We seek to show that
$$\sum_{q=0}^K (-1)^q {2n+1-q\choose q}
{2n-2q\choose K-q} = \frac{1}{2} (1+(-1)^K).$$
The LHS is
$$\frac{1}{2\pi i} \int_{|w|=\gamma}
\frac{1}{2\pi i} \int_{|z|=\varepsilon}
\sum_{q=0}^K
(-1)^q \frac{1}{z^{q+1}} (1+z)^{2n+1-q}
\frac{1}{w^{K-q+1}} (1+w)^{2n-2q}
\; dz \; dw
\\ = \frac{1}{2\pi i} \int_{|w|=\gamma}
\frac{1}{w^{K+1}} (1+w)^{2n}
\frac{1}{2\pi i} \int_{|z|=\varepsilon}
\frac{1}{z} (1+z)^{2n+1}
\\ \times
\sum_{q=0}^K
(-1)^q \frac{1}{z^q} (1+z)^{-q}
w^q (1+w)^{-2q}
\; dz \; dw.$$
Here we may extend $q$ beyond $K$ to infinity because the pole at zero
in $w$ is canceled for the extra values. We obtain
$$\frac{1}{2\pi i} \int_{|w|=\gamma}
\frac{1}{w^{K+1}} (1+w)^{2n}
\frac{1}{2\pi i} \int_{|z|=\varepsilon}
\frac{1}{z} (1+z)^{2n+1}
\\ \times
\frac{1}{1+w/(1+w)^2/z/(1+z)}
\; dz \; dw
\\ = \frac{1}{2\pi i} \int_{|w|=\gamma}
\frac{1}{w^{K+1}} (1+w)^{2n+2}
\frac{1}{2\pi i} \int_{|z|=\varepsilon}
(1+z)^{2n+2}
\\ \times
\frac{1}{(1+z(1+w))(w+z(1+w))}
\; dz \; dw.$$
The pole at zero in $z$ is gone but a new pole has appeared inside the
contour. Note that when we summed the geometric series we required
$|w/(1+w)^2| \lt |z(1+z)|.$ We have with $\gamma\ll 1$ and
$\varepsilon\ll 1$ that $|w/(1+w)^2| \le \gamma/(1-\gamma)^2 \lt
2\gamma$ and $|z(1+z)| \ge \varepsilon (1-\varepsilon) \gt
\frac{1}{2}\varepsilon.$ Therefore taking $\varepsilon = 4\gamma$ will
work e.g. $\gamma=1/11$ and $\varepsilon = 4/11.$
We have for the first simple pole at $z_0=-1/(1+w)$ that $|-1/(1+w)| \gt
1/(1+\gamma) \gt 4\gamma = \varepsilon.$ This pole is not inside the
contour. The second pole is at $z_1=-w/(1+w)$ and we have $|-w/(1+w)|
\lt \gamma/(1-\gamma) \lt 4\gamma = \varepsilon.$ This pole is inside
the contour. We thus write
$$\frac{1}{2\pi i} \int_{|w|=\gamma}
\frac{1}{w^{K+1}} (1+w)^{2n+1}
\frac{1}{2\pi i} \int_{|z|=\varepsilon}
(1+z)^{2n+2}
\\ \times
\frac{1}{(1+z(1+w))(w/(1+w)+z)}
\; dz \; dw.$$
Evaluating the residue from the simple pole at $z_1$ we find
$$\frac{1}{2\pi i} \int_{|w|=\gamma}
\frac{1}{w^{K+1}} (1+w)^{2n+1}
(1-w/(1+w))^{2n+2} \frac{1}{1-(1+w)w/(1+w)} \; dw
\\ = \frac{1}{2\pi i} \int_{|w|=\gamma}
\frac{1}{w^{K+1}} \frac{1}{1-w^2} \; dw.$$
This is
$$[w^K] \frac{1}{1-w^2} = \frac{1}{2}(1+(-1)^K)$$
as claimed.
Alternate evaluation
Returning to the start we seek
$$\sum_{q=0}^K (-1)^q {2n+1-q\choose q}
{2n-2q\choose K-q} = \frac{1}{2} (1+(-1)^K).$$
With
$${2n-2q\choose K-q} = {2n-2q\choose 2n-K-q} =
\frac{1}{2\pi i} \int_{|w|=\gamma}
\frac{1}{w^{K-q+1}} \frac{1}{(1-w)^{2n-K-q+1}} \; dw$$
the LHS becomes
$$\frac{1}{2\pi i} \int_{|w|=\gamma}
\frac{1}{2\pi i} \int_{|z|=\varepsilon}
\sum_{q=0}^K
(-1)^q \frac{1}{z^{q+1}} (1+z)^{2n+1-q}
\frac{1}{w^{K-q+1}} \frac{1}{(1-w)^{2n-K-q+1}}
\; dz \; dw.$$
Here we may extend the sum to infinity due to the pole at $w=0$
vanishing when $q\gt K.$ This yields
$$\frac{1}{2\pi i} \int_{|w|=\gamma}
\frac{1}{w^{K+1}} \frac{1}{(1-w)^{2n-K+1}}
\frac{1}{2\pi i} \int_{|z|=\varepsilon}
\frac{1}{z} (1+z)^{2n+1}
\\ \times \sum_{q\ge 0}
(-1)^q \frac{1}{z^q} (1+z)^{-q}
w^q (1-w)^{q}
\; dz \; dw
\\ = \frac{1}{2\pi i} \int_{|w|=\gamma}
\frac{1}{w^{K+1}} \frac{1}{(1-w)^{2n-K+1}}
\frac{1}{2\pi i} \int_{|z|=\varepsilon}
\frac{1}{z} (1+z)^{2n+1}
\\ \times \frac{1}{1+w(1-w)/z/(1+z)}
\; dz \; dw
\\ = \frac{1}{2\pi i} \int_{|w|=\gamma}
\frac{1}{w^{K+1}} \frac{1}{(1-w)^{2n-K+1}}
\frac{1}{2\pi i} \int_{|z|=\varepsilon}
(1+z)^{2n+2}
\\ \times \frac{1}{z(1+z)+w(1-w)}
\; dz \; dw
\\ = \frac{1}{2\pi i} \int_{|w|=\gamma}
\frac{1}{w^{K+1}} \frac{1}{(1-w)^{2n-K+1}}
\frac{1}{2\pi i} \int_{|z|=\varepsilon}
(1+z)^{2n+2}
\\ \times \frac{1}{(z+w)(z-(w-1))}
\; dz \; dw.$$
Once more the pole at $z=0$ is gone but a new one has appeared (two of
them, in fact). To see this note that in the summation of the infinite
series we require for convergence that $|w(1-w)| \lt |z(1+z)|.$ We have
for $\varepsilon \ll 1$ and $\gamma \ll 1$ that $|z(1+z)|\ge \varepsilon
(1-\varepsilon) \ge \frac{1}{2} \varepsilon$ and $|w(1-w)| \le \gamma
(1+\gamma) \le \frac{3}{2}\gamma.$ Hence $3\gamma \lt \varepsilon$
will work e.g. take $\gamma = \varepsilon/4$ as in $\gamma = 1/16$ and
$\varepsilon = 1/4.$ In particular $|w|\lt |z|$ so the pole at $z_0=-w$
is inside the contour. On the other hand the closest that the pole at
$z_1=w-1$ which is on a circle at $z=-1$, rotating with radius $\gamma$,
gets to the origin is $1-\gamma = 1 - \varepsilon/4 \gt \varepsilon$ as
long as $\varepsilon \lt 4/5$, so this is definitely not inside the
contour. Hence the contribution from $z_0 = -w$ is the only one and it
yields
$$\frac{1}{2\pi i} \int_{|w|=\gamma}
\frac{1}{w^{K+1}} \frac{1}{(1-w)^{2n-K+1}}
(1-w)^{2n+2} \frac{1}{1-2w} \; dw
\\ = \frac{1}{2\pi i} \int_{|w|=\gamma}
\frac{1}{w^{K+1}}
(1-w)^{K+1} \frac{1}{1-2w} \; dw
\\ = \sum_{q=0}^K {K+1\choose q} (-1)^q 2^{K-q}
= - (-1)^{K+1} \frac{1}{2}
+ \frac{1}{2} \sum_{q=0}^{K+1} {K+1\choose q} (-1)^q 2^{K+1-q}
\\ = - (-1)^{K+1} \frac{1}{2} + \frac{1}{2} 1^{K+1}
= \frac{1}{2} (1 + (-1)^K).$$
We once more have the claim.