Why the Name “1st Minute”?

There’s a lot that goes into the name of an App.

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In our case, the nature of the problem being solved – overcoming the language barrier – requires urgency, especially in a medical emergency.

When first responders (paramedics, police, flight attendants) respond to a call, every second counts. Now imagine what happens when the patient only speaks a different language. Guessing what’s wrong, waiting for an interpreter, or just getting them to an emergency room, aren’t always the best options. These can mean the difference between life and death.

Receiving language help in the first minute is ideal. And that is where the power of mobile technology comes into play. So, we’ve designed the user experience to match that timeframe. This way responder and patient can interface with the App and communicate with each other as quickly as possible.  The fields of mobile health, 9-1-1, and emergency medicine are changing… and our App is part of the solution.

Another reason for the name, “1st Minute”, comes from the term, “the Golden Hour”. This is described as the first hour after the occurrence of a traumatic injury, considered the most critical for successful emergency treatment. It has commonly been used in military medicine circles when measuring how long it takes from the time the injury is incurred to the time that restorative treatment at a forward field hospital is begun.

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This term is familiar to me as I worked as a consultant at the Defense Advanced Research Project Agency (DARPA) a decade ago. There I advised on the commercialization of combat medic technologies to improve battlefield survival rates – within the Golden Hour.

Various DARPA projects featuring advanced technology applications for combat casualty care involved leading edge innovations from university researchers and industry laboratories – (telemedicine, robotic surgery, portable CT and ultrasound, and medical simulation). These also included mobile devices and software applications giving access to critical medical information and powerful clinical decision support tools to direct appropriate treatments. This allowed for the accurate creation of an electronic health record (EHR) at the point of care and transmission of essential information to healthcare facilities. Another exciting project was the Trauma Pod, which brought remote-access surgery to the front lines of battle. Diagnosis and treatment of an injury was attainable with the same expertise as having an expert surgeon onsite.

The evolution of improved care and outcomes related to the Golden Hour shows remarkable progress. In World War II, 30 percent of Americans injured in combat died. In Vietnam, it was 24 percent. In Iraq and Afghanistan, a soldier had a 90 percent chance of survival if they were severely wounded. The phenomenal improvement in survivability rates has been attainable through the application of advanced technology and the speed by which appropriate care was rendered.

In like manner, the 1st Minute App eliminates the language barrier by translating critical patient information to enable first responders to render lifesaving treatments.

Our goal is to operate at the speed of a mobile app and within those critical first moments when provider meets patient in a crisis situation… within that first minute.

1st Minute is First Aid, Translated. Click here to download the latest version of the App.

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