§ OPERATORS / MEDICS

For the people who
keep them alive.

EMTs, paramedics, combat medics, flight nurses. The job is judgment under noise — in a dark room, on a roadside, at a casualty collection point. We’re building a machine that runs the protocol so you can run the patient.

Prehospital field medicine — operator photograph plate
10:00
Platinum 10
Window to definitive care that drives outcome in penetrating trauma.
PHTLS 10th ed.
90%
Preventable battlefield deaths
Hemorrhage, airway, tension pneumothorax — the TCCC trio.
DoD JTS 2021
1/3
Sepsis 1-hour bundle
Of patients receive complete bundle in time. Each missed hour: +7% mortality.
IDSA SSC 2021
43%
EMS burnout
Career field-medic turnover within 5 years. Cognitive load is part of the cause.
NAEMT 2023
THE OPERATOR

You don’t need a chatbot. You need a partner that knows the protocol.

The medic we’re designing for is on a porch at 2am, in a Black Hawk at altitude, or under a tarp at a collection point with three patients and one set of hands. You’re running TCCC, NAEMT, or your local ALS protocol in your head — while you triage, while you talk to family, while you call the trauma room.

The cognitive cost is huge. Drugs, doses, contraindications, pediatric weight calculations, OLMC permissions. The protocol is the answer, but the protocol is also the bottleneck.

Vertex builds for the moment your hands are on the patient and the right next step is six sub-decisions deep in your training.

WHAT GOES WRONG
  • Sepsis recognition delay. The 1-hour bundle assumes you knew it was sepsis at minute zero. You usually don’t.
  • Pediatric dose math. Weight estimation, mg/kg conversion, and rate calc — under stress, with a screaming room.
  • Multi-casualty triage on scene. START, SALT, JumpSTART — the algorithm is simple. Holding it across nine patients while one is decompensating is not.
  • Drug-drug and allergy contraindications. A patient on warfarin, on a beta-blocker, allergic to morphine. You’re going to remember. You shouldn’t have to.
  • Hemorrhage control in TCCC. The first two minutes of MARCH decide outcome. Time spent on the wrong limb is time the right one keeps bleeding.
  • Documentation lag. The ePCR you write three hours later from memory is the legal record of care. Memory degrades.
WHAT THE ROBOT DOES

Vertex’s medic-mode policy is trained on published clinical doctrine — the same way our ICU-stewardship scenarios in Colosseum are graded against IDSA SSC and CDC HICPAC. It runs the protocol. You run the patient.

01 · PROTOCOL RUNNER
Drug, dose, contraindication.
Patient weight, age, allergies, current meds. The policy proposes the protocol-correct next intervention with the citation. You approve. medic_call overrides any time.
02 · TCCC MARCH
Hemorrhage to evacuation, ordered.
Massive hemorrhage · Airway · Respiration · Circulation · Hypothermia / Head. The robot tracks state across each phase, calls out missed steps, flags decompensation.
03 · MCI TRIAGE
Hands-free patient state across the scene.
START / SALT tags per patient, live re-triage as conditions change, transport queue tied to receiving facility capacity. The IC sees a scene-wide state without anyone radioing it in.
04 · ePCR LIVE
Documentation as it happens.
Every intervention, time-stamped, citation-linked. The ePCR is ready when you load the patient — not three hours later from memory. NEMSIS-compliant export.
THE DOCTRINE

Every protocol step the policy proposes cites a real, published clinical source. Same schema as our reconnaissance rules — the only thing that changes is the citation file.

TCCC 2024Tactical Combat Casualty Care Guidelines — MARCH-PAWS sequenceGROUNDED
PHTLS 10ePrehospital Trauma Life Support — Platinum 10, golden hourGROUNDED
AHA ACLSAdvanced Cardiac Life Support — algorithms & medication guidanceGROUNDED
IDSA SSC 2021Surviving Sepsis Campaign — 1-hour bundle complianceGROUNDED
ATP 4-25.13First Aid — US Army field medicine referenceGROUNDED
NAEMT MCIMass Casualty — START / SALT / JumpSTART triageGROUNDED

BROWSE THE FULL RULE REGISTRY →

IN THE LOG

This is what the mission log actually looks like — sensor values, the action, and the cited doctrine line under every step. From the live demo, verbatim:

T+00:12ASSESSTCCC MARCH · M: pumping hemorrhage L-thigh · A: open · R: 26
T+00:12DOCTRINETCCC Guidelines 2024 §1 · “MARCH primary survey” · GROUNDED
T+00:19PACKAGECAT TQ R-thigh, TIME 14:23 logged · sled secured · cervical lock

VIEW MODEL TRAJECTORIES →

CO-DESIGN
The protocol is in my head. What I want is something that tracks the clock for me while I work the airway.
PARAMEDIC · URBAN 911 SYSTEM

We don’t build for medics. We build with them. Field days bring the team to partner EMS agencies for ride-alongs, sim-lab integration, and protocol reviews. We bring engineers; you bring the rig.

If your agency runs high-acuity calls and wants a longer conversation about field-medicine co-design, tell us.

Run the protocol with us.

Sim-lab integration, ride-alongs, ePCR co-design, and the long-term model-card collaboration on prehospital decisions.

Get in touch