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Today's SDSS has developed in many areas, special for emergency medical services that are very important component for the highways emergency services a particular in developing countries. In orders to safe and rapidly transported to the hospitals in all critical cases. Also, GIS is used in Transportation Asset Management (TAM); which includes the transportation planning and emergency services management that helps in determining the measurement, area, optimized shortest path and spatial analysis. The objective of this book is to build Spatial Decision Support System (SDSS) model for enhancing highways emergency services. It is not only for identifying the shortest path, but is to find the accident location automatically without intervention of the human factor. Using SDSS to reach injured rapidly from the incident site to the nearest general hospital that included all branches. Design and Develop a Case study by applying the model in the capital of Egypt in the greater Cairo especially the Ring road.