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.