When conventional airway management has failed — a “can't intubate, can't oxygenate” casualty from massive facial trauma, obstruction, or anatomy — the surgical airway is the last option, and it has to come together fast under the worst conditions.
What puts every component for the bougie-aided technique in one pack?
The BAC-Pack is NAR's all-in-one kit for the bougie-aided open surgical technique. Its defining feature is a bougie pre-inserted into a flexible cuffed 6mm tracheostomy tube, so the tube and guide come staged as one unit rather than separate items to assemble. Everything else — #10 protected scalpel, NAR tracheal hook, 10cc Luer-lock syringe, tube securing strap, alcohol pad, and gauze — sits in a 500D nylon roll-out pouch in order of use. 5.2 oz. The tube meets TCCC specifications for the open surgical technique.
Why This Pack
Pre-Inserted Bougie
Bougie pre-loaded in the cuffed tube — tube and guide staged as one unit, fully adjustable with a bougie cap/stopper.
TCCC Tube Spec
Flanged/cuffed, <10mm OD, 6–7mm ID, 5–8cm intratracheal length — meets TCCC open-surgical specs.
#10 Protected Scalpel
Blade covered until use — reduces inadvertent laceration during high-stress deployment.
Order-of-Use Pouch
500D nylon roll-out holds every component in the sequence it's needed.
Provider Scope
Cricothyroidotomy is a surgical procedure requiring specific training and competency, performed by credentialed providers within their scope of practice and local protocol. Per CoTCCC, a surgical airway is indicated when airway adjuncts have failed and the casualty requires a definitive airway. This pack is offered as equipment for qualified providers and is not a substitute for formal surgical-airway training. No procedural technique is provided here.
Kit Contents
| BAC-Pack Nylon Pouch (500D, roll-out) | 1 |
| Alcohol Pad | 1 |
| Gauze Pad 2-pack (4″ × 4″) | 1 |
| #10 Protected Scalpel | 1 |
| NAR Tracheal Hook | 1 |
| NAR 10cc Luer-Lock Syringe | 1 |
| NAR Tracheostomy Tube w/ Bougie Introducer (flexible, cuffed, 6mm) | 1 |
| Tube Securing Strap | 1 |
Who Carries It
Credentialed providers — definitive surgical airway within scope
Combat medics & CASEVAC — bougie-aided surgical-airway capability
Tac-medical programs — standardized, dedicated surgical airway pack
Compare & Complete
An alternative complete kit, the tube component, and the collection.
BAC-Pack
Definitive Airway. One Pack.
Genuine North American Rescue, shipped from a clinician-founded, veteran-led team.
Genuine North American Rescue
Sourced direct from North American Rescue.
Specifications
| Manufacturer | North American Rescue |
| SKU | 10-0052 |
| Tube | 6mm ID, flexible, cuffed, pre-inserted bougie |
| Tube Compliance | Flanged/cuffed, <10mm OD, 6–7mm ID, 5–8cm intratracheal length |
| Pouch | 500-denier nylon, roll-out, order of use |
| Weight | 5.2 oz |
| Packaged Dimensions | 8″ H × 4″ W × 1.75″ D |
| CoTCCC | Tube meets TCCC recommendations for open surgical technique |
When to Deploy the BAC-Pack™
What's Included (NAR SKU: 80-0470):
- 1 × Nylon Bag (BAC-Pack pouch, 500D)
- 2 × Alcohol Pad (skin prep)
- 1 × 2-Pack Gauze Pad (4 in. × 4 in.)
- 1 × #10 Protected Scalpel
- 1 × NAR® Tracheal Hook
- 1 × NAR® 10cc Syringe
- 1 × NAR® Tracheostomy Tube with Bougie-Introducer (Flexible, Cuffed, 6mm ID)
- 1 × Tracheal Tube Securing Strap
- Cricothyrotomy for Airway Failure: When all other airway techniques have failed (RSI failure, cannot intubate/cannot oxygenate), the BAC-Pack provides the components for a surgical cricothyrotomy — a CoTCCC MARCH algorithm airway intervention.
- Combat Airway Emergency (TCCC A Phase): Penetrating facial or neck trauma with airway obstruction not correctable by NPA or supraglottic device requires a definitive surgical airway. The bougie-aided technique is the current TCCC preferred method.
- SWAT and Tactical Medicine Operators: SWAT medics, 18D Special Forces medics, and Ranger medics carry the BAC-Pack for trauma airway coverage on high-risk warrant and direct-action missions.
- Austere and Resource-Limited Environments: Remote-area physicians, expedition medical officers, and aeromedical crews carry the BAC-Pack as definitive airway capability where endotracheal intubation equipment is not available.
- EMS Advanced Airway Providers: Paramedics and flight nurses authorized for surgical airway procedures stock the BAC-Pack as their primary cricothyrotomy platform over improvised assemblies.
- Airway Skills Training: Medical training programs use the BAC-Pack to teach the bougie-aided cricothyrotomy technique on task trainers — the pre-inserted bougie in the tube is the key teaching point for rapid procedure execution.
Field Tip: Best practice: stage the BAC-Pack with the kit open and components laid in order of use. TCCC recommends practicing the procedure on a task trainer until the provider can complete it in under 90 seconds — familiarize with the bougie adjustment and cap/stopper function before deployment.
How the BAC-Pack™ Compares
BAC-Pack vs. Tactical CricKit®: The NAR Tactical CricKit® is the original NAR surgical airway platform using the same preferred flexible 6mm tube. The BAC-Pack adds the pre-inserted bougie-introducer in the tube assembly, making it mechanically simpler to execute — the bougie confirms tracheal placement before tube passage, which reduces tube misplacement risk under stress.
BAC-Pack vs. Improvised Cric Kits: Provider-assembled cric kits from individual components require matching tube sizes, separate bougie management, and scalpel sourcing. The BAC-Pack pre-assembles all components in procedural order in a 500D nylon pouch, reducing cognitive load and setup time in a high-stress airway emergency.
Tube Compliance with TCCC: The BAC-Pack tube meets TCCC recommendations for open surgical technique: flanged and cuffed airway cannula, less than 10mm OD, 6–7mm ID, 5–8cm intratracheal length. This is the standard for CoTCCC-compliant surgical airway practice.
Pair with NAR Airway Management supplies for complete pre-hospital airway capability.
Frequently Asked Questions — Bougie-Aided Cricothyroidotomy Pack (BAC-Pack™)
Q: Is the BAC-Pack™ CoTCCC-recommended?
A: The BAC-Pack is designed to execute the CoTCCC-recommended bougie-aided surgical cricothyrotomy technique (open surgical method) as described in TCCC guidelines. The tube meets TCCC dimensional specifications. The device category (surgical airway kit) is CoTCCC-recommended; individual kit configurations are not individually named in the CoTCCC device list.
Q: What provider training is required to use the BAC-Pack?
A: Surgical cricothyrotomy is a restricted procedure. Providers must be trained and authorized by their medical director to perform this skill. In the military, 18D and 68W providers are typically authorized; in EMS, this is a paramedic-level or flight-provider skill. Training on a task trainer before deployment is strongly recommended.
Q: What does the bougie do differently from a standard cric kit?
A: The pre-inserted bougie serves as a guide wire for tube placement: insert the bougie through the cricothyroid membrane first (confirming placement by feel and tube freedom of movement), then advance the tube over the bougie into the trachea, then remove the bougie. This technique reduces the risk of tube misplacement — a critical advantage under stress.
Q: Is the BAC-Pack available on a government contract?
A: NAR products including the BAC-Pack are available through DLA medical supply and authorized government distributors. Contact MED-TAC International for NSN and contract vehicle information.
Q: What is the inner diameter of the included tube?
A: The NAR® Tracheostomy Tube with Bougie-Introducer has a 6mm inner diameter (6.0mm ID, 8.0mm OD), meeting TCCC dimensional recommendations for open surgical airways (6–7mm ID requirement).
Related searches: NAR BAC-Pack, bougie-aided cricothyroidotomy pack, surgical airway kit, pre-inserted bougie cric kit, TCCC surgical airway, North American Rescue 10-0052
All products sourced direct from North American Rescue. CoTCCC recommendation status verified where applicable. Ships from MED-TAC International, Pembroke Pines, FL — clinician-founded, veteran-led, SDVOSB-certified.
Specifications coming soon. Contact us for detailed product information.
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