Here is a detailed list of essential medical equipment and supplies required for Amputation: Evaluation and Treatment.
Initial Hemorrhage Control
- Tourniquets: For immediate control of life-threatening extremity bleeding.
- Hemostatic Dressings: To promote rapid clotting at the wound site.
- Pressure Bandages: To maintain hemostasis after initial bleeding control.
Resuscitation (Blood and Intravenous Access)
- Blood tubing set
- Rapid infuser
- IV catheters: (16G, 18G, 20G)
- Central venous catheter (CVC) kits: large bore (Cordis or MAC)
- Intraosseous (IO) needles
- Whole blood or packed red blood cells (PRBCs)
- Fresh frozen plasma (FFP) or Freeze-Dried Plasma (when appropriate and/or available)
- Cryoprecipitate
- Platelets
Induction, Anesthetics, Vasopressors, Antibiotics
- Induction Agents- Ketamine, midazolam, succinylcholine, rocuronium
- Analgesia-Morphine sulfate, Fentanyl, ketamine, acetaminophen
- Local anesthetics-Lidocaine 1% or 2%, Bupivacaine
- Vasopressors-Epinephrine, Norepinephrine, Phenylephrine
- Antibiotics-Cefazolin, Ertapenem, Vancomycin (for patients with allergy or specific indications)
Surgical Drapes and Sterile Field
- Sterile drapes
- Fenestrated drapes
- Sterile gloves
- Surgical gowns
- Betadine or chlorhexidine prep solution
- Sterile towels
- Mayo stand cover
Surgical Instruments
- Vascular Clamps: To control blood vessels during surgery.
- Vessel Loops or Ligatures: For controlling or ligating blood vessels.
- Scalpels and Blades: For incision/excision.
- Bone Saws or Gigli Saws: For bone transection during amputation procedures.
- Forceps, Clamps, and Needle Holders: For tissue handling and suturing.
Wound Management
- Sterile Saline Solution: For irrigation and cleaning of the wound.
- Debridement Tools: Such as curettes and scissors to remove non-viable tissue.
- Negative Pressure Wound Therapy (NPWT) Devices: To promote wound healing and reduce edema.
Postoperative Care
- Regional Anesthesia Kits: Including nerve block needles and catheters.
- Analgesic Medications: Both opioid and non-opioid options for pain control.
- Sterile Dressings and Bandages: For wound coverage and protection.
- Compression Garments: To manage swelling and support residual limbs.
- Splints/Casts: to prevent contractures
- Venous Thromboembolism Prophylaxis: enoxaparin or heparin
Additional Considerations
- Sterilization Supplies: Ensure availability of autoclaves or chemical sterilization agents to maintain instrument sterility.
- Documentation Tools: Accurate record-keeping materials to document surgical procedures and postoperative care plans.
For additional information including National Stock Number (NSN), refer to Logistics Plans & Readiness (sharepoint-mil.us)
DISCLAIMER: This is not an exhaustive list. These are items identified to be important for the care of combat casualties.