MEDICAL CARE: Mass Casualty Aid Kit (MCAK)

Emergency Medical Care - Mass Casualty Aid KitWhen working as a team, whether it is your family or a group of friends, there can be times when the need may exist to treat large numbers of injured.  Having the ability to provide dressings and bandaging to large numbers of people who suffered traumatic injuries may be critical.  This would be especially true in a “grid-down” situation where a gun battle or violent riot has taken place.  The Mass Casualty Aid Kit (MCAK) is designed for that.

In the last post EMERGENCY MEDICAL CARE: Squad/Group Trauma Aid (STAK) I covered items that a larger team/squad would carry to provide more advanced emergency medical care such as minor surgery for injuries. But the contents of that kit were more focused on a providing that capability to a single person, possibly more.  But it didn’t account for larger numbers of people simultaneously suffering traumatic wound injuries.

This kit, Mass Casualty Aid Kit (MCAK), is designed to provide emergency medical care to a moderate number of people who have suffered trauma injuries simultaneously. This kit adds to, doesn’t replace, the capabilities of the Individual First Aid Kit, the Team First Aid Kit, or the Squad/Group Trauma Aid Kit. This MCAK cannot provide more advanced medical aid than the TFAK. This kit concentrates on providing dressings and bandaging for larger numbers of injured. The kit contents can provide minimal wound cleaning. This kit, by the nature of its contents, is not heavy and can be carried by a person without undue stress. This kit is also a supplement to the Squad/Group Trauma Aid (STAK) for minor surgery by providing additional dressing and bandaging capability.

Mission of the MCAK –mass casualty incident

  1. To return multiple people to activity without additional immediate medical care, or,
  2. To provide sufficient care that allows multiple victims to self-mobilize to more advanced medical treatment.
  3. To prevent death by bleeding to multiple people.

Carry Method –
Your MCAK can be carried by any team/squad/group/family member; no special first aid training is required.  If your team is traveling in a vehicle, this kit would be stored in the vehicle, but readily available. If on foot, this kit would be carried when your squad or larger group would expect to encounter larger numbers of people, your own or others, who suffered traumatic injuries. Examples: gun fight, interstate car wreck, large violent riot, etc. The bag could be able to be attached to a MOLLE vest but will probably be carried by a shoulder strap due to its weight and bulk.  The carrier itself needs to be sufficiently large enough to carry all the kit contents but small enough to not be overly intrusive or restrict movement to a lethal degree.  It must be able to stand up against hard field use as well as rough weather conditions. I recommend the Condor Tactical Foldout Medical Bag.

Condor Tactical Foldout Medical Bag
Medical Care - Squad Trauma Aid KitThis kit can be carried via the should strap or the back has MOLLE compatible straps.  Medical Care - Squad Trauma Aid KitAlthough strapping this onto a Load Bear Vest would be pretty unbalanced and uncomfortable to carry.  Also, with it attached like that to a LBV the kit would be difficult to access quickly without removing the LBV.  It would probably be best to carry via the shoulder strap.

The kit is also pretty water resistant but don’t go swimming with it, you would be disappointed.  The material is heavy and the zippers have held up really well so far.


Contents are listed by compartment.  Compartments are identified by and contents identified for the steps in traumatic injuries.  What you need first is contained in the most accessible compartment.

Squad Trauma Aid Kit Compartment #1 –

  • 5 x Dressing, First Aid, Field, 7-1/2” x 8”, Sterile NSN 6510-00-201-7430
  • 2 x Dressing, First Aid, Field, 4” x 7” NSN 6510-00-159-4883


Squad Trauma Aid Kit

Compartment #2 –

  • 2 x Dressing, First Aid, Camouflaged, 11 ¾” x 11 ¾” Sterile : NSN# 6510-00-20107425 – Fraass Survival Systems
  • 2 x roll 1″ Medical Tape
  • 1 x roll 2″ Non-Woven Cohesive Wrap Self Adherent Bandage (a.k.a. Coban, FlexWrap or VetWrap).

Squad Trauma Aid Kit Compartment #3 –

  • 2 x Dressing, Trauma Wound, 6”, Sterile, (a.k.a. Israeli Battle Dressing) : NSN# 6510-01-492-2275 – Performance Systems
  • 2 x Quick Clot Silver, Antibacterial, Blood coagulant, 50 gram : Z-Medica
  • 10 x Sterile Gauze pads, 4” x 4” (5 packs of 2 each)
  • 1 x Triangular Bandage, 36”x 36”x 51”
  • 5 x pairs Nitrile Examination Gloves
  • 1 x pair of EMT sheers
  • 1 x bottle (6oz) of Band-Aid Antiseptic Wash (also contains anesthetic)
  • 2 x roll 2″ Ace Bandage

Contents Descriptions:

Dressing12" - Medical Care - Squad Trauma Aid Kit

Dressing12" - Medical Care - Squad Trauma Aid KitDressing, First Aid, Camouflaged, 11 ¾” x 11 ¾” : This bandage is classified as a medium for larger wounds such as intestinal or larger areas of burns, etc. Dressing comes with 4 ties and are very absorbent (1 unit of blood).

Dressing 8" - - Medical Care - Squad Trauma Aid Kit


Dressing, First Aid, Field, 7 ½” x 8”, Sterile : This bandage is classified as a medium dressing used for larger wounds. Has four cloth tails.


Dressing for TBAKDressing 4" - Medical Care - Squad Trauma Aid Kit

Dressing, First Aid, Camouflaged, 4” x 7” : This bandage is classified as a smallfor wounds such as gunshot or cuts smaller than 6” in length They come with 2 ties and safety pins.


First Aid - Emergency Medical Care - Team Basic Aid Kit2” Non-Woven Cohesive Wrap Self Adherent Bandage :  Elastic Adhesive Bandage is a type of cohesive bandage or wrap that adheres to itself, but does not adhere well to other surfaces such as hair or skin. Porous, allow skin to breath and comfortable to users.   Provide controlled compression. Water resistant, will not loosen by sweat or water.  Used to hold dressings in place and to help provide pressure to control bleeding in conjunction with other dressings.



Tape, Medical, Cloth, 1”  :  Cloth Adhesive, latex-free,  hypoallergenic tape.  Offers strong, reliable adhesion.  Comes with durable backing resistant to tearing and stretching.  Adheres well to tubing and skin.  Not made with natural rubber latex.


Bandage, Dressing, Israeli, 6"Dressing, Trauma Wound, 6” (a.k.a. Israeli Battle Dressing) : Bandage, Dressing, Israeli, 6"
This bandage is classified as a medium for larger wounds such as intestinal or larger areas of burns, etc.  This bandage can be applied with one hand, has an easy securing device, and can be used as a tourniquet.


QuickClotQuick Clot, 25 gram : Quick Clot is hemostatic agent sponge that stops/slows bleeding. There is the added antibacterial advantage of ionic silver. Silver acts to prevent the growth of bacteria and fungi which can be especially important if medical care is not immediately available.  Remember – You must stop the bleeding!  Quick Clot adds a huge advantage to getting even severe bleeding stopped.


Sterile Gauze pads, 4” x 4” :  Rayon and polyester blend is ideal for applying ointments, prepping or cleaning. Highly absorbent. Packed in sterile, patient-ready envelopes.


Triangular Bandage - Squad Trauma Aid Kit - Medical CareTriangular2


Triangular Bandage, 36”x 36”x 51”  :  A triangular bandage provides support for a broken arm, sprained knee, broken foot or head injury.  The triangular shape of the main fold provides custom support for most injured areas.


Nitrile Examination Gloves : Gloves to protect from body fluids such as blood.  Also helps to prevent cross-contamination between patients.


EMT sheers : A type of scissors used by paramedics and other emergency medical personnel to quickly and safely cut clothing from injured people.

Band-Aid Antiseptic Wash : 6.0 fl oz bottle. Cleans minor cuts, scrapes & burns, relieves pain & itch and helps to prevent infection. Used to clean minor cuts, scrapes and burns by thoroughly flushing the affected area.

BandAid Wound WashRecovering from an injury begins with properly cleaning a wound; the sooner the better. Germs cause infections when you have an open wound. Germs will be found on the inside and outside of the wound. They get inside from whatever object broke the surface of your skin and through migration from the skin post-trauma.

To give the victim the best chance of survival from being wounded you must properly clean the wound; which includes removing both the debris and killing the germs the best you can. And the wound cleansing generally will be accompanied by some degree of pain. This wash product has antiseptic properties to help kill germs while you are irrigating the wound washing debris out, but it also has a mild anesthetic as well. But trust me, they will still feel pain, just not as much.

Ace Bandage - Medical Care - Squad Trauma Aid Kit
Ace Bandage - Medical Care - Squad Trauma Aid Kit
2″ ACE Bandage :  Designed to provide support and compression during recovery and return to activity. They are comfortable to wear for extended periods of time, easy to use, and adjustable for a custom fit.  Odor resistant, hook closure enables the bandage to be wrapped easily and secured without clips, and bandage retains elasticity after repeated use and washings.Ace Bandage - Medical Care - Squad Trauma Aid Kit




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