Now more than ever, people understand the value of emergency services. Citizens of every country understand the scope of this work and appreciate it in new ways. Patient care and rescue operations have top priority. The men and women who provide such pre-hospital care are aware of the risks and, at times, irregular provision of EMS. Pre-hospital care is provided when and where it is required, whether it is a vertically challenged urban development or a rural area where damaged roads and remote areas make access to an emergency medical unit almost impossible . Despite these challenges, EMS workers stand out and always look for the best lifesaving option with the resources they have available. The courage and grit of these EMS individuals cannot be understated. Images flood the television screen of firefighters and EMS professionals running toward danger while everyone else flees the scene. These specialists deserve the benefits of every tool that will help them provide the best care possible in the difficult circumstances they face. This article will evaluate EMS systems and argue that the technology is, in fact, outdated in many of these units and needs to be updated to provide more comprehensive care for people facing pre-hospital trauma. Say no to plagiarism. Get a tailor-made essay on "Why Violent Video Games Shouldn't Be Banned"? Get an Original Essay It is important to understand that a hospital cannot handle a crisis or disaster alone. Developed countries such as the United States, the United Kingdom, and Australia have already developed systems that integrate prehospital and interhospital facilities. In developing countries, a pre-hospital emergency service may not exist and resources may be scarce. If we can upgrade technologies to integrate all pre-hospital and hospital resources together, then we can provide the means to effectively treat and manage daily emergencies and disasters in an organized manner, and also provide good quality emergency medical care to the parties involved . IntroductionWhat is digital trucking and why is it important? That's a great question and it's the one I'm defining in this study. For years now, technology has been advancing to promote globalization and the development of developing countries. Drivers must be equipped with software that keeps them abreast of emergencies and monitors their health and safety to ensure appropriate care is provided. Technological advances are changing the medical landscape and how patient care is delivered. Blood pressure, temperature and even blood alcohol content are becoming less evasive and more precise. Emergency vehicles must be equipped with the same advancements as hospitals so that patient care is consistent and quality is not reduced due to a portable system. When a real tragedy occurs, like 9/11, that's when real-time EMS data matters. It would be incredibly useful in these situations if a defibrillator, for example, called the emergency services the moment it was turned on, sending the exact GPS coordinates of the cardiac arrest to the dispatchers and all the rescue workers, then sending ECG sections to the 'arrival and after each analysis? How about opening a two-way voice link directly to the device so EMDs can ensure CPR is initiated and assist in cardiac arrest management prior to arrivalof 9-1-1 responders? When a car crashes, it activates an airbag. As soon as it is deployed many cars communicate and report the incident to a call center like On Star. The Automatic Crash Notification (ACN) sent by the car's on-board sensors tells us a lot about the dynamics of the crash, however, very few EMS systems use this data to decide on an appropriate response and the transmission of this data to rescuers is almost unheard of. Ironically, key weather data is often not transmitted via ACN because some attorneys and owners do not want 9-1-1 to receive an indisputable record of certain parameters at the time of the incident. This data is critical to help provide on-site emergency care and save lives. Transforming Global Logistics Transportation-related risk factors are a cause for concern and justify upgrading EMS systems. EMS systems are outdated and require new technologies for driver safety and therefore can respond to emergencies more quickly. Many have argued that these emergency systems need better communication to respond more quickly and safely to emergency problems. Since September 11, our country has been on high alert and has a greater awareness of the importance of preparedness in emergency situations. We have been fortunate to have as a country the best in healthcare, roads, emergency response times and hospital care. In China, for example, inadequate routes cause injuries and even deaths every year. Furthermore, these poor road networks and poor vehicle expansion efforts have caused many risk factors for EMS mobility in China. The pressure placed on these emergency rescue systems has devastating effects that extend beyond the borders of the region (Jiang, Song, Zhong-Ren, Cong, Levy & Remais 2017). In developing countries and most countries the standard of transportation is car, bus, motorbike, etc. China is vastly impoverished in its transportation sector, making it difficult for much-needed emergency care to reach their destinations in a timely manner. The government is looking at ways to improve these routes, including considering alternative options. With the transformation of transportation, the health of the Chinese population is also changing. There is a weak point in China's rescue and emergency system. Poorly trained personnel have fatal on-site outcomes that often end in pre-hospital death. However the problem is not unique to China, there are several developing countries such as India which do not have adequate roads and are coupled with overpopulation which makes it very difficult to maneuver in an emergency. Jiang, Song, Zhong-Ren, Cong, Levy & Remais (2017) state that up to 80% of deaths are related to road accidents. Furthermore, the accident and injury reporting system is poor and unreliable. In these developing countries the problem has been such that many have stopped walking and cycling for fear of injury and death. Better roads are essential for the safety of these people. Additionally, it is equally important to update EMS systems to accurately report and analyze injuries. There should be a universal system that all law enforcement agencies can use to update emergencies and shorten response times. Reading the article Alternative Risk Measures for Emergency Medical Services System Design reveals a serious issue regarding the availability of emergency vehicles when required. The results show that they are unable to meet critical demands and issues within EMS systems. Also, accessof users has caused slower response times and it is suggested that users do not get the same emergency access as some are emergency and some are not. Noyan (2010) points out that the key to success within emergency vehicle EMS systems is effective response time. He goes on to say that the problem with many of these systems, in a real-life situation, is communication with the location of the emergency. Furthermore, budget constraints and political bureaucracy have hindered the advancement of technology in these areas. How does a country manage uncertainty under these conditions? Ambulances or any other EMS have minutes to respond to life or death cases. Updating the GPS location of vehicles will undoubtedly help response times. Additionally, determining who or what constitutes an emergency should also aid in response times. The technology should be advanced enough to handle multiple calls, determine risk and effectively summon 911 operators and vehicles to dispatch to the emergency. Felder and Brinkmann (2002) suggest that every person should not be given equal access to emergency service regardless of location. It is true that not all calls should be assigned emergency status. Perhaps some sort of queuing system would select the unqualified from the qualified. Lower and middle class countries tend to shoulder the brunt of injuries, many of which are quite horrifying. Providing equal access to users is an important issue in EMS system design (Felder and Brinkmann 2002). Perhaps in the development of the technology there could be a citizen access line or an app developed that would give the end user greater access to get help quickly. Just like the Life Call commercials depicted an elderly person falling and pressing a button to quickly dispatch an EMS system. A lanyard could also be provided to those who sign up for the service to be able to call an emergency within seconds of or during its duration. Often the police arrive on the scene a few minutes later and every second counts in saving someone's life. Putting the power in the hands of the individual would help recognize the emergency and have an emergency vehicle dispatched. Felder and Brinkmann (2002) suggest that every person should not be given equal access to emergency services, regardless of where they are located. This theory would help distinguish that process. For example, if three calls or beeps come in for an emergency, the dispatcher could use a protocol to assess which of these is truly an emergency or even the severity or grade of the incident. There is little that ruins a supply chain like a lack of communication. This causes a deficiency in the reliability and circulation of raw goods or services (Randall, Defee, & Brady, 2010). Transportation has given us the means and utility to provide services in remote and off-site locations that were previously inaccessible and not possible. As important as this feature is, technological advances have not supported it. Research shows that many do not believe trucking can meet demands in its current state. Previous attempts at efficiency have proven slow and outdated. Many companies frequently change operators in search of an operator that can be reliable and efficient (Randall, Defee, and Brady 2010). This is the response of a motor carrier customer who is not so much interested in shipping costs as in delivery efficiency. The resume of truck drivers today includes flexibility in respondingto changes and the web and technology are an important part of it. Now let's think about it in terms of an emergency. When a tragedy occurs there are no two different 911 groups to choose from. There is one that is sent via ambulance as a response time. Instead, there are several emergency responders who can be seen at the scene before help has a chance to arrive, such as: police or firefighters. While it can be argued that standard shipping gets the job done, technological advances are needed to evolve deployment. As supply and demand increases, production and shipping from the manufacturer to the distributor or customer will also increase. The globalization of the economic sector has widened the gap between consumers and production. “Made in the USA” is no longer a cliché. Most companies produce their products in other countries. Many of these delivery trucks have antiquated means of communication. My grandfather drove an eighteen-wheeler most of his life. There were no cell phones or advanced communications. CB radios were all they had and that was advanced by the 1940s. Without a doubt we have witnessed the technological progress that every era has benefited from. The standard transportation system nowadays involves all types, including water transportation via merchant and sea vessels to all continents. Manufacturers are looking for ways to improve logistics systems to speed up delivery to the consumer. This is a look at the automotive space and the delivery of those parts. River transport is vital to many developing countries and European regions. With the addition of ocean freight to the shipping mix, there is scope for improvement. One of the many risks involved is maritime traffic which creates a crowded space. Technological evolution can help in dispatching these ships and creating safe and efficient shipping routes. Furthermore, Makarova, Khabibullin, Belyaev, and Mavrin (2016) found several risks to maritime trade of a macroeconomic, instability, and geopolitical nature. In each of these situations, whether for transportation or EMS, the advancement of technology is critical. While many continue to use traditional trucking, ocean shipping is on the rise. By using automatic identification systems in delivery and risk analysis it is possible to improve the efficiency of the logistics process and promote a competitive advantage for the manufacturer. Overcoming internal and external risks is essential for efficient sea delivery logistics. Having evolving technology within transportation systems is critical and developing an intellectual system will prove capable of optimizing logistics support. The product, be it an emergency service or a good for sale, must be routed to the customer as quickly as possible. To examine the development and implementation of an EMS system prior to hospital care, one must seek to understand the costs and risks involved in its implementation. Many of the developing countries such as India struggle with patient care and are burdened by disease and malnutrition in many rural areas of these places. I know that in Haiti many villages have “sick camps” or huts where sick people go to overcome illness or to die because the place is so remote that there is no communication to reach them. Brown, Douglass, Ejas, and Poovathumparambil (2016) highlight that pre-hospital care is vital to preserving and evolving the healthcare system for the critically injured. They go on to say that this system is underdeveloped in India. It seems to be a pattern that many nations and countries operate with antiquated equipment.