Page 2 ownage.

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Plissken-

Good to "see" you alive and well, brother.  I've procrastinated enough regarding a good medical kit, and am in the process of planning one out.  I agree with the statements about not stocking equipment that you are not trained in the use of.  I'm not going to be putting any long sharp objects into anybody.
I think I've got a pretty good list for my needs but I haven't figured out what sort of container I will keep it all in.

Any suggestions for container/bag options?  I assume waterproof is pretty important....

id have to reccommend something, that you can mount to your backpack, or load bearing gear. most people are not going to want to lug a combat lifesaver bag around with them,  the usual issue improved first aid kit, is really not too bad, but you need to add to it..... if you want a basic kit, get the issue kit, and add a few other things, you will have a israeli bandage, tourniquet, and whatever else you add. a larger option is the saw ammo pouch, its not gigantic, and will hold probably 3x, what the issue pouch holds.

issue, improved first aid kit. ............................ you can get these online, on ebay, etc.....


http://www.gcswarrior.com/200rd_SAW_Ammon_Pouch_p/af%20m-249%20200rd%20pouch.htm
saw ammo pouch  
http://www.1sks.com/store/elite-force-medical-fa187-military-ifak-individual-first-aid-kit.html



additional contents?
ok, shtf first aid kit, no hospitals available. ( worst case scenerio)......im a combat lifesaver, several times over, and know how to do iv's, but not legally out of the military, and i dont even know if i can buy the stuff. if i was emt, or paramedic rated i probably could, these are very good to have, and life saving.   if you dont have it, get some real training. i need to do a emt course, i have lots of free time.
serious trauma, cut, gunshot..   ( you will need want, larger better equipped kits at home/ vehicle)

1. israeli bandages, .. although the old mil bandages, and a ace bandage together does the same thing for cheap.  cant have too many.
2.quick clot bandages.. these are really effective. but not cheap. ... if elevation, , presure, quick clot and a israeli bandage wont stop the bleeding, you need a tourniquet. the premade mil ones are excellent.
3. mil tourniquets, for when the above stuff fails, and your still bleeding too much... ( your also in big trouble, and better find a dr., a veternarian, or somebody with real knowledge)
4. field surgical kit, ( for stitching cuts and things you cant get to the er for, but are not life threatening)... dont forget antiseptic/ germ killing things, iodine, neosporin etc.
5. all kinda of neosporin, and other antiseptic things. to take care of the small things, so they dont get infected.
6. lots of bandaids for small cuts etc.
7. eye wash, your always getting dust, dirt in your eyes, and it sucks.
8. OTC, comfort meds. pain reliever, antiinflamitory( for sore/ pulled muscles), ( alieve has both), sinus/ allergy meds, some powered cold meds, lip balm, dental numbing gell, sore teeth are a killer,   etc.
9. hydration type powder. im sure there are special things available, but gatorade,  etc. for when you manage to get dehydrated, and need to replace salts, minerals etc etc.
10. vitamins, if your not eating well, these are like gold for getting all the little things you need.

this is  a good basic list, more advanced meds are obviously better, like prescription pain killers, and antibiotics,  but your own your own there, and laws, and med warnings apply.  



thanks by the way. now i need to add 4x individual first aid kits to my endless equipment list. .... i was already adding 5 ! ...4 larger ones, for the house, 2 cars, and bov, and a smaller for the atv. now i need 4 individual for each person.... fuck ! ! ! !

A Nasopharyngeal airway would be better.

 

Lots of assumptions here.

A) As mentioned above, even if you're not trained in the use of <insert item here>, such items in your kit can still be used by a qualified person nearby.
B) Not everyone's definition of SHTF includes the zombie apocalypse. There are plenty of realistic scenarious where a well-thought-out kit can be of use, prior to receiving proper care, which may very well still be available.
C) In the event of a zombie apocalypse, trying to save your soon-to-be-dead buddy using last-ditch efforts is still better than not even trying. I fail to see how slow death > fast death when at least slow death has a chance.
D) According to your logic, every moderately injured soldier prior to WWII should have died.
E) Just because it's in a kit doesn't mean it has to be used.

I got lucky, my GSW didn't bleed THAT much relatively. My whole shirt sleeve (both sweatshirt and long t-shirt), right thigh of my jeans, the side of my fridge, my buddy's shirt and shorts, and my kitchen floor were all COVERED in blood, so it looked worse than it really was. Over the actual incident and two subsequent surgeries (one being six hours long) I never required a blood transfusion. It could have been much worse. However, my kit is not geared for a SHTF/end of the world kind of scenario. It is made to keep people from bleeding to death until better trained and equipped people can get there to take over. I took it with me in the patrol car when I did ride alongs and had the same first aid training the deputy I was riding with did, so he trusted me if we came upon something we both were qualified to treat.

When you start talking SHTF scenarios where there is zero medical help available period, or you'd have to wait a couple days, you're probably fucked. Doesn't mean you shouldn't try, but people get delusions of becoming garage trauma surgeons. I know when I was a teenager I thought that's how it would be.



Yep. All depends on the location of the wound, but I know I would have been fucked with how bad my elbow was shattered. I couldn't move it at all without nearly going into tears, and it takes a lot of physical pain to make me cry these days. There is no way that was a "set it in a splint and deal with it" injury, even if you COULD control the infection problem.



Good point.


Shock is another thing... Thinking back, I went into it pretty quickly, but I remember talking to my mom on the phone before I got loaded into the helicopter and telling her I was fine (haha, fat fucking lie) and I'd see her as soon as she could get back, don't worry about me, etc. I remember telling her not to ruin her vacation and come home early, too, I just forgot she was scheduled to come back the next morning.

I wish EMT classes were cheaper, I'd love to do that too, but you are not covered by the agency you work for as an LEO here if you use anything above the level of care you were taught in the police academy, and since that's what I want to do, I wouldn't have any "practical" use for it.

Given initial requirements paramedic level care is a must, no?

A GSW is SHTF, but not regional/national SHTF where "where medevac and/or a better equipped medical facility may not be readily available" unless its a hunting accident in the woods (in which you would want paramedic level care, but would still be a situation that you would try to avoid).


I guess what I'm trying to say is (in order of preference:
1) Avoid the situation like the plague
2) paramedic level care with transport/definative medical care available
IF regional/national SHTF (no guaranteed transport/definative care)
3) paramedic level care with team/support (highly unlikely)
4)EMT level care with team/support (highly unlikely)
5)" my buddies taught me this" level care with team/support (highly unlikely)
6) paramedic level care
7)EMT level care
8)" my buddies taught me this" level care with IFAK
9) no care/training/equipment


Golden hour is god

YMMV, tell me if/where you disagree. I am painfully aware I'm a relative n00b.
Please be gentle.



ETA  How did I double tap on the last page? I thought Goatboy fixed that?!?!

I use a Pelican 1200 case for my everyday kit. Definitely not a trauma kit by any name, but I'd consider it a decent first aid kit. I've got a couple Israeli bandages in my go-bag for work.

btt for a damn good topic...

And James Yeager is a Emt or Paramedic??????????

Twenty six years ago I was required to take the EMT B course because of the police department I was on.  I used it for a couple years until moving on to a larger department.  Over the years I've had need to use various first aid techniques and CPR.  

But like someone else has said, If you don't use it you lose it.  I remember quite a bit, but have also forgot quite a bit.  Even in a shift situation I wouldn't try to put an IV in.  Lots of this is common sense.  Go to your closest community college for more advanced medical training.

One side note to that, there is always the off chance that you will be in a position to render aid and someone more qualified that you will come along such as an EMT sans gear. It would be nice to have some of the basic necessities to cover that situation.



 

OP, I used a MOLLE II "Sustainment Pouch" for mine.  It is the perfect size, for what I wanted (for my BOB).