Abstract: Non-invasive blood pressure (NIBP) systems and methods are disclosed that measure a blood pressure, and in some examples a beat-to-beat blood pressure, of a patient without restricting blood flow. The NIBP systems determine an efficacy of administered cardiopulmonary resuscitation (CPR) to the patient based on the measured blood pressure and are able to optionally output the CPR efficacy or generate user prompts based on the CPR efficacy. Further, the disclosed NIBP systems can generate user instructions to administer further treatment to the patient based on the CPR efficacy.

Abstract: A medical device uses UWB units to infer a position of an adjunct positioned in proximity to an exterior portion of a patient's body. The position information can be used to provide CPR feedback to a rescuer. In other applications, the position information can be used to provide prompts to a user to change the position of the adjunct.

Abstract: An example method is performed by a computing device executing instructions stored in data storage, and includes receiving physiologic monitoring data from a plurality of sensors coupled to a patient, receiving information indicating a measurement of patient motion during the patient care event, determining whether the measurement of patient motion is above a threshold, based on determining whether the measurement of patient motion is above the threshold, generating, for the physiologic monitoring data, a respective quality indicator, analyzing, by the computing device, (i) a combination of the physiologic monitoring data from the plurality of sensors and (ii) the respective quality indicator for the physiologic monitoring data to generate a response dependent upon the combination of the physiologic monitoring data as weighted by the respective quality indicator, and based on analyzing, outputting caregiver feedback by the computing device according to the response.

Abstract: An example method is performed by a computing device executing instructions stored in data storage, and includes receiving physiologic monitoring data from a plurality of sensors coupled to a patient, receiving information indicating a measurement of patient motion during the patient care event, determining whether the measurement of patient motion is above a threshold, based on determining whether the measurement of patient motion is above the threshold, generating, for the physiologic monitoring data, a respective quality indicator, analyzing, by the computing device, (i) a combination of the physiologic monitoring data from the plurality of sensors and (ii) the respective quality indicator for the physiologic monitoring data to generate a response dependent upon the combination of the physiologic monitoring data as weighted by the respective quality indicator, and based on analyzing, outputting caregiver feedback by the computing device according to the response.

Abstract: A medical device uses UWB units to infer a position of an adjunct positioned in proximity to an exterior portion of a patient's body. The position information can be used to provide CPR feedback to a rescuer. In other applications, the position information can be used to provide prompts to a user to change the position of the adjunct.

Abstract: A prehospital telemedicine system comprises a physiologic monitor; an electronic patient care reporting system (ePCR) system; and a point-of-care blood analyzer communicatively coupled to the physiologic monitor and the ePCR system. The point-of-care blood analyzer is configured to perform an analysis of a blood sample based on an indication of a need for a specific blood analysis provided by one of the physiologic monitor and the ePCR system, and to automatically transmit a result of the analysis to a remote data receiving system. The indication of a need for a specific blood analysis may be based upon any one of the following: vital signs data obtained for a patient by the physiologic monitor; and/or current documentation or past medical history captured on or available through the ePCR system.

Abstract: An example method includes detecting measurements of a physiological parameter of a patient; identifying a sub-interval of time beginning at a time at which the patient is administered anesthesia that is before the patient is intubated; identifying a portion of the measurements of the physiological parameter detected during the sub-interval of time; and determining an index by analyzing the portion of the measurements of the physiological parameter detected during the sub-interval of time. If the index is greater than a threshold, an alert or report is output.

Abstract: Various techniques related to post-treatment parameters of patients are described. An example method includes identifying a segment of an electrocardiogram (ECG) of an individual, wherein the segment is detected during a time interval that begins when an electrical shock is output to the individual's heart. The method further includes identifying a parameter of the electrical shock and generating a report including the segment of the ECG and indicating the parameter of the electrical shock. The report is output or transmitted to an external device.

Abstract: An electrode assembly that is adjustable in size, as well as systems, and methods of use thereof are described. The electrode assembly includes multiple electrode portions including at least a first electrode portion and a second electrode portion, the second electrode portion disposed on the first electrode portion at an edge of the first electrode portion, wherein the second electrode portion has a cutout, and wherein the first electrode portion spans the cutout. The electrode assembly is configured to be used with a medical device, such as an external defibrillator. A process of automatically selecting a usage mode of a medical device based on detecting which electrode portion(s) has been removed from an electrode storage tray is also described.

Abstract: An alignment device for assisting a rescuer for correctly aligning a mechanical cardiopulmonary resuscitation (CPR) device. The alignment device can guide positioning of the backboard so that the backboard is correctly positioned prior to connecting an upper portion of the mechanical CPR device to the backboard. The alignment device can also include positioning the mechanical CPR device without a backboard or positioning the backboard and the upper portion of the mechanical CPR device nearly simultaneously.

Abstract: An active backboard that can assist with adjusting a patient on the backboard to ensure that the backboard is correctly aligned for a compression mechanism of an upper portion of a mechanical cardiopulmonary resuscitation (CPR) device to perform compressions. The active backboard can also include multiple layers that can slide or move relative to each other to move the patient relative to the backboard. The active backboard can include roller bars, a wheel, and/or projections to assist with moving a patient relative to the backboard.

Abstract: A remote patient monitoring system having a main patient monitor and a remote patient monitor. The main patient monitor is configured to receive and collect one or more patient physiological parameters and to provide an alarm in response to an alarm trigger. The alarm trigger includes a determination that at least one of the collected patient physiological parameters has reached a predetermined value. The remote patient monitor has an alarm reset and is configured to be carried by a caregiver. It is also configured to receive a signal from the main patient monitor in response to the alarm and to transmit an indication about the alarm trigger. The indication includes one or more of a notification that the patient is being attended to, a request by the caregiver for additional help, or a message about resolution of the alarm trigger.

Abstract: Monitors for evaluating airway procedures, particularly in a pre-hospital environment, are described herein. In an example method, an airway parameter of an individual receiving assisted ventilation is detected by an airway sensor. A monitor determines a metric based on the airway sensor. Further, the monitor performs an action based on the metric.

Abstract: A remote patient monitoring system having a main patient monitor and a remote patient monitor. The main patient monitor is configured to receive and collect one or more patient physiological parameters and to provide an alarm in response to an alarm trigger. The alarm trigger includes a determination that at least one of the collected patient physiological parameters has reached a predetermined value. The remote patient monitor has an alarm reset and is configured to be carried by a caregiver. It is also configured to receive a signal from the main patient monitor in response to the alarm and to transmit an indication about the alarm trigger. The indication includes one or more of a notification that the patient is being attended to, a request by the caregiver for additional help, or a message about resolution of the alarm trigger.

Abstract: A defibrillation device for administering an electrotherapy, such as a dual-sequential defibrillation (DSD) electrotherapy. The defibrillation device can include a defibrillation therapy module, a physiological parameter module and a control module. The defibrillation therapy module can output one or more energies and the physiological parameter module can receive one or more physiological parameters, including electrocardiogram (ECG) data. The control module can analyze the physiological parameters to determine an indication for the administration of an electrotherapy and can determine a DSD electrotherapy. The DSD electrotherapy can be based at least in part on the physiological parameters, the indication for the administration of an electrotherapy or a review of the ECG data.

Abstract: The present disclosure encompasses an “artifact score” derived from the signal characteristics of an acquired 12-lead ECG, (2) a “patient context score” derived from key elements of the patient's history, presentation, and pre-hospital emergency care, and (3) techniques for integrating these scores into an emergency medical care system.

Abstract: An apparatus and method is provided for a defibrillator that specifies treatment protocols in terms of number of chest compressions instead of time intervals. The defibrillator includes a connection port that is configured to attach with a plurality of electrodes that are capable of delivery of a defibrillation shock and/or sensing one or more physical parameters. An energy storage device capable of storing a charge is attached to the plurality of electrodes. A controller is coupled to the plurality of electrodes and the energy storage device, the controller is configured to provide CPR chest compression instructions in terms of the numbers of CPR chest compressions.

Abstract: Techniques are described for pacing assistance and automation. For example, a pacing device, such as an external defibrillator, provides electrical stimulations to an external surface of a patient based on a determination as to whether capture has been achieved. The pacing device determines whether capture has been achieved using multiple types of sensor data and/or historical sensor data. These techniques effect a particular treatment (e.g., pacing using an external pacing system) for a medical condition (e.g., bradycardia). In some examples, the pacing device provides notifications to assist with pacing to a healthcare provider that is administering pacing to a patient. Notifications may include an indication that multiple representations corresponding to different biological parameters of a patient may assist with pacing, that the patient has an internal pacemaker, and so forth.

Abstract: Systems, devices, and methods for detecting and addressing irregular motion to improve defibrillation shock recommendations are described. In an example method performed by a medical device, an electrocardiogram (ECG) of an individual receiving chest compressions is detected. In addition, irregular motion of the individual is detected. If a magnitude of the irregular motion is greater than or equal to a threshold, a remedial action is performed. In some examples, the medical device refrains from generating a recommendation indicating whether the ECG includes a shockable rhythm and/or whether a defibrillation shock is recommended. In some instances, the medical device outputs the recommendation with a certainty of the recommendation. In some cases, the medical device outputs a warning and generates the recommendation in response to receiving an input signal indicating a manual override.

Abstract: Defibrillators providing enhanced recommendations of whether to administer a defibrillation shock to patients are described. An example defibrillator determines an analysis factor, such as whether a patient has previously exhibited high-amplitude or “coarse” ventricular fibrillation (VF) during a particular time period. The defibrillator generates a shock index based on an electrocardiogram (ECG) of the patient and determines whether the patient is exhibiting a shockable rhythm by comparing the shock index to a threshold. The defibrillator generates the shock index and/or the threshold based on the analysis factor. The defibrillator outputs a recommendation based on the determination of whether the patient is exhibiting the shockable rhythm.