In a high-stress trauma scenario, opening and applying a separate lubricant packet is a prep step you don't have time for — and in the cold, a standard lubricant can stiffen and a PVC tube can crimp right when you need it.
What makes a nasal airway deploy clean, fast, and in the cold?
NAR built this NPA for speed and reliability. It arrives pre-lubricated with a water-based lubricant rated to −5°F, so there's no packet to open and no cold-weather failure point. The soft silicone body stays pliable and won't crimp or lose shape the way PVC can, and the rounded bevel tip tracks the nasal floor to reduce trauma. 28 French is the CoTCCC-recommended size for the average adult, with an 8-year shelf life for long-term kit storage.
Built for Fast, Reliable Deployment
Pre-Lubricated
No packet to open — one-step deployment when seconds matter.
Cold-Weather Rated
Water-based lubricant stays effective to −5°F where standard lubricants fail.
Silicone, Not PVC
Soft and pliable — stays in shape and won't crimp or kink in the nasal passage.
8-Year Shelf Life
Long-term kit storage without rotation worries; latex-free and sterile single-use.
Who Carries It
Unit medics & CLS — first-line airway adjunct in the IFAK
EMS & LE medical — fast NPA for unconscious casualties
Agencies — box-of-10 for unit resupply and training
Round Out Airway Capability
The NPA is one layer of a complete field airway.
Pre-Lubricated Nasal Airway
Open the Airway. Fast.
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 — Single | 10-0060 |
| SKU — Box of 10 | 10-0067 |
| Size | 28 French (117 mm) |
| Material | Soft, flexible silicone |
| Lubrication | Pre-lubricated; water-based, rated to −5°F |
| Tip | Rounded bevel, atraumatic |
| Shelf Life | 8 years |
| Sterility / Latex | Sterile, single-use; latex-free |
| Origin | Made in USA |
| CoTCCC | CoTCCC-recommended (28 Fr NPA for adult casualties) |
When to Deploy Pre-Lubricated Nasal Airway — 28 Fr
What's Included (NAR SKU: N/A):
- 1 × Pre-Lubricated Nasopharyngeal Airway (NPA) — 28 French, silicone, with water-based lubricant pre-applied, individually packaged
- Unconscious or obtunded trauma casualty: Establishes a patent airway in an unresponsive patient where jaw thrust alone fails to maintain airflow to oxygenate the casualty.
- TCCC Tactical Field Care: CoTCCC-recommended airway adjunct for trauma patients requiring non-surgical airway management in the field.
- Cold-weather operations: Silicone body and lubricant rated to −5°F prevent crimp and stiffening failure in cold environments where PVC alternatives fail.
- IFAK ALS tier loading: Standard inclusion in TCCC-provider and ALS-level IFAKs (e.g., OCHO Advanced, ETAK Advanced) where airway management is within provider scope.
- MCI airway management: Rapid, single-handed deployment enables one provider to place airways on multiple casualties during mass casualty events.
Field tip: 28 French is the CoTCCC-recommended size for the average adult — do not size down for a 'safer' insertion; an undersized NPA is less effective. Pre-lubrication eliminates the most common in-field failure point: forgetting or being unable to apply separate lubricant under stress.
How Pre-Lubricated Nasal Airway — 28 Fr Compares
Pre-Lubricated NPA vs. standard NPA: A standard NPA requires a separate lubricant packet that must be located, opened, and applied under stress or in the dark. The NAR pre-lubricated 28 Fr eliminates that step — lubricant is already applied and rated to −5°F, ensuring deployment reliability in cold environments where lubricant packets can freeze or stiffen. See airway and breathing supplies for full options.
28 Fr NPA vs. other sizes: CoTCCC guidelines recommend 28 French for the average adult male. Smaller sizes (26 Fr, 24 Fr) are reserved for pediatric or smaller adult patients. Carry the 28 Fr as the default; only deviate based on patient anatomy or specific protocol guidance.
NPA vs. supraglottic airway devices (SGAs): NPAs are the lowest-risk, fastest-to-deploy airway adjunct at TCCC level. SGAs (i-gel, King LT) require higher-level training and are not routinely included in individual IFAKs. Deploy the NPA first; escalate to SGA only if trained and protocols permit.
Pre-Lubricated Nasal Airway — 28 Fr — Frequently Asked Questions
Q: Is the 28 Fr NPA CoTCCC-recommended?
A: Yes. CoTCCC guidelines recommend a nasopharyngeal airway as the first-line airway adjunct for trauma patients requiring airway management who are not in respiratory arrest. 28 French is the recommended adult size per CoTCCC protocols.
Q: Who is authorized to use an NPA in a tactical environment?
A: NPA use is within the scope of TCCC-trained Combat Lifesavers (CLS), EMTs, paramedics, and all higher-level medical providers. Lay first aid providers (e.g., Stop the Bleed-only) should not attempt NPA insertion unless they have received specific airway adjunct training.
Q: Why silicone instead of PVC for a nasopharyngeal airway?
A: Silicone remains pliable at temperatures where PVC stiffens or kinks, including below freezing. In cold-weather operations, a PVC NPA can crimp during insertion or lose its shape before the airway is established. Silicone eliminates this failure mode. The NAR NPA is rated to −5°F.
Q: What is the shelf life of the Pre-Lubricated NPA?
A: The NAR Pre-Lubricated Nasal Airway has an 8-year shelf life, making it suitable for long-duration IFAK storage and cache stocking without frequent rotation.
Q: Is the lubricant latex-free?
A: The pre-applied lubricant is water-based. For confirmed latex-free status and allergy compatibility information, reference the NAR product datasheet or contact the store.
Related searches: NAR pre-lubricated NPA, 28 Fr nasopharyngeal airway, silicone nasal airway, CoTCCC NPA, cold-weather nasal airway, North American Rescue 10-0060
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.
Available Options:
- Single
- Box of 10
Specifications coming soon. Contact us for detailed product information.
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