Appendix A: Class VIII Medical Materiel

Here’s a detailed list of medical equipment and supplies specifically required for cardiopulmonary resuscitation (CPR) based on the Joint Trauma System’s K9 Tactical Combat Casualty Care (K9TCCC) guidelines:

1. Airway & Ventilation

- Muzzle – prevent biting during resuscitation
- Bag-Valve-Mask (BVM) –for positive-pressure ventilation
- Endotracheal tube (ETT) +/- laryngoscope – sizes tailored for canines
- +/- tracheostomy or cricothyrotomy kit (if airway cannot be obtained with ETT)

2. Circulation Support

- Intravenous (IV) or intraosseous (IO) catheter setup – including fluids
- IV fluids – crystalloids for volume resuscitation
- Whole blood - if hemorrhage contributed to CPA

3. Monitoring & Adjuncts

- Pulse oximeter (SpO₂)
- Capnography/ETCO₂ monitoring – ideally battery powered
- Electrocardiogram
- Sphygmomanometer or Doppler with appropriate cuff size for canines
- CBC and chemistry portable analyzers (e.g., i-STAT)

4. Drugs for Advanced Life Support

- Drug Reversals
  - Naloxone
  - Flumazenil
  - Atipamezole
- Epinephrine – for cardiac arrest scenarios
- Atropine – for bradyarrhythmias during CPR
- Lidocaine – refractory pulseless ventricular tachycardia or ventricular fibrillation
- Calcium – supplementation if blood products administered
- Other ACLS medications:
  - Magnesium sulfate
  - Amiodarone
- Other post-resuscitation care medications:
  - Vasopressors – norepinephrine, dopamine
  - Seizure control – diazepam or midazolam, levetiracetam or phenobarbital
  - Mannitol or hypertonic saline

5. Defibrillation

- Defibrillator pads/paddles – adult size
- Conductance paste or conductive electrode gel

6. Supportive & Miscellaneous Supplies

- Gloves
- Clippers and scrub (chlorhexidine or betadine) – for IV/IO procedures
- Syringes/flushes – for drug delivery and line flushing
- Tape and securement materials – for ETT, IV catheters

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.