Bulldog Loadouts: Fluids Bags

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.

Fluids Bag

The intention of the Fluids Bag layout is to provide and enhance Basic Life Support with IV fluid and medication administration within the confines of a NATO camp, primarily within the casualty collection point, or in support of multiple casualties during Flight Line evac . It is NOT for missions outside the wire.This bag is intended to secure vascular access,  intravascular fluid resuscitation, and medication administration.

Outside of Fluids Bag

1. Trauma Shears on para-cord (we had limited retractors)

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
• 1”tape
• 2 Sharps container
• 10 pairs of Nitrile Gloves
• Small bottle Hand Sanitizer
• 3 1 ¼ “ 18 gauge IV cathelons
• 3 1 ¼ 20 gauge IV cathelons
• 4 18 gauge needles
• 2 10ml syringes
• 3 Providone-Iodine swabsticks
• 3 ChloraPrep swabsticks™
• 3” Coban
• 2 2”Coban
• 4 Elastic IV tourniquets
• 3 NAR Saline Lock kits™
• 5 CoTCCC/CCCWG approved Tourniquet
• SAM Splint™
• 10 alcohol swabs
• 10 povidone-iodine swabs

Zipper Pouch (under Elastic Organizer/Pouch Divisions)

• 3 15 gtt IV administration sets
• 5 Tegaderm™ 

5. IO access

• 3 10ml N/S Preloaded syringes
• 3 ChloraPrep swabsticks
• 3” tape
• 3 15 gtt IV administration sets
• BIG IO™
• EZ-IO sternal™
• FAST IO™

6. Lower  Mesh Pouch

• 2 500ml Hextend
• 2 15 gtt IV administration sets
• 2 NAR Saline Lock kits™

7. Lower Mesh Pouch

• 2 1000ml Lactated Ringer’s
• 2 15 gtts IV administration sets
• 2 NAR Saline Lock kits™

8. Upper Mesh Pouch

•  3 1000ml Normal Saline
•  2 15 gtts IV administration sets
•  2 NAR Saline Lock kits™

Within main pouch: 10 pairs Nitrile gloves

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 vascular access, fluid resuscitation, and meds administration within an established secured CCP within the confines of a NATO camp.

Take Care Out There