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Automated alerts for patient status changes en route

Purpose

1.1. Enable real-time monitoring of patient conditions in transit to hospitals or facilities.
1.2. Instantly notify responsible staff, care teams, and receiving facilities of critical status changes (e.g., vitals, consciousness, trauma alerts).
1.3. Facilitate preparation of receiving hospitals, enabling better resource allocation and immediate readiness.
1.4. Increase communication accuracy and response speed by auto-triggering alerts from ePCR or onboard telemetry systems.
1.5. Improve record-keeping and compliance by logging alert communications with timestamps and recipients.

Trigger Conditions

2.1. Patient vital sign deviation beyond preset thresholds (heart rate, oxygen, BP).
2.2. Change in patient consciousness or trauma severity classification.
2.3. Arrival at geographical checkpoints (e.g., on-scene, en route, near destination).
2.4. Manual intervention by an onboard medic using a digital form or app.
2.5. Integration event received from on-board diagnostic or patient monitoring devices.

Platform Variants


3.1. Twilio
• Feature/Setting: SMS/MMS API — Webhook triggers to send status texts to mobile numbers; configure messaging service SID, recipient, and alert body.
3.2. SendGrid
• Feature/Setting: Mail Send API — Automate outbound clinical alert emails; configure dynamic templates and recipient lists per incident type.
3.3. PagerDuty
• Feature/Setting: Events API v2 — Auto-generate incident and page on-call staff; map patient data to incident payload.
3.4. Slack
• Feature/Setting: Incoming Webhooks — Post alerts to dedicated #ems-alert channels; configure JSON payload for patient/event details.
3.5. Microsoft Teams
• Feature/Setting: Connector or Adaptive Card webhook — Push structured patient status updates to emergency Ops channels.
3.6. Discord
• Feature/Setting: Incoming Webhook — Send real-time alert messages for dispatch teams; set channel and JSON format.
3.7. WhatsApp Business API
• Feature/Setting: Messages endpoint — Deliver encrypted notifications to hospital staff numbers; configure message template and recipient.
3.8. Firebase Cloud Messaging
• Feature/Setting: Send Multicast API — Push instant mobile alerts to care app users; configure registration tokens and message data.
3.9. Apple Push Notification Service (APNS)
• Feature/Setting: Device token targeting — Send immediate iOS alert notifications for app-based monitoring staff.
3.10. Google Workspace Gmail
• Feature/Setting: Apps Script or API — Auto-compose and deliver clinical update emails upon incident triggers.
3.11. Webex
• Feature/Setting: Create Message API — Post automated status changes to care team spaces.
3.12. ServiceNow
• Feature/Setting: Incident API — Create or update incident record with incoming patient event; auto-notify response groups.
3.13. Salesforce Health Cloud
• Feature/Setting: REST API — Log status change and trigger custom workflow for patient intake teams.
3.14. Zendesk
• Feature/Setting: Ticket Create API — Open a support/medical ticket from alert data; assign to triage group.
3.15. Trello
• Feature/Setting: Card Create API — Auto-populate incident cards in emergency workflow boards.
3.16. Asana
• Feature/Setting: Task creation API — Add time-stamped critical patient update tasks for response teams.
3.17. HubSpot
• Feature/Setting: Workflow automation — Send alert email and create engagement log for each patient status event.
3.18. Atlassian Opsgenie
• Feature/Setting: Alert API — Create alert message for incident escalation to medical directors.
3.19. Microsoft Power Automate
• Feature/Setting: Flow automation — Monitor webhook or incoming data and dispatch alerts by email, SMS, app notification.
3.20. Zapier
• Feature/Setting: Multi-step workflow — Connect ePCR app or telemetry with alert platforms for multi-channel notification.

Benefits

4.1. Minimizes manual communication delays for status-changes while en route.
4.2. Ensures stakeholders receive the right data instantly, reducing errors and omissions.
4.3. Improves overall patient outcomes via faster hospital team mobilization.
4.4. Scales seamlessly for multiple vehicles and facilities with standardized workflows.
4.5. Logs serve audit and compliance needs for critical incident reporting.

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