Page 122 - JSOM Winter 2021

TABLE 1 Ultramobile Surgical Set for Austere Damage Control Surgery Packing List
Equipment (Quantity) Indication/Uses Notes
Bag (1) Single person carry; easy to access and Review inventory for location of items
organize compartments and to replace damaged/expired items
D-rings (1 large, 2 mini) Hang bag en route; hang fluids; suspend an
extremity
Head light (1) Night ops; light discipline; cavitary surgical Include one set of replacement batteries
exposure/lighting
Sterile gloves (2 pairs) Surgical procedures
Nonsterile gloves (5 pairs; store in sealed bag) 5 pairs in Zip-Lock bag
Cervical collar (1 adult) Cervical spine stabilization when needed based
on mechanism
Nasopharyngeal airway (1) Airway control in obtunded patient; assist
with bag ventilation prior to intubation
TACMED Surgical Set/Advanced: 1 kit; can accomplish all surgical incisions
• Disposable scalpels #10 blade (1); #11 blade (1) and assist with initial steps in performing
• Metzenbaum scissors (1) lifesaving, damage control surgery to stop
• Straight Mayo scissors (1) bleeding
• Debakey forceps (1)
• Adson tissue forceps (1)
• Needle driver (1)
• Curved hemostat (1)
• Weitlaner self-retaining retractor (1)
• Satinsky clamp (1)
• Vascular shunts, Argyle
• Rumel tourniquet set (1)
• Umbilical tape (1)
• 0 Silk suture (1)
• 2-0 Silk suture (1)
• 3-0 Nylon (1)
• HemCon Guardacare hemostatic dressing (2)
Items added to TACMED surgical set: 3-0 Prolene for cardiac injuries; bone wax for
• 0 Vicryl suture (2) bleeding from amputation; vessel loops for use
• 3-0 Prolene on SH or MH needle (2) with vascular exposure and shunting
• Bone wax (1)
• Vessel loops (2)
Surgical airway supplies (1 each): Can use a surgical airway kit produced
• 6-0 endotracheal tube by specific manufacturer based on
• 0-Silk suture training and preference
Debakey aortic clamp, 10.5 inch (1) Clamping of large vessels in a cavity
Kelly clamps (2) Multipurpose
Leatherman Raptor Rescue Shears (1)
Rescue knife (1)
Patient warming blanket (1)
SAM Splints (2) Extremity stabilization, makeshift cervical Can be utilized as additional cervical
collar collar if needed
Kerlix gauze rolls (4) Dressings; use for packing wounds; used with
Esmarch to create compression for junctional
bleeding
Esmarch bandage, 10 cm width (1) Field expedient extremity tourniquet; use with
Kerlix roll and Kelly clamp for junctional
bleeding
Combat, self-applied tourniquets (4)
Topical hemostatic dressing (4)
4-inch ACE wraps (3) Dressings; compression bandage for
hemorrhage control
Skin staplers (1) Scalp lacerations; cardiac injury repair
Chest seals (2)
14-gauge angiocatheter (4) Relief of tension pneumothorax
Whole blood collection and transfusion supplies: Train up entire team on use; know blood type Ensure CPDA-1 collection bag needle is
• Collection bags (2) of each member; plan and rehearse whole covered/protected with plastic tube or
• IV start kits (2) blood collection before mission. other device as needles as easily broken
• Method to measure quantity during transport.
(small scale or 6.5 inches of parachute cord) 15
Portable finger pulse oximeter (1) Monitoring during DCS
Coban 4 in dressing (1) Compression bandage for hemorrhage control
(continues)

120 | JSOM Volume 21, Edition 4 / Winter 2021