TCCC Statement of Need.pdf

TACTICAL COMBAT CASUALTY CARE (TCCC)

STATEMENT OF NEED

1 August 2022

1. Requirement: The TOMManikin simulators provide the ability to enhance training in Tactical Combat Casualty Care (TCCC) from Point of Injury to transfer of higher care. This all-in-one system allows instructors to build multiple realistic traumatic casualty scenarios with reactive patients. The TOMM Series is designed for use in classroom settings, trauma lanes and field training scenarios.

Unique advantages to the system include multiple, available interchangeable appendages that can present a variety of wounding patterns such as gunshot, blast and burns to provide full mission profiles in combat scenarios, disaster re-creations and mass casualty events. These requirements must be met initially and annually thereafter.

2. Characteristics: Constructed of silicone and welded steel, TOMManikin weighs more than 160 pounds with extremities that can withstand up to 6,000 pounds of pressure, making these rugged remote controlled simulators the ideal choice for confined space, building collapse, care under fire, and entrapment training scenarios. Intervention capabilities on all manikins include tourniquet application, airway management (basic to advanced), needle decompression, chest tube, IV/IO, and wound packing.

The BASIC TOMManikin features partial amputation to arm, full amputation to leg ~ both tourniquet-responsive.

In addition to the manikin itself, All TOMM packages include:

• NARS Advanced Remote Tablet and Software enabling wireless control of multiple TOMManikin units with capabilities of bleeding, breathing, multiple voice tracks, pulse rates, pulse pressure and realistic responses to responder interventions

• 1.2 gallon onboard blood reservoir

• 1400 Pelican Accessories Case

• TOMManikin 12v / 5 and 10 Amp NiMH rechargeable batteries each with its own smart charger

• T handle tool (for extremity changing) and various air & fluid replacement connectors

• TOMManikin Operator's Manual

• 1-year warranty

• Velcro uniform

• NAR IFAK

• 35 'bleeding' operative sites for surgical airways and chest tubes

• 2-way communication instructor-worn Bluetooth® headset

SPECS

• All-in-one, hyper-realistic trauma simulator enabling instructors to build multiple realistic traumatic casualty scenarios with reactive patients

• Industry-leading durable construction features a powder-coated, welded steel frame, solid steel joints and rugged silicone skin with extremities interchangeable between all TOMM platforms

• Bends and rotates for realistic patient movement at the arms, legs and waist

• Intervention capabilities include tourniquet application, airway management (basic to advanced), needle decompression, chest tube, CPR chest compression, pelvic stabilization, IV/IO, and wound packing

• Onboard power via a 12v / 5 amp & 10 amp standard nickel metal hydride (NiMH) batteries

• 1.2 gallon onboard blood reservoir facilitating massive bleeding from multiple locations

• BASIC TOMManikin features partial amputation to arm, full amputation to leg ~ both tourniquet-responsive

• Available in Light Tone or Deep Tone skin

Operational Medical Procedures:

• Tourniquets (proximal, junctional, and abdominal tourniquets)

• Active bleeding controllable by direct pressure on pressure points

• Wound packing with realistic bleeding control

• Nasopharyngeal and oral airways, supraglottic airway insertion and endotracheal intubation

• Surgical airway with realistic bleeding and tissue dissection. 35 operative sites included

• Remote controlled breathing rates: Slow, Normal, and Fast

• Bilateral Needle Decompression at either 2nd/3rd intercostal (mid-clavicular), or 5th/6th intercostal (mid-axillary) locations

• Realistic chest seal application & adhesion

• Chest Tube capable (bilateral)

• Radial pulses in uninjured upper extremities and bilateral carotid pulses

• Variable pulse rate & pressure (Normal, bounding, thready)

• IO (sternal & humoral) and antecubital IV access on uninjured upper extremities

BASIC TOMManikin Package:

o 1 x TOMManikin, BASIC with partial amputation to left arm, full amputation to right leg o 1 x ITTS Advanced Remote Tablet and Software o 1 x 12v / 5 amp rechargeable NiMH battery with Smart Charger o 1 x 12v / 10 amp rechargeable NiMH battery with Smart Charger o 1 x 1.2 gallon onboard blood reservoir o 1 x 1400 Black Pelican Accessories Case o 1 x T handle tool (for extremity changing) and various air & fluid replacement connectors o o 1 x TOMManikin Operator's Manual o 1 x 1-year warranty document

Dimensions:

o Pelican Accessories Case: L 13.74 in. x W 11.63 in. x D 5.9 in.

o Weight: Manikin - 180 lb | Total package: 240 lb

CLIN 0001: TOMManakin/Qty: 1 – Gunshot Wound/Amputation — North American Rescue 93-0369

North American Rescue is the sole manufacturer of the Tactical Operation Medical Manikin (TOMManikin) GSW/AMP.

3. Inherent Services: Training to include:

EQUIPMENT INVENTORY & FAMILIARIZATION

TOMManikin upper section TOMManikin lower section Blood reservoir bottle TOMManikin accessory kit (pelican case) TOMManikin Operations Manual NARS Tablet

TOMMANIKIN DETAILED INSPECTION & FAMILIARIZATION

Head/Neck: Speaker location, changing eyeballs (optional kit) pulse motor locations, surgical airway location Torso: (External) Needle decompression locations, sternal I/O location, chest tube locations (Internal) Lungs, pneumothorax decompression bladder locations Pulse / audio / airway / hemorrhage cables & tubing Main control box familiarization Battery placement location Pelvis: Leg joints, onboard bleeding bag reservoir and solenoid assembly familiarization Legs: Bleeding lines and tourniquet plate familiarization Arms: Arm joint, pulse location, bleeding line, IV - I/O familiarization, tourniquet plates

TOMManikin ASSEMBLY Hands on exercise - all participants PREPARING TOMManikin FOR TRAINING Charging batteries Connecting batteries Connecting hemorrhage lines to solenoid assembly and regulating bleeding rates Preparing and filling simulated blood (reservoir bottle and filling onboard bag) Powering on TOMManikin

ITTS TABLET OVERVIEW

Charging and powering on Launching NARS software Connecting with NARS devices TOMManikin operational features and functions (detailed demonstration)

• • Breathing (uni/bilateral control)

• • Pneumothorax feature

• • Pulses (independent control of carotid and radial sites, regular/irregular pattern)

• • TOMManikin Speech

• • Bleeding (upper/lower, rate) Detailed hands-on demonstration of setting bleeding rates

• • Replacing surgical airway neck skin

ITTS TABLET – DETAILED OPERATIONS

Launching evaluation checklists

• • Selecting evaluation

• • Entering cadre and student information

• • Scoring performance

• • Saving evaluation (how and where it’s stored and exported)

Presets and Scenario Presets

• • Program launch from toolbar

• • Program parameter review

• • Scenario development discussion

• • Sample scenario created with class participation

• • Establishing scenario presets

• • Saving presets and scenarios

• • Launching saved scenarios

Advanced TOMManikin configuration features

• • Actions on Arm

• • Bleeding rates

• • Pulse pressure options

• • Changing TOMManikin parameters

TRAINING INTEGRATION STRATEGIES DISCUSSED

TROUBLESHOOTING

• • No power

• • Tablet not connecting

• • No breathing

• • No bleeding

• • Tourniquet not stopping bleeding

CLEANING & STORAGE

STUDENT TOMMANIKIN SET UP AND OPERATIONAL EXERCISES

• • Initial set up

• • Preparing TOMManikin for training

• • Tablet use of all features & functions

• • Creating a simple scenario with presets

• • Troubleshooting

4. Delivery: Location: 2505 SOCOM Memorial Way (Bldg 203) MacDill AFB, Fl 33621 Method: Freight

5. Terms and Conditions: One year warranty to be renewable year to year thereafter.