Appendix D: Class VIII Medical Materiel

Detailed overview of the essential medical materiel required for adequate pelvic fracture care, according to the Joint Trauma System (JTS) Clinical Practice Guidelines.

Pelvic Stabilization Devices

- Pelvic binder or sheet wrap

Hemorrhage Control & Resuscitation Supplies

- IV fluids, including crystalloids, and blood products (RBCs, plasma, platelets, whole blood) per damage control resuscitation protocols.
- Sterile surgical packs containing sponges and instruments for packing the preperitoneal space to control bleeding.
- Tranexamic acid (TXA)

Imaging & Diagnostic Resources

- Portable X-ray machine.
- Portable ultrasound (FAST) capabilities.
- Access to CT imaging with contrast (Role 3+ environments).

Surgical & Orthopedic Equipment

- External fixation sets – either temporary or definitive, including fixator frames and pins.
- Orthopedic instrument set – including bone saws, drill guides, traction devices.
- Suture materials – heavy and fine sutures (PDS, Prolene), vessel loops, pledgets for soft tissue repair.
- Topical hemostatic agents and ample surgical sponges.

Resuscitative & Critical Care Support

- Airway management equipment – BVMs, ET tubes, video laryngoscopes.
- Portable monitors – pulse oximetry, ETCO₂, Pressure lines (A-line, CVP) NIBP equipment.
- Blood warming/infusion devices – e.g., Belmont rapid infuser or in-line warmers.
- REBOA catheter kits if endovascular hemorrhage control is indicated.

Medications & Ancillary Supplies

- Analgesics and anesthetics, both IV and oral.
- Antibiotics, including broad-spectrum agents for open fractures.
- IV calcium, ACLS medications, and antiepileptics.

Postoperative Care

- Wound Care Supplies: Dressings, antiseptics, and bandages for postoperative wound management.
- Deep Vein Thrombosis (DVT) Prophylaxis Equipment: Compression devices and anticoagulant medications to prevent blood clots.

For additional information including National Stock Number (NSN), please contact: dha.ncr.med-log.list.lpr-cps@health.mil

DISCLAIMER: This is not an exhaustive list. These are items identified to be important for the care of combat casualties.