Patient Emergency Response System

Abstract

An improved emergency response system is provided. The system includes a patient or subscriber location database having a schedule of patient or subscriber activities. In one implementation, an emergency services server detects when the patient or subscriber is having a possible medical event as indicated by medical physiologic data transmitted from a wireless communication device proximate the patient. A third party such as a technologist and/or doctor diagnoses the patient and determines whether treatment is required. If treatment is required, a phone located remotely from the patient is used to call an emergency services first responder from a public safety access point in the patient's location. The remotely located phone has an automatic location identification database record that is updated based on the patient's current location as indicate by the patient location database. The address information in the patient location database includes street number, building number, floor and room number information, if applicable, to ensure that first responders are directed to the patient's specific location. Other implementations of the emergency response system are also described, including natural disasters, home security, and travel applications.

1 . A system for providing emergency services to a patient with a medical condition, comprising:
 a phone located remotely from the patient;   an emergency services server programmed to generate an updated automatic location identification database record for the phone based on the patient's location.   
     
     
         2 . The system of  claim 1 , wherein the phone is a VoIP phone. 
     
     
         3 . The system of  claim 1 , wherein the emergency services server is programmed to generate a master street address guide address for the patient's location, and the updated automatic location identification database record includes the master street address guide address. 
     
     
         4 . The system of  claim 1 , wherein the emergency services server is programmed to generate an address for the patient's location, the address comprises a building street number, a city, and a state, and the updated automatic location identification database record includes the address for the patient's location. 
     
     
         5 . The system of  claim 1 , wherein the emergency services server is programmed to determine the patient's location based on a patient time-stamp. 
     
     
         6 . The system of  claim 5 , wherein the emergency services server is programmed to determine the patient's location by comparing the patient time-stamp to a plurality of database time entries corresponding to the patient and determining whether any of the plurality of database time entries corresponding to the patient are within a pre-selected time increment from the patient time-stamp. 
     
     
         7 . The system of  claim 5 , wherein the patient time-stamp corresponds to one selected from radiolocation coordinates and global positioning system coordinates transmitted by a wireless communication device proximate the patient.  5022 - 0002  PATENT 
     
     
         8 . The system of  claim 1 , wherein the address further comprises a building number. 
     
     
         9 . The system of  claim 1 , wherein the address further comprises a room number. 
     
     
         10 . The system of  claim 1 , further comprising a patient location database comprising a plurality of database time entries and a plurality of database patient locations, wherein each of the database time entries corresponds to a patient, and each database patient location corresponds to a database patient time entry. 
     
     
         11 . The system of  claim 1 , wherein the patient time stamp is received from the patient or a time at which medical data is received from the patient. 
     
     
         12 . The system of  claim 1 , further comprising a treatment facility database including a plurality of database treatment facilities, and database treatment facility locations, database treatment facility services, and database treatment facility schedules corresponding to each of the database treatment facilities. 
     
     
         13 . The system of  claim 12 , wherein the emergency services server is programmed to select a database treatment facility from the treatment facility database based on at least one selected from the group consisting of the patient's location, database treatment facility locations, the patient's medical condition, and a time-stamp received from the patient. 
     
     
         14 . The system of  claim 12 , wherein the database treatment facility services for at least one of the database treatment facilities comprises surgical services. 
     
     
         15 . The system of  claim 14 , wherein the surgical services include cardiac catheterization services. 
     
     
         16 . The system of  claim 12 , wherein the database treatment facility schedule for at least one of the database treatment facilities includes a physician on-call schedule. 
     
     
         17 . The system of  claim 12 , wherein the emergency services server is programmed to calculate a distance between a patient location and a database treatment facility location. 
     
     
         18 . The system of  claim 1 , further comprising a work station comprising a display, wherein the display selectively displays one or more database patient locations, and when a user selects a displayed database patient location, the emergency services server generates an updated automatic location identification database record based on the selected database patient location. 
     
     
         19 . The system of  claim 1 , wherein the emergency services server is configured to receive medical physiologic data from a patient sensor. 
     
     
         20 . The system of  claim 1 , wherein the emergency services server is programmed to identify the occurrence of a medical event based on received medical physiologic data from a patient sensor and reference medical physiologic data, and the system further comprises a display that selectively displays a message indicating the occurrence of the medical event. 
     
     
         21 . A system for providing emergency services to a patient with a medical condition, comprising:
 a phone having an associated automatic location identification database record, wherein the automatic location identification database record contains location information for the phone;   a patient location database, comprising database patient identity information for a plurality of patients and one or more database patient locations for each patient from among the plurality of patients;   an emergency services server, wherein the emergency services server is programmed to determine a patient location based on preliminary patient location information, database patient identity information, and the one or more database patient locations corresponding to the patient, and wherein the emergency services server generates an updated automatic location identification database record for the phone based on the determined patient location or a user-entered patient location.   
     
     
         22 . The system of  claim 21 , wherein the emergency services server is programmed to generate a master street address guide address for the patient's location, and the updated automatic location identification database record includes the master street address guide address. 
     
     
         23 . The system of  claim 21 , wherein the preliminary patient location information comprises a time-stamp corresponding to one selected from radiolocation coordinates and global positioning system coordinates transmitted by a patient. 
     
     
         24 . The system of  claim 21 , wherein the preliminary patient location information comprises a time-stamp corresponding to a time at which medical data is received from the patient. 
     
     
         25 . The system of  claim 21 , wherein the patient location database comprises a plurality of database time entries, and each of the one or more database patient locations corresponds to a database time entry. 
     
     
         26 . The system of  claim 21 , wherein the phone is located remotely from the one or more database patient locations. 
     
     
         27 . The system of  claim 21 , wherein the phone is a VoIP phone. 
     
     
         28 . The system of  claim 21 , further comprising a treatment facility database including a plurality of database treatment facilities, and database treatment facility locations, database treatment facility services, and database treatment facility schedules corresponding to each of the database treatment facilities. 
     
     
         29 . The system of  claim 28 , wherein the emergency services server is programmed to select a database treatment facility from the treatment facility database based on diagnostic information, and a location specified by an updated automatic location identification database record. 
     
     
         30 . The system of  claim 29 , wherein the emergency services server is programmed to calculate a distance between a location specified by the updated automatic location identification database record and the location corresponding to the selected treatment facility. 
     
     
         31 . The system of  claim 21 , wherein the patient location database includes one or more proscribed locations for each patient. 
     
     
         32 . The system of  claim 21 , wherein the emergency services server is programmed to identify the occurrence of a medical event based on received medical physiologic data transmitted by a patient and reference medical physiologic data, and the system further comprises a display that selectively displays a message indicating the occurrence of the medical event. 
     
     
         33 . The system of  claim 32 , wherein the medical event is one or more selected from acute coronary syndrome, myocardial ischemia, myocardial infarction, cardiac arrhythmia, syncope, congestive heart failure, pulmonary edema, stroke, transient ischemic attack, elevated intracranial pressure, seizure, and carbon monoxide poisoning., 
     
     
         34 . The system of  claim 32 , wherein the medical physiologic data comprises at least one selected from ECG data, implantable cardioverter defibrillator data, blood vessel impedance data, intra-cardiac pressure sensor data, ultrasound data, intracranial pressure sensor data, pulse oximetry data, co-oximeter sensor data, light absorbance data, glucometer data, EEG data, and endovascular graph sensor data. 
     
     
         35 . The system of  claim 21 , wherein the emergency services server is programmed to calculate a percent accuracy for the determined patient location based on a plurality of previously determined patient locations and a plurality of corresponding confirmed patient locations. 
     
     
         36 . The system of  claim 21 , wherein the emergency services server is programmed to determine at least one of a distance and a transit time between the patient and a transfer destination. 
     
     
         37 . The system of  claim 21 , wherein the emergency services server is configured to receive patient identity information and corresponding coordinates for a plurality of patients, and the coordinates are selected from the group consisting of radiolocation coordinates and global positioning system coordinates. 
     
     
         38 . The system of  claim 21 , further comprising a mobile wireless communication device configured to transmit patient identity information to the emergency services server. 
     
     
         39 . The system of  claim 38 , further comprising at least one medical diagnostic device configured to transmit medical physiologic data to the mobile wireless communication device. 
     
     
         40 . The system of  claim 21 , wherein the preliminary patient location information comprises a patient time-stamp, the patient location database comprises one or more database time entries each corresponding to a database patient location, and if the patient time-stamp is within a pre-selected time increment from one or more of the patient's database time entries, the determined patient location is set to a database patient location that corresponds to one of the patient's one or more database time entries. 
     
     
         41 . The system of  claim 40 , wherein the pre-selected time increment is about 45 minutes. 
     
     
         42 . The system of  claim 40 , further comprising a user display, wherein the patient's database time entries and corresponding database patient locations are selectively shown on the display. 
     
     
         43 . The system of  claim 42 , wherein when a user selects one of the displayed database patient locations, the server generates an updated an updated automatic location identification database record for the phone which corresponds to the selected displayed location. 
     
     
         44 . The system of  claim 21 , wherein the preliminary patient location information comprises a patient time-stamp, the patient location database comprises one or more database time entries each corresponding to a scheduled transfer of the patient to a database destination location, and the determined patient location is set to a database destination location that corresponds to one of the patient's database time entries which is within a pre-selected time increment from the patient time-stamp. 
     
     
         45 . The system of  claim 21 , wherein when a designated emergency services phone number is entered into the phone, a call is placed to a public safety access point corresponding to the location defined by the updated automatic location identification database record. 
     
     
         46 . A method of providing improved emergency services, comprising:
 receiving a patient's medical physiologic data indicating the occurrence of a medical event;   determining the patient's location; and   updating an automatic location identification database record for a phone based on the patient's location, wherein the phone is located remotely from the patient's location.   
     
     
         47 . The method of  claim 46 , further comprising entering a predetermined emergency services number into the phone, thereby placing a call to a public safety access point corresponding to the updated automatic location identification database record. 
     
     
         48 . The method of  claim 46 , wherein the phone is a VoIP phone. 
     
     
         49 . The method of  claim 46 , wherein the step of updating an automatic location identification database record for a phone based on the patient's location comprises determining a master street address guide address for the patient's location. 
     
     
         50 . The method of  claim 46 , further comprising contacting the patient to confirm the patient's actual location 
     
     
         51 . The method of  claim 46 , wherein the step of determining the patient's location comprises determining the patient's location based on a patient time-stamp corresponding to one selected from radiolocation coordinates and global positioning system coordinates. 
     
     
         52 . The method of  claim 51 , wherein the step of determining the patient's location comprises determining if the patient's time-stamp is within a pre-selected time increment from a database time entry corresponding to the patient. 
     
     
         53 . The method of  claim 46 , wherein the step of determining the patient's location comprises determining the patient's location based on a patient time-stamp corresponding to a time at which medical data is received from the patient. 
     
     
         54 . The method of  claim 46 , further comprising selecting a treatment facility based on at least one selected from the group consisting of the patient's location, facility location information, the patient's medical condition, and a time stamp corresponding to one selected from radiolocation coordinates and global positioning system coordinates. 
     
     
         55 . The method of  claim 54 , wherein the step of selecting a treatment facility comprises accessing a treatment facility database, and the treatment facility database comprises a plurality of database treatment facilities, and database treatment facility locations, database treatment facility services, and database treatment facility schedules corresponding to each of the database treatment facilities. 
     
     
         56 . The method of  claim 54 , wherein the step of selecting a treatment facility comprises calculating a distance from the patient's location to the treatment facility locations for a plurality of treatment facilities in the treatment facility database. 
     
     
         57 . The method of  claim 46 , further comprising calculating a predicted accuracy for the step of determining the patient's location. 
     
     
         58 . The method of  claim 46 , further comprising comparing the patient's received medical physiologic data and comparing it to reference medical physiologic data to determine the occurrence of the medical event. 
     
     
         59 . A method of determining a patient's location, comprising:
 providing a patient time-stamp;   providing a schedule of patient activities, the schedule comprising a plurality of scheduled times, each scheduled time corresponding to a scheduled location, and each scheduled location comprising a master street address guide location;   receiving a preliminary location for the patient; and   selecting a scheduled location based on the time-stamp and the preliminary location.   
     
     
         60 . The method of  claim 59 , wherein the step of selecting a scheduled location based on the time-stamp and the preliminary location comprises selecting a first scheduled time, the first scheduled time is within a selected time increment from the time-stamp, and the first scheduled time corresponds to a first scheduled location. 
     
     
         61 . The method of  claim 60 , wherein the first scheduled location is within a selected distance from the preliminary location. 
     
     
         62 . The method of  claim 60 , wherein the selected distance is no greater than about  600  meters. 
     
     
         63 . The method of  claim 60 , wherein the step of selecting a scheduled location based on the patient time-stamp and the preliminary location further comprises selecting a second scheduled time, the second scheduled time is within the selected time increment from the patient time- stamp, and the second scheduled time corresponds to a second scheduled location. 
     
     
         64 . The method of  claim 59 , further comprising determining at least one probability that the patient is at the scheduled location based on at least the patient time-stamp and the preliminary location. 
     
     
         65 . The method of  claim 64 , wherein the step of determining at least one probability that the patient is at the scheduled location comprises determining a plurality of probabilities that the patient is at the scheduled location, wherein each probability corresponds to a distance between the preliminary location and the scheduled location. 
     
     
         66 . The method of  claim 59 , wherein the step of providing a patient time-stamp comprises receiving a time-stamp transmitted by a wireless communication device proximate the patient. 
     
     
         67 . The method of  claim 59 , wherein the step of providing a patient time-stamp comprises determining a time at which medical data is received from the patient. 
     
     
         68 . A method of providing emergency services to a patient comprising:
 determining the patient's location in accordance with the method of  claim 59 ; and   dispatching a medical services provider to the selected scheduled location.   
     
     
         69 . The method of  claim 68 , wherein the step of dispatching a medical services provider to the selected scheduled location comprises updating an automatic location identification record for a phone based on the selected scheduled location, and the phone is remotely located from the patient. 
     
     
         70 . The method of  claim 69 , wherein the step of dispatching a medical services provider to the selected scheduled location comprises entering an emergency services phone number into the phone such that a call is placed to a public safety access point corresponding to the location defined by the updated automatic location identification database record. 
     
     
         71 . The method of  claim 68 , further comprising selecting a treatment facility based on at least one selected from the group consisting of the selected scheduled location, facility location, the patient's medical condition, and the patient time-stamp. 
     
     
         72 . The method of  claim 71 , wherein the step of selecting a treatment facility comprises calculating a distance between the selected scheduled location and the facility location.