NAR-4 Tactical Medic Chest Pouch

Key Specifications

Complete Kit Contents

• Bag (CCRK® — NAR-4™ Chest Pouch)
• Black Talon® Nitrile Gloves
• Combat Casualty Card
• Nasopharyngeal Airway (NPA)
• HyFin® Vent Chest Seal Twin Pack
• ARS® Needle Decompression Kit
• C-A-T® Combat Application Tourniquet® (CoTCCC-recommended)
• ETD™ Emergency Trauma Dressing
• S-Rolled Gauze™
• Z-Fold Vacuum Packed QuikClot Combat Gauze® (CoTCCC-recommended) — or ChitoGauze Pro depending on variant
• Scissor Leash™
• Trauma Shears
• Permanent Marker
• Tactical CricKit®
• Polycarbonate Eye Shield

Product Overview

Tactical Healthcare Professionals—combat medics, 18-Delta Special Forces medics, PJs, TEMS operators, and SWAT medics—operate in environments where their medical kit must be immediately accessible, their IR signature must be controlled, and their equipment must address the full spectrum of TCCC-relevant emergencies. The NAR-4 Chest Pouch was engineered specifically to meet these requirements in a single chest-mounted platform.

Built on 500D CORDURA® solution-dyed nylon with Near Infrared Signature Reduction and GhillieTex™ IR hardware, the NAR-4 addresses the IR detection threat that makes conventional pouches liabilities in night-operation environments. The silent self-repairing zipper with 550 cord pulls ensures that opening the kit under stress produces no audible signature. Sand and water-resistant zipper construction keeps supplies protected in austere environments.

The configurable interior uses elastic storage loops to keep items secure yet rapidly accessible—critical when a provider is working under fire and cannot search for components. The ambidextrous trauma shear configuration accommodates both right- and left-handed providers. The MOLLE-style attachment system allows the pouch to be mounted on body armor in multiple positions. The kit contents span the primary TCCC interventions: massive hemorrhage control (tourniquet, hemostatic gauze, ETD), airway management (NPA), respiratory support (chest seal, needle decompression kit), and advanced airway (Tactical CricKit®).

TCCC MARCH Protocol Coverage

See also: IFAK Kits & First Aid | Massive Hemorrhage Control | C-A-T® Gen 7 Tourniquet | Tourniquets & Pouches

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.

When to Deploy the NAR-4 Tactical Medic Chest Pouch

• Front-of-armour TCCC rapid access: MOLLE chest attachment positions critical haemorrhage control and airway tools on the body's anterior surface — accessible under suppressive fire without breaking cover or removing a pack.
• Tactical CricKit® airway emergency: Surgical airway situations demand tools immediately at hand; the NAR-4 Chest Pouch includes the Tactical CricKit® at the top of the chest where access is fastest in a supine provider-casualty scenario.
• Two-tourniquet dual-casualty coverage: Two C-A-T® tourniquets allow the medic to address two simultaneous extremity haemorrhage casualties without returning to a pack — critical in multi-casualty tactical situations.
• Needle thoracostomy with dual ARS® decompression kits: Two ARS® 14G × 3.25 in. needle decompression kits allow bilateral treatment of tension pneumothorax — the leading cause of preventable death from penetrating chest trauma.
• HyFin® chest seal for penetrating chest wounds: The HyFin® Vent Chest Seal Twin Pack enables simultaneous occlusion of both entry and exit wounds in a single application — carried at immediate access on the chest.
• NPA airway management (2x): Two 28F nasopharyngeal airways with lube provide redundancy for airway management of unconscious casualties when more invasive techniques are not yet indicated.

How the NAR-4 Tactical Medic Chest Pouch Compares

NAR-4 Chest Pouch vs. NAR-4 Aid Kit: The Chest Pouch (80-0173-s) is the front-of-armour individual medic loadout; the NAR-4 Aid Kit is a full modular pack system with five removable bags, IV/IO capability, and comprehensive splinting. Use the Chest Pouch for single-operator immediate response; the Aid Kit for deliberate medical operations.

NAR-4 Chest Pouch vs. ROO M-FAK: The ROO M-FAK LCL is a personal IFAK — a single-casualty self-treatment kit. The NAR-4 Chest Pouch is a medic-grade multi-casualty loadout with advanced airway (CricKit®), dual decompression needles, and full haemorrhage capability designed for a trained 68W or 18D. See IFAKs vs. medic kits.

NAR-4 Chest Pouch vs. CCRK® loadout flexibility: The pouch is designated a CCRK® (Combat Casualty Response Kit) container — the same contents taxonomy used across NAR's modular system. This standardises component recognition across units using NAR platforms.

Material and construction: 500D CORDURA® Solution-Dyed Nylon with Near Infrared (NIR) Signature Reduction and Ghillie-Tex IR-reduction hardware differentiates the NAR-4 Chest Pouch from commercial chest rigs with no IR or NIR mitigation. Closed dimensions: L 7.75 in. x W 9.75 in. x D 4.5 in. Weight: 2 lb 10.3 oz.

Procurement: Available via GSA, ECAT, and MED-TAC International for DOD, law enforcement, and institutional buyers.

NAR-4 Tactical Medic Chest Pouch — FAQ

Q: Is the NAR-4 Tactical Medic Chest Pouch CoTCCC-recommended?

A: The NAR-4 Chest Pouch contains multiple CoTCCC-recommended devices: the C-A-T® Tourniquet, QuikClot® Combat Gauze®, HyFin® Vent Chest Seal, and ARS® Needle Decompression Kit. CoTCCC recommendations apply to individual devices — verify current TCCC guidelines for each component's indication.

Q: What medical training is required to use the NAR-4 Chest Pouch effectively?

A: The NAR-4 Chest Pouch is designed for trained Tactical Healthcare Professionals — 68W Combat Medics, 18D Special Forces Medics, TCCC Providers, and equivalent civilian roles. The inclusion of the Tactical CricKit® and ARS® needle decompression kits requires surgical airway and needle thoracostomy training.

Q: How does the NAR-4 Chest Pouch attach to body armour?

A: The pouch uses a MOLLE-style attachment system to secure to standard PALS webbing on body armour. The 500D CORDURA® construction and Ghillie-Tex IR-reduction hardware maintain low-profile and IR-mitigation during operations requiring night-vision compatibility.

Q: What is the SKU and procurement pathway for the NAR-4 Tactical Medic Chest Pouch?

A: SKU: 80-0173-s. Available through North American Rescue's GSA schedule and ECAT procurement channels. Contact NAR directly or MED-TAC International for institutional, DOD, and law enforcement pricing.

Q: What is the hemostatic dressing option in the NAR-4 Chest Pouch?

A: The NAR-4 Chest Pouch includes 2 x Z-Fold Vacuum Packed QuikClot® Combat Gauze® — CoTCCC-recommended hemostatic gauze for haemorrhage control in wounds not amenable to tourniquet application. The chest pouch configuration is standardised; confirm variant at purchase.