(4 customer reviews)


Our MEDICAL NUT RUCK , like the rest of the Arbor Arms family of Nut Rucks, can be worn 4 ways:

  • As a traditional fanny pack with its stowable/ removable waist strap
  • Directly attached to our SALT belt system or similar MOLLE gun belt via snap on side release buckles
  • Attached to a plate carrier or velcro belt via the built in velcro hanger flap
  • Attached to a plate carrier via our First Spear Tube Hanger

*** 8″w  x  5.5″h  x  3.25″d (Plus) 2.25″d (Standard) ***


Would you like to add our First Spear Tube attachment hanger to quick-connect/disconnect your Nut Ruck to your plate carrier?

Allows you to attach your tourniquet to the base of your Nut Ruck using the drainage grommets.

Attaches to web loops on the sides of your Nut Ruck allowing you to easily attach CQB Chem-Light markers, gloves, or other items you want to have ready access to.

Want to clip your Nut Ruck in to your MOLLE belt over the buckle area? This is 2 sets of Snap-On SRBs so you can clip in.

SKU: N/A Categories: ,

Unlike the rest of our nut rucks, the Medical Nut Rucks have a 3/4 zipper clam shell configuration.  This allows opening for easy access to our new Check-Mate™ attachment system in both the vertical and horizontal position over every square inch of the Check-Mate™ panel.  Check-Mate™ panels are oriented upright when in the ‘open position,’ creating storage for thin items such as chest seals, occlusive dressings, burn-gel, triage cards, etc.  You’re also able to attach larger items to the front of the panel with 3 sizes of included elastic bands or Velcro one wraps.

Waist Belt Buckle Type –

  • If you’re planning on wearing it as a Nut Ruck, then you’ll probably want to select he Side Release Buckle, as it is easier to doff and don.
  • If you’re planning on wearing the pouch as a hanger, either from the organic hanger flap or via the tube hanger, but you would still like the option of a waist strap for expedited use, choose the G-hook because it will stow better.

BOTH Medical Nut Rucks Standard and Plus 

Both Medical Nut Rucks have a removable waist strap, waist strap storage tunnel, anchor points for clip-in and S-beaners, anchor points for a Tube® dangler, trauma sheer pocket & glove pocket on the rear, or loop panel on the front for IFAK marking/kill number.

Plus *** 8″w  x  5.5″h  x  3.25″d *** 

The Plus variation was designed to hold the contents of the issued USMC IFAK and for individuals who need more supplies for their mission or billet.  It comes with Check-Mate™panels on the inner front, rear, and bottom, as well as 9 elastic bands (4x large 4x small and 2x micro), 12 locking sticks and 2 one wraps.

Standard *** 8″w  x  5.5″h  x  2.25″d *** 

The Standard variation was designed to hold the contents of the US Army issue IFAK, and for individuals who want a more streamlined profile.  It comes with one panel of Check-Mate™ on the inner rear, as well as 5 elastic bands (2x large 2x small and 1x micro), 6 locking sticks, and 1 one-wrap.  The front panel is a 4-way stretch pocket on the inner front.


Standard, Plus


MultiCam, Coyote Brown, Ranger Green, Black, MultiCam Black, A-TACS iX, Grey

Waist Belt Buckle Type

Side Release Buckle, G-hook


  1. John W. (verified owner)

    I function as a LE Tactical Medic. The Nut Ruck Plus is the perfect immediate aid kit. I keep my own IFAK in a behind the plate configuration, but the Nut Ruck allows me to have everything I would need to treat several casualties quickly at hand with a low profile. Don’t need to have any side pouches mounted. Can leave my larger backpack aid bag in the CCP vehicle. The tubes option is great if I need to pass the kit to another operator to provide care.

    Quality is great. There were a few components left out of order when I initially got it, but customer service was great with correcting the issue. Highly recommend.

  2. TYLER N. (verified owner)

    Can’t recommend enough. As a 68W I can easily keep all of my most used items, from bandaids and gauze to lights and meds, easily in the Medical Nut Ruck plus. I can keep everything for a CCA minus my stethoscope, BP cuff and IV fluid. The hook and loop hanging strip fits perfectly in the IOTV gen 3 and 4 where other fanny pack hangers wont. Over the last 5 months it has quickly become my most used and favorite piece of equipment.

  3. Mitchell C. (verified owner)

    These are so damn good, I bought two. One for my car, one for my plate carrier. The strap makes it easy to wear this as a fanny pack ifak that can quickly be given to a battle buddy for extra supplies if need be. If you want it as a hanger, the tubes attachment makes this particular use case a breeze that doesn’t rely on fine motor skills to quickly doff. If worn as a hanger the strap keep this pouch from flopping around and smacking your stomach while doing odd movements. If that doesn’t appeal to you, the strap stows very easily and comfortably. This isn’t a solution that’s only for military or LEO, as this makes a fantastic med kit for your car or bug out kit. Plus, you could use abdominal iiia inserts for that extra bit of ballistic coverage

    The regular size is great if you want to have a personal trauma ifak. However, the plus give you room to really breathe. I fit a 6″ israeli bandage, two chest seals, NAR occlusive dressing, two quikclot combat gauzes, an extra CAT in the multi-mode tq attachment, s fold gauze, and a 4″ ETD. I still have room to fit some extras of what I already have, burn dressings, boo boo stuff like bandaids, blister packs of nsaids and antihistamines, advanced airway management devices, decompression needles, or whatever else you’re trained to use in the field.

    If this short essay was too much to read, all you need to know is if you’re thinking about getting this, get it. I promise you will not regret it

  4. Talon A. (verified owner)

    This is a very versatile bit of kit. There are many attachment/carry mechanisms for use with items such as a plate carrier, velcro/molle belt, or scaled all the way down to no load carriage. The tubes can be swapped around so that the pull tab can take the nut ruck with it for a quick one handed grab. Arbor Arms was also able to easily accommodate my request for quick release buckles on both sides of the waist strap for yet another single handed release mechanism. These quick release buckles can also plug into a belt. I couldn’t find another medical style pouch with this many options. The internal organizer allows for many possibilities for configuration. I think the standard size is just a touch big with a shear holder that I won’t use, as I use mine for the equivalent of a NAR IFAK / outdoor personal aid kit with basic bleeding and boo boo items, while still staying pretty slimmed down. This size is great for a decently robust individual IFAK. I wish I would have found this sooner.

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