1. MASSIVE HEMORRHAGE CONTROL: Apply the rubber tourniquet high and tight on the affected extremity without delay. For junctional or torso wounds where a tourniquet cannot be applied, pack the wound cavity firmly with conforming gauze and apply direct pressure using abdominal pads or the multi-trauma dressing.

2. AIRWAY MANAGEMENT: If the casualty is unconscious and presenting with a compromised airway, insert the 110mm plastic oral airway to maintain a patent airway. Do not insert an oral airway in a conscious patient, as it will trigger the gag reflex. Position the patient in the recovery position if no spinal injury is suspected and monitor breathing continuously.

3. INJURY EXPOSURE AND SECONDARY WOUND MANAGEMENT: Use the 7.25" EMT shears to cut away clothing and gear to expose all injuries fully. Apply BleedStop bandages and appropriate dressings to secondary wounds, then secure all dressings firmly with elastic bandages or waterproof tape to prevent slippage during casualty movement.

4. HYPOTHERMIA AND SHOCK MONITORING: While no dedicated hypothermia blanket is included in this kit, use the triangular bandage to secure dressings or configure as a sling as needed. Protect the casualty from environmental exposure and monitor continuously for deteriorating consciousness and signs of shock.

5. GENERAL CARE AND INFECTION CONTROL: Once all major life threats are controlled, don nitrile gloves before handling wounds. Clean wound surfaces with BZK antiseptic wipes and iodine wipes, apply butterfly wound closures to lacerations, and administer ibuprofen packets for pain management as the situation warrants.

6. KIT INSPECTION AND MAINTENANCE: Conduct a quarterly inspection of all 80 components, checking for damaged packaging, compromised seals, and material degradation. Verify the full inventory against the loadout list and immediately replace any items used during training or real-world deployment. The kit and its components are HSA/FSA eligible for cost-efficient re-supply.