APPENDIX F: CLASS VIII MEDICAL MATERIAL

The JTS CPG for managing radiation exposure in nuclear events outlines the necessary medical supplies and equipment to support patient care effectively.

Personal Protective Equipment (PPE)

1. Full-body protective suits with hood and gloves
2. Radiation dosimeters (personal and area monitors)
3. Respiratory protection (P100 respirators, N95 masks, or PAPRs with HEPA filters)
4. Lead aprons for personnel, if required based on exposure risk
5. Eye protection (goggles or face shields)
6. Disposable boot covers

Decontamination Supplies

1. Portable decontamination showers
2. Water-resistant mats and containment pools
3. Mild soap and detergent solutions for skin decontamination
4. Soft brushes and sponges
5. Forceps and pickups – Various sizes
6. Irrigation solution (normal saline, sterile water)
7. Absorbent towels and sheets (disposable)
8. Waste disposal bags (hazardous waste-specific bags)
9. Radiation-contaminated waste containers

Monitoring and Assessment Tools

1. Portable radiation detectors (e.g., Geiger counters, scintillation detectors)
2. Contamination monitors (e.g., hand and foot monitors)
3. Whole-body counters for radiation exposure assessment
4. Portable gamma spectrometers (for isotopic identification)

Medications for Radiation Sickness

1. Potassium iodide (KI) tablets (for thyroid protection)
2. Prussian blue (for cesium and thallium contamination)
3. Calcium or zinc-DTPA (for plutonium, americium, and curium contamination)
4. Anti-nausea medications (ondansetron, promethazine)
5. Pain management (opioids, NSAIDs)
6. Colony-stimulating factors (filgrastim, pegfilgrastim) for bone marrow support
7. Antibiotics (broad-spectrum coverage, adjusted for neutropenia)
8. Antidiarrheal medications

Supportive Care Supplies

1. Intravenous (IV) fluids (normal saline, lactated Ringer’s solution)
2. Electrolyte replacement solutions
3. Blood products and transfusion supplies (if available)
4. Nutritional support (oral rehydration solutions, parenteral nutrition kits)
5. Oral rehydration salts (ORS)

Burn and Wound Care Supplies

1. Sterile dressings (gauze, non-adherent, hydrocolloid)
2. Antimicrobial ointments (silver sulfadiazine, bacitracin)
3. Burn care kits
4. Sterile irrigation fluids
5. Surgical debridement instruments (scalpels, forceps)
6. Suturing supplies (sutures, staplers, stapler removers)

Monitoring Equipment for Patient Care

1. Blood pressure cuffs (manual and automated)
2. Thermometers (digital and infrared)
3. Pulse oximeters
4. Cardiac monitors (portable EKGs, defibrillators)
5. Point of care laboratory testing with ability to do complete blood counts.

Other Essential Supplies

1. IV tubing sets and administration kits
2. Syringes, needles, and catheters
3. Waste disposal systems for contaminated materials
4. Stationery for documentation (contamination logbooks, patient assessment forms)
5. Communications equipment (for command and control during mass casualty events)

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.