Methods, apparatus, and systems for medical procedures are herein and include an external or implantable monitoring and processing apparatus that includes a memory, a sensor and a processor. The processor may be configured to receive biometric patient data from the sensor and transmit, via a first network, the biometric patient data based on a triggering cause. A local computing device may be configured to receive the biometric patient data via the first network, generate a combined patient data based at least on the received biometric patient data, and transmit the combined patient data via a second network. A remote computing system configured to receive the combined patient data via the second network, determine that a critical event is detected based on the combined patient data, and initiate a critical event action based on determining that the critical detected.
