1. SELECT MISSION PROFILE: At shift start, determine whether the pack will be configured for Trauma or Oxygen delivery based on operational need and your certification level. This decision drives every subsequent loading step.
2. CONFIGURE FOR OXYGEN DELIVERY: Verify the internal polypropylene shell is correctly seated in the main compartment, then place a full "C" oxygen cylinder into the shell cradle and confirm it is secure. Attach the regulator assembly to the cylinder, ensure it is fully seated, and confirm the valve is closed.
3. SEAT THE REGULATOR IN THE PADDED END POCKET: Orient the pack so the regulator and valve assembly fit completely within the 3-inch padded end pocket. Close the main compartment zipper fully, verifying no equipment is snagged. Stock the side pockets with O2 delivery adjuncts including masks and cannulas, and PPE.
4. CONFIGURE FOR TRAUMA: Remove the polypropylene shell if maximum volume is required, or reposition it as a compartment divider. Load the main compartment systematically, placing high-priority items such as tourniquets and chest seals in the most accessible positions. Load side pockets with frequently used tools including shears, gloves, and a penlight.
5. MOUNT THE PACK TO THE REAR RACK: Set the loaded pack onto the top surface of the bicycle's rear rack. Route the Velcro straps around the rack tubing and pull each strap fully taut to eliminate all slack, then secure the side-release buckles and adjust the webbing for final tensioning.
6. VERIFY MOUNT SECURITY: Physically attempt to shift the pack side-to-side and fore-aft. There must be zero significant movement, as an unsecured pack is a major dynamic hazard capable of causing catastrophic loss of bicycle control.
7. PERFORM CLEARANCE CHECK: Visually inspect all straps and buckles to confirm none are routed near or in contact with the rear wheel, spokes, or drivetrain components before beginning any ride.
8. CONDUCT PRE-SHIFT INSPECTION: Inspect Velcro straps for fraying or loss of adhesion and buckle components for cracks or deformation. Operate all zippers, check fabric at corners and seams for wear, confirm reflective trim is secure, and verify all medical supplies are in-date and properly stowed.
9. DISMOUNT AND DEPLOY ON SCENE: Dismount the bicycle and stabilize it against a fixed surface or use the kickstand. Assess the patient's location and the operational environment, then make a tactical decision to either access contents from the mounted pack or release the buckles and carry the entire pack to the patient's side.
10. PLACE AND ACCESS EQUIPMENT: If the pack is removed from the bicycle, place it with the vinyl bottom facing down to protect contents and facilitate decontamination. Open the necessary compartments to access equipment and initiate patient care.
11. DECONTAMINATE AFTER INCIDENT: Empty the pack completely, then apply an approved medical-grade disinfectant to all exterior and interior surfaces, with focused attention on the non-porous vinyl bottom. Allow the pack to air dry fully before restocking. Do not machine wash or machine dry.