Efficient managenent of EMSS vehicles: a case of Warangal

Abstract

With growing accidents and fatalities there is a need to study the reasons related to accidents and understand the ground level reality of the situations. In case of road accidents, the major factor is the golden time in which the medical service is obtained, this time depends upon the many factors. In this thesis we are focusing on the travel time and route selection in case of accidents and understand the situation. According to a report published by “IHS’ About 50 percent of road traffic deaths happen within 15 minutes of the accident as a result of injuries to the brain, heart, and large blood vessels. A further 35 percent die in the next 1-2 hours of head and chest injuries, and 15 percent over the next 30 days from sepsis and organ failure. The time between injury and initial stabilization is the single most important factor in patient survival, with the first 30- 60 minutes being the most important. National Trauma System Plan of India states that the EMS network should ensure an average primary response crash time of 8 to 10 minutes by deploying adequate number of first respondents, ALS, BLS ambulances. In this study the site area is selected based on the number of fatal accidents occurring in the Telangana state, As the metropolitan area is extensive and no of studies done on metropolitan area are high, a tier 2 city with highest number of fatalities has been selected as the study area. The number of hospitals having trauma centres or handling accident cases has been identified, blackspots in the study area has been marked. To understand the service area of these hospitals speed and delay surveys have been conducted in both peak and non-peak hour and 8-minute service area have been developed through network analysis. The service area under 8 minutes as suggested by NTSP has been compared between peak and non-peak hour and proposals have been given accordingly. To reduce the response time of the emergency medical services suggestions has been given, Efficient emergency vehicle routes has been developed, and proposals have been given towards improving the travel time of the ambulances .