What is the NAR BAC-Pack Bougie-Aided Cricothyroidotomy Pack? The BAC-Pack™ by North American Rescue is an all-in-one surgical airway kit for performing a bougie-aided cricothyroidotomy when conventional airway management has failed. It includes a pre-inserted bougie in a flexible cuffed 6mm tracheostomy tube (meeting TCCC open surgical technique specs), a #10 protected scalpel, NAR tracheal hook, 10cc syringe, tube securing strap, alcohol pad, gauze, and 500D nylon pouch. SKU: 10-0052. Weight: 5.2 oz. For advanced providers only.
Kit Contents
| Component | Quantity | Notes |
|---|---|---|
| BAC-Pack Nylon Pouch | 1 | 500D nylon, roll-out design, components in order of use |
| Alcohol Pad | 1 | Skin prep |
| 2-Pack Gauze Pad (4 in. × 4 in.) | 1 | Wound care and field prep |
| #10 Protected Scalpel | 1 | Safety scalpel for cricothyroid membrane incision |
| NAR Tracheal Hook | 1 | Maintains opening during tube placement |
| NAR 10cc Luer-Lock Syringe | 1 | Cuff inflation |
| NAR Tracheostomy Tube with Bougie-Introducer | 1 | Flexible, cuffed, 6mm ID; pre-inserted bougie for rapid placement |
| Tube Securing Strap | 1 | Secures tube post-insertion for CASEVAC |
Key Specifications
| Specification | Detail |
|---|---|
| Manufacturer | North American Rescue (NAR) |
| SKU | 10-0052 |
| Tube Size | 6mm ID (inner diameter), flexible, cuffed |
| Tube Compliance | Meets TCCC requirements: flanged/cuffed, <10mm OD, 6–7mm ID, 5–8cm intratracheal length |
| Bougie | Pre-inserted in tube; fully adjustable; bougie cap/stopper included |
| Pouch Material | 500-Denier Nylon |
| Components Configuration | Arranged in order of use for rapid, sequential deployment |
| Weight | 5.2 oz |
| Packaged Dimensions | 8 in. H × 4 in. W × 1.75 in. D |
| CoTCCC Status | Tube meets TCCC recommendations for open surgical technique |
Product Overview
The BAC-Pack™ (Bougie-Aided Cricothyroidotomy Pack) from North American Rescue is designed for the most critical airway scenario in tactical and pre-hospital care: a "can't intubate, can't oxygenate" situation requiring a definitive surgical airway. When conventional airway management — NPA, OPA, supraglottic airway, BVM ventilation — has failed due to massive facial trauma, airway obstruction, or anatomical factors, cricothyroidotomy provides a direct surgical airway through the cricothyroid membrane.
The BAC-Pack's defining innovation is the pre-inserted bougie. Traditional surgical cricothyroidotomy requires the provider to perform the incision, then separately introduce a bougie through the membrane opening, then railroad the tracheal tube over the bougie. The BAC-Pack eliminates the separate bougie introduction step by pre-loading the bougie into the cuffed tracheostomy tube — the provider incises the membrane, inserts the bougie tip directly through the incision, then advances the tube as a single unit. This reduces the number of hand movements and steps in a procedure that must be performed rapidly under extreme stress.
The tube meets all TCCC specifications for the bougie-aided open surgical technique: flanged and cuffed airway cannula with less than 10 mm outer diameter, 6–7 mm inner diameter, and 5–8 cm of intratracheal length. The bougie is fully adjustable based on patient anatomy, and excess bougie stores in the purpose-built bougie cap/stopper. The #10 Protected Scalpel adds a safety feature — the blade is covered until the moment of use, reducing inadvertent laceration during high-stress deployment.
Why Bougie-Aided?
The bougie-aided approach improves first-pass success rates in surgical cricothyroidotomy by providing a directional guide for tube placement. The bougie is first advanced through the incision into the trachea; the tube is then railroaded over it into position. This technique is preferred over blind tube insertion and is supported by TCCC guidelines as the recommended approach for surgical airway in combat and tactical settings.
See also: NAR Tactical CricKit for an alternative complete cricothyroidotomy kit, and the full Airway Management collection.
All products sourced from the actual brand manufacturer or authorized master distributors. 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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