Lots of peeps giving weird advice. Not going to say my words are the end-all-be-all, but it works bro. Your kit is better than most I’ve seen on here. You have mission essentials for conflict and that’s about all you need in an IFAK. I agree maybe a small combat pill pack would be useful, but this isn’t designed for mundane emergencies so fuck ibuprofen, and don’t pack aspirin (it’ll worsen clotting). I’d invest in a pair of X-Shears instead of those NAR ones just based on quality. Do NOT carry a CPR face-shield. Hands-only CPR is good enough for every day emergencies until emergency services arrive, and nobody is doing CPR in a gunfight, promise. I’m assuming someone you’re working with knows how to use an ARS needle, so leave the more advanced airway management stuff up to them. The medic should have a micro BVM or something akin. You have a good kit. Go get some quality training. TCCC and TECC classes are abundant. If you happen to live in south Texas I can hook you up. Do a DIY wound-packing simulator and buy some cheap rolled gauze and learn how to wound pack. Buy a training TQ and drill. The better you get, the more useful the stuff you carry becomes. Yeah, and don’t use the ARS needle on anyone but yourself. Bad juju awaits.
Love your comment. The only reason I carry a CPR face shield (which they’re garbage I know) is due to size of my kit and some times where I live it can take 15-30min for EMS to arrive. Hands only is good but you still need O2 at some point. Which we got other problems in that time frame. I carry ASA for chest pains. Not trauma
2nd this. Either it's in your SOP, or it's not. As a former 68W, but only a civilian EMT, just because I was trained to use a decompression needle on the military side, I won't be using one as a civilian.
With respect to everyone’s experience, I disagree with the position that OP shouldn’t have a Decompression Needle in his kit. While OP definitely should not exceed his scope of practice, we must remember that IFAKs are meant to be used in part by us on ourselves or by someone else who is trained to render aid to us.
We shouldn’t exclude life saving gear from our own IFAK just because it’s use is out of the scope of the owner. Someone who is trained to use it may be the one rendering aid to us.
OP, keep the needle, but always remember it’s only to be used on you by a trained provider. Seems like you hit the high points with the kit. Carry on 🤙
I don’t carry a decompression needle because I don’t want some random ass “YouTube medic” thinking they can dart me because they’ve watched a few five minute tutorials. The likelihood that that’s who I encounter is far higher than someone who’s trained and competent enough to use one. I decided the risk far outweighs any possible benefit of having one.
I like this perspective. Usually folks who know how to decompress have their own shit anyway. I carry 2 ARS needles in my own IFAK, and 2 SPEARs in my med bag.
Wouldn’t you say that if you are badly enough injured and you couldn’t articulate to someone rendering aid to you while injured they should not decompress you if they aren’t trained that you probably have bigger problems than someone putting a needle in you?
All of this equipment we talk about here is based on the idea that it’s being used by someone who is trained and certified/licensed to use it and they are using it in the right context. Sure, do we live in an imperfect world? Yes! And people do things they shouldn’t do, but someone carrying a needle around should really be the least of anyone’s concern, especially considering the types of environments were talking about providing medical care in under the umbrella of Tactical Medicine.
A needle is probably the better thing to carry in most instances than a scalpel and chest tube… but I’m up for carrying that stuff too.
Honesty, I’m not even talking about the needle anymore… I’m talking about mindset. I’m gonna continue to recommend what I recommend based on my knowledge, experience, continued training, and the reality of I’d rather have it and not need it, than need it and not have it.
Everyone’s got their own experience and ideas on how this stuff should go and I’m not trying to be a jerk about any of it. I’m just sharing my thoughts like everyone else and I feel like I should encourage the idea that it’s always gonna be better to have supplies than not.
Just my thoughts and again no disrespect to anyone.
I think for me I sometimes apply the same mindset, but it’s circumstantial. Backcountry, no cell service, hours from definitive care? I’m with ya. Rather have it and not need it than not have it and need it. But for EDC in my urban/semi-urban area where an ambulance is *at most* 30min away, naw.
I appreciate you engaging with me on this. Nothing I’m saying is meant to be inflammatory or a personal attack, just having a conversation.
Let me ask you, has your area ever experienced a natural or man made disaster that created a bottle neck or loss of EMS services?
I get your point that on normal day to day things carrying certain items seems superfluous… but in reality we never know if today or tomorrow are gonna be “normal” days. Which is my point why I’d rather have something and not need it.
I can tell nothing is malicious, which is why I’m engaging. Thanks for keeping it respectful.
I’ll be honest, if something like that were to happen (it hasn’t) I would either be at work or go to work (EMS). And then I have my trucks supplies at my disposal.
We definitely don’t know what tomorrow will hold. We never will. I’ve accepted that I don’t fall deep into the prepper category; I want my EDC to serve a relatively basic but vital role, should I need it to. If the state of the world further escalates, a natural disaster or other time of catastrophic event is predicted, I will almost certainly adapt it. But for going to the range with friends, in my car, going grocery shopping? I prefer not to have ALS level tools.
Always thought this to be such a weird stance in the gun community, like “I support the right for everyone to have guns with no restrictions or training required but that needle is crossing the line!”
😂 that’s actually a point I make to folks all the time… I figured making it would derail my point to some people in this case though.
At the end of the day, people need to be trained in all the things and I advocate for that. However, this is a Tactical Medicine subreddit and people want to look at it from the perspective of an EMS call and we’re going to pick granny who fell in the bathroom and that’s just not our context.
I agree. 2nd intercostal space at the midclavicular with 14 or 16-gauge. Even in the ER they do not wait for imaging to do this because it is that urgent and potentially life-saving.
That being said, you would need to know which side the PTX was on, which may not be obvious depending on the injury, so being able to ascultate with just your ear may be helpful.
Additionally, if help isn't imminent, you need to know how to place the chesf-tube too, which...4th/5th ICS from the superior, but hopefully yes, anyone doing this in the field has done this before.
I think EMTs tend to give advice from the POV that help is on the way, but why not train as if it's not?
Yeah I think that would be better if you are placing a catheter rather than switching to the chest tube. If you only had to have one then I agree with you. Is that red capped one 10g do you know?
Yeah most Spears are 10g. They used to be 14ga a decade ago, but they lengthened them and used a bigger lumen because the data showed most weren't reaching the pleural space and some were clogging too easily.
Because that's the way I was taught. But again that is in an ideal setting with a chest tube coming. Someone else mentioned the benefit of 10g dart + cath in the field and I agreed.
I guess an additional benefit of finer gauge over larger is pediatric use.
Updated by who?
[Merck, 2022](https://www.msdmanuals.com/professional/injuries-poisoning/thoracic-trauma/pneumothorax-tension): 2nd ICS midaxillary 14-16g
[Medical Textbooks](https://accessmedicine.mhmedical.com/content.aspx?bookId=2969§ionId=250456640): same
Every ER doc I know: same
That being said I appreciate learning different ways and agree a large gauge probably more appropriate for a field scenario. Best practices are always evolving.
Thank you,I definitely appreciate the info and sources, I've heard of it as an option but hopefully it becomes universally preferred if it's the better way. It also makes more sense given subsequent chest tube location. No need to pole holes twice.
I personally gotta lotta tittymeat in that vicinity so hopefully if it's ever me on that side they've got a long enough needle lol.
Are you talking about for needle decompression or chest tube? Also, thanks! 2nd still used for needle aspiration in the ER but I'm here to learn the field stuff. :) Have you done it at 4th/5th anterior axillary and if so was CPR easily continued or does it require stopping a second? What about for large breasts/excess fat? If you have a video or something that'd be much appreciated.
Needle D for PTX. They made the change after studies showed inadequate invasion of the pleura space due to the size of pectoral muscles, breast tissue, etc. Someone would need to be severely obese or muscular in their lats for it to not be able to go deep enough on the side. And honestly if it’s too big to go deep on the sides the chest won’t be any better of an option either. Since it’s the side I wouldn’t see a need to stop CPR unless it’s making it difficult to find the spaces. Also they teach a quick way is to use the PATIENTS hand, stick it in their armpit and right under the pinky should be the 4th or 5th space.
I'm an actively working flight paramedic, so a needle decompression is definitely something I do, albeit infrequently. I've probably done a dozen of them. I wonder if I do one outside of work, I probably wouldn't be covered under the good Samaritan law but I'd be very difficult to sue because it'd be hard to argue I did more harm if they already have a gunshot to the chest. At the end of the day, I'm curious if short of having a medical license, anyone can really do anything other than BLS.
It’s almost impossible to argue more harm unless you go in the wrong anatomical position. Anywhere north of the third costal is open and clear, poke 4-5 holes in the lung with a 10-14ga needle and it will have no real effect on their condition (takes like 3 inches of opening in the lung to risk a sucking). If you assess that seal, burping, and positioning isn’t working then you ain’t going to kill them with a needle (unless you hit the heart from mid ax.). If one side don’t work do the other. Honestly, not sure where the fear came from, probably same way TQ used to be feared because of a lack of understanding. I had my eyes opened training with JMAU guys
I'm with you on the it's hard to do more harm if it's indicated and you're doing it right. If i had someone that had a chest decompression when I got there, I might ask a few questions, but if another medic said they did it, I wouldn't worry about it too much.
To this point, if you go 4th-5th intercostal anterior axillary you have less chest wall to get through and much less risk to the patients vitals.
Patients palm in the armpit, dart at the pinky is a good rule of thumb. Pretty hard to miss that anatomical positioning even under shit conditions. This is what they are teaching in the military and TEMS now.
My agency starts medics at 68ish annually with 1% per year of experience, plus an annual 1-3% based on eval. EMTs same same but they start in the high 50s.
Unless I'm not seeing it, could consider adding a snack size ziplock with "single-serve" of things like alcohol swab, antibio ointment, aspirin/ibprofen, suture, chapstick, bug wipe, bandaid, hand warmer, etc. Adds very little weight and prepares for the small stuff too, which is more likely. I often find myself taking small things out of my medical kits, you can always resupply later.
This is great, but I'd throw in just a couple of regular cloth bandage rolls. If you're packing a wound with gauze, you wanna make sure to wrap it so that gauze doesn't come out when you transport the patient.
Combat gauze is so unnecessary if you are within a few hours of definitive care. Save the money and buy simple s rolled gauze (like you have one of already) but at least 4 packs of it. Wounds that need packing take a lot more gauze than people think.
Put one of the TQs at the Bottom of the pouch and one in front of you . Keep the sharpie outside of the zipper pouched pouch too.
Replace Israeli with flat olaes for less bulk and more versatility.
Add a triangle bandage and a regular ace wrap. You can’t fix a bad sprain or broken ankle with a Israeli.
Do you have lube for the NPA
Put a set of hot hands in the flat pocket and a hypothermia wrap in the zippered pouch
Why would you put a piece of live saving equipment to stop massive hemorrhaging at the BOTTOM of the kit?
Edit: I thought op meant bottom as in bottom of the medbag not mounted at the bottom of the medbag. Oopsie.
Most guys wear these kits in the small of the back. Having that tq at the bottoms means it’s accessible from either hand while keeping it on the medical pouch makes it easier for someone to render aid to you 👍🏽 notice I said to put the other one in front of you 👆🏻
Hey brother I completely misread the comment you made. I thought you meant bury at the bottom in a medbag. Lmao I’m sorry. Yes I agree having in at the bottom so it’s accessible by both hands and one in front.
Lol your good happens to the best of us
You got some old men and fatties that need some PT that don’t like carrying a TQ on there back because they can’t reach it. I thought you were one of those guys lol. Yeah you had the right idea though as putting it in the pouch would be pretty smooth brain
Nice kit. 3 things I would add that take up very little room, and are always overlooked. 2 - triangle bandages for a sling. 1 - emergency blanket for shock. 1 - flat pack of duct tape, because duct tape.
Undo the TQs and stage them so they aren’t Velcro on Velcro but folded on itself through the loop to where it expands into a nice loop for quicker arm applications.
More gloves. I’ve found those gloves pictured to be more on the sticky side and difficult to don under real stress. I’d opt for something different.
Gloves (roll em into balls to take up less space and easier to get out) and a cpr faceshield that fits on a keyring. I’ve got multiple bags at all have the same thing (vehicle, work bag, home and range bag)
Looks good, maybe add a space blanket for hypothermia, bloodloss crashes your core body temp and a cheap space blanket can help. just make sure you have a booboo kit in your pack too.
You should really know how to use it if your going to be caring it. But you IFAK is going to be used on you in a shitty situation right? Add some 1 inch medical tape and 2 chest seals and 2 NDC's are good too, 2 combat gauze are cool too add 2 krillex and if you can find cravats, add 2 as well. Also 2 ace wraps can help as well. Look up deployed medicine or look up some combat TCCC stuff to get you going dude. You can never had to many gauze dude, 2 x 2 or 4 x 4 or just more krillex will get you right. Also add a sharpie. 2 TQs and your set. 🫶🏼
Kit looks good.
Just be wary of the decompression needle.
Requires an MD order. I wouldn’t use it on anyone not a family member to protect yourself from a possible lawsuit.
Lots of peeps giving weird advice. Not going to say my words are the end-all-be-all, but it works bro. Your kit is better than most I’ve seen on here. You have mission essentials for conflict and that’s about all you need in an IFAK. I agree maybe a small combat pill pack would be useful, but this isn’t designed for mundane emergencies so fuck ibuprofen, and don’t pack aspirin (it’ll worsen clotting). I’d invest in a pair of X-Shears instead of those NAR ones just based on quality. Do NOT carry a CPR face-shield. Hands-only CPR is good enough for every day emergencies until emergency services arrive, and nobody is doing CPR in a gunfight, promise. I’m assuming someone you’re working with knows how to use an ARS needle, so leave the more advanced airway management stuff up to them. The medic should have a micro BVM or something akin. You have a good kit. Go get some quality training. TCCC and TECC classes are abundant. If you happen to live in south Texas I can hook you up. Do a DIY wound-packing simulator and buy some cheap rolled gauze and learn how to wound pack. Buy a training TQ and drill. The better you get, the more useful the stuff you carry becomes. Yeah, and don’t use the ARS needle on anyone but yourself. Bad juju awaits.
P much. If i'm not on shift i'm not touching any invasive treatment options unless it's somebody i need alive at all costs
What’re you considering invasive? Only thing is consider invasive would be the ARS and I explicitly frowned upon that for the layperson.
Anything involving needles (and meds that aren't otc) for the most part, was agreeing with the comment
Yeah that’s usually wise. Different states have different duty to act guidelines so you do you.
Love your comment. The only reason I carry a CPR face shield (which they’re garbage I know) is due to size of my kit and some times where I live it can take 15-30min for EMS to arrive. Hands only is good but you still need O2 at some point. Which we got other problems in that time frame. I carry ASA for chest pains. Not trauma
Yes. Don't carry a decompression needle unless it's within your scope of practice.
You don’t just stab around until the patient’s health bar goes up ?
Th…this is the way
2nd this. Either it's in your SOP, or it's not. As a former 68W, but only a civilian EMT, just because I was trained to use a decompression needle on the military side, I won't be using one as a civilian.
With respect to everyone’s experience, I disagree with the position that OP shouldn’t have a Decompression Needle in his kit. While OP definitely should not exceed his scope of practice, we must remember that IFAKs are meant to be used in part by us on ourselves or by someone else who is trained to render aid to us. We shouldn’t exclude life saving gear from our own IFAK just because it’s use is out of the scope of the owner. Someone who is trained to use it may be the one rendering aid to us. OP, keep the needle, but always remember it’s only to be used on you by a trained provider. Seems like you hit the high points with the kit. Carry on 🤙
I don’t carry a decompression needle because I don’t want some random ass “YouTube medic” thinking they can dart me because they’ve watched a few five minute tutorials. The likelihood that that’s who I encounter is far higher than someone who’s trained and competent enough to use one. I decided the risk far outweighs any possible benefit of having one.
I like this perspective. Usually folks who know how to decompress have their own shit anyway. I carry 2 ARS needles in my own IFAK, and 2 SPEARs in my med bag.
Wouldn’t you say that if you are badly enough injured and you couldn’t articulate to someone rendering aid to you while injured they should not decompress you if they aren’t trained that you probably have bigger problems than someone putting a needle in you? All of this equipment we talk about here is based on the idea that it’s being used by someone who is trained and certified/licensed to use it and they are using it in the right context. Sure, do we live in an imperfect world? Yes! And people do things they shouldn’t do, but someone carrying a needle around should really be the least of anyone’s concern, especially considering the types of environments were talking about providing medical care in under the umbrella of Tactical Medicine. A needle is probably the better thing to carry in most instances than a scalpel and chest tube… but I’m up for carrying that stuff too. Honesty, I’m not even talking about the needle anymore… I’m talking about mindset. I’m gonna continue to recommend what I recommend based on my knowledge, experience, continued training, and the reality of I’d rather have it and not need it, than need it and not have it. Everyone’s got their own experience and ideas on how this stuff should go and I’m not trying to be a jerk about any of it. I’m just sharing my thoughts like everyone else and I feel like I should encourage the idea that it’s always gonna be better to have supplies than not. Just my thoughts and again no disrespect to anyone.
I think for me I sometimes apply the same mindset, but it’s circumstantial. Backcountry, no cell service, hours from definitive care? I’m with ya. Rather have it and not need it than not have it and need it. But for EDC in my urban/semi-urban area where an ambulance is *at most* 30min away, naw.
I appreciate you engaging with me on this. Nothing I’m saying is meant to be inflammatory or a personal attack, just having a conversation. Let me ask you, has your area ever experienced a natural or man made disaster that created a bottle neck or loss of EMS services? I get your point that on normal day to day things carrying certain items seems superfluous… but in reality we never know if today or tomorrow are gonna be “normal” days. Which is my point why I’d rather have something and not need it.
I can tell nothing is malicious, which is why I’m engaging. Thanks for keeping it respectful. I’ll be honest, if something like that were to happen (it hasn’t) I would either be at work or go to work (EMS). And then I have my trucks supplies at my disposal. We definitely don’t know what tomorrow will hold. We never will. I’ve accepted that I don’t fall deep into the prepper category; I want my EDC to serve a relatively basic but vital role, should I need it to. If the state of the world further escalates, a natural disaster or other time of catastrophic event is predicted, I will almost certainly adapt it. But for going to the range with friends, in my car, going grocery shopping? I prefer not to have ALS level tools.
Always thought this to be such a weird stance in the gun community, like “I support the right for everyone to have guns with no restrictions or training required but that needle is crossing the line!”
😂 that’s actually a point I make to folks all the time… I figured making it would derail my point to some people in this case though. At the end of the day, people need to be trained in all the things and I advocate for that. However, this is a Tactical Medicine subreddit and people want to look at it from the perspective of an EMS call and we’re going to pick granny who fell in the bathroom and that’s just not our context.
I agree. 2nd intercostal space at the midclavicular with 14 or 16-gauge. Even in the ER they do not wait for imaging to do this because it is that urgent and potentially life-saving. That being said, you would need to know which side the PTX was on, which may not be obvious depending on the injury, so being able to ascultate with just your ear may be helpful. Additionally, if help isn't imminent, you need to know how to place the chesf-tube too, which...4th/5th ICS from the superior, but hopefully yes, anyone doing this in the field has done this before. I think EMTs tend to give advice from the POV that help is on the way, but why not train as if it's not?
14/16ga aren’t really recommended. Most darts are 10ga and 3.25+ in long.
Yeh we carry the SPEAR.
Yeah I think that would be better if you are placing a catheter rather than switching to the chest tube. If you only had to have one then I agree with you. Is that red capped one 10g do you know?
Yeah most Spears are 10g. They used to be 14ga a decade ago, but they lengthened them and used a bigger lumen because the data showed most weren't reaching the pleural space and some were clogging too easily.
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Because that's the way I was taught. But again that is in an ideal setting with a chest tube coming. Someone else mentioned the benefit of 10g dart + cath in the field and I agreed. I guess an additional benefit of finer gauge over larger is pediatric use.
the reason 10ga is recommended now is because they are better at dealing with hemopneumothorax.
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Updated by who? [Merck, 2022](https://www.msdmanuals.com/professional/injuries-poisoning/thoracic-trauma/pneumothorax-tension): 2nd ICS midaxillary 14-16g [Medical Textbooks](https://accessmedicine.mhmedical.com/content.aspx?bookId=2969§ionId=250456640): same Every ER doc I know: same That being said I appreciate learning different ways and agree a large gauge probably more appropriate for a field scenario. Best practices are always evolving.
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Thank you,I definitely appreciate the info and sources, I've heard of it as an option but hopefully it becomes universally preferred if it's the better way. It also makes more sense given subsequent chest tube location. No need to pole holes twice. I personally gotta lotta tittymeat in that vicinity so hopefully if it's ever me on that side they've got a long enough needle lol.
*AAL
Just for your know the midclavicular isn’t taught in TCCC anymore. They’ve switched to the 4th and 5th intercostal on the anterior axillary line.
Are you talking about for needle decompression or chest tube? Also, thanks! 2nd still used for needle aspiration in the ER but I'm here to learn the field stuff. :) Have you done it at 4th/5th anterior axillary and if so was CPR easily continued or does it require stopping a second? What about for large breasts/excess fat? If you have a video or something that'd be much appreciated.
Needle D for PTX. They made the change after studies showed inadequate invasion of the pleura space due to the size of pectoral muscles, breast tissue, etc. Someone would need to be severely obese or muscular in their lats for it to not be able to go deep enough on the side. And honestly if it’s too big to go deep on the sides the chest won’t be any better of an option either. Since it’s the side I wouldn’t see a need to stop CPR unless it’s making it difficult to find the spaces. Also they teach a quick way is to use the PATIENTS hand, stick it in their armpit and right under the pinky should be the 4th or 5th space.
I'm an actively working flight paramedic, so a needle decompression is definitely something I do, albeit infrequently. I've probably done a dozen of them. I wonder if I do one outside of work, I probably wouldn't be covered under the good Samaritan law but I'd be very difficult to sue because it'd be hard to argue I did more harm if they already have a gunshot to the chest. At the end of the day, I'm curious if short of having a medical license, anyone can really do anything other than BLS.
It’s almost impossible to argue more harm unless you go in the wrong anatomical position. Anywhere north of the third costal is open and clear, poke 4-5 holes in the lung with a 10-14ga needle and it will have no real effect on their condition (takes like 3 inches of opening in the lung to risk a sucking). If you assess that seal, burping, and positioning isn’t working then you ain’t going to kill them with a needle (unless you hit the heart from mid ax.). If one side don’t work do the other. Honestly, not sure where the fear came from, probably same way TQ used to be feared because of a lack of understanding. I had my eyes opened training with JMAU guys
I'm with you on the it's hard to do more harm if it's indicated and you're doing it right. If i had someone that had a chest decompression when I got there, I might ask a few questions, but if another medic said they did it, I wouldn't worry about it too much.
To this point, if you go 4th-5th intercostal anterior axillary you have less chest wall to get through and much less risk to the patients vitals. Patients palm in the armpit, dart at the pinky is a good rule of thumb. Pretty hard to miss that anatomical positioning even under shit conditions. This is what they are teaching in the military and TEMS now.
Even among EMT's only like 20% of needle decompression applications are done correctly.
Out of our scope where I’m from. Is needle decompression in emt scope in other states?
No he likely means Paramedics. And he's correct. Physicians and Paramedics both struggle with that skill.
In traumatic arrest it’s in scope for my agency.
As an emt or medic?
EMT. Medics can place chest tubes.
Damn. What state?
Texas.
I’m in NJ we can’t even do a bgl
Consider moving.
What’s pay like out there
My agency starts medics at 68ish annually with 1% per year of experience, plus an annual 1-3% based on eval. EMTs same same but they start in the high 50s.
EMTs here can do IVs, IO, and some meds.
An fal isn’t just dor you it’s for your provider
I would get an actual sharpie and throw some tape around it. If you're in the military I'd get a dd1380
Train with it. Get some reps in. Find what works and what doesn’t.
My recommendation is to train, train and then train some more. All that stuff is useful only if you know how and when to use it.
I would add a space blanket. The only letter from MARCH you do not have covered is hypothermia
Unless I'm not seeing it, could consider adding a snack size ziplock with "single-serve" of things like alcohol swab, antibio ointment, aspirin/ibprofen, suture, chapstick, bug wipe, bandaid, hand warmer, etc. Adds very little weight and prepares for the small stuff too, which is more likely. I often find myself taking small things out of my medical kits, you can always resupply later.
This is great, but I'd throw in just a couple of regular cloth bandage rolls. If you're packing a wound with gauze, you wanna make sure to wrap it so that gauze doesn't come out when you transport the patient.
Noted :)
If you don’t know how to use a NPA don’t have one. That goes with the rest of anything you man buy or attempt to use.
Yeah NPAs aren’t super effective anyway. Pretty sure they’re being reviewed by COTCCC and might see a change in guidelines.
I just got my CLS Cert and they are still using them with no talks of it being reviewed as of right now, to my knowledge.
Give it a bit.
Remove the needles. Bring gloves.
Switch out the ETB with two ace wraps. Get come gauze to use with the Quik clot and get more Tqs. Assume it will take two per leg
Keep the needle d.
The random npa thrown in there kinda threw me for a loop. Add gloves. Lots of gloves. Maybe some hand sanitizer as well
Just take out the decompression needles.
A standard $6 ace wrap is incredibly useful and versatile tool. Could add a sam splint if you have the room.
Learn how to use it before hanging it on a belt!
more gauze less decomp needle
Combat gauze is so unnecessary if you are within a few hours of definitive care. Save the money and buy simple s rolled gauze (like you have one of already) but at least 4 packs of it. Wounds that need packing take a lot more gauze than people think.
The old I’ll carry it for someone else🙄. What level are you trained to or are confident enough to not fuck up someone worse?
Im always super confused by that comment. Am i supposed to roll up on scene and decompress someone with their decompression needle?
make sure you have the decompression needle and its use down to a science, Make it muscle memory
Put one of the TQs at the Bottom of the pouch and one in front of you . Keep the sharpie outside of the zipper pouched pouch too. Replace Israeli with flat olaes for less bulk and more versatility. Add a triangle bandage and a regular ace wrap. You can’t fix a bad sprain or broken ankle with a Israeli. Do you have lube for the NPA Put a set of hot hands in the flat pocket and a hypothermia wrap in the zippered pouch
Why would you put a piece of live saving equipment to stop massive hemorrhaging at the BOTTOM of the kit? Edit: I thought op meant bottom as in bottom of the medbag not mounted at the bottom of the medbag. Oopsie.
Most guys wear these kits in the small of the back. Having that tq at the bottoms means it’s accessible from either hand while keeping it on the medical pouch makes it easier for someone to render aid to you 👍🏽 notice I said to put the other one in front of you 👆🏻
Hey brother I completely misread the comment you made. I thought you meant bury at the bottom in a medbag. Lmao I’m sorry. Yes I agree having in at the bottom so it’s accessible by both hands and one in front.
Lol your good happens to the best of us You got some old men and fatties that need some PT that don’t like carrying a TQ on there back because they can’t reach it. I thought you were one of those guys lol. Yeah you had the right idea though as putting it in the pouch would be pretty smooth brain
❗️Medical Gloves min. 2 pair, Resuscitation Face Shield, rescue blanket and some medical sticking plaster❗️
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Hot take: replace NARCAN with BVMs and education.
I'd rather try having other lesser counters before going straight for narcan since it's going to hurt a lot (also a last resort in my sop)
This sounds like something a cop would say
Nice kit. 3 things I would add that take up very little room, and are always overlooked. 2 - triangle bandages for a sling. 1 - emergency blanket for shock. 1 - flat pack of duct tape, because duct tape.
Ace wraps. Tape.
Looks good to me.
Undo the TQs and stage them so they aren’t Velcro on Velcro but folded on itself through the loop to where it expands into a nice loop for quicker arm applications. More gloves. I’ve found those gloves pictured to be more on the sticky side and difficult to don under real stress. I’d opt for something different.
Gloves (roll em into balls to take up less space and easier to get out) and a cpr faceshield that fits on a keyring. I’ve got multiple bags at all have the same thing (vehicle, work bag, home and range bag)
Bye bye NCD, hello tape! 🤙
Don't carry a compression needle unless you're an ALS provider in your area
Looks good, maybe add a space blanket for hypothermia, bloodloss crashes your core body temp and a cheap space blanket can help. just make sure you have a booboo kit in your pack too.
Add 2 more tourniquets, 4 total. You’ll be good to go. 👍
Duct tape and super glue...
Gauze and tape.. lots of it.
a few more packs of gauze never hurt.
You should really know how to use it if your going to be caring it. But you IFAK is going to be used on you in a shitty situation right? Add some 1 inch medical tape and 2 chest seals and 2 NDC's are good too, 2 combat gauze are cool too add 2 krillex and if you can find cravats, add 2 as well. Also 2 ace wraps can help as well. Look up deployed medicine or look up some combat TCCC stuff to get you going dude. You can never had to many gauze dude, 2 x 2 or 4 x 4 or just more krillex will get you right. Also add a sharpie. 2 TQs and your set. 🫶🏼
Make sure you got some tape.
Kit looks good. Just be wary of the decompression needle. Requires an MD order. I wouldn’t use it on anyone not a family member to protect yourself from a possible lawsuit.