Battlefield Triage & Pre-Hospital Care

Revolutionizing Point-of-Injury Care with the Compensatory Reserve Index

In high-stress battlefield and pre-hospital environments, the ability to make rapid, accurate medical decisions directly at the point of injury is the difference between survival and preventable fatality. Hemorrhage remains the leading cause of death on the battlefield, with more than 90% of combat casualties dying before they ever reach a medical treatment facility. Flashback Technologies provides the frontline solution with the CipherOx CRI-M1, an FDA-cleared monitor designed to identify the "silent phase" of internal bleeding well before traditional vital signs indicate danger.

Overcoming the Noise of the BattlefieldTraditional triage relies on heart rate and blood pressure—measures that often remain "grossly unchanged" while the body’s natural mechanisms compensate for blood loss. This creates a dangerous diagnostic lag for medics operating under fire or in mass-casualty (MASCAL) scenarios.

• Instant Triage Prioritization: In field testing during the Army Warfighter Expeditionary Experiment, soldiers correctly assessed shock identification in 93% of cases using the CRI "fuel gauge," even while traditional vital signs remained clinically normal.
• Personalized Decision Support: Unlike population-based averages, the CRI-M1 learns an individual’s unique clinical condition, allowing medics to differentiate between patients with high and low tolerance for blood loss.
• Rugged and Reliable: Designed for austere environments, the technology extracts actionable data from standard arterial waveforms, requiring only a simple finger probe and 30 heartbeats to begin trending.

The "Fuel Gauge" for Austere MedicineThe CRI-M1 provides an intuitive visual indicator that simplifies complex physiological data into a scale of 1 to 0:

• Green (1.0 to 0.6): Indicates the casualty is currently stable with full compensatory reserve.
• Yellow (0.6 to 0.3): Warns that the body is actively losing blood volume and reserve is dropping—a signal to initiate damage-control resuscitation.
• Red (0.3 to 0.0): Predicts impending hemodynamic collapse, allowing the medic to prioritize immediate life-saving interventions like tourniquets or blood product administration.

Operational Advantage in Remote and Prolonged CareThe integration of this machine-learning technology into pre-hospital care significantly increases survivability and resource efficiency.

• Fluid Utilization Efficiency: Research demonstrates that AI-based triage can lead to a 119% increase in fluid-utilization efficiency by predicting outcomes and optimizing the management of limited resuscitation supplies.
• Remote Monitoring and Sit-Awareness: The digital triage assistant can feed real-time trending data and GPS locations to a central dashboard, notifying commanding officers and hospital trauma teams of incoming casualty status before arrival.
• Bridging the "Golden Hour": By identifying patients who require emergency surgery early, the platform ensures that limited evacuation assets (Role 1 to Role 2 care) are directed toward the most critical casualties.

Building a Future of Data-Driven Combat MedicineFlashback Technologies continues to collaborate with the U.S. Army Medical Research and Development Command to close critical gaps in trauma care. From handheld monitors to drone-assisted remote triage, our mission is to eliminate the uncertainty of point-of-injury diagnostics. By providing laboratory-grade accuracy in a pocket-sized device, we ensure that every medic, whether in a civilian ambulance or on a remote battlefield, has the intelligence they need to save lives.

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