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Ambulance service system plays a vital role in the health and wellbeing of a civilized society. In a metropolitan city like Karachi, several types of incidents occur daily which require emergency response, so that the affected people may be transported by ambulances to hospitals. There are various ambulance services run by philanthropic societies in Pakistan that perform their duty amicably. Edhi Foundation is one of the largest ambulance services in Pakistan. Information provided by EDHI foundation indicates that there are only three major government hospitals i.e. Civil Hospital, Abbasi Shaheed Hospital and Jinnah Hospital that provide their services to handle such cases. However, the response and transit times of these ambulances is hampered due to traffic jams, unavailability of multiple ambulances at risk prone areas, lack of knowledge about shortest routes and facilitating hospitals results in a higher rate of pre-hospital deaths. Therefore, it seemed necessary to propose an efficient emergency response system based on spatial distribution of incidents and optimal utilization of road network. This study aimed to highlight the spatial distribution of trauma-related incidents along with Edhi ambulance coverage in Karachi. Data of three most frequent incidents, i.e., road traffic accidents (RTA), gunshots and blasts was collected for the period of July 2014 to December 2014 from Edhi foundation’s manual logs. This data was converted from handwritten logs to a geodatabase. Edhi ambulance posts in Karachi and major hospitals were also mapped. Various analyses were performed on the geodatabase to highlight the hot spot zones with recurring cases of incidents and their town-wise distribution, along with the temporal trends of various types of incidents. Recommendations were given to reallocate the existing standby positions of ambulances to the zones of higher incident rates, and to provide an optimized response time for the ambulances to facilitate the cases using road network coverage analysis. Out of coverage and distant areas of Karachi are also identified using the results of this study.

Mehreen Saba, Amber Noor, Saad Malik. (2017) An Analysis into the Spatial Distribution of Trauma Incidents and Ambulance Functionalities in Karachi, Journal of Space Technology , Volume 7, Issue 1.
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