Page 43 - JSOM Summer 2020

Truck model: Pack for 2–5 surgical patients with 80% of injury House model: This model may allow for true surgical sets. The
patterns. Includes increased quantities of all Ruck items. number of sets required will depend on how many simultaneous
• Litters OR tables the site is intended to provide. Consider frequency
Added TCCC and time required to resterilize instruments. Includes increased
equipment • MASCAL kit quantities of all Truck items.
• CBRNE kit Anesthetic • MAC catheters
• Oxygen equipment
Added anesthetic • OG tubes Medications • Increased IV fluids
equipment
• RIC catheters Surgical • Consider several of each instrument
Added surgical • Consider two or more of each instrument set instruments set above
instruments • Limited external fixator set • Craniotomy set
• Operating table/litter stands and • Several external fixator sets
Other surgical arm boards • Surgical suction and tubing
equipment
• Broselow bag • Surgical energy device (e.g., Bovie)
• Point-of-care laboratory testing (iSTAT Other surgical • Consider larger capacity blood refrigeration
requires regular maintenance including equipment equipment
calibration and cartridges must be • Litters
Added electronics temperature controlled) • More than 1 OR table/litter stands ± arm
• Battery-powered blood refridgerators boards
and/or freezers
• Overhead free-standing lighting
• Belmont Rapid Infuser
• Plasma thawer OR Belmont Rapid Infuser
• Person-portable generator to power
electronics with maintenance kit • Instrument sterilizer
Added operational • Space heater • More robust MASCAL kit
equipment • Additional litters
• Fuel for generator
• Tentage to set up patient care space Electronics • Arterial catheter pressure-monitoring
equipment
Abbreviations: CBRNE, chemical, biological, radiological, nuclear,
and explosive; MASCAL, mass casualty; RIC, rapid infusion catheter; Operational • Larger generator(s) with required fuel,
TCCC, Tactical Combat Casualty Care. equipment wiring, circuit panels
• Multiple space heaters
• Wall-mounted lighting
Abbreviations: IV, intravenous; OR, operating room.

Austere Resuscitative and Surgical Care Guidelines | 41