Wire in pagerduty to whatever your action is. Ideally distributed on multiple infra pieces. This is just the switch side not the action side.
Normally deadmans switches can be compromised by disrupting the deadman switch hardware. This removes that attack vector and pushes it further up the chain (which may or may not help you).
It's certainly very clever.
Thanks. We already rely on PD so preconfiguring the alert/snooze isn’t additional risk for us.