ACM Wiki

Items

Catastrophic Bleeding

Item Use Access Body Part Use Count Condition Weight
Elastic Wrap Wrapping clotted, bandaged and bruised injuries
All
Single-use Body part must have un-wrapped clots, bandages or bruises
Body part must not be bleeding
0.01kg | 0.03lb
Emergency Trauma Dressing Bandaging many bleeding wounds
All
Single-use Body part must have bleeding wounds
Cannot be used to self-treat
0.09kg | 0.2lb
Pressure Bandage Bandaging bleeding wounds
All
Single-use Body part must have bleeding wounds 0.03kg | 0.06lb
Tourniquet Stopping bleeding on limbs
Arms
Legs
Re-usable 0.05kg | 0.1lb

Airway Management

Item Type Use Access Body Part Use Count Condition Weight
ACCUVAC Airway Suction Device Clearing airway obstructions
Head
Re-usable 0.91kg | 2lb
CricKit Surgical Airway Kit Establishing surgical airway
Head
Single-use 0.11kg | 0.25lb
Guedel Tube Airway Adjunct Managing minor to moderate airway collapse
Head
Single-use Airway must not have another oral adjunct inserted
Airway must be clear of obstructions
0.05kg | 0.1lb
i-gel Airway Adjunct Managing airway collapse and preventing airway obstructions from vomiting
Head
Single-use Airway must not have another oral adjunct inserted
Airway must be clear of obstructions
0.09kg | 0.2lb
NPA Airway Adjunct Managing minor to moderate airway collapse
Head
Single-use Airway must not have another nasal adjunct inserted
Airway must be clear of obstructions
0.06kg | 0.14lb
Emergency Disposable Suction Bag Airway Suction Device Clearing airway obstructions
Head
Single-use 0.18kg | 0.4lb

Breathing

Item Type Use Category Access Body Part Use Count Condition Weight
Bag-Valve-Mask Manual Ventilation Device Providing manual oxygenation Airway/Breathing
Head
Re-usable Must not be blocked by CPR or another BVM 0.54kg | 1.2lb
Chest Seal Vented Occlusive Dressing Treating chest injuries Airway/Breathing
Torso
Single-use Must have wounds that may cause a chest injury 0.09kg | 0.2lb
Chest Tube Kit Chest Injury Treatment Kit Managing hemothorax Airway/Breathing
Torso
Single-use Must have performed thoracostomy incision 0.18kg | 0.4lb
NCD Kit Chest Injury Treatment Kit Treating tension pneumothorax Airway/Breathing
Torso
Single-use Must have wounds that may cause a chest injury 0.05kg | 0.1lb
Portable Oxygen Tank Portable Oxygen Source Providing oxygen to BVM Airway/Breathing
Head
Re-usable 0.91kg | 2lb
Pocket BVM Manual Ventilation Device Providing manual oxygenation Airway/Breathing
Head
Re-usable Must not be blocked by CPR or another BVM 0.23kg | 0.5lb
Pulse Oximeter Vitals Monitoring Device Measuring vitals Examine
Arms
Re-usable 0.05kg | 0.1lb
Stethoscope Auscultating Device Auscultating the lungs Airway/Breathing
Torso
Re-usable 0.54kg | 1.2lb
Thoracostomy Kit Chest Injury Treatment Kit Performing thoracostomy Airway/Breathing
Torso
Single-use Must have wounds that may cause a chest injury 0.18kg | 0.4lb

Circulation

Item Type Use Category Access Body Part Use Count Condition Weight
14g IV IV Catheter Establishing intravenous access route Advanced Treatment
Arms
Legs
Single-use IV placement must not conflict with applied pressure cuff 0.02kg | 0.05lb
16g IV IV Catheter Establishing intravenous access route Advanced Treatment
Arms
Legs
Single-use IV placement must not conflict with applied pressure cuff 0.01kg | 0.02lb
AED Defibrillator And Monitor Treating cardiac arrest, monitoring vitals Advanced Treatment
Examine
Head
Torso
Arms
Re-usable May only be connected to one patient at a time
AED Pressure cuff placement must not conflict with inserted IV
1.81kg | 4lb
EZ-IO IO Access Drill Establishing intraosseous access route Advanced Treatment
Arms
Legs
Single-use 0.01kg | 0.02lb
FAST1 IO IO Access Needle Establishing intraosseous access route Advanced Treatment
Torso
Single-use 0.01kg | 0.03lb
Pressure Cuff Blood Pressure Measuring Device Measuring blood pressure Examine
Arms
Re-usable Arm must not already have applied pressure cuff
Pressure cuff placement must not conflict with inserted IV
0.18kg | 0.4lb
Syringe (1ml | 3ml | 5ml | 10ml) Medication Administration Device Pushing and injecting liquid medication Medication
Torso
Arms
Legs
Re-usable Must have filled medication
Must have IV/IO access to push medication intravenously
0.02kg | 0.05lb
0.03kg | 0.06lb
0.03kg | 0.07lb
0.04kg | 0.09lb

Fluid Transfusion

Item Type Use Condition Weight
Blood Bag (250ml | 500ml | 1000ml) Fluid Bag Replacing lost blood volume Must have IV/IO access 0.11kg | 0.25lb
0.23kg | 0.5lb
0.45kg | 1lb
Field Blood Transfusion Kit (250ml | 500ml) Blood Transfusion Kit Transfusing fresh blood from donor into fluid bag Must have IV access 0.05kg | 0.1lb
0.1kg | 0.2lb
Fresh Blood Bag (250ml | 500ml) Fluid Bag Transfusing fresh blood to patient Must have IV/IO access 0.11kg | 0.25lb
0.23kg | 0.5lb
Plasma Bag (250ml | 500ml | 1000ml) Fluid Bag Replacing lost blood volume Must have IV/IO access 0.11kg | 0.25lb
0.23kg | 0.5lb
0.45kg | 1lb
Saline Bag (250ml | 500ml | 1000ml) Fluid Bag Replacing lost blood volume Must have IV/IO access 0.11kg | 0.25lb
0.23kg | 0.5lb
0.45kg | 1lb

Medication

Liquid Medication

Liquid Medications come in pre-filled single use vials, size of vial and concentration of the contents depend on the specific medication and its intended use.

Liquid medication is administered intramuscularly or intravenously with syringes, with certain medications only having a theraputic effect if administered via specific route.

Medication Use Access Contents Concentration Dose Range Onset Peak Duration HR BP RR Pain Relief Nausea
Adenosine IV Only 12mg/4ml 3mg/ml 6mg <1m ~25s <2m - - -
Amiodarone Treatment of shockable cardiac arrest (VT/VF) IV Only 150mg/3ml 50mg/ml 300mg, up to 2200mg <10s ~8m ~12m - - - -
Atropine Treating nerve agent exposure, increasing heart rate IV/IM 1mg/1ml 1mg/ml (Nerve Agent Exposure) 2-4mg initial, more if required
(Bradycardia) >1mg
<5s | <30s ~10m ~15m + + +
Calcium Chloride Managing low calcium after blood transfusion IV Only 1g/10ml 100mg/ml 1g after first unit, then 1g after every 4 units of blood <15s ~5m ~10m +
Epinephrine Cardiac Arrest IV/IM 1mg/1ml 1mg/ml 1mg <5s | <30s ~3m ~5m | ~6m + + + + + +
Ertapenem Managing wound infection, requirement for Evacuation IV/IM 1g/3.2ml 312.5mg/ml 1g <5s | <30s ~10m | ~15m ~15m | ~20m
Esmolol Lowering heart rate for a short time IV Only 100mg/10ml 10mg/ml 0.25-0.5mg/kg <20s ~4m ~5m - -
Fentanyl Managing severe pain IV/IM 100mcg/2ml 50mcg/ml (IV) 0.5-1mcg/kg or 38-100mcg
(IM) 0.7-1mcg/kg or 52-100mcg
<10s | <30s ~14m | ~15m ~16m | ~20m - - - - - - VERY STRONG
Ketamine Managing severe pain with compromised breathing ability IV/IM 500mg/10ml 50mg/ml (IV) 0.1-0.2mg/kg or 7.5-21mg
(IM) 0.4-0.8mg/kg or 30-84mg
<5s | <20s ~9m | ~10m ~11m | ~15m STRONG SIGNIFICANT
Lidocaine (IV) Treatment of shockable cardiac arrest (VT/VF)
(IM) In advance of painful procedures
IV/IM 100mg/5ml 20mg/ml (IV) 1mg/kg, up to 3mg/kg
(IM) 50-100mg
<5s | <10s ~6m | ~4m ~10m | ~10m (IV) - - (IV) - - MODERATE
Morphine Managing severe pain IV/IM 10mg/2ml 5mg/ml (IV) 0.05-0.1mg/kg or 3.75-10mg
(IM) 0.07-0.1mg/kg or 4.25-10mg
<25s | <2m ~15m | ~20m ~21m | ~30m - - - - - - STRONG
Ondansetron Managing nausea and vomiting caused by medications IV/IM 4mg/2ml 2mg/ml 4mg, up to 8mg <15s | <45s ~10m | ~12m ~12m | ~15m - DOSE-BASED
TXA Managing severe internal or external bleeding IV Only 1g/10ml 100mg/ml 1-2g <15s ~10m ~15m -

Packaged Medication

Packaged Medication come in various shapes or inside devices with a pre-designated dose of the medication.

These medication devices are designed to be easily self-administered or given in an emergency.

Medication Use Access Access Body Part Use Count Recommended Dose Onset Peak Duration HR BP RR Pain Relief
Ammonia Inhalant Waking up patients IN
Head
8x <3s <6s <40s + + +
ATNA Autoinjector Treating nerve agent exposure IM
Torso
Arms
Legs
Single-use 3 injections initially, more if required <30s ~10m ~15m + + +
Epinephrine Autoinjector IM
Torso
Arms
Legs
Single-use <30s ~4m ~7m + + +
Fentanyl Lozenge Managing severe pain BUC
Head
Single-use 1 lozenge <2m ~10m ~15m - - - - VERY STRONG
Midazolam Autoinjector Managing seizure activity caused by nerve agent exposure IM
Torso
Arms
Legs
Single-use 1 injection <30s ~15m ~20m - -
Morphine Autoinjector Managing moderate to severe pain IM
Torso
Arms
Legs
Single-use 1 injection <2m ~20m ~30m - - - - - - STRONG
Naloxone Spray Reversing opioid overdose IN
Head
Single-use 1-2 uses <3s ~2m ~6m
Paracetamol Managing mild to moderate pain PO
Head
10x 1-2 pills <4m ~15m ~50m MILD
Penthrox Inhaler Managing moderate to severe pain for a short time INH
Head
8x 1-3 uses <3s <90s ~4m MODERATE

Disability

Item Type Use Category Access Body Part Use Count Condition Weight
SAM Splint Malleable Splint Stabilizing fractures Bandage/Fracture
Arms
Legs
Single-use Limb must have wounds that may cause a fracture 0.02kg | 0.05lb