Why ADID exists
Autonomic dysreflexia is one of the most under-monitored emergencies in spinal cord injury care. ADID was built to close that gap with continuous, objective data from the place the events actually happen: real life. And to make sure it reaches the people who need it most — free.
“A condition that can cause stroke, seizure, or intracranial hemorrhage in minutes — managed largely from memory and after-the-fact phone calls. That’s the status quo we’re changing.”
— The clinical reality ADID was designed forThe stakes
Autonomic dysreflexia is a medical emergency.
In people with spinal cord injury at the T6 level or above, the autonomic nervous system loses the normal feedback loop that keeps blood pressure regulated. A trigger as ordinary as a full bladder, a pressure sore, or constipation can drive systolic blood pressure 20–40 mmHg above baseline within minutes. Without intervention, the consequences include severe headache, intracerebral hemorrhage, seizure, stroke, and death.
- ✓Onset is fast — often within minutes of the triggering stimulus.
- ✓Many episodes are partially or fully silent, and easy to miss.
- ✓Episodes can be recurrent; risk accumulates over a lifetime of SCI.
The visibility gap is structural.
Clinical care is built around in-clinic measurements and patient recall. Both fail for a condition that is intermittent, can occur overnight, and frequently presents with subtle or absent symptoms. By the time a clinician sees the patient, the episode is hours or days gone — with no objective record of what happened.
- iSpot blood-pressure checks capture a moment, not a pattern.
- iPatient recall is unreliable for events that may be silent.
- iHolter-style monitors are intrusive, time-limited, and rarely deployed at home.
What changes when monitoring is continuous, categorized, and connected
ADID was designed around four premises: the wearable has to be something a person actually keeps on; the system has to learn each individual’s baseline; detection has to be richer than a single threshold; and when an event is serious, the right people have to know immediately.
From recall to record
Patients no longer have to remember whether an episode happened — ADID records the surrounding heart rate and HRV trajectory automatically, time-stamped, with category and confidence labels. The clinical conversation moves from “I think it happened twice last week” to “here are the three windows where the data shifted, with confidence scores.”
From threshold to taxonomy
A single “alarm threshold” is the wrong model for a condition that can present in multiple ways. ADID identifies and labels different categories of events — confirmed AD-pattern episodes, elevated trends, baseline drift — so the data has shape, not just volume.
From binary to confidence
Every flagged event arrives with a likelihood and confidence percentage. Care teams can prioritize the 90% events without missing the 50% ones that might still matter in aggregate — and patients aren’t flooded with low-signal noise.
From data to action
When ADID detects a serious or high-risk event with high confidence, it can alert designated caregivers in real time. Monitoring becomes a safety net, not just a logbook — physiologic context translated into timely action by the people closest to the patient.
Why we’re doing this for free.
Many veterans and people living with SCI navigate complex care, often on tight margins. A monitoring platform that demands a subscription is a monitoring platform that some patients won’t have access to. ADID is built on the principle that the people most at risk should not be the people most likely to be priced out. The platform is free to wear and use — worldwide.
ADID is a monitoring system, not a diagnostic device. It surfaces objective physiologic context and routes alerts so clinicians can make better-informed decisions — it does not replace clinical judgment and is not a substitute for emergency care. If an episode is suspected, the response remains the one taught in every SCI clinic: identify and remove the trigger, escalate to medical care, and treat the blood pressure.
Autonomic dysreflexia is fast, common in upper-level SCI, and almost invisible to a care system built around in-clinic measurement. ADID makes it visible — with categories, confidence scores, and real-time caregiver alerts. See how it works →