Crashes and their consequences are one of the universal major public health problems. The study aimed to analyze crashes and places of Emergency Medical Services (EMS) for suburban roads in Kermanshah province. This retrospective descriptive-analytical study was conducted from March 21, 2018, to March 20, 2019 using ArcGIS 10.6. The study sources consisted of spatial data including the map of Kermanshah province, which included city, road, emergency centers, the buffer of activities of EMS, point layer for crashes and, descriptive data related to injuries and deaths of emergency centers. To analyze the data, a geo-database of crashes was created and, then crashes status and EMS resources were analyzed. In the mentioned period, as many as 3090 crashes resulted in 409 deaths and 5112 injuries on suburban roads in Kermanshah province. In black spots, 1.36–1.7 and 0.05–0.07 people per square meter were injured and died, respectively. Lane departure of the cars was the most common cause of accidents and deaths. The Kermanshah-Kamyaran road with 38 death cases and the Kermanshah-Eslamabad road with 457 injured were the most frequent accident-prone roads in Kermanshah. Summer has the most crashes with 131 death cases and 1457 injuries. Allocating an ambulance code for each EMS, given the number of crashes in that area, is not a good policy and, new centers are required to be created in the areas of Kamyaran, Sarpol Zahab to Qasr-e-Shirin and Bisotun roads. Poor safety of vehicles and roads, distracted driving or fatigue are the main causes of crashes. Insufficient development of the road in some areas has led to crashes that have resulted in the most deaths and injuries. The distribution of EMS and essential facilities (ambulance code and specialized personnel) in the province a inappropriate. Therefore, equipping/establishing EMSs seems to be necessary.
Analysis of crashes and Emergency Medical Services resources using geospatial information system on Western suburban roads of Iran
2021
Aufsatz (Zeitschrift)
Elektronische Ressource
Unbekannt
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