Appendix A: Class VIII Medial Materiel

Based on the Joint Trauma System (JTS) Clinical Practice Guideline for heat injury in military working dogs (MWDs), here is a comprehensive list of recommended medical materials for the prevention, assessment, and treatment of K9 heat injuries:

#### 1. Cooling & Temperature Management

Rectal Thermometer (digital preferred)

Room-Temperature Water (for drinking and soaking the MWD)

Fans (to facilitate surface cooling)

Towels (for drying and passive warming)

Heat-Reflective Blanket (e.g., Ready-Heat, Hypothermia Prevention and Management Kit)

Active warming device (e.g. forced air warming system)

#### 2. Airway & Respiratory Support

Endotracheal Tubes (sizes 9–11 mm internal diameter)

Laryngoscope with Miller Blade Size 4

Oxygen Delivery Equipment:

- Oxygen Canisters or Oxygen Concentrator
- Regulator

Bag Valve Mask (if manual ventilation is required – will not utilize mask portion of device)

Oxygen Tubing

#### 3. Fluid Resuscitation

Crystalloid Intravenous (IV) Fluids:

- Lactated Ringer’s, Plasma-Lyte A, Normosol-R or Normal Saline

IV Administration Set

IV Catheters (18G x 1.25”)

Saline Lock with Extension Set

Syringes (e.g., 10 mL)

Clippers (removing hair from IV site)

Medical Tape

Chlorhexidine (preparation of IV site)

#### 4. Monitoring & Diagnostics

Electrocardiogram (ECG) Monitor

Blood Pressure Monitor

Pulse Oximeter

Capnograph

#### 5. Medications & Supportive Care

Anticonvulsants

- Midazolam or Diazepam

Manage cerebral edema

- Mannitol or Hypertonic Saline

Other Medications

- Lidocaine (cardiac arrhythmias)
- Dextrose Injection (supplement IV fluids to 2.5 – 5% final dextrose)

Antiemetics & gastrointestinal protectants

- Pantoprazole
- Ondansetron
- Maropitant citrate
- Sucralfate

Potassium chloride (IV fluid supplementation if hypokalemia)

This list is derived from the JTS Clinical Practice Guideline for heat injury in MWDs and incorporates additional insights from K9 Tactical Combat Casualty Care guidelines and specialized K9 first aid kits.

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.