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In a crisis there are only two kinds of people.Those who
need helpThose who
can help

Sentinels for the new frontier of medical response

XCH designs, deploys and supports the mass casualty response systems that connect them.

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Connected knowledge is the key to resilience, response and recovery.

Connecting knowledge is what we do, in any language, in any environment, for any event. Where there are risks, we use our resources with two goals: to improve resilience and to optimize response-ability.

Our mission is to design, develop, train, deploy and support effective healthcare response systems that match those who can help with those who need it.

  • Surge support

    Helping healthcare providers in crisis find the staff, supplies and capacity they need.

  • Planning and training

    Turning awareness into action, so communities are less fragile before an event and respond with more impact during one.

  • Software

    Tools that give responders situational awareness and the ability to act on it.

Why healthcare?

A crisis may have many causes: war, natural disaster, famine or outbreak. The common denominator of each is the need for medical response.

Portfolio

Two products, one purpose: getting the right information to the people who can act on it.

GHAAS

Global Humanitarian Aid Assistance System

GHAAS is a mass casualty and disaster response coordination platform. It gives incident commanders, hospitals and field teams one shared picture of an event: where casualties and threats are, which facilities can take patients, and which teams, vehicles and supplies can reach them.

The problems it solves

  • Situational awareness

    Strategic and tactical maps show incidents, threat and exclusion zones, facilities, field teams and routes as they change.

  • Medical surge capacity and capability

    Each facility reports its status, staffed and available beds and what it can treat, rolled up by county, state and facility group.

  • Staff, supplies and resources

    Teams, volunteers, vehicles and supply requests are tracked in one place, so shortfalls are seen and filled before they stop care.

  • Matching patients to services

    When a hospital is overwhelmed or lacks the right service, coordinators can see which facility has the capacity and capability to take the load.

  • Support at the edge

    Search areas and grids, field markers, team dispatch and routing support rescue, transport and ongoing care where the casualties are.

GHAAS screen: Tactical map
Tactical mapThreats, zones, field teams and facilities for the incident in hand.
GHAAS screen: Strategic map
Strategic mapRoutes, exclusion zones and resources across the whole response.
GHAAS screen: Incidents
IncidentsEvery incident with its type, priority, status and commander.
GHAAS screen: Region readiness
Region readinessFacility status, available beds and utility alerts by region.
GHAAS screen: Facilities in a region
Facilities in a regionBeds, occupancy and utilities for each hospital and shelter.
GHAAS screen: Dashboard
DashboardActive incidents, open requests and deployed teams at a glance.
GHAAS screen: Displaced persons
Displaced personsRegistered groups by shelter, ready for reunification.
GHAAS screen: Supply requests
Supply requestsWhat each facility needs, by priority and status.
GHAAS screen: Request detail
Request detailThe item, the requester and what has been committed against it.
GHAAS screen: Public offers
Public offersOffers of goods and transport from outside the response.
GHAAS screen: Sign-in page
Sign-in pageWhere responding organizations sign in.

Keeping track of people

Displaced families are registered by shelter and group, with reunification matching and protection alerts for those separated in the event.

Built around four kinds of organization

Facilities
Hospitals, medical-needs shelters, EOCs and depots that report their capacity, capabilities and live status.
Agencies
The Red Cross and other NGOs that coordinate response or supply resources without reporting capacity.
Governing organizations
Government and emergency management bodies that see cumulative data for their regions and groups, and manage organizations across the platform.
Platform administration
The single organization that maintains the application.

Every user belongs to exactly one organization and acts for it. Each organization sees only its own data, actions are limited by role, and organizations manage their own user groups, such as a search and rescue organization's search teams.

Ask about GHAAS

EchoResponse

Talk through the call, get the report.

EchoResponse is a mobile app for fire and EMS responders that turns what you say on scene into a finished incident report. Describe the incident out loud, add photos, video and notes as you go, and the app transcribes it, rewrites it as a professional narrative and maps it to the NERIS v1.0 format for submission.

It works without a signal. Everything is captured and transcribed on the device, then synced and refined when you are back online.

EchoResponse screen: Voice-first incident creation
Voice-first incident creationTap the mic and describe the incident. The app fills in the form and you accept or correct each field before anything is saved.
EchoResponse screen: Incident timeline
Incident timelineEvery recording, photo and note in order, filterable by type.
EchoResponse screen: Capture everything in one place
Capture everything in one placeAudio notes, photos, video and typed notes, each stamped with time and location.
EchoResponse screen: Nothing clipped
Nothing clippedA one-second audio pre-roll catches your first words, and recording stops automatically when you stop talking.
EchoResponse screen: Incident checklists
Incident checklistsStep-by-step checklists by incident type, with notes and audio attached to each step.
EchoResponse screen: Incident map
Incident mapSee all incidents on a map, plus a per-incident map of where each item was captured.
EchoResponse screen: NERIS v1.0 ready
NERIS v1.0 readyPremiumStructured data is pulled from your narrative, checked for missing fields, validated and submitted to NERIS, with a full submission history for audit.
Works offline
On-device transcription keeps the app usable with no connection. Cloud work is queued and runs when you reconnect.
Professional narratives
AI turns plain spoken language into a clear, properly structured report narrative that you can edit.
PDF export
Signed, shareable, printable reports.
Hands-free hardware
Works with Bluetooth push-to-talk microphones.
Duress alarm
A "man down" alarm with a browser console where a watch officer sees open alarms and the responder's location.
English and Spanish
The full app is available in both languages.
Free and Premium
Free covers the offline core with on-device AI. Premium adds cloud transcription and NERIS submission.
Ask about EchoResponse

Nearly two decades of healthcare crisis response.

We are a dedicated international team that designs, deploys and supports healthcare crisis response systems.

Where we work

  • United States
  • Haiti
  • Philippines
  • Kenya
  • Malawi
  • Ukraine

Connecting healthcare providers in Africa through telehealth

We work with our partner, the World Telehealth Initiative, to bring specialists to patients in areas of need. Where traditional support is episodic and depends on travel, telehealth brings sustained clinical expertise to the regions it assists.

Carl TaylorFounder

Carl is an internationally recognized leader in building solutions that support healthcare providers and people in times of crisis. As executive director of the Center for Disaster Medical Response he led the concept and development of AIMs and the Advanced Regional Response Training Center, work that earned commendations from the US Senate and from state and local governments.

He has won two national innovator of the year awards for his early work in telehealth and remote patient monitoring, and was appointed to two HHS-funded committees: one on telehealth in the COVID response, the other on the future of medicine. Carl started XCH with his partners to build globally on lessons learned in disaster response.

Tell us what you are responding to.

Whether you run a hospital, an agency or a fire department, we would like to hear what you need.

Email carl@xchlive.org