Integrated management of the Health Emergency Urgency

Astir is the leading partner of a group that also involves the University of Catania and the companies AREA Scs, Halsa Srl and Kell Srl in the development of a project co-funded by the Sicily Region that aims to develop a “Modular technological platform for the integrated and dynamic management of the Emergency Urgency Health System – SmartEUS” capable of enabling the effective collaboration between the roles of the E/U processes: emergency vehicles, 118 operating center, hospitals, to the citizen.
  • The aim is to improve communication between rescue vehicles, 118 and the hospital of destination, during the management of the single emergency case, through a computerised mission card for rescue vehicles which collect data entered by the rescue team and acquired via mobile devices for diagnosis and monitoring. This data will be shared in real time with the 118 Central and the hospital of destination
  • Support 118 in choosing the destination hospital for primary transfers, and similarly support hospitals for secondary transfers, with the effect of balancing the workload between territorial structures and improving resource utilization. To achieve this aim, it is intended to activate the real-time transmission of the availability of hospital resources (PS, beds, intervention rooms, diagnostics, services) by the center, enhanced by automatic flows sent by computer systems, p.e. emergency department and intensive care. In addition, the aim is to develop algorithms that can present to the 118 staff a set of valuation indicators to assess the destination of the vehicle; these algorithms will have to process in real time the macro needs of the patient, the distance criteria, appropriateness, availability, the organization at the level of the pathology networks, the analysis of the workloads of the structures and possible alerts on arising epidemiological phenomena.
  • Inform, educate and facilitate the citizen in access to emergency-urgency services. It is intended, in fact, to develop an application for smartphones with functions of: 1) geolocalized call to 118; 2) real-time information on waiting queues in the surrounding PS and any notices of extraordinary closures; 3) educational communication on appropriate access to emergency emergency facilities.
  • Allow monitoring of the functioning of the network by the coordinating bodies, producing a report aimed at evaluating the load trends of the network resources.
The project includes a pilot experiment with the roles of the emergency-urgency network related to the 118 SEUS basin of Catania – Ragusa – Syracuse that, for complexity and volumes managed is representative to evaluate the extension of the service on a regional scale. For more information, visit