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 |
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.