Yup - Dermabond.

http://www.amazon.com/Dermabond-Topical-Adhesive-5ml-vial/dp/B0024L19I0

first aid pamphlet
additional ones here

I have one of these and it is informative, about 2 pages long (double sided) and on card stock that is similar to playing card paper (plastic but not too stiff)

Tag

Pig's feet- get them from a butcher. Pig skin has many similarities to human skin. We used them during residency when learning new suturing techniques. But live patients are the best...
   

That having been said, a wound does not necessarily need to be sutured right away, and steri-strips or butterflies are often sufficient to close a wound. If it's cleaned up and covered with a dressing and kept clean and moist, a wound can be repaired even several days later. This is done routinely in the case of surgical excision of skin cancers and subsequent complex surgical repairs. The surgical repair can be done 2-3 days later.

Hibiclens (chlorhexidine gluconate) and clean water are excellent for cleansing wounds, and does not kill cells (white blood cells, and cells in the skin) which are working on repairing the wound. Dakin solution, 1:40, (1 part bleach, 39 parts water) also works great, and doesn't kill cells either. Just don't get Hibiclens in the eyes- it can cause keratitis- bad inflammation of the cornea- which can be very serious; be very careful about using it on the head/face.

You can use a chicken breast.
real skin and muscle, and you can cook and eat it when you're done.

i sewed up my dog once, she was hit by a car, and had a 3 inch long rip, in the soft area, on her inner thigh. i could see about 4 inches into the hole at one spot. neosporin, peroxide, and a needle and thread, she limped around for a few weeks, but is doing fine.

If you live somewhere near the South, pick up a package of pigs' feet.  It's about as close to human tissue as you will get and if you want to get crafty, you can even practice sewing up different tissue layers.  Look up interrupted, figure-8, and running sutures on-line, those are probably as fancy as you would need to get.

You can get large bags of sutures from Amazon for about $25.

Edit - looks like TigerForce already mentioned it above me.

Great thread.

Been looking for ideas for some bags to keep around, and I really didn't know where to start. It seems I am always out of bandages, Neosporin, etc, when I need them.

Thanks for the thread.

I know I promised Pics. Im buying a house and teaching 2 days of PHTLS. BUT I will see If I can make some BLS quick cards free of charge and "liability" during class.

I augment them with a couple of individual wrapped  ibuprofen, Imodium and benadryl and a few extra bandaids and keep them in the glove box of the car. and 99% of the time I don't have to crack the bigger kit in the car for boo boo's

Wow, an actual real world medical thread.



Thanks, and a tag.

I thought this was a pretty good thread, hope no one objects to me adding to it to hopefully keep it going.  I thought I would contribute some online resources I have found for first aid / medical knowledge.  These are more study / learning guides.

Emergency Care is a website of online quizes and other materials.  Across the top border are chapter numbers that correspond with the chapters in the Emergency Care 10th Edition textbook.

National Outdoor Leadership School provides many different resources.  An online quiz more directed to wilderness medicine.  Case studies.  These are examples usually given as practical exercises, where a scenario is given and you have to make decisions based on the information you are given.    Resources includes accornym sheet, and printable card for conducting an assessment.  

Adventure Medical Kits offers a guide written by Dr. Eric Weiss with most of their bigger kits.  A .pdf of that field guide can be found
here

A couple years ago I found Special Operations Combat Medic Course, Mogadishu Raid Exercise this is a word document that is meant to be a class / small group exercise about medical interventions given during Mogadishu Raid (Black Hawk Down).  At the end of the exercise there are a couple interviews with medics who were there and discussion on what they may have done differently.  

Other resources:

On the PHTLS (Prehospital Trauma Life Support) page you can find Tactical Combat Casualty Care Course Materials all kinds of materials on TCCC.  

The Borden Institute has War Surgery in Afghanistan and Iraq which is pretty interesting.  

This  is an 11 page .pdf article by a doctor on treating gunshot wounds.  

Videos

When taking Basic EMT one thing that helped me was watching youtbe videos on patient assessment while following along with National Registry Sheets.  Sort of a way to memorize the format.  This one was very helpful.  There are addiontal videos listed in the right hand column.

Tacical Med Solutions has a vieo site that shoews how you use their OLAES bandages, other tips for frist aid, and some tactical tips like what to do with your rifle wile you are administering aid.  

Sam Medical used to have videos posted on their website but now it is a youtube channel.  Here are videos that show most all of Sam Medical products, specifically how to bend and apply a Sam Splint for certain injuries.  

Like Tac Med Solutions and Sam Medical H&H has videos under each product showing how to apply it.  This example shows how to apply the Bolin Chest Seal.

I hope we aren't done with this. I've gained a great deal of insight.

BK

Almost glued my lips together working with SG. The cap has a punch to open the seal on the tube. Having both hands occupied I stuck the cap between my lips. Didn't realize the cap got some glue on it. Luckily it only got on one lip and dried before I was done working with it.

As soon as I move all my supplies im going to go to the store and find you guys the lowest prices that can be found. A few items are not found in stores like sam splints . It will be about 2 weeks till im setled in my new home and man cave .I swear there will be a price guide with pics

Mods- This thread really could use a tack. It's a potential life saver, especially for folks with no medical background.

Regards,
Greg

Here! Here!
BK

Another thing you guys might get for an EDC kit is a pocket face mask. I usually send them out when I ship something to members here but they have gone up in price. Looks like a condom holder for your keys. I recently went to a cardiac arrest where it was used and it kept the guys that were doing CPR/Mouth to mouth on a coworker from getting a mouth full of puke. A 2 way pocket mask is better but bigger. I neglect it because I have equipment in my truck but for you guys its a good idea.

Correct me if I'm wrong, but didn't the layman's CPR guidelines just change to just doing compressions without rescue breathing?
BTW - Great thread

excellent thread lafmedic.

Awesome thread, one of the most useful ones I have read.

What about Nexcare Coban wraps?  I did about 4 years in a veterinarian office and learned to love them then.  Its a little easier than an ace bandage or bandage and tape; in particular if you are working one handed.  

Never heard of them. Im assuming they are slightly stiffer than kling. Kind of like an ace/kling








 

Probably did . It changes more than Id care to count. I reccomend getting CPR provider. Its a little bit more involved but I hope everyone here would be capable of it if they own firearms. Remember someone can have a pulse and not be breathing. Thats where the mask comes in. Does not make sense to do CPR then unless you cant recognize the signs. Just a useful tool thats small an simple to use. Laymans is great for the general public and Im not downing it. The theory is CPR causes negative pressure and thus allows for ventilation to occur. Im not jumping on that wagon yet.





 

Nice thread.

Coban is a bit like an Ace, but it sticks very well to itself without sticking to skin.  It doesn't require any tape and holds pretty firmly.  I don't know how to describe, like a velcro bandage.   The nice thing is on something like your hand its easy to apply gauze and wrap with the stuff and not have to worry about tape or god-forbid those little ace bandage staple things.  In the case of a serious injury it does a very good job of holding compression.  

http://www.riogrande.com/MemberArea/ProductPage.aspx?assetname=201327&category|category_root|116=Safety&category|cat_116|264=Gloves+and+Skin+Protection

Skin stitch (the medical super glue) is handy to have.   Good for smaller to moderate lacerations that can be easily approximated.  Some silvadine for burns maybe?  Coban is good stuff to have too.

ANy soure for the medical super glue ?

Good question, Vet wrap is very handy stuff and not so expensive if you get a non brand name at places like tractor supply or KV vet supply. Although I've noticed it does seem to have a shelve life where after a couple of years open rolls seem to loose their stretch and clin

+1. Thanks!

YMMV of course, but personally I don't like anything that applies extra tension for bandaging.  With Kling or Kerlix or Cravats I control how much tension is applied and how tightly the material is wrapped around the injury site.  If I find I've lost a pulse or fingertips are turning white, etc below the injury site, it's easy to go back and loosen the dressing and recheck and know that it's not going to get any tighter than where I have it.  

Coban and Ace bandages are elastic and when stretched will ty to return to their unstretched form.  That's going to increase the pressure to the injury site and can disrupt circulation without you knowing it.  I don't like to use either outside the hospital for bleeding control.  I do like Ace wraps for breaks, sprains, etc. without circulatory system compromise and God knows they're great when my aching knee needs a little support.  Coban is nice for applying a little extra pressure to blood draw sites when somebody's on Coumadin or other blood thinners and I've also seen it used on ABG sites and to help secure IV tubing.  

Just my opinion, as I said your milage may vary.

That link is now dead; would you be willing to email me the document if you have it saved?

I don't really want to derail the thread, but I've been considering my options for assembling a first aid kit for bicycle touring. I've designated a small bag(1.8L) for my med kit on the outside of my panniers. This will be for a 2 month unsupported bike tour across america.  Any opinions on what I should carry? How would it differ from something I would take for a 3-5 day backpack?

Sorry about that.  Go to this website.  It is the second link under military medicine.  

This is a quote from one of the interviews at the end, "Ninety-five percent of what I did treatment wise was primary / secondary survey, bandages and splints and IV’s. No ET tubes, cutdowns or chest tubes. I do not mean to de-emphasize these important procedures, but only to say most of the management was fairly simple. Most of it was Boy Scout First Aid."  The quote for some reason always sticks out in my mind.

honestly I probably wouldn't change a lot....if you need to restock there will be plenty of drugstores and walmarts along the way.  i would think anything that couldn't be treated with a basic 3-5 day kit would probably be enough to keep you off the bike until it heals.  maybe stock some extra advil, tylenol, immodium, and moleskin for blisters.

Im working on getting the set up down to the size of a Jan Sport book sack. Im going to be making a few for my friends as they have expressed interest. Sadly the Pelican Cases are keeping the cost up. Im still moving in .Expect a full report in about 2-3weeks. I hate when people stall Like I am. but as long as this thread keeps rolling I will keep adding. Also as others have said the idea with this set up is easy re supply. Walgreens,CVS and such. I probably wont go with the inital purchase of stuff from them but will re supply with them








 

Thank you!

I am putting together a couple of first aid kits based on this thread.  I have been looking for good prices on a Pelican case, to which I discovered there are not any.  I did find some good deals on metal tool cases at Lowes, they will be somewhat weather proof and keep everything organized.  I am going to try to organize everything I can in vacuum sealed bags to protect against water.  The best part of the case was the cost, about $9 each.  The weight would suck on a bike though, but vacuum sealing the stuff would keep the stuff dry.

I've been thinking about going full retard with a med kit based on these 2 pelican cases.  I'm also thinking hard about getting EMT certified at the local city college this year as well so I have the skills to go with the goods.

Its full reatrd. I see saline  and bicarb .Save your money and build it up.

None of the contents are included with those cases, just the cases, organizers and dividers.

 

Then in that case looks like a good set up. Very similar to what im using . I like the tackle box.

UPDATE. Okay guys I spoke to a rep at PMI Medical Supplies. I got a reply next day about personal sales. Looks like some excellent pricing. The deal is it can not be an invasive tool IE Et tubes, needles , fluids that you are ordering. Otherwise your good to go. The prices there rock! and they have a sale section. When you order your supplies in the company name list yourself. They also have free shipping for orders over $150. Im going to order soon and let you guys know how it goes.



Link left cold
http://www.progressivemed.com/

I notice in the pictures that its velcro holding the dividers in. I wonder if something else could be used for dividers and we could roll our own. Im down for it. Can you ID the pelican size. Im curretly using the one thats around 50 bucks. We use the same Set up in a semi rigid bag at work.








 

The tackle box is the Pelican 1460 EMS Case.

 



























































 
 

Clem lights & flash lights were mentioned. I would rather have a head light (you know, a light that's mounted to an elastic strap that goes around your head).



That way you have both hands free.

Yea a petzel is good also. A few guys use them. I dont like them but I do like the hands fee idea. Im going to put the kits together with a reg Single AA batt Lite. I have a surefire 6p halogen for the dirtywork

Just finished reading. This post needs to be stickied

+1



 

Medical "super glue" -  http://www.progressivemed.com/estylez_item.aspx?item=86444    around $ 30. each.