BH-Forward Zipper Section BH- ZIPPER SECTION-1 2-Sodium Bicarb, Date / / 1ea 2,3,4 Miller Blade 1-Sharps Container 1-Locked Narc Box 2-Toradol, Date / / 1-Three way Stop Cock 2-Hot Packs 1-Caruject 3-Epi 1:1000, Date / / 2-Decon Sleve 2-Cold Packs BH- INSIDE BOTTOM MESH POUCH 1-Epi MDV, Date / / 2- Adult Stylette BH- ZIPPER SECTION-2 1-1000ml LR 3-Amiodarone, Date / / 2-Bougie 2-Triangle Bandages 1-10gtt set 3-Atropine, Date / / 1ea 6,8,10,12,18 Fr Suction Caths 5-4x4's 1-60gtt set 2-Lasix, Date / / 1ea 5.0-9.0 ETT Tubes Cuffed 2-Abd Pads 2-Extension Set BH- Thomas Pk Center Flap 1ea 6.0-7.0 Trigger ETT Tube Cuffed 2-Vaseline Gauze 1-Trauma gtt Set 2-Carpuject 4-KY Lube Pkts BH- Front Layout/Strap in 1-Reg Adult BP Cuff 1-Start Pack 2-D50/Bicarb Syringe 1-Adult BVM 1-Narcan Syringe 1- Lrg Adult BP Cuff 4ea - 14, 16, 18, 20, 22, 24ga. IV cath 10-Alcohol Wipes V-Vac Suction Setup. 1-Adult Stethoscope 2-NS Flushes 4-Epi/Atropine Syringes EZ-IO KIT 3-Ammonia Inhalants 1-10cc bottle saline flush 2-Lidocaine Syringes 1-Drill Functions? Y/N 2-Trauma Shears 8-Vial Access Cannulas 2-NaCl Flush 10cc 2-Adult Needle / / 1-Ring Cutter 2ea -1cc, 3cc, 5cc, 10cc syringe 2ea. 1, 3, 5, 10cc syringes 1-Ped Needle / / 1-Thermometer (with covers) 4- Needles Misc Sizes 2ea- 18ga, 20ga,21ga, 25ga Needles 2- EZ IO Ext. Sets / / 1-Penlight 2-Three way stop cock 2- MAD Device 2- Ext. Sets / / 2-2" Kling 2-Extension Sets Green Airway Bag 2- Arm Bands EZ-IO 2-4" Kling 4-Start Packs Airway Bag-FRONT Airway Bag- Center Main 1-6" Kling 1-IO Needle Manual 1-Res-Q-Pod Airway Bag 1-2" Tape 2-Ped Arm Boards RSI KIT 2- Nebulizers 1-CAT Torniquet 2 Portacath Gripper Needles 2-vecuronium / / 2-Adult Aerosol Mask 1-6" Ace Wrap 1-10gtt set 2-Succinylcholine / / 2-Adult N/C - THOMAS PACK 4-Etomidate / / 2-Adult NRB Glucometer 2-Benadryl, Date / / 2-10cc Sterile Water / / 1-Portable Oxygen Regulator 10-Test Strips / / 1-Calcium Chloride, Date / / 1-Atropine / / 1-Tank PSI: 5-Alcohol Swabs 1-Glucagon, Date / / 2-Lidocaine / / 2-Hepa Filters 5-Lancets 1-Mag Sulfate, Date / / 2-5cc Syringe 2-O2 Supple Tubing 5-Bandaids 4-Tylenol Pks, Date / / 1-3cc Syringe Airway Bag- Main (Clear) Pocket BH- GLUCOMETER POUCH BH- BACK ZIPPER SECTION BH- TOP MESH POUCH BH- IV KIT BH-BACK ZIPPER SECTION CONT. 5-2x2's 1-Solu-Medrol, Date / / 2ea 19ga,20ga,25ga, Needles 1-Quick Trach / / BH- MEDICATION POUCH 1-Cardizem, Date / / INTUBATION KIT 1-3 King Airway / / 1-Bottle ASA, Date / / 1-10cc sterile water Date / / 1ea 14-36 NPA 1-4 King Airway / / 1-Nasal Spray, Date / / 1-6mg Adenosine, Date / / 1-Tube Tape 1-5 King Airway / / 1-NTG Spray, Date / / 1-D50, Date / / 2-C Batteries 1-60cc Syringe 1-NTG Paste, Date / / 1-Geodon, Date / / 2-Spare Blubs Lrg&Small 1- Catheter Syringe 2-Oral Glucose, Date / / 3-NTG Paste Pkts, Date / / 2-Bamm 1- Isolation PPE Kit 5-Tylennol, Date / / 10-Epi 1:10,000, Date / / 1-Tube Holder Adult 1ea- 10,12,16 Fr NG Tubes 5-Albuterol, Date / / 2-Albuterol, Date / / 2-14ga IV Cath 2.75" Portable Suction Unit. 3-Atrovent, Date / / 2-Atrovent, Date / / 1-Res-Q-Pod Y/N Function & Charged Smart Triage Bag Large 2-Narcan, Date / / 1- Adult Easy Cap / / 1- Canister w/ Lid 2-Phenergan, Date / / 2-10cc syringe 1- Suction Tubing 1- SMART Triage Bag Small 2-Vasopressin, Date / / 1-Lrg Magill Forceps 1-Yanker Airway Bag- FRONT Cont. Airway Bag- Rear Pocket C- Collar Bag 2-12mg Adenosine, Date / / 1ea 0-5 OPA's 1ea. French Cat 24fr 30fr 4- Adult Collars 2-Lidocaine, Date / / 1-Laryngoscope Handle 1-Rinse Water 250cc 4- Peds Collars 2-Reglan, Date / / 1ea 2,3,4 Mac Blade 1-Charge Cable
RESTOCK BOX- TOP Restock BOTTOM ZOLL MONITOR Restock Box Top Restock Box Top 2- Pack Electrodes 2 Adenosine 6mg, Date / / 10 Epi 1:10,000, Date / / 1- Spare Battery 2 Adenosine 12mg, Date / / 3 Atropine, Date / / 1- EKG Lead Cable w/ 12 lead acc. 5 Albuterol, Date / / 3 Lidocaine, Date / / 2-Spare Paper 2 Amiodarone, Date / / 1 D50, Date / / 2- Adult Defib Pads, Date / / 3 Atropine, Date / / 1 Sodium Bicarb, Date / / 2- Pedi Defib Pads, Date / / 2 Atrovent, Date / / 2 Dopamine, Date / / 2- Razors 1 Benadryl, Date / / 1 Lidocaine Drip, Date / / 1- ETCo2 Device. 1 CaCloride Date / / 2 Afrin, Date / / 1-Adult ETCo2 ET adapter 2 Cardizem, Date / / 1 ASA, Date / / 1- Ped ETCo2 ET adapter 1 Epi 1:1000 MDV, Date / / 1 NTG Paste, Date / / 1-Adult N/C w/etco2 5 Epi 1:1000, Date / / 1 NTG SL, Date / / 1-Ped N/C w/etco2 VEHICLE SERVICE CHECK 5 Etomidate, Date / / 2 60gtt sets 1-Ped Pulse Ox Adapter Check Lights & Siren 1 Geodon, Date / / 1- Adult Pulse Ox Cable Check Oil: 1 Glucagon, Date / / 1-Reg Adult B/P Cuff NIBP Fuel: 2-Vasopressin, Date / / 1-Large Adult B/P Cuff NIBP Mileage: 5 Lasix, Date / / 1- Ped B/P Cuff NIBP Rear L R 1 Mag Sulfate, Date / / TIRES: (PSI) Front L R CLIPBOARD 2 Narcan, Date / / 2 Phenergan, Date / / 2-Reglan, Date / / Airway Audit Forms 1 Saline Flush, Date / / Billing Sheet 1 SoluMedrol, Date / / Exposure Reports 2 Succinylcholine Date / / LA Stroke Scale 1 Thiamine, Date / / Pens 2 Toradol, Date / / Prethrombolitic Sheet 2 Vecuronium, Date / / Quick Sheet 3ea- 1, 3, 5, 10cc syringe Refusal Forms CAB 3 Needles 5 Vial Access Cannulas 10 Alcohol Preps 800 mhz Radios Door Opener PEDS BAG RIGHT POCKET INNER BAG - INSIDE Broselow Tape Fuel Card Peds BVM w/infant & child masks 1-D50, Date / / Garmin GPS 1-Epi 1:10,000, Date / / Cell Phone Charger LEFT POCKET 1-Atropine, Date / / Mapbook OB Kit 1-Lidocaine, Date / / Flashlight Baby Blanket 1-Pack Albuterol, Date / / County Contacts Book Meconium Aspirator Protocol Book INNER BAG KIT #1 Safety Vests FRONT POCKET ETT 2.0-5.5 & Stylettes Emergency Response Guide 1 Infant BP Cuff Pedi-Cap CO2 Detector Hand Wipes/Cleaner 1 Child BP Cuff ETT Tape LOOSE REAR ITEMS 1 Stethoscope Suction Catheters 6Fr., 8Fr. 1 Frac Pack 1 Children's Tylenol 10cc Syringe
1 Adult Traction Splint ETT Holder 1 Peds Traction Splint 1 KED INSIDE TOP FLAP Penlight INNER BAG KIT #2 1 Pedi Immobilizer 2 AA Batteries 2-IO Needle 1 C-Collar Bag (3ea. Adult/Peds) OPA 40mm, 50mm, 60mm 500cc NS, 10gtt, 60gtt, Ext. Set 1 Suction Unit (1 Hard/Soft Cath) 2-3-way stopcock 1 MCI Kit TOP FLAP-LARGE ZIPPER 2 Start Packs 1 Burn Kit 2 Nebulizers 4-Vial Access Cannula 3 Bottles Sterile Saline 2 Ped Cannulas 4-Saline Flushes 1 Zoll Monitor 2 Ped NRB 2-20cc Syringes 1 Restock Box 1 Ped Aerosol Mask Ped Arm Board 1 Blackhawk Bag 2 ea - 18, 20, 22, 24ga. IV 1 Airway Bag 1 Peds Bag INNER BAG - FRONT Ped Laryngoscope Handle Mac 0, 1, 2 INNER BAG KIT #3 2-Vaseline Gauze REAR TRUCK BOX Miller, 0, 1, 2 2-ABD Pad Narcotic Log Ped Magill Forceps 5-4x4's Flashlight 2-Triangle Bandage ICS Accountability Board 2-2" Roller Gauze Chemical Suits 2-4" Roller Gauze Med & Large Gloves 2-6" Roller Gauze Rubber Gloves 5-Band-Aids Cleaning Wipes 5-2x2's Triage Tags Trauma Shears BURN KIT 2000cc Sterile Water 5-Sterile Burn Sheets 5-4" Kling 2-Rolls tape
Date: Unit #: Paramedic: TRADE OFF EQUIPMENT Alpha Pager CAD Computer Medic Keys Minitor Pager Phone Radio