1. INVENTORY ON ARRIVAL: Check the 214 pieces against the contents list before the backpack goes into service. Confirm the advanced bleeding control set, the 2 vented chest seals and the assessment gear are all present.

2. SET UP THE LAYOUT: Use the multiple zippered compartments to set up the layout your crew prefers, and keep it the same in every kit. Add your own supplies to the extra space left open, and log what you add.

3. STAGE THE BACKPACK: Stage the kit in the same vehicle, station or site location so every crew member knows where to look. Attach any added pouches to the MOLLE webbing before the kit goes into service.

4. CHECK THE SCENE AND CALL: Check the scene for hazards before you approach. Call 911 or activate EMS as your protocol directs, then carry the backpack to the patient on its shoulder straps.

5. OPEN, THEN GLOVE UP: Unzip the compartment you need, then put on a pair of the nitrile exam gloves from the kit before you reach for other items. Keep spare gloves on the restock list.

6. USE COMPONENTS BY NAME: Reach for each item by its name, such as the Quick-Tight Windlass Tourniquet, the NuStat hemostatic gauze pad, a vented chest seal or the blood pressure unit. Use each one as its own packaging directs and as your training and protocol allow.

7. REPORT AND HAND OFF: Tell the receiving EMS crew or facility what happened and which items you used. Write down every opened item so the restock list reflects what left the kit.

8. RESTOCK AND LOG: Replace every item used or opened from the contents list and check any dates printed on the components. Log the restock before the backpack returns to service.