TRAUMA PACK MEDICAL EQUIPMENT INVENTORY FORM Date:
Location:
Officer:
Oxygen PSI Reading:
AED Serial Number:
AED Battery Status:
AED Pad Expiration Dates:
Trauma Kit Tag Number: Wound Kit #1 1-Roll 1” Tape 10-Bandaids 10-Large Butterfly Closures 10-Knuckle Bandaids 10-Neosporin Packets 10-Alcohol Preps 10-Ammonia Inhalants
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1-Tourniquet 10-Fingertip Bandaids 1-Roll 2” Tape 10-Medium Butterfly Closures 10-Bacitracin Packets 10-Nox A Sting Swabs 10-Benzalkonium Chloride Wipes
Wound Kit #2 5-Oval Eye Pads 5-4x4 Sterile Dressings
3-5x9 Combine Dressing 5-2x2 Sterile Dressings
Fracture Kit 5-Triangular Bandages 1-4”x84in 6ply Kerlix
3-4”x4.1yd Flex Band Kling 3” OK 1-Small Roll 6 ply Kerlix
First Aid Kit 1-Bottle Waterless Hand Cleaner 5-Pair Non Sterile Gloves
1-4oz Eye Wash 3-Clear Bio Waste Bag
Airway Kit 1-Adult NRB Mask 1-Pocket Mask
1-Pedi NRB Mask
Main Area 1-SAM Splint
2-250ml 0.9% Sodium Chloride
Large Dressing 1-Sterile Burn Sheet 2-Cold Packs
2-Heat Packs 1-FaceSheild and Mask Combo
Suction Pocket 1-MultiTrauma Dressing 1-Stethoscope
1-Adult BP Cuff 1-Hand Held Suction Unit
Tool Pocket 1-Trauma Shears 1-Pair Tweezers
1-Penlight 1-Pt. Information Notes
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AED Compartment 1-AED-ForeRunner or FR2______ 1-Razor 2-Sets AED Pads 1-Spare AED Battery 1-Adult BVM w/mask & reservoir bag with tubing 1-Child BVM with mask and reservoir bag 1-Infant BVM with mask and reservoir bag Oxygen Cylinder 1-“D” size Oxygen Cylinder 1-Adjustable Oxygen Regulator
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or FRx