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Using A.I. to identify
the optimal destination
for an emergency
medical transport
OWN THE “PREHOSPITAL PIPES”
BETTER DATA, FASTER
Jonathon S. Feit, MBA, MA
Co-Founder & Chief Executive
(650) 648-ePCR [3727]
During an emergency, what is it worth
for Responders to know you, your
loved ones, and your colleagues—
even before they reach the scene?
PROPRIETARY & CONFIDENTIAL – DO NOT DISTRIBUTE. © 2018 by Beyond Lucid Technologies, Inc.
Event
Horizon
Micro level:
Patient Care
Macro level:
Infrastructure
Who / What Moves Where (& Why) Post-Disaster?
Real-Time Prehospital
Data Analytics and
Standards-Based
Information sharing
Imagine what “Twilio for EMS” might look like
Micro level:
Patient Care
Macro level:
Infrastructure
Imagine what “Twilio for EMS” might look like
Who / What Moves Where (& Why) Post-Disaster?
Most people outside the Fire & EMS industry think
of them either as unidirectional “scoop and run” or
as more informed about the patient than they are.
INCIDENT SCENE → EMERGENCY RESPONSE → CARE FACILITIES → QUALITY / ANALYTICS
• CAD/Dispatch • EMS and Fire• Military transports
(ground, sea, air)
• Med directionand nursing
• Hospitals
• Training • Analytics• Post-acute care
(SaaS)
(SaaS)
PROPRIETARY & CONFIDENTIAL – DO NOT DISTRIBUTE. © 2018 by Beyond Lucid Technologies, Inc.
Talbot R and Bleetman, A. Retention of information by emergency department staff at ambulance
handover: do standardised approaches work? Emerg Med J. 2007 Aug; 24(8): 539–542.
TRIAGE TEAM
ACTIVATION
FIRST AID, HOSPITAL SELECTION, TRANSPORT,
TRIAGE TEAM ACTIVATION AND PRE-REGISTRATION
INFORMED TREATMENTDIAGNOSIS
Hospital ArrivalPatient Pick-up
DIAGNOSIS &
TREATMENTFIRST AID
DESTINATION
SELECTION TRANSPORT REGISTRATION
CAD
~ 50% of patient data lost at each prehospital handoff PR
OP
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& C
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What if data from the scene, or from the truck, could
reach the hospital even before the patient does?
URGENT CLINICAL, FINANCIAL AND OPERATIONAL PROBLEM WORTH SOLVING
A.I. in EMS: Connects the Prehospital Ecosystem
Heart attack leads to traumatic car crash,
which results in full-body burns. Which of
several equidistant hospitals is the optimal
transport destination?
IP: Dynamic Patient Routing Algorithm
Case #1: Pittsburgh, PA
Event
Horizon
Burn?
Peds
only?
Case #2: Gilroy, CA and Las Vegas
PROPRIETARY & CONFIDENTIAL – DO NOT DISTRIBUTE. © 2018 by Beyond Lucid Technologies, Inc.
“Patients-as-packages”: Who is being
taken where? Today: Triage, positive ID,
EHR lookup all occur on patient arrival.
Instead: Shift to pre-ED arrival readiness.
IP: Prehospital Health Info Exchange
A.I. in EMS: Connects the Prehospital Ecosystem
Biometrics for Patient ID and
Matching. Digital triage tags.
• Finger, toe or eye.
• Reduced liability
• Shared confidence
• Stopgaps let hospitals gain
comfort with data quality
“Dynamic Patient Routing” Algos.
Patient Health Information Filters
Protect HIEs from Bad EMS Data
• Because Fire & EMS are the only
healthcare providers that must
accommodate unknown patients
PROPRIETARY & CONFIDENTIAL – DO NOT DISTRIBUTE. © 2018 by Beyond Lucid Technologies, Inc.
EMS Director Mag. Q3 2019
PROPRIETARY & CONFIDENTIAL – DO NOT DISTRIBUTE. © 2018 by Beyond Lucid Technologies, Inc.PROPRIETARY & CONFIDENTIAL – DO NOT DISTRIBUTE. © 2018 by Beyond Lucid Technologies, Inc.
U.S. Patent Application Serial No. 15/462,186
• What happened to occupants?
• Who was involved in the crash?
• Where do they need to go next?
• Who else needs to be notified?
• Health context of the occupants?
Multi-$B Market and Europe is well ahead of the U.S.
IMAGINE…Knowing who was involved in a crash
PROPRIETARY & CONFIDENTIAL – DO NOT DISTRIBUTE. © 2018 by Beyond Lucid Technologies, Inc.PROPRIETARY & CONFIDENTIAL – DO NOT DISTRIBUTE. © 2018 by Beyond Lucid Technologies, Inc.
IMAGINE…Knowing who was involved in a crash
• Airbag
• Location
• Velocity of Impact
• Nothing about the people involved
Standards that Make “EMS 2050” a Reality…Today
Patient record
Real-time data transfer
Patient tracking
“Connected”
Emergency
Incident
Response
Capture
Use
Lookup
PROPRIETARY & CONFIDENTIAL – DO NOT DISTRIBUTE. © 2018 by Beyond Lucid Technologies, Inc.
• Emergency responders
• Medical triage teams
• Patient’s family
• Nursing homes
• Company managers
• Legal-political-regulatory
• Public affairs
“S.V.’s Emergency Medical Technology Experts.”
PROPRIETARY & CONFIDENTIAL – DO NOT DISTRIBUTE. © 2018 by Beyond Lucid Technologies, Inc.
Jonathon Feit, MBA, MA• Co-Founder & Chief Executive
• Columnist for the Journal of EMS;
frequent contributor to EMS World
• Prior entrepreneurship experience and
MBA Intern, White House OMB
• Advocate for founders w/disabilities
Christian Witt, MBA• Co-Founder / President & CTO
• Developed helicopter wire detection A.I.,
and autonomous vehicles at Boeing
• MBA, Carnegie Mellon University
Dave Saylor, MEng• Chief Engineer & Head of Support
• Widely regarded as one of the foremost
experts on prehospital data in USA
• Double engineering degrees, MIT
Michael Onkst, NREMT-P,
CCEMT-P, FP-C
• Dir. Training & Process Improvement
• Creator of the Air Methods Multi-Disciplinary
Application (TAMMA)
• 15+ years Helicopter Critical Care
Thank you!
OWN THE “PREHOSPITAL PIPES”
BETTER DATA, FASTER
Jonathon S. Feit, MBA, MA
Co-Founder & Chief Executive
(650) 648-ePCR [3727]
Founded May 2009
HQ: Concord, CA