Abstract: Systems and techniques to ensure reliable operation of devices, such as medical devices, that are configured to execute installed software are described. A secure software update process for the device utilizes multiple integrity checks in order to prove that software integrity has not been compromised before the device is allowed to be put into service with the software installed thereon. Also described is a computer architecture for an external defibrillator that isolates the execution of installed software applications by separately compiling the code for those applications and by executing the separately-compiled applications on different processors of the defibrillator. Among other things, this allows the defibrillator to be “brought online” faster, such as to deliver a shock to a patient.

Abstract: Systems and techniques to ensure reliable operation of devices, such as medical devices, that are configured to execute installed software are described. A secure software update process for the device utilizes multiple integrity checks in order to prove that software integrity has not been compromised before the device is allowed to be put into service with the software installed thereon. Also described is a computer architecture for an external defibrillator that isolates the execution of installed software applications by separately compiling the code for those applications and by executing the separately-compiled applications on different processors of the defibrillator. Among other things, this allows the defibrillator to be “brought online” faster, such as to deliver a shock to a patient.

Abstract: Techniques for generating and updating electronic records of rescue events are described. In a rescue scene, a medical device monitors and/or treats a patient. An example tracking device determines an identifier of the medical device by analyzing a signal corresponding to a medical device. In addition, the tracking device identifies a physiological parameter of the patient. The tracking device generates an electronic record of the patient that includes the identifier and the physiological parameter. The tracking device further outputs the electronic record.

Abstract: Various techniques relate to aligning parameters and audio recordings obtained at a rescue scene. An example method includes receiving, from a first device, a first file including first measurements of a first parameter at first discrete times in a time interval. The first file further indicates a marker output by the first device during the time interval. The method also includes receiving, from a second device, a second file comprising second measurements of a second parameter at second discrete times in the time interval. The method includes detecting the marker output by the first device in the second measurements of the second parameter and based on detecting the signal output by the first device in the second measurements, generating aligned data by time-aligning the first measurements of the first parameter and the second measurements of the second parameter. The method further includes outputting the aligned data.

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 with enhanced functionality during cardiopulmonary resuscitation (CPR) periods are described. The enhancements include predicting a length of a charging period of a capacitor of the medical device so that capacitor is shock charged at the end of the CPR period. The enhancements also include re-assessing an electrocardiogram (ECG) signal for continued presence of a shockable rhythm during the CPR period and before administration of a defibrillation shock. Together the enhancements can improve the timing and recommended administration of defibrillation therapy.

Abstract: Systems, devices, and methods provide up-to-date defibrillation shock recommendations. In an example method, multiple segments of an electrocardiogram (ECG) of an individual are detected from an individual receiving chest compressions. The multiple segments are evaluated to determine whether the individual is exhibiting a shockable heart rhythm. A medical device outputs a recommendation indicating whether a defibrillation shock is advised based on the most recent determination of the individual's heart rhythm. For example, the medical device outputs an up-to-date recommendation on-demand in response to an input signal from a user. In some examples, the medical device updates the recommendation based on ongoing analysis of the ECG.

Abstract: Systems and techniques to ensure reliable operation of devices, such as medical devices, that are configured to execute installed software are described. A secure software update process for the device utilizes multiple integrity checks in order to prove that software integrity has not been compromised before the device is allowed to be put into service with the software installed thereon. Also described is a computer architecture for an external defibrillator that isolates the execution of installed software applications by separately compiling the code for those applications and by executing the separately-compiled applications on different processors of the defibrillator. Among other things, this allows the defibrillator to be “brought online” faster, such as to deliver a shock to a patient.