Ineffective and inefficient pre-hospital communication between ambulances and hospitals is a major problem which causes sentinel events (preventable deaths) and delays in treatment of stroke and heart attack. As a result, Twiage was developed to provide novel pre-hospital communication and intra-hospital care coordination technology enabling hospitals and EMS to accelerate life-saving emergency care by reducing the reliance on radio communication. EMS professionals can use Twiage’s free and HIPAA-compliant app to send notifications with patient vital signs, symptoms, and interventions to the hospital in seconds, along with photos, additional details in text chats, and digital voice memos.