Prolonged field care can demand emergent surgical intervention with no operating room in reach. Conventional trays are heavy, bulk-packed, and impossible to read at a glance under field conditions.
What gives a surgical proceduralist a full instrument set, laid out in the order they'll use it?
The R-SICK answers it with a sequential rollup. The coyote nylon organizer opens flat so a provider sees every instrument, in workflow order, before the first incision — arranged around the PFC arc of incision, tissue spreading, damage control, and closure. The instrument set supports surgical cricothyrotomy (Trousseau dilator, tracheal hook), major hemorrhage control (hemostatic forceps, sutures), field amputation (Gigli saw blades and loop handles), and vascular-access closure. Writeable self-labeling areas track contents; the kit rolls to 3.5 × 8.5″ and weighs about 3 lb. Offered in Floor Grade and OR Grade instruments, all clinician-sterilizable as needed.
Provider scope: This is a surgical instrument system intended exclusively for credentialed providers performing procedures within their scope of practice, under medical direction and applicable protocols. Procedure indication and technique are governed by the provider's training and medical authority. This listing describes kit contents and is not procedural instruction or a substitute for accredited surgical training.
Why This Kit
Sequential Layout
Every instrument visible, in workflow order, before incision.
Broad Capability
Airway, hemorrhage, amputation, vascular access.
Rolls Up Small
3.5 × 8.5″ rolled; opens flat to a full field tray.
Two Grades
Floor Grade or OR Grade; clinician-sterilizable.
Floor Grade Contents
| Instrument | Qty | Role |
|---|---|---|
| Weitlaner Retractor, 3×4 Blunt (5.5″) | 2 | Wound spreading |
| Trousseau Tracheal Dilator (5.25″) | 1 | Surgical airway |
| Adson Forceps, 1×2 (4.75″) | 2 | Tissue handling |
| Ewald Forceps, 1×2 | 1 | Tissue handling |
| Plain Splinter Forceps (4.5″) | 1 | Foreign-body removal |
| Kelly Forcep, Heavy | 1 | Hemorrhage control |
| Converse Needle Holder (4.24″) | 1 | Closure |
| Olsen-Hegar Needle Holder (7.25″) | 1 | Closure |
| Stevens Tenotomy Scissors (straight + curved) | 2 | Fine dissection |
| Mayo Scissors (5.5″, straight + curved) | 2 | Heavy cutting |
| Knife Handle #3 | 1 | Incision |
| Gigli Saw Blade (20″) + Loop Handles | 2 + 2 | Field amputation |
| Hiupp Tracheal Hook (6.5″) | 1 | Surgical airway |
| Rochester-Pean Forcep, Curved (7.25″) | 2 | Hemostasis |
| Scalpels (#10, #11, #15 with handles) | 6 + 6 + 6 | Incision |
| Blades #10 + #15 (Teflon) | 6 + 10 | Incision |
| Sutures: Ethilon 4-0, Silk 2-0/3-0/4-0, 2-0 | 2–4 ea | Closure |
| Sharps Shuttle | 1 | Sharps safety |
| Farabeuf Retractor | 1 | Wound spreading |
Instrument counts reflect the Floor Grade configuration; OR Grade supplies the same instrument complement at sterile grade.
Who Fields It
SOF / PFC providers — austere surgical capability
Physicians / PAs — expeditionary and field surgery
Remote / wilderness med — resource-limited operative care
Build It Out
Up Close
The Operating Room You Can Roll Up.
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 | 83-0016 |
| Weight | ~3 lb |
| Packaged | H 8″ × W 7″ × D 3.5″ |
| Deployed | L 24″ × W 43″ flat; rolls to 3.5 × 8.5″ |
| Grades | Floor Grade or OR Grade; clinician-sterilizable |
| Primary Use | Prolonged Field Care; austere surgical procedures |
When to Deploy the R-SICK Surgical Instrument Case Kit
- Forward surgical team (FST) instrument staging: Pre-loaded, reusable hard case keeps surgical instruments organized and protected for immediate access during austere surgical procedures.
- Special operations medic (18D/SOCM) sustainment gear: Supplements individual kit with a dedicated surgical instrument set for procedures beyond basic TCCC — cricothyrotomy, chest decompression, FAST exam, and minor surgical interventions.
- Battalion aid station (BAS) organization: Provides a dedicated, labeled instrument case that travels as a unit rather than loose instruments scattered across a trauma bag.
- Remote expedition and austere medical support: Wilderness SAR medics and expedition physicians carry the R-SICK for in-field minor surgical capability where definitive care is days away.
- Training cadre support: Standardized instrument kit for skills stations — same case and contents across all training events so students and instructors work from identical setups.
How the R-SICK Compares
R-SICK vs. loose surgical instrument packs: Loose instruments in a bag risk contamination, loss, and disorganized access under stress. The R-SICK's hard case with defined instrument positions supports rapid, one-look inventory and sterility maintenance.
R-SICK vs. Minor Surgery Set: The Minor Surgery Set covers suture-level minor procedures; the R-SICK is a comprehensive surgical instrument case for medics performing a wider range of advanced interventions. Match selection to provider scope of practice.
R-SICK vs. hospital-grade surgical sets: R-SICK is field-optimized — durable, compact, and organized for austere-environment use. Hospital sets prioritize sterility in an OR environment. The R-SICK bridges the gap for prehospital providers at echelons below definitive care.
R-SICK vs. procedure-specific kits (cricothyrotomy, chest tube, etc.): Procedure kits (BAC-Pack, Chest Tube Kit) are single-procedure kits with all required disposables. The R-SICK provides the reusable instrument platform that pairs with those kits across multiple procedure types. See airway management kits.
Frequently Asked Questions
Q: Are the instruments in the R-SICK CoTCCC-recommended items?
A: CoTCCC recommendations cover specific clinical interventions (e.g., surgical airway, needle chest decompression). The R-SICK contains instruments used to execute those CoTCCC-recommended procedures. The kit itself supports CoTCCC-level interventions but is not individually named in CoTCCC guidelines — it is a vehicle for performing them.
Q: Can I train with the R-SICK instruments, and will they hold up?
A: Yes. The instruments are designed for field medical use, including training environments. However, instruments used in skills training should be clearly separated from mission-ready instruments to prevent training wear from degrading operational readiness. Designate a training kit and a mission kit if volume allows.
Q: Is the R-SICK compatible with other NAR procedure kit disposables?
A: Yes. The R-SICK provides the reusable instrument platform; procedure-specific disposables (e.g., BAC-Pack tubes, HyFin chest seals) are carried separately and work alongside the R-SICK instruments. Build your complete surgical kit by pairing the R-SICK with applicable NAR procedure kits for your scope of practice.
Q: What is the NSN for the R-SICK?
A: NSN listings for the R-SICK can be confirmed through North American Rescue's procurement documentation or via MED-TAC International's government sales team. Contact us directly for current NSN, CAGE code, and contract vehicle availability for your procurement.
Q: How do I maintain sterility of instruments in the R-SICK during extended operations?
A: Follow the IFU for each instrument. In field conditions, use available disinfection methods (chlorhexidine wipe-down, autoclave if available at Role 2+). Wrap instruments in sterile drapes when preparing for a procedure. Track instrument sterility status with date-of-last-sterilization notes on the case lid.
Related searches: NAR R-SICK, prolonged field care surgical kit, PFC instrument rollup, field amputation kit, austere surgery set, 83-0016
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.
FREQUENTLY ASKED QUESTIONS
