Triage by
severity.
Critical incidents pulse red. The Core prioritises by severity, proximity, and resource availability — not FIFO. A cardiac arrest three blocks away beats a stable fracture that called first.
Scale from
responder to federation.
The Core scales from a single responder to a national health federation without re-architecture. Each tier adds coordination surface area — patients, devices, jurisdictions — while the same laws and offline guarantees hold at every level.
| Tier | Scope | Scale |
|---|---|---|
| Responder | Single paramedic / ambulance crew with offline Core | 1 crew · offline-first |
| Station | Station dispatch, crew roster, local hospital mesh | 1 station · local mesh |
| Network | City-wide triage, predictive routing, federation bridge | City or region · multi-agency |
| Federation | Multi-state / national coordination, sovereign data enclaves | National · sovereign enclaves |
Every handoff
is signed.
From roadside to recovery, the Core creates an immutable chain of care. Consent, vitals, medication, imaging, and discharge instructions travel with the patient and remain under their control.
Bring the hospital
to the casualty.
Some patients cannot wait for transport, and some incidents refuse to move closer to the hospital. Field assets extend the emergency department into the incident footprint — resus, imaging, blood products, and triage delivered under fire, under water, or under collapsed concrete. The Core keeps each module location-aware, supply-aware, and linked to the patient's record before the first bag of fluid is hung.
Spot the surge
before it reaches the ward.
The Core reads syndromic signals from emergency departments, ambulance call types, pharmacy sales, school absenteeism, and laboratory orders. Anomaly detection raises the flag before hospitals overflow, letting public health and emergency managers stage staff, beds, and vaccines while the wave is still forming and public panic has not yet begun.
Distance is measured
in minutes.
When ground transport is too slow or terrain blocks the road, the Core coordinates rotary and fixed-wing assets with receiving hospitals. Crew capability, patient condition, flight time, weather, and landing-zone suitability are modelled as a single routing problem, so the right aircraft meets the patient at the right pad with the right team already briefed.
| Asset | Capability | Dispatch trigger |
|---|---|---|
| Ground BLS | Scheduled non-urgent transfer, basic monitoring, oxygen, wheelchair access | Stable patient, short road journey, no time-critical interventions |
| ALS Paramedic | Advanced airway, IV drugs, cardiac pacing, defibrillation, invasive monitoring | Critical illness or trauma within roughly one hour by road |
| Rotary Wing | Scene and secondary retrieval, inter-facility transfer, winch, night-vision operations | Time-critical injury with a significant road-time advantage |
| Fixed-Wing ICU | Long-range critical care, neonatal pod, ECMO-capable transfer, pressurised cabin | Inter-city or remote retrieval beyond rotor range |