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Originally Posted By 6Demon6Face6:
Originally Posted By joshr502:
I'm a medic and I've been working in Iraq/Afghanistan (currently in Afghanistan) for the past 5 years. I've used every piece of equipment in a BOK/IFAK in real world combat situations. IMHO the TK-4 is a piece of junk. The CAT is not too bad, but I've had 2 of the plastic cranks break. I like the SOF-T. It's similar to the CAT, but has a metal crank on it. The Bolin Chest Seal is fantastic. The Ashermans used to be great, but in real world applications, they just don't stick to wet skin. You end up having to use duct tape or 100mph tape to make it stay on. That defeats the purpose of carrying the Asherman if you need to carry something else to make it stick. The Bolin will stick to any thing! It has button valves instead of the flutter valve that the Asherman has, but they work just the same. Big difference is that it actually sticks to your patient! Adding some type of hemostatic agent to your kit is highly reccomended. QuickClot and Hemcon are the big ones out there. Traumadex was recalled by the Army for some reason. Hemcon is not that good for bullet wounds. You have to see the bleeding vessel and use it like a tire patch. This can be very hard to do with bullet wounds, where the bleeding vessel has retracted into the surrounding tissue. IMHO, it'sbetter used for large avulsions (skin flaps). QuickClot works great. They have a new version called Combat Gauze that is even better. It looks just like rolled gauze and you can stuff it in the hole and put a pressure dressing on it. Just remember, QuickClot should only be used on the extremities, mainly the armpits and groin. Anywhere else, you should be able to stop the bleeding with a pressure dressing and/or TQ. Do not use QuickClot in the chest or abdominal cavity. This can cause further harm to your patient, due to the exothermic reaction created by its use. Intestines and lung tissue don't react to well to heat! As far as Isreali bandages go, I carry the 4 inch in my kit. It just saves a bit of space. Another space saver if the OLEAS dressings from Tactical Medical Solutions. They are similar to the Isreali Dressings, but have a pocket behind the actual dressing that has some rolled gauze and an occlusive dressing hidden inside. Hope this info helps! I heard the newer versions of QuickClot don't run as hot as when it first came out. Is the burning the only reason not to use it in the chest and abdomen? No. Among other things, you run a higher risk of introducing it into the lungs or a larger vessel like the vena cava where it can cause an embolus. With deep abdominal or thoracic trauma the vast majority of the potential bleed is internal, and something like QC won't do much to control bleeding while causing a bunch of potential problems. |
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"Eventually, I managed to use the squirrel to break down the door..."
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You really want to know what you're doing before you go poking around in the abdomen and chest. Add to that the fact that besides the aorta there aren't really any big pipes to be concerned about, and relatively short civilian transport times, and most are left with the conclusion that the abdomen is pretty much better left to someone else.
That being said, as a former corpsman I personally would have no qualms about using Combat Gauze on, say for example a large abdominal exit wound with severe hemorrhage from a difficult to identify source. As long as you're not blindly packing gauze into the abdominal cavity or ruptured organs. And this would only be for when you're an hour or two away from real medical care. I cannot overstate that doing ANYTHING above your level of training will make you either a hero or criminally and stupidly negligent based solely on the outcome, so don't do anything you don't completely understand. ETA: forgot to address the temperature issue. Combat Gauze creates zero heat. ACS+ is literally a watered down version of the original QuikClot, so it doesn't generate as much heat, but it doesn't work as well either. |
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...And the Wolves will learn what we've shown before
We love our Sheep, we Dogs of war -Russ Vaughn |
Originally Posted By Prime:
You really want to know what you're doing before you go poking around in the abdomen and chest. Add to that the fact that besides the aorta there aren't really any big pipes to be concerned about, and relatively short civilian transport times, and most are left with the conclusion that the abdomen is pretty much better left to someone else. That being said, as a former corpsman I personally would have no qualms about using Combat Gauze on, say for example a large abdominal exit wound with severe hemorrhage from a difficult to identify source. As long as you're not blindly packing gauze into the abdominal cavity or ruptured organs. And this would only be for when you're an hour or two away from real medical care. I cannot overstate that doing ANYTHING above your level of training will make you either a hero or criminally and stupidly negligent based solely on the outcome, so don't do anything you don't completely understand. ETA: forgot to address the temperature issue. Combat Gauze creates zero heat. ACS+ is literally a watered down version of the original QuikClot, so it doesn't generate as much heat, but it doesn't work as well either. Thanks for the updated information. |
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"...all enemies, foreign and domestic."
Proud owner and supporter of Magpul, Spike's Tactical, TAD, Oakley, Surefire, and SKD products. GT- Ripper888 |
QuickClot used to generate ALOT of heat when it came into contact with a liquid (like blood, lol). Each newer version has been reducing the heat factor. I've used the original granules and the ACS+, both of them work quite well, if applied properly. When I teach people to use QuickClot, I always tell them that it takes at least 2 people and a minimum of 10 minutes to do it right. You have to pack the wound with gauze, apply direct pressure for 5 minutes, remove packing, apply QuickClot, repack wound and reapply direct pressure. Just dumping it into a femoral bleed won't work or at least not nearly as effective as the above method. And just to give you and idea of how hot the granules used to get, I would do a demonstration where I would pour a pack into a water bottle with a small amount of water left in it. It would melt through the bottle! Ouch!
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OK, got the HSGI bleeder kit and the shears.
Time to fill it up. For now I will skip the needles and catheters. Need a TQ, bandages, tape, etc. This is an EXCELLENT thread. Well worth returning to. |
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Either run for your lives, surrender, or stand up and fight...
............................................................................................... A source said: ‘Removing the head in this way was totally inappropriate.’ |
Look around at gun shows and machine gun shoots in your area for the supplies to fill it.
I got three israeli bandages (2x 6", 1x 4" or whatever it is in that bag lol), the pouch, NPA, hemcon bandage, tourniquet, etc. for $19 total. I had everything else I put in there. Picked up the stuff I had to pay for at the MG shoot I attended on 07/04/2010. |
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Thanks to scotchymcdrinkerbean for my membership.
Better look this world in the eye You gotta live this life 'till you die You better have soul, nothing less Cause when it's business time It's life or death... |
I found a $261.00 North American rescue medic kit for $100 at the gun show today. The only thing I need to add is some Quik Clot Combat Gauze.
http://www.narescue.com/Medic__Leg_Rig_Kit_(CCRK)-CN31912CC814EB.html?BC=01CAD72151F1 |
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Over the course of deployments to Iraq and Afghanistan I have tried out several different med pouches, most notably the Tactical Assault Gear molle medical pouch and the Esstac Medrat. While in Iraq I just put the issue IFAK insert in the TAG med pouch and it worked just fine. However, I now have more experience and a large amount of medical supplies. I now have a Esstac Medrat in CB, and IMHO it is the best medical pouch I have seen. I am currently conducting Route Clearance operations in Afghanistan, and the job entails a LOT of climbing in and out of RG-31's and Buffalo's. The Medrat is slim enough that it does not get hung up while moving in and out of the vehicle, and yet it holds a suprising amount of medical equipment in a well layed out fashion. I wanted a detachable pouch but I worried about ripping it off while moving about my vehicle. The Medrat solves this problem with a detachable platform inside the pouch. I have it stocked with Combat Gauze, compressed gauze, 14 gauge needles, flexible airway, chest seals, and a few other pieces, all of which fit without making the pouch too bulky to wear comfortably while seated or dismounted. The outside has a strip of velcro for a medical cross patch just in case the red pull tabs on the zippers aren't enough of a hint. At $50 this pouch is a steal, and I reccomend it to any LE or Military looking to buy the best.
-OIF 08-09, OEF 10-11- |
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Any one here using a OSOE compact VOK pouch? Thinking of picking one up and wanted to hear/see some pics and how you have it loaded.
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This is the one i use. MOLLE platform with a large velcro patch on back which allows you to remove it without undoing the MOLLE straps
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Originally Posted By Custom-X_Sponjah:
Originally Posted By GLOCKshooter:
OK, got the HSGI bleeder kit and the shears. Time to fill it up. For now I will skip the needles and catheters. Need a TQ, bandages, tape, etc. This is an EXCELLENT thread. Well worth returning to. YES, Those are Saiga 12 8rnd Magazines... http://i87.photobucket.com/albums/k160/topher63/DSCF5541.jpg And the Bleeder/Blowout has this in it.. With enough room to add another H&H or Combat Gauze, roll of tape.. Ect.. http://i87.photobucket.com/albums/k160/topher63/DSCF5547.jpg CXS What's that red pen like item you have? Does the Swat t compression work like an Israeli bandage? Thanks! I'm getting a HSGI kit put together myself. |
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Originally Posted By jdmassett: ARS Catheter. Corpsman gave me a couple.What's that red pen like item you have? Does the Swat t compression work like an Israeli bandage? Thanks! I'm getting a HSGI kit put together myself. http://www.narescue.com/ARS_for_Needle_Decompression_%283.25_in.%29-CN1ACDE14CD3FD.html CXS |
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Topher DiMauro
You know my business, and how to get a hold of me.. |
Originally Posted By jdmassett:
Originally Posted By Custom-X_Sponjah:
Originally Posted By GLOCKshooter:
OK, got the HSGI bleeder kit and the shears. Time to fill it up. For now I will skip the needles and catheters. Need a TQ, bandages, tape, etc. This is an EXCELLENT thread. Well worth returning to. YES, Those are Saiga 12 8rnd Magazines... http://i87.photobucket.com/albums/k160/topher63/DSCF5541.jpg And the Bleeder/Blowout has this in it.. With enough room to add another H&H or Combat Gauze, roll of tape.. Ect.. http://i87.photobucket.com/albums/k160/topher63/DSCF5547.jpg CXS What's that red pen like item you have? Does the Swat t compression work like an Israeli bandage? Thanks! I'm getting a HSGI kit put together myself. its a 14 gauge catheter with the flash chamber removed to cut down on size. It used for decompression of tension pneumothorax. Basically its a big honkin needle that goes into your pleural space and lets air and fluid out so that the pressure doesn't build up and cause your lung to compress the large blood vessels (great vessels) in your chest. |
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,=====o00o
//___l__,\__\,___ __ l_---\____l----[]lllllll[] | (o)_)___(o)_)--o-)_) "I come in peace. I didn’t bring artillery. But I’m pleading with you, with tears in my eyes: If you fuck with me, I’ll kill you all." -Gener |
Thanks! that's what I was assuming, the 14 ga I've got is in a different type of case.
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What kind of thin(ish) & small profile med pouch options are there? I want go get something that holds some basic essentials and nothing beyond my level of training and alot of these pouches discussed here are pretty big. I don't like to carry gear that is bulky and sticks out because it makes it more difficult to move and get into a prone stance (same reason I like to use single mag pouches/shingles). Maybe I should just stick with a small utility pouch?
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Originally Posted By wikoli:
What kind of thin(ish) & small profile med pouch options are there? I want go get something that holds some basic essentials and nothing beyond my level of training and alot of these pouches discussed here are pretty big. I don't like to carry gear that is bulky and sticks out because it makes it more difficult to move and get into a prone stance (same reason I like to use single mag pouches/shingles). Maybe I should just stick with a small utility pouch? Too small, and you miss the essentials. My personal smallest kits are in HSGI Bleeder/blowout pouches the size of a triple mag shingle. I did also make one up into a 2X2 mag pouch. A VOK or similarly equipped BOK can fit if you cram it in creatively. Posted Via AR15.Com Mobile |
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Like fine herbs, dreams only develop their full fragrance when crushed and ground into a fine powder.
-LowBeta |
Picked up a CLS bag dirt cheap 90% complete. New bags are a bit larger than the older style.
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I am currently using a Eagle upright GP/Utility pouch for my trauma kit on my Eagle chest rig.
Wanting to try something new (not that there is anything wrong with the Eagle!), I ordered up a HSGI Improved Bleeder/Blowout pouch. It looks like it will be a little more compact than my current setup. But I got to thinking, will one of my 6" Israeli bandages fit in this pouch? Or will I have to go and order up a 4-incher for this? Anyone know? |
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Originally Posted By Schuey2k2:
I am currently using a Eagle upright GP/Utility pouch for my trauma kit on my Eagle chest rig. Wanting to try something new (not that there is anything wrong with the Eagle!), I ordered up a HSGI Improved Bleeder/Blowout pouch. It looks like it will be a little more compact than my current setup. But I got to thinking, will one of my 6" Israeli bandages fit in this pouch? Or will I have to go and order up a 4-incher for this? Anyone know? I'm pretty sure you'll need the 4". A 6" may fit, but may not leave room for any other supplies. |
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Like fine herbs, dreams only develop their full fragrance when crushed and ground into a fine powder.
-LowBeta |
Originally Posted By sleepdr:
Originally Posted By Schuey2k2:
I am currently using a Eagle upright GP/Utility pouch for my trauma kit on my Eagle chest rig. Wanting to try something new (not that there is anything wrong with the Eagle!), I ordered up a HSGI Improved Bleeder/Blowout pouch. It looks like it will be a little more compact than my current setup. But I got to thinking, will one of my 6" Israeli bandages fit in this pouch? Or will I have to go and order up a 4-incher for this? Anyone know? I'm pretty sure you'll need the 4". A 6" may fit, but may not leave room for any other supplies. Thanks! In the description, this HSGI pouch is listed as being 7" tall, but that must be the total height including the sheer pouch in back. Oh, well. I'll take a look at it when it gets here. If the 6" Izzy doesn't work, I'll put a smaller Bloodstopper in there until I can get a 4" Izzy to replace it... |
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Originally Posted By Schuey2k2:
Originally Posted By sleepdr:
Originally Posted By Schuey2k2:
I am currently using a Eagle upright GP/Utility pouch for my trauma kit on my Eagle chest rig. Wanting to try something new (not that there is anything wrong with the Eagle!), I ordered up a HSGI Improved Bleeder/Blowout pouch. It looks like it will be a little more compact than my current setup. But I got to thinking, will one of my 6" Israeli bandages fit in this pouch? Or will I have to go and order up a 4-incher for this? Anyone know? I'm pretty sure you'll need the 4". A 6" may fit, but may not leave room for any other supplies. Thanks! In the description, this HSGI pouch is listed as being 7" tall, but that must be the total height including the sheer pouch in back. Oh, well. I'll take a look at it when it gets here. If the 6" Izzy doesn't work, I'll put a smaller Bloodstopper in there until I can get a 4" Izzy to replace it... The HSIG B/B is very close in size to a triple M4 mag pouch. |
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Like fine herbs, dreams only develop their full fragrance when crushed and ground into a fine powder.
-LowBeta |
Thanks for the update. You're right on the double mag pouch vs triple size. I have mine mounted on 2 different chest rigs that have triple size pouches, and remember now that the B/B doesn't stick out as far as they do. Mine are stocked with little TK4 tourniquets for the small size. On a DIY blowout kit I made in a 2x2 pouch, I put a CAT in between them with rubber bands. If you have a CAT or some other larger tqt, that may be an option to free up space inside the pouch. |
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Like fine herbs, dreams only develop their full fragrance when crushed and ground into a fine powder.
-LowBeta |
I have a TK4 on the way, it'll go on the left side of the pouch. I also plan on picking up a CAT, which will go on the other side.
In the past few hours since I took those shots, I pulled out the 6" Izzy and (temporarily) replaced it with a more compact Bloodstopper. By doing that, it has allowed me to put other things in there. Like some gloves and a small roll of tape. The BS will eventually get replaced with a 4" Izzy, but it'll work for now.. |
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Originally Posted By Schuey2k2: I have a TK4 on the way, it'll go on the left side of the pouch. I also plan on picking up a CAT, which will go on the other side. In the past few hours since I took those shots, I pulled out the 6" Izzy and (temporarily) replaced it with a more compact Bloodstopper. By doing that, it has allowed me to put other things in there. Like some gloves and a small roll of tape. The BS will eventually get replaced with a 4" Izzy, but it'll work for now.. In mine I have 2 Combat Gauze, 1 H&H, 1 SWAT Tourniquet, and a ARS.. CAT Tourniquet on the outside.. CXS |
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Topher DiMauro
You know my business, and how to get a hold of me.. |
Originally Posted By Custom-X_Sponjah:
Originally Posted By Schuey2k2:
I have a TK4 on the way, it'll go on the left side of the pouch. I also plan on picking up a CAT, which will go on the other side. In the past few hours since I took those shots, I pulled out the 6" Izzy and (temporarily) replaced it with a more compact Bloodstopper. By doing that, it has allowed me to put other things in there. Like some gloves and a small roll of tape. The BS will eventually get replaced with a 4" Izzy, but it'll work for now.. In mine I have 2 Combat Gauze, 1 H&H, 1 SWAT Tourniquet, and a ARS.. CAT Tourniquet on the outside.. CXS As soon as all the medical stuff that I ordered gets here, I plan on running the following in it: 4" Izzy, some duct tape, Pri-Med compressed gauze, 14 gauge catheter, NPA w/surgilube, two safety pins, 1 pr. Nitrile gloves, an alcohol prep wipe; and maybe a chemlight, if it will fit. It might go outside. A TK4 (in an OSOE pouch) will also be added to one side of the pouch. A CAT will eventually be added to my chest rig, also. I also have an extra 1.5" long tritium vial that I am hanging in there for emergency lighting purposes. That or I might add a small squeeze light instead. Still deciding..... That's the plan, anyways... |
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Topher DiMauro
You know my business, and how to get a hold of me.. |
Awesome!
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Nice gift. Always good to give first aid gear. Once she learns to use it, she'll be light years ahead of her playground mates who scrounge dirt & leaves for wound care.
You've inspired me. I may create a kit & give it as a gift to close friends or family who shoot. Would consider selling, but good tourniquets and long iv catheters would keep the price up. I shall call it Sleepdr's Hasty Intervention Trauma KIT. Posted Via AR15.Com Mobile |
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Like fine herbs, dreams only develop their full fragrance when crushed and ground into a fine powder.
-LowBeta |
Originally Posted By sleepdr: Nice gift. Always good to give first aid gear. Once she learns to use it, she'll be light years ahead of her playground mates who scrounge dirt & leaves for wound care. You've inspired me. I may create a kit & give it as a gift to close friends or family who shoot. Would consider selling, but good tourniquets and long iv catheters would keep the price up. I shall call it Sleepdr's Hasty Intervention Trauma KIT. Posted Via AR15.Com Mobile The 4x4 HemCon and CAT Tourniquet are close to $200 by themselves.. I made sure there were no Needles and No Blades.. CXS |
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Topher DiMauro
You know my business, and how to get a hold of me.. |
Originally Posted By Custom-X_Sponjah:
Originally Posted By sleepdr:
Nice gift. Always good to give first aid gear. Once she learns to use it, she'll be light years ahead of her playground mates who scrounge dirt & leaves for wound care. You've inspired me. I may create a kit & give it as a gift to close friends or family who shoot. Would consider selling, but good tourniquets and long iv catheters would keep the price up. I shall call it Sleepdr's Hasty Intervention Trauma KIT. The 4x4 HemCon and CAT Tourniquet are close to $200 by themselves.. I made sure there were no Needles and No Blades.. CXS Understood about needles & blades. Even big kid kits don't always have those - you've seen enough of the debates here about tourniquets alone, let alone sharp things. That stuff adds up quickly. My HemCons are timing out, and doubt they'll get replaced with the same thing. CATs, well, have enough of those mixed with other stuff that my wife calls me a pack rat. Posted Via AR15.Com Mobile |
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Like fine herbs, dreams only develop their full fragrance when crushed and ground into a fine powder.
-LowBeta |
Well, after playing with my HSGI B/B pouch for the past few days, I have decided that I want something a little bigger. That way I can get all the medical gear that I need on my chest rig, and not have to cram it into that little pouch.
Not that there's anything wrong with HSGI's B/B pouch. It's a great little pouch. It'll end up on whatever new molle pack that I end up buying, or perhaps a new Go-Bag instead. It'll be stripped down, though; with just a 4" Izzy, Pri-Med gauze, gloves, and a TK4. So, to quench my never-ending thirst for even more molle goodness (I am hooked on this stuff! lol), I ordered up an ATS small upright GP pouch and their Low Profile medical insert today from Blackstone Tactical. I couldn't pass up on their Veteran's Day sale. Now I'll have the option of sticking this med insert in either my Eagle upright GP pouch, or this ATS pouch. Plus, I'll now have a place for a Nalgene on my rig if I need it too... |
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Originally Posted By Custom-X_Sponjah:
Originally Posted By sleepdr:
Nice gift. Always good to give first aid gear. Once she learns to use it, she'll be light years ahead of her playground mates who scrounge dirt & leaves for wound care. You've inspired me. I may create a kit & give it as a gift to close friends or family who shoot. Would consider selling, but good tourniquets and long iv catheters would keep the price up. I shall call it Sleepdr's Hasty Intervention Trauma KIT. Posted Via AR15.Com Mobile The 4x4 HemCon and CAT Tourniquet are close to $200 by themselves.. I made sure there were no Needles and No Blades.. CXS Makes me feel so warm and fuzzy to know I got those two items, an NPA, the pouch, and three izzy's for $19 total. |
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Thanks to scotchymcdrinkerbean for my membership.
Better look this world in the eye You gotta live this life 'till you die You better have soul, nothing less Cause when it's business time It's life or death... |
Got one of these on the way! This will be my first IFAK. Lot's of good info on here. Anyone happen to own one of these?
http://www.usgruntgear.com/newmiifposhp.html |
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Originally Posted By smokintonye:
Got one of these on the way! This will be my first IFAK. Lot's of good info on here. Anyone happen to own one of these? http://www.usgruntgear.com/newmiifposhp.html That seems a little expensive for nothing more than a no name pouch. You do know that it doesn't come with anything in it right? |
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Actual they make custom gear. they are not extremely well known, but if you look up some reviews of there kit, they get nothing but a ton of praise for there stuff. Yes I know that it does not come with supplies. After looking at some other pouches it seems to be about middle of the road, price wise.
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Then I stand corrected. Fill that thing up!
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I hope the pouch is decent. I ordered it because, I already had an oder in with him for a warbelt and some other pouches. There suff has a Lifetime no B.S no questions asked warrenty. I do wish there were some better pics of it opened up. I also wish I could tell if it unzipped all the way. If it doesn't work out I'll just sell it
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All of the top nylon gear MFGs have no BS warranties. There really is no reason to go bargain basement shopping. ;)
[email protected] |
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Originally Posted By dubb-1:
All of the top nylon gear MFGs have no BS warranties. There really is no reason to go bargain basement shopping. ;) [email protected] Why would you assume they have bargain basement quality? Do you have any experience with there stuff to back that up? I have some stuff on order and will be able to tell you soon if it is GTG or not. If you would look up some reviews of their kit, you'll see that they have some VERY satisfied people. Robert's patience with all my Stupid questions by email, has already proven that his customer service is excellent, and he truly wants to please his customers. And NOT all top maufacturers have a no B.S Warrenty!! |
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Originally Posted By flyingjibus:
There have been several time in my life where I was out shooting with a group of people and we were literally 2 hours from any responding medical types. I find it funny that the old "better to have it and not need it" saying is used by so many about guns, but when it comes to some first aid items people scoff at the thought of carrying something that weighs nothing and is the size of a pen. The top three battlefield killers are bleeding, airway restrictions, and tension pneumothorax. Any good blow out kit should be able to treat all three. Take a class, read a book, watch videos on the internetz. There are tons of resources out there. The only thing worse then watching one of your buddies experience an injury related to a firearm is watching it and not being able to do anything about it. This kit is on my belt and is with me anytime I shoot. I also have a bigger kit in the car with the same stuff and a bunch more other items. http://i48.photobucket.com/albums/f219/flyingjibus/Firearms/P1010227.jpg http://i48.photobucket.com/albums/f219/flyingjibus/Firearms/P1010228.jpg http://i48.photobucket.com/albums/f219/flyingjibus/Firearms/P1010229.jpg http://i48.photobucket.com/albums/f219/flyingjibus/Firearms/P1010230.jpg http://i48.photobucket.com/albums/f219/flyingjibus/Firearms/P1010232.jpg In there you have the following Shears Nitrile gloves CAT tourniquet Israeli pressure dressing Gauze Hemcon Dressing see through occlusive sticky dressing Hyfin Chest seal Chest needle Small blue led light duct tape medical tape NPA airway device Tampon Last but not least INSTRUCTIONS!!! Its good to have a reference under stress. Color me impressed. Pouch and insert manufacturer? |
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"I want to be just like you when I grow up" - glenn_r
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My comment is based solely on the pictures. That's why I said "looks". I have no firsthand experience. Maybe I'll have an opportunity to take a closer look sometime.
[email protected] |
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Originally Posted By FMD:
Color me impressed. Pouch and insert manufacturer? FWIW, the insert appears to be an ATS Low Profile Medical Insert. Don't know what brand of pouch he is using... |
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So where is the best place to buy MED. supplies?
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i have had good luck here:
http://www.chinookmed.com/ fast shipping, good packing, good fresh stuff |
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