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With the improvement in transportation infrastructure and in-vehicle technology in addition to a meteoric increase in the total number of commercial and non-commercial vehicles on the road, traffic accidents may occur, which usually cause a high death toll. More than half of these deaths occur due to a delayed response by medical care providers and rescue authorities. The chances of survival of an accident victim could increase drastically if immediate medical assistance is provided at an accident location. This work proposes a low-cost accident detection and notification system, which utilizes a multi-tier IoT-based vehicular environment; principally, it uses V2X Communication and Edge/Cloud computing. In this work, vehicles are equipped with an On-Board Unit (OBU) in addition to mechanical sensors (accelerometer, gyroscope) for reliable accident detection along with a Global Positioning System (GPS) module for identification of accident location. In addition to this, a camera module is implanted on the vehicle to capture the moment when an accident takes place. In order to facilitate inter-vehicle communication (IVC), OBU in each vehicle incorporates a wireless networking interface. Once an accident occurs, a vehicle detects it and generates an alert message. It then sends the message along with the accident location to an intermediate device, placed at the edge of the vehicular network, and therefore called an edge device. Upon receiving the notification, this edge device finds the nearest hospital and makes a request for an ambulance to be dispatched immediately. It also performs some preprocessing of data and effectively acts as a …