# DispatchMAS: Fusing taxonomy and artificial intelligence agents for emergency medical services

arXiv: https://arxiv.org/abs/2510.21228 · HTML: https://mlsanity.com/paper/2510.21228/

## Key facts

- Cited by 2 papers in the map (data through 14 Oct 2026).
- Placed in Medical and scientific domain agents, one of 16 directions in LLM agents and tool use.
- Builds on 12 of its 73 references that are in the map.
- First posted on arXiv 24 Oct 2025.

## Placed in

- LLM agents and tool use / [Medical and scientific domain agents](https://mlsanity.com/agents/medical-and-scientific-domain-agents/)

## Builds on (most cited first, 12 of 12)

- [AutoGen: Enabling Next-Gen LLM Applications via Multi-Agent Conversation](https://mlsanity.com/paper/2308.08155/) (2023)
- [A Survey on Hallucination in Large Language Models: Principles, Taxonomy, Challenges, and Open Questions](https://mlsanity.com/paper/2311.05232/) (2023)
- [Medical Hallucinations in Foundation Models and Their Impact on Healthcare](https://mlsanity.com/paper/2503.05777/) (2025)
- [LLM-Assisted Crisis Management: Building Advanced LLM Platforms for Effective Emergency Response and Public Collaboration](https://mlsanity.com/paper/2402.10908/) (2024)
- [On Large Language Models in National Security Applications](https://mlsanity.com/paper/2407.03453/) (2024)
- [Multimodal Learning on Graphs for Disease Relation Extraction](https://mlsanity.com/paper/2203.08893/) (2022)
- [Large Language Models in Biomedical and Health Informatics: A Review with Bibliometric Analysis](https://mlsanity.com/paper/2403.16303/) (2024)
- [Development of a Large Language Model-based Multi-Agent Clinical Decision Support System for Korean Triage and Acuity Scale (KTAS)-Based Triage and Treatment Planning in Emergency Departments](https://mlsanity.com/paper/2408.07531/) (2024)
- [Real-Time Multimodal Cognitive Assistant for Emergency Medical Services](https://mlsanity.com/paper/2403.06734/) (2024)
- [Sim911: Towards Effective and Equitable 9-1-1 Dispatcher Training with an LLM-Enabled Simulation](https://mlsanity.com/paper/2412.16844/) (2024)
- [Multi-Agent Reinforcement Learning with Hierarchical Coordination for Emergency Responder Stationing](https://mlsanity.com/paper/2405.13205/) (2024)
- [A Machine Learning Approach for Emergency Detection in Medical Scenarios Using Large Language Models](https://mlsanity.com/paper/2412.16341/) (2024)

## Built on by (most cited first, 2 of 2)

- [Knowledge-augmented Agentic AI for Mental Health Medication Information Seeking](https://mlsanity.com/paper/2606.26205/) (2026)
- [DispatchRAG: Grounding Emergency Dispatch Decisions in Real-World Protocols from Traffic Accident Video](https://mlsanity.com/paper/2607.23132/) (2026)

## Abstract (arXiv)

Objective: Emergency medical dispatch (EMD) is a high-stakes process challenged by caller distress, ambiguity, and cognitive load. Large Language Models (LLMs) and Multi-Agent Systems (MAS) offer opportunities to augment dispatchers. This study aimed to develop and evaluate a taxonomy-grounded, LLM-powered multi-agent system for simulating realistic EMD scenarios. Methods: We constructed a clinical taxonomy (32 chief complaints, 6 caller identities from MIMIC-III) and a six-phase call protocol. Using this framework, we developed an AutoGen-based MAS with Caller and Dispatcher Agents. The system grounds interactions in a fact commons to ensure clinical plausibility and mitigate misinformation. We used a hybrid evaluation framework: four physicians assessed 100 simulated cases for "Guidance Efficacy" and "Dispatch Effectiveness," supplemented by automated linguistic analysis (sentiment, readability, politeness). Results: Human evaluation, with substantial inter-rater agreement (Gwe's AC1 > 0.70), confirmed the system's high performance. It demonstrated excellent Dispatch Effectiveness (e.g., 94 % contacting the correct potential other agents) and Guidance Efficacy (advice provided in 91 % of cases), both rated highly by physicians. Algorithmic metrics corroborated these findings, indicating a predominantly neutral affective profile (73.7 % neutral sentiment; 90.4 % neutral emotion), high readability (Flesch 80.9), and a consistently polite style (60.0 % polite; 0 % impolite). Conclusion: Our taxonomy-grounded MAS simulates diverse, clinically plausible dispatch scenarios with high fidelity. Findings support its use for dispatcher training, protocol evaluation, and as a foundation for real-time decision support. This work outlines a pathway for safely integrating advanced AI agents into emergency response workflows.