Keywords: system dynamics, pre-hospital emergency medical services, resource allocation, EMT, emergency medical technicians, OHCA, out-of-hospital cardiopulmonary arrest, response time, emergency management, training, fire departments, Taiwan, patient survival, simulation, modelling
A system dynamics model of the fire department EMS in Taiwan
Allocation of pre-hospital EMS (Emergency Medical Service) resources and effectiveness of emergency medical training are critical to patients. The demands for EMS are expected to increase in the future. By analysing the relationship between emergency response and the survival rates, the effectiveness of EMS resources and competence of personnel were evaluated. In other words, the current EMS resources will be insufficient, and the ratio of busy ambulances will increase. Patients may need to wait for an ambulance. In this paper, indicates that three more ambulances should be added and the priorities of resources to be allocated to suffice future demands are simulated. Through arrangement of extra hours of training, ROSC of patients within the system can be enhanced. Besides, by accelerating the travel speed of ambulances and shortening the average response time to 6.5 minutes, survival rate of patients could be increased and allow the EMS teams to take another 2.6 cases.