Facilitating Emergency Vehicle Passage in Congested Urban Areas Using Multi-agent Deep Reinforcement Learning

Emergency Response Time (ERT) is crucial for urban safety, measuring cities' ability to handle medical, fire, and crime emergencies. In NYC, medical ERT increased 72% from 7.89 minutes in 2014 to 14.27 minutes in 2024, with half of delays due to Emergency Vehicle (EMV) travel times. Each minute's delay in stroke response costs 2 million brain cells, while cardiac arrest survival drops 7-10% per minute. This dissertation advances EMV facilitation through three contributions. First, EMVLight, a decentralized multi-agent reinforcement learning framework, integrates EMV routing with traffic signal pre-emption. It achieved 42.6% faster EMV travel times and 23.5% improvement for other vehicles. Second, the Dynamic Queue-Jump Lane system uses Multi-Agent Proximal Policy Optimization for coordinated lane-clearing in mixed autonomous and human-driven traffic, reducing EMV travel times by 40%. Third, an equity study of NYC Emergency Medical Services revealed disparities across boroughs: Staten Island faces delays due to sparse signalized intersections, while Manhattan struggles with congestion. Solutions include optimized EMS stations and improved intersection designs. These contributions enhance EMV mobility and emergency service equity, offering insights for policymakers and urban planners to develop safer, more efficient transportation systems.