ALS - Need to Have

Required for first responding and addressing immediate threats to life.

Equipment Number/Sizes Intent
Nitrile gloves 2 pair PPE for fine tasks, BSI
CPR Mask w/one-way valve 1 adult Provide rescue breaths for CPR or obtunded patient
Nasopharyngeal airways 2 adult, 1 slightly smaller, 1 slightly larger Help maintain an airway while providing rescue breaths
Oropharyngeal airways 2, 1 larger pediatric, 1 adult (usually red if color coded) Help maintain an airway while providing rescue breaths
Surgical lubricant packet 1-2 Insert nasopharyngeal airway
Tourniquet, CAT type 1-2 Control major peripheral bleeding
ABD pad or Israeli dressing 1 Control major bleeding, junctional or noncompressible site

ALS - Nice to Have

May carry in addition to the need to have list. Intent is to address common needs so that another patroller does not need to be dispatched or so that a situation can be easily resolved to a guest’s satisfaction. Also included additional life support tools in addition to the Need to Have loadout. Red text highlights additions to the BLS Kit

Equipment Number/Sizes Intent
Standard Band Aid 6-8 Minor cuts and scrapes
Kids band aid 6-8 Ditto, bonus points for fun color/patterns. Has real therapeutic effect.
Triangle bandage 2 Sling and swath, splint construction
Safety pin 2-3 large Pin sling to clothing, use clothing as sling
Wire ladder splint 1 Quickly and easily construct a wrist splint
SAM Splint 1 Quickly and easily splint Forearm, elbow.
Curlex gauze roll 1-2 Dress minor bleeding, construct compression dressing
4x4 gauze 1 “boat” of 6-8 Construct a dressing, w/curlex.
Sharpie 1, standard Write on patient, tourniquet time, meds given
Waterproof paper eg. write in the rain small spiral Take down critical details, history, record meds given, record contact phone #s etc.
Pencil or waterproof pen 1 Ditto
Laryngeal mask airway 1, size 4 (adult) Advanced airway management
Angiocath Sz 14 x 3.25” (long), 2 Needle decompression
OPA Full set As for BLS. Add tongue depressor to bag
NPA Full set As for BLS.
Epi Pen 1 Refer to protocol or state EMS rules. For management of anaphylaxis.
QuikClot gauze 1 rolled or combat dressing Challenging bleeding control

ALS - Advanced Tactics

Highly protocol-dependent. Don’t even read without the permission of your medical lead and director. Adds kit to perform emergency tracheostomy, obtain access for meds.

Equipment Number/Sizes Intent
Endotracheal tube 1 x 6-0 cuffed Durable airway
Scalpel #11 x 1 Neck access
Pocket bougie 1 Scalpel/finger/bougie technique
Empty syringe 10 ml x 1 Inflate ET tube cuff
ET tube ties, or long shoelace 2 secure ET tube
IV start kit 1 (18ga IV x1, 20ga x1, extension set, flush, tape)
Mechanical IO drill SAM IO x 1 IO access
IO needles 1 each size (3) IO access