π€ AI Summary
This study addresses the spatial resource allocation of volunteer responders in out-of-hospital cardiac arrest (OHCA) emergency response, formulating an infinite-dimensional optimization model on a measure space to minimize patient mortality probability. We propose a fully corrected FrankβWolfe algorithm that avoids discretization or parametric approximation and permits inexact subproblem solutions. Leveraging influence functions as first-order variational tools and modeling volunteer relocation paths via the Lβ norm, the algorithm enables adaptive support set reduction. Theoretically, we characterize nontrivial structural properties of optimal spatial resource configurations in the continuous setting, extending the classical P-median framework. Evaluated on real-world OHCA data from Oakland, the method scales to large urban environments, achieving significant improvements in response time efficiency and patient survival rates.
π Abstract
We consider an optimization problem over measures for emergency response to out-of-hospital cardiac arrest (OHCA), where the goal is to allocate volunteer resources across a spatial region to minimize the probability of death. The problem is infinite-dimensional and poses challenges for analysis and computation. We first establish structural properties, including convexity of the objective functional, compactness of the feasible set, and existence of optimal solutions. We also derive the influence function, which serves as the first-order variational object in our optimization framework. We then adapt and analyze a fully-corrective Frank-Wolfe (fc-FW) algorithm that operates directly on the infinite-dimensional problem without discretization or parametric approximation. We show a form of convergence even when subproblems are not solved to global optimality. Our full implementation of fc-FW demonstrates complex solution structure even in simple discrete cases, reveals nontrivial volunteer allocations in continuous cases, and scales to realistic urban scenarios using OHCA data from the city of Auckland, New Zealand. Finally, we show that when volunteer travel is modeled through the $L_1$ norm, the influence function is piecewise strictly concave, enabling fast computation via support reduction. The proposed framework and analysis extend naturally to a broad class of $P$-means problems.