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Emergency Medical Services (EMS) in the United States and similar systems typically utilize a single treatment pathway, transporting all patients to emergency departments (EDs), regardless of their actual care needs or preferences. Recent…

Optimization and Control · Mathematics 2025-06-25 Eric G. Stratman , Justin J. Boutilier , Laura A. Albert

We introduce two new optimization models for the dispatch of ambulances. The first model, called the ambulance selection problem, is used when an emergency call arrives to decide whether an ambulance should be dispatched for that call, and…

Optimization and Control · Mathematics 2024-09-10 Vincent Guigues , Anton Kleywegt , Victor Hugo Nascimento

Most of the studies dealing with the increasing and well-known problem of Emergency Department (ED) overcrowding usually mainly focus on modeling the patient flow within a single ED, without considering the possibilities offered by the…

Optimization and Control · Mathematics 2021-08-10 Christian Piermarini , Massimo Roma

Ambulance Diversion (AD) is one of the possible strategies for relieving the worldwide phenomenon of Emergency Department (ED) overcrowding. It can be carried out when an ED is overloaded and consists of redirecting incoming by ambulance…

Systems and Control · Electrical Eng. & Systems 2023-09-06 Christian Piermarini , Massimo Roma

Markov decision process models and algorithms can be used to identify optimal policies for dispatching ambulances to spatially distributed customers, where the optimal policies indicate the ambulance to dispatch to each customer type in…

Optimization and Control · Mathematics 2023-03-03 Laura A. Albert

Objective: Emergency medical dispatch (EMD) is a high-stakes process challenged by caller distress, ambiguity, and cognitive load. Large Language Models (LLMs) and Multi-Agent Systems (MAS) offer opportunities to augment dispatchers. This…

In this study, two mathematical models have been developed for assigning emergency vehicles, namely ambulances, to geographical areas. The first model, which is based on the assignment problem, the ambulance transfer (moving ambulances)…

Actions taken immediately following a life-threatening personal health incident are critical for the survival of the sufferer. The timely arrival of specialist ambulance crew in particular often makes the difference between life and death.…

Computers and Society · Computer Science 2018-12-11 Marcus Poulton , Anastasios Noulas , David Weston , George Roussos

We consider emergent situations that require transporting individuals from their locations to a facility using a single capacitated vehicle, where transportation duration has a negative impact on the individuals. A dispatcher determines…

Optimization and Control · Mathematics 2024-07-02 Bahar Cavdar , Joseph Geunes , Xiaofeng Nie , Yue Wang

The objective of Emergency Medical Services (EMSs) is to promptly respond to calls from citizens for first aid, providing pre-hospital care and, if necessary, to transfer patients to an appropriate Emergency Department (ED) by ambulance.…

Systems and Control · Electrical Eng. & Systems 2026-04-28 Alberto De Santis , Stefania Iannazzo , Fabio Ingravalle , Stefano Lucidi , Massimo Maurici , Giulia Riccardi , Massimo Roma , Antonio Vinci

The design of multi-agent based simulations (MABS) is up to now mainly done in laboratories and based on designers' understanding of the activities to be simulated. Domain experts have little chance to directly validate agent behaviors. To…

Multiagent Systems · Computer Science 2009-10-13 Yee Ming Chen , Bo-Yuan Wang

Background and motivation: Deep Reinforcement Learning (Deep RL) is a rapidly developing field. Historically most application has been made to games (such as chess, Atari games, and go). Deep RL is now reaching the stage where it may offer…

Machine Learning · Computer Science 2021-01-14 Michael Allen , Kerry Pearn , Tom Monks

Shared e-mobility services have been widely tested and piloted in cities across the globe, and already woven into the fabric of modern urban planning. This paper studies a practical yet important problem in those systems: how to deploy and…

Artificial Intelligence · Computer Science 2021-11-04 Man Luo , Bowen Du , Konstantin Klemmer , Hongming Zhu , Hongkai Wen

The operation of an ambulance fleet involves ambulance selection decisions about which ambulance to dispatch to each emergency, and ambulance reassignment decisions about what each ambulance should do after it has finished the service…

Optimization and Control · Mathematics 2026-03-10 Vincent Guigues , Anton J. Kleywegt , Victor Hugo Nascimento

The problem of dispatching emergency responders to service traffic accidents, fire, distress calls and crimes plagues urban areas across the globe. While such problems have been extensively looked at, most approaches are offline. Such…

Artificial Intelligence · Computer Science 2019-02-25 Ayan Mukhopadhyay , Geoffrey Pettet , Chinmaya Samal , Abhishek Dubey , Yevgeniy Vorobeychik

Despite the extensive use of the agent technology in the Supply Chain Management field, its integration with Advanced Planning and Scheduling (APS) tools still represents a promising field with several open research questions. Specifically,…

Multiagent Systems · Computer Science 2011-07-19 Luis Antonio de Santa-Eulalia , Sophie D'Amours , Jean-Marc Frayret

In this paper, we address the dynamic Emergency Medical Service (EMS) systems. A dynamic location model is presented that tries to locate and relocate the ambulances. The proposed model controls the movements and locations of ambulances in…

Artificial Intelligence · Computer Science 2014-04-15 Mahdi Moeini , Zied Jemai , Evren Sahin

In the United States, medical responses by fire departments over the last four decades increased by 367%. This had made it critical to decision makers in emergency response departments that existing resources are efficiently used. In this…

Systems and Control · Electrical Eng. & Systems 2020-10-16 Cheng Hua , Tauhid Zaman

This work develops a methodology for studying the effect of an offload zone on the ambulance ramping problem using a multi-server, multi-class non-preemptive priority queueing model that can be treated analytically. A prototype model for…

Systems and Control · Electrical Eng. & Systems 2024-02-01 Josef Zuk , David Kirszenblat

Agent-based simulators (ABS) are a popular epidemiological modelling tool to study the impact of various non-pharmaceutical interventions in managing an epidemic in a city (or a region). They provide the flexibility to accurately model a…

Physics and Society · Physics 2025-10-13 Daksh Mittal , Sandeep Juneja
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