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

  1. Sequential Compression Devices (SCDs)
  2. SCD machine/controller
  3. SCD cuffs (various sizes)
  4. Replacement SCD tubing
  5. Graduated compression stockings (various sizes)
  6. Thigh-high or knee-high options depending on the patient’s condition

Chemical Prophylaxis

  1. Enoxaparin syringes (30 mg prefilled syringes)
  2. Weight-based dosing syringes for enoxaparin (30 mg, 40 mg, 50 mg, or specific mg/kg dosing)
  3. Storage and transport containers for LMWH syringes
  4. Unfractionated Heparin (UFH)
  5. Heparin vials (5000 units)
  6. Heparin syringes (for subcutaneous administration)
  7. Dosing charts and calculation aids for weight-based dosing

Monitoring Supplies

  1. Anti-Xa Level Testing Kits
  2. Blood sampling kits for anti-Xa monitoring
  3. Anti-Xa assay kits

Creatinine Clearance Monitoring

  1. Blood sampling kits for creatinine level measurement
  2. Portable point-of-care testing devices for creatinine and kidney function

Additional Supplies

  1. Inferior Vena Cava Filters
  2. Retrievable Inferior Vena Cava Filters (recommended)
  3. Renal Function Monitoring
  4. Creatinine clearance calculators
  5. Dosing Guides and Protocols
  6. Laminated dosing charts for quick reference
  7. Portable electronic devices or apps with dosing calculators
  8. Education and Training Materials
  9. Training manuals on VTE prophylaxis
  10. Patient education brochures on the importance of prophylaxis
  11. Leg and arm immobilizers to reduce patient movement

Prophylaxis for Pediatric Trauma

  1. Pediatric SCD cuffs and compression stockings
  2. Pediatric dosing charts and syringes for heparin

Transport Logistics

  1. Supplies for managing prolonged patient transport and immobility
  2. Aeromedical evacuation - specific prophylaxis kits

 

For additional information including National Stock Number (NSN) refer to Logistics Plans & Readiness (sharepoint-mil.us)