back to article FDA clears Google watch feature to call 911 if you flatline

The US Food and Drug Administration (FDA) has given the nod to the Loss of Pulse Detection feature of the Pixel Watch 3. The clearance means that US wearers of the Google smartwatch will be notified if death is imminent. The feature will roll out from the end of March. Snark aside, Loss of Pulse Detection can automatically …

  1. ScottishYorkshireMan

    So...

    Does there need to be a credit card lodged with google pay to cover the Ambulance and med technicians $400,000 bill ?

    1. b0llchit Silver badge
      Devil

      Re: So...

      No, all bills will automatically be forwarded to next of kin and register their newly acquired debts to all banks and other relevant institutions. They will also, very helpfully, forward a "free" list of lawyers that specialize in death-by-watch and death-by-fail-to-call-help-but-it-was-not-our-problem-anyway.

      1. Paul Herber Silver badge

        Re: So...

        So, the list is free ...

        1. John Robson Silver badge

          Re: So...

          Sending the list is free, receiving it however...

      2. hoola Silver badge

        Re: So...

        Bills should be forwarded to Google as well - particularly if they are false alerts.

        Given the reality of this all it means is that someone will arrive sooner to scoop up the corpse. The chances of this increasing survivability are very low.

    2. Jellied Eel Silver badge

      Re: So...

      Does there need to be a credit card lodged with google pay to cover the Ambulance and med technicians $400,000 bill ?

      Good point. I know taking a ride in an ambulance can be eyewateringly expensive, but are there call-out fees for false alarms, and if so, who would be liable?

      (Think it's a pretty safe bet to assume it won't be AlphaGoo, at least maybe not until some lawsuits)

      1. Anonymous Coward
        Anonymous Coward

        Re: So...

        Tip for former colonials and anyone unfortunate enough to visit the curs'ed lands.

        You aren't liable for costs of calling an ambulance if you don't go. Or for calling an ambulance for somebody else and they turn out to be fine and not need it.

        So please don't not call an ambulance for yourself or someone because of the cost.

        IANAL etc, and the rule of law has deserted these lands - so.....

        1. Excused Boots Silver badge

          Re: So...

          "Tip for former colonials and anyone unfortunate enough to visit the curs'ed lands.

          You aren't liable for costs of calling an ambulance if you don't go. Or for calling an ambulance for somebody else and they turn out to be fine and not need it.

          So please don't not call an ambulance for yourself or someone because of the cost.”

          As a ‘right-pondian’, I’m genuinely interested, how does it work on your side? For example, a couple of months ago my elderly mother was showing real signs of distress (turned out to be a runaway infection - she’s fine now), I could call an ambulance (and they turned up in twenty minutes, the paramedics assessed her and took her off and admitted her to hospital. Now it might not have been the fastest response or even the best level of care in the world, but at no point did I need to stop and think about the cost. It would all be free, well no, not free we have all paid a contribution in taxes over the years.

          Now I ask this question because there is a general belief over here, that if you fall sick in the US and don't have insurance, then you are just left to die! Which seems unlikely to me, I’ve seen on the news, because of what your new President, is doing to social security, references to Medicare and Medicaid; how does it work?

          1. Emjay111

            Re: So...

            Well, speaking as a left-pondian currently based in Canada - healthcare is generally free - but ambulance rides are not !

            My partner tripped over a kerb and hit her head on a shop window, cutting it open. She bled profusely, so one of the people who had stopped to help her called an ambulance. She ended up in hospital and needed a few stiches. Discharged same day, nothing to pay.

            Was surprised to receive a bill from the ambulance service (a public body) a few months later for $250. Paid it, and was able to claim back roughly half through our employment extended medical cover.

            Total distance from incident to Emergency Room - 21Km (150,000 linguine according El Reg standards converter). Roughly 5 times the cost of the same journey in an Uber, but without the fascinating life stories.

          2. Cav

            Re: So...

            I'm in the Midwest. A couple of years ago I temporarily lost the sight in one eye while playing with my toddler - most disconcerting. I was rushed to hospital with the ambulance tech doing little more than keep talking to me for the hour long journey (I live in the middle of nowhere). I got a bill for $8,400 (along with a $2000 bill for an MRI). I was panicking about the cost a little but my insurance did eventually cover it. If I hadn't had insurance then they would still have taken me and I would have been stuck with the bill. Some religiously run hospitals have charitable donations that cover the costs for those who can't pay. Most hospitals do not.

            Related: My son was ill with a stomach bug, at a different time, and needed an anti-emetic. Even with insurance the charge for the meds would have been $165. At the time that was a lot so I took the option to just get a half bottle for just over half the price - I could buy another bottle later if needed. Fortunately, he didn't even need the whole of the one we did get. That $90 was with insurance. We could pay it but anyone who couldn't would be out of luck. That's for a sick kid.

            I have a medication that, without insurance, costs $1,500 a month. My insurance and my employer cover that. I wouldn't be able to pay it. There are cheaper, much less effective, alternatives. If I didn't have the insurance then I would have to go with one of those with increased risks to my well-being.

            So yes, people are left to die for being short of cash but there are some safeguards.

            Medicare is federal healthcare for people over 65, some disabled people under 65 and people with end stage renal failure (I don't know why that one condition specifically). Medicaid is for low income people in certain categories such as childen or pregant women. Someone is considered low income if they earn less than about $1,500 a month. A healthy, non-pregnant adult would not qualify, even if they earned less than the low-income level. They are the ones who have to choose whether to call an ambulance or not and who will be hit with massive bills.

            BTW: my problem turned out to be a detached retina. All fixed now. I hope your Mom continues to be well.

            1. Yet Another Anonymous coward Silver badge

              Re: So...

              >Now I ask this question because there is a general belief over here, that if you fall sick in the US and don't have insurance, then you are just left to die!

              Not quite. The hospital is required to "stabilise you" - but that means they will provide the minimum of emergency treatment then go after you for any money they can get.

              But this doesn't cover drugs or treatment, so 'working but poor' people do die from being able to afford eg. insulin.

              But to pay for this 'free' treatment they overcharge everyone else, so if you don't have insurance or the insurance doesn't cover you for some bizarre admin reasons you will get the famous $$$$$ bill.

              Even if the insurance does cover you - you will get random bills for random amounts for years later.

          3. FirstTangoInParis Silver badge

            Re: So...

            In the land of right pondians, you can try to call an ambulance but if you’re not assessed as serious (ie you’re going to imminently pop your clogs) you can wait 4-6 hours or in some documented cases a lot longer. If you’re lucky a fast response advanced paramedic will rock up to see how bad you really are. It’s an endemic problem just now caused by lack of hospital beds, with the hospital bed managers donning their Arthur Daley sheepskin coats and doing deals with wards to squeeze people in, bless them

  2. alain williams Silver badge

    I am surprised that it does not ask you ...

    if you want your heart switched off and on again.

    1. b0llchit Silver badge
      Childcatcher

      Re: I am surprised that it does not ask you ...

      I'm sorry Dave, I'm afraid I can't do that.

    2. Yet Another Anonymous coward Silver badge

      Re: I am surprised that it does not ask you ...

      That's the Microsoft watch. It contains an AED so if you don't seem to be working it can turn you off and on again.

      The IBM version measures your heart rate and if you seem to be slowing down it makes you redundant

    3. Helcat Silver badge

      Re: I am surprised that it does not ask you ...

      You need a defibrillator* for that. Or a pacemaker. The former is a bit bulky, the latter means you've already had a heart attack and the pace maker is there in case it happens again.

      *A Defibrillator stuns the heart to stop fibrillation, which is what most heart attacks involve. The heart is fluttering ineffectively (fibrillation) and needs the shock to reset it.

      1. Benegesserict Cumbersomberbatch Silver badge

        Re: I am surprised that it does not ask you ...

        AICDs (automatic implantable cardiac defibrillators) are not much bulkier than conventional pacemakers. The only reason they have to be bigger is so their battery has enough capacity to keep charging the defib capacitor as often as necessary to keep you going until you can get to a human doctor. It's usually a good idea not to have to change the impulse generator, even if it has had to do its job, and then stopped zapping you from the inside.

        First hand accounts* say the sensation is like being shoved in the chest, firmly but not distressingly. That's as opposed to external DCR, which often results in chest wall muscle pain.

        Intracardiac defibrillation can work with 5-10J discharges. Transthoracic defib for pulseless arrhythmias should be 150-200J (2-4J/kg). All that extra energy goes somewhere, usually into pectoral and intercostal muscles. And delivering all that extra energy requires a box bigger than a laptop, as opposed to one half the size of the palm of your hand.

        (*From someone whose AICD has just gone off repeatedly)

        1. Montreal Sean

          Re: I am surprised that it does not ask you ...

          I can't tell you how being zapped by a defibrillator feels in the moment (I was anesthetized for both incidents) but there was definitely an ache in my chest for a few hours afterwards.

          VFib is not something I ever want to experience again.

          The ache took a back seat to the pain from the emergency abdominal surgery.

          Morphine is great at making you lose track of the passage of time, but did nothing for my pain.

        2. Helcat Silver badge

          Re: I am surprised that it does not ask you ...

          Now I've not heard of AICD's before: Perhaps those could link to the smart watch to make a call if it activates.

          Thankfully I've never had to use a Defib for real - and never been on the receiving end of one - just done the training over many, many years (yes, been doing first aid since I was a nipper, and learned how to use AED's when they became available).

          One thing I do know is the automated kit only really works for the common fibrillation pattern: The Emergency Ambulance Crew I know have kit that can detect a range of rhythms and know which ones they can also shock. But again - never witnessed it and really hope people don't need that kind of intervention.

          As to the size of an AED: The battery is certainly the bulky bit. And the weighty bit. My shoulder can attest to that one... And yes, the excess charge passes through the muscles between the pads, and down through the ground, too. It's why we have to make sure people are stood away from the person being shocked 'cause we don't want that shock going into someone else, thanks. Don't want two people down with heart problems...

      2. Anonymous Coward Silver badge
        Coat

        Re: I am surprised that it does not ask you ...

        Heart attacks are plumbing issues. Cardiac arrests are electrical issues.

        Defibrillators stop fibrillation which is an electrical issue, not a heart attack.

        Heart attacks tend to be slow onset and often painful; cardiac arrests happen without the patient realising (because they go unconscious)

        (icon: not pressing in the right place for CPR)

        1. Helcat Silver badge

          Re: I am surprised that it does not ask you ...

          Am usually more concerned about what I need to do to help the person, but yes, cardiac arrest is more what we'd be shocking, but to most people, it's all a heart issue hence have a bad habit of referring to all of it as a 'heart attack'. But in my defence: not a doctor so can't diagnose: My focus is treating the person for what's wrong, and for that I go by signs and symptoms rather than risk the wrong term being used.

    4. Excused Boots Silver badge

      Re: I am surprised that it does not ask you ...

      Have you tried turning it off and on again?

    5. Fruit and Nutcase Silver badge
      Coat

      Re: I am surprised that it does not ask you ...

      Clippy: Your heart seems to be on the verge of giving up. Don't worry, as soon as it stops, I'll call the undertakers

  3. Zarno

    Oh bother.

    Oh bother.

    I hope it's not going to do the literal rollercoaster thing that the Apple Watch did, where it called EMS to report a crash when people rode a coaster.

    If it means I need to dis-arm (Hah, pun!) my watch before I hop in the shower, then it could be very interesting indeed...

    All joking aside, if rolled out properly, this could be a good thing for elderly or those with a heart condition, as a tertiary layer of check.

    1. Jellied Eel Silver badge

      Re: Oh bother.

      I hope it's not going to do the literal rollercoaster thing that the Apple Watch did, where it called EMS to report a crash when people rode a coaster.

      Or off-roading. Or on-roading and hitting a succession of potholes. But with the state of US roads it can be hard to tell the difference sometimes. I did go off-roading with a left-pondian friend who's phone and watch seemed pretty convinced we'd been in an accident, and no amount of swearing at it would get them to shut up.

      (gadgets, not friend I should add..)

      1. Dizzy Dwarf

        Re: Oh bother.

        "... hitting a succession of potholes. But with the state of US roads ..."

        You spelt UK wrong.

    2. Neil Barnes Silver badge
      Alert

      Re: Oh bother.

      I do wonder about its utility: if you're with someone when you have the heart attack, you don't need your watch to call, since the people around can both provide immediate first aid and call for medical assistance. On the other hand, if you're on your own, and your heart has stopped and you're not moving or responsive, then basically, you ain't getting up no matter how many ambulances are called.

      1. Gene Cash Silver badge

        Re: Oh bother.

        > since the people around can both provide immediate first aid and call for medical assistance

        LOL. Good 'un there.

      2. DS999 Silver badge
        Trollface

        Re: Oh bother.

        you ain't getting up no matter how many ambulances are called

        So you're telling me that there can be a five alarm fire, but not a five ambulance heart attack?

  4. Hans Neeson-Bumpsadese Silver badge
    Stop

    Knowing Google, I expect that if it detects a loss of vital signs it will scour your address book for details of next of kin and serve them some adverts for funeral services and discounted coffins/caskets.

    1. Anonymous Coward
      Anonymous Coward

      Just think, they could feed the details into google maps and you could have a real time overlay of people dropping dead in the local area. The routing could even take this into account and offer to avoid areas where people are dying, great for an ongoing terrorist attack. This is getting dark....

    2. Jamesit

      And go to YouTube and play "Another one Bites The Dust".

    3. Anonymous Coward
      Anonymous Coward

      For better or worse, I use Facebook Messenger to keep in touch with a number of friends. Years ago when my mother became terminally ill with cancer I was discussing it with friends on Messenger and almost straight away I started to see adverts for funeral directors and will-writing services appearing on my FB feed.

      I know full well that FB mine my data to serve me adverts, as proven by the stream of adverts I've seen over the years for various technological and other hobby-related goods...but somehow it felt like the death-related ones had kind of crossed a line somehow

      1. Anonymous Coward
        Anonymous Coward

        Parasitic capitalism does not draw a distinction between the personal and commercial. I would suggest that all those who are dismayed by the worsening current dystopia to avoid all social media platforms, if possible. Facebook is just another blatantly invasive platform. Oh, and imho, A.I. as currently touted is just the next Trojan Horse for centralized control by oligarchy.

  5. b0llchit Silver badge
    FAIL

    Trust an ad-pusher?

    The comments here show the enormous trust we all have in google's products and intentions.

  6. Anonymous Coward
    Anonymous Coward

    Insider trading - or just a test run?

    * Received a heart-stopping "what did you do last week?" email

    Has anyone checked how many of the little DOGgiEs are Google shareholders?

    1. Excused Boots Silver badge

      Re: Insider trading - or just a test run?

      "Received a heart-stopping "what did you do last week?” email”

      I wonder if anyone has responded with ‘my job”?

      1. Paul Herber Silver badge
        Happy

        Re: Insider trading - or just a test run?

        This week I have:

        1. written a document about how government employees should not tell anyone what they do

        2. encrypted all my documents

        3. written instructions to my colleagues to encrypt their documents

        4. written instructions to my colleagues on how to tell multi-billionaires to fuck off

        5. told a multi-billionaire to fuck off.

        My job is done.

  7. PB90210 Silver badge

    "OK sargent, let's go through his personal effects... one Pixel watch displaying 'Your heart appears to have stopped. Would you like to call 999?'..."

    1. John Riddoch
      Joke

      Or the Microsoft watch with Clippy - "It looks like you're having a heart attack. Would you like some help with that?"

      1. Montreal Sean

        No thank you, I think my heart attack is doing fine on its own.

  8. Timto

    what's the point?

    If you've got no pulse and there's no-one with you, you'll be dead before the ambulance gets there. In fact if there's no pulse, you already are dead

    1. Zzx Tty

      Re: what's the point?

      It gets the ambulance rolling. If there is a first aider around it may well save valuable minutes. Whether it is of any use remains to be seen, the signal to noise ration will be key.

    2. Anonymous Coward
      Anonymous Coward

      Re: what's the point?

      In my case, the heart stopped in hospital, whilst connected to ECG/EKG, which showed the flatlining.

      Yes, when the heart decides to stop, it can be very sudden. I did get a fainting feeling once the pulse and blood pressure dropped, but lost consciousness very quickly.

      If this had happened outside of hospital, without anyone at hand to begin resuscitation, an ambulance would have arrived too late

    3. Benegesserict Cumbersomberbatch Silver badge

      Re: what's the point?

      Dead is irreversibly lost circulation to the brain. Flatline on the ECG can be anything from a sinus pause to asystole, which might just need pacing (which can be done without an implanted pacemaker, BTW). If someone's doing CPR on you, you're not necessarily dead.

      As I remember from cardiology lectures, the only difference between fainting and being dead is that, after you faint, you get up again.

      The difference between in- and out-of-hospital cardiac arrest morbidity and mortality is so significant, the only thing that is going to help you in a flatline situation is turning out-of-hospital into in-hospital as quickly as possible.

      Learn CPR.

    4. DS999 Silver badge

      Probably won't help

      Unless the ambulance is just down the street, but one exception would be if you're outside when it is cold. You can survive for quite a while with a stopped heart if your body temperature is low enough. Of course the kind of people most likely to die from exposure (homeless, mentally ill, elderly with dementia) aren't like to wear a smartwatch...

    5. Montreal Sean

      Re: what's the point?

      How long without a pulse before you can be considered dead?

      I went into VFib twice during major surgery, no detectable pulse, and was shocked back.

      Does that mean I died twice?

      Just curious, because if I died and came back that means I have 2 birthdays, so birthday cake twice a year!

      1. Fruit and Nutcase Silver badge

        Re: what's the point?

        The late Queen Elizabeth had 2 birthdays. The actual and official/ceremonial one. I presume King Charles does the same.

        Nothing to stop you doing the same. Inspecting the assembled troops/Trooping the Colour at Horse Guards is optional

  9. K.o.R

    HEV suit then?

    *BEEP BEEP BEEP* Emergency. User death imminent.

  10. Tron Silver badge

    Can you customise it?

    So that instead of 'user has left the chat room', it posts 'user has kicked the bucket, snuffed it, joined the choir invisible', deletes your accounts and the dodgy pron on your PC, cancels your library card and Amazon chocolate subscriptions, plays the 'Star Wars' theme as loud as it can, and initiates a factory reset. Because one should exit with some panache.

  11. ecofeco Silver badge

    But first here's an advert!

    Dead? We can help! Just download this app and watch our YouTube video!

  12. Bebu sa Ware
    Coat

    Pretty obvious why ...

    Apple didn't choose to work off brain activity (EEG) - at least in N.America.

  13. Anonymous Coward
    Anonymous Coward

    This is going to be a cluster.

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