APPENDIX 1 - The Brookside Associates



APPENDIX 1

Deployable Patient Backpack Equipment List

Bag A (Medication Bag)

Resupply Unit of Issue/Level Expiration Date

Lid, Outside

1. Compressed band. ea/2 n/a

2. Space blanket ea/1 n/a

3. Headlamp ea/1 n/a

4. AA batteries ea/4

5. Aircrew manual ea/1 n/a

6. Spanish dict. ea/1 n/a

7. BP cuff ea/1 n/a

8. Stethoscope ea/1 n/a

9. Form 3899 ea/4 n/a

10. Critical ref. ea/1 n/a

11. Leg clipboard ea/1 n/a

12. Paperwork/pens ea/3 n/a

Lid, Inside

1. 2x2 ea/6 n/a

2. 4x4 ea/6 n/a

3. MTP tubing ea/2 n/a

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

5. 3 way stopck ea/2 n/a

6. 100cc D5W ea/2

7. 100cc NS ea/2

8. IV kit

a. 16G IV cath ea/2 n/a

b. 18G IV cath ea/2 n/a

c. 14G IV cath ea/2 n/a

d. Nonsterile gloves ea/4 n/a

e. IV dsg. ea/4 n/a

f.. Alcohol pad ea/4 n/a

g. Gauze ea/2 n/a

h. Penrose ea/2 n/a

i. Hep lock ea/4 n/a

9. Red garbage bag ea/1 n/a

10. Glucose kit

a. 2x2 ea/3 n/a

b. Alcohol ea/6 n/a

c. Glucose strips btl/1

Other Inside Lid

1. Fish ea/10 n/a

2. 2” silk tape ea/1 n/a

3. 1” silk tape ea/1 n/a

4. #11 Scalpel ea/1 n/a

5. #15 Scalpel ea/1 n/a

6. Bandg. Scissors ea/1 n/a

7. Hemostat ea/1 n/a

8. O2 Key ea/1 n/a

9. Penlight ea/1 n/a

10. Goggles ea/1 n/a

11. Handwash ea/1

Main Pouch

1. Needle container ea/1 n/a

2. ACLS roll

a. Atropine 1 mg/3

b. Epinephrine 1 mg/4

c. Lidocaine 100 mg/3

d. Bicarbonate amps/2

e. CaCl amps/2

f. Mg Sulfate 5gm/2

g. Adenosine 6 mg/8

h. Bretylium 500mg/4

i. Neosynephrine 10mg/10

j. Levophed 4mg/3

k. Procan 1gm/10cc/3

l. Verapmil 5mg/2cc/4

m. Narcan amps/1

n. Romazicon vial/1

o. Isuprel 4mg/4

p. Dopamine 200mg/3

q. Lopressor 5mg/3

r. Epinephrine/1mg 1mg/1cc/1

s. Nipride 50mg/2

t. D50 amps/2

u. Vecronium 10mg/5

v. Sterile H2O 10cc/5

3. Non-ACLS roll

a. Dilantin 250mg/4

b. KCL 20meq/4

c. Lasix 100mg/2

d. Benadryl 50mg/1

e. Glucagon 1mg/1

f. Nitro sl btl/1

g. Nitro IV 50mg/2

h. Solu-Medrol 1gm/1

i. Heparin 20,000u/2

j. Heparin 100u/cc/1

k. Digoxin 500u/4

l. Reglan 10mg/4

m. Promethazine 25mg/5

n. Tylenol btl/1

o. Afrin trial/1

p. Lacrilube tube/1

q. Haldol 5mg/5

r. Vanc. 500mg/4

s. Ancef 1gm/8

t. Rocephin 1gm/6

u. Cleocin 900mg/3

v. Gentamycin 80mg/10

w. Unasyn 1.5gm/5

x. Unasyn 3gm/5

y. Sterile H2O 10cc/5

4. Syringe Kit

a. 3cc Syringe ea/10 n/a

b. 5cc Syringe ea/10 n/a

c. 10cc Syringe ea/10 n/a

d. 18G Needle ea/15 n/a

e. 21G Needle ea/15 n/a

f. Alcohol pad ea/30 n/a

Zippered Pouch in Main Pouch

1. ECG pad ea/15 n/a

Right Side Pouch

1. 250cc NS ea/2

2. 250cc D5W ea/2

3. Lido gtt 2gm/250cc/1

4. Dopamine gtt 800mg/250cc/1

5. Hespan 500cc/1

Left Side Pouch

1. 1000cc LR 1lt/3

2. Blood tubing ea/2 n/a

3. 500cc NS ea/1

Bag B (Procedure Bag)

Resupply Unit of Issue/Level Expiration Date

Lid, Outside

1. Pleur-Evac ea//1

2. Paperwork fld ea/3 n/a

Lid, Inside

1. Nonsterile Gloves ea/8 n/a

2. O Silk Curved ea/2

3. Wound closure kit/1

4. Compressed Band ea/2 n/a

5. Cal-Stat/Red bag ea/1 n/a

Other Inside Lid

1. 250cc NS ea/1

2. 250cc D5W ea/1

3. 100cc D5W ea/3

4. 100cc NS ea/3

5. Med. Labels ea/6 n/a

6. 2gm Lidocaine gtt 250cc bag 1

7. IV tubing with Ldo ea/1

8. IV tubing ea/1

Main Pouch

1. Art. Line Kit

a. 7.5 glove ea/1 n/a

b. 8.0 glove ea/1 n/a

c. Veni-guard ea/2 n/a

d. 1” tape ea/1 n/a

e. Guide wire ea/2 n/a

f. Betadine Pad ea/10 n/a

g. Alcohol pads ea/10 n/a

h. Quick-cath/20G ea/2 n/a

i. Rad Cath Kit ea/2 n/a

j. Pressure bag ea/1 n/a

k. 250cc D5W ea/1

l. Tranducers ea/2 n/a

2. Syringe Pouch

a. 10cc Syringe ea/5 n/a

b. 5cc Syringe ea/5 n/a

c. 3CC Syringe ea/5 n/a

d. 18Ga needles ea/5 n/a

e. 21 Ga needles ea/10 n/a

3. Foley Kit

a. Drainage Bag ea/2 n/a

b. 7.5 gloves ea/2 n/a

c. 18r Foley ea/1 n/a

d. 14r Foley ea/1 n/a

e. 10cc syringe ea/2 n/a

f. 10cc sterile H2O ea/2

g. 18Ga needle ea/3 n/a

h. Surgilube ea/2 n/a

i. Betadine pad ea/8 n/a

4. NGT Kit

a. 16f NGT ea/1 n/a

b. 14f NGT ea/1 n/a

c. Surgilube ea/2 n/a

d. Salem sump ea/2 n/a

e. 60cc syringe ea/1 n/a

f. Nonsterile Gloves ea/6 n/a

5. Individual

a. Sterile towels pkg/1 n/a

b. 500cc NS ea/1

c. Pressure bag ea/1 n/a

d. Surgical mask ea/6 n/a

e. 4x4 ea/5 n/a

f. Surgical gown ea/1 n/a

g. 7.5 Sterile glove ea/1 n/a

h. 8.0 Sterile glove ea/1 n/a

i. 8.5 introducer kit/1 n/a

j. Slick ea/1 n/a

k. Pediatric Jug. Kit kit/1 n/a

l. Hespan ea/1

m. Transparent dsg. ea/2 n/a

Left Side Pouch

1. 1000cc LR ea/1

2. Blood tubing ea/1 n/a

3. IV kit

a. 5cc Syringe ea/3 n/a

b. 18G Needles ea/5 n/a

c. Needles conn. ea/4 n/a

d. Hep lock ea/3 n/a

e. 10cc NS ea/2

f. Alcohol pad ea/18 n/a

g. IV dsg ea/5 n/a

h. Vented tubing ea/3 n/a

i. 16G IV cath ea/2 n/a

j. 18G IV cath ea/2 n/a

k. 20G IV cath ea/1 n/a

l. Penrose ea/1 n/a

Right Side Pouch

1. 24f Chest tube ea/1

2. 32F Chest tube ea/1

3. Chest tube kit kit/1

4. Petrolatum Gauze ea/4 n/a

5. Betadine pad ea/12 n/a

6. Heimlich valve ea/1 n/a

7. Bubble tubing ea/6’ n/a

8. 4” foam tape ea/1 n/a

9. 1000cc NS ea/1

10. Blood tubing ea/1 n/a

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