APP helps EMTs alert hospitals

For emergency medical technicians, every bit of information can be the difference between life and death.

A MassChallenge finalist called Twiage has developed a mobile app that can help. With just the touch of a button or voice-activated Google Glass, EMTs can use the app to send hospitals videos of patients and any injuries, voice memos with their symptoms and vital signs, and electrocardiograms, or EKGs, a test that checks for problems with the electrical activity of the heart.

All of the information is then pre-transcribed on a dashboard for doctors and nurses to see before patients arrive at the hospital.

"With a two-way radio, 20 percent of the time the hospital couldn't hear what I was saying, so they couldn't prepare for the patient until we arrived," said Crystal Law, an MIT-trained engineer and former EMT. "I thought, what if we could use the technology people use today for fun, for something as important as an emergency?"

Law teamed up with Dr. YiDing Yu, a Harvard physician, and John Rodley, an Android and Google Glass developer, to found Twiage, one of 128 finalists now competing for a share of more than $1 million in prize money through the MassChallenge start-up accelerator.

For the past two months, the app has been tested by South Shore Hospital and three paramedics, with plans to expand it to more, said Eugene Duffy, emergency medical services manager.

"It's been fantastic," Duffy said. "The quality of information coming from ambulances now is second to none."

Dr. William Tollefsen, the hospital's medical director of emergency medical services, said Twiage has proven especially useful in cases such as acute stroke, where doctors have only a 4 1⁄2-hour window from the time a patient was last seen normal to administer a "clot-busting" drug to prevent damage such as loss of speech or the ability to walk.

"The faster I can get information like the severity of the symptoms and the last time the patient appeared normal, the faster I can activate a neurologist, nurses and a pharmacist," Tollefsen said. "It can make all the difference between a good outcome and results that can be catastrophic."

Twiage also can save hospitals thousands of dollars in false alarms and save patients and their insurers thousands more in unnecessarily long hospitalizations, Law said.

Advance notification of a stroke, for example, can allow hospitals to prepare and reduce the cost of hospitalization by half, or by $10,000, said Dr. Yu, Twiage's chief medical officer.

Twiage will be offering the app to five other hospitals through the end of this year, Law said, and it will be available to all hospitals for a subscription fee by next summer.

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