Quantifying the Impact of Ambulance Ramping: A Multi-Year Analysis of Victorian Emergency Medical Services Cases

Excerpt

arXiv:2610.00818v1 Announce Type: new Abstract: Ambulance ramping, the delay between hospital arrival and patient handover, is a critical operational bottleneck in Emergency Medical Services (EMS), yet its systemic magnitude and dynamics remain inadequately characterised at scale. This paper quantifies the scale, trajectory, and operational correlates of ramping across an entire statewide EMS system, analysing 2,850,575 ambulance attendances in Victoria, Australia from January 2020 to March 2024