SEGAM

    How SEGAM Secured 24/7 Ambulance Operations with Full Key Traceability

    Quentin Roos, SEGAM's Operations Director, standing beside a SmartBox setup
    SEGAM
    Company

    SEGAM

    Industry

    First Responders

    Location

    Marseille, France

    Employees

    95

    Keys Managed

    20

    “Keycafe solved a problem before it even happened. With Keycafe, no more key issues. It’s not comfort — it’s security.”

    Quentin Roos

    Quentin Roos

    Operations Director

    About SEGAM

    SEGAM is a group of ambulance companies composed of 7 separate entities operating across France, primarily in the PACA region. Their teams handle essential medical transport services including dialysis and radiotherapy appointments, where punctuality and reliability are critical.

    Oumayma Abid

    Author

    Marketing Coordinator

    Oumayma is a Marketing Coordinator at Keycafe, where she helps businesses understand the benefits of a smart key management system.

    Challenge

    Before implementing Keycafe, SEGAM did not have a structured key management system. Each of their seven separate entities used combination-lock mailboxes to store their respective ambulance keys. “The problem was that we had huge traceability issues”, says Director of Operations Quentin Roos.

    Ambulance crews finishing late shifts or night operations would sometimes forget to return the keys, or place them in the wrong box. At 5:30 a.m., when morning teams arrived to begin dialysis and radiotherapy transports, keys were often missing or misplaced. This caused delays, confusion, and operational stress at the most critical time of day.

    There was no real traceability. Management had no reliable way to see who had taken or returned a key. Time was lost searching, calling staff, or attempting to locate vehicles. SEGAM needed a secure, traceable, and reliable solution capable of supporting continuous operations.

    Pain Points

    • Unreliable Key Storage SystemCombination-lock mailboxes provided no real control or structured management.
    • No Accountability or TraceabilityNo way to verify who retrieved or returned keys, especially between night and morning shifts.
    • Critical Morning DelaysMissing or misplaced keys in the morning disrupted essential dialysis and radiotherapy transports.
    • Operational & Financial LossesIdle ambulance teams and delayed departures directly impacted revenue and patient experience.
    Woman entering code to pickup key for the keycafe smartbox MS5Woman picking up keys from the keycafe smartbox MS5the keycafe smartbox MS5 in the SAGEM premises

    Solution

    To centralize and secure fleet management, the group deployed Keycafe SmartBox systems across its seven ambulance entities. At the start of a shift, paramedics enter a unique personal access code at the SmartBox and select the key to their assigned vehicle from the touchscreen. The compartment with the key then automatically opens, and the transaction is logged instantly.

    The operations team manages the fleet remotely via the mobile application, allowing them to monitor both day and night-shift ambulances. In the event of an issue, managers can use the app to instantly unlock compartments or review the access history from previous shifts, ensuring that no vehicle is left idle due to a misplaced or forgotten key.

    To guarantee 24/7 availability for emergency medical transports, the system includes a backup battery that maintains functionality during power outages. This hardware reliability is backed by Keycafe’s responsive technical support team, who provide immediate assistance to resolve any operational risks.

    SEGAM’s Implementation

    • Deployment Across All 7 CompaniesSmartBox installed to centralize ambulance key management within the group.
    • Individual & Secure Access Codes:Paramedics use unique access codes to access keys they have permission for.
    • Real-Time Monitoring via Mobile App:Operations team can track activity and manage access directly from their smartphones.
    • Remote Unlock Capability:Compartments can be opened remotely in case of emergency or access issues.
    • Backup Power Protection:Backup battery system ensures uninterrupted access even during extended power outages.

    “Thanks to traceability, we know who deposits and who retrieves each key. It solved many problems.”

    Quentin Roos
    Quentin RoosOperations Director

    Result

    The shift to an automated system brought immediate operational stability to SEGAM’s 24/7 ambulance services. Lost keys are no longer an issue. Morning delays caused by misplaced keys have been eliminated. Ambulances leave on time, ensuring patients receive their scheduled treatments without disruption.

    The organization also realized a clear return on investment. Previously, SEGAM regularly had to purchase replacement keys when they were lost. More importantly, when an ambulance could not leave the parking lot, teams remained idle for over 30 minutes, resulting in lost revenue.

    Today, operations run smoothly, with full visibility and control. Management can quickly identify and contact the responsible employee if a key is missing, preventing small issues from escalating.

    It's very important to us. We won't go back to the old way, that's for sure.

    Quentin Roos - Operations Director

    The Outcome

    • Zero Key LossEliminated missing and misplaced ambulance keys.
    • Reduced Downtime:No more 5:30 a.m. delays impacting medical transports.
    • Full Traceability & Accountability:Every key action is recorded and visible.
    • Strong ROI:Avoided duplicate key costs and revenue loss from idle teams.
    • 24/7 Operational Security:Reliable access even during extended power outages.
    Quentin Roos operations director of SEGAM working on his desktopkeycafe smartbox MS5 in SEGAM offices

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