Monday, 16 June 2014

Bulldog Loadouts: Evac/Flight Line Bag

Capt P, the American PA I worked with in a NATO camp during my most recent deployment to Afghanistan went to Yale University. The Yale football team is the Yale Bulldogs. In an homage to his varsity team, all the load list for medical gear were prefaced with the 'Bulldog" identifier. This is a series of articles on specific loadouts that we packed to support distinct roles within our camp emergency plan. There will be no coverage of the emergency plan or mass casualty plan in this series as the camp is still operational. The gear and supplies used were limited to the supply chain and represent best possible practice at that current time.

Evac Medical Bag

The intention of the Evac layout was for use in Flight Line Ambulance during the casualty evacuation phase to pre designated helicopter landing zones within the permissive confines of an Afghan Army compound. It is NOT for missions outside the wire. The equipment/gear in this bag is to sustain interventions and ongoing care while affecting evac or should flights be delayed and time spent waiting for helos.

Outside of FR Bag
1. Trauma Shears on retractor attached to bag
2. Bag Label and 9-Liner

3. Lid Upper Mesh Pocket
  • 5 Sterile Kerlix Gauze
  • 2 3” ACE wraps
  • 2 6” Ace wraps
  • 5 NATO casualty tags

4. Lid Lower Mesh Pocket
  • 4 Combat Gauze™
  • 2 4” CoTCCC/CCCWG approved dressing
  • 1 6” CoTCCC/CCCWG approved dressing
  • 1 OALES Modular Bandage™

Elastic Organizer/Pouch Divisions
  • 3”tape
  • 2”tape
  •  HALO Chest Seals™
  • Sharps container
  • 10 pairs of Nitrile Gloves
  • Small bottle Hand Sanitizer
  • CoTCCC/CCCWG approved Decompression Needle
  • Pen or Sharpie™
  • Forceps/tweezers
  • Penlight
  • 3 CoTCCC/CCCWG approved Tourniquet
  • Cold Pack
  • 4 Hot packs
  • 3 10ml syringes
  • 3 3ml safety syringes w/ needle
  • 3 1ml syringes w/needle
  • 3 22 gauge 1 ½” needles
  • 3 18 gauge 1 ½” needles
  • 2 2” Coban™
  • Clipboard

Zipper Pouch (under Elastic Organizer/Pouch Divisions)
  • 10 Double Antibiotic Ointment pouches
  • 10 Alcohol/Provo-iodine swabs
  • 5 3” x 8” Non-Adherent dressings
  • 20 800mg Ibuprofen tabs
  • 3 Pill Packs (800mg Ibuprofen, 1000mg Acetaminophen)

5. Airway
  • King LT ™ size 4
  • Crickit™
  • Chloraprep™
  • 5 tongue depressors
  • 2 OPAs
  • 2 NPAs
  • 2 surgical lubrication pouches
  • 1” tape

6. Lower  Mesh Pouch
  • CoTCCC/CCCWG approved Bag Valve Mask (BVM)
  • CoTCCC/CCCWG approved Airway Suction device
  • Rescue Mask with O² nipple
  • Easy Cap II CO² Detector

7. Lower Mesh Pouch
  • 2 NARE Saline Kits
  • 4 15gtt IV administration set
  • 2 1000ml N/S
  • 5 Needle Ports

Upper Mesh Pouch
  • B/P Cuff
  • Stethoscope 
  • Pelican Med Case (stored in Pharmacy)

Within main pouch:
  • 2 Blizzard survival blankets™

The choice of the Blackhawk STOMP 2 was logistical in nature. We had quite a few which allowed some uniformity in layout. There are a great many other bags we would have preferred but they were unavailable through the current supply chain.

The concept of this layout was to sustain the casualty and their interventions until evacuation assets would then care for them during their evacuation.

Take Care Out There

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