A Novel System for Physiological Signal Monitoring and Health-Informed Electrotactile Feedback for First Responders

Ensuring the safety and effectiveness of first responder teams during critical missions requires real-time health monitoring and responsive intervention systems. This study presents a novel system comprising a multimodal wearable device integrated with a remote command centre, designed to support the physiological monitoring and guidance of first responders in the field. The wearable device includes three main components: a physiological and biochemical signal acquisition unit, an electrotactile stimulation unit and a powerful communication interface. The acquisition unit continuously samples heart rate, body temperature, and biochemical markers from sweat, transmitting this data wirelessly to the remote command centre. The transmitted physiological data could be analyzed at the command centre and, based on the inferred first responder condition, appropriate feedback commands could be issued back to the corresponding wearer. The commands are then executed by the electrotactile stimulation unit on the wearable device. Initial testing in laboratory settings confirmed the system’s ability to generate accurate electrochemical readings and dehydration assessment through changes in bulk ionic conductivity. Electrochemical impedance spectroscopy showed good agreement with a commercial potentiostat. Heart rate and temperature readings demonstrated satisfying accuracy with minor removable artifacts. Field trials with first responders validated continuous signal transmission and electrotactile feedback with over 80% success. These results confirm the system’s robustness and modularity, supporting its application in operational environments.