An Edge-Cloud Collaborative Architecture for Proactive Elderly Care: Real-Time Risk Assessment and Three-Level Emergency Response

The increasing global aging population has intensified the demand for reliable health monitoring systems, particularly those capable of detecting critical events such as falls among elderly individuals. Traditional fall detection approaches relying on single-modality acceleration data suffer from high false alarm rates, while conventional machine learning methods require extensive hand-crafted feature engineering. This paper proposes a novel multi-modal deep learning framework, MultiModalFallDetector, designed for real-time elderly fall detection using wearable sensors. Our approach integrates multiple innovations: a multi-scale CNN-based feature extractor capturing motion dynamics at varying temporal resolutions; fusion of tri-axial accelerometer, gyroscope, and four-channel physiological signals; incorporation of a multi-head self-attention mechanism for dynamic temporal weighting; adoption of Focal Loss to mitigate severe class imbalance; introduction of an auxiliary activity classification task for regularization; and implementation of transfer learning from UCI HAR to SisFall dataset. Extensive experiments on the SisFall dataset, which includes real-world simulated fall trials from elderly participants (aged 60-85), demonstrate that our framework achieves an F1-score of 98. 7, Recall of 98. 9, and AUC-ROC of 99. 4, significantly outperforming baseline methods including traditional machine learning and standard deep learning approaches. The model maintains sub- 50ms inference latency on edge devices, confirming its suitability for real-time deployment in geriatric care settings.

Medical AI has demonstrated specialist-level diagnostic accuracy, yet these capabilities remain largely inaccessible in resource-constrained rural settings where bandwidth is scarce, compute is limited, and clinical decision-making requires integrating heterogeneous modalities. We introduce a cloud--edge collaborative architecture that addresses these constraints: lightweight, domain-specific models on the edge transform raw medical data into compact structured outputs, while a cloud LLM synthesizes these outputs into clinical summaries. An LLM-based orchestrator dynamically selects diagnostic tools based on patient context, promoting comprehensive modality coverage without processing irrelevant inputs. We evaluate on 20 multimodal clinical cases spanning cardiac, obstetric, trauma, and screening scenarios under three simulated network profiles (500,kbps--5,Mbps). The hybrid system achieves 98--99% diagnostic tool recall with 92--96% precision, matches or exceeds cloud-only baselines on clinical accuracy, and maintains bandwidth-invariant latency (25--35,s) at 4--15x lower token cost. These results highlight the role of architectural design in enabling efficient multimodal integration and improving factual grounding compared to cloud-only approaches under deployment constraints.

Falls in wet bathroom environments are a major safety risk for seniors living alone. Recent work has shown that mmWave-only, vibration-only, and existing multimodal schemes, such as vibration-triggered radar activation, early feature concatenation, and decision-level score fusion, can support privacy-preserving, non-intrusive fall detection. However, these designs still treat motion and impact as loosely coupled streams, depending on coarse temporal alignment and amplitude thresholds, and do not explicitly encode the causal link between radar-observed collapse and floor impact or address timing drift, object drop confounders, and latency and energy constraints on low-power edge devices. To this end, we propose a two-stream architecture that encodes radar signals with a Motion--Mamba branch for long-range motion patterns and processes floor vibration with an Impact--Griffin branch that emphasizes impact transients and cross-axis coupling. Cross-conditioned fusion uses low-rank bilinear interaction and a Switch--MoE head to align motion and impact tokens and suppress object-drop confounders. The model keeps inference cost suitable for real-time execution on a Raspberry Pi 4B gateway. We construct a bathroom fall detection benchmark dataset with frame-level annotations, comprising more than 3~h of synchronized mmWave radar and triaxial vibration recordings across eight scenarios under running water, together with subject-independent training, validation, and test splits. On the test split, our model attains 96.1% accuracy, 94.8% precision, 88.0% recall, a 91.1% macro F1 score, and an AUC of 0.968. Compared with the strongest baseline, it improves accuracy by 2.0 percentage points and fall recall by 1.3 percentage points, while reducing latency from 35.9 ms to 15.8 ms and lowering energy per 2.56 s window from 14200 mJ to 10750 mJ on the Raspberry Pi 4B gateway.