To prepare for the prevention of venous thrombosis in trauma patients, especially in austere or combat settings, the following itemized list includes the necessary medical materials and equipment:
Mechanical Prophylaxis
- Sequential Compression Devices (SCDs)
- SCD machine/controller
- SCD cuffs (various sizes)
- Replacement SCD tubing
- Graduated compression stockings (various sizes)
- Thigh-high or knee-high options depending on the patient’s condition
Chemical Prophylaxis
- Enoxaparin syringes (30 mg prefilled syringes)
- Weight-based dosing syringes for enoxaparin (30 mg, 40 mg, 50 mg, or specific mg/kg dosing)
- Storage and transport containers for LMWH syringes
- Unfractionated Heparin (UFH)
- Heparin vials (5000 units)
- Heparin syringes (for subcutaneous administration)
- Dosing charts and calculation aids for weight-based dosing
Monitoring Supplies
- Anti-Xa Level Testing Kits
- Blood sampling kits for anti-Xa monitoring
- Anti-Xa assay kits
Creatinine Clearance Monitoring
- Blood sampling kits for creatinine level measurement
- Portable point-of-care testing devices for creatinine and kidney function
Additional Supplies
- Inferior Vena Cava Filters
- Retrievable Inferior Vena Cava Filters (recommended)
- Renal Function Monitoring
- Creatinine clearance calculators
- Dosing Guides and Protocols
- Laminated dosing charts for quick reference
- Portable electronic devices or apps with dosing calculators
- Education and Training Materials
- Training manuals on VTE prophylaxis
- Patient education brochures on the importance of prophylaxis
- Leg and arm immobilizers to reduce patient movement
Prophylaxis for Pediatric Trauma
- Pediatric SCD cuffs and compression stockings
- Pediatric dosing charts and syringes for heparin
Transport Logistics
- Supplies for managing prolonged patient transport and immobility
- Aeromedical evacuation - specific prophylaxis kits
For additional information including National Stock Number (NSN) refer to Logistics Plans & Readiness (sharepoint-mil.us)