content
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Hello friends and neighbors // Shadow 7D .. Outstanding to know about gatrade over pedialite makes carrying much easier. That's why I post here, always seeking the unknown upgrade. thanks, content
Medic bag?
- Thread starter pancakeofdoom
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Your list anything in bold would be left at home
Back ground Nationally cert. EMT-P
Every year as a side job I work for Six flags which sees far more injuries then one would want to think.
I am on going from your list of what i would take with me on your trip for two days. Lighter = better
Brown Sports Wrap is you friend and cure for everything along with 4x4 pads.
-at least 2-3 trauma pads
-occlusive dressing(s)
-SAM splints = You can invent one
-airway kit = Unless trained you will never use it
-C-spine collar = Again make shift
-donut bandages (foreign object in eye, not sure if everyone calls them this) = 4x4 and again sports wrap
-various bandaids of varying sizes
-several anti-septics
-dry non-stick dressings (burns, etc) Cream and 4x4
-rescue tool
-dynamic rescue rated rope
-harness
-usual anti-inflammatories etc
-thermal blanket
-sterile wash solution
-syringe (no needle, just for make-shift suction W/O carrying a suction device)
Here is another list posted again same rules apply
Nitrile Exam Gloves one version of gloves with be enough
CPR Microshield = Nice to have but again ways to do it without
Quikclot 1st Response pouch, 50g = Me personally make shift turni shoes strings and sticks
pair Trauma Shears = never leave home without them
Cinch Tight Compression "H" Bandage = back to my sports wrap and 4x4
TK-4 Tourni-Kwik (3” wide 40" long Rugged Combat Tourniquet)
Primed Gauze (crinkle cotton) = 4x4 work just as well
14ga x 3 ¼ Catheter (sterile) (for pneumothorax) = do non trained know how to use them?
Duct Tape (2”x100” roll)
Set Nitrile N-Dex Glovessee exam gloves
Three gram tube of Surgilube
Nasopharyngeal Airway (30FR Robertazzi Style) again trained or not trained
Just my two cents
Back ground Nationally cert. EMT-P
Every year as a side job I work for Six flags which sees far more injuries then one would want to think.
I am on going from your list of what i would take with me on your trip for two days. Lighter = better
Brown Sports Wrap is you friend and cure for everything along with 4x4 pads.
-at least 2-3 trauma pads
-occlusive dressing(s)
-SAM splints = You can invent one
-airway kit = Unless trained you will never use it
-C-spine collar = Again make shift
-donut bandages (foreign object in eye, not sure if everyone calls them this) = 4x4 and again sports wrap
-various bandaids of varying sizes
-several anti-septics
-dry non-stick dressings (burns, etc) Cream and 4x4
-rescue tool
-dynamic rescue rated rope
-harness
-usual anti-inflammatories etc
-thermal blanket
-sterile wash solution
-syringe (no needle, just for make-shift suction W/O carrying a suction device)
Here is another list posted again same rules apply
Nitrile Exam Gloves one version of gloves with be enough
CPR Microshield = Nice to have but again ways to do it without
Quikclot 1st Response pouch, 50g = Me personally make shift turni shoes strings and sticks
pair Trauma Shears = never leave home without them
Cinch Tight Compression "H" Bandage = back to my sports wrap and 4x4
TK-4 Tourni-Kwik (3” wide 40" long Rugged Combat Tourniquet)
Primed Gauze (crinkle cotton) = 4x4 work just as well
14ga x 3 ¼ Catheter (sterile) (for pneumothorax) = do non trained know how to use them?
Duct Tape (2”x100” roll)
Set Nitrile N-Dex Glovessee exam gloves
Three gram tube of Surgilube
Nasopharyngeal Airway (30FR Robertazzi Style) again trained or not trained
Just my two cents
.38 Special
Member
- Joined
- Sep 15, 2006
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- 7,371
How do you make c-spine collars and CPR shields?
38 special has it right.
Keep it simple s------- you are treating Basic ABCs until help gets there.
-4 4x4 dressings
- 2 2x2 dressings
- 2 occlusive dressing(s)
-20 various bandaids of varying sizes
- 1 anti-septics
-4 dry non-stick dressings (burns, etc)
- 10 tylenol 500mg , 20 motrin200mg
- 2 thermal blanket (mini one)
- 1 sam splint
If you are going to a area where you know you will be doing high angle stuff then bring the rope and etc. If not leave it home. Rescue rope is Static not dynamic.
Background: 25 yrs NREMT-I (17 yrs riding the truck), 20 yrs Army medic with time in sandbox, 10 yrs Mountaineering Instructor, 17 yrs Member of Mtn Rescue team, 25yrs Fire Fighter / Tech rescue
Remember 100 pounds of lightweight stuff is still 100 pounds.
Keep it simple s------- you are treating Basic ABCs until help gets there.
-4 4x4 dressings
- 2 2x2 dressings
- 2 occlusive dressing(s)
-20 various bandaids of varying sizes
- 1 anti-septics
-4 dry non-stick dressings (burns, etc)
- 10 tylenol 500mg , 20 motrin200mg
- 2 thermal blanket (mini one)
- 1 sam splint
If you are going to a area where you know you will be doing high angle stuff then bring the rope and etc. If not leave it home. Rescue rope is Static not dynamic.
Background: 25 yrs NREMT-I (17 yrs riding the truck), 20 yrs Army medic with time in sandbox, 10 yrs Mountaineering Instructor, 17 yrs Member of Mtn Rescue team, 25yrs Fire Fighter / Tech rescue
Remember 100 pounds of lightweight stuff is still 100 pounds.
Dravur
Member
So, you need to bring a few beers in the kit?
Tim the student
Member
But your urethra is not.
I usually make sure I have an ace bandage AND a roll of 'sports tape' which sticks well but can stay flexible and weighs a LOT less than gorilla tape. Burn bandages can come in VERY useful as I've discovered on many a scouting trip, along with large gauze pads. Triangular bandage (sling) though an oversized bandanna will do, and to heck with Tylenol I carry Asprin.
Got caught without my first aid kit a couple weeks ago, seriously regretted it.
Got caught without my first aid kit a couple weeks ago, seriously regretted it.
Shadow 7D
Member
Uh, urine is sterile to the person who produced it.....
But it may be better than say stream water....
Best is actual sterile water, bottled water or isotonic is ok (gatoraid)
But you can make a quick flush with an Iodine tablet (water purification) and salt, however I would wait at least the 30 minutes indicated on the package if flushing the eyes. The main thing you need with any kit from a bandaid pouch to full level one trauma kit is knowledge, with more knowledge you can carry less stuff, with more knowledge you can carry more stuff, the main thing is that you know how to use what you carry and what can be improvised, like burn dressing, they can be improvised out of a babies diaper, they have water retaining crystals, will keep the area moist, but has torn apart so that the water can evaporate and not trap heat on the burn, which is what waterjels basically are.
But it may be better than say stream water....
Best is actual sterile water, bottled water or isotonic is ok (gatoraid)
But you can make a quick flush with an Iodine tablet (water purification) and salt, however I would wait at least the 30 minutes indicated on the package if flushing the eyes. The main thing you need with any kit from a bandaid pouch to full level one trauma kit is knowledge, with more knowledge you can carry less stuff, with more knowledge you can carry more stuff, the main thing is that you know how to use what you carry and what can be improvised, like burn dressing, they can be improvised out of a babies diaper, they have water retaining crystals, will keep the area moist, but has torn apart so that the water can evaporate and not trap heat on the burn, which is what waterjels basically are.
Sir Aardvark
Member
I haven't seen an Asherman Chest Seal listed yet. It is used to treat a sucking chest wound. You'll probably never see a sucking chest wound, but if it happens, you'll wish you had one of these.
Also, Steri-Strips and Tincture of Benzoin - if you show up in the Emergency Room with some sutures that your friend did out in the field, then the Doctor is just going to take them out and re-do them anyways. Steri-strips or an Ace Bandage is a better solution to hold things together until you get professional help.
Here is a good link to info on how to perform some of the more intensive and invasive first-aid medical procedures:
http://www.brooksidepress.org/Produ...rationalmed/Procedures/medical_procedures.htm
Don't go too nuts in outfitting your first aid kit - you have to keep in mind that it is "first aid", not field surgery.
Also, Steri-Strips and Tincture of Benzoin - if you show up in the Emergency Room with some sutures that your friend did out in the field, then the Doctor is just going to take them out and re-do them anyways. Steri-strips or an Ace Bandage is a better solution to hold things together until you get professional help.
Here is a good link to info on how to perform some of the more intensive and invasive first-aid medical procedures:
http://www.brooksidepress.org/Produ...rationalmed/Procedures/medical_procedures.htm
Don't go too nuts in outfitting your first aid kit - you have to keep in mind that it is "first aid", not field surgery.
Shadow 7D
Member
They cost 10 to 15 a pop and do what can be done with other supplies, but do it very well
Um the OP is an EMT, that is called exceeding his scope of practice and verges on the practice of medicine, the first leads to civil liability and administrative procedures, the second leads to criminal liability.
Um the OP is an EMT, that is called exceeding his scope of practice and verges on the practice of medicine, the first leads to civil liability and administrative procedures, the second leads to criminal liability.
.38 Special
Member
- Joined
- Sep 15, 2006
- Messages
- 7,371
I was taught to seal a sucking chest wound with petroleum jelly gauze taped on three sides. I never saw a sucking chest wound, though. Much like the prolapsed umbilical cord, it makes you pay attention in class but in the field you're unlikely to ever see one.
BTW, urine is normally sterile as it comes from the kidneys. And in the bladder it is usually sterile, but you can't count on it. By the time it has passed through the urethra, though, it is almost certainly not sterile. I regard peeing on open wounds as the same sort of "field ninja medic" lore as stuffing tampons into bullet wounds and performing crycothyrotomy with the barrel of a ball point pen.
Unless you are House M.D. you're probably better off with a baggy-full of band-aids and aspirin. If I hurt myself and you try to pee on me I'm going to kick you in the nuts.
BTW, urine is normally sterile as it comes from the kidneys. And in the bladder it is usually sterile, but you can't count on it. By the time it has passed through the urethra, though, it is almost certainly not sterile. I regard peeing on open wounds as the same sort of "field ninja medic" lore as stuffing tampons into bullet wounds and performing crycothyrotomy with the barrel of a ball point pen.
Unless you are House M.D. you're probably better off with a baggy-full of band-aids and aspirin. If I hurt myself and you try to pee on me I'm going to kick you in the nuts.
Last edited:
.38 Special
Member
- Joined
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- Messages
- 7,371
I have certainly learned a lot from these topics, though. My "BOB" used to contain water, food, clothes, shelter, TP, and a .22 caliber revolver. Since being enlightened by THR I have gotten rid of all that sissy stuff and substituted a gallon of urine, a box of Tampax, an Asherman Chest Seal, a case of Pampers, and an AK-47 with 5,000 rounds of ammo. Thanks for all your help!
Shadow 7D
Member
.38 SPC
You know that the urine is going to go bad......
Much better to pack your field espresso machine, that way you have urine on demand fresh from the tap, either that or the dehydrated beer........
As for the swoopty stuff, IF I had burning willy peat and that is what you had to put it out, then pee away, other wise I'm with you, orchiectomy will be preformed.
The tampons came from my uncle who was a Vietnam medic, the trick was to use the petite or small ones, but once again, we got other stuff that does the same stuff, However they did come in handy when I was in a mixed unit, pampers are expensive, unless that's what you use for your kid, or use wet gauze, or use aloe vera on gauze. The point is that this isn't stuff you learn from reading the internet, its done hands on for the climate / situation your going to need it for.
and to end ROTFLMAO
You know that the urine is going to go bad......
Much better to pack your field espresso machine, that way you have urine on demand fresh from the tap, either that or the dehydrated beer........
As for the swoopty stuff, IF I had burning willy peat and that is what you had to put it out, then pee away, other wise I'm with you, orchiectomy will be preformed.
The tampons came from my uncle who was a Vietnam medic, the trick was to use the petite or small ones, but once again, we got other stuff that does the same stuff, However they did come in handy when I was in a mixed unit, pampers are expensive, unless that's what you use for your kid, or use wet gauze, or use aloe vera on gauze. The point is that this isn't stuff you learn from reading the internet, its done hands on for the climate / situation your going to need it for.
and to end ROTFLMAO
First thing I would consider is that it is unlikely I will be able to successfully address every possible problem on my own, regardless of equipment so KISS. The most you can hope to do is provide adequate relief for the most common non life threatening injuries, and perhaps heroically attempt to buy a little time for a severely injured person until rescue arrives. Equipping to set up a field ICU is not very reality based.
You should be equipped to provide relief for: dehydration, fever, Minor burns, insect bites, plant induced irritations, sprained articulations, limb fractures, cuts and scrapes.
1)Training, knowledge, training and some more knowledge.
2)Drugs, ointments, etc:
-Antiinflamatory/pain relief NSAIDs (aspirin, tylenol, and ibuprofen for the cramping ladies) Opioids are near impossible but an NSAID alternative is ketorolac(Toradol). With syringes for its parenteral administration it would be near ideal for severe pain relief.
-Re-hydration salts
-Topical anesthetic/feelgood spray (e.g., Sooth-a-Caine) for 1st degree burns and bad insect bites.
-Antihistamines for miscellaneous allergic reactions, if someone in your party is known to be severely allergic an epinephrine pen or equivalent is good
-Neosporine for wounds
-70% ethylAlcohol for general disinfection, may also serve to cool inflamed areas
3)Supplies and tools for external use:
-light weight multiuse splint(s) (like SAM) and one or two rolls of elastic bandages for immobilizing limbs. Maybe a cervical spine collar if you already have one.
-Plenty of sterile cotton and gauze for dressing
-Tape, tape, tape
-Scissors,solid tweezers(SAK type is iffy), sterile needles for digging out splinters.
-a good bright flashlight/headlamp.
Now, if you do have training a peripheral IV kit with 2 or more liters of saline solution can be very welcome.
You should be equipped to provide relief for: dehydration, fever, Minor burns, insect bites, plant induced irritations, sprained articulations, limb fractures, cuts and scrapes.
1)Training, knowledge, training and some more knowledge.
2)Drugs, ointments, etc:
-Antiinflamatory/pain relief NSAIDs (aspirin, tylenol, and ibuprofen for the cramping ladies) Opioids are near impossible but an NSAID alternative is ketorolac(Toradol). With syringes for its parenteral administration it would be near ideal for severe pain relief.
-Re-hydration salts
-Topical anesthetic/feelgood spray (e.g., Sooth-a-Caine) for 1st degree burns and bad insect bites.
-Antihistamines for miscellaneous allergic reactions, if someone in your party is known to be severely allergic an epinephrine pen or equivalent is good
-Neosporine for wounds
-70% ethylAlcohol for general disinfection, may also serve to cool inflamed areas
3)Supplies and tools for external use:
-light weight multiuse splint(s) (like SAM) and one or two rolls of elastic bandages for immobilizing limbs. Maybe a cervical spine collar if you already have one.
-Plenty of sterile cotton and gauze for dressing
-Tape, tape, tape
-Scissors,solid tweezers(SAK type is iffy), sterile needles for digging out splinters.
-a good bright flashlight/headlamp.
Now, if you do have training a peripheral IV kit with 2 or more liters of saline solution can be very welcome.
.38 SPC: Nice! That has made my day!
I am a licensed EMT-IV (slightly watered down EMT-I), and work full time in the field. My take on it is this, if you're going hiking your main injuries will be sprains, fractures, and some strains. You ought to tailor your kit for that.
Don't leave home without: A cell or satellite phone or VHF/UHF radio with local emergency frequencies. Emergency medicine is mostly about keeping people alive long enough to get them to a higher level of care, not about "fixing" them. If you don't have a means to get help, you've already failed in your mission.
Drugs: Some ASA, ibuprofen, and motrin, imodium/pepto, neosporin, benadryl, cortisone cream. If you carry the med with you, make sure you know it inside and out (what to use it for, adult and ped dosing, side effects, route of administration, trade and generic name).
If dehydration is a big concern, keep an eye on your fellow hikers to make sure they drink lots of water. Easier to treat dehydration by preventing it than treating it once it happens!
If any of your fellow hikers take any meds on a regular basis or carry an epi-pen, make sure they pack them, and keep it with them. Remember you can assist patient with taking meds, you can't give it to them as a -B.
Dressings and Bandage: A dozen 4x4, enough klink wrap, a 4-5 rolls of ACE bandage. Bandaids of various sizes (nip small cuts at the bud from turning into bigger problems later on). Butterfly closures these can be used as temporary stitches. Slap 'em on, dress and bandage the wound, and its almost like stitches.
Splinting: 3-5 4" wide SAM splints will be enough for what you need. I'm hoping your crew is experienced, so they should not be breaking bones left and right. C-Collar: You got a SAM splint, don't you?
Other stuff: A compact CPR barrier device is good to have. 2 pairs of nitrile gloves. SHEARS, if you're an EMT you don't leave your home without your pair! Tape! Some Provodine and Alcohol wipes.
Nice to have: Some of those pressurized NS sprays for flushing wounds. Topical anesthetics, as Blake called them "feelgood sprays", nasal and oral airways, a c-collar, a LSB, O2, portable suction, and a paramedic and an entire ambulance.
Remember to strip your kit down to meet your likely injury cross-section.
Most of all, if you aren't trained or licensed to use it, DON'T BRING IT! You're flirting with loosing your license in the least, and being criminally liable in the worst. So don't! If its not in your scope to do needle decompression, administer narcs, or perform a crike, don't think you can get away with it just because you're off-duty. As far as my state law looks at it, if I am licensed, I am always "on duty" and must adhere to my protocols, standing orders, and guidelines.
Have fun, and be safe!
I am a licensed EMT-IV (slightly watered down EMT-I), and work full time in the field. My take on it is this, if you're going hiking your main injuries will be sprains, fractures, and some strains. You ought to tailor your kit for that.
Don't leave home without: A cell or satellite phone or VHF/UHF radio with local emergency frequencies. Emergency medicine is mostly about keeping people alive long enough to get them to a higher level of care, not about "fixing" them. If you don't have a means to get help, you've already failed in your mission.
Drugs: Some ASA, ibuprofen, and motrin, imodium/pepto, neosporin, benadryl, cortisone cream. If you carry the med with you, make sure you know it inside and out (what to use it for, adult and ped dosing, side effects, route of administration, trade and generic name).
If dehydration is a big concern, keep an eye on your fellow hikers to make sure they drink lots of water. Easier to treat dehydration by preventing it than treating it once it happens!
If any of your fellow hikers take any meds on a regular basis or carry an epi-pen, make sure they pack them, and keep it with them. Remember you can assist patient with taking meds, you can't give it to them as a -B.
Dressings and Bandage: A dozen 4x4, enough klink wrap, a 4-5 rolls of ACE bandage. Bandaids of various sizes (nip small cuts at the bud from turning into bigger problems later on). Butterfly closures these can be used as temporary stitches. Slap 'em on, dress and bandage the wound, and its almost like stitches.
Splinting: 3-5 4" wide SAM splints will be enough for what you need. I'm hoping your crew is experienced, so they should not be breaking bones left and right. C-Collar: You got a SAM splint, don't you?
Other stuff: A compact CPR barrier device is good to have. 2 pairs of nitrile gloves. SHEARS, if you're an EMT you don't leave your home without your pair! Tape! Some Provodine and Alcohol wipes.
Nice to have: Some of those pressurized NS sprays for flushing wounds. Topical anesthetics, as Blake called them "feelgood sprays", nasal and oral airways, a c-collar, a LSB, O2, portable suction, and a paramedic and an entire ambulance.
Remember to strip your kit down to meet your likely injury cross-section.
Most of all, if you aren't trained or licensed to use it, DON'T BRING IT! You're flirting with loosing your license in the least, and being criminally liable in the worst. So don't! If its not in your scope to do needle decompression, administer narcs, or perform a crike, don't think you can get away with it just because you're off-duty. As far as my state law looks at it, if I am licensed, I am always "on duty" and must adhere to my protocols, standing orders, and guidelines.
Have fun, and be safe!
Water Garden
Member
My personal first aid kit contains the following:
10 3M #0086 large adhesive bandage
04 Spenco "second skin" moist burn pads (costly but well worth it)
01 Tube Foille Antiseptic gel
10 q-tips
02 Medicom triangular bandage40x 40x 56
02 Metal/Foam Finger Splint
10 Safety pins
10 Antiseptic wipes
02 3"x 72" ACE wrap
06 ACE clips
03 3"x 72" sterile gauze wrap
01 2part cold pack
02 10' rolls of medical tape
01 safety scissors
10 alcohol wipes
10 small butterfly bandages
10 large butterfly bandages
04 8" x 10" Kendall abdominal pad
04 2.5"x 2.5" eye pads
04 3"x 3" sterile pads
01 #4 pressure bandage
20 med curad adhesive bandage
20 small curad adhesive bandage
10 Curad finger tip adhesive bandage
10 Curad knuckle adhesive bandage
04 Telfa 4"x 4" adhesive pads
04 3"x 5" non adherent pads
04 2"x 2" non ahderent pads
01 USAF Sewing Kit
01 8oz plastic solution bottle (stream nozzle)
01 Tweezer
10 3M #0086 large adhesive bandage
04 Spenco "second skin" moist burn pads (costly but well worth it)
01 Tube Foille Antiseptic gel
10 q-tips
02 Medicom triangular bandage40x 40x 56
02 Metal/Foam Finger Splint
10 Safety pins
10 Antiseptic wipes
02 3"x 72" ACE wrap
06 ACE clips
03 3"x 72" sterile gauze wrap
01 2part cold pack
02 10' rolls of medical tape
01 safety scissors
10 alcohol wipes
10 small butterfly bandages
10 large butterfly bandages
04 8" x 10" Kendall abdominal pad
04 2.5"x 2.5" eye pads
04 3"x 3" sterile pads
01 #4 pressure bandage
20 med curad adhesive bandage
20 small curad adhesive bandage
10 Curad finger tip adhesive bandage
10 Curad knuckle adhesive bandage
04 Telfa 4"x 4" adhesive pads
04 3"x 5" non adherent pads
04 2"x 2" non ahderent pads
01 USAF Sewing Kit
01 8oz plastic solution bottle (stream nozzle)
01 Tweezer
Sucking chest wound? In Scouts they told us to use a plastic bag and tape.
Has anyone ever used that quick clot stuff? It's the only 'emergency' thing I can think of that might be useful but likely never used. It's also pricey.
I just re-did my vehicle first aid kit and there are no "extravagant" or exotic items, just stuff I learned in Scouting.
.38 You're cracking me up.
Has anyone ever used that quick clot stuff? It's the only 'emergency' thing I can think of that might be useful but likely never used. It's also pricey.
I just re-did my vehicle first aid kit and there are no "extravagant" or exotic items, just stuff I learned in Scouting.
.38 You're cracking me up.
Tim the student
Member
I have - it didn't impress me a lot. It didn't work better than packing and an ACE wrap.
I think that packing and an ACE wrap are the way to go personally.
lordgroom
Member
.38, cracking me up too!
I am just visualizing the experience of telling a patient to hold still while I urinate on his eye to flush out a wound. Any time I have been in a stressful situation, I can't pee for the life of me. (That's why I hate those lines at the ball game).
I am just visualizing the experience of telling a patient to hold still while I urinate on his eye to flush out a wound. Any time I have been in a stressful situation, I can't pee for the life of me. (That's why I hate those lines at the ball game).
.38 Special
Member
- Joined
- Sep 15, 2006
- Messages
- 7,371
Glad to help! LOL.
One of my instructors was in the first graduating class of paramedics to work San Francisco. He told about how they used to seal tension pneumothorax with Saran wrap type film, until one day someone was attempting to do it and the plastic got sucked up into the patient. Now, I'm not sure I believe every story he told, but there you go.
One of my instructors was in the first graduating class of paramedics to work San Francisco. He told about how they used to seal tension pneumothorax with Saran wrap type film, until one day someone was attempting to do it and the plastic got sucked up into the patient. Now, I'm not sure I believe every story he told, but there you go.
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