21-34 Change A
U.S. Navy Diving Manual—Volume 5
Table 21-8. Secondary Emergency Kit.
Emergency Airway Equipment)
Cuffed endotracheal tubes with adapters (7-9.5mm)
Syringe and sterile water for cuff inflation (10 cc)
Malleable stylet (approx. 12" in length)
Laryngoscope blades (McIntosh #3 and #4, Miller #2 and #3)
Sterile lubricant
Soft-rubber suction catheters
#32F and #34F latex rubber nasal airways
5% or 2% lidocaine ointment
Intravenous Infusion Therapy
Catheter and needle unit, intravenous (16- and 18-gauge - 4 ea)
Intravenous infusion sets (4)
Intravenous infusion extension sets with injection ports (2)
3-way stopcocks
Lactated Ringer’s Solution (3 ea. 1 - liter bag)
Normal saline (2 ea. 1 - liter bag)
Miscellaneous
Nasogastric tube
Urinary catheterization set with collection bag (Foley type)
Straight and curved hemostats (2 ea)
Blunt straight surgical scissors
Syringes (2, 5, 10 and 30 cc)
Sterile needles (18-, 20-, and 22- gauge)
Wound closure instrument tray
Needle driver
Assorted suture material (with and without needles)
Assorted scalpel blades and handle
Surgical soap
Sterile towels
Sterile gloves (6-8)
Gauze roller bandage, 1-inch and 2-inch, sterile
10% povidone-iodine swabs or wipes
Cotton Balls
Gauze pads, sterile, 4-inch by 4-inch
Band aids
Splints
NOTE 1: Only commands having recompression chambers with a Medical Officer
or ACLS trained Diving Medical Technician/Independent Duty Corpsman assigned
shall maintain a portable monitor-defibrillator and those drugs required by the
American Heart Association for ACLS.
NOTE 2: Whenever possible, preloaded syringe injection sets should be obtained
to avoid the need to vent multidose vials or prevent implosion of ampules.
Sufficient quantities should be maintained to treat one injured diver.
NOTE 3: One Secondary Emergency Kit is required per chamber system (i.e.,
TRCS requires one).
NOTE 4: A portable oxygen supply with an E cylinder (approximately 669 liters of
oxygen) is recommended whenever possible in the event the patient needs to be
transported to another facility.
