Private Cars Research Articles

Kids Just Wanna Get Fun: A Children-Centric Participatory Research Methodology for Sustainable Cities and Communities

Introduction: Urban planning and design have traditionally been adult-centric, driven by professionals and decision-makers focusing on space efficiency, economic development, and urban performance. This approach has resulted in cities becoming increasingly hostile environments for younger populations. Cuenca, Ecuador, an intermediate-sized city, exemplifies this trend, with children no longer walking or cycling to school due to decades of car-centric planning. They now rely on private cars, school buses, or public transport. Despite growing interest in integrating the perspectives of vulnerable groups into urban design, there is limited information on participatory planning and co-design approaches focused on school-age children. Objective: The objective of this study is to propose and evaluate a participatory research methodology to incorporate the perspectives of children aged 10 to 12 regarding their school environments and their visions for safer, more engaging routes to school in Cuenca in the context of more sustainable cities and communities Method: The methodology includes several participatory techniques organized within an interactive fictional narrative in which children assume the role of urban environment researchers. The method employs various instruments: mapping, route-to-school evaluation, place awareness, activity journals, and co-design activities. Results and Discussion: The results offer vital insights for planning and designing safer routes to schools that meet children's specific needs and aspirations. These insights sometimes contradict adult-centric views that prioritize efficiency. For instance, solutions deemed safer by adults can impede efforts to promote active commuting among children. Findings: The findings highlight the importance of using tailored methods to gain deep insights into children's preferences and perceptions. These insights call for fundamentally reevaluating urban planning paradigms in Latin American cities to better accommodate children's needs and perspectives. Research Implications: Governments, Urban Planners and Decision Makers should include the perspectives and voices of children by using participatory planning and a co-design approach to create more friendly cities. Originality/Value: This study contributes to the literature by proposing and evaluating a participatory design approach to a better understanding of children needs in urban planning specifically in developing safe routes to schools.

A congestion prediction method based on trajectory mining algorithm

Nowadays, number of private cars is increasing rapidly. Traffic congestion becomes a serious problem in urban region. If traffic congestion can be predicted before it happens, it will be helpful for improving traffic condition. So many traffic congestion prediction methods have been proposed. Almost all these methods are based on traffic flow prediction algorithm. In these methods, historical traffic flow data is used while performing prediction. Obviously, information of sudden accidents like traffic accidents, road damage and bad weather that happened recently may be not contained in historical traffic flow data. But performance of traffic flow prediction algorithms will be affected by these factors. In this situation, performance of traffic congestion prediction method based on traffic flow prediction result will be affected as well. To solve the problem, a new traffic congestion prediction method based on trajectory mining algorithm is proposed in this paper. In this method, traffic controllers can set a threshold for each road according to the current situation of the road. The threshold represents the vehicle number that can be carried by the corresponding road in a short period. Besides, for each road, the proposed method tries to count the number of vehicles that will pass through the specific road at next time step by predicting next location for all the running vehicles based on their trajectories. If the vehicle number of a road surpasses the threshold of this road, it will be predicted as congested road. Otherwise, it will be predicted as non-congested road.

Peddling stories: an investigation of the day-to-day realties for cyclists in Galway

Towns and cities worldwide are challenging the dominance of private cars and seeking ways to limit their use, compelled by the urgency to deal with the climate crisis. There is a growing determination to transition to more active and sustainable transport such as walking, cycling, and public transport, and to reduce our overall need for private car use in urban areas while improving public health and local environs. Cycling is a low-impact aerobic exercise and mobility option that can assist attempts to reduce private car use, cut harmful emissions, and moderate economically damaging traffic congestion in towns and cities. Cycling also offers numerous health and well-being benefits. But in towns and cities where cycling is constrained, marginalised, or ignored by transport planners, little is known about who is cycling, for what purpose, where they are cycling to and from, and their motivation to cycle. In recent times efforts have been made to improve the cycling infrastructure and better promote this mode of travel in Galway, a small city on the West coast of Ireland. This study investigates the experiences of cyclists in the city with data collected from individuals of differing ages and cycling abilities and advocates cycling continues to be marginalised and neglected in the context of implementing transport policy in the city. The findings indicate that most cyclists feel unsafe, and a prevailing car-centric policy mindset prevents cycling from developing to its potential in Galway to the detriment of the local environment, citizens' health, and new economic opportunities.

Insights into active travel levels at two universities. A comparative study in Ireland and Romania

Levels of active travel (walking and cycling) to Southeast Technological University (SETU) and Technical University of Civil Engineering Bucharest (UTCB) are very low. A significant transition from car dependent travel to active modes of transportation for work, school and college is essential in order to meet climate action carbon reduction targets and to increase physical activity levels. Currently, the majority of students traveling to SETU and UTCB rely on private cars, which is environmentally unsustainable. First, students were surveyed about their mode of travel to university and the key barriers and enablers of walking and cycling, then, students discussed these issues in focus groups. Next, there was engagement between the students in the two universities about these results. Finally, there was discussion between students and the local authority engineers and planners in their respective cities to discuss this and plan appropriate actions. The majority of students at both universities reported that they primarily used private cars to travel to campus, citing convenience, lack of safe cycling infrastructure, and the distance from their homes as key barriers to active travel. However, many students expressed a willingness to walk or cycle if improvements were made to infrastructure, such as dedicated cycle lanes and pedestrian paths.

Reasons and Features of Patients Who Leave the Emergency Department Without Being Seen.

Background: Emergency medicine practitioners encounter significant challenges related to patients who leave emergency departments (EDs) without being seen (LWBS) in the ED. We aimed to assess the characteristics, reasons, and rate of patients who left without being seen in the tertiary teaching hospital ED of King Khalid University Hospital in Riyadh, Saudi Arabia. Methods: A qualitative prospective observational study was conducted from January 4, 2023, to May 17, 2023, among patients who left the ED without being seen in the King Khalid University Hospital, King Saud University Medical City, a tertiary hospital in Riyadh, Saudi Arabia. Data were collected from the ED administrative database, phone surveys, and electronic files of the identified patients. Phone interviews with questionnaires were conducted with patients participating in the study within 1 week of their ED visit. Results: During the study period, 16,682 patients visited the adult ED and 636 (3.81%) remained unseen; 300 patients met the study criteria. Of these, 288 (96%) arrived at the hospital via private car and 12 (4%) used ambulances. Trauma and gastrointestinal, neurological, and cardiovascular complaints were the most common, reported by 24.33%, 18.33%, 12%, and 10% of patients, respectively. In our study, 55 patients (18.3%) experienced prolonged waiting times of more than four hours before leaving the ED. Most patients (75%) inquired about the reasons for not being seen by a physician while waiting; 137 (45.6%) asked a receptionist, 117 (39%) asked a nurse, and 28 (9.3%) asked a doctor. According to 76 (25.3%) patients, they should not have to wait, whereas 82 (27.3%) said that they should wait for an hour. When asked whether they would visit the same ED in the future, 213 (71%) answered yes and 87 (29%) answered no. Conclusion: We conclude that in our center, prolonged waiting time and ED overcrowding are the main reasons why patients leave the ED without seeing a physician. Younger patients are more prone to LWBS, with trauma and gastroenterological complaints being the most common presenting symptoms. The LWBS rate was 3.81% of the total ED visits during the study period.

Risk factors in young car drivers of the Metropolitan Area of Guadalajara, Mexico

In the Guadalajara Metropolitan Area (GMA), Mexico, the main cause ofpremature death in young adults is injuries caused by traffic accidents (TA).Exposure and vulnerability factors to traffic accidents in young drivers wereanalyzed for this area. To do so, a mixed research was conducted, based on aninterpretive paradigm. To determine the exposure and vulnerability of youngpeople to TA, secondary data sources and interviews with young people aged 16to 24 years, with a history of TA as a driver, were used. Recommendations foraction are proposed. As a result, driver behaviors (73%) stood out as anexposure factor to TA and emotional disturbance (84%) as a vulnerability factor.The GMA is characterized by a high number of vehicles per capita, mobilitymainly by private cars, poor road culture, dispersed urban growth withoutplanning, and a favorable context for TA. Reducing AT in young people requiresreducing exposure: changing risk behaviors and driver attention, road education,regulatory monitoring, reducing the number of vehicles per capita, prioritizingnon-motorized mobility by improving public transportation and roadinfrastructure, creating safe environments, and evaluating the effectiveness ofimplemented measures.

A Spatiotemporal Feature-Based Approach for the Detection of Unlicensed Taxis in Urban Areas.

Unlicensed taxis seriously disrupt the transportation market order, and threaten passenger safety. Therefore, this paper proposes a method for identifying unlicensed taxis based on travel characteristics. First, the vehicle mileage and operation time are calculated using traffic surveillance bayonet data, and variance analysis is applied to identification indicators for unlicensed taxis. Secondly, the mathematical model for identifying unlicensed taxis is established. The model is validated using the Hosmer-Lemeshow test, confusion matrix and ROC curve analysis. Finally, by applying methods such as geographic information matching, the spatiotemporal distribution characteristics of suspected unlicensed taxis in a city in Anhui Province are identified. The results show that the model effectively identifies suspected unlicensed taxis (ACC = 99.10%). The daily average mileage, daily average operating time, and number of operating days for suspected unlicensed taxis are significantly higher than those for private cars. Additionally, the suspected unlicensed taxis exhibit regular patterns in their travel origin-destination points and temporal distribution, enabling traffic management authorities to implement targeted regulatory measures.

ON THE ISSUE OF ASSESSING THE EFFECTIVENESS OF DESIGN SOLUTIONS TO ENSURE THE SUSTAINABILITY OF THE URBAN TRANSPORT SYSTEM

Modern transport problems in many cities around the world are caused by the high level of motorisation of their population and the high frequency of private car use. Despite a number of advantages of using private cars as a means of transport (high speed of communication, the ability to choose a route and travel at a convenient time, high comfort, etc.), the mismatch between the development of motorisation and the existing transport infrastructure leads to traffic congestion, which has a number of negative consequences that make the use of private cars less efficient. These consequences include increased transport delays, reduced traffic speeds and, consequently, increased travel time, and more intensive consumption of non-renewable energy sources. Equally urgent are the issues of road safety and improving the environmental situation in cities. At present, a promising way to solve urban transport problems is to apply the concept of sustainable development of urban transport systems and the methodology of transport demand management. The justification of design solutions to ensure the sustainability of urban transport systems should be based on a model approach and include a comprehensive assessment of a number of social, economic and environmental performance indicators. The adequacy of transport models and the accuracy of the assessment of the consequences of design decisions are crucial for choosing the most appropriate set of measures to ensure the sustainability of transport systems. The article proposes an efficiency criterion for evaluating design solutions to ensure the sustainability of the city's transport system, which contribute to reducing the use of private car. This criterion provides for a comprehensive assessment of the effectiveness of design solutions in terms of economic, social and environmental performance indicators. Based on the analysis of statistical data, it was found that the following distribution of passenger cars by type of fuel consumed is typical for Kharkiv: cars with petrol engines - 48.58%; diesel cars - 14.63%; cars with gas cylinder equipment - 33.58%; electric cars - 3.21%. The established distribution of passenger cars by type of fuel consumed is the basis for establishing average values of variable and fixed operating costs of private car owners and should be taken into account when assessing the environmental impact of the transport process. This is the direction of further research.

Is a dedicated bus lane operationally and environmentally beneficial? A case study in Beijing

ABSTRACT In 2023, Beijing adjusted dedicated bus lane (DBL) policies, allowing private car access during specific periods to improve road transport efficiency. This study proposes a comprehensive method to assess the operational and environmental impact of DBL adjustments. Traffic volumes are estimated using a localized traffic fundamental diagram model based on large-scale floating car speed data, while vehicle emissions are quantified employing a high-resolution road network emission inventory. Results show over 20% increased traffic volumes and 10% higher average speed on DBLs in central Beijing. Extended to regional road network, the adjustments enhance expressway capacity and improve traffic efficiency on main and minor arterial roads. While total emissions on expressways increase due to heightened traffic volumes, average vehicular emission intensities in urban areas decrease because of smoother traffic flow. These findings could provide valuable insights for decision-makers with the information needed to target reasonable DBL policies in metropolitan regions.

A systematic review of the interrelations of urban form and mode choice in African cities

Rapid urbanization and informal urban development sweeping across African cities underscore a complex yet inadequately explored link between urban form and mode choice. Extensively studied in Western urban settings, these dynamics when applied to African cities remain a relatively unexplored realm, necessitating an extensive empirical review. This paper explores how various aspects of urban form correlate with mode choices in African urban contexts. A systematic review approach was used to filter journal papers published between 2000 and 2023 in Africa. The application of the (filtering) methodology identified 22 studies from the African region as most suitable for review. The review reveals that high-density and mixed-use areas in African cities significantly promote non-motorized transport and public transit. Infrastructure development and improved connectivity further enhance these sustainable modes. Socio-economic factors, governance policies, and cultural norms also play pivotal roles in shaping mode choices and urban mobility patterns. However, high-density cities like Abuja and Nairobi face unique challenges such as overcrowding in public transport and walking facilities. Sprawling cities like Lagos and Johannesburg struggle with inadequate public transport infrastructure, leading to a heavy reliance on private cars. Connectivity is crucial for supporting non-motorized and public transport, particularly for lower-income groups who rely more on these modes and para-transit services than higher-income groups. The findings highlight the need for tailored urban planning strategies to address these challenges and harness existing opportunities, promoting more sustainable, inclusive, and efficient urban transportation systems in African cities. Moreover, this study discloses existing research gaps that warrant further exploration.

The Socioeconomic Impact of Transport Costs for Adult Patients Requiring Haemodialysis: A Mixed Methods Study.

Patients requiring haemodialysis often perceive the cost of their travels to the dialysis centres as a significant burden. The study aimed to collect a first Swiss national data set on transport costs and assess their impact on patients and their relatives. In addition to interviews with patients, a quantitative survey was developed and distributed online using a voluntary sampling strategy. Data were analysed by means of descriptive statistics. A Sounding Board of patients, relatives, and healthcare professionals accompanied all steps of the project. A total of 6 dialysis patients were interviewed; 437 respondents of the national survey met the inclusion criteria. Patients travel a median distance of 7.5 km to their dialysis centres. For 78% of them, the journey takes up to 30 min, and nearly half use their private car as their main mode of transport. The median annual transport costs are CHF 2925 (mean = CHF 5041). Approximately half of the patients perceive transport costs as a burden or limitation, yet only about 30% receive financial support, for which there is no standard process. Patients requiring financial support reported difficulties navigating the system. This study highlighted that many dialysis patients are burdened by transport costs and receive limited financial support and counselling services. Implementation of a standardised process for financial support should be explored.

Plugging-In Caledonia: Location and Utilisation of Public Electric Vehicle Chargers in Scotland

Electrification of private cars is a key mechanism for reducing transport emissions and achieving net zero. Simultaneously, the development of public electric vehicle (EV) charging networks is essential for an equitable transition to EVs. This paper develops and analyses an extensive, nationally representative dataset of EV-charging sessions taking place on a key public charging network in Scotland between 2022 and 2024 to gain insights that can support the development of public charging infrastructure. Data were collated from 2786 chargers and analysed to establish a detailed characterisation of the network’s organisation and utilisation. The network considered is government-owned and was fundamental to the Scottish rollout of public chargers. Key insights from our analysis of the developed dataset include quantified disparities between urban and rural charger use-time behaviours, with the most rural areas tending to have charging activity more concentrated towards the middle of the day; an analysis of the numbers of deployed chargers in areas of greater/lesser deprivation; utilisation disparities between charger technologies, with 35% of slower chargers being used at least once daily compared to 86% of rapid/ultra-rapid chargers; and demonstration that charging tariff introductions resulted in a 51.3% average decrease in sessions. The implications of our findings for policy and practice are also discussed.

Speed of urban public transport as criterion of the justification of spatial and time-based prioritization

Prioritization of urban public transport is an urgent task in the urban transport system, which is congested with traffic in most cities. The constant growth in traffic volumes and the need for movement of urban residents poses many challenges for local governments, which are quite difficult to solve, especially in cities with formed built-up areas. Travel time constantly increases while the road network's capacity remains unchanged. In these circumstances, it is necessary to resort to various prioritization methods because it is impossible to satisfy all the needs of residents for travel by private car to any transport area of the city. Over the past decade, the share of people using micromobility vehicles (bicycles, electric scooters, etc.) has been increasing. Still, this method of transportation is not widespread and cannot provide large volumes of movement in cities, especially those with large sizes. For this reason, more and more attention is being paid to prioritizing urban public transport, which is capable of moving large numbers of people around the city and surrounding areas. Given that it is difficult to find additional capacity reserves, space and time have to be taken away from those users of the transport network who use private automobile transport to ensure priority for urban public transport. The traffic volumes, traffic flow composition, and average speed of urban public transport on sections of the road network were determined by research results. It became the initial data for simulation modeling of the state of traffic flow under different methods of prioritization of urban public transport. Simulation modeling has identified sections of the road network that differ in delay in the movement of urban public transport and general traffic flow depending on the application of spatial and/or time-based prioritization. As a result, using the example of the road network of Lviv city, where urban public transport routes are designed, six types of segments were identified, which differ in the peculiarities of traffic flow and planning characteristics. The study results make it possible to justify implementing various organizational and regulatory measures to manage the general traffic flow and urban public transport without changing the geometric parameters of the road network within the existing “red lines” defined by the General Development Plan. Unlike the existing regulatory requirements, in practice, it is possible to identify sections of the road network that require different types of prioritization of urban public transport, depending on its volumes, regularity of movement, volume of passenger flow, etc. Notably, these studies recommended measures that could reduce travel time based not on the number of vehicles but on the number of people inside them.

Investigation on the Influencing Factors of Consumers' Purchase of Medium and High-end New Energy Vehicles in Chengdu

With the significant increase in people's income level, consumers' demand for private cars continues to rise, the subsequent challenges, including energy scarcity and environmental degradation, are increasingly evident. This study delves into the determinants influencing consumers' inclination towards purchasing new energy vehicles in Chengdu via empirical analysis. Drawing upon existing scholarly work, a comprehensive questionnaire was designed to gather pertinent data. The analysis of this collected information was carried out using both SPSS version 25.0 and AMOS version 26.0. This analytical approach allowed for the construction of a structural equation model that elucidates the various factors impacting consumers' inclination towards purchasing new energy vehicles in Chengdu. It has been established that both perceived value components, including functional value and economic value, and external situational factors, such as governmental policies, exert a substantial and positive influence on consumer intent to purchase new energy vehicles in Chengdu. The findings of this study offer valuable insights that can guide the government in the development of pertinent policies and assist automotive companies in enhancing their product offerings.

Rural parents’ route choices under different modes for school children drop-off and pick-up: a stated choice experiment

ABSTRACT Urbanization and school consolidation in rural areas have led to longer school commuting distances and changes in travel patterns, including increased use of private cars and e-bikes. As a result, greater parental involvement is needed to ensure safe and timely school commutes. This study explored how parents/guardians’ preferences for the built environment affect their route choices under different transportation modes in rural school commutes. Using a stated choice experiment and discrete choice models, the study identified key factors influencing route choices, such as travel distance and built environment characteristics like fewer road intersections, low traffic speeds, presence of sidewalks/bike lanes, road separation provisions, traffic lights, zebra crossings, green plants, and shops when walking, cycling, and riding an e-bike. The findings highlight the need to consider parents’ preferences when planning interventions and policies to enhance rural school travel, promote rural transportation and support diverse transportation modes in rural areas.

Exploration on boosting bus ridership in the post-pandemic era referring to bus rider behavior changes

Boosting bus ridership after pandemics is critical to green city and urban sustainability, to curb the rapid increase of private cars and to provide alternative trip choice to the public. Referring to bus passengers’ changes in trip behaviors from the pandemics, we may better focus on the bus service attributes to which passengers are sensitive, and devote the limited resources to improve these attributes for bus ridership growth. The reason for not comparing passenger behaviors between the pre- and post-pandemics, lies in that bus service system has changed significantly during the pandemics, and that we have to continue that passed on from the pandemics. With questionnaire and statistical analyses, passengers in the post-pandemics are found to accept more transfers, traveling over a shorter distance with fewer accompanies and more urgent purposes. Targeting at the frequent passengers, the factors of accepting longer access distance, longer wait time, and independence from private cars during the pandemics contribute positively to the frequent bus usage in the post-pandemics, in addition to being aged 50 years old or more and being female. Suggestions follow to keep sufficient stop distance for in-vehicle time saving, and to promote reliable transfer, accurate bus arrival information, long route reformation, service enrichment, trip pleasure creation, extensive connection, and special attention for frequent passengers. This research contributes comprehensive understanding of bus trip patterns in the post-pandemics to guide the respondent agencies to reform bus service delivered from the pandemics, and to promote bus ridership increase.

Phthalate esters in dusts from different indoor and outdoor microenvironment and potential human health risk: A case study in Beijing

Phthalate esters (PAEs) are widely used plasticizers that can easily migrate from plastic products, thereby presenting potential health risks through exposure. While PAE concentrations in dust have received increasing attention, there is still a lack of comprehensive understanding regarding their environmental distribution, composition profiles, and associated human exposure risks in Beijing. This study investigated the presence of seven PAEs in 124 dust samples collected from eight indoor and four outdoor microenvironment types across the Beijing metropolitan area. The PAEs were detected universally in all samples, with di(2-ethylhexyl) phthalate (DEHP), dibutyl phthalate (DBP) and di-iso-butyl phthalate (DIBP) as the predominant compounds, accounting for 91.78%-99.91% and 91.22%-99.76% of total PAE concentrations (Σ7PAEs) in indoor and outdoor dust, respectively. Indoor dust exhibited significantly higher Σ7PAEs (range: 45.33-1212.41 μg/g, mean: 130.61 μg/g) compared to outdoor dust (range: 2.10-5.41 μg/g, mean: 3.38 μg/g). Among indoor microenvironments, taxis had the highest Σ7PAEs (mean: 1250.59 μg/g), followed by private cars, print shops, residences, furniture shops, shopping malls, dormitories and offices. Outdoor Σ7PAEs levels decreased in the order of roads, residential areas, green belts, and parks. Estimated daily exposure doses through dust ingestion were significantly higher than those from dermal absorption and inhalation for five occupational groups (taxi drivers, print shop workers, road workers, office workers, jobless people), indicating dust ingestion as the primary exposure route, with DEHP and DBP as the main contributors. While current exposure levels may not present significant non-cancer risks based on hazard quotient and hazard index estimations, it’s noteworthy that DEHP may pose a carcinogenic risk to taxi drivers. Potential risks cannot be overlooked considering the absence of toxicity thresholds, additional exposure pathways, and possible cocktail effects from coexisting pollutants.

Characterization of bioaerosols associated with commuter transport micro-environments using high throughput sequencing.

Air quality inside commuter transport is an important public health issue. However, there is currently limited information on commuter exposure to the microbial fraction of airborne particles (i.e. bioaerosols) in different types of transport. Here we investigated the abundance and diversity of bioaerosols in public trains and private automobiles in the UK using molecular approaches. Overall, bacterial 16S rRNA gene abundances were significantly greater with the train (between 3.07×105 and 8.97×105 copies/m3) compared to the car (between 4.21×104 and 4.78×105 copies/m3) (p-value 0.019<0.05), with no significant differences found with train journeys throughout the day (p-value >0.05). In terms of microbial composition, significant differences were found between the two modes of transport, for both bacterial and fungal communities. Specifically, bacteria were dominated by Proteobacteria (trains: 37%; cars: 30%), Firmicutes (trains: 20%; cars: 36%), Actinobacteria (trains: 34%; cars: 16%) and Bacteroidetes (trains: 6.1%; cars: 13%). Within the fungi, Ascomycota were predominant in the train (80%), while the car was dominated by Basidiomycota (70%), which may be due to the time of year sampled. Additionally, a core bacterial and fungal microbiome, including human commensals and outdoor-originating micro-organisms, alongside several taxa of human health concern were found in the air of both modes of transport. This study provides an important insight into the aerosol microbiome in transport micro-environments, which is crucial for the evaluation of commuter exposure to potential health risks.

Exploring Potential Customized Bus Passengers Across Private Car Trajectory Data

Exploring Potential Customized Bus Passengers Across Private Car Trajectory Data

Lessons Learned in an Australian Flood‐Affected Hospital's Evacuation and Field Hospital Setup: A Qualitative Study

ABSTRACTThe staff of an Australian hospital faced significant challenges in evacuating the whole hospital due to unprecedented flooding. A retrospective study of those challenges and consequent adaptations was conducted to capture lessons for better preparedness. Semi‐structured interviews with seven clinicians and nurse managers in critical roles during the evacuation were conducted. Inductive thematic analysis was conducted in NVivo 14 to capture the themes emerging from the interview transcripts. Communication disruption, lack of knowledge of evacuation plan, staff shortage due to floods, crowd control of numerous volunteers, difficulties with ambulance service and insufficient information on field hospital's site and requirements, were the major challenges that the flood‐affected hospital's staff faced during evacuation. The staff improvised by conducting a reverse triage of patients that were tracked throughout evacuation. Additional adaptations included usage of private cars, buses and maxi taxis to transport equipment, medication and supplies. Despite being rare, whole hospital evacuations cannot be ruled out at a time when climate change is increasing the frequency and intensity of disasters. This research identifies lessons to enhance disaster preparedness for potential hospital evacuations.