Stroke is the major cause of disability and the third leading cause of death among the adult population in Poland. Scientific studies have reported that approx. 60 000 Poles suffer a stroke each year. Approx. 80% of strokes are ischemic strokes. In 1980, the World Health Organization (WHO) has identified stroke as a clinical syndrome characterized by the sudden onset of focal or generalized brain dysfunction, the symptoms of which last longer than 24 hours or are leading to death and have no other cause than vascular one.
In recent years, in order to restore patency in the clogged vessel supplying blood to the brain, the thrombolytic therapy with recombinant
tissue plasminogen activator (rtPA) or streptokinase. This method, however, has a number of contraindications, therefore thrombectomy is an opportunity for those patients who are not eligible to apply thrombolysis. Thrombectomy is currently used only in patients with ischemic stroke in the 6 hour therapeutic window. It involves mechanical removal of the blockage using a catheter introduced into the cerebral vessels through the artery. The procedure is performed under angiographic control and takes about 40 minutes.
This is a direct form of treatment of the disease, at its most advanced stage. Scientific reports say that nearly 90% of thrombectomy
implementations is effective in case of acute stroke. Thanks to the progress of medicine, researchers aim at eliminating contraindications
against qualifying a patient for thrombectomy treatment.

Traffic accidents are a result of the convergence of hazards, malfunctioning of vehicles and human negligence that have adverse economic and health impacts and effects. Unfortunately, avoiding them completely is very difficult, but with quick response to rescue and first aid, the mortality rate of inflicted persons can be reduced significantly. Smart and innovative technologies can play a pivotal role to respond faster to traffic crash emergencies comparing conventional means of transportation. For instance, Rescue Emergency Drone (RED) can provide faster and real-time crash site risk assessment to emergency medical services, thereby helping them to quickly and accurately assess a situation, dispatch the right equipment and assist bystanders to treat inflicted person properly. To conduct a research in this regard, the case of a traffic roundabout that is prone to frequent traffic accidents on the outskirts of Esbjerg, a town located on western coast of Denmark is hypothetically considered. Along with manual calculations, Emergency Disaster Management Simulation (EDMSIM) has been used to verify the response time of RED from a fire station of the town to the presumed crash site. The results of the study demonstrate the robustness of RED into emergency services to help save lives.

The objective of this research is to explore the role of actors at the local level in managing the Pre-hospital Emergency Medical Service (EMS) system in Thailand. The research method was done through documentary research, individual interviews, and one forum conducted in each province. This paper uses the case of three provinces located in three regions in Thailand including; Ubon Ratchathani (North-eastern region), Lampang (Northern Region), and Songkhla (Southern Region). The result shows that, recently, the role of the local government in being the service provider for their local people is increasingly concerned. In identifying the key success factors towards the EMS system, it includes; (i) the local executives- vision and influence that the decisions made by them, for both PAO (Provincial Administration Organisation (PAO) and TAO (Tambon Administration Organisation), is vital to address the overall challenges in EMS development, (ii) the administrative system through reforming their working style create the flexibility in running the EMS task, (iii) the network-based management among different agencies at the local level leads to the better EMS practices, and (iv) the development in human resource is very vital in delivering the effective services.

Advances in mobile communications and medical technologies facilitate the development of emerging mobile systems and applications for healthcare. The objective of this paper is to provide an overview and the current status of mobile health care systems (mHealth) and their applications for Emergency healthcare support (eEmergency). Our paper reports on journal papers that use wireless, emergency telemedicine systems that appeared since 2000. The majority of the applications are focused on the transmission of crucial biosignals (mainly ECG) for the support of heart-related healthcare. A limited number of new studies were focused on supporting emergency healthcare for trauma by facilitating both 2D image or video transmission (eg: ultrasound). Alternatively, new studies have focused on integrated systems for specialized emergency scenaria such as stroke. This paper is an extension of work previously published by our group.

Emergency Medical Care is one of the most important systems ensuring security of citizens.Developing countries have limited financial resources wherefore financial outlay on Emergency Medical Care system is insufficient.In 2015 Ghana had only 128 ambulances.
Only 59.4% of the areas were accessible to the ambulance in 60 minutes, and after analyzing the location of the rescue station, only 79% of the population had access to the ambulance in 60 minutes.Lack of basic medical equipment, low educational levelambulance
service employees andlong distances between hospitalscause that quality of medical assistance is frequently low andlimited to transport services. Ghana National Ambulance Servicecreated 12-months training programme for their employees however, private
organizations do not have mandatory requirements for the training of employees. The lack of regulations on Emergency Medical Care makes some of the medical rescue workers even less knowledgeable about medical emergencies, which reduces the quality of health
services provided to the public. The analysis of the epidemiological situation and the statistics on resources and the condition of Emergency Medical Care system in Ghana indicates that increasing public awareness of first aid and the qualification of medical workers could increase the survivability of victims of traffic accidents in pre-hospital care

In an emergency event, the efficient and effective management of medical resources reduces response times and better meets the patient's needs. However, the heterogeneity of types of resources (e.g., crews and expertise levels, vehicles, hospital capacity) and needs of patients (e.g., trauma status and type, location) makes efficient management of resources a very challenging task. In an effort to improve the management of medical resources during emergencies, this work designs and proposes a decision support tool that can be used for efficient real-time resource allocation. First, a network model is derived to capture the resources' flow. Thereafter, a mathematical program is formulated so as to allow optimization of the resources' allocation, and an online algorithmic implementation is provided to enable real-time execution within, for example, a computer-aided decision support system. Extensive simulations are also conducted under various scenario settings to experiment with the proposed tool and to demonstrate the potentially achievable efficiency gains.

In this paper we provide an overview of the way that information and communication technologies have been used for emergency healthcare support. The paper provides a literature review of case studies exploring information systems for monitoring signals, images, medical videos, as well as information protocols used during emergency health care support, and describes future trends. We anticipate that eEmergency systems can significantly improve the delivery of healthcare during emergency cases. However, the monitoring and evaluation of these systems and especially their use in daily practice still remains a goal to be achieved.

Rapid advances in wireless communications and networking technologies, linked with advances in computing and medical technologies, facilitate the development and offering of emerging mobile systems and services in the healthcare sector. The objective of this paper is to provide an overview of the current status and challenges of mobile health systems (m-health) in emergency healthcare systems and services (e-emergency). The paper covers a review of recent e-emergency systems, including the wireless technologies used, as well as the data transmitted (electronic patient record, bio-signals, medical images and video, subject video, and other). Furthermore, emerging wireless video systems for reliable communications in these applications are presented. We anticipate that m-health e-emergency systems will significantly affect the delivery of healthcare; however, their exploitation in daily practice still remains to be achieved

Mobile-health (m-health) systems and services are expected to undergo significant growth in the near future [1]–[4]. Based on recent advances in signal and video processing and communications technologies, m-health systems and services are driven by greater socioeconomic aspects aiming to bridge society’s demands for specialized health-care delivery.

Emergency Medical Services (EMS) is a critical component in the delivery of quality healthcare services. Being the first line of professionals to respond and evacuate patients to hospitals, paramedics play a major role in influencing the short term and long term health outcomes the clients with traumatic injuries. In this case, there is need to continuously empower paramedics them with up to date skills and knowledge, to enhance their competence in the profession, through continuous professional education and research in emergency medical services. However, lack of adequate repository of knowledge such as books and scholarly research studies in the field is a major hindrance. This study sought to examine the trend in EMS research, by investigating the scholarly research studies published in the filed in the last 10 years. An electronic search was conducted in the various databases to monitor the number of published scholarly research articles in 13 countries across the world. The study found that although there has been a gradual increase in the number of published research studies during the period of review, the number is so far below the required standards. This indicates low interest in continuous professional development of EMS through research, a situation that hinders delivery of improved services in the field. Also, it is shown the significant resource savings with no changes in clinical outcomes or patient, faculty, and house staff satisfaction through professional education.