Deployable Patient Backpack Equipment List

APPENDIX 1

Deployable Patient Backpack Equipment List

Bag A (Medication Bag)

ResupplyUnit of Issue/LevelExpiration Date

Lid, Outside

1.Compressed band.ea/2n/a

2.Space blanketea/1n/a

3.Headlampea/1n/a

4.AA batteriesea/4

5.Aircrew manualea/1n/a

6.Spanish dict.ea/1n/a

7.BP cuffea/1n/a

8.Stethoscopeea/1n/a

9.Form 3899ea/4n/a

10.Critical ref.ea/1n/a

11.Leg clipboardea/1n/a

12.Paperwork/pensea/3n/a

Lid, Inside

1.2x2ea/6n/a

2.4x4ea/6n/a

3.MTP tubingea/2n/a

4.IV regulator tub.ea/2n/a

5.3 way stopckea/2n/a

6.100cc D5Wea/2

7.100cc NSea/2

8.IV kit

a.16G IV cathea/2n/a

b.18G IV cathea/2n/a

c.14G IV cathea/2n/a

d.Nonsterile glovesea/4n/a

e.IV dsg.ea/4n/a

f..Alcohol padea/4n/a

g.Gauzeea/2n/a

h.Penroseea/2n/a

i.Hep lockea/4n/a

9.Red garbage bagea/1n/a

10.Glucose kit

a.2x2ea/3n/a

b.Alcoholea/6n/a

c.Glucose stripsbtl/1

Other Inside Lid

1.Fishea/10n/a

2.2” silk tapeea/1n/a

3.1” silk tapeea/1n/a

4.#11 Scalpelea/1n/a

5.#15 Scalpelea/1n/a

6.Bandg. Scissorsea/1n/a

7.Hemostatea/1n/a

8.O2 Keyea/1n/a

9.Penlightea/1n/a

10.Gogglesea/1n/a

11.Handwashea/1

Main Pouch

1.Needle containerea/1n/a

2.ACLS roll

a.Atropine1 mg/3

b.Epinephrine1 mg/4

c.Lidocaine100 mg/3

d.Bicarbonateamps/2

e.CaClamps/2

f.Mg Sulfate5gm/2

g.Adenosine6 mg/8

h.Bretylium500mg/4

i.Neosynephrine10mg/10

j.Levophed4mg/3

k.Procan1gm/10cc/3

l.Verapmil5mg/2cc/4

m.Narcanamps/1

n.Romaziconvial/1

o.Isuprel4mg/4

p.Dopamine200mg/3

q.Lopressor5mg/3

r.Epinephrine/1mg1mg/1cc/1

s.Nipride50mg/2

t.D50amps/2

u.Vecronium10mg/5

v.Sterile H2O10cc/5

3.Non-ACLS roll

a.Dilantin250mg/4

b.KCL20meq/4

c.Lasix100mg/2

d.Benadryl50mg/1

e.Glucagon1mg/1

f.Nitro slbtl/1

g.Nitro IV50mg/2

h.Solu-Medrol1gm/1

i.Heparin20,000u/2

j.Heparin100u/cc/1

k.Digoxin500u/4

l.Reglan10mg/4

m.Promethazine25mg/5

n.Tylenolbtl/1

o.Afrintrial/1

p.Lacrilubetube/1

q.Haldol5mg/5

r.Vanc.500mg/4

s.Ancef1gm/8

t.Rocephin1gm/6

u.Cleocin900mg/3

v.Gentamycin80mg/10

w.Unasyn1.5gm/5

x.Unasyn3gm/5

y.Sterile H2O10cc/5

4.Syringe Kit

a.3cc Syringeea/10n/a

b.5cc Syringeea/10n/a

c.10cc Syringeea/10n/a

d.18G Needleea/15n/a

e.21G Needleea/15n/a

f.Alcohol padea/30n/a

Zippered Pouch in Main Pouch

1.ECG padea/15n/a

Right Side Pouch

1.250cc NSea/2

2.250cc D5Wea/2

3.Lido gtt2gm/250cc/1

4.Dopamine gtt800mg/250cc/1

5.Hespan500cc/1

Left Side Pouch

1.1000cc LR1lt/3

2.Blood tubingea/2n/a

3.500cc NSea/1

Bag B (Procedure Bag)

ResupplyUnit of Issue/LevelExpiration Date

Lid, Outside

1.Pleur-Evacea//1

2.Paperwork fldea/3n/a

Lid, Inside

1.Nonsterile Glovesea/8n/a

2.O Silk Curvedea/2

3.Wound closurekit/1

4.Compressed Bandea/2n/a

5.Cal-Stat/Red bagea/1n/a

Other Inside Lid

1.250cc NSea/1

2.250cc D5Wea/1

3.100cc D5Wea/3

4.100cc NSea/3

5.Med. Labelsea/6n/a

6.2gm Lidocaine gtt250cc bag 1

7.IV tubing with Ldoea/1

8.IV tubingea/1

Main Pouch

1.Art. Line Kit

a.7.5 gloveea/1n/a

b.8.0 gloveea/1n/a

c.Veni-guardea/2n/a

d.1” tapeea/1n/a

e.Guide wireea/2n/a

f.Betadine Padea/10n/a

g.Alcohol padsea/10n/a

h.Quick-cath/20Gea/2n/a

i.Rad Cath Kitea/2n/a

j.Pressurebagea/1n/a

k.250cc D5Wea/1

l.Tranducersea/2n/a

2.Syringe Pouch

a.10cc Syringeea/5n/a

b.5cc Syringeea/5n/a

c.3CC Syringeea/5n/a

d.18Ga needlesea/5n/a

e.21 Ga needlesea/10n/a

3.Foley Kit

a.Drainage Bagea/2n/a

b.7.5 glovesea/2n/a

c.18r Foleyea/1n/a

d.14r Foleyea/1n/a

e.10cc syringeea/2n/a

f.10cc sterile H2Oea/2

g.18Ga needleea/3n/a

h.Surgilubeea/2n/a

i.Betadine padea/8n/a

4.NGT Kit

a.16f NGTea/1n/a

b.14f NGTea/1n/a

c.Surgilubeea/2n/a

d.Salem sumpea/2n/a

e.60cc syringeea/1n/a

f.Nonsterile Glovesea/6n/a

5.Individual

a.Sterile towelspkg/1n/a

b.500cc NSea/1

c.Pressure bagea/1n/a

d.Surgical maskea/6n/a

e.4x4ea/5n/a

f.Surgical gownea/1n/a

g.7.5 Sterile gloveea/1n/a

h.8.0 Sterile gloveea/1n/a

i.8.5 introducerkit/1n/a

j.Slickea/1n/a

k.Pediatric Jug. Kitkit/1n/a

l.Hespanea/1

m.Transparent dsg.ea/2n/a

Left Side Pouch

1.1000cc LRea/1

2.Blood tubingea/1n/a

3.IV kit

a.5cc Syringeea/3n/a

b.18G Needlesea/5n/a

c.Needles conn.ea/4n/a

d.Hep lockea/3n/a

e.10cc NSea/2

f.Alcohol padea/18n/a

g.IV dsgea/5n/a

h.Vented tubingea/3n/a

i.16G IV cathea/2n/a

j.18G IV cathea/2n/a

k.20G IV cathea/1n/a

l.Penroseea/1n/a

Right Side Pouch

1.24f Chest tubeea/1

2.32F Chest tubeea/1

3.Chest tube kitkit/1

4.Petrolatum Gauzeea/4n/a

5.Betadine padea/12n/a

6.Heimlich valveea/1n/a

7.Bubble tubingea/6’n/a

8.4” foam tapeea/1n/a

9.1000cc NSea/1

10.Blood tubingea/1n/a