Driving is a complex activity with the continuously changing environment. Safe driving can be challenged by changes in drivers’ physical, emotional, and mental condition. Population in the developed world is aging, so the number of older drivers is increasing. Older drivers have relatively higher incidences of crashes precipitated by drivers’ medical emergencies when compared to another age group. On the aged population, automakers paying more attention to developing cars that can measure and monitor drivers’ health status to protect them. In recent years, the automotive industry integrating health, wellness, and wellbeing technologies into cars with Internet of Things (IoT). A broad range of application for IoT-based elderly smart healthcare monitoring system is possible. For example, smart car, smart home, smart bed, etc., Both luxury automakers and key global original equipment manufacturers integrating healthcare services into their next-generation products. Stroke is a brain attack caused by the sudden disturbance of blood supply to that area. The stroke population as well as global population is aging. The chances of surviving from an acute and sudden infarction (i.e., stroke) are much higher if the elderly people get emergency medical assistance within a few hours of occurrence. This research objective is to successful detection (using wearable devices) and generation of alarms in cases of stroke onset while driving, which will allow the timely delivery of medical assistance, to mitigate the long-term effects of these attacks.