APPENDIX J: CLASS VIII MEDICAL MATERIEL

This itemized list of medical materiel is based on interventions outlined in the JTS Airway Management in Trauma CPG. It includes both basic and advanced airway management supplies, suitable for Role 1–3 care settings.

Basic Airway Management Supplies

Manual Airway Support

- Nasopharyngeal airways (multiple sizes)
- Oropharyngeal airways (multiple sizes)
- Bag-valve-mask (BVM) with:
  - Reservoir bag
  - Pediatric and adult masks
  - PEEP valve (optional but beneficial)

Supplemental Oxygen Delivery

- Portable oxygen cylinder with regulator
- Nasal cannulas (adult and pediatric sizes)
- Non-rebreather masks (adult and pediatric)
- Oxygen tubing and humidifiers (optional)

Airway Suction

- Suction unit (manual or battery-operated)
- Yankauer suction catheters
- Flexible suction catheters (various sizes)
- Suction tubing
- Mucus trap (for pediatric use or specimen collection)

Advanced Airway Management Supplies

Supraglottic Airway Devices (SGA)

- i-gel or King LT or LMA devices (sizes 3, 4, 5)
- Water-soluble lubricant
- Securing straps

Endotracheal Intubation Equipment

- Endotracheal tubes (ETT) (sizes 6.0 to 8.5 mm)
- ETT stylets (malleable)
- 10 mL syringes (for cuff inflation)
- Laryngoscope handles (battery-operated)
- Laryngoscope blades:
  - Macintosh (curved): sizes 3 and 4
  - Miller (straight): sizes 2 and 3
- Bougies (introducers) – standard and pediatric
- End-tidal CO₂ detection:
  - Colorimetric CO₂ detector
  - Capnography sensor (if available)
- Tube securing device or tape
- Video Laryngoscopy (if available)
  - Video laryngoscope with disposable blades
  - Monitor and power source

Surgical Airway Supplies (Cricothyrotomy)

Surgical Cricothyrotomy Kit (commercial or improvised)

- Scalpel (#10 or #11 blade)
- Tracheostomy hook or hemostat
- Cuffed tracheostomy or endotracheal tube (5.0–6.0 mm)
- Ties or securing device
- Antiseptic prep (chlorhexidine or povidone-iodine)
- Suction and oxygen source (as above)

  Needle Cricothyrotomy Kit (pediatric or temporary use)

- 14–16 gauge over-the-needle catheter
- Syringe
- Tubing and connectors for jet insufflation (if available)

Monitoring & Support Supplies

- Pulse oximeter with pediatric/adult probes
- Cardiac monitor (if available)
- Capnography monitor or handheld device
- Blood pressure cuff (manual or automatic)
- Stethoscope
- Documentation tools (trauma cards, markers)

Adjunctive Medications (as per protocol)

- Lidocaine 2% (for nasal intubation or cricothyrotomy)
- Ketamine (induction agent)
- Etomidate (induction agent)
- Succinylcholine or Rocuronium (paralytics)
- Midazolam or fentanyl (sedation)
- Atropine (for pediatric intubation or bradycardia)

Note: All medications must be secured and used per local protocol and authorized prescriber.

Pediatric Considerations

- Pediatric BVM and masks
- Pediatric ET tubes (uncuffed and cuffed)
- Pediatric-sized LMAs or i-gel devices
- Broselow tape or pediatric reference guides

For additional information including National Stock Number (NSN), refer to 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.