UX CASE STUDY · EMERGENCY HEALTH · iOS · 2017–2019

Be your own
first responder.

A trauma response iOS app built around the IFAK kit, teaching civilians and first responders to act with speed and confidence in life-threatening emergencies.

Frank Mellana
iOS (React Native)
TCCC / MARCH
Emergency Health
147K
Preventable trauma deaths per year in the US
3 min
Before death from uncontrolled arterial bleeding
88%
Of preventable combat deaths caused by hemorrhage
0
Apps that tie an IFAK kit to step-by-step emergency protocols
Three phones: emergency button, live dispatch audio, and step-by-step tourniquet instructions
1

User presses
emergency button.

2

They will instantly be
connected to dispatch through audio.

3

Through voice recognition, the user will be sent steps based off the specific scenario and kit to administer early first aid.

Stored dispatch recording playback screen Live video stream of tourniquet application with running timer
VIDEO & AUDIO

Saves automatically, providing evidence & information of the situation.

LIVE STREAM

Allowing dispatch to monitor user,
professionals en route are updated every step of the way.

THE FULL UI

Every screen of the original concept, designed at high fidelity.

Ten high fidelity Trauma app screens: splash, register, emergency, voice recorder, tourniquet steps, video stream, stored dispatch, profile, and dashboard
Physical Kit

Extending the Solution
Beyond the Screen.

To reduce cognitive load in high-stress scenarios, I extended the solution beyond the app into a physical trauma kit. In emergency situations, relying solely on a mobile interface introduces risk, limited access, time pressure, and user stress can all impact decision‑making.

The kit was designed to act as a physical counterpart to the app, enabling users to follow critical steps quickly without needing to navigate a screen.

IFAK kit closed IFAK kit open IFAK kit laid out IFAK patch close-up IFAK shears close-up IFAK tourniquet close-up
Key Design Decisions
  • Introduced physical redundancy to reduce reliance on mobile devices in time-critical situations.

  • Aligned kit structure with app flow to create a consistent mental model across digital and physical touchpoints.

  • Simplified labeling and layout to minimize hesitation and support fast action under pressure.

Outcome

By pairing a digital interface with a physical system, the solution becomes more resilient in real-world conditions, supporting users whether or not they can access the app in the moment it matters most.

Research

Two users.
One shared problem.

Emma Williams
Prepared Civilian · Teacher · 34

Completed a Stop the Bleed course after a school incident. Owns a basic IFAK. Rarely reviews it. Freezes under stress and can't remember exact steps.

"I have the kit in my bag but honestly... if something happened right now I'd panic and forget everything."
Dana Brown
Active Responder · Trainer · 28

Personal trainer and competitive shooter. Carries IFAK daily. Has TCCC training. Wants fast access to reference without friction: something he can use mid-incident, not study beforehand.

"I know what to do but in the moment I want a protocol I can follow, something that thinks for me so I can act."
01

Stress degrades recall. Checklists don't.

Under acute stress, cognitive load spikes and memory degrades. A sequential checklist offloads working memory and lets the user act, not think. This became the core interaction model for emergency procedures.

02

Equipment knowledge and procedural knowledge must be linked

Users know what a tourniquet is. They don't know how it connects to the MARCH protocol, or when to pack a wound vs. tourniquet. Cross-linking kit items to procedures bridges this gap in-context.

03

Education must fit micro-moments

Neither persona has time for a course between tasks. Short, in-app reads (3–5 min) with zero navigation overhead enable learning in bus rides, waiting rooms, and lunch breaks. The accordion pattern on Learn serves this.

User Research

Real people.
Real findings.

An affinity mapping session across multiple user interviews surfaced five core categories of insight, each one shaping a direct design decision in the app.

5
Research Categories
13
Pain Points Identified
4
Emergency Behavior Patterns
8
Motivations to Learn First Aid
6
Current Info Sources Used
Affinity Map — Full Research Board
User research affinity map showing familiarity levels, emergency behaviors, motivations, info sources, and pain points
🎯
Familiarity with First Aid
Comfort Level
Most users are "not very familiar" or have never thought about first aid
A smaller group has administered first aid before but lacks structured knowledge
Very few describe themselves as truly "comfortable", even those with prior exposure
🚨
Emergency Behavior
Primary · During · After
Primary response
"Call 911", almost universal, but users don't know what to do next
"Freeze up", significant number of users expect to be paralyzed by stress
During the emergency
Users look for additional help rather than acting independently
"Panic" and "Stay calm" appeared in equal measure, highlights stress unpredictability
After the emergency
Users seek training only after an incident, motivation is reactive, not proactive
💡
Motivations
Reason to learn first aid
Protect family or loved ones, the #1 motivation across all users
Peace of mind, knowing they could act if needed, even if they never have to
High-risk hobbies (hunting, rock climbing, backcountry) drive preparation
Media exposure, seeing violence in news increases desire to be prepared
Professional requirement, some fields mandate basic first aid knowledge
"Being prepared is important to me", strong identity alignment with preparedness
📱
Current Info Sources
How people find first aid information today
Online search, most common, but inconsistent quality
YouTube videos, highly visual, but not interactive or context-specific
CPR and first aid classes, trusted but infrequent and quickly forgotten
Social media, unreliable, but where many first encounter preparedness content
Handbooks (Red Cross, American Heart Association), thorough but hard to use under stress
Mobile apps, used by some but seen as incomplete or disconnected from real emergencies
⚠️
Pain Points
Current mobile apps · Non-digital sources
Current Mobile Apps
🚑
"Still have to wait for professionals"
Apps tell you what's happening but don't empower you to act. Users feel passive, not capable.
📵
"Not all connect with local 911"
Disconnect between digital guidance and real emergency services. Users don't know if help is coming.
"Leaves you not knowing how to help"
Apps describe injuries but don't walk through treatment. Information without action.
📋
"Experience lacks instruction"
Existing apps are built for reading ahead of time. None of them walk you through the steps while it's happening.
📹
"No way to document what's happening"
Users want to capture what they did for EMS handoff, time of tourniquet, interventions taken.
Non-Digital Sources
📚
"Information is hard to break down and consume"
Handbooks and manuals are comprehensive but dense. Hard to scan under pressure.
🕐
"Courses are intensive and time consuming"
Full TCCC or first aid courses require days of commitment. High barrier to entry for most people.
🎯
"Not many options for how to practice"
Reading about a tourniquet and applying one are entirely different skills. Limited practice pathways.
Paper wireframe sketches of three app screens with handwritten annotations
Paper wireframes of the assessment flow with margin notes
Full IFAK kit contents laid out and photographed during inventory research
Notebook spread mapping phone screens and emergency flow
Notebook spread of interview notes and early concepts
Notebook spread of affinity mapping and screen priorities
Whiteboard session mapping flows and requirements in marker

Paper first: sketches, notebooks, whiteboards, and a full kit teardown, before a single pixel. Click any photo to enlarge.

Outcome

2nd of 95.

Trauma took 2nd place out of 95 teams in the 2019 Kean University Business Plan Competition, pitched with the app, the kit, and the business behind them.

2nd
Place overall
95
Competing teams
2019
Kean University
Frank Mellana on stage receiving the 2nd place award at the 2019 Kean University Business Plan Competition
2025 · Concept Update

Rebuilt for scale.

The 2019 prototype established the core concept. The 2025 rebuild retains that DNA while adding MARCH protocols, IFAK education, and a stress-optimized interaction model. Open it if you want the full redesign story.