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), refer to Logistics Plans & Readiness (sharepoint-mil.us)

DISCLAIMER: This is not an exhaustive list. These are items identified to be important for the care of combat casualties.