were on Monday, 37.1 percent were between 12.00 and 17.59 h and 61.5 percent were from Gökçeada island. Ground ambulances were more common in the transfers from Bozcaada island, while ambulance boat and helicopter ambulance were more common for transfers from Gökçeada island. Helicopter-Emergency Medical Service (HEMS) (p<0.001), which is commonly preferred for patient transfers, inversely affects the use of Ambulance Boat-Emergency Medical Service (BEMS) and ground ambulances. Transfers from Bozcaada island were found to be shorter in duration, and the number of transfers from Bozcaada island between 00.00 and 05.59 h were found to be higher than from Gökçeada island (p<0.001), while the number of transfers via ground ambulance between 00.00 and 05.59 h were found to be higher than the other ambulance types (p<0.001). Practical implications This study reveals the current state of the various referral routes from the islands. Originality/value This paper is the first study to demonstrate the characteristics of patients referred from the island belongs to Turkey.
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Becker, Julia, Lisa Kurland, Erik Höglund, and Karin Hugelius. "Dynamic ambulance relocation: a scoping review." BMJ Open 13, no. 12 (December 2023): e073394. http://dx.doi.org/10.1136/bmjopen-2023-073394.
Testo completoAbstract (sommario):
ObjectivesDynamic ambulance relocation means that the operators at a dispatch centre place an ambulance in a temporary location, with the goal of optimising coverage and response times in future medical emergencies. This study aimed to scope the current research on dynamic ambulance relocation.DesignA scoping review was conducted using a structured search in PubMed, Scopus and Web of Science. In total, 21 papers were included.ResultsMost papers described research with experimental designs involving the use of mathematical models to calculate the optimal use and temporary relocations of ambulances. The models relied on several variables, including distances, locations of hospitals, demographic-geological data, estimation of new emergencies, emergency medical services (EMSs) working hours and other data. Some studies used historic ambulance dispatching data to develop models. Only one study reported a prospective, real-time evaluation of the models and the development of technical systems. No study reported on either positive or negative patient outcomes or real-life chain effects from the dynamic relocation of ambulances.ConclusionsCurrent knowledge on dynamic relocation of ambulances is dominated by mathematical and technical support data that have calculated optimal locations of ambulance services based on response times and not patient outcomes. Conversely, knowledge of how patient outcomes and the working environment are affected by dynamic ambulance dispatching is lacking. This review has highlighted several gaps in the scientific coverage of the topic. The primary concern is the lack of studies reporting on patient outcomes, and the limited knowledge regarding several key factors, including the optimal use of ambulances in rural areas, turnaround times, domino effects and aspects of working environment for EMS personnel. Therefore, addressing these knowledge gaps is important in future studies.
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Zehra, Fatima Tuz, Diya Nisar, Abeeha Zehra, Mahnoor Javed, Mahnoor Usman, and Syed Uzair Mahmood. "Pervasiveness of ambulance etiquette and knowledge in general population: a perspective from Pakistan." International Journal Of Community Medicine And Public Health 7, no. 4 (March 26, 2020): 1244. http://dx.doi.org/10.18203/2394-6040.ijcmph20201427.
Testo completoAbstract (sommario):
Background: Ambulance ethics refers to the principles of moral conduct that make the journey of an ambulance safe, convenient whereby ensuring provision of effective pre-hospital care to the patient. It concerns three sets of population: the paramedical staff, the patient and family and also the general population.Methods: Cross-sectional comparative study, conducted from February to May 2018. A questionnaire consisting of 25 questions was filled by 412 participants who were older than 15 years of age and their responses were collected via a 5-point likert scale. Chi-square analysis was done to compare the responses of medical and non-medical participants.Results: Vast majority of individuals agreed that they should give way to ambulances by switching their lanes or by breaking the signal. Half of the individuals were of the idea that ambulances should maintain their speed limit while some favored disregarding the speed limit if it meant saving someone’s life, while others remained neutral. A large percentage of participants agreed that a vehicle must meet certain standards in order for it to act as an ambulance. A number of participants agreed that an ambulance should have basic life support (BLS), the ambulance staff should be skilled enough to give cardiopulmonary resuscitation (CPR) en route to the hospital.Conclusions: The general population supports the idea that ambulances should have a hassle-free route to transport the patient to the hospital and to hasten the treatment even if that means breaking signals, switching lanes and exceeding speed limit.
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Buhmann, Volker, Guido Schüpfer, and Christoph Konrad. "Anästhesie für ambulantes Operieren." Therapeutische Umschau 74, no. 7 (December 2017): 389–97. http://dx.doi.org/10.1024/0040-5930/a000931.
Testo completoAbstract (sommario):
Zusammenfassung. Das ambulante Operieren ist eine Möglichkeit das Gesundheitssystem zu entlasten, ohne dabei eine qualitative Verschlechterung der Versorgung in Kauf nehmen zu müssen. Die Zahl der operativen Eingriffe, die routinemässig ambulant erbracht werden, steigt stetig an und gerade weil Länder wie die Schweiz und Deutschland im internationalen Vergleich diesem Trend noch immer hinterherhinken, ist mit einer deutlichen Zunahme ambulanter Operationen in den nächsten Jahren zu rechnen. Dieser Artikel soll den Anästhesisten in den Mittelpunkt stellen, der als perioperativer Mediziner eine Schlüsselrolle im Behandlungsprozess des ambulanten Operierens einnimmt. Durch eine konzise Beurteilung und einer daraus abgeleiteten Strategie zur Modifizierung von Risiken, die der Patient auf Grund von Vorerkrankungen mit sich bringt, kann ambulantes Operieren sicher und erfolgreich geleistet werden.
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Sharma, Sushil, Uma Tomar, Sarthak ., Piyush Saini, and Abhishek Chauhan. "Ambulance Booking Mobile Application." International Journal for Research in Applied Science and Engineering Technology 10, no. V (May 31, 2022): 3340–46. http://dx.doi.org/10.22214/ijraset.2022.43113.
Testo completoAbstract (sommario):
As in India, a person dies on every crack of the timepiece so, we've proposed an operation that will give an exigency health response to the case. The main purpose of this design will fill the gap between the case and ambulance response time. Ambulances are a vital part of exigency medical services. Generally, cases have a finite range of ambulance connections; therefore whenever in an exigency, they find difficulty. With this design, it's proposed that the operation would enable the case to bespeak a lift to the sanitarium. The case can detect themselves or can upload their current position as well as their destination position into the operation. The system would also show the nearly available ambulances and the case can choose its applicable lifts by comparing the citations and distance of every lift over a region. Eventually, billing at the end. The design further trials to contribute blood force-delivery services to the hospitals. On the other hand, the ambulance motorist would get a prompt about the booking made by the case. The ambulance motorist has to confirm the booking made and the operation will guide the motorist towards the destination.
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Endri, Gunawan, Muhammad Hadi, and Naryati Naryati. "Faktor yang Berhubungan dengan Efektivitas Pelayanan Ambulans Motor." MAHESA : Malahayati Health Student Journal 4, no. 5 (May 1, 2024): 1797–812. http://dx.doi.org/10.33024/mahesa.v4i5.14353.
Testo completoAbstract (sommario):
ABSTRACT Background A motorbike ambulance is a vehicle used to fulfil the response time of emergency victims. After the patient is stabilised, the patient will be taken by ambulance transport or emergency ambulance to the nearest health care facility. The purpose of this study was to analyse the factors associated with the effectiveness of motor ambulance services. used cross sectional measurement of independent and dependent variables assessed simultaneously at the same time. There is a significant relationship between officer readiness with a p-value of 0.000 <0.05, training factors with a P Value = 0.025 or <0.05, dispatch communication factors with a P Value = 0.000 or <0.05, unit readiness factor and medical equipment with a P Value = 0.000 or < 0.05, geographical factors with a P Value = 0.000 or < 0.05, and experience with a p-value of 0.000 < 0.05 with the effectiveness of motor ambulance services with a p-value of 0.000 (p-value ≤ 0.05). The factors that most influence the effectiveness of motor ambulance services are officer readiness (7.129), dispatch communication (21.079), and unit and medical equipment readiness (7.433). Keywords: Effectiveness, Service, Motorbike Ambulance ABSTRAK Ambulans motor merupakan kendaraan yang digunakan untuk memenuhi waktu respon penanganan korban gawat darurat. Setelah pasien stabil, maka pasien akan dibawa menggunakan ambulans transport atau ambulans gawat darurat menuju fasilitas pelayanan kesehatan terdekat. Ini untuk menganalisis faktor yang berhubungan dengan efektivitas pelayanan ambulans motor. Desain penelitian menggunakan cross sectional pengukuran variabel independen dan dependen dinilai secara simultan pada waktu yang sama.Terdapat hubungan yang bermakna antara kesiapan petugas dengan nilai p-value 0,000< 0,05, faktor pelatihan dengan dilai P Value = 0,025 atau < 0,05, faktor komunikasi dispatch dengan nilai P Value = 0,000 atau < 0,05, faktor kesiapan unit dan alkes dengan dilai P Value = 0,000 atau < 0,05, faktor geografis dengan nilai P Value = 0,000 atau < 0,05, dan pengalaman dengan nilai p-value 0,000< 0,05 dengan efektivitas pelayanan ambulans motor dengan p-value 0,000 (p-value ≤ 0,05). Faktor yang paling mempengaruhi efektivitas pelayanan ambulans motor kesiapan petugas (7,129), komunikasi dispatch (21,079), dan kesiapan unit dan alkes (7,433). Kata Kunci: Efektivitas, Pelayanan, Ambulans Motor
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R, Prof Lakshmi. "Literature Survey on Smart Ambulance Traffic Control System." INTERANTIONAL JOURNAL OF SCIENTIFIC RESEARCH IN ENGINEERING AND MANAGEMENT 08, no. 04 (April 22, 2024): 1–5. http://dx.doi.org/10.55041/ijsrem31380.
Testo completoAbstract (sommario):
This study introduces a Smart Traffic Signal Control System designed to streamline ambulance transit through congested urban areas. Integrating RFID, GPS, and LTE technologies, this system establishes a direct link between ambulances and traffic signals, enabling prioritized passage for emergency vehicles. GPS tracking triggers real- time signal adjustments as ambulances approach intersections, granting immediate green signals through cloud-based communication. RFID confirms passage, while predictive algorithms optimize upcoming signal timings based on ambulance speed and estimated arrival, effectively preempting traffic congestion. Initial trials demonstrate reduced transit times during peak traffic, ensuring prompt arrival at medical facilities. The system's automation minimizes delays without human intervention, highlighting its potential to revolutionize emergency services. However, seamless integration with existing infrastructure, data security, and scalability remains focal points for further development. This Smart Traffic Signal System signifies a crucial step toward optimizing emergency response in challenging urban settings, promising improved healthcare accessibility through efficient ambulance navigation. Key Words: Smart Traffic Signal Control System, RFID, GPS, LTE technologies, ambulance transit, real-time signal adjustments, cloud-based communication, emergency services optimization, automation, data security, scalability.
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Acharya, Rija, Angur Badhu, Tara Shah, and Sharmila Shrestha. "Availability of Life Support Equipment and its Utilization by Ambulance Drivers." Journal of Nepal Health Research Council 15, no. 2 (September 15, 2017): 182–86. http://dx.doi.org/10.3126/jnhrc.v15i2.18197.
Testo completoAbstract (sommario):
Background: An effective ambulance is a vital requirement for providing an emergency medical service. Well-equipped ambulances with trained paramedics can save many lives during the golden hours of trauma care. The objective was to document the availability and utilization of basic life support equipment in the ambulances and to assess knowledge on first aid among the drivers.Methods: Descriptive design was used. Total of 109 ambulances linked to B.P. Koirala Institute of Health Sciences were enrolled using purposive sampling method. Self- constructed observation checklist and semi structured interview schedule was used for data collection. Results: More than half of the respondents had less than five years of experience and were not trained in first aid. About two-third of the respondents had adequate knowledge on first aid. About 90% of the ambulance had oxygen cylinder and adult oxygen mask which was ‘usually’ used equipment. More than half of ambulance had equipment less than 23% as compared to that of national guidelines. There was significant association of knowledge with the experience (p = 0.004) and training (p = 0.001). Availability of equipment was associated with training received (p = 0.007), organization (p= 0.032)and district (p = 0.023) in which the ambulance is registered.Conclusions: The study concludes that maximum ambulance linked to BPKIHS, Nepal did not have even one fourth of the equipment for basic life support. Equipment usually used was oxygen cylinder and oxygen mask. Majority of driver had adequate knowledge on first aid and it was associated with training and experience.
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Saputra, Dedi, Haryani Haryani, Martias Martias, Artika Surniandari, and Kudiantoro Widianto. "RANCANG BANGUN APLIKASI PESAMLINE (PEMESANAN AMBULANCE ONLINE) BERBASIS ANDROID." JUSIM (Jurnal Sistem Informasi Musirawas) 6, no. 2 (December 9, 2021): 110–22. http://dx.doi.org/10.32767/jusim.v6i2.1188.
Testo completoAbstract (sommario):
Android adalah sistem operasi yang berbasis Linux untuk telepon seluler seperti telepon pintar dan komputer tablet seperti smartphone yang banyak beredar di pasaran atau bahkan yang kita gunakan dalam kegiatan sehari-hari. Android menyediakan platform terbuka bagi para pengembang untuk menciptakan aplikasi mereka sendiri yang dapat digunakan oleh bermacam-macam peranti bergerak. Penelitian ini dibuat untuk membantu masyarakat yang membutuhkan pelayanan Ambulance secara Online dalam situasi darurat, seperti pertolongan untuk korban kecelakaan, ibu melahirkan, dan situasi darurat lainya. Aplikasi pemesanan ambulan berbasis android ini akan menampilkan layanan pemesanan ambulan dimana sebagai sampel penelitiannya layanan Ambulan yang berada di wilayah Kota pontianak, dapat mengirimkan pemesanan darurat ke Ambulance terdekat dari lokasi pemesan melalui aplikasi PESAMLINE yang terpasang di smartphone, sehingga mempermudah pengguna dalam mendapatkan pelayanan Ambulance. Penelitian ini menggunakan Android Studio dan menggunakan bahasa pemograman java dalam pembuatan Aplikasinya. Untuk pengembangan perangkat lunaknya menggunakan model waterfall. Hasil dari penelitian ini diharapkan pengguna dapat mengakses aplikasi untuk mengirim pesan darurat ke Ambulance terdekat yang sudah terdaftar di aplikasi.
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Alfian, Sukmawansyah, Kurniati Tri, Widakdo Giri, Widiastuti Eni, and Suatmaji Suatmaji. "Gaya Kepemimpinan Penanggung Jawab Unit Terhadap Response Time Ambulans DKI Jakarta." MAHESA : Malahayati Health Student Journal 4, no. 6 (June 1, 2024): 2146–58. http://dx.doi.org/10.33024/mahesa.v4i6.14355.
Testo completoAbstract (sommario):
ABSTRACT Healthcare is becoming an increasingly important need for people in today's modern era. The quality and speed of nursing services provided is crucial, such as ambulance calls especially in emergency situations. An effective leadership style that are upheld by the leader (unit person in charge) can motivate and guide nurses to achieve the targets set, as well as improve their performance in providing quality services to patients. The aim of this research is to determine the correlation between the person in charge of the ambulance unit leadership style and the ambulance response time in Pusat Krisis Dan Kegawatdaruratan Kesehatan Daerah Provinsi Dki Jakarta, North Jakarta Region. This research uses quantitative methods with an observational analytical design with a cross-sectional approach. The sample in this study was 76 operational nurses from 11 ambulance units in the North Jakarta area. Based on the age of the ambulance nursing personnel, they are in the age group > 25 years. Based on gender, the majority are male. The response time achievement identification is in the "Achieved (≤ 30 minutes)" category. The results of this research state that there is a significant correlation between leadership style and the Response time of the Ambulance. Keywords: Ambulance, Leadership Style, Response Time ABSTRAK Pelayanan kesehatan menjadi kebutuhan yang semakin penting bagi masyarakat di era modern saat ini. Kualitas dan kecepatan pelayanan keperawatan yang diberikan sangatlah krusial, terutama dalam situasi darurat seperti panggilan ambulans. Gaya kepemimpinan yang efektif yang dijunjung tinggi oleh pemimpin (penanggung jawab unit) dapat memotivasi dan membimbing perawat untuk mencapai target yang ditetapkan, termasuk dalam memberikan pelayanan yang berkualitas kepada pasien. Penelitian ini bertujuan untuk mengetahui korelasi atau hubungan dari gaya kepemimpinan penanggung jawab unit ambulans terhadap response time ambulans di Pusat Krisis dan Kegawatdaruratan Kesehatan Daerah Provinsi Daerah Khusus Ibu Kota Jakarta Wilayah Jakarta Utara. Penelitian ini menggunakan metode kuantitatif dengan desain Observasional analitik pendekatan Cross sectional. Sampel dalam penelitian ini adalah 76 perawat pelaksana dari 11 unit ambulans wilayah Jakarta Utara. Berdasarkan usia petugas perawat ambulans berada pada kelompok usia dewasa awal, Berdasarkan jenis kelamin mayoritas laki-laki, Identifikasi capaian response time berada pada kategori “Tercapai (≤ 30 menit)” dengan rata-rata waktu capaian 19 menit. Penelitian ini menyatakan bahwa terdapat hubungan yang bermakna antara gaya kepemimpinan dengan Response time ambulans. Kata Kunci: Ambulans, Gaya Kepemimpinan, Response Time
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Oshita, Yusuke, Koki Tsuchiya, Koji Ishikawa, Kodai Hirabayashi, and Tetsuya Nemoto. "Ambulance Use by International Travelers in Japan: A Retrospective Descriptive Study." International Journal of Travel Medicine and Global Health 8, no. 1 (March 11, 2020): 13–17. http://dx.doi.org/10.34172/ijtmgh.2020.02.
Testo completoAbstract (sommario):
Introduction: Reports indicate that 22%–64% of travelers experience some illness when in a foreign country. To date, no prior study has reported the use of ambulances by travelers or the epidemiology of travel-related injury. Methods: In this retrospective study, we aimed to describe ambulance use by international travelers, including the rates of travel-related injury and illness. To do so, ambulance dispatch data from January 1, 2010 to December 31, 2018 was used. Results: Overall, of the 43201 cases of ambulance use during the study period, 524 (1.2%) were international travelers. Ambulance use by international travelers increased from 0.35% in 2010 (15/4311) to 2.54% in 2018 (125/4913), an average annual increase of 0.27%. Of the international travelers, 392 (74.8%) had minor complaints, 110 cases (21.0%) had moderate complaints, 280 (53.4%) had internal disease, and 223 cases (42.6%) had suffered trauma. Regarding location, 253 (48.3%) were from a hotel/lodge, 83 (15.8%) were from a road/parking, and 30 (5.7%) were in the forest/mountain. Conclusion: Most international travelers use ambulances for minor complaints, typically internal disease or trauma, and approximately half access the service from a hotel or lodge.
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Nandhini, S., Saravana Kumar, Aditya Kumawat, and Mansi Sharma. "Efficient Ambulance Routing." Journal of Computational and Theoretical Nanoscience 16, no. 8 (August 1, 2019): 3192–95. http://dx.doi.org/10.1166/jctn.2019.8159.
Testo completoAbstract (sommario):
Road traffic has become a major issue in highly crowded metropolitan cities. Ambulance services which are provided by the government and private organizations struggle to get the patient to the hospital, resulting in unfortunate events which affect the people vastly. We are applying Internet Of Things (IoT) and cloud based services that can bring up an effective route and smoothen the ambulance movement throughout. Our attempt is to alert people on the road in prior about incoming ambulances by using smart lighting and managing them via cloud. Internet Of Things helps in collaboration of these different devices, accessing and monitoring them remotely.
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Nono, Raneem, Rawan Alsudais, Raghad Alshmrani, Sumayyah Alamoudi, and Asia Othaman Aljahdali. "Intelligent Traffic Light for Ambulance Clearance." ADCAIJ: Advances in Distributed Computing and Artificial Intelligence Journal 9, no. 3 (November 7, 2020): 89–104. http://dx.doi.org/10.14201/adcaij20209389104.
Testo completoAbstract (sommario):
Human life is a serious matter, so we should not neglect anything that might threaten it. It must be protected in all possible ways. Consequently, all health services such as hospitals, medicines, ambulances and so on need to evolve continuously to overcome life-threatening problems. Since many people could lose their life because of an ambulance delay. We proposed a system that provides a way to overcome the ambulance delay problem. With the current traffic light system, the ambulance can get stuck in the traffic or may cause an accident while it crosses the red light. To avoid that, the proposed system enables the ambulance to control the traffic light. Thus, the system will facilitate the ambulance movement to save people's life. The hardware used to implement this project includes Arduino UNO and mega with network shield (ZigBee). We have used C++ language and Arduino IDE to program the Arduino and the ZigBee.
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Tsai, Yihjia, Kuan-Wu Chang, Giou-Teng Yiang, and Hwei-Jen Lin. "Demand Forecast and Multi-Objective Ambulance Allocation." International Journal of Pattern Recognition and Artificial Intelligence 32, no. 07 (March 14, 2018): 1859011. http://dx.doi.org/10.1142/s0218001418590115.
Testo completoAbstract (sommario):
This study considers the two-fold dynamic ambulance allocation problem, which includes forecasting the distribution of Emergency Medical Service (EMS) requesters and allocating ambulances dynamically according to the predicted distribution of requesters. EMSs demand distribution forecasting is based on on-record historical demands. Subsequently, a multi-objective ambulance allocation model (MOAAM) is solved by a mechanism called Jumping Particle Swarm Optimization (JPSO) according to the forecasted distribution of demands. Experiments were conducted using recorded historical data for EMS requesters in New Taipei City, Taiwan, for the years 2014 and 2015. EMS demand distribution for 2015 is forecasted according to the on-record historical demand of 2014. Ambulance allocation for 2015 is determined according to the anticipated demand distribution. The predicted demand distribution and ambulance allocation solved by JPSO are compared with historic data of 2015. The comparisons verify that the proposed methods yield lower forecasting error rates and better ambulance allocation than the actual one.
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Gaievskyi, Stanislav, Oleksandr Linchevskyy, and Colin Meghoo. "A Workplace-Based Observation Strategy to Assess Prehospital Care Delivery by Public Ambulances in Ukraine." Prehospital and Disaster Medicine 34, s1 (May 2019): s179—s180. http://dx.doi.org/10.1017/s1049023x19004138.
Testo completoAbstract (sommario):
Introduction:Current methods to evaluate the delivery of urgent prehospital care often rely on inadequate surrogate measures or unreliable self-reported data. A workplace-based strategy may be feasible to assess the delivery of prehospital care by ambulances in selected populations.Aim:To perform a nationwide assessment of the psychomotor performance of public ambulance workers in Ukraine, we created a plan of workplace-based observation. We conducted a post-hoc analysis of this strategy to assess feasibility, strengths, and limitations for future use in assessing prehospital ambulance performance.Methods:With support from the Ministry of Health, we sent teams of trained observers to 30 ambulance substations across Ukraine. Using data collection tools on mobile devices, these observers accompanied Advanced Life Support ambulances on urgent calls for periods of 72 hours. We evaluated this program for collecting patient encounter data against the investment of time, personnel, and financial resources.Results:Over a two-month period, we directly observed 524 patient encounters by public ambulances responding to urgent calls at 30 ambulance substations across Ukraine. We employed 6 observers and 2 administrators over this time period. Collecting our observations required 2,160 person-hours at the ambulance substations. The total distance traveled to these sites was 11,375 kilometers. Project costs amounted to 37,000 USD, equating to 71 USD per observed patient encounter.Discussion:Workplace-based assessments are a cost-effective strategy to collect data on the delivery of prehospital care in select populations. This data can be useful for identifying the current state of EMS care delivered and evaluating compliance with established treatment protocols. Successful implementation depends on effective planning and coordination with a commitment of time, personnel, and financial resources. Issues of patient privacy, legal permission, and observer training must be considered.