Rescue vehicle administration is at the cutting edge of human services administrations [1]. During the previous decade, the requirement for rescue vehicle administration furthermore, persistent transportation by crisis clinical administrations (EMS) has expanded essentially. For instance, in England, this expansion has been about 16% [2]. In our nation, Iran, around 80–85% of all EMS missions are performed for furnishing prehospital care to patients with clinical issues also, shipping them to clinical offices [3, 4]. Be that as it ay, not these transportations are extremely dire. Proof shows that countless EMS missions acted in Iran, the United States of America, and Great Britain are unnecessary [3–6]. Knapp et al. additionally noticed that improper what's more, over the top utilization of EMS is a typical issue looked by prehospital care suppliers 7]. EMS abuse grows EMS staffs' remaining task at hand, forces a critical budgetary weight on the prehospital care framework [8], and builds the pace of undue emergency clinic affirmations [9]. Therefore, creating a powerful control framework for deciding patients who truly need transportation is the very pinnacle of criticalness. A fundamental essential for growing such a framework is to decide "who" actually needs rescue vehicle administrations, "why" he/she needs such administrations, and "where" he/she is found [10]. In numerous nations, deciding patients' requirement for transportation is up to EMS staffs. for recognizing patients' genuine requirement for transportation [11]. Be that as it may, look into discoveries don't bolster the exactness of all the decisions and choices made by EMS staffs about patients' requirement for transportation [8, 11, 12]. For instance, Mann and Guly welcomed two gatherings of crisis and family doctors to decide the requirement for transportation among seventeen patients hospitalized in the crisis ward.