Here is a detailed list of the medical materiel required for the management of genitourinary (GU) trauma:
Basic Supplies
- Sterile Gloves
- Sterile Drapes
- Surgical Masks
- Eye Protection
- Antiseptic Solutions (e.g., Betadine, Chlorhexidine)
- Hand sanitizer
Diagnostic Equipment
- Portable Ultrasound Machine
- X-ray Machine or Access to Radiology Services
- IV Contrast
- Urinalysis Strips
- Microscope
- Retrograde Urethrography Equipment
- Proctoscope
Catheterization and Drainage
- Foley Catheters (various sizes)
- Suprapubic Catheter Kits
- Urine Collection Bags
- Ureteral double J stents – various sizes and lengths
- Pediatric feeding tube (extracorporeal drainage)
- Percutaneous nephrostomy kits
Surgical Instruments and Supplies
- Basic Surgical Instrument Sets: Including scalpels, forceps, scissors, and needle holders.
- Specialized GU Surgery Instruments: Such as renal clamps, ureteral catheters, and penile tourniquets.
- Suture Materials (various sizes and types)
- Staplers and Staple loads/reloads
- Hemostatic Agents
- Wound Irrigation Solutions (e.g., saline, antibiotic solutions)
Blood and Fluid Management
- Massive Transfusion Protocol (MTP) Supplies: Including Whole blood, packed red blood cells, fresh frozen plasma, and platelets. Rapid infuser and/or pressure bag for rapid transfusion of blood products.
- IV Fluids (e.g., Ringer’s Lactate, Normal Saline)
- Intravenous Access Kits: Including 8.5 Fr central venous catheter and large bore peripheral IV catheters.
- Blood Pressure Monitors and Automated Blood Pressure Cuffs
Postoperative Care
- Pain Management Supplies: Including opioids and non-opioid analgesics, as well as nerve blocks.
- Antibiotics: Broad-spectrum antibiotics
- Wound Dressing Supplies: Including gauze, bandages, and tape.
- Physical/Occupational Therapy Equipment
Additional Considerations
- Telemedicine Equipment: For remote consultations with specialists, particularly in the absence of urology support.
- Documentation Supplies: JTS Genitourinary Injury Trauma Management Documentation Form, pens, and electronic health record access.
References and Protocols
- Tactical Combat Casualty Care (TCCC) Guidelines
- Advanced Trauma Life Support (ATLS) Guidelines
- GU Injury Trauma Management Clinical Practice Guidelines
This list covers the basic to advanced needs for managing GU injuries in a military or combat setting, ensuring that healthcare providers have the necessary tools to perform life-saving interventions and facilitate the recovery and rehabilitation of patients.
For additional information including National Stock Number (NSN), refer to Logistics Plans & Readiness (sharepoint-mil.us)