1. CONDUCT INITIAL INVENTORY: Upon receipt, verify all components against the official pack list before staging. Confirm packaging integrity on all sterile items and check the Penlight battery before the bag is placed in service.
2. STAGE BY FUNCTIONAL MODULE: Organize contents into dedicated pouches by category: Airway, Bleeding Control, Bandaging, and Assessment. Place the CAT Tourniquet, Utility Shears, and Nitrile Gloves in easily accessible external pockets for immediate retrieval on scene arrival.
3. CONFIRM SCENE SAFETY: On arrival, position your apparatus to protect the scene perimeter and scan for active hazards including fuel leaks, traffic, and downed power lines before any patient contact.
4. DON PPE IMMEDIATELY: Put on at least one pair of Nitrile Gloves before making contact with any patient. BSI is mandatory for all patient contact with no exceptions. Change gloves between patients.
5. MANAGE AIRWAY FOR ALTERED OR UNCONSCIOUS PATIENTS: Perform a jaw-thrust maneuver to open the airway. If the patient is unconscious with no gag reflex, select the appropriately sized OPA from the 6-pack set and insert it to maintain airway patency. Never insert an OPA in a conscious patient or one with an intact gag reflex.
6. DEPLOY BVM FOR INADEQUATE BREATHING: If respirations are fewer than 8 or greater than 30 per minute, or breathing is shallow, attach the adult BVM and deliver one breath every 5 to 6 seconds. Use two-person operation to maintain mask seal and monitor for chest rise. Avoid hyperventilation.
7. CONTROL HEMORRHAGE BY ESCALATION: Apply direct pressure using 4x4 Gauze Pads for active bleeding. If bleeding is uncontrolled, escalate to Fluff Roll wound packing or the Trauma Dressing. For life-threatening extremity hemorrhage, apply the CAT Tourniquet proximal to the wound using the windlass mechanism. For junctional wounds where a tourniquet cannot be applied, use the QuikClot hemostatic dressing and inform the patient it will generate heat upon activation.
8. OBTAIN BASELINE VITALS: Once immediate life threats are controlled, use the Sphygmomanometer and Stethoscope to establish blood pressure and lung sounds. Assess pupillary response with the Penlight and Pupil Gauge as a key neurological indicator.
9. IMMOBILIZE FRACTURES AND DRESS WOUNDS: Cut away clothing with Utility Shears to expose the injury. Form the 36-inch Splint Roll to immobilize the joint above and below the fracture site. Secure with Elastic or Self-Adherent Bandages and apply the Triangular Bandage as a sling. Clean and dress minor wounds using BZK Towelettes and Gauze Pads secured with surgical tape.
10. APPLY SHOCK AND THERMAL MANAGEMENT: Place the Mylar Blanket over any patient presenting with risk of shock to conserve core body heat. Deploy Instant Ice Packs for sprains and strains as indicated.
11. EXECUTE POST-INCIDENT PROTOCOL: Dispose of all biohazardous materials per your organization's protocols. Decontaminate all reusable instruments including the BP Cuff, Stethoscope, Shears, and Forceps. Log every item consumed during the response.
12. RESTOCK TO 100% BEFORE RETURNING TO SERVICE: Submit a restock request to your supply officer immediately following the call. Do not return the bag to operational deployment until all components have been replaced and verified at full readiness.
