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MED-1 Partners / Jeff Fischer +1-301-233-1551 Chris Helm +1-615-866-7984 Mobile Medical Health Care Proven, high-quality state-of-the-art mobile medical facilities Saving lives. Not within days, not within hours, but within minutes. Because every choice matters, every minute matters, every life matters.

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Page 1: MobileMedicalHealthCare - MDG Health Solutions Suite... · MobileMedicalHealthCare ... documentation and charting. ... (suture repair, burn debridement, foreign body removal, abscess

MED-1 Partners / Jeff Fischer +1-301-233-1551 Chris Helm +1-615-866-7984

Mobile Medical Health CareProven, high-quality state-of-the-art mobile medical facilities

Saving lives. Not within days, not within hours, but within minutes.

Because every choice matters, every minute matters, every life matters.

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The MED-1 concept is a new and exciting approach to healthcare. It is the world’s most advancedon-site, rapidly deployable mobile medical facility. Within 30 minutes of arrival, patients beginassessment and care in the 7 bed Emergency Department (ER), 4 bed Intensive Care Unit (ICU),2 bed Operating Theater (OR); and within hours a complete 200 bed hospital is deployed. Inside youwill find state-of-the-art medical technology including a complete point-of-care laboratory and portabledigital x-ray/ultrasound.

A fully stocked MED-1 includes all medications,oxygen, electricity, water, heat, air conditioning, andconsumable supplies for three days of operation.It even comes with staff sleeping quarters anda lounge/disaster control center which can beconverted into a mobile blood bank. By addingadditional products such as wirelessly connectedmobile clinics, a MED-1 mobile kitchen, laundry/shower and morgue, you instantly have an entirecommunity health care delivery system.

The MED-1 Global, a smaller 80 bed hospital, 3 bed ER, 2 bed ICU and 1 bed OR may better meetyour needs, or consider the Off-Road Recovery Unit. The Mobile Heart Hospital is our newest additiondesigned to provide complete mobile diagnostic and interventional cardiology vascular treatmentand services, including catheterizations and open heart surgery.

MED-1 is the brainchild of practicing physicians and surgeons concernedwith getting high quality care to patients as quickly and close to home aspossible. The genius behind the unusual suite of healthcare products arethe very sophisticated expandable sides that automatically allow theotherwise narrow, but easily transportable shell to almost triple in sizeinto a complete hospital. The MED-1 is designed to be sufficiently flexibleso that it should never sit idle. MED-1 products can be customized toprovide the perfect symphony of care to meet all your needs.

MED-1 Mobile Healthcare Solutions

Staff at work inside the main emergency area of the MED-1.Curtains closed for patient privacy.

Bringing On-Site Healthcare to:� Large gatherings (sporting events, concerts, city wide celebrations)

� A complete hospital to unserved communities

� In-patient level care to rural/inner city clinics

� Tertiary care to community hospitals

� Support during hospital surges, loss, construction, or repair;

…and disaster care on a moments notice!

MED-1 Partners / Jeff Fischer +1-301-233-1551 Chris Helm +1-615-866-7984

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MED-1 Partners / Jeff Fischer +1-301-233-1551 Chris Helm +1-615-866-7984

Pricing includes the following:� Specifications for all supporting components to include towing vehicles, generators and

generator compartment (drone box) assemblies on towing vehicles, shelter systems andany auxiliary trailer requirements included in the basic MED-1 program.

� As needed – oversight and assistance of all supporting vendors to include the medicalequipment providers and those companies selected by the client to provide supportingcomponent construction.

� On site training in the medical operations of the MED-1 and the trailer maintenancerequirements. See Attachment B for more details.

� Facilitate any warranty issues with any US based MED-1 vendors that client may require.

� Provide technicians during the construction and delivery.

Notes:� Pricing includes all items displayed on Attachment A and design concepts provided in

Attachment B.

� Standard USA Commercial Terms and Conditions Apply.

� All warranties as well as quality program information and compliance data is provided by theMED-1 vendors.

� FOB: Concord, North Carolina, USA

� Pay Terms: 100% Irrevocable Letter of Credit20% at order placement20% at commencement of manufacturing30% at completion of trailer shell30% at completion

� Any taxes due or import/export fees are the responsibility of the client.

Attachment A

MED-1 Mobile Healthcare Solutions 16

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MED-1 Partners / Jeff Fischer +1-301-233-1551 Chris Helm +1-615-866-7984

Purchase price includes:� One week (five work days) of comprehensive training on the following:

1. Patient flow for triage, testing, non-urgent, emergency, surgical, and post-operativepatients.

2. Clinical operations for patient care, laboratory, x-ray, information systems,documentation, and monitoring.

3. Use, function, and operation of all monitoring and bio- medical equipment.4. Hospital trailer operation and maintenance.5. Support trailer operation and maintenance.6. Tow vehicle operation and maintenance.7. Tent assembly and use.

� Training will be provided either on-site at the purchaser’s location, or in Charlotte, NorthCarolina, USA.

� Training will be provided by Med-1 Partners.

� MED-1 Partners will provide a list of recommended personnel to be included in the training.

Attachment B - On-Site Training

MED-1 Mobile Healthcare Solutions 17

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MED-1 Partners / Jeff Fischer +1-301-233-1551 Chris Helm +1-615-866-7984

MED-1 Mobile Healthcare SystemThe MED-1 Mobile Healthcare System incorporates 3 slide-out pod (extensionareas) that expand the trailer workspace to approximately 92m2 (1000 ft2).One pod serves as a 2-bed operating room or shock-resuscitation area14m2 (150 ft2). The other 2 pods comprise a critical care unit that includes4 intensive care beds, 7 general emergency beds and pediatric supportcapability. For expanded capabilities, a medical shelter system may beattached to the roof of the trailer to completely envelop the facility – up to465m2 (5000 ft2) usable space. (See following page for configurationexamples). This enclosed and illuminated care area is capable of incorporatingup to 200 beds or can be configured to provide additional ambulatory medicalcare, patient counseling, other social service activities, and staff quarters.

Up to two simultaneous surgical interventions may be performed within theoperating theatre. There are multi-position operating room tables, 2 wall-mounted anesthesia machines/vaporizers, operating room lights,hemodynamic and cardiac monitors (including the anesthetic gas modules),and storage for ancillary surgical supplies are included in this area. All powerto this pod is routed through an isolation transformer for immediate interruption of electricity should an excessivesurge occur. The surgical area can be isolated from the rest of the facility during a procedure using the transparentaccordion-style wall.

The next four beds are designed for critical or intensive patient care. The hemodynamic and cardiac monitors allinclude non-invasive blood pressure monitoring, pulse oximetry, end-tidal capnometry, 3-lead and 12-leadelectrocardiography, continuous cardiac ST-segment trend analysis, and the capabilities of providing invasive arterialand central venous pressure monitoring. One of these four beds may be dedicated for pediatric critical care.

Oxygen is available at each patient care bed from an oxygen systemmounted under the trailer. Similarly, a vacuum system is adjacentto the oxygen ports. Each bed area incorporates two oxygen andtwo vacuum suction ports for redundant (back up) capabilities.Fluorescent lighting, heating, air conditioning, and airexchange/filtering are also incorporated throughout the facility.

Your pharmaceutical inventory, which includes prescription andnon-prescription medications, is stocked in a rolling cart that ispositioned near the critical care area. Diagnostic resources in theform of radiological and laboratory resources are also included.The portable digital x-ray unit is compact enough to be moved to anypatient bed. Digital technology allows for rapid image acquisitionand projection onto computer screens located in the operative and general care areas. The x-ray unit uses a minimalradiological source and the digital processing does not require chemicals. Travel on highways is unrestricted due tothe absence of these hazardous materials. Diagnostic laboratory devices use point of care technology to ensure easeof use, instruction retention, and minimize time required for operation and retrieval of test results. Lab tests includeelectrolytes and renal function tests, coagulation studies, lactate and base excess measurements, cardiac enzymesand hemoglobin levels, toxicological screening, urinalysis, pregnancy testing, and complete blood counts.

A complete and redundant (back up) communications infrastructure is also incorporated. An optional on-boardsatellite system provides instant broadband internet capability, cable television, and telemedicine applications.Satellite telephones are used over cellular technology in disaster areas where cell towers may be incapacitated.Further, the computer systems include individual servers for biomedical monitoring and digital radiology. Anadditional server supports the wireless infrastructure for a patient tracking system and paperless medical recorddocumentation and charting.

Attachment C

MED-1 Mobile Healthcare Solutions 18

Operating Theatre in use with air doorsclosed to prevent air bornecontaminants or insects from entering

X-Ray unit in use

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MED-1 Partners / Jeff Fischer +1-301-233-1551 Chris Helm +1-615-866-7984

Critical care expansion is possible by expanding the number of hemodynamic and cardiac monitors or by usingadditional portable cardiac monitors/defibrillators, portable ventilators, and electronic intravenous pumpspreprogrammed for all formulary medication drip rates.

The infrastructure described above supports a full and comprehensive range of medical management capabilities,including the following:

1. Operative procedures required for emergent hemorrhage control (exploration, resection, and repair)2. Comprehensive and difficult airway control and support3. Conscious sedation for limited procedures (fracture reduction or immobilization, dental procedures,

complicated wound repair, pediatric procedures, abscess drainage)4. Cardiovascular and pulmonary care (acute myocardial infarction, congestive heart failure, chest pain

evaluation, asthma or chronic obstructive pulmonary disease exacerbation, anaphylaxis)5. Minor surgical procedures (suture repair, burn debridement, foreign body removal, abscess drainage)6. Dental, eye, ear, nose, and throat care (dental abscesses drainage, temporary coverings for tooth avulsion,

corneal abrasions or foreign body to the eye, epistaxis nasal packs for uncontrolled nose bleeds, foreign bodyin the throat)

7. General medical care for multiple conditions (hyperthermia and hypothermia, dehydration, gastroenteritis,vomiting and diarrhea, seizures, back or musculoskeletal pain, allergic reactions, gynecologic or urologicemergencies, diabetic emergencies, headache)

Multiple Configurations

The unique design and construction of MED-1 allows for the flexibility to create multiple configurations. This will affordopportunities for task-specific missions depending on the current need. It can be augmented to provide ambulatorymedical care, outpatient surgical procedures, and dental care in alternative or rural settings. Examples includethe following:

1. Trauma facility with surgical capability.2. Medical resource with primary, emergency, and critical care services.3. Mobile dental or ambulatory clinic4. Cost-effective temporary medical facility to sustain patient care services should a primary medical facility’s

infrastructure become incapacitated or is undergoing renovation5. Alternative care facility

Attachment CMED-1 Mobile Healthcare System …continued

MED-1 Mobile Healthcare Solutions 19

Medical shelter system shown withvarious configurations. The sheltercompletely envelops the facility with upto 465m2 (5000 sf2) of usable space.

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MED-1 Partners / Jeff Fischer +1-301-233-1551 Chris Helm +1-615-866-7984MED-1 Partners / Jeff Fischer +1-301-233-1551 Chris Helm +1-615-866-7984

Attachment CMED-1 Mobile Healthcare System Deployed

MED-1 Mobile Healthcare Solutions 20

UNIT 1 - MED-1 Mobile Hospital (truck and trailer) (see Product 1)

UNIT 2 - MED-1 Support Trailer (truck and trailer) (see Product 1)

UNIT 3 - MED-1 Medical Services Vehicle (see Product 8)

UNIT 4a - MED-1 Patient Transport Truck (see Product 7)

UNIT 4b - MED-1 Medical Staff Trailer (unit not presented in Product Suite)

UNIT 5 - MED-1 Fuel and Waste Truck (unit not presented in Product Suite)

UNIT 6 - MED-1 Ambulance (unit not presented in Product Suite)

1

2

4a

6

5

4b

3

1

2

3

4

4

5

6

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MED-1 Partners / Jeff Fischer +1-301-233-1551 Chris Helm +1-615-866-7984

Attachment C

MED-1 Mobile Healthcare Solutions 21

The Main 16.2m (53 ft) Support Trailer

The Main 16.2m (53 ft) Support Tractor-trailer is used to transport and store the unassembled mobile hospitalstructure, all of the medical supplies and related items, and a full diagnostic laboratory and pharmacy. During thedeployment, it also serves as a command center and sleeping quarters for staff. It is self -contained and includes a100 KW generator and is served by an onboard HVAC system.

The trailer is divided into three separate compartments. An internal staircaseprovides access to the upper level. A lift gate can bring down equipment stored in the upper level.

1. The front of the trailer serves as a small command center that is complete with communication devices asoutlined on the specification attachment, a shower and toilet facility for staff and is equipped witha large screen television for monitoring current weather or disaster conditions.

2. The main lower section of the trailer is used to store and transport the exam beds and operating room bedsand other primary patient care facility equipment and also serves as the main backup storage area for the basicmedical supplies used in the deployment.

3. The upper section of the main trailer compartment is used to store and transport the main hospital assembly.It also serves as a master supply room for the medical supplies stored in the lower compartment. As suppliesare depleted in the lower section, support staff access the upper room supply to replenish those basic supplies.

Equipment and Supplies

MED-1 can provide recommended lists of medications and medical supplies. All expendable medical supplies arestored in an orderly fashion on the support unit.Categories include:

• Airway/breathing

• Circulation/hemorrhage control

• Orthopedic/fracture management

• Personal protection/infectious disease

• Critical care

• Operating room

Ramp extended from Main Hospital Trailer fortransporting beds and equipment from Support Trailer

This rendering/photograph is for promotional purposes only. Actual unit may be customized to fit your specific needs.

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MED-1 Partners / Jeff Fischer +1-301-233-1551 Chris Helm +1-615-866-7984

Surgical (wound and burn care) and orthopedic supplies are stocked on one rolling cart with an additional back-up cartavailable. All medications are likewise stored on one rolling cart.

Medications are categorized as to their use including:

• ACLS

• Hemostatic

• Asthma

• Allergy

• Gastrointestinal

• Anesthetic

• Altered mental status

• Antibiotics (IV and PO)

• IV fluid

• Over-the-counter meds

• Pediatric preparations

• Narcotics

Two back-up carts are available for fast exchange with the main supply carts to ensure no delay in supply ofmedications and supplies in the Main Hospital Trailer. A fully stocked Broslow bag and tape can be purchased forpediatric emergencies.

Once the Main Hospital Trailer is in position and automatically leveled, all pieces of rolling equipment and carts aremoved into the facility and placed in their appropriate, predestinated location. Expendable medical supplies, includinggloves, bandages and dressings, and other examination and treatment material are located within the five drawerslocated in each treatment bed. Each bed is arranged identically to maintain consistency.

The support unit provides for a user-friendly storage facility. The bottom floor serves to house all items in the mobilehospital and is arranged by category. Medical staff can quickly replace items that were used during a shift or stock theunit prior to a shift beginning. Additional bulk medical supplies may be stored on the second floor. Support staff canreplace the first floor, rapidly accessible items with the back-up bulk supplies. Medications may be replaced in total bysimply replacing the used cart with the fresh one or by restocking items from the unused cart.

Transport and Delivery

The MED-1 Mobile Hospital unit can be loaded and transported on a US C5A or a Russian Antonov 225.

Attachment C

MED-1 Mobile Healthcare Solutions 22

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MED-1 Partners / Jeff Fischer +1-301-233-1551 Chris Helm +1-615-866-7984MED-1 Partners / Jeff Fischer +1-301-233-1551 Chris Helm +1-615-866-7984

MED-1 Mobile Healthcare Solutions 23

Attachment DVehicle Dimensions and Weights

Unit

Leng

th/ft

Leng

th/m

Wid

th/ft

Wid

th/m

Heig

ht/ft

Heig

ht/m

Wei

ght/

lbs

Wei

ght/

Kg

MED-1HospitalTrailer

56’

17.1m

8.5’

2.6m

13.5’

4.1m

60,000

27,272Kg

MED-1Truck

32’

9.8m

8.5’

2.6m

10.0’

3.0m

20,000

9,091Kg

MED-1SupportTrailer

53’

16.2m

8.5’

2.6m

13.5’

4.1m

40,000

18,182Kg

MED-1SupportTruck

32’

9.8m

8.5’

2.6m

10.0’

3.0m

20,000

9,091Kg

MED-1MedicalServicesVehicle

44’

13.4m

8.5’

2.6m

13.6’

5.1m

35,000

15,909Kg

Fuel/Water/WasteTruck

33’

10.1m

8.5’

2.6m

8.5’

2.6m

30,000

13,636Kg

MedicalStaff(Sleeping)Trailer

44’

13.4m

8.5’

2.6m

10.0’

3.0m

25,000

11,364Kg

PatientTransportTruck

24’

7.3m

8.5’

2.6m

11.5’

3.5m

25,000

11,364Kg

Ambulance

25’

7.6m

8.5’

2.6m

10.0’

3.0m

25,000

11,364Kg

MED-1Global

45’

13.7m

8.5’

2.6m

13.0’

4.0m

50,000

22,272Kg

MED-1HeartHospital

56’

17.1m

8.5’

2.6m

13.5’

4.1m

60,000

27,272Kg

MiniMED-1

42’

12.8m

8.5’

2.6m

13.0’

4.0m

50,000

22,272Kg

MobileClinic

45’

13.7m

8.5’

2.6m

11.0’

3.4m

22,000

10,000Kg

MobileKitchenMediumSize

40’

12.2m

8.5’

2.6m

13.0’

4.0m

20,000

9,091Kg

MobileKitchenSmallSize

20’

6.1m

8.5’

2.6m

13.0’

4.0m

12,000

5,455Kg

Morgue

48’

14.6m

8.5’

2.6m

9.0’

2.7m

18,000

8,182Kg

MediumDutyInternationalTruck

20’

6.1m

8.5’

2.6m

9.0’

2.7m

15,000

6,818Kg

VehicleDimension

san

dWeigh

ts

Groun

dClearan

ce

MED-1HospitalTrailer

Ride

Heig

ht:14”/0.36m

Over

ride:18”/0.46m

MED-1SupportTrailer

Ride

Heig

ht:16”/0.41m

Over

ride:20”/0.51m

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Corporate Partners

Jeff Fischer, MBAPhone: +1-301-233-1551Fax: +1-301-986-9371Email: [email protected]

3 Bethesda Metro CenterSuite 375Bethesda, MD 20814USA

Visit our web site for information and to view additional images:

www.MED-1partners.com

Contact Information:

Chris Helm, MBADirector of International BusinessPhone: +1-615-866-7984Email: [email protected]

3 Bethesda Metro CenterSuite 375Bethesda, MD 20814USA