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

1. Tourniquets (e.g., Combat Application Tourniquet - CAT)
2. Hemostatic Dressings (e.g., Combat Gauze)
3. Pressure Dressings (e.g., Emergency Trauma Dressing - ETD)
4. Pelvic Binders (e.g., T-POD)
5. Junctional Tourniquets (e.g., SAM Junctional Tourniquet)
6. Hemostatic Agents (e.g., Celox, QuikClot)
7. Wound Packing Gauze
8. REBOA (if available/appropriate)

Airway Management

1. Nasopharyngeal Airways (NPA)
2. Bag-Valve-Mask (BVM) Devices
3. Oxygen Supply (Portable oxygen tanks, masks)
4. Laryngoscope with Blades (various sizes)
5. Endotracheal Tubes (various sizes)
6. Supraglottic Airways (e.g., Laryngeal Mask Airway - LMA)
7. Suction Devices (manual or portable electric)
8. Surgical Airway Kit (e.g., Cricothyrotomy kit)

Volume Resuscitation

1. Low Titer O+ Whole Blood (LTOWB)
2. Blood Component Therapy (Red Blood Cells, Plasma, Platelets)
3. Intravenous (IV) Fluids (Normal Saline, Lactated Ringer’s)
4. IV Cannulas/Catheters (various sizes to include central lines)
5. IV Administration Sets (Tubing, Drip Sets)
6. Rapid Infusion Devices (e.g., Belmont Rapid Infuser)
7. Intraosseous (IO) Access Devices

Monitoring and Diagnostics

1. Portable Ultrasound Device
2. Vital Signs Monitors (Portable monitors for BP, HR, SpO2)
3. Capnography Devices (for CO2 monitoring)
4. Blood Gas Analyzers (Portable or handheld)
5. Diagnostic Imaging Equipment (Portable X-ray)

Surgical and Trauma Care

1. Major abdominal and/or vascular instrument set (e.g., scalpels, forceps, needle holders, retractors, vascular clamps)
2. Suture Material (various types and sizes)
3. Sterile Drapes and Gloves
4. Irrigation solution and equipment (e.g., sterile normal saline, Dakin’s, cysto tubing)
5. Wound Closure Kits (Staplers, Adhesives)
6. Orthopedic Splints and Braces
7. External Fixation Devices
8. Foley Catheters (for urinary management)

Pain Management and Sedation

1. Analgesics (Morphine, Fentanyl)
2. Sedatives (Midazolam, Ketamine)
3. Local Anesthetics (Lidocaine, Bupivacaine)
4. Nerve Block Kits (for regional anesthesia)

Infection Control

1. Antibiotics
2. Antifungal Agents (if appropriate)
3. Antiseptic Solutions (Chlorhexidine, Povidone-iodine)

Other Essential Items

1. Personal Protective Equipment (PPE) (Gloves, Masks, Gowns, Eye Protection)
2. Thermal Blankets (for hypothermia prevention)
3. Portable Lighting (headlamps, portable LED lights)
4. Documentation Tools (JTS Forms, Pens, Patient tags)
5. Communication Devices (Radios, Satellite phones)

Field-Specific Considerations

1. Walking Blood Bank Supplies (for on-site fresh whole blood collection)
2. Specialized Extraction Equipment (for safe removal from blast zones)
3. Environmental Control (Portable cooling/heating units

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.