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Intervention technologies for life’s
daily emergencies
EMERGENCYMEDICALTECHNOLOGIES
Our aspiration is to improve survival outcomes for medical emergencies.
Our corporate purpose is to develop user-friendly, device-based software solutions that intervene pro-actively in the event of life-threatening incidents.
Surviving Sudden Cardiac Arrest
It Is the Worst of Times It Can Be The Best of
TimesTale of Two Cities, Charles Dickens
Available, but just out of reach
Today we are surrounded by wondrous cardiac survival technologies that are available, but still just out of our reach.
Automated defibrillation is available, but what are the chances of your identifying the emergency, finding, & using an AED within minutes?
EMT’s WriskWatch™ (1) System
Access to defibrillation using automated alert, broadcast, and coordination eliminates delay and human error.
(1) Trademark Pending
Emma goes across the hall to borrow eggs from her neighbor.
The Worst of Times: A Typical Scenario
Jack & Emma Gable awake and prepare for the day.
Meet Jack & Emma Gable. An ordinary couple enjoying their golden years in a typical
apartment complex.
In 80% of cardiac arrest cases, the victim is alone.
Without warning, Jack collapses.
He has no pulse.
The Worst of Times: A Typical Scenario
A 911 dispatcher answers.
Emma returns minutes later. She dials 911.
The dispatcher sends for an ambulance
0 5 10Elapsed Minutes: 3+
The Worst of Times: A Typical Scenario
Paramedics finally reach Jack. CPR & AED shock are given.
The ambulance arrives at the Gables’ apartment complex 5 minutes later.
Clearing security & waiting for an elevator further delay arrival.
0 5 10Elapsed Time: 9+
The Worst of Times: A Typical Scenario
Decline in Survival Due to Delayed Defibrillation
0
10
20
30
40
50
60
70
80
90
100
1 2 3 4 5 6 7 8 9 10
Elapsed Minutes
Su
rviv
al R
ate
In %
Every minute of delay in delivering a defibrillation shock reduces a victim’s survival by 10%.
Every minute of delay in delivering a defibrillation shock reduces a victim’s survival by 10%.
9
At 9 minutes, Jack’s chance of survival has dropped by ~90%
At 9 minutes, Jack’s chance of survival has dropped by ~90%
10
Proper protocol for SCA, as fast as it is, nevertheless cannot typically respond within the necessary time.
‘Civilian’ responders do not have access or knowledge
The average EMS arrival time is 10 minutes … however -
Death from SCA typically occurs within 10-12 minutes.
SCA requires the near-immediate delivery of CPR and AED shock.
As a result, the current survival rate for SCA is abysmally low.
Everything that could have been done, was done. But:Everything that could have been done, was done. But:
The Worst of Times: A Typical Scenario
Could we have saved this man’s life?
!If we could solve the logistical challengesIf we could solve the logistical challenges
The Best of Times: The WriskWatch™ System The Best of Times: The WriskWatch™ System
Jack & Emma Gable awake and prepare for the day.
Emma goes across the hall to borrow eggs from her neighbor, Sylvia.
Without warning, Jack collapses.
This time Jack is wearing EMT’s
WriskWatchWriskWatch™.
In Jack’s case, there is no pulse.
EMT’s Alert Response Protocol activates automatically, beginning with an audible alert to verify the emergency.
The WriskWatch™ System
EMT’s WriskWatch™ detects pulse.
No
First level integrity check:
No
Audio & Visual Alerts
Activate
False Alarm
?
Patient Monitored
Pulse Present ?
Yes
Yes Activate Response Protocol
The WriskWatch™ System
VERIFY THE EMERGENCYVERIFY THE EMERGENCY
The WriskWatch System
Emma Gable is still at her neighbor Sylvia’s when WriskWatch alerts are sent to both of them & all other neighbors registered.
5 10Elapsed Minutes: .5
The WriskWatch system sends an alert to Building Security,
Jack’s cardiologist, & his son.
AT THE SAME TIME,
Sylvia & Building Security, respectively, affirm electronically their ability to respond to emergency.
This information relays back to all responders. The location of the closest AED is identified.
The WriskWatch™ System
Sylvia & Emma rush to the apartment.
The Automatic-Door-Unlock lets them enter immediately & find Jack.
Sylvia calls 911 with a single key press on her cell phone.
0 5 10Elapsed Minutes: 2
The WriskWatch™ System
Security retrieves a nearby AED. A guard takes it & proceeds to the Gable’s apartment.
An resident goes out in front of
the building to direct EMS.
A third holds an elevator to facilitate access to the Gables’ apartment.
AT THE SAME TIME,
The WriskWatch™ System
Security arrives at the apartment with the AED.
He applies the AED & the AED takes over.
0 5 10Elapsed Minutes:
CPR & 1st ShockCPR & 1st Shock
3.53.5
Audible instructions give step-by-step procedures on performing CPR and
using the AED.
The WriskWatch™ System
As responders work together to revive Jack,
EMT’s Collaboration service establishes a multi-party conference call among Emma, the Security Guard, Jack’s cardiologist and the EMS personnel - who are on route.
An eHealth profile highlighting Jack’s daily medications & his allergy to sulfur-based drugs has already been relayed to the cardiologist and EMS.
The WriskWatch™ System
EMS arrives 5 minutes later. At the front door & elevator, Building Security expedites their access to the Gables’ apartment.
Jack Gable is already regaining consciousness.
EMS arrives 5 minutes later. At the front door & elevator, Building Security expedites their access to the Gables’ apartment.
Jack Gable is already regaining consciousness.
Jack can now be transported safely to a hospital and his cardiologist’s care.
Jack can now be transported safely to a hospital and his cardiologist’s care.
0 1 2 3 4 5 6 7 8 9 10
Elapsed Minutes
Sylvia calls 911
Emma & Sylviareturn
to apartment
Jack collapses
EMS prepares Jack for transport
to hospital
Security GuardGets AED
EMS arrivesat building
EMS entersapartment
Jack begins to revive
WriskWatchAlerts
RespondersEmmaSylvia
Security
Security Guardarrives
CPR & AED shock
applied
Typical Response vs. EMTComparative Response Timelines
Typical Scenario:
WriskWatch:
0 1 2 3 4 5 6 7 8 9 10
Elapsed Minutes
Jack collapses
Emma returns
to apartment
EMS arrives at building
EMS entersapartment
CPR &AED shock
applied
3.5
Emma calls 911
CPR & AED shock
applied
Jack was released from the hospital a few days later.
Using new technologies to solve the logistics of emergency response
from EMT’s WriskWatchfrom EMT’s WriskWatch™™ System System Jack Gable is alive today.
Early awareness, early response.
The WriskWatch™ System: Features Overview
WriskWatch™ System OverviewWriskWatch™ System Overview
ALERTALERT
BROADCASTBROADCASTCOORDINATECOORDINATE
Detect & Notify
Locate,Instruct,Remind
Advance Cardiac
Response
WriskWatch™ SystemWriskWatch™ System
WriskWatch™
EMT Response System
Land Line w/
Range Extender
Bluetooth Mobile
Phone
AED LocatorGPS Locator
AEDAED
Stay-In-
Touch
eHealth
Profile
Collabor-ation Auto-
door Unlock
Sudden Cardiac Arrest is only one of many scenarios.Sudden Cardiac Arrest is only one of many scenarios.
Accidents & Injuries: Auto & Other Diabetic / Seizure episodes Neurological Disorders (Alzheimer's) Hospital patients (IP or OP) Organ Donors
Accidents & Injuries: Auto & Other Diabetic / Seizure episodes Neurological Disorders (Alzheimer's) Hospital patients (IP or OP) Organ Donors
@Risk Health-Wise Seniors Athletes Tourists / Travelers
@Risk Health-Wise Seniors Athletes Tourists / Travelers
Other WriskWatch™ Applications
Imagine…A Fortune 500 executive driven by
decisions and deadlines A young athlete pushing to excel
A unique benefit for residents of a condominium
An expectant mother trying not to overdo
Non-intrusive monitoring of hospital inpatients
Thank you for your time.
