JP2001190504A - Automatic emergency reporting device for home care patient - Google Patents

Abstract

PROBLEM TO BE SOLVED: To surely and efficiently report the occurrence of a state of emergency in an automatic emergency reporting device for a home care patient being composed of a pulse sensing radio wave converter and a signal generating communicator sending a pulse signal from the pulse sensing radio wave converter and being connected to a home telephone line and enabling the signal generating communicator to automatically report a position of a first-aid patient to the emergency authority, a center for senior citizens and a reporting place such as a blood relation home by the home telephone line when causing the state of emergency where the pulse number is a prescribed range. SOLUTION: When a person to be reported is talking over a telephone or does not answer the phone, a telephone call is repeatedly and continuously made at a specific interval up to answering the phone. When both are talking over the telephone or do not answer the phone when reporting to plural persons to be reported, a telephone call is alternately and continuously made unitl either of them answers the phone, and when one answers the phone, a telephone call is thereafter repeatedly and continuously made until the rest answers the phone.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to an automatic emergency reporting device for home patients and the like.
The present invention relates to an automatic emergency reporting device for a home patient or the like, which is capable of automatically reporting a sudden abnormality to a body of a discharged patient or the like immediately to an emergency authorities (for example, a fire department).

[0002] The automatic emergency reporting device of the present invention is not limited to those for home patients. In other words, at present, many people are living alone unprotected without nursing their families due to the accelerated nuclear family. And if the body suddenly becomes abnormal, if the patient himself cannot press the emergency bell button or make a phone call, he cannot do anything and often loses his life. In addition, it is necessary to immediately take notice of the sudden change in patients hospitalized and take measures. Furthermore, there are many people who are not so-called patients and are likely to have seizures. The automatic emergency reporting device of the present invention can be widely used for such people.

[0003]

2. Description of the Related Art Conventionally, when an abnormality occurs in an elderly patient at home or a severely ill patient, a nurse, a family member, or a nearby person detects the abnormality and contacts a rescue authority or the like by telephone. This is the actual situation.

[0004] Further, it is also practiced that a patient wears a transmission pendant and presses a button of the pendant by himself to notify a third party. I often press. Also, when a sudden abnormality actually occurs, it is often impossible to push the pendant by itself.

[0005] In any case, at present, when a sudden abnormality occurs in a patient, it is impossible to reliably report to an emergency department or the like unless there is a person on the side.

The inventor of the present invention has conceived the following apparatus in order to solve the above problems. That is, a pulse sensing radio wave converter and a signal generation notifying device connected to a home telephone line to which a pulse signal is sent from the pulse sensing converter, and the pulse rate is in a predetermined range where the pulse rate is extremely low or high. When an emergency occurs, the signal generator will automatically report the emergency patient's location to the emergency authorities, silver center, immediate home, etc. via the home telephone line. Device.

According to this apparatus, a pulse sensing radio wave converter is connected to a wrist or an ankle of a patient or the like to detect a pulse rate of the patient or the like, converts the pulse rate into a radio wave, and converts the radio wave to a home telephone line. When the pulse reaches a dangerous level, the signal can be automatically sent to an emergency department or the like through a home telephone line.

[0008] Further, the above-mentioned automatic emergency reporting device may be configured as follows. That is, a pulse sensing radio wave transducer, which has a pulse detecting device such as a band-shaped pulse detecting device fastened to a wrist or an ankle, and a pulse detecting device such as a finger-thinning or ring-shaped pulse detecting device to be fitted to a finger or a toe. A radio wave converter, a sensor arranged on the pulse detector, a lead wire connecting the sensor and the pulse detector radio converter, and a signal generation notifier connected to a home telephone line; The radio wave generated from the radio wave converter is received by the signal generation notifying device, the current state of the pulse is notified by a lamp and a buzzer, and the signal generation notifying device is used when the pulse deviates from a predetermined pulse rate range. Is an automatic emergency reporting device for home patients and the like, which is capable of automatically reporting the location of a rescue patient to a rescue authority, a silver center, a close home or the like via a home telephone line.

According to this device, a patient without a nurse,
A clock-type pulse sensing radio wave transducer is fastened to the wrist or ankle of a single patient or the like, and a pulse detector equipped with a sensing sensor is attached to this band, finger, or toe. This allows the sensor to be used by the patient's wrists, ankles, fingers,
The pulse is detected by contacting the toe, and the pulse is sent to a pulse sensing radio wave converter via a conducting wire. Here, the pulse is converted into a radio wave and sent wirelessly to a signal generation and notification device connected to the home telephone line, where the pulse state of the patient can be simultaneously known via the lamp and the buzzer, When the pulse reaches a dangerous level, the emergency telephone, the silver center, and relatives can be automatically notified by voice through the home telephone line. That is, if the patient's condition deteriorates while wearing such a pulse sensing radio wave transducer, that is, for example, the patient's blood pressure becomes very low or high and the pulse rate is 37 or less per minute or 150 or more abnormal pulses. When this occurs, this is automatically reported to the emergency authorities, silver center, relatives' homes, etc. from the signal generation and notification device,
An abnormal condition of the patient can be quickly known by the automatic notification, and the patient can be rescued. At this time, in order to indicate the position of the rescue patient, a prerecorded address can be automatically sent to the signal generator.

[0010]

What is important in the above-mentioned automatic emergency reporting device is that the notification from the signal generation reporting device is reliably and efficiently transmitted to the person to be reported. Otherwise, even if an abnormal situation is detected by the pulse sensing radio wave transducer, it will not be possible to report it to an external third party and seek qualified assistance, which will result in the loss of precious human life. Because they are connected.

[0011]

Means for Solving the Problems The present inventor has improved the above-mentioned automatic emergency reporting system in order to solve such a problem.
A pulse sensing radio wave converter, and a signal generation notifying device connected to a home telephone line to which a pulse signal is sent from the pulse sensing converter, and a signal is output when an emergency occurs in which the pulse rate is within a predetermined range. The above-mentioned signal generation is performed in an automatic emergency reporting device for a home patient or the like in which an occurrence notification device is capable of automatically reporting the location of a rescue patient to a report destination such as a rescue authority, a silver center, and a close home using a home telephone line. The notifier is provided with the following means.

(A) means for sending a signal, such as a voice, indicating that the emergency has occurred a certain number of times when the other party answers the telephone before the transmission of a certain number of ringing tones is completed.

(B) If the other party does not answer the phone even after the predetermined number of ringing tones has been made in (a) above, hang up the phone once and call again after a certain time has elapsed.
Means for repeating the same operation until a certain number of times or a certain longer time elapses, while transmitting the signal in (a) to the other party when the other party answers the telephone before the repetition is completed. .

(C) If the other party is on a call, hang up the telephone once, call again after a lapse of a certain time, and thereafter repeat the same operation until a certain number of times or a certain longer time elapses. On the other hand, means for sending the signal in step (a) to the other party when the other party answers the telephone before the repetition continuation is completed.

According to such an automatic emergency reporting device, it is possible to reliably report to the other party an emergency such as a sudden decrease or a rapid increase in the pulse rate of the patient. Even if the other party does not answer the phone even when the signal tone is emitted, the occurrence of an emergency can be reported as quickly as possible.

An automatic emergency reporting device according to a second aspect of the present invention comprises a pulse sensing radio wave transducer, and a signal generation notifying device connected to a home telephone line to which a pulse signal is sent from the pulse sensing transducer. In the event of an emergency in which the pulse rate is within a predetermined range, the signal generation and notification device can automatically report the location of the emergency patient to a report destination such as a rescue authority, silver center, or immediate home by a home telephone line. An automatic emergency reporting device for a home patient or the like, wherein there are a plurality of report destinations, and the signal generation report device includes the following means.

(A) The emergency situation described above occurs when a call is made to the person with the highest priority and the other party answers the telephone before the fixed number of ringing sounds have been transmitted. A means for sending a signal such as a voice indicating that a certain number of times have elapsed, and then performing the same operation with respect to the rear-ranked person.

(B) If the other party does not answer the telephone before the transmission of the ringing tone for a certain number of times is completed, In some cases, the same operation as in (a) above is performed for the second-placed person,
After that, means to perform the same operation to the next higher rank.

(C) In the above (b), when the second party is called and the other party does not answer the phone before the predetermined number of ring tones is transmitted, or During a call, if there is no further lower-ranking person, the first-ranking person and the second-ranking person are alternately called after a fixed time, and Sends a signal, such as an audio signal indicating an emergency, to the person who answered the call a certain number of times, then hangs up, and repeats the call to the rest of the person after a certain period of time until the person answers the call Means to do.

(D) In the case of (c), when one or more of the above-mentioned lower-ranking persons are present, the same operation as in the above-mentioned (a) is sequentially performed on the subsequently-ranking persons, and thereafter, the notification Means for alternately calling a person who has not finished as described in (c) above.

In such an automatic emergency reporting device,
When reporting an emergency to more than one person, one of them can be reported as soon as possible, and the notification to all the respondents must be completed as efficiently and as quickly as possible. it can.

According to a third aspect of the present invention, there is provided an automatic emergency reporting system according to the second aspect, wherein the emergency in which the pulse rate is within a predetermined range is a situation in which the degree of emergency is relatively large. It is characterized by small situations, and the report destination is different for each of these situations.

According to this automatic emergency reporting device, for example, even when the pulse rate is drastically reduced, it can be divided into a case where the degree is relatively large and a case where it is relatively large, and the report destination can be different between the two cases. . For example, when the degree of drastic decrease is greater, report to emergency authorities, and when relatively small, report to an acquaintance. Therefore, appropriate measures can be taken according to the degree of emergency.

According to a fourth aspect of the present invention, there is provided an automatic emergency reporting system according to the first or second aspect, wherein the emergency in which the pulse rate is within a predetermined range is a situation in which the urgency is relatively large. In a situation in which the situation is relatively small and the degree of urgency is relatively large, firstly, a report is made to a rescue authority such as a fire department, and then claim 1 or claim 2
The report described in (1) is further performed, and further, when the situation of relatively high urgency occurs during the execution of the report according to (1) or (2), the report is interrupted and reported to the emergency authorities. Is performed.

According to this automatic rescue communication system, even in an emergency, if the pulse rate is relatively small,
For example, a report is sent to immediate family members, relatives, friends, and the like, and if the symptoms worsen and the degree of pulse fall is further increased, the emergency report is notified in priority to the above-mentioned reportee. Further, when the degree of the pulse decrease is relatively small, if the symptom further worsens while reporting to a relative, relative, friend, or the like, such a report is interrupted and reported to the emergency department. So even in an emergency,
If the degree is not necessarily critical, immediate requests for ambulances or the like are not made immediately, but immediate family members are used to deal with it, so it is possible to suppress the number of requests to emergency authorities from becoming excessive. Yes, and by extension, ambulances can only be dispatched to patients who really need an emergency.

[0026]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS In FIG. 1, reference numeral 10 is a pulse sensing radio wave converter. The pulse sensing radio wave converter 10 is
It comprises a wristwatch-shaped body 15 having two and a fastening band 14. This is fastened to the patient's wrist or ankle by the band 14, and the pulse of the wrist or ankle is detected. A pulse sensor 16 is attached to the inner surface of the band 14, and a sensor signal amplifier 18 (not shown in FIG. 1) is arranged inside the display unit 12. A conductor 20 (not shown in FIG. 1) is embedded in the thickness of the band 14, and the sensor 16 and the sensor signal amplifier 18 are connected through the conductor.

FIGS. 2 and 3 show a pulse sensing radio wave converter 10.
Here is another example. FIG. 2 shows a wristwatch-shaped main body 15.
And a finger-cap-shaped pulse detector 18 to be put on a finger or a toe. A sensor 16 (not shown in FIG. 2) is provided on the inner surface of the pulse detector 18. The sensing sensor 16 and a sensor signal amplifier 18 (not shown in FIG. 2) built in the display unit 12 of the main body 15 are connected by a conductor 20. FIG. 3 differs from FIG. 2 only in that the pulse detector 22 has a ring shape.

In the pulse sensing radio wave converter 10, FIG.
The sensor signal amplifier 18 amplifies the fine pulse signal received from the pulse sensor 16 and
Send to The CPU 30 calculates the pulse signal and displays on the liquid crystal display 32 whether or not it is in an emergency state.

When an emergency condition occurs, that is, when the pulse rate becomes 47 beats or less per minute or 150 beats or more, the radio wave transmitter 34 outputs a radio wave.

This radio wave is transmitted to a signal generation / notification device 40 shown in FIG.
Sent to The signal generator 40 is connected to a home telephone line 42. That is, as shown in FIG. 6, the above-mentioned radio waves are received by the radio wave receiver 44 of the signal generation notifying device 40, and are notified by a lamp and a buzzer 50. Then, based on the address recorded in the voice memory 60, through the home telephone line 42, as shown in FIG.
Notify the Silver Center 72, the immediate family house 74, etc. to make emergency rescue. At this time, the report may be alternatively made to a plurality of report destinations, or may be reported to two or more report destinations simultaneously.

In FIG. 6, voice information is inputted from a telephone dial 48 of the signal generation notifying device 40 to a telephone number inputted by a key 47 in the order of the number inputted to a memory (EEP-ROM) 45 through a mixer 49. 42. At this time, the audio signal input by the microphone 52 is stored in the audio memory 60, and the stored audio signal is sent to the telephone dial 48 and the mixer 49 and sent out.

Further, the pulse sensing radio wave converter 10 and the signal generation notifying device 40 can also call the above-mentioned emergency authorities or the like manually.

A specific example of a procedure in which the signal generation notifying device notifies the emergency authorities, the silver center, the immediate home, and the like via the home telephone line is as follows.

First, FIG. 8 shows a case where the signal generation notifying device is set so as to notify an emergency to a specific destination such as an individual or a business. If the patient's pulse is at a predetermined emergency value, for example, less than 47 beats per minute or 150
When the above is reached, a predetermined time (for example, 5 seconds) elapses, and then a call is made to the specific destination.
The reason for delaying the notification in this way is that the pulse fluctuates greatly, and once it reaches 47 beats or 150 beats or more, it may return immediately to 48 beats or 149 or less. After confirming that the above is the case, we will try to deal with it. Note that a telephone ringing tone is transmitted a fixed number of times (for example, 10 times).

If the other party answers the telephone before the predetermined number of ringing tone transmissions is completed, the occurrence of an emergency is notified by a signal such as voice. For example, when the report destination is an emergency authority such as a fire department, the name, address, and telephone number of the patient are notified by voice, the content of an emergency such as a myocardial infarction attack is reported, and an emergency dispatch is requested.
Also, if the report destination is, for example, a son's house separated in the neighborhood, tell him "Dad's heart condition is bad, so please come immediately." Such voice information is input to the signal generation notifying device in advance. Such audio information is preferably repeated not only once but several times (for example, five times). When the voice information is transmitted a predetermined number of times, the call is automatically cut off. Even before the transmission of the voice information for the predetermined number of times is completed, the intended report is terminated even if the other party hangs up the telephone.

If the other party does not answer the telephone even if the above-mentioned ringing tone is transmitted a predetermined number of times, the telephone is temporarily disconnected.
Then, after a predetermined time (for example, 20 seconds) elapses, the call is made again. Even in this case, if the other party does not answer the phone,
The same operation is repeated repeatedly until a predetermined time (for example, one hour) elapses, and the operation ends when the predetermined time elapses. The above operation may be repeated a predetermined number of times instead of repeating the above operation for a predetermined time.

If the other party answers the telephone before the above operation is repeated for a predetermined time or a predetermined number of times, voice information of occurrence of an emergency is transmitted to the other party in the same manner as described above.

When the other party is on a call, the call is temporarily cut off, and the call is made again after a predetermined time (for example, 20 seconds) has elapsed. Also in this case, when the other party does not answer the call, the same operation is repeated until a predetermined time (for example, one hour) elapses, and the operation is ended there. The above operation may be repeated a predetermined number of times instead of repeating the above operation for a predetermined time.

If the other party answers the telephone before the above operation is repeated for a predetermined time or a predetermined number of times, the emergency information of the emergency is transmitted to the other party in the same manner as described above.

Next, when there are a plurality of report destinations, the contact is made in the following procedure.

For example, it is set so that the following three priorities are notified to (1) the boarding room of the son of a college student, (2) the home of a married daughter, and (3) one of a close friend. Suppose you have

First, a call is made to the boarding house for the son having the highest priority. When the other party answers the telephone before the ringing tone is transmitted a predetermined number of times (for example, 10 times), a voice signal indicating that an emergency has occurred is output in a similar manner as in the case where only the specific person is notified. Send a number of times. When such a call is completed, the call is cut off, a similar call is made to the daughter's home with the second priority, and then a friend's house with the third priority is called.

If a call is being made to the first-priority person or if the call is not answered, a second-priority person is called. When the second-ranked person answers the phone, it sends an audio signal indicating the emergence of an emergency,
The phone hangs up. Thereafter, the third person is called and a voice signal is sent in the same manner.

At this time, when the second-placed person does not answer or is busy, the third-placed person is called as it is, and if the second person is answered, a voice signal is sent. In this way, if the first and second place persons are not notified and remain, the two parties are alternately called after a certain time (for example, 20 seconds). This lasts for one hour.
Then, the voice information as described above is sent to the person who first answers the telephone. The last remaining person is called at regular intervals until a certain period of time is reached.

When the first and third place players remain,
The same applies to the case where the second and third place players remain.

Further, when all of the first to third places are busy or do not answer the telephone, the telephone is repeatedly and successively repeated for the three persons at the above-mentioned fixed time. For example, when the second-ranked person answers the telephone for the first time, the remaining first- and third-ranked persons are alternately called and the same as described in the previous two paragraphs.

In an emergency, a plurality of stages may be used depending on the degree. This case is shown in FIG. 9 and FIG. For example, in a case where the pulse rate is equal to or less than 47 beats per minute or equal to or greater than 150 beats in an emergency, when the pulse rate is 4 beats or less.
The alert value is a range of 7 to 38 beats and a range of 150 to 159 beats per minute, and when the emergency situation further progresses and the pulse rate is 37 beats or less per minute or 160 beats or more, this is regarded as a dangerous value. Then, in the case of notifying a plurality of persons, for example, when the alert value is reached, the notified person A is notified, but when the dangerous value is reached, the notified person B is notified. A, B if the dangerous value is reached
May be notified to both.

Further, two types of states, a warning value and a danger value, may be reported as follows. That is, when the alert level is reached, one or more reportees who are not emergency services (hereinafter referred to as “ordinary reportees”) are reported, and the form of report in that case is as described above, When the dangerous value is reached, the emergency report is sent to the emergency department in priority to the normal reporter, and the report to the normal reporter is made after the report to the emergency reporter is completed. Also, if the alert level has already been reached and a normal report to the person to be notified is currently being made, and if the condition worsens and reaches the dangerous value, the normal report to the person to be notified is suspended. A report to the emergency services is made, and after that, the normal report to the respondent is resumed.

[0049]

According to the first and second aspects of the present invention, the pulse rate of a patient or the like is easily detected by the pulse sensing radio wave converter and converted into radio waves, and the radio waves are transmitted to the home telephone line. When the pulse reaches a dangerous level, it can be automatically notified to the emergency authorities via a home telephone line, so that the patient at home or a patient who is not under the supervision of a doctor or the like at the hospital can be sent to the connected signal generator. An emergency incident can be easily detected and the patient can be rescued.

According to the first aspect of the present invention, it is possible to reliably notify the other party of an emergency such as a rapid decrease or a rapid increase in the pulse rate of the patient. Even if the other party does not answer the phone even when the signal tone is emitted, the occurrence of an emergency can be reported as quickly as possible.

Further, according to the invention of claim 2, when an emergency situation is reported to a plurality of persons, any one of them can be reported as quickly as possible, and all the reportees can be notified. The notification can be completed as efficiently and as quickly as possible.

Further, according to the third aspect of the present invention, appropriate measures can be taken according to the degree of emergency.

Further, according to the invention of claim 4, appropriate measures can be taken in accordance with the degree of emergency, and when the degree of emergency becomes large, that is, when the condition of the patient becomes more serious, the emergency authorities are given priority. Because it is notified, it is preferable in terms of both the emergency of the patient and the efficiency of dispatch of the emergency authorities.

[Brief description of the drawings]

FIG. 1 is a perspective view showing an example of a pulse sensing radio wave converter.

FIG. 2 is a perspective view showing another example of the pulse sensing radio wave transducer, which is attached to a patient's hand.

FIG. 3 is a perspective view showing still another example of the pulse sensing radio wave transducer, which is attached to a patient's hand.

FIG. 4 is a block diagram showing a pulse sensing radio wave converter.

FIG. 5 is an external view of a signal generation notifying device.

FIG. 6 is a block diagram of a signal generation notifying device.

FIG. 7 is a block diagram showing the concept of the present invention.

FIG. 8 is a flowchart showing one embodiment of a method of transmitting a signal from the signal generation notifying device.

FIG. 9 is a first flowchart showing another embodiment of a method for transmitting a signal from the signal generation notifying device.

FIG. 10 is a second flowchart showing another embodiment of the signal transmission method shown in FIG. 9;

[Explanation of symbols]

 Reference Signs List 16 pulse sensor 18 sensor signal amplifier 19 key 30 CPU 32 liquid crystal display 34 electric wave transmitter 42 home telephone line 44 electric wave receiver 45 memory (EEP-ROM) 46 CUP 48 with telephone dial 49 mixer 47 key 50 lamp and buzzer 52 Microphone 60 Voice memory (V / EEP-ROM) 62 Speaker 70 Emergency authorities 72 Silver center 74 Family house 76 Ambulance

Claims (4)

[Claims] 1. An emergency situation in which a pulse rate is within a predetermined range, comprising a pulse sensing radio wave converter and a signal generating and notifying device connected to a home telephone line to which a pulse signal is sent from the pulse sensing converter. When a signal generator is used, a home phone line can automatically report the location of an emergency patient to a report destination such as a rescue authority, a silver center, or a close home. An automatic emergency reporting device, wherein the signal generation reporting device includes the following means. (a) A means for sending a signal such as a voice indicating that the emergency has occurred a certain number of times when the other party answers the telephone before the transmission of the ringing sound for a certain number of times ends. (b) If the other party does not answer the phone even after the fixed number of ring tones have been made in (a) above, hang up the phone once,
When a call is made again after a certain period of time, the same operation is repeated until a certain number of times or a certain longer time elapses, while the other party answers the telephone before the repetition is completed. Means for sending the signal in (a) to the other party. (c) If the other party is on a call, hang up the phone, call again after a certain period of time, and then repeat the same operation until a certain number of times or a certain longer time elapses. Means for sending the signal in step (a) to the other party when the other party answers the telephone before the repetition is completed. 2. A pulse sensing radio wave converter, and a signal generating and notifying device connected to a home telephone line to which a pulse signal is sent from the pulse sensing converter. When a signal generator is used, a home phone line can automatically report the location of an emergency patient to a report destination such as a rescue authority, a silver center, or a close home. An automatic emergency reporting device, wherein there are a plurality of reporting destinations, and the signal generation reporting device includes the following means. (a) Calling the person with the highest priority and calling the telephone before the transmission of a certain number of ring tones indicates that the emergency has occurred. Send a signal such as voice a certain number of times, and then
Means of performing the same operation. (b) If the other party does not answer the telephone before the fixed number of ring tones is called or the other party is busy, Means for performing the same operation as the above (a) for the second-placed person, and then performing the same operation for the second-placed person. (c) In the above (b), when the second party is called, if the other party does not answer the phone before the predetermined number of ringing sounds are transmitted, or At some point, if there is no further lower rank, the first
To the person of the second place and the person of the second place alternately at a fixed time interval, and send a signal such as a voice indicating an emergency to the person who answered the call earlier, a certain number of times, A means for hanging up the telephone and repeatedly making a call to the remaining person after a certain period of time until the person answers the call. (d) In the above (c), when one or more of the further lower-ranking persons are present, the same operation as in the above (a) is sequentially performed on the subsequent lower-ranking persons, and thereafter, the notification is terminated. Means for making alternate calls to those who do not, as in (c) above. 3. The automatic emergency reporting device according to claim 2, wherein the emergency in which the pulse rate is within a predetermined range includes a situation in which the urgency is relatively large and a situation in which the urgency is relatively small,
An automatic emergency reporting device, wherein the reporting destination is different for each of these situations. 4. The automatic emergency reporting device according to claim 1, wherein the emergency in which the pulse rate is within a predetermined range includes a relatively large emergency and a relatively small emergency. Is relatively large,
A report is made to a rescue authority such as a fire department, and then the report described in claim 1 or claim 2 is made, and further, while the report described in claim 1 or 2 is being performed, the urgency is determined. When a relatively large event occurs, the report is interrupted and a report is sent to an emergency department.