UNIVERSAL HANDOVER TOOL (UHOT)

RELATED APPLICATIONS

This application claims the benefit of priority to United States Provisional Application for Patent serial number 63/397,134, filed August 11, 2022.

BACKGROUND

[0001] In the world of pre-hospital medical treatment time, emergency medical treatments and communications are vital for patient survival. FIG. 1A. The standard is the “Golden Hour” or an hour from point of injury to advanced medical care in a medical facility.

[0002] A standard in medical and scientific innovations is a tool, used at the right time, and communicated to others for critical care when time matters. Industry standards establish definitions of medical care, education, training, certification, medical supplies, and equipment to achieve this goal.

[0003] Various embodiments disclosed herein relate to a universal handover tool that augments standard nationally and internationally accepted practices. It provides an easy to use, intuitive, and recognizable tool that provides critical information at various stages of care that allows individuals providing care an additional means of identifying patient needs, including providing critical information at several key junctures where an individual is deemed to be at the most risk for loss of life, e.g., massive hemorrhage, head and neck injuries, and hyperthermia.

[0004] The tool is universal in nature and can be used by a variety of communities including, but not limited to, Department of Defense, NATO, law enforcement and K9 officers, emergency and crisis management, community and private Emergency Medical Services, disaster management, and the security industry, at the Federal, State, and Local levels, as well as private business, hospital mass casualty efforts, universities, schools, and volunteer organizations across the US and the world. In one or more embodiments, the tool meets both US and international standards and can be used worldwide. SUMMARY OF THE DISCLOSURE

[0005] In accordance with one or more embodiments, a handover tool is provided comprising a plurality of tags, stickers, and/or markers each selectively assignable to and suitable for placement on or around a patient under pre-hospital trauma care to visually convey information indicative of a medical condition or evacuation need for the patient.

[0006] The handover tool communicates critical lifesaving information quickly and visually across organizations. It offers industry recognized information in a combined application with overlapping communication, utilizing visual and technological applications that drive human performance action when fine motor skills are reduced to gross skills and training in high stress situations.

[0007] Advantages of the tool include some or all of the following:

[0008] The tool is simple, intuitive and easy to use.

[0009] The tool conforms to National and International standards.

[0010] The tool is easily recognizable and conforms to National and International education and training programs.

[0011] The tool has applications across various medical care providers in a pre-hospital environment.

[0012] The tool is designed to withstand austere environmental conditions extreme weather, temperature, and operational conditions.

[0013] The tool is fire-resistant and safe for human use.

[0014] The tool can be constructed in a variety of formats and styles that are adjustable for the client and environmental requirements.

[0015] The tool offers both specialty buyer and public consumer applications for sales.

[0016] The tool meets the Department of Defense’s strict standards for safe product use with DoD personnel.

[0017] The tool can easily be incorporated into standard practices, training, teaching, and exercises. Supports “Just In Time” training.

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FH11503722.7 [0018] The tool augments standard procedural sets in patient care management from point of injury to medical facility.

[0019] The tool offers a variety of integrated multimedia/technology that can be scaled and modified for Domestic and International use.

[0020] The tool meets standards for maintaining U.S. Sensitive Technology requirements for unauthorized use by unfriendly countries.

[0021] The tool meets International standards for use in NATO countries or foreign counties partnered for development of internal pre-hospital programs supporting Emergency Management, Emergency Medical Services or Disaster Management.

[0022] The tool is an answer to multiple National and International grant opportunities seeking innovations in Mass Casualty or Emergency Care in Pre-Hospital settings.

[0023] The tool can be adapted for any language.

[0024] Quick response (QR) coding provides technology integration and geo location tagging, which supports research, studies, modification, quality control, and education and teaching abilities. This ability supports medically and scientifically based data points collected from a host of applications, creating good research models.

[0025] The tool supports innovations in technology with unmanned aerial flights. Can be applied to current testing of Unmanned Aircraft Systems (UAS) removing patients from hostile situations by drones.

[0026] The system is scalable and provides a chronological story of patient care when applied in a prolonged field and transport application.

[0027] The system can be used in a standard three phase Tactical Combat Casualty Care (TCCC) or Tactical Emergency Casualty Care (TECC) teaching/application program.

[0028] The tool supports application in both Domestic and International Disaster Management education and established programs.

[0029] Graphics are easily readable, clear, concise, industry standard words. In addition, fonts are Dyslexia friendly.

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FH11503722.7 [0030] The tool can be used both at day and night. Features include “Glow in the dark” phosphorescence, and/or IR spectrum of light technology that can be seen with night vision goggles. These materials are government controlled and client approved.

[0031] The tool takes hundreds of data points and refines them it into a simple life saving actionable tool combating the seven (7) common communicational breakdown factors.

[0032] The tool answers the U.S. Department of Defense goal of developing innovative solutions to three problem areas facing military operations in warfare: (a) Mass Casualties management where smaller, more compact operations are deployed into a battlespace unlike what we are accustomed to; (b) Patient flow, process requirements, and the amount of communication for prolonged field care are operational challenged; (c) Speed, efficiency, readiness of medical personal requiring simplified non-technology ideas for battlefield management of causalities; (d) Additional skills, education, operational environments, and skillsets are challenged, and resources and personal readiness will be challenged with increased pressures and less than ideal conditions will become more constant; and (e) Arctic and subterrain operational conditions. The tool addresses an increased logistical strain for air, ground, and sea, material resources.

[0033] The tool addresses limitations in communication styles, failures to use standardized communication tools, environmental setting, time constraints, missing information, lack of training, education and training programs and resource management. The invention fills gaps in communication that plague responders on a day-to-day basis.

[0034] The tool has a significant impact on proper treatment, proper resources, and critical information for life saving measure decreasing the chance for loss of life from commonly seen practices today in pre-hospital care.

[0035] The tool decreases the need for hospital medical personnel already strained from national shortages, increased work and patient demands from overlooking a pre-hospital medical intervention and incorrectly having it removed in initial patient assessment and treatment.

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FH11503722.7 [0036] The tool provides a critically injured patient with a provider that can give or observe the most critical information needed for faster, specifically directed information increasing the chances for survival.

[0037] In one or more embodiments, the tool includes tags, and stickers comprising one or more substrates including but not limited to: Tyvek, Vinyl, and Polyester. The tool uses solvent and latex-ink technology chemical mixtures with industry standard UV layering protection. The tool can use a combination of printing technologies including laser and inkjet printing with materials of varying thickness and durability standards. Lighting technology can be incorporated that is industry accepted and Department of Defense approved.

[0038] The tool combines visual signals across a proven and accepted light spectrum from visible to non-visible light. The tool uses mixed chemical technologies to complete both a non-technologically and technologically enabled product.

[0039] The tool takes into consideration operational environments of temperature, weather, human interaction, and life-safety.

[0040] The tool meets DoD standards for products used by service members. The tool meets the “The Berry Amendment” requirement set forth by the Office or Textiles and Apparel (OTEXA).

[0041] The tool can be used in non-technology and technology settings. It offers an individual a “high capability of successful” even with the most rudimentary education and/or training level in basic first aid care.

[0042] The tool can be used in extreme conditions and uses proven materials. Even with partial product failure, there are enough overlapping systems to offer no single point of complete failure even in the worst conditions. Even with decreased effectiveness the product still delivers the critical information required to reach the intended overall design and purpose.

[0043] The tool can decrease the mental load on medical and non-medical personnel and facilitate patient transfer in both military medicine and private sector EMS operations.

[0044] In some embodiments, the tool may include one or more of the following elements:

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FH11503722.7 • Redesigned DD Form 1380 Field Medical Card

• Triage tags (Tyvek) and a 1380 & 3073 “TQ” (Vinyl) sticker tag set

• Body/Hypothermia Material and “TQ” Identification Triage (Vinyl) sticker set

• Chemical, Biological, Radiological, Nuclear & Explosive Triage (Vinyl/Tyvek/Patch) CBRNe set

• Fabric material Casualty Collection Point/Mass Casualty (CCP) Marking system

• RFID technology integration

• QR/Bar coding

• Virtual Reality & Artificial Intelligence integration for UAVs/UGV s

• Over the horizon integration RFID/QR technology

BRIEF DESCRIPTION OF THE DRAWINGS

[0045] FIG. 1 A shows factors involved in pre-hospital medical treatment time. FIG. IB shows a DD Form 1380, a pre-established medical treatment care card established in the Department of Defense TCCC program IAW CoTCCC Guidelines, and the Pre-hospital Trauma Life Support, Military Edition, Current Edition. This format is utilized and accepted where this program has been modified into the civilian version of the TECC program. FIG. 1 C shows the positioning of a tag from a handover tool kit on a medical treatment care card.

[0046] FIGS. 2A-2C show a tag from a handover tool kit is used in conjunction with a medical treatment care card. FIG. 2A shows the use of the DD Form 1380 under TCCC (Tactical Combat Casualty Care) guidelines for a U.S. Service Member in daytime. FIG. 2B shows the tag placed on the medical treatment care card. FIG. 2C shows a tag with an activated ChemLight and “Glow in the dark” features at night time

[0047] FIG. 3 shows a kit including five individual tags or cards in specific colors RED, YELLOW, GREEN, BLACK.

[0048] FIG. 4 shows a technical specification for a card in accordance with one or more embodiments.

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FH11503722.7 [0049] FIG. 5 shows QR codes are provided on the back of each tag, with specific codes for “TQ NO” and “TQ YES”

[0050] FIG. 6 shows a set of tags in accordance with the invention.

[0051] FIG. 7 shows a set of tags in accordance with the invention.

[0052] FIG. 8 shows QR codes that can be included on the backs of the tags. The QR codes can be selected to indicate “TQ YES” or “TQ NO”.

[0053] FIG. 9 shows various considerations to accomplish handing the most critical needs in pre-hospital care: massive hemorrhage, head injuries, and hypothermia.

[0054] FIG. 10 shows a set of vinyl, single use pre-hospital stickers.

[0055] FIG. 11 shows an “I HAVE A TOURNIQUET” sticker.

[0056] FIG. 12 shows an “I HAVE A TOURNIQUET” sticker.

[0057] FIG. 13 shows a set of vinyl, single use pre-hospital stickers.

[0058] FIG. 14 shows a casualty in a hypothermia kit.

[0059] FIG. 15 shows a casualty with vinyl sticker attached in daytime. The sticker can use a variety of industry standard heat retaining materials with the ability to identify the tourniquet application time.

[0060] FIG. 16 shows a casualty with vinyl sticker attached in daytime. The sticker can use a variety of industry standard heat retaining materials with the ability to identify the tourniquet application time.

[0061] FIG. 17 shows the use of the sticker in nighttime with TQ application time identified.

[0062] FIG. 18 shows technical specifications for a vinyl sticker embodiment.

[0063] FIG. 19 shows a sticker embodiment that can be applied by the public relating to use of tourniquets in live-saving pre-hospital applications.

[0064] FIG. 20 shows an “I HAVE A TOURNIQUET” sticker embodiment for use outside the United States in five variations.

[0065] FIG. 21 shows a sticker embodiment.

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FH11503722.7 [0066] FIG. 22 shows an example of use of a pre-hospital single use sticker.

[0067] FIG. 23 shows an example of use of a pre-hospital single use sticker.

[0068] FIG. 24 shows an example of use of a pre-hospital single use sticker.

[0069] FIG. 25 shows a mobile field (marker) that can be used with a Casualty Collection

Point (CCP).

[0070] FIG. 26 depicts considerations for CCP setups.

[0071] FIG. 27 shows a Double “Glow in the Dark” ChemLight Holder in accordance with one or more embodiments.

[0072] FIG. 28 shows mobile field markers.

[0073] FIG. 29 shows an “I HAVE A TOURNIQUET” sticker for use outside the United States

[0074] FIG. 30 shows DD Form 1380 non-compliance completion rate through military healthcare system.

[0075] FIG. 31 shows from Left to Right: DoD DA Form 1380 FMC, DA Form 3073 Canine FMC, North Atlantic Treaty Organization (NATO), Civilian Aftermarket Patient Triage Card.

[0076] FIG. 32 shows 4 categories of pre-hospital patient care to mental decision making per corresponding colors.

[0077] FIG. 33 shows the positioning of a tag from a handover tool kit on a medical treatment care card.

[0078] FIG. 34 shows a kit including five individual tags or cards in specific colors RED, YELLOW, GREEN, BLACK and “TQ” Sticker Tag.

[0079] FIG. 35 shows Glow in the Dark Triage Cards in Silver Field.

[0080] FIG. 36 shows DD Form 3073 Glow in the Dark Triage Cards translated into Ukrainian.

[0081] FIG. 37 shows a Quick Connection System (QCS) for Triage Cards.

[0082] FIG. 38 shows Canine 3073 Triage Cards with 4 “TQ” Stickers.

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FH11503722.7 [0083] FIG. 39 shows DD Form 1380 as seen using a standard industry LED tactical flashlight with various color options.

[0084] FIG. 40 shows a set of triage (vinyl) stickers.

[0085] FIG. 41 shows stickers on standard material found in hypothermia protection products.

[0086] FIG. 42 shows a CBRNe Vinyl Sticker Set (Civilian).

[0087] FIG. 43 shows a CBRNe Vinyl Sticker Set (Military).

[0088] FIGS. 44A and 44B show CBRNe Tyvek Set with (QCS) (Military) Day/Night.

[0089] FIG. 45 shows a CBRNe Fabric Patches (Litter Patient Evacuation Pack).

[0090] FIGS. 46A and 46B show an “I HAVE A TOURNIQUET” sticker.

[0091] FIG. 47 shows the lethal triad of coagulopathy, metabolic acidosis and hypothermia.

[0092] FIG. 48 shows CCP Markers designed for DoD Combat Medics.

[0093] FIGS. 49A and 49B show CCP Marking flag built into a standard issue M9 Army Medical Bag.

[0094] FIG. 50 shows considerations for pre-hospital conditions.

[0095] FIG. 51 shows mobile field markers.

[0096] FIG. 52 shows CCP Field Marks for Law Enforcement/Fire/EMS (Lean).

[0097] FIG. 53 shows Mobile field marker with attachment point for mil-spec ChemLight.

[0098] FIG. 54 shows Active Shooter/Mass Casualty marker (front).

[0099] FIG. 55 shows Active Shooter/Mass Casualty marker with Velcro (back).

[00100] FIG. 56 shows invention with relationship to ground combat treatment & evacuation support elements.

[00101] FIG. 57 DD Form 1380 communications compliance completion rate flow through a military healthcare system with UHOT.

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FH11503722.7 [00102] FIG. 58 shows a kit of the invention. The kit includes; 1380 FMC, Tyvek Triage tags, hypothermia/CBRNe sticker kit, as well as a marker for the card and a roll of industry duct tape, POI medical telemetry, integrated COTs RFID chip, electromatic pulse (EMP) protection pouch.

[00103] FIG. 59 shows Artificial Intelligence Integration and tracking of the tags.

[00104] FIG. 60 shows Artificial Intelligence Integration and tracking of the tags.

[00105] FIG. 61 shows Artificial Intelligence Integration and tracking of the tags.

[00106] FIG. 62 shows Artificial Intelligence Integration and tracking of the tags.

[00107] FIG. 63 shows QR codes with tourniquet indications.

[00108] FIG. 64 shows QR code integration with data capture and management systems.

[00109] FIGS. 65A-65C show Passive RFID Integration to Tyvek Triage Tags with QR Code.

[00110] FIGS. 66A-66C show Passive RFID Integration to Triage & CBRNe sets.

[00111] FIG. 67 shows Al and VR development for Tactical Combat Casualty Care (TCCC) Female manikin.

DETAILED DESCRIPTION

[00112] National and International Standards relating to pre-hospital patient care have been established by organizations such as the Department of Transportation, National Registry of Emergency Medical Technicians, National Incident Management System, Office of Emergency Management, Joint Trauma Surgeons and Office of Medical Command for the Department of Defense, North Atlantic Treaty Organization (NATO), and the governing body for International Trauma Life Support. There are four categories of pre-hospital patient care and worldwide assigned colors in triage:

• Immediate (red) - These casualties require immediate life-saving treatment.

• Delayed (yellow) - These casualties require significant intervention as soon as possible.

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FH11503722.7 • Minimal (green) - These patients will require medical intervention, but not with any urgency.

• Expectant (black) - These patients will need significant resources to live or have already died.

[00113] There are 5 categories of patient evacuation:

• Urgent - These casualties need evacuation to a medical facility for lifesaving care within approximately 90 minutes.

• Urgent Surgical - These casualties need evacuation to a medical facility for life-saving surgery within approximately 90 minutes.

• Priority - These casualties need evacuation to a medical facility for medical care within 4-6 hours.

• Routine - these casualties need evacuation to a medical facility for medical care or mortuary transport within 6-8 hours.

[00114] While these standards across civilian, military, and international organizations are worded slightly differently, the universal understanding is that these colors and words represent the same thing. This is currently most prevalent in the development of the Department of Defense’s Tactical Combat Casualty Care (TCCC) program, which has translated into the civilian version of Tactical Emergency Casualty Care (TECC). Internationally, the same understanding has been established in formal education and teaching from the International Trauma Life-Support (ITLS) program.

[00115] In accordance with one or more embodiments, a handover tool kit is disclosed comprising a set individual items delivering critical information using both communicational and visual information in a single actionable tool. This invention is capable of use in a variety of complex crisis conditions using some, but not all of the same features given Governmental, Environmental or Operations requirements or intended users.

DD Form 1380 Field Medical Card

[00116] Key elements of TCCC include the following.

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FH11503722.7 [00117] In some embodiments, a redesigned DD Form 1380 color card that aligns with the tag and sticker invention is disclosed. The redesign of the DD Form 1380 to include color gives the operator the ability to fill out the card as trained, tested, and certified. The card provides mental/eye relief for providers, as there is a great deal of information that is required. It is also systematic in the approach for information. The “Green” section for example, could be filled out by a non-medical provider with decreased cognitive load while the areas in “Red” require greater knowledge or capture of physical/medicine driven interventions, thus a more stressing event. See FIG. 33.

[00118] In some embodiments the redesigned DD Form 1380 has the following technical specifications. The card is 5 V2 x 8 inches in dimension, a 4 inch hole to accept a metal grommet is placed center and 4 from top of card. The cards colors are printed using standard industry techniques. The card is printed on a 1 mil substrate that is temperature stable and water resistant with an ultraviolet (UV) protective covering to increase serviceability and product life cycle. The card hosts two 1x1 square blocks representing placement of a tourniquet “TQ” vinyl sticker.

[00119] The l x 1-inch squares accepting the “TQ” (see below) are 4 V2 inches from the top of the card and the right square is inch on center, the left square is 3 3/8 inches on center. The placement of the Tyvek Triage card is 2 2 inches on center from the 4 grommet hole and 3 2 on center from the left edge of the card.

Triage tags and “TQ” sticker sets

[00120] Prehospital trauma care in tactical settings is very different from civilian settings. Tactical and environmental factors have a profound impact on trauma care rendered on the battlefield. Good medicine can be bad tactics.

[00121] Good first responder care is critical. Up to 28% of combat deaths today are potentially preventable, so good battlefield care is paramount in avoiding preventable deaths.

[00122] In accordance with various embodiments disclosed herein, a handover tool is disclosed comprising a plurality of tags and stickers, each selectively assignable to and suitable for placement on a patient under pre-hospital trauma care to visually convey information indicative of a medical condition of the patient.

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FH11503722.7 [00123] The handover kit does not change the pre-established medical treatment care card or change any agency’s policy or procedure for data collection with electronic devices. As there are technological devices in all environments, this invention will provide use with or without technology support or device usage.

[00124] The following is an exemplary technical specification of a universal handover tool in accordance with one or more embodiments.

[00125] FIG. 34 shows 4 categories of pre-hospital patient care and corresponding colors. As shown in the figures, a cross symbol is shown on each tag. The use of the cross aligns many ideas of thought. A cross at first thought, could bring us to U.S. American Red Cross organization. Industry has represented medical care with a variety of symbols including a green cross. One of the other major symbols is called the Star of Life symbol. This symbol is a blue, six-pointed star with the Rod of Asclepius in the center. This symbol was accepted as a worldwide symbol for first aid in 1977. The green cross and the Star of Life are the two most recognized symbols for first aid. We represented a version of a cross that has easily recognizable and adapted it within the specifications of our invention. It represents no official organization, specific agency, and/or country of origin and considers the host of color variations for customizing a worldwide understood shape for first aid only.

[00126] In one or more embodiments, each card measures approximately 2 ’A inches X 3 % inches. These dimensions can be varied.

[00127] As shown in FIG. 1C, in one or more embodiments, the cards can be used with a 1 x 1 inch, “Glow in the Dark” Holographic foiled “TQ” label, which indicates the presence of a tourniquet on the patient. The label includes “TQ” in block letter text centered on adhesive sticker material. “TQ” label shown in the drawings can vary in text font/style, and accounts for visibility and readability, and has a dyslexic friendly font/size/style. The “TQ” is preferably in RED.

[00128] As shown in FIG. 3, Red Cards have White text/Cross. Green Cards have White text/Cross. Yellow Cards have Black text with White Cross. Black Cards have White text/Cross.

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FH11503722.7 [00129] Text on cards at top of the card centered identify a triage category: IMMEDIATE, DELAYED, MINIMAL, and EXPECTANT.

[00130] Text below the cross on each card indicate an evacuation category: URGENT, URGENT SURGICAL, ROUTINE, and PRIORITY.

[00131] The Silver Cross is approximately % inches by % inches centered proportionally to the total card taking into consideration a “glow in the dark” box surrounding the text and cross and mini-ChemLight feature beneath the box.

[00132] In some embodiments the cards have the following technical specifications:

• Five (5) individual cards in specific colors RED, YELLOW, GREEN, BLACK

• Five (5) Card measure approximately 2 1/2 inches X 3 1/4 inches are accompanied with a l 1/4 x 2 1/4 inch, “Glow in the Dark” Silver block that is 1/4 inch thick.

• RED Cards have White Letter/Silver Cross. Green Cards have White Letter/ Silver Cross. Yellow Cards have Black letter with Silver Cross. Black Cards have White Letter/ Silver Cross. Crosses are centered to the inside dimensions of the box.

• Words on cards at top of the card centered are IMMEDIATE, DELAYED, MINIMAL, EXPECTANT, each representing a triage category. Text & Size Franklin Gothic Deni 24 PT.

[00133] The tags are particularly designed for use with a DD Form 1380 medical Treatment card.

[00134] In one or more embodiments, each tag or card is printed on DoD Barry Compliant, approved Tyvek material, latex ink with UV protected covering. Cards are weather resistant, non-toxic, fire-resistant, offer “Glow in the Dark” and “IR” ink technology features.

[00135] In one or more embodiments, the tags or cards include a ChemLight feature, which can be a 1.5 inch mini-ChemLight that is DoD approved with NSN/Lot/Exp from an ISO/DoD approved manufacturing source. These are quality controlled for warranty and service-life. The ChemLights each have a color that matches their respective cards, using RED, YELLOW, GREEN, BLUE and IR as appropriate.

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FH11503722.7 [00136] In some embodiments, card words identified above are adjusted based on customer and language of country supplied to where the TCCC DD Form 1380 is used or sold. Stickers may be translated into other languages such as Ukraine, Spanish, English, Mandarin Chinese, Hindi, Arabic, Bengali, French, Russian, Portuguese, Urdu, Indonesian, German, Japanese, Marathi, Telugu, Turkish, Tamil, Yue Chinese, Wu Chinese, Korean, or Philippines. Stickers may be adjusted by (Text-Style/Font/Size) depending on requirements.

[00137] The text on the cards can be varied based on customer and language of country requirements where the TCCC DD Form 1380 is used. In one or more embodiments, this will be approved for use in US and friendly countries. Text-Style/Font/Size can be varied as required by specifications.

[00138] In one or more embodiments, the “Glow in the Dark” square feature comprises phosphorescent technology integrated into a latex ink mixture with a protective UV covering. The square is approximately 2 5/16 inches by 2 inches and % inches thick, which can be varied based on language translations and cross adjustment.

[00139] In one or more embodiments, the cards or tags can feature IR technology integrated latex ink components, which may be subject to U.S. Policies for State Department Export requirements to NATO/U.S. Friendly countries.

[00140] In one or more embodiments, 1 by 1 “TQ” stickers are designed to fit in designated spaces on the DD Form 1380 left and center of card approximately midline. This does not identify a specific tourniquet location, only a side of the body where it was applied.

[00141] In one or more embodiments, a hole/grommet approximately % inches is provided at the center and 1 /8th from top of the card for placement on top of the card with supplied string.

[00142] In some embodiments the sticker card with four (4) “TQ’ stickers at 1 x 1 inch are centered on a 3 x 2 V4 white field with 1 x 2 2 yellow block below. Four (4) “TQ” stickers are 1 x 1 inch with 3 -point black border, green field and red “TQ” Text & Size Franklin Gothic Deni 24 PT for the bottom yellow box and Text & Size “TQ” sticker Giovonic Black 40 PT

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FH11503722.7 • The 1 x 2 V2 yellow block on the 4 x 2 V4 card presents the words “TQ Sticker for 1380 Field Medical Card” or “TQ Sticker for 3073 Field Medical Card”

• Cards are placed in reverse order, the “TQ” sticker first then Expectant, Minimal, Delayed, Immediate (Surgical), Immediate (Urgent)

• The cards are attached to FMC’s with a pring snap chain 2-inch carabiner through the bottom of the carabiner a 0.6 mm mini split jump ring is attached to a 50mm (2 inch) safety pin

• This makes up the Quick Connection System (QCS).

[00143] The various integrated features of the cards support many government initiatives for both non-technology and technological communication tools to support pre-hospital emergency medical care.

[00144] The use of modern technology devices (e.g., iPads/tablets) give users an option to create a GEO location/Time and Date stamped image for patient documentation. The image can be saved and attached to the electronic documentation form of medical treatment. The information is then included in the patient handover at the receiving medical treatment facility.

[00145] FIGS. 6-8 illustrate an alternate set of tags in accordance with one or more further embodiments. The tags are designed to accommodate a variety of additional industry established medical cards that can be found in the military, NATO, and emergency management programs in the civilian sector. The tags can be used with the medical cards in a similar manner to the previously described tags.

[00146] Individuals and organizations using tags in accordance with various embodiments can continue the normally designed program with established education, training, and certification criteria. Established procedures for care or documentation need not be adjusted. Users can do what they are trained and credentialed to do, follow all established national and international standard, fill out the agency supplied cards according to your individual needs. Users can identify, treat, and evacuate casualties according to all Federal, State, Local, and International laws and those found under the governing body for the establishment of approved Pre-Hospital care.

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FH11503722.7 [00147] The handover tool is designed to add additional leverage in patient care under the “best conditions” when everything goes right. However, it will serve to provide the most critical information for handovers, when individuals are faced with the “worse conditions” and are unable to complete the documentation.

[00148] The 1x1 “TQ” sticker described above can be used with the tags. .

[00149] RFID (Radio-Frequency-Identification) is widely used today. RFID tags are tiny electronic components that comprise a small chip and an antenna. RFID refers to a technology whereby digital data encoded in RFID tags or smart labels are captured by a reader via radio waves. A radio-frequency identification system uses tags, or labels attached to the objects to be identified. Two-way radio transmitter-receivers called interrogators or readers send a signal to the tag and read its response. RFID can also be read by an RFID enabled drone.

[00150] As discussed above, users can create a GEO location/Time and Date stamped image for patient documentation. The image can be saved and attached to the electronic documentation form of medical treatment. The information is then included in the patient handover at the receiving medical treatment facility.

[00151] A user will have filled out a medical card (as shown in FIG. IB) attached to the casualty with a tag (as shown in FIG. 1C) attached inside the bag. The patient may or may not have had a tourniquet applied. The patient is wrapped in hypothermia material.

[00152] The stickers incorporate all listed above specifications. If the casualty has a tourniquet on according to the inside medical card and tag, then there is a space on the sticker to convey that information on the outside of the bag, thereby reducing the need to open and release critical body heat. Casualties without a tourniquet can be identified as well with a “NO TQ” in the sticker block area.

[00153] In some embodiments the Triage (Vinyl) Sticker has the following technical specifications:

Five (5) individual cards in specific colors RED, YELLOW, GREEN, BLACK

Five (5) Card measure approximately 3 1/4 inches X 6 inches are accompanied with a 2 7/8 x 2 3/8 inch, Green block that is inch thick.

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FH11503722.7 RED Cards have White Letter/White Cross. Green Cards have White Letter/Red Cross. Yellow Cards have Black letter with Red Cross. Black Cards have White Letter/Green Red Cross. Crosses are centered to the inside dimensions of the box.

• Words on cards at top of the card centered are IMMEDIATE, DELAYED, MINIMAL, and EXPECTANT each representing a triage category. Franklin Gothic Demi 24 PT

• Words below the cross are URGENT, URGENT SURGICAL, ROUTINE, and PRIORITY each representing an evacuation category. Text & Size Giovonic 30 PT

• The White/Red Cross is approximately 1 5/8 inches from right of card and X 2 inches centered proportionally from top leading edge of card with green appearance.

• These five (5) Triage tags have QR Codes capable images for electronic integration. Imbedded “QR” images for the Specific Card with a “TQ NO” and a “TQ YES” image can be placed on the front of each card as represented by a technology driven environment or application.

• Stickers are manufactured on standard industry material between 1-3 mil in thickness with an ultraviolet (UV) laminate covering. There are two kiss cut stickers to each sheet one (1) 2 2 x 4 inches and one (1) 1 x 2 2 inches with a inches separation. Stickers are weather resistant, non-toxic, holographic technology, Offers no harm in application.

• Cards words identified above may be adjusted based on customer and language of country supplied to where the TCCC DD Form 1380 is used or sold. Cards may be translated into other languages such as Ukraine, Spanish, English, Mandarin Chinese, Hindi, Arabic, Bengali, French, Russian, Portuguese, Urdu, Indonesian, German, Japanese, Marathi, Telugu, Turkish, Tamil, Yue Chinese, Wu Chinese, Korean, or Philippines. Cards may be adjusted by (Text-Style/Font/Size) depending on requirements.

18

FH11503722.7 The words “Apply to Body” or “Hypothermia Material ” are centered on the left and top portion of the sticker. 1/2 inch index area left and top. Word printed in “Red” Giovonic- Semi-Bold 21.28 PT

• The first Green section of the original sticker presents a “NO TQ” centered on a 1 inch x 2 1/2 inch field, this is printed in Giovonic Bold 40 PT

• The second “TQ” sticker described above presents with a “Red” “TQ” Semi bold 20 PT indexed to the left part of the green field with a “TIME” in “Black’ indexed to the upper right portion of the green field, Giovonic Semi Bold 36 PT

• The stickers are placed in reverse order the “TQ” sticker first then Expectant, Minimal, Delayed, Immediate (Surgical), Immediate (Urgent)The sticker pack is backed with a 1/8 cardboard substrate approximately 3 1/2 inches x 6 inches and hosts a 1 mil transparent sheet of plastic at 3 1/4 inches x 6 inches. This accounts for inclement weather application. Two (2) standard stapes attach stickers to card and plastic sheet.

[00154] The pre-hospital single use sticker embodiment of FIG. 40 offers a high probability of successful use, even with the most rudimental educational and/or training level in basic first aid care where a tourniquet is applied. It increases patient survival and communicates critical information where there is patient handoff between treating individuals, or organizations en route to a medical facility. Saving a life outside of the hospital setting and ensuring when a patient arrives at the hospital that the life saving device is not unintendedly cut off or overlooked.

[00155] There are many instances where there is no medical treatment card, or there is no time between when individuals are being treated and professional EMS/First Responders are dispatched and arrive. Given current U.S. mass casualty events, it provides responders a simple and easy tool when resources are stretched thin, and hospitals are immediately overwhelmed with critical patient loads. This invention supports all Emergency Management Mass Casualty Plans, when a host of individuals have limited time, multiple handoffs, and must allocate appropriate resources to the patients requiring them first. Decreased the changes

19

FH11503722.7 of a patient dying because of critical steps or a variety of trained personal are involved in patient care.

[00156] The FIG. 40 pre-hospital single use sticker embodiment offers clear, concise, easily recognizable, actionable information critical to patient survival and appropriate care. The sticker incorporates many of the previously disclosed technical specification. This embodiment comprises a vinyl/poly ester sticker, manufactured with industry standard commercial ink mediums found in inkjet, latex, and laser printing applications.

[00157] Specific technical specifications pre-hospital single use sticker embodiment in accordance with one or more embodiments include the following:

• “I HAVE A TOURNIQUET” is marked on the sticker.

• “Glow in the Dark” square and Holographic foiled “TQ” block letters text. “TQ” is easily visible, clearly readable, and in a dyslexic friendly font/size/style. The “TQ” is in RED.

• Time is represented in Black in the illustrated embodiment.

• Sticker is Red and White in the illustrated embodiment.

• In one or more embodiments, the sticker is not designed for skin contact, and is applied with a hypoallergenic/latex skin friendly material or commercial friendly skin barrier. In other embodiments, the sticker is designed for skin contact.

• This sticker can be single, kit, or built into medical programs, gear, training, and equipment. It can be used by governments, organizations of any type/size/nature where basic first aid supply are that include tourniquets for application.

• It offers an individual a high capability of successful use, even with the most rudimental educational and/or training level in basic first aid care where a tourniquet is applied. It increases patient survival and communicates critical information where there is patient handoff between treating individuals, or organizations enroute to a medical facility.

• In one or more embodiments, the stickers include 1.5 inch mini-ChemLight, which is DoD approved with NSN/Lot/Exp from an ISO/DoD approved manufacturing source. These are quality controlled for warranty and service-life. These features are packaged to align with the product integration and support a

20

FH11503722.7 standard appropriate matched RED ChemLight at the card center. Quality control can be used to align both packaging needs with Lot #/Exp dates.

• The stickers have White Letter/White Cross. Crosses centered to the inside dimensions of the box.

• In some embodiments, the stickers have QR Codes capable images for electronic integration. Imbedded “QR” images for the Specific Card with a “TQ NO” and a “TQ YES” image can be placed on the front of each card.

• Stickers are manufactured on standard industry material between 1-3 mil in thickness with an ultraviolet (UV) laminate covering. There is one kiss cut stickers to each sheet 3 x 4 inches. Stickers are weather resistant, non-toxic, holographic technology, and offer no harm in application.

• Sticker words identified above may be adjusted based on customer and language of country supplied to where the TCCC DD Form 1380 is used or sold. Stickers may be translated into other languages such as Ukraine, Spanish, English, Mandarin Chinese, Hindi, Arabic, Bengali, French, Russian, Portuguese, Urdu, Indonesian, German, Japanese, Marathi, Telugu, Turkish, Tamil, Yue Chinese, Wu Chinese, Korean, or Philippines. Stickers may be adjusted by (Text- Style/Font/Size) depending on requirements.

• The words “Apply to Body or “Hypothermia Material” are centered on the left and top portion of the sticker. inch index area left and top. Word printed in “Red” Giovonic- Semi-Bold 21.28 PT

• The 2 stickers are placed back to back and hosts a 1 mil transparent sheet of plastic at 3 2 inches x 4 inches.

[00158] FIG. 46 B depicts an alternate “I HAVE A TOURNIQUET” sticker embodiment for use outside the United States. This version is for all languages, and text features is adapted to fit specifications for each version. The pre-hospital single use sticker incorporates many of the above disclosed technical specifications. The sticker can be a vinyl/polyester sticker, manufactured with industry standard commercial ink mediums found in inkjet, latex, and laser printing applications.

21

FH11503722.7 [00159] Specific technical specifications of the sticker depicted in FIG. 21 include the following:

• “I HAVE A TOURNIQUET” is marked on the sticker.

• “Glow in the Dark” square and Holographic foiled “TQ” block letters text. “TQ” is easily visible, clearly readable, and in a dyslexic friendly font/size/style. The “TQ” is in RED and will meet NATO or foreign specifications.

• Time will is shown in Black per the technical drawing earlier versions.

• Stickers can have several variations: (1) Red and White square, with “Glow in the Dark” features, (2) White and Red circle, (3) White and Red circle with “Glow in the Dark” features, (4) Red and White circle, and (5) Red and White circle with “Glow in the Dark” features.

• In one or more embodiments, the sticker is not designed for skin contact, and is applied with a hypoallergenic/latex skin friendly material or commercial friendly skin barrier. In other embodiments, the sticker is designed for skin contact.

• This sticker can be single, in a kit, or built into medical programs, gear, training, and equipment. It can be used by governments, organizations of any type/size/nature where basic first aid supply are that include tourniquets for application.

• If offers an individual a high capability of successful use, even with the most rudimental educational and/or training level in basic first aid care where a tourniquet is applied. It increases patient survival and communicates critical information where there is patient handoff between treating individuals, or organizations enroute to a medical facility.

• In one or more embodiments, the stickers include 1.5 inch mini-ChemLight is DoD approved with NSN/Lot/Exp from an ISO/DoD approved manufacturing source. These are quality controlled for warranty and service-life. These features are packaged to align with the product integration and support a standard appropriate matched RED ChemLight at the card center. Quality control can be used to align both packaging needs with Lot #/Exp dates.

22

FH11503722.7 Chemical, Biological, Radiological, Nuclear & Explosive Triage Set

[00160] In some medical situations there is a need to use PPE because of possible biological, chemical, nuclear, radiological or explosive (CBRNe) contamination. A CBRNe Emergency can occur as a result of industrial disaster, occupational exposure, natural catastrophe, warfare, or acts of terrorism. CBRNe incidents present different challenges for all responders, necessitating the rapid decontamination and treatment of a significant numbers of casualties while taking critical measures to ensure the well-being of the personnel managing the incident. In some embodiments the Chemical, Biological, Radiological, Nuclear and Explosive (CBRNe) Tyvek Tags, Vinyl Sticker & Patches have the following technical specifications:

• Five (5) individual Stickers in specific colors RED, GREEN YELLOW, BLUE, ORANGE

• Five (5) Card measure approximately 2 2 inches X 4 1/4 inches accompanied with a 2 7/8 x 2 3/8 inch, Orange block that is inch thick.

• RED Cards have White Letter/White Biological Symbol. Green Cards have White Letter/White Chemical symbol. Yellow Cards have Black letter with Black Radiological symbol. Blue Cards have White Letter/White Atom symbol. Orange Cards have White Letter/White Explosive symbol.

• Words on cards at top of the card centered may be POSSIBLE CHEMICAL, POSSIBLE BIOLOGICAL, POSSIBLE RADIOLOGICAL, POSSIBLE NUCLEAR, or POSSIBLE EXPLOSIVE Franklin Gothic Demi 24 PT

• Words below the sticker symbol is HAZARD, representing a potential threat. Text & Size Giovonic 30 PT

• The appropriate symbol is approximately 1 1/4 inches from right of card and X 2 V4 inches centered proportionally from top leading edge of card with black appearance.

These five (5) CBRNe Triage Stickers tags have QR Code capable images for electronic integration with the specific card.

23

FH11503722.7 • Stickers are manufactured on standard industry material between 1-3 mil in thickness with an ultraviolet (UV) laminate covering. There is one kiss cut stickers to each sheet one (1) 2 V2 x 4 inches. Stickers are weather resistant, non-toxic, holographic technology, Offers no harm in application.

• Card words identified above can be adjusted based on customer and language of country supplied to where the TCCC DD Form 1380 is used or sold. Cards may be translated into other languages such as Ukraine, Spanish, English, Mandarin Chinese, Hindi, Arabic, Bengali, French, Russian, Portuguese, Urdu, Indonesian, German, Japanese, Marathi, Telugu, Turkish, Tamil, Yue Chinese, Wu Chinese, Korean, or Philippines. Cards may be adjusted by (Text-Style/Font/Size) depending on requirements.

• The words “Apply to Body” or “Hypothermia Material” are centered on the left and top portion of the sticker. 1/2 inch index area left and top. Word printed in “Red” Giovonic- Semi-Bold 21.28 PT

• The Orange section of the original sticker presents a USE PPE or DO M.A.C.E. EXAM centered on a 1 inch x 2 1/2 inch field, this is printed in Giovonic Bold 40 PT

• The sticker pack is backed with a 1/8 cardboard substrate approximately 3 1/2 inches x 6 inches and hosts a 1 mil transparent sheet of plastic at 3 1/4 inches x 6 inches. This accounts for inclement weather application. The sticker set is padded to the back of the Hypothermia & “TQ” Identification sticker set.

• The addition of the plastic with industry duct tape on four (4) sides enables the stickers to be used in wet conditions.

• Tyvek tag and patches have the same approximate dimensions. The Tyvek tags may have a Glow-in-the-dark or IR feature.

Casualty Collection Point/Mass Casualty Marking System

[00161] Technical Specifications for the mobile field flag or markers (Casualty Collection Point (CCP)) embodiments include the following:

24

FH11503722.7 • The technical specifications for the previously described RED, YELLOW, GREEN, BLACK markers are applicable to this embodiment.

• The markers use already specified printing techniques, materials, and substrates

• Letters and Words should be proportional to size of the cards, about 3” in height and 1 to 3 % in width.

• The text is U.S. standard or customized to specific clients or NATO requirements. Can be translated into any language.

• This version is latex with infused phosphorescent non-toxic ink, fire-resistant, weather and UV light resistant.

• Marker substrate is Tyvek, cards dimensions are approximately 5x7 inches. The marker may be altered slightly about 1/8-1/4 inches.

• 4 or 8 ea. 14” grommets with holes punched 1/8” spacing from edge + grommet included.

• 8 or 4 ea. Color appropriate (e.g., Red, Yellow Black Green) 1/8 inch elastic cord lopped and knotted attachment points with a plastic keeper. Cord is approximately 12 inches folded for a 6 inch tent stake loop or 1 14” to 1 14” in length subject to a 14” increase.

• 1 ea. 6 inch ChemLight color aligned with flag, attached with 1 3/4 inch x 1 inch elastic material

• 2 ea. 1x4” or 1 x 8 1/2 inch Hook and Loop Velcro adhesive backs for indoor or solid surface use.

• 1 ea. 14”x 5 5/8”x4 “Glow in the Dark” rectangle with approximately 14” between the edges of the card. DoD prototype

• Primary Letters (I, D, M, E) are approximately 2 3/4 - 3” inches height and 2 1/2 to 2 3/4 inches in width.

• 1 ea. Word “IMMEDIATE”, “MINIMAL”, “DELAYED”, “EXPECTANT” approximately 1 x 2-3inches. Text will support already disclosed specifications.

• Text for words is 1 inch in height current text is montage.

• DoD or (bespoke) versions will have orange or yellow visual signal (VS) panels sewn to rear of flag 8 2 x 11 inches.

25

FH11503722.7 • 4 ea. 1.5 or 1 6 inch ChemLight mil-spec per marker, RED, YELLOW, GREEN, BLUE, WHITE or IR. ChemLights are positioned approximately center of letter approximately space separation in a position area 5/8 x 1.5 inches.

• Thread for flag is mil-spec Bonded Nylon # 69/3-Ply T70 thread.

• All flags are capable of integration of GPS & RFID technology.

[00162] FIG. 48 shows further mobile field markers in accordance with one or more embodiments. Technical Specifications for the cards include the following:

• RED markers: specifications disclosed above.

• YELLOW marker: specifications disclosed above. Yellow ChemLights’ is used for visual cue. 1 ea. Total. Letters/Text per above specifications.

• GREEN marker: specifications disclosed above. GREEN ChemLights’ is used for visual cue. 1 ea. Total. Letters/Text per above specifications.

• BLACK marker: specifications disclosed above. BLUE/White ChemLights’ is used for visual cue. 4 1 ea. Total. Letters/Text per above specifications.

• ALL cards are designed to meet client needs and U.S. Department of Defense specifications for complete IR use, as is all of our products designed for U.S. or NATO, Friendly Nation use.

[00163] FIG. 46A depicts an alternate “I HAVE A TOURNIQUET” sticker embodiment for use outside the United States in different variations including foreign language text similar to the embodiment of FIG. 46B. The pre-hospital single use sticker incorporates many of the above disclosed technical specifications. In this example, the sticker comprises a polyester material with laser printing backed to surface with a holographic foil laminated over the sticker. The sticker can also be a vinyl/poly ester sticker, manufactured with industry standard commercial ink mediums found in inkjet, latex, and laser printing applications.

Kits and Integration into Medical Systems

[00164] The invention helps manage the continuity of care of patients from point of injury to higher levels of care, and links the medical trained individuals at these various positions.

26

FH11503722.7 [00165] The invention can be used for medical evacuation utilizing autonomous drones and Artificial Intelligence (Al) image recognition to provide field support, streamline field triage, prioritize evacuation, and provide lifesaving information.

[00166] The invention can be integrated into both real and virtual reality training programs.

[00167] In an embodiment, the tool is integrated into a wearable item.

[00168] Having thus described several illustrative embodiments, it is to be appreciated that various alterations, modifications, and improvements will readily occur to those skilled in the art. Such alterations, modifications, and improvements are intended to form a part of this disclosure, and are intended to be within the spirit and scope of this disclosure. While some examples presented herein involve specific combinations of functions or structural elements, it should be understood that those functions and elements may be combined in other ways according to the present disclosure to accomplish the same or different objectives. In particular, acts, elements, and features discussed in connection with one embodiment are not intended to be excluded from similar or other roles in other embodiments.

[00169] Additionally, elements and components described herein may be further divided into additional components or joined together to form fewer components for performing the same functions.

[00170] Accordingly, the foregoing description and attached drawings are by way of example only, and are not intended to be limiting.

27

FH11503722.7