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EMERGENCY
MEDICAL
TECHNOLOGIES
Intervention technologies for life’s
daily emergencies
Our aspiration is to improve survival outcomes for medical
emergencies.
Our corporate purpose is to develop user-friendly, devicebased 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 Times
Tale 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
The Worst of Times: A Typical Scenario
Meet Jack & Emma Gable. An ordinary couple
enjoying their golden years in a typical
apartment complex.
Jack & Emma Gable awake
and prepare for the day.
Emma goes
across the hall to
borrow eggs from
her neighbor.
The Worst of Times: A Typical Scenario
Without warning,
Jack collapses.
He has no pulse.
 In 80% of cardiac arrest cases, the victim is alone.
The Worst of Times: A Typical Scenario
Elapsed Minutes:
0
3+
5
10
Emma returns minutes later. She dials 911.
A 911 dispatcher
answers.
The dispatcher sends for an ambulance
The Worst of Times: A Typical Scenario
Elapsed Time:
0
5
9+ 10
The ambulance arrives at the Gables’
apartment complex 5 minutes later.
Clearing security & waiting for an elevator
further delay arrival.
Paramedics finally reach Jack.
CPR & AED shock are given.
Decline in Survival Due to
Delayed Defibrillation
100
Survival Rate
In %
90
80
70
60
50
40
30
20
10
0
1
2
3
4
5
6
7
8
9
Elapsed Minutes
EveryAtminute
of delay
in delivering
defibrillation
9 minutes,
Jack’s
chance ofasurvival
has dropped
bysurvival
~90% by 10%.
shock reduces
a victim’s
10
The Worst of Times: A Typical Scenario
Everything that could have been
done, was done. But:

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.
Could we have saved this man’s life?
If we could solve the logistical challenges
!
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
WriskWatch™.
The WriskWatch™
System
EMT’s WriskWatch™
detects pulse.
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
First level integrity check:
Patient
Monitored
VERIFY THE EMERGENCY
Yes
Pulse
Presen
t?
No
Yes
Audio &
Visual Alerts
Activate
False
Alarm
?
No
Activate
Response
Protocol
The WriskWatch System
Elapsed Minutes: .5
5
Emma Gable is still at her neighbor Sylvia’s when
WriskWatch alerts are sent to both of them & all other
neighbors registered.
AT THE SAME TIME,
The WriskWatch
system sends an alert
to
Building Security,
Jack’s cardiologist,
& his son.
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.
10
The WriskWatch™ System
Elapsed Minutes:
0
2
5
 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.
10
The WriskWatch™ System
AT THE SAME TIME,
 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.
The WriskWatch™ System
Security arrives at the apartment with the AED.
He applies the AED & the AED takes over.
Audible instructions give
step-by-step procedures
on performing CPR and
using the AED.
Elapsed Minutes:
0
3.5
5
CPR & 1st Shock
10
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.
 Jack can now be
transported safely to
a hospital and his
cardiologist’s care.
Typical Response vs. EMT
Comparative Response Timelines
Typical Scenario:
Elapsed Minutes
0
1
2
3
Emma
returns
to apartment
Jack
collapses
4
Jack
collapses
WriskWatch
Alerts
Responders
Emma
Sylvia
Security
1
Emma & Sylvia
return
to apartment
Sylvia
calls 911
Security Guard
Gets AED
2
7
8
EMS arrives
at building
9
EMS enters
apartment
10
CPR &
AED shock
applied
Elapsed Minutes
3
Security
Guard
arrives
6
Emma
calls 911
WriskWatch:
0
5
3.5
4
CPR &
AED shock
applied
5
6
EMS arrives
at building
7
8
EMS enters
apartment
Jack begins
to revive
9
10
EMS prepares
Jack for transport
to hospital
Jack was released from the hospital a few days later.
Using new technologies to solve the logistics of
emergency response
from EMT’s WriskWatch™ System
Jack Gable is alive today.
The WriskWatch™ System:
Features Overview
Early awareness, early response.
WriskWatch™ System Overview
ALERT
Detect
& Notify
COORDINATE
BROADCAST
Locate,
Instruct,
Remind
Advance
Cardiac
Response
WriskWatch™ System
AED
AED Locator
GPS Locator
eHealth
Profile
WriskWatch™
Stay-InTouch
Bluetooth
Mobile
Phone
Collaboration
EMT
Response
System
Land Line w/
Range
Extender
Auto-door
Unlock
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
Sudden Cardiac Arrest is only one of many scenarios.

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

@Risk Health-Wise
Seniors
Athletes
Tourists / Travelers





Accidents & Injuries: Auto & Other
Diabetic / Seizure episodes
Neurological Disorders (Alzheimer's)
Hospital patients (IP or OP)
Organ Donors
Thank you for your time.