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Emergency Care Reform: Ukraine introduces Central 103 EMD system to improve efficiency of emergency care across the country Central 103 - an electronic emergency medical dispatch (EMD) system – has been specifically developed to ensure the use of adaptive and optimized dispatch algorithms in line with internationally recognized EMS guidelines and standards. This system will be first introduced in a test mode in eight oblasts and the city of Kyiv. The use of modern technology and flexible EMD algorithms will allow better utilizing the EMS vehicles’ capacity and reducing emergency response time.