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Emergency Department AAC

In the ER, every second counts.
This speaks when they can't

TinkySpeak ER Mode: a free, browser-based board for emergency departments. Pain assessment, symptom communication, triage support — share it by QR to the tablet or phone already at triage. No setup. No training. No procurement. Speaks offline once a board is open.

< 30s Cart to patient
Free Any device, speaks offline
0 Training
0 PHI None for us to hold
15+ Languages
Try it — ask a triage question
Or click one: pain level · symptoms · what happened · allergies · medications
🤕PAIN ›
🫁BREATHING ›
🤢NAUSEA ›
💊MEDICATION
⚠️ALLERGY
🩸BLEEDING
🔄MORE
YES
NO
The Gap

When a patient can't speak in the ER

The emergency department moves fast. But communication breakdowns create dangerous delays. A patient who can't describe their symptoms gets slower, less accurate care.

Intubated patients. Non-English speakers in crisis. Stroke patients in the golden hour. Facial trauma. Deaf patients with no interpreter. The gap between arrival and communication is where errors happen.

Most ERs have nothing for this. Maybe a laminated pain chart from 2004. Maybe a translator app that requires WiFi they don't have. Maybe nothing at all.

TinkySpeak ER Mode closes that gap in under 30 seconds.

Who needs this
🫁
Intubated patients Can't speak, can't write, can see. They can tap a tile that says "pain in my chest" or "I'm scared" or "call my family."
🌐
Non-English speakers No interpreter available at 3 AM. Multilingual symptom boards let the patient point to what hurts — in their language.
🩹
Facial / jaw trauma Can't open their mouth. Can still tap "sharp pain," "left side," "it started 2 hours ago."
🧠
Acute stroke patients In the golden hour, every minute of communication delay affects treatment decisions. Structured boards give triage data fast.
🤟
Deaf / hard of hearing No ASL interpreter on-site? Visual tile boards bridge the gap until one arrives.

Built for the chaos
of the emergency department

Purpose-built for time-critical, high-stress environments. Large touch targets. High contrast. No menus. No logins. One-tap communication from the moment the device is in the patient's hands.

🫁

Rapid Pain Assessment

Body map + 0–10 scale + pain type (sharp, dull, burning, pressure). Patient communicates in taps, triage nurse gets structured data. No guessing, no charades.

📋

Symptom Communication Boards

Pre-built boards organized by triage category: chest pain protocol, breathing difficulty, abdominal, neurological, trauma. Tap to describe what's happening.

⚠️

Allergy & Medication Alerts

Patient taps known allergies and current medications. Critical for avoiding adverse drug interactions during emergency treatment when they can't verbally report.

📊

Triage-Ready Output

Structured data the triage nurse can use immediately. Not free-text. Pain location, severity, onset, duration — formatted for clinical charting.

🌐

Multilingual Emergency Boards

15+ languages built in. When a patient arrives speaking Tagalog and no interpreter is available — basic symptom communication begins immediately.

🚨

One-Tap Emergency Alerts

"I CAN'T BREATHE" — "SOMETHING IS WRONG" — "CHEST PAIN" — "I NEED HELP NOW." Always visible. Always one tap away. No navigating menus in a crisis.

How It Works

Bedside tablet to patient communication
in under 30 seconds

1
Patient Arrives

Speech impaired — intubation, stroke, trauma, or language barrier

2
Nurse Opens a Board

On a tablet or phone the ER already has, or by scanning a triage QR. No setup, no login, no purchase

3
Patient Taps Tiles

Pain location, symptoms, allergies, medications, basic needs

4
Triage Gets Data

Structured, charting-ready output. Pain 8/10, left chest, sharp, 2 hours

5
Discharge & Clear

Board cleared, device handed to the next patient. Ready immediately

For Emergency Departments

Equip your ER
with the devices you already own

A board on the tablets and phones already at your nurse stations. No IT tickets. No network config. No vendor setup. No device procurement. Open a board in the browser, or print a QR for each triage bay.

The builder

Free forever, on any device

Build and share unlimited ER boards — multilingual support and pain assessment tools — in any web browser. No account, no purchase.

Compared to traditional AAC

$5,000$15,000 per dedicated AAC device

That's what a single traditional speech device costs. TinkySpeak runs free in the browser on hardware your ER already has.

Hospital System rollout

Free + Support

The builder stays free across every department. We help with deployment, board templates, and QR signage at scale.

Need deployment help? Sponsorship and grant programs available. Contact us to discuss.
📷

QR at Every Bay

Print a QR for each triage bay or bedside. The patient scans it on a staff tablet or their own phone and the right board opens instantly.

🧴

Infection Control

Runs in the browser on the tablets your ER already wipes down between patients. No extra hardware to clean, case, or track.

🔒

Kiosk Lock

Patient can't exit TinkySpeak. No accidental settings changes, no app store, no browser. One purpose: communicate.

📶

Speaks Offline

Once a board is open, it keeps working in dead zones, basements, ambulances — tiles and spoken output run on-device, no WiFi needed.

📡

Central Board Management

Build, update, and push ER boards from one dashboard. Every bay's QR loads the latest version — no per-device installs to chase.

🔄

Nothing to Replace

No special hardware to break or budget for. A board runs on any tablet or phone the ER already has — lose one device, open the board on another in seconds.

Real Stories
★★★★★

"We had a patient come in with jaw wired shut from a car accident. He couldn't tell us anything about his pain. With the tablet, he pointed to his abdomen, rated it 9/10, and we caught internal bleeding we might have missed for another hour."

— ER Triage Nurse, Level 1 Trauma Center
★★★★★

"At 2 AM, a Mandarin-speaking grandmother came in with chest pain. No interpreter until morning. The multilingual boards let her communicate her symptoms, medication list, and allergy to penicillin. That allergy alert alone may have saved her life."

— Emergency Physician, Community Hospital
★★★★★

"We loaded TinkySpeak boards onto the tablets already at our nurse stations and printed QR codes for each bay. The nurses pull them up constantly — intubated patients, post-op patients who couldn't speak yet, elderly patients with sudden aphasia. It's become as standard as the pulse ox."

— ER Department Director, Regional Medical Center