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gjm comments on Open thread, Mar. 23 - Mar. 31, 2015 - Less Wrong
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So now your watchstrap gets snagged on a tree branch and falls off without your noticing -- and then it dials 911, calls the coast guard, etc. That could make you pretty unpopular.
One possibility: Designate one or more emergency contacts in case a pulse measurement drops to zero, who can text back to see if you're alright, if the battery's died, or whatnot; and who can /then/ decide to call out the cavalry.
I think smartwatches are smart enough to notice when they're not on your wrist any more.
P.S. Even without smartwatches, I would be greatly surprised if there is no remote-monitoring medical device which you strap onto yourself and which alerts someone if it thinks you're in trouble. The market for live-alone elderly people is huge.
Or you simply take it off.