Who Does Fall Detection Call? Understanding the Response System

According to the CDC, over 36 million falls are reported among older adults each year, highlighting the critical need for safety measures. Knowing who does fall detection call is essential for ensuring a swift and effective response during a medical emergency.

Quick Summary

Depending on the device and service provider, an automatic fall detection alert can be sent to a 24/7 monitoring center, pre-designated emergency contacts like family members, or directly to local emergency services such as 911. The response protocol is typically set up during device activation. The alert process is designed to ensure help is dispatched promptly, even if the user is unable to respond.

Key Points

• Response Varies: Fall detection alerts can go to a 24/7 monitoring center, emergency contacts, or directly to 911, depending on the device and service plan.

• Immobility is Key: The system is triggered by a hard fall followed by a period of immobility, distinguishing it from regular movement.

• Operator-Assisted Dispatch: For monitored systems, a trained operator first attempts to communicate with the user before dispatching emergency services.

• Device-Specific Protocols: Smartwatch systems often call 911 and text contacts simultaneously, while traditional medical alerts typically go through a monitoring center.

• Emergency Contacts are Crucial: Pre-designated emergency contacts are an essential part of the response plan, especially if the user cannot speak.

• Personalization is Power: Users can customize their emergency response plan with their service provider, including the order of notifications and specific details for first responders.

The Technology Behind Fall Detection

At its core, fall detection technology relies on a combination of advanced sensors, most commonly accelerometers and gyroscopes. These sensors are integrated into a wearable device, such as a pendant, wristband, or smartwatch. An accelerometer measures acceleration and can detect the sudden, rapid movement associated with a fall, while a gyroscope measures orientation and rotation to distinguish a fall from other normal activities like sitting down or lying in bed. When the device's algorithm detects a high-impact movement followed by a period of immobility, it interprets this as a potential fall and initiates the alert protocol.

The Automated Alert Process

The process is carefully orchestrated to avoid false alarms while ensuring a quick response. When a fall is detected, the device typically does the following:

1. Device-level Alert: The device emits a sound and/or vibration to alert the user. This gives the user a short window to cancel the alert if it was a false alarm.
2. Connection to Monitoring Service: If the user does not cancel the alert within the set timeframe (usually 15 to 30 seconds), the device sends a signal to a central monitoring station.
3. Operator Communication: A trained operator at the monitoring center attempts to establish two-way communication with the user through the device's built-in speaker and microphone. They will assess the situation and determine the appropriate course of action.
4. No Response Protocol: If the user is unresponsive or cannot communicate, the operator will proceed with the pre-arranged emergency plan.

Who Gets the Call?

The answer to the question, "who does fall detection call," varies based on the device, the service provider, and the user's specific emergency plan. The most common recipients of the alert are a professional monitoring center, pre-designated emergency contacts, and local emergency services.

Professional Monitoring Services

This is the most standard model for traditional medical alert systems. The 24/7 monitoring center is staffed by trained professionals who receive the alert. Their procedure is to:

• Attempt Contact: First, they will try to speak with the user to confirm the situation.
• Dispatch Help: If they cannot reach the user or if the user confirms a need for help, they will follow the user’s pre-established emergency plan, which often includes calling emergency medical services (EMS) like 911.
• Notify Contacts: Simultaneously, or shortly after contacting EMS, the operator will notify the user’s designated emergency contacts, such as a family member or caregiver.

Smartwatch and App-Based Systems

Many modern wearables, such as the Apple Watch, offer built-in fall detection. These systems may operate differently:

• Direct to Emergency Services: After a fall and a period of immobility, the smartwatch may automatically call 911 and play a pre-recorded message detailing the situation and the user’s location.
• Contact Notification: Immediately after contacting emergency services, a message with the user's location is sent to their pre-designated emergency contacts via text message.
• User Control: The user retains the ability to cancel the call if it's a false alarm.

How to Create Your Emergency Response Plan

Setting up a clear and concise emergency response plan is crucial for getting the right help quickly. Here are steps to follow:

1. Gather Information: Compile a list of your medical conditions, medications, and any allergies.
2. Designate Contacts: Choose a list of trusted individuals, like family members, neighbors, or friends, to be your emergency contacts.
3. Choose a Service Provider: Research and select a fall detection service that offers the type of monitoring and support that best suits your needs.
4. Install a Key Safe: If you live alone, consider installing a key safe with the code provided to the monitoring center or your contacts. This prevents first responders from having to force entry into your home.

Comparison of Fall Detection Response Systems

Feature	24/7 Professional Monitoring	Smartwatch-Based System	Home-Based System (No Monitoring)
Who is Called	Central monitoring center first, then 911 and contacts	911 and emergency contacts simultaneously	Contacts only (requires user setup)
Device Type	Pendant, wristband, sometimes mobile unit	Apple Watch, other smartwatches	Passive sensors in the home
Response Time	Dependent on operator response and dispatch	Can be immediate to 911	Dependent on contact availability
Pros	Trained operator handles communication; established protocols	Highly portable; discreet; integrated features	No monthly fee; privacy-focused
Cons	Monthly fee; potential for slight delay	Dependent on phone battery; less reliable detection	Relies entirely on contacts; no 911 dispatch

Factors Affecting the Call Process

Several factors can influence the call process when a fall is detected. Understanding these can help you better prepare and ensure the system works as intended.

• Mobile vs. In-Home System: Mobile systems use cellular networks to call for help from anywhere, while in-home systems rely on a landline or specific cellular connection within a limited range. The call protocol and speed can differ based on this.
• User Response: If the user is able to speak and respond to the operator, the outcome can be more controlled. If the user is unconscious or unable to speak, the emergency protocol will proceed automatically.
• Service Provider Policies: Each company has its own set of rules and procedures. Some may contact contacts before 911, while others prioritize immediate emergency services, especially if the user is unresponsive. Reviewing the terms of service is essential.
• Fall Type: Not all falls are created equal. Some systems can differentiate between a hard fall and a simple slip, and their response might vary accordingly. For example, a low-impact fall might only alert family contacts, while a high-impact one will go directly to emergency services.

Conclusion: Preparation is Key

Understanding who does fall detection call is a vital part of planning for senior safety. The technology is a powerful tool, but its effectiveness is maximized when paired with a well-defined emergency response plan. By setting up the right system, establishing a clear communication chain, and ensuring that emergency contacts are properly informed, you can provide peace of mind and help ensure that timely assistance is always available when it is needed most. For more information on preventing falls and other safety measures, consult resources from health authorities. Read more from the National Institute on Aging.

Frequently Asked Questions

Does fall detection automatically call 911?

Not all fall detection systems automatically call 911. Many services first connect to a professional monitoring center, where an operator assesses the situation before contacting emergency services. Some smartwatch-based systems may directly call 911 if no response is received from the user.

Can I choose who my fall detection device calls?

Yes, with most fall detection services, you can customize your emergency response plan. This includes providing a list of designated emergency contacts (family, friends, caregivers) who will be notified along with or after emergency services are dispatched.

What happens if I have a fall and can't speak?

If you are unable to speak or respond after a detected fall, the monitoring service operator or the device itself will automatically proceed with the emergency protocol. This means they will contact emergency services and your pre-designated contacts according to your plan.

What is the difference between a monitored and unmonitored fall detection system?

A monitored system connects to a 24/7 call center staffed by operators who handle the emergency dispatch. An unmonitored system, like some smartwatch apps, will only notify your personal emergency contacts, relying on their availability and ability to get you help.

How do fall detection systems distinguish a fall from other movements?

These systems use a combination of sensors, primarily accelerometers and gyroscopes, to track motion. The device's algorithm looks for a specific pattern of a hard impact followed by a period of stillness to identify a potential fall and trigger an alert.

Do I need a landline for fall detection to work?

Not necessarily. While some older in-home systems require a landline, most modern devices use cellular technology, allowing them to work wherever there is cellular coverage. This is especially true for mobile and wearable fall detection devices.

What should I do if my fall detection device gives a false alarm?

Most devices are designed to minimize false alarms. If one does occur, you usually have a brief window of time to press a button on the device to cancel the alert. If it goes through to the monitoring center, simply inform the operator that you are okay, and no help is needed.