Appendix A: Class VIII Medical Materiel

Based on the CPG below is an extensive list of supplies for managing ocular injuries.

#### Personal Protective Equipment (PPE)

- Nitrile gloves

#### Initial Assessment Equipment

- K9‐size muzzle (soft, adjustable)

#### Ophthalmic Examination Supplies

- Ophthalmoscope, penlight or small LED light
- Fluorescein dye strips
- Sterile saline for eye irrigation
- Cotton-tipped applicators
- Tonopen or rebound tonometer
- pH paper

#### Irrigation Supplies

- 500-1000 mL sterile saline or LRS
- IV administration set or irrigation tubing
- 10-60 mL syringes
- Eye wash bottle or Morgan lens (if available/appropriate)
- Gauze sponges (2x2 or 4x4)

#### Foreign Body Removal Tools

- Sterile cotton swabs
- Sterile eyewash solution

#### Protection Supplies

- Elizabethan collar (e-collar) or similar device (bucket)
- Elastic wrap (VetWrap or equivalent)
- Tape (silk or medical adhesive)

#### Documentation Supplies

- K9TCCC Card (DD 3073)
- Permanent marker
- Camera (tablet/phone) for wound documentation

#### Medications

Topical Ophthalmic Agents

- Proparacaine 0.5%, tetracaine, lidocaine (topical anesthetic)
- Broad-spectrum ophthalmic antibiotic ointment (e.g., tobramycin)
- Triple antibiotic ophthalmic ointment
- Ofloxacin ophthalmic drops (if needed)
- Eye lubricant ointment (preservative free is preferred)
- Topical steroid (e.g. prednisolone acetate 1%)

Systemic Medications

- NSAIDs (e.g. carprofen, meloxicam)
- Opioid analgesics (e.g., fentanyl, morphine, hydromorphone)
- Sedatives for exam/treatment (e.g. trazodone, gabapentin, midazolam, dexmedetomidine, ketamine)
- Antibiotics (amoxicillin-clavulanic acid)
- Ondansetron

#### Surgical Supplies

- Minor surgical kit
- Suture material (5-0 to 6-0 braided absorbable suture or 3-0 to 4-0 monofilament absorbable and non-absorbable suture)
- Lidocaine for nerve blocks
- Ophthalmic surgical instruments (if available)
- Required medications for sedation and general anesthesia for K9

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.