Abstract: A wearable ambulatory external defibrillator system includes a garment configured to be worn by a patient and including electrocardiogram (ECG) sensing electrodes integrated into the garment, therapy delivery electrodes configured to deliver a therapy, and a wearable medical device controller including at least one processor. The at least one processor is configured to issue a first instance of an alarm in response to an indication of a cardiac abnormality and/or an event concerning one or more components of the system. The first instance of the alarm includes a visual alarm. The at least one processor is further configured to determine that no response to the first instance of the alarm was received within a target response time, adapt at least one characteristic of the alarm, and issue a second instance of the alarm having the at least one adapted characteristic. The second instance of the alarm includes an auditory alarm.

Abstract: A patient data management platform, e.g., a community paramedicine platform, which may also be referred to as a mobile integrative health platform or system, may include a web-based, cloud-based, and/or software-based system for tracking patients and patient visits by health care providers, paramedics or other emergency medical services (“EMS”) professionals in an out of hospital, mobile, and/or non-emergency context. Such a platform performs functions and data input, visit logging, and reporting tasks that are distinct from that of a traditional EMS electronic patient care reporting system.

Abstract: A chest compression monitor for measuring the depth of chest compressions achieved during CPR. A sensor of the chest compression monitor is disposed within its housing such that compression of the housing due to CPR compressions, and its resultant deformation, is detected by the sensor and used by the control system as the starting point for calculating chest compression depth based on an acceleration signal indicative of the downward displacement of the chest.

Abstract: An external medical device is provided which is configured to provide a user with access to one or more training modules. The external medical device includes one or more electrodes configured to detect a cardiac activity of a patient, an audio and/or visual output, and a controller coupled to the audio and/or visual output. The controller is configured to: detect at least one of a predetermined event and a device use pattern; and responsive to detecting the at least one of the predetermined event and the device use pattern, provide the patient access to one or more training modules relating to a use or a configuration of the external medical device via the audio and/or visual output. The device can also include a user interface configured to provide access to at least one training module according to a schedule of training modules for the patient.

Abstract: An exemplary method of identifying a source of chest compressions administered during cardiopulmonary resuscitation (CPR) includes receiving, at a processor, signals indicative of pressure exerted during the chest compressions from at least one sensor communicatively coupled to the processor and disposed at a location on the victim's chest away from an indicated compression point for manual chest compressions, generating a compression waveform based on the received signals, detecting compression waveform features representative of the chest compressions based on the compression waveform, comparing the detected compression waveform features to a pre-determined criterion to discriminate between chest compressions from an automated compression device and manual chest compressions, determining whether the chest compressions are from the automated compression device or the manual chest compressions based on the comparison, and generating an output based on whether the chest compressions are determined to be from t

Abstract: A system including a medical device is provided. The medical device includes at least one sensor configured to acquire first data descriptive of a patient, first memory storing a plurality of templates, and at least one processor coupled to the at least one sensor and the first memory. The at least one processor is configured to identify a first template of the plurality of templates that is similar to the first data, to determine first difference data based on the first template and the first data, and to store the first difference data in association with the first template. The system may further include the programmable device.

Abstract: A method for evaluating emergency medical service according to embodiments of the present invention includes receiving emergency medical service data from a database, filtering the emergency medical service data based on a selection criteria to form a filtered emergency medical service data set, determining a first score from the filtered emergency medical service data set, where the first score indicates objective clinical performance quality for the filtered emergency medical service data set, determining a second score from the filtered emergency medical service data set, where the second score indicates objective operational performance quality for the filtered emergency medical service data set, merging the first score and the second score to form a composite score; and visually displaying the composite score to a user.

Abstract: A computer-implemented method for providing summary information for lifesaving activities is disclosed. The method involves sensing one or more activities that are repeatedly and cyclically performed on a victim by a rescuer; identifying a cyclical timing interval over which performance is to be analyzed fora integer number of cycles of the one or more activities, and gathering data from the sensing of the one or more activities during the time interval; generating, from analysis of the one or more activities, summary data that condenses data sensed for the one or more activities into a summary of the one or more activities; and providing, for display to a user, a visual summary of the performance of the one or more activities over the identified time interval.

Abstract: Among other things, we describe a system that includes a first medical device for treating a patient at an emergency care scene, the first medical device including a processor and a memory configured to detect a request for a connection between the first medical device and a second medical device for treating the patient at the emergency care scene, the request for connection including an identifier of the second medical device, responsive to receiving the request for connection, enabling a wireless communication channel to be established between the first medical device and the second medical device based on the identifier of the second medical device and an identifier of the first medical device; and enabling transmission and/or exchange of patient data between the first medical device and the second medical device via the wireless communication channel. Such communications with more than two devices may also be possible.

Abstract: A system for documenting emergency medical events related to treatment of a patient is provided. The system includes a medical device configured to obtain physiological information from the patient and generate a first plurality of log entries that mark events that occur during treatment of the patient. The system also includes a mobile device configured to receive input for generating a second plurality of log entries that mark events that occur during treatment, establish a communicative connection with the medical device to access the first plurality of time-stamped log entries, and present, during the treatment of the patient, a single consolidated event log that includes the first plurality of log entries and the second plurality of log entries.

Abstract: A medical device that includes a power source, a therapy delivery interface, therapy electrodes, electrocardiogram (ECG) sensing electrodes to sense ECG signal of a heart of a patient, a sensor interface to receive and digitize the ECG signal, and a processor. The processor is configured to analyze the ECG signal to determine a cardiac rhythm and a transform value representing a magnitude of a frequency component of the cardiac rhythm, analyze the cardiac rhythm and the transform value to detect a shockable cardiac arrhythmia by classifying the cardiac rhythm as a noise rhythm or a shockable cardiac arrhythmia rhythm based on the transform value, and causing the processor to detect the cardiac arrhythmia if classifying the cardiac rhythm as a shockable cardiac arrhythmia rhythm, initiate a treatment alarm sequence, adjust the shock delivery parameter for a defibrillation shock, and provide the defibrillation shock via the therapy electrodes.

Abstract: A medical monitoring and treatment device that includes a therapy delivery interface, a plurality of therapy electrodes coupled to the therapy delivery interface, a plurality of electrocardiogram sensing electrodes to sense electrocardiogram signals of a patient, a sensor interface to receive the electrocardiogram signals and digitize the electrocardiogram signals, and at least one processor coupled to the sensor interface and the therapy delivery interface to analyze the digitized electrocardiogram signals, to detect a cardiac arrhythmia based on the digitized electrocardiogram signals, and to control the therapy delivery interface to apply electrical therapy to the patient based upon the detected cardiac arrhythmia.

Abstract: A system for automatically expediting charting for an emergency medical services event includes databases with a pre-configured ePCR form including fillable fields and a first and a second ePCR template, the first and second templates specifying pre-determined values for first and second fillable field subsets and a computing device, configured to communicatively couple to the databases, that includes a user interface, a memory, and a processor configured to receive a request to generate an ePCR, access the pre-configured ePCR form, receive selections of the first and second ePCR templates, automatically populate at least portions of the fillable fields based on the templates by identifying non-overlapping fields and overlapping fields in the subsets of fillable fields, populating the non-overlapping fields with the pre-determined values, and populating the overlapping fields with the pre-determined values according to selection rules, and generate the ePCR based on the automatic population of the fillable fi

Abstract: A system and method for medical premonitory event estimation includes one or more processors to perform operations comprising: acquiring a first set of physiological information of a subject, and a second set of physiological information of the subject received during a second period of time; calculating first and second risk scores associated with estimating a risk of a potential cardiac arrhythmia event for the subject based on applying the first and second sets of physiological information to one or more machine learning classifier models, providing at least the first and second risk scores associated with the potential cardiac arrhythmia event as a time changing series of risk scores, and classifying the first and second risk scores associated with estimating the risk of the potential cardiac arrhythmia event for the subject based on the one or more thresholds.

Abstract: A system for assisting with a cardiopulmonary resuscitation (CPR) treatment being administered to a patient. In one aspect, a system for assisting with a cardiopulmonary resuscitation (CPR) treatment being administered to a patient includes a sensor for determining a parameter of the patient (e.g., indicative of a blood flow or pressure waveform), and one or more processors configured for receiving input from the sensor, determining, based on the input from the sensor, whether a rate of chest compressions administered in the CPR treatment should be changed, and providing an indication to a user that the rate of chest compressions should be changed.

Abstract: A system for assisting a rescuer in providing resuscitative treatment to a victim is described. The system includes a motion sensor configured to generate motion sensor signals that are indicative of motion of the chest of the victim during chest compressions, an input device configured to receive user input indicative of a type of chest compressions, an output device, and a processor, a memory, and associated circuitry, the processor communicatively coupled to the motion sensor, the input device, and the output device and is configured to receive the motion sensor signals and the user input indicative of the type of chest compressions, determine chest compression feedback for the rescuer based on the motion sensor signals, and control the output device to selectively provide the chest compression feedback for the rescuer based at least in part on the type of chest compressions indicated by the user input.

Abstract: In an illustrative embodiment, systems and apparatus for limiting acceleration of medical equipment dropped to a location of an emergency medical event include one or more protection elements for protecting the medical equipment against impact forces that may damage the equipment. The protection elements may include one or more elements configured to reduce acceleration of the medical equipment while dropping to the location. The protection elements may include one or more elements configured to absorb impact forces to reduce the forces realized by the medical equipment. The medical equipment may be dropped to the location by an unmanned aerial vehicle.

Abstract: A medical device system for tracking medical event times during patient treatment includes a medical device comprising a defibrillator/monitor and a mobile computing device including a communication interface configured to communicatively couple the mobile computing device to the medical device and receive patient data comprising medical information and time information comprising one or more medical events associated with the patient data, a display configured to provide a graphical user interface that provides the patient data and the time information, and one or more processors and associated memory, the one or more processors configured to control the graphical user interface to provide the patient data and the time information.

Abstract: This document describes an automated external defibrillator comprising a control configured to switch between a pediatric operating mode and an adult operating mode, wherein each operating mode comprises a mode-specific energy configuration and a mode-specific user configuration; an indicator configured to provide an indication of the operating mode in use during a resuscitation process; one or more processors configured to switch to the mode-specific energy configuration and the mode-specific user configuration upon a change of operating mode between the pediatric operating mode and the adult operating mode such that the automated external defibrillator delivers a defibrillating shock to a patient based on the mode-specific energy configuration; and an interface of the automated external defibrillator provides resuscitation instructions to a user based on the mode-specific user configuration.

Abstract: A medical device of the type used for assisting a user in manually delivering repetitive therapy to a patient (e.g., chest compressions or ventilations in cardiac resuscitation), the device comprising a feedback device configured to generate feedback cues to assist the user in timing the delivery of the repetitive therapy, at least one sensor or circuit element configured to detect actual delivery times, at which the user actually delivers the repetitive therapy, and a processor, memory, and associated circuitry configured to compare the actual delivery times to information representative of desired delivery times to determine cue times at which the feedback cues are generated by the feedback device.