Reducing stroke-to-treatment time through EEG utility implementation in an application for Emergency Medical Services

Jacobs Medical Center

3.7 mi

12 minutes

Scripps Green Hospital

4.5 mi

15 minutes

Sharp Memorial Hospital

6.7

24 minutes

Hillcrest Medical Center

7.7 mi

30 minutes

Scripps Memorial Hospital

8 minutes

2.3 mi

4

3

3

3

Kaiser Permanente

3.1 mi

11 minutes

2

2

Send Patient Information to Hospital

Last Well Time: 3:12 PM

Pre-existing Conditions:

High blood pressure, diabetes, and previously experienced a stroke.

Current Conditions:

Face Drooping, Aphasia, Hemiplegia, Abnormal Eye movement.

Patient: Margot Ross

Age: 73

Sex: Female

DOB: 01/26/1852

View Full Patient History

Scripps Memorial Hospital

2.3 mi

8 minutes

Level 4 Comprehensive Center

BANAMBULANCE

3:48 PM

Patient: Margot Ross

Hospital Options

Home

Strokes are the 4th leading cause of death in the United States, with 800,000 cases a year.

Our application, Banambulance, changes the game: 

In order to understand the problem and our users, we interviewed 2 EMTs and a stroke survivor.

From our prior research, we knew TIME was a critical portion that needed to be saved to increase a stroke patient’s chances of survival + reduce disability.


But from talking to real EMTs, we had 3 main huge findings:

With these findings, we created our user personas and storyboards to begin formulating a way to relieve our user’s pain points.

EMTs go through a protocol called BEFAST

EMTs are not always confident based on this behavioral assessment

Identifies a stroke patient’s condition based on a behavioral assessment.


Balance, Eyes, Face, Arms, Speech, Time

Knowing the patient history and brain data helps the EMTs deduce whether the symptoms displayed are caused by a stroke or were pre-existing

Some patients can display stroke-like symptoms without actually having a stroke, OR don’t display stroke-like symptoms when they are actually having a stroke.

Solution

Research

In order to address these pain points, we created a solution that includes the features stated above, creating our first low fidelity wireframe designs of our application.

Lo Fi Designs

User Personas

Storyboards

After user testing with one of our EMTs, he gave input that drove our reiterations for our high fidelity screens and prototype.

Below are a couple of our reiterated High Fidelity screens.

Hi Fi Designs

Our goal was to solve the problem of time lost between stroke onset and receiving treatment. Creating a solution that was intuitive and clear for an EMT to understand in a fast-paced environment was critical for this process.


With Banambulance, this becomes more possible than ever.



What I Learned

Working alongside aspiring neuroscientists and UX designers made understanding the weight of stroke misdiagnosis greater.

It no longer seemed as a distant problem that I’ve only heard of, but a pain that I understood deep in my own heart.


I’ve learned how to have the deep understanding of our user’s pain point be the driving factor of all our design decisions. This relationship between the designer and the user allows design decisions to actually address the problem at hand.


Tying visual design with solution design is a skill I have not only attained, but one that I will continue to nurture onto the next.

Reflection

Problem

My Role

Team

Skills

Timeline

Content Strategist & UX Researcher

Content Strategist, UX Researcher

UI/UX Designer

Neuroscientist

Market & User research

UI/UX Design

User Testing

5 weeks

Aug 2025 - Sept 2025

kate hong

design

powered by doodles and daydreams <3

In such critical circumstances, up to 22% of strokes are missed and misdiagnosed by EMS in the field.


A lack of access to the patient’s prior medical history and objective diagnostic tools, resulting in higher chances of disability and lower likelihood of survival.

Marcus Hayes

San Diego, CA

EMT

Married

Male

32

LOCATION

OCCUPATION

STATUS

GENDER

AGE

“I want to save everyone”

PAIN POINTS

Difficult to understand EEG displays and results under fast, intense, and high-pressure environments

Having to juggle multiple devices and screens while managing patient care

GOALS

Save lives in time-critical situations

Feel confident in interpreting pre-hospital EEG results

Minimize errors by using clear and reliable data

Quickly share EEG data with hospital before arrival

MOTIVATIONS

Marcus is passionate about his job and loves helping others. He wants to make sure that every patient gets the aid they need after he hands them off to the hospital. Marcus wants to be in more control of his interpretation of EEG results.

BIOGRAPHY

Marcus has been a EMT for 9 years, working in both urban and rural areas. He relies heavily on quick diagnostic tools for stroke patients. While he has used portable EEG devices before, he finds their interface clustered and difficult to understand while under a lot of stress.

Aurora Williams

San Diego, CA

Charge Nurse

Not Married

Female

35

LOCATION

OCCUPATION

STATUS

GENDER

AGE

“Every minute counts”

PAIN POINTS

Lack of patient data before arrival, so doesn’t know if they have the proper facilities or treatment for patient; has to send away patients when they don’t

Has to prepare medical teams last-minute to receive patients

GOALS

Gather necessary patient data quickly, based on information received from EMT

Prepare a team at the hospital before arrival to provide proper medical attention on a timely manner --- every minute counts!

MOTIVATIONS

Aurora is passionate about people’s health and providing the best care for them since studying biology at UCSD in her undergraduate years. Since she’s not married, she dedicates most of her time caring for patients so they can have good recovery for their best life.

BIOGRAPHY

Aurora is a 35 year old charge nurse at a nearby hospital in San Diego. She has been working in the hospital for 11 years, and has had various experiences encountering stroke patients. She is usually very patient with people and likes to do her job as well as possible.

Gives EMTs more confidence in their calls and decisions because they have more data to back up their BEFAST

About 87% of these strokes are the ischemic type, which is a blood clot in the brain.

Every minute a stroke goes untreated, the brain loses 1.9 million neurons.

Ischemic strokes can be treated within the right time frame — meaning time is key to a patient’s survival.

Several interviews with EMTs,

As well as with a surviving stroke patient’s mother.

an EEG cap providing clear, real-time brain data

incorporation of BEFAST, EMS current stroke protocol

We bring in critical information that equips EMS to more accurately identify strokes on the spot. 


With 87% of strokes being ischemic and treatable if caught early, our interface helps save time, save lives, and give patients a better chance at recovery.

patient history input with a mic

Okay, we have patient data. So then why EEG?

This can be a GAME-CHANGER to provide EMS with this information.

EEG stands for Electroencephalogram, which involves placing small, metal disks onto the scalp to read brain waves and assess brain function.


It has the ability to detect abnormalities caused by ischemic strokes.

John Doe

Patient:

Sun Aug 24 1:30 PM

nihss scale

eeg output data

pateint info?

rec hospitals

Last-Well Time:

12:05 PM

Pre-existing Behavior:

Current Behavior:

BPM BP

UCSD Scripps

Kaiser Permanente

John Muir Health

whsdfkjha

whsdfkjha

NIHSS Suggested Score

Patient Behavioral History

Recommended Hospital

34: Severe

0

42

EEG Output Graph

Normal

Stroke

Lo Fi Wireframes

Patient History

Last Well Time: 3:12 PM

Live Transcript:

“The patient always had a prior problem with dizziness because they have vertigo. They also always had a limp arm because of nerve damage due to a prior car accident years ago. When questioned, the patient...”

Name: Margot Ross

Age: 73

Sex: Female

BEFAST Check

What are the patient’s current conditions?

BANAMBULANCE

3:48 PM

Patient: Margot Ross

Existed

Balance

Eyes

Face

Arms

Speech

Normal

(0)

Slightly Severe

(3)

Severe

(4)

Very Severe (5)

Moderate (2)

Slight

(1)

View Full Patient History

Jacobs Medical Center

3.7 mi

12 minutes

Scripps Green Hospital

4.5 mi

15 minutes

Sharp Memorial Hospital

6.7

24 minutes

Hillcrest Medical Center

7.7 mi

30 minutes

Scripps Memorial Hospital

8 minutes

2.3 mi

4

3

3

3

Kaiser Permanente

3.1 mi

11 minutes

2

2

Send Patient Information to Hospital

Last Well Time: 3:12 PM

Pre-existing Conditions:

High blood pressure, diabetes, and previously experienced a stroke.

Current Conditions:

Face Drooping, Aphasia, Hemiplegia, Abnormal Eye movement.

Patient: Margot Ross

Age: 73

Sex: Female

DOB: 01/26/1852

View Full Patient History

Scripps Memorial Hospital

2.3 mi

8 minutes

Level 4 Comprehensive Center

BANAMBULANCE

3:48 PM

Patient: Margot Ross

Hospital Options

Home

You can access the full experience on our prototype here!

Table of Contents

Problem

Solution

Research

Lo-Fi Design

Hi Fi Design

Reflection