This list incorporates essential items required for managing the complex and life-threatening injuries associated with DCBI, ensuring rapid hemorrhage control, effective resuscitation, and comprehensive trauma care.
Initial Hemorrhage Control
- Tourniquets (e.g., Combat Application Tourniquet - CAT)
- Hemostatic Dressings (e.g., Combat Gauze)
- Pressure Dressings (e.g., Emergency Trauma Dressing - ETD)
- Pelvic Binders (e.g., T-POD)
- Junctional Tourniquets (e.g., SAM Junctional Tourniquet)
- Hemostatic Agents (e.g., Celox, QuikClot)
- Wound Packing Gauze
- REBOA (if available/appropriate)
Airway Management
- Nasopharyngeal Airways (NPA)
- Bag-Valve-Mask (BVM) Devices
- Oxygen Supply (Portable oxygen tanks, masks)
- Laryngoscope with Blades (various sizes)
- Endotracheal Tubes (various sizes)
- Supraglottic Airways (e.g., Laryngeal Mask Airway - LMA)
- Suction Devices (manual or portable electric)
- Surgical Airway Kit (e.g., Cricothyrotomy kit)
Volume Resuscitation
- Low Titer O+ Whole Blood (LTOWB)
- Blood Component Therapy (Red Blood Cells, Plasma, Platelets)
- Intravenous (IV) Fluids (Normal Saline, Lactated Ringer’s)
- IV Cannulas/Catheters (various sizes to include central lines)
- IV Administration Sets (Tubing, Drip Sets)
- Rapid Infusion Devices (e.g., Belmont Rapid Infuser)
- Intraosseous (IO) Access Devices
Monitoring and Diagnostics
- Portable Ultrasound Device
- Vital Signs Monitors (Portable monitors for BP, HR, SpO2)
- Capnography Devices (for CO2 monitoring)
- Blood Gas Analyzers (Portable or handheld)
- Diagnostic Imaging Equipment (Portable X-ray)
Surgical and Trauma Care
- Major abdominal and/or vascular instrument set (e.g., scalpels, forceps, needle holders, retractors, vascular clamps)
- Suture Material (various types and sizes)
- Sterile Drapes and Gloves
- Irrigation solution and equipment (e.g., sterile normal saline, Dakin’s, cysto tubing)
- Wound Closure Kits (Staplers, Adhesives)
- Orthopedic Splints and Braces
- External Fixation Devices
- Foley Catheters (for urinary management)
Pain Management and Sedation
- Analgesics (Morphine, Fentanyl)
- Sedatives (Midazolam, Ketamine)
- Local Anesthetics (Lidocaine, Bupivacaine)
- Nerve Block Kits (for regional anesthesia)
Infection Control
- Antibiotics
- Antifungal Agents (if appropriate)
- Antiseptic Solutions (Chlorhexidine, Povidone-iodine)
Other Essential Items
- Personal Protective Equipment (PPE) (Gloves, Masks, Gowns, Eye Protection)
- Thermal Blankets (for hypothermia prevention)
- Portable Lighting (headlamps, portable LED lights)
- Documentation Tools (JTS Forms, Pens, Patient tags)
- Communication Devices (Radios, Satellite phones)
Field-Specific Considerations
- Walking Blood Bank Supplies (for on-site fresh whole blood collection)
- Specialized Extraction Equipment (for safe removal from blast zones)
- Environmental Control (Portable cooling/heating units
For additional information including National Stock Number (NSN), refer to Logistics Plans & Readiness (sharepoint-mil.us)