Skyaid White Paper: Overview
(There also will be overviews for doctors, gift givers, high risk people,
people who have already had a stroke, parents (SIDS), etc,.)
Save 100,000 lives per year around the globe
+ reduce disability (primarily from stroke)
Medical conditions are listed below under Medical
Phase I LifeWatch ->Skyaid Watch emergency
call for help - 2002
Phase II Skycar emergency response 2005
10 types of emergencies perhaps embed the chart here
Core features and backup of each feature
Varied audience to write for: potential: donor, trustee, participant, gift
giver:
Medical
Stroke (Brain Attack)
What it is people often ignore symptoms and
thus can not get time-critical treatment
# 3 cause of death, probably #1 cause of disability
a stroke outside of the brain is an embolism
3rd cause of adult death in virtually all countries
Currently 700,000 strokes annually in US
28% of strokes are under age 65 (NSA)
Treatment in the first 2 hours can reduce
damage (JAMA, etc) and save lives
Cooling while on trip to critical care center
has been shown to reduce mortality by 2X
Simple test can determine stroke & thus
allow reduction of brain damage before getting to hospital
Strokes cost $93,000 in US (society,
insurance, personal)
Skyaid opportunity to lobby to change
policies and add cooling
ITA is typically a stroke which cleared
itself
ITA should be an alarm to make changes so as to avoid an almost certain
subsequent stroke
Sudden Cardiac Arrest
SCA what it is,
SCA gives no warning or previous indication
SCA is not a heart attack
Must defibrillate SCA within 5 minutes
17% of all deaths US & global?
xx % of SCA are under age 65 with no prior
indication
0.1% of people under age 65 die each year of
SCA
Increases to 0.27% of people aged 65-74
% of SCA deaths which Skyaid can help
Options after survive a SCA
Heart Attack
What it is: #1 cause of death of most adults
around the globe
2 hours
xx % of heart attacks are under age 65
% of deaths which we can help Skycar
Risk factors are generally shared by
SCA(Sudden Cardiac Arrest), Heart Attack, Stroke
Disability from Stroke, etc,
Stroke: 1/3 die within 1 year, 1/3 disabled for life, 1/3 recover eventually
DALY = Daily Adjusted Life Year: defined,
described
Quality of Life vs cost with airbags
Denial
Staged technology development
Stage 1: LifeWatch ->Skyaid Watch
emergency call for help
Principal LifeWatch ->Skyaid Watch
function: monitor heart rate and automatically send request for help
Panic buttons for other emergencies
Very easy to use, very very low false alarm
rate
Simple GPS + Radio communications - might
only cost $100
Radio meteor burst communication has complete
coverage in a 100 mile region with a single base station
Radio message is sent to central facility,
which alerts the emergency organization in that GPS location
Emergency Medical Services (EMS) can find the
LifeWatch ->Skyaid Watch wearer by two methods
1)
EMS can carry a microphone tuned to hear the beeping LifeWatch
->Skyaid Watch from 500 away
2) GPS tells EMS location within 10
meters, even approximate floor within a building
Voice mail provides a reason to wear the LifeWatch ->Skyaid Watch every
day
Additional possible LifeWatch ->Skyaid Watch uses
Alzheimer no heart rate monitoring
needed
Elderly fall and can not call for help
Crime in progress
Guard, policeman
Use in hospital no GPS or RF needed
Track forest fire fighters no heart rate monitoring needed
Sudden Infant Death Syndrome
(SIDS)
LifeWatch ->Skyaid Watch should be able to alert parent when infant
heart stops
Detect stroke which occur in sleep (approx 30% of all strokes) and awaken
the victim
Confirm stroke likely to be in progress (open to liability of not
identifying a stroke= false negative)
Seizure (preset LifeWatch ->Skyaid Watch to make a call if feel seizure
might be coming on)
Worst case RF design: LifeWatch ->Skyaid
Watch too weak, and can only transmit to a near-by repeater
Repeater with stronger transmitter and larger antenna would communicate
with the base station.
Repeater could be portable, carried by an individual, or could be shared in
an office, apartment complex, etc.
Stage 2: Skycar
Fast: 360 MPH
Take off and land anywhere
Probably hover above city so as to improve response time by 2 minutes
Arrive in less than 5 minutes for Sudden Cardiac Attack
Deliver heart attack and stroke victims to regional critical care centers
in less than 1 hour
Have a subset of Emergency Medical Services equipment on the Skycar
Skycar alternate uses
Get to hospital for non-emergencies allows rich and elderly to live a
long way from hospital
House fire can carry foam fire fighting equipment on board see LA map
General air taxi for commuting, recreation (More than $10 billion a year in
Skycar sales)
Organizational development,
deployment of Skyaid
Communication
Work with local emergency medical providers
Extend lives, reduce
disability
Regions with 9-1-1
(added on)
LifeWatch ->Skyaid
Watch (no Skycar)
Reduce
911 response time by about 2 minutes
This saves 20% of the SCA victims (10% die per minute)
Reduce
response time more than 2 minutes in when there are no telephones or
cell-phones available or cell phone is unable to able communicate
LifeWatch ->Skyaid
Watch + Skycar
Adding
Skycar reduces response time so as to greatly increase lives saved from SCA
65% anywhere in world
vs. 6% in 9-1-1 and < 1% in areas without 911 (including non-urban US)
Eliminates
traffic delays in emergency response
Still
unable to help SCA which occur in tall buildings (same for all solutions)
It takes too many minutes for EMS to get to the correct floor
Skycar only
Majority will not have the gift of life (LifeWatch ->Skyaid Watch)
Still have delay before dispatch but have faster response
No response to un-witnessed SCA without the LifeWatch ->Skyaid Watch
Regions without 9-1-1
LifeWatch ->Skyaid Watch
Unable to respond quickly enough for most SCA
typically no fast response EMS currently, but Skyaid MIGHT enable the
creation of a market
LifeWatch ->Skyaid Watch + Skycar
Optimal survival: 65% SCA, xx% stroke, yy% heart attack
Skycar only (subsidized)
Very useful for getting to critical care center in less than 2 hours
Who might wear a LifeWatch ->Skyaid Watch
(as a gift?)
Person with moderate to high risk factors for
HA, Stroke, SCA
People who need assistance: elderly,
children, disabled
Global death and disability 2020
Trends: child deaths down by 2020, being
replaced by Heart Attack and Stroke
Cause of adult death now: Heart Attack #1,
Stroke #3 worldwide
China deaths of auto each year, deaths for pollution
Heart Attack, SCA, and Stroke are much larger
causes of death and disability than:
Auto
SCA is similar to auto accident in that it is more of a surprise than war,
cancer, AIDS
War Vietnam 5,000 US deaths/year, WWII 60,000 US deaths per year
AIDS
Skyaid cost per life saved or disability life year saved (DALY) is much
less than:
Air bags
Drug overdose
AHA campaign
Cost per life?
Generally $50 per DALY saved (similar to
programs now financed by the Gates Foundation)
Insurance to pay for longer EMS ride to critical care center is possible
Pay ambulance/EMT to go to a (probably distant) critical care center (or
pay for Skycar)
Distant because expensive to set up and the critical care center may
only get used once a week in a typical hospital and there are often
much higher priorities
Trips to distant hospitals not currently paid by US insurance companies nor
Medicare
Are longer emergency trips paid for outside of the US?
Funding of Skyaid Organization and service
Foundations and
donations
Installation and use of the Skyaid service
1) Paid by taxes
Especially if there is an existing emergency medical service
Skycar service only $2/year if totally
supported by taxes
Less if LifeWatch ->Skyaid Watch users subscription subsidizes Skycar
2) Paid by subscription
LifeWatch ->Skyaid
Watch + (travel insurance /later Skycar) $1 per day
Decreases SCA survival by 3X
Decreases considerably aid for
falling down, crime in process, drug overdose
Decreases somewhat protection
for fire, rural emergency,- assuming cell-phones
Eliminates possibilities for SIDS, prediction of Heart Attack, wakeup-call
during stroke while asleep, setting pre-call for seizure
Does not decrease chance of
surviving heart attack or brain attack
Even if person is very far from urban center, but has some telephone
connection the lack of LifeWatch ->Skyaid Watch would only add 10-20 minutes
to time to get to critical care center
Skycar-only 50 cents per
day in US (no LifeWatch ->Skyaid Watch)
Subscription can subsidize
Development of Skycar and infrastructure
Those unable to pay perhaps free Skyaid service without LifeWatch
->Skyaid Watch
Startup of Skycar in specific regions
Telephone rates subsidized the rural telephone users.
Probably lower rates in countries with low salaries
Worldwide 10% of household income goes to medical
This is much better than both key man
insurance and Life Insurance
Insurance only pays on loss of life, and does not actually support life
Example: Seattle $7 million per year for a
Skycar system to respond to 1,000 SCA and provide 5,000 flights to Critical
Care Centers for Heart & Stroke
Seattle type system could be paid for $1/day from 20,000 subscribers - without needing any tax
Skyaid might aid in seting up regional emergency medical operation and
communication system
3) Paid partially by insurance
Insurance payment could be a component of both solutions 1& 2
Future not anticipated for at least 5 years
4) Bet your life
Not pay unless actually use the service.
Not likely without insurance
Status of Skyaid, Skycar, LifeWatch ->Skyaid
Watch, etc.
Non-profit
US IRS sent in paperwork Oct 6, 2000
Expect that IRS paperwork will completed by the end of Dec
Washington State awarded July 20, 2000
It is fairly easy to register in a state when the amount of donations
received from that state exceed some amount such as $10,000
LifeWatch ->Skyaid Watch
Prototyped by Seiko in 1999 Seiko appears to
be not interested in further development
Sieko patented a watch to monitor heart rate US patent awarded Aug 2000
Skyaid discussions with Casio - they sell a
GPS watch
Skyaid discussions with Timex started Nov 2000
VTOL
Skycar state of development, opportunities
for production
Other VTOL as backup such as VTOL1
Meteor burst communications base station
Message translation service
SCC911.com in the US
Why donate now? you can make an improvement
If time is money how much is a life worth?
Encourage improved emergency health care in an region you are concerned
about so that it will be operational in that area ASAP.
Easier to start outside of US initially
Skyaid is repelled by US regulatory groups
which are slow to change:
FAA, FDA (LifeWatch ->Skyaid Watch and cooling of patient might require
FDA approval)
Fire Depts., individual state medical regulations (e.g. permit using stroke
screening test)
Skyaid is attracted to those regions which
have:
Regulatory agencies which are able to adapt to change quickly
A lack of existing emergency medical care
Enough wealthy country does not have to have a high GDP, just enough
wealthy
Concentration of population in urban regions
Very high traffic which results in long delays for existing emergency
medical providers
While we may want Skyaid to start in the US, starting in the US will
probably be more expensive and take longer.
It mihgt be quicker and lower cost to prove the concept outside of the
US and then deploy in the US than to start the slow process in the US.