The document proposes FirstSix, a platform that crowdsources emergency medical services by leveraging trained medical professionals nearby when someone calls 911. It aims to improve low survival rates from cardiac arrest by providing faster response times than traditional ambulances. FirstSix's mobile app would allow 911 operators to see and dispatch the nearest certified responders to deliver initial care while awaiting paramedics, potentially saving more lives threatened by traffic or other response delays. The founders have healthcare and technology experience to build and launch such a system nationally.

1. Bowei Hao
boweihao@gmail.com
Levey Hao
leveyhao@gmail.com

2. The first six minutes after a person goes into
sudden cardiac arrest will ultimately
determine life or death. However, across
the nation’s 50 largest cities, less than 10%
of savable lives are actually saved.
FirstSix aims to improve survival rates by
crowdsourcing emergency medical
services (EMS) to the millions of trained
healthcare professionals who walk among
us each day

3.  EMS response rates in most major US
cities are too slow (5 – 13 min)
 This results in far too many deaths that
could have otherwise been saved
 Slow response rates are often caused by
trivial problems such as traffic
congestion, ambulance turf wars

4. Imaging the following situation taking place taking place in
a large urban city:
 A young college age student and accomplished runner is out
for a jog on a summer’s evening and collapses on a busy
street corner
 Bystanders immediately rush to her side and call 9-1-1
 9-1-1 Operator dispatches an ambulance from a nearby
firehouse
 Given the rush-hour traffic, the ambulance is slowed as the
patient’s life slowly ticks away
 12 minutes pass before paramedics reach her and
connected a defibrillator to her heart, but by then it was too
late, she was dead

5.  Leverage the millions of physicians,
nurses, and other trained medical
professionals across the US to become
the first responders
 Geolocation via smart phone allows
integrated 911 personnel to see and
dispatch the nearest available first
responder in addition to traditional EMS

6. Now imaging the situation above taking place in a world with
FirstSix:
 A young college age student and accomplished runner is out for a jog
on a summer’s evening and collapses on a busy street corner
 Bystanders immediately rush to her side and call 9-1-1
 9-1-1 Operator dispatches an ambulance from a nearby firehouse
 Additionally, the operator is able to see on her system that there are 3
FirstSix pre-certified first responders within a 3 block radius of the fallen
patient
 The operator dispatches the closest FirstSix first responder to the scene
 While the ambulance is stuck in traffic, the FirstSix first responder arrives
at the scene and is able to deliver CPR to the patient and helps to
triage the situation while awaiting professional paramedics
 The ambulance arrives to transport the patient to the nearby hospital
for further treatment
 A life is saved

7.  Over 10 million emergency medical calls are received
each year in major US cities
 The average reported response time from Emergency
Medical Technicians (EMT) ranges anywhere from 5 min
– 15 min
 The American Heart Association estimate that with
each 1 min passed, chances for heart attack survival
are decreased by 10%
 Just from sudden heart attacks, over 75,000 savable
lives are lost each year due to slow response
 Millions more suffer prolonged symptoms that could
have been prevented

8. $60 - $250 Variable
per case per case
FirstSix responders FirstSix bills Payors as a FirstSix reimburses the
delivers care to patients house call/home visit responders per case

9. First Responder View Emergency Dispatch View
9 First Responders
within 0.5 mile
radius
Integrated
system: Simply
Click to call

10. Bowei Hao
Co-Founder
6+ years experience in healthcare
ranging from management consulting,
provider and health plan strategy,
healthcare innovations and IT
Levey Hao
Co-Founder
Distinguished engineer who graduated in
the top 3% of his class at UC Berkeley.
Experience in web design and mobile
development. Worked at Amazon.com and
Microsoft