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T.REX MED-H Pouch Fill Kit

This product requires Medical Device Authorization for purchase.

What’s Included | Specs | Pictures | Restrictions

The T.REX MED-H Pouch is designed specifically to carry the medical items in this fill kit. This kit covers as much of the first three steps of the MARCH algorithm (Massive hemorrhage, Airway, Respirations) as possible while maintaining a relatively portable size and weight. The tourniquet, elastic wraps, and hemostatic gauze address Massive hemorrhage needs, the NPA is used to establish a patent Airway, and the chest seals and Needle-D are used for Respirations care. To complete the kit, there are a handful of support items: gloves, combat casualty cards, trauma shears, duct tape, and a Sharpie.

Pick up individual items to replenish your kit as needed HERE.


  • 2x 4″ Elastic Wrap Bandages
  • 2x QuikClot Combat Gauze
  • 1x NAR Combat Application Tourniquet (CAT)
  • 1x Nasopharyngeal Airway w/ Lube – 28F
  • 2x NAR Enhanced ARS for Needle Decompression
  • 2x Pair of NAR HyFin Vent Compact Chest Seals (4 seals total)
  • 1x NAR Mini Duct Tape
  • 1x NAR Trauma Shears
  • 1x Pair of Bear Claw Nitrile Gloves – Medium
  • 2x NAR Combat Casualty Cards (DD Form 1380)
  • 1x Sharpie

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NAR Elastic Wrap Bandages – 4″

  • 4 in. x 5 yd (fully stretched)
  • Latex-free elastic wrap bandage is designed to provide support and compression
  • Hook Closure enables the bandage to be wrapped easily and secured without clips
  • It is ideal for securing hot/cold packs, splinting, sprains, strains, swelling, and general soreness
  • Made in Singapore

Teleflex QuikClot Combat Gauze

  • 3 inches x 4 yards
  • Promotes clotting within minutes, allowing responders to control bleeding in an efficient and timely manner
  • Includes embedded X-ray detectable line
  • Eight tear points for quicker application
  • Produces NO Heat
  • 5-year shelf life
  • Made in the USA

NAR Combat Application Tourniquet (CAT)

  • Single Routing Buckle: Decreased blood loss, effective slack removal, fewer windlass turns, simplified training with single protocol application standards
  • Windlass Rod: Increased diameter, enhanced strength, aggressive ribbing improves grip
  • Windlass Clip: Bilateral beveled entry, rapid windlass lock, bilateral buttress, added strength
  • Windlass Strap: Reinforced
  • Stabilization Plate: Reinforced, beveled contact bar, improved comfort
  • Free-Moving Internal Band: Even distribution of circumferential pressure
  • Made in the USA

NAR Pre-Lubricated Nasopharyngeal Airway – 28F

  • Packaged pre-lubricated NPA to decrease procedure prep time
  • Water based lubricant (-5ºF freezing point)
  • Low cube and weight
  • Rounded bevel tip allows for gentle, optimal insertion
  • Soft material avoids damage to nasal passage
  • Unique proprietary material and design maintains patent shape
  • Durable packaging
  • Sterile
  • Latex free
  • Made in the USA

NAR HyFin Vent Compact Chest Seal

  • Seal Dimensions: 4.75 in. x 4.75 in. (excluding tab)
  • Smaller packaging, approximately 25% smaller than the standard HyFin Vent Chest Seal
  • 3-channel pressure relief vents
  • Designed for the treatment of entry/exit or multiple penetrating wounds
  • Advanced adhesive gel designed for superior adhesion, even to sweaty or hairy chests
  • Large red tab for single step, peel and apply application designed to allow for burping the wound if necessary
  • Made in the USA
  • View the Directions for Use HERE

NAR Mini Duct Tape

  • 2 in. x 100 in.
  • Latex free
  • Industrial Grade Adhesive
  • Small Cube Size
  • Multipurpose

NAR Trauma Shears

  • Premium-grade stainless steel with precision sharpness
  • Enhanced serrated lower-edge cuts through the toughest materials
  • Clothing-lift lip and rounded tip for ultimate patient safety
  • Soft-grip, non-slip contoured handles for maximum control even when wet
  • Unique all-over black color
  • Includes an O2 wrench

Bear Claw Gloves – Medium

  • 100% nitrile gloves
  • Textured for improved wet and dry gripping
  • Longer and thicker than standard nitrile gloves
  • Form-fitting
  • Extended, beaded cuff for quick and easy donning
  • Sand color
  • Non-sterile

NAR Combat Casualty Cards

  • Used to track injuries and treatment in one spot during three phases of Tactical Combat Casualty Care (TCCC), which are Care Under Fire (CUF), Tactical Field Care (TFC), and Tactical Evacuation Care (TEC).
  • Made out of a tear-resistant and waterproof material for rugged field use.
  • Includes a latex-free elastomeric retention band for securing the person being treated.
  • Grommet reinforced punch hole.
  • Used by Special Operations Forces for first responder care capability. Made to military specification (Mil-Spec).
  • Designed to fit into an Individual First Aid Kit.
  • Cards are 6 in. x 4.5 in.
  • The Army’s Tactical Combat Casualty Care Handbook may be downloaded HERE.

NAR Enhanced ARS for Needle Decompression

  • Air pockets or blood in the chest cavity is the second leading cause of potentially preventable combat death. This NAR-patented design improves the probability of success when faced with a tension pneumothorax.
  • Rugged packaging protects the needle from damage during transport and deployment.
  • Fenestrations show statistically significant improvement in tension relief and prevent distal catheter occlusion when compared to non-fenestrated catheters. In research investigations, fenestrated catheters were almost two times more successful than non-fenestrated catheters.
  • Centimeter Markings include contrasting colors for safer placement and “thoracic depth control.”
  • The flexible catheter is designed to decrease the incidence of catheter kinking.
  • Modified Needle Tip features a bi-bevel, tapered, and “scalpel” sharp tip, improving tissue penetration control and reducing explosive entry into the thoracic cavity.
  • Needle Hub has no flash chamber cap, ensuring immediate air release.
  • The Catheter Hub is color-coded per ISO Standards for easy gauge size identification.


  • Tension Pneumothorax: This is a condition where air accumulates in the chest cavity, creating pressure and potentially causing a collapsed lung. The Greek words pneumo & pneuma mean “lungs” or “air”. Therefore a pneumothorax is air in the chest cavity outside the lungs (also called the pleural space). In some cases, the pressure of both the lung and the tension pneumothorax can apply pressure to the heart muscle which could be urgent and deadly.
  • Hemothorax: Blood in the thorax. The hema/hemo has roots in both Greek and Latin and means “blood.”
  • Thoracostomy: The rescuer decompresses the tension pneumothorax by performing a needle thoracostomy or a needle chest decompression.
  • Flashback: This is the first bit of blood that comes out due to blood pressure.
  • Intercostal: Between the rib bones.
  • Midclavicular Line: An imaginary line from the nipple to the mid-point of the clavicle (collarbone).

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The MED-H Fill Kit cannot be shipped outside of the US.

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