Ambulance STARS: A Satellite-Driven Framework for Rapid Flood Impact Assessment and Time-Critical Ambulance Routing
Highlights
- A satellite-driven, service-oriented framework was developed that transforms Earth observation data into flood extent, road passability layers, accessibility maps and dispatch-ready ambulance routes within minutes of a new acquisition.
- Demonstrated on a real flood event, the framework showed that satellite-observed road barriers capture the highly localized nature of accessibility losses, and that the resulting products depend strongly on how barriers are derived from the flood mask.
- Satellite observations of an ongoing flood can directly support emergency medical dispatch as a near-real-time decision-support layer, complementing approaches based on modelled flood scenarios.
- Reliable accessibility products for emergency services require empirically calibrated travel-time models and transparent reporting of their sensitivity to the flood mask and barrier definition.
Abstract
1. Introduction
2. Materials and Methods
2.1. Study Areas and the September 2024 Flood
2.1.1. Municipality of Nysa
2.1.2. Municipality of Lewin Brzeski

2.2. Data
2.3. Framework Architecture
2.4. Flood Detection and Road Passability Module
2.5. Evaluation and Robustness Analysis
2.6. Ambulance Speed Model
2.7. Accessibility and Routing Module
3. Results
3.1. Flood Extent and Comparison with Reference Products
3.2. Road Passability and Communication Barriers
3.3. Accessibility Under Flood Conditions
3.4. Sensitivity of the Accessibility Estimates
3.5. Transferability Assessment: Lewin Brzeski Case Study
3.5.1. SAR-Derived Flood Extent
3.5.2. Comparison Against CEMS Reference Product
3.5.3. Flood-Affected Road Segments
3.6. Computational Performance
3.7. Operator-Facing Web Application
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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| Indicator | Municipality of Nysa | Bochnia County |
|---|---|---|
| Population | 53,340 | 106,990 |
| Area (km2) | 218 | 649 |
| Population density (people/km2) | 245 | 164 |
| Total road length (km) | 609 | 1456 |
| Road network density (km/km2) | 2.79 | 2.24 |
| Urbanization rate (%) | 75.5 | 32.2 |
| EMS stations | 1 | 4 |
| Area per EMS station (km2) | 218 | 162 |
| Settlement structure | Urban–rural | Urban–rural |
| Layer | Area (ha) |
|---|---|
| Municipality of Nysa | 21,760 |
| Flooded area (SAR) | 665 |
| Flooded area (optical) | 1434 |
| Metric | SAR Mask | Optical Mask |
|---|---|---|
| Impassable length (km) | 8.51 | 17.32 |
| Barrier points | 508 | 1006 |
| Jointly impassable length (km) | 0.31 | 0.31 |
| Length classified identically (%) | 96.2 | 96.2 |
| Impassable-class IoU (–) | 0.012 | 0.012 |
| Impassable-class precision/recall (–) | 0.036/0.018 | reference |
| Scenario | ≤8 min | ≤15 min | ≤20 min |
|---|---|---|---|
| Pre-flood, 37.2 km/h | 49.4% | 88.3% | 97.8% |
| Pre-flood, 61.8 km/h | 83.5% | 98.9% | 99.3% |
| Flood (SAR barriers), 37.2 km/h | 42.5% | 79.6% | 86.4% |
| Flood (SAR barriers), 61.8 km/h | 73.6% | 89.0% | 89.8% |
| Scenario | Settlements Without Road Access | Population Beyond 15 min | Population Beyond 20 min |
|---|---|---|---|
| Pre-flood, 37.2 km/h | none | 1303 | 431 |
| Pre-flood, 61.8 km/h | none | 0 | 0 |
| SAR barriers, 37.2 km/h | Koperniki, Siestrzechowice | 2605 | 1733 |
| SAR barriers, 61.8 km/h | Koperniki, Siestrzechowice | 938 | 938 |
| Optical barriers, 37.2 km/h | 17 settlements | 9668 | 9668 |
| Optical barriers, 61.8 km/h | 17 settlements | 8596 | 8232 |
| Barrier Source/Definition | Removed (km) | ≤8 min | ≤15 min | ≤20 min |
|---|---|---|---|---|
| SAR-derived barriers (operational) | 8.5 | 73.6% | 89.0% | 89.8% |
| All intersections blocked | 17.3 | 34.6% | 39.8% | 43.8% |
| Flooded stretches ≥ 10 m | 17.0 | 34.7% | 39.9% | 43.9% |
| Bridge-preserving | 17.0 | 48.3% | 76.2% | 80.1% |
| Flooded stretches ≥ 50 m | 10.9 | 68.9% | 90.7% | 91.0% |
| Threshold R | Flood Extent (ha) | Impassable Length (km) | Barrier Points | 15 min Coverage (%) | Population Beyond 20 min |
|---|---|---|---|---|---|
| 1.15 | 883 | 17.25 | 968 | 78.3 | 2548 |
| 1.25 | 743 | 12.10 | 698 | 81.3 | 1509 |
| 1.35 | 640 | 8.51 | 508 | 89.0 | 938 |
| 1.45 | 566 | 6.54 | 396 | 92.6 | 938 |
| 1.55 | 511 | 4.62 | 280 | 96.7 | 0 |
| Metric | Value |
|---|---|
| Municipality area (ha) | 15,970 |
| SAR-derived flood extent (ha) | 1995.04 |
| SAR-derived flooded share (%) | 12.5 |
| Metric | Value |
|---|---|
| CEMS flood extent (ha) | 3164.28 |
| Jointly detected flood extent (TP) (ha) | 1620.39 |
| SAR-only flood extent (FP) (ha) CEMS-only flood extent (FN) (ha) Geometric union (ha) Precision (–) Recall (–) F1-score (–) Intersection-over-union (–) | 374.65 1543.89 3538.93 0.8122 0.5121 0.6281 0.4579 |
| Metric | Value |
|---|---|
| Analyzed road network (km) | 619.26 |
| Road segments intersecting the SAR flood mask (km) | 35.45 |
| Road segments outside the SAR flood mask (km) Share of road network intersecting the flood mask (%) | 583.82 5.72 |
| Module/Variant | Cold-Cache Mean ± SD (s) | Warm-Cache Mean ± SD (s) | Warm-Cache Median (s) | Warm-Cache p95 (s) |
|---|---|---|---|---|
| Flood detection including OSM download | 28.58 ± 2.02 | 19.56 ± 2.01 | 19.43 | 23.45 |
| Flood detection, preloaded roads | 20.28 ± 2.36 | 20.25 ± 2.74 | 19.54 | 23.01 |
| Accessibility: flood barriers, no signals | 14.54 ± 0.55 | 11.81 ± 0.28 | 11.73 | 12.22 |
| Accessibility: pre-flood, no signals | 29.17 ± 1.54 | 25.73 ± 0.99 | 25.38 | 28.03 |
| Accessibility: flood barriers, signals | 18.82 ± 0.17 | 16.43 ± 0.12 | 16.41 | 16.61 |
| Accessibility: pre-flood, signals | 37.18 ± 0.30 | 34.17 ± 0.22 | 34.10 | 34.68 |
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Lupa, M.; Bobowski, A.; Niedźwiedź, J.; Skrzypczyk, S. Ambulance STARS: A Satellite-Driven Framework for Rapid Flood Impact Assessment and Time-Critical Ambulance Routing. Remote Sens. 2026, 18, 3004. https://doi.org/10.3390/rs18173004
Lupa M, Bobowski A, Niedźwiedź J, Skrzypczyk S. Ambulance STARS: A Satellite-Driven Framework for Rapid Flood Impact Assessment and Time-Critical Ambulance Routing. Remote Sensing. 2026; 18(17):3004. https://doi.org/10.3390/rs18173004
Chicago/Turabian StyleLupa, Michał, Adrian Bobowski, Jakub Niedźwiedź, and Szymon Skrzypczyk. 2026. "Ambulance STARS: A Satellite-Driven Framework for Rapid Flood Impact Assessment and Time-Critical Ambulance Routing" Remote Sensing 18, no. 17: 3004. https://doi.org/10.3390/rs18173004
APA StyleLupa, M., Bobowski, A., Niedźwiedź, J., & Skrzypczyk, S. (2026). Ambulance STARS: A Satellite-Driven Framework for Rapid Flood Impact Assessment and Time-Critical Ambulance Routing. Remote Sensing, 18(17), 3004. https://doi.org/10.3390/rs18173004

