Master of Science

thesisEmergency Medical Services form the backbone of the prehospital emergency medical care system in the United States. Prompt treatment and transport to a definitive care facility provide the greatest chance for reduced morbidity and mortality. People’s ability to use this public service can be a determinant of their wellbeing, as well as a measure of community disaster preparedness. The objective of this study is to measure spatial access to Emergency Medical Service (EMS) systems, and to quantify local demand for these services. EMS facilities and population location data are mapped across Utah. Spatial access is measured using an enhanced two-step floating catchment area method (E2SFCA) that incorporates both travel time and EMS ground transport capacity. Demand is estimated from the EMS spatial access metric and local population count. Results are evaluated using actual response times and patient death rates. The study finds that the 2SFCA method adequately measures relative access across large areas that encompass multiple service regions. In conclusion, additional improvements and future research potential are discussed

Accessibility Design and Operational Considerations in the Development of Urban Aerial Mobility Vehicles and Networks

Urban aerial mobility vehicles and networks have recently gained considerable interest in the aviation community. These small, short-range vehicles with all-electric or hybrid-electric propulsion systems, tailored to metropolitan aerial transportation needs, promise to radically change passenger mobility and cargo distribution in cities. Accessibility issues have not been a major consideration in UAM vehicle and network discussions to date. This paper seeks to help change that

How to monitor sustainable mobility in cities? Literature review in the frame of creating a set of sustainable mobility indicators

The role of sustainable mobility and its impact on society and the environment is evident and recognized worldwide. Nevertheless, although there is a growing number of measures and projects that deal with sustainable mobility issues, it is not so easy to compare their results and, so far, there is no globally applicable set of tools and indicators that ensure holistic evaluation and facilitate replicability of the best practices. In this paper, based on the extensive literature review, we give a systematic overview of relevant and scientifically sound indicators that cover different aspects of sustainable mobility that are applicable in different social and economic contexts around the world. Overall, 22 sustainable mobility indicators have been selected and an overview of the applied measures described across the literature review has been presented

Data modelling for emergency response

Emergency response is one of the most demanding phases in disaster management. The fire brigade, paramedics, police and municipality are the organisations involved in the first response to the incident. They coordinate their work based on welldefined policies and procedures, but they also need the most complete and up-todate information about the incident, which would allow a reliable decision-making.\ud There is a variety of systems answering the needs of different emergency responders, but they have many drawbacks: the systems are developed for a specific sector; it is difficult to exchange information between systems; the systems offer too much or little information, etc. Several systems have been developed to share information during emergencies but usually they maintain the nformation that is coming from field operations in an unstructured way.\ud This report presents a data model for organisation of dynamic data (operational and situational data) for emergency response. The model is developed within the RGI-239 project ‘Geographical Data Infrastructure for Disaster Management’ (GDI4DM)

Maritime Safety in The High North - Risk and Preparedness

Author's accepted version (postprint).This is an Accepted Manuscript of an article published by the International Society of Offshore and Polar Engineers in ISOPE - International Society of Offshore and Polar Engineers. Proceedings on 07/2016, available online: http://www.isope.org/publications/proceedings/ISOPE/ISOPE%202016/index.ht

Measuring and optimizing accessibility to emergency medical services

Emergency medical services (EMSs) undertake the responsibility of providing rapid medical care to patients suffering from unexpected illnesses or injuries and transferring them to definitive care facilities. This research concerns several research gaps that are associated with different EMS trips, real-time traffic conditions, improving EMS efficiency and equalities. This research aims to develop GIS-based spatial optimization methods to improve service efficiency and equality in EMS systems. Specifically, the research intends to achieve the following goals: (1) to measure spatiotemporal accessibility to EMS; (2) to improve EMS efficiency and provision through spatial optimization approaches; (3) to reduce urban-rural inequalities in EMS accessibility and coverage using spatial optimization approaches. The proposed approaches are applied in three empirical studies in Wuhan, China. To achieve the first objective, the proximity and the enhanced two-step floating catchment method (E-2SFCA) are adopted to evaluate spatiotemporal accessibility. First, the EMS travel time is estimated for the two related trips as an overall EMS journey: one is from the nearest EMS station to the scene (Trip 1), and the other is from the scene to the nearest emergency hospital (Trip 2). Then, the E-2SFCA method is employed to calculate the accessibility score that integrates both geographic accessibility and availability of EMS. Travel time is estimated by using both static road network with standard speed limits and online map service considering real-time traffic. To achieve the second objective, two facility location models are proposed to improve EMS service coverages for two-related trips (Trips 1 and 2). The first model maximizes the amount of demand covered by both ambulance coverage (EMS station – demand) and hospital coverage (demand – hospital). The second model maximizes the amount of demand that can be served by both ambulance coverage and overall coverage (EMS station – demand – hospital). To achieve the third objective, two bi-objective optimization models are developed. The two models have the same primary objective to maximize the total covered demand by ambulance. The second objective is to minimize one of the two inequality measures: one focuses on accessibility of uncovered rural people, and the other concerns the urban-rural inequality in service coverage. For the first empirical study with respect to spatiotemporal access to EMS, different spatial patterns are found for the three trips (two partial trips and the overall trip). Good accessibility to one trip cannot guarantee good accessibility to another trip. In addition, urban-rural inequalities in EMS accessibility and coverage are observed. Finally, it is observed that real-time traffic conditions greatly affect EMS accessibility, particularly in urban districts. Specifically, the accessibility of EMS becomes poor during the morning (7-9 am) and evening peak periods (5-7 pm). For the second empirical study in relation to EMS optimization involving two related trips, the results find that the first proposed model can guarantee that more demand to be covered by both ambulance and hospital coverages than the Maximum Coverage Location Problem (MCLP). The second proposed model can ensure that as many people as possible to be served by both ambulance and overall coverage than the work by ReVelle et al. (1976). For the third empirical study attempting to reduce urban-rural inequality in EMS, the results show that the first bi-objective model can improve EMS accessibility of uncovered rural demand, and the second model can reduce EMS service coverages between urban and rural areas. However, the improvement EMS inequalities between urban and rural areas leads to a cost of a decrease in the total covered population, especially in urban areas. Regarding policy implications, this research suggests that different EMS trips and traffic conditions should be considered when measuring spatial accessibility to EMS. Spatial optimization research can help improving service efficiency and reduce regional equalities in EMS systems. The work presented in this thesis can aid the planning practice of public services like EMS and provide decision support for policymakers

GIS in Healthcare

The landscape of healthcare is dynamic, gradually becoming more complicated with factors beyond simple supply and demand. Similar to the diversity of social, political and economic contexts, the practical utilization of healthcare resources also varies around the world. However, the spatial components of these contexts, along with aspects of supply and demand, can reveal a common theme among these factors. This book presents advancements in GIS applications that reveal the complexity of and solutions for a dynamic healthcare landscape

Guidelines for typology definition of European physical assets for earthquake risk assessment

It is an essential step in urban earthquake risk assessment to compile inventory databases of elements at risk and to make a classification on the basis of pre-defined typology/taxonomy definitions. Typology definitions and the classification system should reflect the vulnerability characteristics of the systems at risk, e.g. buildings, lifeline networks, transportation infrastructures, etc., as well as of their sub-components in order to ensure a uniform interpretation of data and risk analyses results. In this report, a summary of literature review of existing classification systems and taxonomies of the European physical assets at risk is provided in Chapter 2. The identified main typologies and the classification of the systems and their sub-components, i.e. SYNER-G taxonomies, for Buildings, Utility Networks, Transportation Infrastructures and Critical Facilities are presented in Chapters 3, 4, 5 and 6, respectively.JRC.G.5-European laboratory for structural assessmen