Here is a detailed list of the medical materiel required for the management of genitourinary (GU) trauma:

Basic Supplies

1. Sterile Gloves
2. Sterile Drapes
3. Surgical Masks
4. Eye Protection
5. Antiseptic Solutions (e.g., Betadine, Chlorhexidine)
6. Hand sanitizer

Diagnostic Equipment

1. Portable Ultrasound Machine
2. X-ray Machine or Access to Radiology Services
3. IV Contrast
4. Urinalysis Strips
5. Microscope
6. Retrograde Urethrography Equipment
7. Proctoscope

Catheterization and Drainage

1. Foley Catheters (various sizes)
2. Suprapubic Catheter Kits
3. Urine Collection Bags
4. Ureteral double J stents – various sizes and lengths
5. Pediatric feeding tube (extracorporeal drainage)
6. Percutaneous nephrostomy kits

Surgical Instruments and Supplies

1. Basic Surgical Instrument Sets: Including scalpels, forceps, scissors, and needle holders.
2. Specialized GU Surgery Instruments: Such as renal clamps, ureteral catheters, and penile tourniquets.
3. Suture Materials (various sizes and types)
4. Staplers and Staple loads/reloads
5. Hemostatic Agents
6. Wound Irrigation Solutions (e.g., saline, antibiotic solutions)

Blood and Fluid Management

1. 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.
2. IV Fluids (e.g., Ringer’s Lactate, Normal Saline)
3. Intravenous Access Kits: Including 8.5 Fr central venous catheter and large bore peripheral IV catheters.
4. Blood Pressure Monitors and Automated Blood Pressure Cuffs

Postoperative Care

1. Pain Management Supplies: Including opioids and non-opioid analgesics, as well as nerve blocks.
2. Antibiotics: Broad-spectrum antibiotics
3. Wound Dressing Supplies: Including gauze, bandages, and tape.
4. Physical/Occupational Therapy Equipment

Additional Considerations

1. Telemedicine Equipment: For remote consultations with specialists, particularly in the absence of urology support.
2. Documentation Supplies: JTS Genitourinary Injury Trauma Management Documentation Form, pens, and electronic health record access.

References and Protocols

1. Tactical Combat Casualty Care (TCCC) Guidelines
2. Advanced Trauma Life Support (ATLS) Guidelines
3. 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)