Technology, telehealth, and more appropriately aligned patient navigation can help emergency medical services to be more efficient. Also, how can we get better use of Automatic External Defibrillators (AEDs) using new technologies? How can we inform citizens about where to find an AED and how to use it? You will hear from experts on these matters in this session. Chair: Dieter Nuessler, Vice President, EENA

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EENA 2019 Conference Track
Interactive AEDs:
Do we need to Rethink the 112 Services Chain?
Markus Bornheim
Avaya International Practice Lead – Public Safety and Emergency Services
Vice Chair EENA Technical Committee
bornheim@avaya.com and mb@eena.org

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Session Overview
Interactive AEDs:
Do we need to Rethink the 112 Services Chain?
Baseline: Emergency Services Chain by EENA
What is an “Interactive” AED?
• AED Device Status Update Capability
• Network Connectivity
• Realtime Communication Capability
Smart Cities and Smart Emergency Services
Emergency Services Chain “Re-constructed”?

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Standard Emergency Services Chain (by EENA)
In the center of interest: Providing help to the caller
Reception of the call
Reach an available call-taker
Data
Collection
Case
Classification
Dispatch
appropriate resources
Call Taking & Dispatching in the PSAP
CAD-supported activities
Intervention,
rescue and care
PSAP
Public Safety
Answering Point
Call well-known
Emergency Number

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Definition of “Interactive” for this Session
What is an Interactive AED?
…but
we focus on interaction
enabled by the
AED‘s capabilities to
communicate with
the outside world through
network connectivity
IoT
Internet of
Things and
Smart City
We are
not
looking at the AED’s
built-in features
to interactively
guide the user...

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PSAP
112
CAD
CAD
DB
AED in idle-mode
Interactive Elements within an AED for Status Updates
What is an Interactive AED?
Status Updates
• Proactive maintenance
• Functions properly
Status:
OK
AED Resource
Status updated
Battery
Empty
=#2=#3

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AED in active use
PSAP
112
CAD
CAD
DB
Interactive Elements within an AED for Status Updates
What is an Interactive AED?
Status Updates
AED Resource
Status updated
• Housing opened
• AED “off-hook”
• Panels loaded
• Patient shocked
(count)
AED:
Active
AED:
Ready
AED:
Shock =#1=#2=#3
Housing:
Door Open

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How the AED Connects to the PSAP?
PSAP
112
CAD
CAD
DB
Housing
AED

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IoT Radio Technologies
Optimized for SmartCity Applications
How the AED Connects to the PSAP?
PSAP
112
CAD
CAD
DB
Housing
AED
Telephone
Ethernet
WiFi
3G/4G/5G
WiFi
3G/4G/5G
Technology
Rating
to connect AEDs to PSAPs
Effort
Connectivity
low effort to
implement
high effort to
implement
high bandwidth
for connections
low bandwidth
for connections

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IoT Radio Technologies
Optimized for SmartCity Applications
How the AED Connects to the PSAP?
PSAP
112
CAD
CAD
DB
Housing
AED
Telephone
Ethernet
WiFi
3G/4G/5G
WiFi
3G/4G/5G
E C
E C
E C
E C
E C
LoRaWAN
Sigfox
E C

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Achievements Connecting AEDs to PSAPs?
PSAP
112
CAD
CAD
DB3G/4G/5G3G/4G/5G
LoRaWAN
Sigfox

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Achievements Connecting AEDs to PSAPs?
PSAP
112
CAD
CAD
DB3G/4G/5G3G/4G/5G
LoRaWAN
Sigfox
Status message and status update visible in PSAP
Immediate Influence on
the Emergency Service Chain
1. Instant feedback on AED activity for PSAP staff to
control and guide (Community) First Responders activities
2. Showing potential to replace phone call to alarm PSAP
as an IoT call in a Smart City context

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Staying in Touch During CPR and Defibrillation
Control and Guidance Through Interactive AEDs
PSAP
CAD

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Staying in Touch During CPR and Defibrillation
Control and Guidance Through Interactive AEDs
PSAP
CAD
AED Shock
Door Open
AED Active
AED Ready
AED Shock
AED Resource
Control Panel
AED Shock

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Staying in Touch During CPR and Defibrillation
Control and Guidance Through Interactive AEDs
PSAP
CAD
Door Open
AED Active
AED Ready
AED Shock
AED Resource
Control Panel
AED Shock
Door Open
AED Active
AED Ready
AED Shock
AED Resource
Control Panel
AED Shock

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Staying in Touch During CPR and Defibrillation
Control and Guidance Through Interactive AEDs
PSAP
CAD
AED Shock
Door Open
AED Active
AED Ready
AED Shock
AED Resource
Control Panel
AED Shock
Hand #1
on the phone
Hand #2
did carry AED

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Staying in Touch During CPR and Defibrillation
Control and Guidance Through Interactive AEDs
PSAP
CAD
AED Shock
Door Open
AED Active
AED Ready
AED Shock
AED Resource
Control Panel
AED Shock
Hand #1
on the phone
Communication
disrupted!
Hand #1 + #2
needed on AED panels

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Staying in Touch During CPR and Defibrillation
Control and Guidance Through Interactive AEDs
PSAP
CAD
AED Shock
Door Open
AED Active
AED Ready
AED Shock
AED Resource
Control Panel
AED Shock
Communication
disrupted!
Hand #1 + #2
needed on AED panels
Handsfree
communication
unit in AED

18. © 2019 Avaya Inc. All rights reserved. 18
Staying in Touch During CPR and Defibrillation
Control and Guidance Through Interactive AEDs
PSAP
Door Open
AED Active
AED Ready
AED Shock
AED Resource
Control Panel
AED Shock
CAD
Realtime
Voice traffic
Non-realtime
Data Traffic
3G/4G/5G
3G/4G/5G
LoRaWAN
Sigfox

19. © 2019 Avaya Inc. All rights reserved. 19
Achievements Connecting AEDs to PSAPs?
PSAP
112
CAD
CAD
DB3G/4G/5G3G/4G/5G
LoRaWAN
Sigfox
Status message and status update visible in PSAP
Immediate Influence on
the Emergency Service Chain
1. Instant feedback on AED activity for PSAP staff to
control and guide (Community) First Responders activities
2. Showing potential to replace phone call to alarm PSAP
as an IoT call in a Smart City context
2. Showing potential to replace phone call to alarm PSAP
as an IoT call in a Smart City context

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Smart Emergency Services with IoT-based Emergency Calls
Intelligent AED in Smart Cities
What are the
Characteristics
of an IoT
Emergency “Call”?
• Arrives at the PSAP as a Call
• Adds more Media to the Call
• Delivers Context
(Location and
Additional Data)
• Enables multi-modal
bi-directional interaction

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Smart Emergency Services with IoT-based Emergency Calls
Intelligent AED in Smart Cities
• Citizen takes AED off the wall
AED-initiated “Call”:
PSAP
Door O pen
A ED Active
A ED Ready
AED Resource
Control Panel
A ED Shock• AED “calls” 112 PSAP
• Call Taker …
… picks up the “call”
… receives location information
… controls citizen interaction
… receives AED status updates
… provides guidance through
voice communication
A ED Shock

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• PSAP receives
location information
Citizen calls 112:
Smart Emergency Services with IoT-based Emergency Calls
Intelligent AED in Smart Cities
PSAP

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• PSAP receives
location information
Citizen calls 112:
• Citizen reports Cardiac Arrest
Smart Emergency Services with IoT-based Emergency Calls
Intelligent AED in Smart Cities
PSAP
MED
Cardiac Arrest
1

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• PSAP receives
location information
Citizen calls 112:
• Citizen reports Cardiac Arrest
• Call Taker points to closest AED
Smart Emergency Services with IoT-based Emergency Calls
Intelligent AED in Smart Cities
PSAP
AED
AED

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• PSAP receives
location information
Citizen calls 112:
• Citizen reports Cardiac Arrest
• Call Taker points to closest AED
… in 112 App
… in HTML5 Geolocation
Web Application
AED
Smart Emergency Services with IoT-based Emergency Calls
Intelligent AED in Smart Cities
PSAP

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• PSAP receives
location information
Citizen calls 112:
• Citizen reports Cardiac Arrest
• Call Taker points to closest AED
… in 112 App
… in HTML5 Geolocation
Web Application
AED
Smart Emergency Services with IoT-based Emergency Calls
Intelligent AED in Smart Cities
PSAP
MED
Cardiac Arrest
1
… or using Smart City
Digital Signage
20m
AED
Smart Cities
introducing Smart
Emergency Services

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Enhanced Emergency Services Chain (by EENA)
Reception of the call
Reach an available call-taker
Data
Collection
Case
Classification
Dispatch
appropriate resources
Intervention,
rescue and care
PSAP
Public Safety
Answering Point
Call well-known
Emergency Number
AEDs can raise the
emergency call
AEDs can be seen as a
dispatchable Resource
AEDs can actively support the onsite intervention
through surveillance and communication

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Interactive AEDs – Conclusion
Do we need to rethink the 112 Services Chain?
No need to completely re-think the Emergency Services Chain,
but opening it for innovation will be very valuable !
Interactive AED-centered communication to the PSAP has the potential to ...
... speed up emergency notification by monitoring AED Status
... better support citizens in managing emergency situations
Interactive AED-centered communication can be embedded into Smart City concepts
Needs a well thought-through end-to-end communication concept, including all aspects of ...
... Networks and Connectivity
... Processes and Automation

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Group „Emergency Engagement 4.0“
https://www.linkedin.com/groups/8516305
Markus Bornheim – Personal Profile
http://www.linkedin.com/in/markusbornheim
@m_bornheim
http://www.eena.org/pages/technical-committee-members
EENA
Vice Chair
EENA Committee
Channel „Emergency Engagement 4.0“
https://www.youtube.com/channel/UC9Fht_SvF0Au38RHc2wQjg
Markus Bornheim
Avaya International Practice Lead Public
Safety & Emergency Services
bornheim@avaya.com
+49 69 7505-6213
Theodor-Heuss-Allee 112 60486 Frankfurt

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Thank you