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Posted: 12/10/2013 9:34:19 AM EDT
I've recently been working on a project/presentation for my Office. The project is to demonstrate the life saving capabilities a tourniquet has, and why my office should allow us to carry tourniquets and possibly trauma kits as part of our normal duty gear.  I put together a "packet" which contains numerous studies and articles related to this topic. My last step was to get quotes on the cost for various different tourniquets, trauma kits, and ways to carry them.

I called up Rescue Essentials, who just happen to be located about 2.5 hours from me and I agreed to go down and they would not only get me quotes, but they would also put together some samples for me. I was excited and made the trip yesterday. When I arrived, I was surprised at how small a building these guys operate out of, especially for being one of the largest tac med providers in the US. Everyone I spoke with was extremely helpful and knowledgeable. Just all around good people. They took me to a small conference room area where they had my samples and quotes ready. I also got a tour of their facilities and I instantly started a personal shopping list

So we start going over the samples and quotes, and they demo some products for me and teach me how to use some of them. They even filled me in on some trainings I will hopefully be attending.

After the business bit was done I brought in my personal gear and asked if they would go through my kits and make recommendations. Not only did they do this, but they also vacuum sealed one of the kits for me so I could quit using a ziploc. So far all of this was free of charge mind you. They looked through my kits made some recommendations, and I wound up spending a little over 120 bucks on more stuff. Pics will be below.

After I made my purchase I was given some swag, and even got given some of the opened products they demoed for me. These guys treated me great and were extremely professional and accommodating. They even took the time to look over my presentation for me and make suggestions. I can't say enough how great these guys were to work with. I should also note I am in no way affiliated with them, just a happy customer

ETA: Right before I left I decided I needed a better EDC kit. We walked through the warehouse picked out what I wanted and then vacuum sealed it. I paid for it of course but I was impressed at how enthusiastic these guys were over something so small as a personal trauma kit.
Link Posted: 12/10/2013 9:47:57 AM EDT
[#1]
Here's the basic trauma kit contents they demoed


The tourniquet pouches I chose to demo on a duty belt


Some of the swag


My new EDC kit


Link Posted: 12/10/2013 9:59:50 AM EDT
[#2]
Here's the personal kits they looked over

My HSGI bleeder on my PC. They really liked this setup and only recommended vacuum sealing the contents which they promptly did



Also bought the FDE shears there

My ATS IFAK

They liked this kit to and only recommended adding a chest seal. Next thing I know I was being shown a HALO and one of the newer NAR HyFin seals. I went with the HyFin, which comes with two individually sealed seals. One for the IFAK, and one is riding behind my armor on my PC




Link Posted: 12/10/2013 10:01:39 AM EDT
[#3]
www.darkangelmedical.com

The Dark Kit is the best on the market.
Link Posted: 12/10/2013 10:09:25 AM EDT
[#4]
Discussion ForumsJump to Quoted PostQuote History
Quoted:
www.darkangelmedical.com

The Dark Kit is the best on the market.
View Quote

It's a great kit and was designed by the guys at Rescue Essentials

ETA: with the guys at DARK of course. Both are CO based companies
Link Posted: 12/10/2013 10:15:58 AM EDT
[#5]
What line of work are you that would require an IFAK? LE?
Link Posted: 12/10/2013 10:18:59 AM EDT
[#6]
i love rescue essentials !

just got my order from them a few days ago. very easy going and responsive to their customers.

Link Posted: 12/10/2013 10:24:54 AM EDT
[#7]
Discussion ForumsJump to Quoted PostQuote History
Quoted:
What line of work are you that would require an IFAK? LE?
View Quote

Yes I'm an LEO
Link Posted: 12/10/2013 10:25:39 AM EDT
[#8]
Discussion ForumsJump to Quoted PostQuote History
Quoted:
i love rescue essentials !

just got my order from them a few days ago. very easy going and responsive to their customers.

View Quote

I've ordered from them before but this was my first trip to the actual storefront/warehouse
Link Posted: 12/10/2013 10:40:41 AM EDT
[#9]
Discussion ForumsJump to Quoted PostQuote History
Quoted:

I've ordered from them before but this was my first trip to the actual storefront/warehouse
View Quote View All Quotes
View All Quotes
Discussion ForumsJump to Quoted PostQuote History
Quoted:
Quoted:
i love rescue essentials !

just got my order from them a few days ago. very easy going and responsive to their customers.


I've ordered from them before but this was my first trip to the actual storefront/warehouse

I'd like to make it over there sometime. Not sure when I'll be in salida again.

Link Posted: 12/10/2013 10:43:09 AM EDT
[#10]
Discussion ForumsJump to Quoted PostQuote History
Quoted:

I'd like to make it over there sometime. Not sure when I'll be in salida again.

View Quote View All Quotes
View All Quotes
Discussion ForumsJump to Quoted PostQuote History
Quoted:
Quoted:
Quoted:
i love rescue essentials !

just got my order from them a few days ago. very easy going and responsive to their customers.


I've ordered from them before but this was my first trip to the actual storefront/warehouse

I'd like to make it over there sometime. Not sure when I'll be in salida again.


It's more than worth the trip. Plus Moonlight pizza is just down the block

I spent 3 years living less than an hour from Salida and made the trip almost weekly, but I never made it to the store
Link Posted: 12/10/2013 10:57:53 AM EDT
[#11]
That's very cool of them. Just remember your training counts so much more. Purpose built supplies are great but without the ability to do it right, under stress, in the dark and with a screaming friend and slippery hands it can all be for nothing. The converse to all this is with good training some duct tape, a belt and a broom handle will do a good job too. Training is everything. That should be priority for your department and your primary goal. If it is then my apologies I read your post wrong.
Link Posted: 12/10/2013 11:02:59 AM EDT
[#12]
Discussion ForumsJump to Quoted PostQuote History
Quoted:
That's very cool of them. Just remember your training counts so much more. Purpose built supplies are great but without the ability to do it right, under stress, in the dark and with a screaming friend and slippery hands it can all be for nothing. The converse to all this is with good training some duct tape, a belt and a broom handle will do a good job too. Training is everything. That should be priority for your department and your primary goal. If it is then my apologies I read your post wrong.
View Quote

Absolutely. This whole project started when I approached my SGT about the gap there is between the med training we do get and what we are actually facing. It then snowballed into "get a presentation together" and training is incorporated into that packet. I'm looking at TCCC LEFR training for at least me and then I can pass that knowledge onto the other deputies
Link Posted: 12/10/2013 12:03:55 PM EDT
[#13]
I love rescue essentials. That and chinookmed has everything you need/want.
Link Posted: 12/10/2013 12:08:49 PM EDT
[#14]
Discussion ForumsJump to Quoted PostQuote History
Quoted:
I love rescue essentials. That and chinookmed has everything you need/want.
View Quote

I could've gone broke and died happy in their warehouse
Link Posted: 12/10/2013 12:44:17 PM EDT
[#15]
Any way you can give a breakdown of the contents of the HSGI Bleeder?
Link Posted: 12/10/2013 1:36:34 PM EDT
[#16]
The bleeder is pretty basic right now. NAR Z Pak gauze, NAR pressure dressing, small celox packet and gloves inside with CAT and shears outside.
Link Posted: 12/10/2013 2:36:12 PM EDT
[#17]
Thanks for the heads up, never knew they were instate. Could be helpful later.
Link Posted: 12/10/2013 2:59:40 PM EDT
[#18]
I just put together 2 kits, most came from them.  I placed an order the day after thanksgiving and had it the next Tuesday, they are fast and great to deal with.

I put together basically the same kit, one in an ATS tear off pouch, and one in a "flat" package (exact same stuff but with a CPR mask added and chito gauze instead of celox) to keep in my backpack.

contents:

in ATS pouch:

in flat package:
Link Posted: 12/10/2013 3:01:33 PM EDT
[#19]
Discussion ForumsJump to Quoted PostQuote History
Quoted:
I just put together 2 kits, most came from them.  I placed an order the day after thanksgiving and had it the next Tuesday, they are fast and great to deal with.

I put together basically the same kit, one in an ATS tear off pouch, and one in a "flat" package (exact same stuff but with a CPR mask added) to keep in my backpack.

contents:
<a href="http://s6.photobucket.com/user/Heineken420/media/09_zps88da6b22.jpg.html" target="_blank">http://i6.photobucket.com/albums/y247/Heineken420/09_zps88da6b22.jpg</a>
in ATS pouch:
<a href="http://s6.photobucket.com/user/Heineken420/media/08_zpsfe2f11b4.jpg.html" target="_blank">http://i6.photobucket.com/albums/y247/Heineken420/08_zpsfe2f11b4.jpg</a>
in flat package:
<a href="http://s6.photobucket.com/user/Heineken420/media/02_zpsb05d4933.jpg.html" target="_blank">http://i6.photobucket.com/albums/y247/Heineken420/02_zpsb05d4933.jpg</a>
View Quote

Very nice!
Link Posted: 12/10/2013 3:40:16 PM EDT
[#20]
PACK it TIGHT

decide to keep the TQ separate or included in the contents.  current mentality is to keep the TQ separate from the main kit.

but get it done. and then DONT dick with kit contents until it is NEEDED, or if you need to replace an expired consumable item.

Contents are pretty much universal, however some components come either filled with a quantity of inert gas or vacuum compressed

and that in itself will be mitigating factor in volume displacement and thus impact your available options for a carrier



Yes I am familiar with the DARK kit as I designed the first gen bungee wrapped kit pouch before the current slate from First Spear

Link Posted: 12/11/2013 4:14:01 AM EDT
[#21]


Good stuff guys thanks for sharing.


spf

Link Posted: 12/11/2013 4:31:53 AM EDT
[#22]
I just noticed that the OP was putting together a proposal for admin.  Since I'm thinking about it, here's an after action from an incident last week.  

All:

As you know, a couple years ago we made the commitment to purchasing high quality equipment and to improving our training in the areas of high risk law enforcement and tactical EMS.  As part of that training, you've probably heard me say (1) carry your CAT on your person and (2) this equipment is meant for you and your peers, not the public.

Last week, in xxxxxxxxxxxxx, we treated a patient with an open humerus fracture with uncontrolled bleeding.  By the time we arrived, the patient had lost a great deal of blood.  After a brief time of working to fashion a tourniquet out of triangular bandages, the decision was made to use one of our CAT's on the patient. The CAT was extremely effective and, according to ER docs, was instrumental in saving the patient's life.

I fully believe that the training we've done was invaluable in helping us to make an informed, timely and confident decision to intervene with a life saving tool.  I'm happy to report that our patient is expected to make a full recovery.

The result was great, but we learned some things during the incident that are worth mentioning.

  • We've all seen soft tissue injuries, but they are not all created equal.  This one looked like a raw chicken turned inside out.  The type of wound will effect how it bleeds. If the wound isn't "clean" you may not see textbook arterial bleeding.

  • In our case there was A LOT of blood, but no pulsating arterial fountain.  Finding the source of the bleeding was next to impossible.  It just sort of cascaded out of the tissue.  The important facts were that blood was still hitting the ground, it was bright red and there was no way to stop it with direct pressure, elevation and dressings.  The lesson is, it might not look like a duck, but if it's waddling around and quacking, treat it like a duck. You have to stop the bleeding.

  • We've been training on one handed application of the CAT and have them preloaded with the loop already in it.  This arm was too mangled to move around so we had to unloop the strap and weave it under the arm and through the armpit.  We really struggled with it for a while because I hadn't completely cut away the back side of the patient's coat.  EXPOSE the wound as much as you can.  It could save you a lot of frustration and time.

  • The CAT works really well.  Our patient was a very large person, but I think it only took one full 360 degree turn of the windlass rod to get the blood flow to stop.

  • Your adrenaline makes you want to keep turning the windlass rod.  Slow down.  No sense in cutting the limb off.  

  • Once you think the blood flow has stopped, check and keep checking.  Everything is going to be covered in blood.  It's hard to tell if it's still flowing, so take your time and be sure you really have it controlled.

  • Expect the limb to start looking really bad.  Our patient's arm swelled and turned a dark, mottled purple.  She complained about the arm going numb.  It's easy to start second guessing if you're doing more harm than good, but you have to trust your training and your diagnosis.

  • Carry your CAT on your person.  When you need it, you need quick.

  • After this experience, I wouldn't mess with triangular bandages or belts or anything other than a CAT.  If you have a patient that needs a tourniquet, use your CAT.  We will replace it.

  • Talk to your patient.  They've probably heard bad things about tourniquets too.




spf


Link Posted: 12/11/2013 4:42:06 AM EDT
[#23]
Discussion ForumsJump to Quoted PostQuote History
Quoted:
I just noticed that the OP was putting together a proposal for admin.  Since I'm thinking about it, here's an after action from an incident last week.  

[div style='margin-left: 40px;']All:

As you know, a couple years ago we made the commitment to purchasing high quality equipment and to improving our training in the areas of high risk law enforcement and tactical EMS.  As part of that training, you've probably heard me say (1) carry your CAT on your person and (2) this equipment is meant for you and your peers, not the public.

Last week, in xxxxxxxxxxxxx, we treated a patient with an open humerus fracture with uncontrolled bleeding.  By the time we arrived, the patient had lost a great deal of blood.  After a brief time of working to fashion a tourniquet out of triangular bandages, the decision was made to use one of our CAT's on the patient. The CAT was extremely effective and, according to ER docs, was instrumental in saving the patient's life.

I fully believe that the training we've done was invaluable in helping us to make an informed, timely and confident decision to intervene with a life saving tool.  I'm happy to report that our patient is expected to make a full recovery.

The result was great, but we learned some things during the incident that are worth mentioning.

  • We've all seen soft tissue injuries, but they are not all created equal.  This one looked like a raw chicken turned inside out.  The type of wound will effect how it bleeds. If the wound isn't "clean" you may not see textbook arterial bleeding.

  • In our case there was A LOT of blood, but no pulsating arterial fountain.  Finding the source of the bleeding was next to impossible.  It just sort of cascaded out of the tissue.  The important facts were that blood was still hitting the ground, it was bright red and there was no way to stop it with direct pressure, elevation and dressings.  The lesson is, it might not look like a duck, but if it's waddling around and quacking, treat it like a duck. You have to stop the bleeding.

  • We've been training on one handed application of the CAT and have them preloaded with the loop already in it.  This arm was too mangled to move around so we had to unloop the strap and weave it under the arm and through the armpit.  We really struggled with it for a while because I hadn't completely cut away the back side of the patient's coat.  EXPOSE the wound as much as you can.  It could save you a lot of frustration and time.

  • The CAT works really well.  Our patient was a very large person, but I think it only took one full 360 degree turn of the windlass rod to get the blood flow to stop.

  • Your adrenaline makes you want to keep turning the windlass rod.  Slow down.  No sense in cutting the limb off.  

  • Once you think the blood flow has stopped, check and keep checking.  Everything is going to be covered in blood.  It's hard to tell if it's still flowing, so take your time and be sure you really have it controlled.

  • Expect the limb to start looking really bad.  Our patient's arm swelled and turned a dark, mottled purple.  She complained about the arm going numb.  It's easy to start second guessing if you're doing more harm than good, but you have to trust your training and your diagnosis.

  • Carry your CAT on your person.  When you need it, you need quick.

  • After this experience, I wouldn't mess with triangular bandages or belts or anything other than a CAT.  If you have a patient that needs a tourniquet, use your CAT.  We will replace it.

  • Talk to your patient.  They've probably heard bad things about tourniquets too.




spf


View Quote

Good read, thanks!

Link Posted: 12/11/2013 4:59:17 AM EDT
[#24]
Thanks for the great information.

What is the best CAT to purchase these days?  There is a a lot of new equipment and I am not sure which of these would be best to put in my gear.  I read someplace one of the CAT's had a problem with the windlass breaking or something.

What would you pro's recommend?
Link Posted: 12/11/2013 6:26:08 AM EDT
[#25]
Discussion ForumsJump to Quoted PostQuote History
Quoted:
Thanks for the great information.

What is the best CAT to purchase these days?  There is a a lot of new equipment and I am not sure which of these would be best to put in my gear.  I read someplace one of the CAT's had a problem with the windlass breaking or something.

What would you pro's recommend?
View Quote

I'm not a pro by any means but I would get a NAR CAT with the red tip. But make sure you but from a legit company because fakes have started floating around
Link Posted: 12/11/2013 6:34:52 AM EDT
[#26]
Discussion ForumsJump to Quoted PostQuote History
Quoted:
Thanks for the great information.

What is the best CAT to purchase these days?  There is a a lot of new equipment and I am not sure which of these would be best to put in my gear.  I read someplace one of the CAT's had a problem with the windlass breaking or something.

What would you pro's recommend?
View Quote



there's only one CAT, its a trademarked name of a certain TQ. theres something similiar called the SOF, that has a metal windlass and a buckle vs velcro tighteninign thing. the windlass breaking was a problem of early gen CATs, the new ones are fine. be wary of knockoffs.
Link Posted: 12/11/2013 9:47:20 PM EDT
[#27]


We are only issued CAT's,  some with the red tip, some with white and some with black.  I wouldn't mind something a little more low-profile but they seem to have become industry-standard

Definitely beware of the fakes, evidently airsofters  want fake tools to handle uncontrolled fake bleeding.  

There used to be a couple of online guides to help one discern real from fake.  Best bet is to just go with a reputable dealer.


spf


Link Posted: 12/11/2013 11:20:29 PM EDT
[#28]
Great thread!

One topic that carries throughout, which I hate to see left out of many such discussions, the correlation between training level, equipment carried, and individual anticipated needs. KISS when weight and/or space are considerations.

Also like to comment on Heineken's kit...notice the Sharpie. When TSHTF, that's the way to mark your casualty's TQ time, on the forehead with a Sharpie. When it comes down to it, writing legibly on the labels on the TQ will be the least of your worries, difficult to do, and may wear off or be obscured with fluids. And a casualty that needs TQ will have much bigger worries than how to remove the Sharpie ink from his or her forehead. Unfortunately I speak from experience.
Link Posted: 12/11/2013 11:27:28 PM EDT
[#29]
Sharpies belong in every kit if you carry a tourniquet. I've got one on my PC and one in my ATS
Link Posted: 12/12/2013 6:37:14 AM EDT
[#30]
Sharpie in every one of my IFAKs
Link Posted: 12/12/2013 10:45:50 AM EDT
[#31]
Discussion ForumsJump to Quoted PostQuote History
Quoted:
Sharpie in every one of my IFAKs
View Quote

You sir are a gentleman of fine taste
Link Posted: 12/12/2013 11:43:54 AM EDT
[#32]
Discussion ForumsJump to Quoted PostQuote History
Quoted:
Great thread!

One topic that carries throughout, which I hate to see left out of many such discussions, the correlation between training level, equipment carried, and individual anticipated needs. KISS when weight and/or space are considerations.

Also like to comment on Heineken's kit...notice the Sharpie. When TSHTF, that's the way to mark your casualty's TQ time, on the forehead with a Sharpie. When it comes down to it, writing legibly on the labels on the TQ will be the least of your worries, difficult to do, and may wear off or be obscured with fluids. And a casualty that needs TQ will have much bigger worries than how to remove the Sharpie ink from his or her forehead. Unfortunately I speak from experience.
View Quote


Good tip, makes sense.

A note about training, I can tell you I have a chest decompression needle in my kit, BUT no way in hell i would attempt to use it, i have it in case there is a trained professional around who can use it.  i would rather have and not need then need and not have.  i have also seen the debates about how unlikely it is that these are actually ever needed, but it take up little to no room in the kit so it is not like something didnt make it in the kit because of it.
Link Posted: 12/14/2013 8:30:48 PM EDT
[#33]
Discussion ForumsJump to Quoted PostQuote History
Quoted:
Here's the personal kits they looked over

My HSGI bleeder on my PC. They really liked this setup and only recommended vacuum sealing the contents which they promptly did
<a href="http://s1049.photobucket.com/user/psouthern1214/media/34340940-072E-457A-83A2-D40D4B93D4A2_zpscjuj3eyh.jpg.html" target="_blank">http://i1049.photobucket.com/albums/s400/psouthern1214/34340940-072E-457A-83A2-D40D4B93D4A2_zpscjuj3eyh.jpg</a>

<a href="http://s1049.photobucket.com/user/psouthern1214/media/1C3F701F-8A10-4F9C-8B38-FCF6658AA4AE_zpsjzfhzcyn.jpg.html" target="_blank">http://i1049.photobucket.com/albums/s400/psouthern1214/1C3F701F-8A10-4F9C-8B38-FCF6658AA4AE_zpsjzfhzcyn.jpg</a>
Also bought the FDE shears there

My ATS IFAK

They liked this kit to and only recommended adding a chest seal. Next thing I know I was being shown a HALO and one of the newer NAR HyFin seals. I went with the HyFin, which comes with two individually sealed seals. One for the IFAK, and one is riding behind my armor on my PC
<a href="http://s1049.photobucket.com/user/psouthern1214/media/2CCE3465-2CC1-488F-8C05-6310877577B5_zpsthxhrj6c.jpg.html" target="_blank">http://i1049.photobucket.com/albums/s400/psouthern1214/2CCE3465-2CC1-488F-8C05-6310877577B5_zpsthxhrj6c.jpg</a>

<a href="http://s1049.photobucket.com/user/psouthern1214/media/A7EB8490-C94B-4797-9794-C1BEEBB0E30B_zpsccvqek4n.jpg.html" target="_blank">http://i1049.photobucket.com/albums/s400/psouthern1214/A7EB8490-C94B-4797-9794-C1BEEBB0E30B_zpsccvqek4n.jpg</a>

<a href="http://s1049.photobucket.com/user/psouthern1214/media/2DFA3BC7-A6E5-4994-8B16-6126B088BBC7_zpsekuletac.jpg.html" target="_blank">http://i1049.photobucket.com/albums/s400/psouthern1214/2DFA3BC7-A6E5-4994-8B16-6126B088BBC7_zpsekuletac.jpg</a>
View Quote


First of all, why would they  NOT allow individuals to carry whatever medical gear they wanted to?

Secondly, this is an observation made from experience overseas and from working with our 18D's (special forces medics). Those personal kits that use clips and not zippers are going to be near impossible to get into when someone is covered in blood. Our medics started making our batallion train getting into IFACs and using the tourniquets with our hands covered in KY. Yes, that's KY jelly. It simulates slippery blood. If you are alone and trying to get into your med kit and put on a tourniquet covered in blood you are going to have a seriously hard time doing it. If you think about it, if you are pulling out a tourniquet its probably because there's some heavy bleeding. What's the first thing you're probably going to do when you get shot, stabbed, whatever? You're most likely going to grab that area with your hands and get them covered in blood. That training was a real eye opener and it really changed how a lot of us started carrying medical equipment. It's just a suggestion and something that might be in your best interest to try and I wanted to pass it on.

Also it's not a bad idea to carry two tourniquets. Not necessarily because you may need two, but because you may not be able to get the one you are carrying in a particular position.
Link Posted: 12/14/2013 8:57:59 PM EDT
[#34]
Discussion ForumsJump to Quoted PostQuote History
Quoted:


Good tip, makes sense.

A note about training, I can tell you I have a chest decompression needle in my kit, BUT no way in hell i would attempt to use it, i have it in case there is a trained professional around who can use it.  i would rather have and not need then need and not have.  i have also seen the debates about how unlikely it is that these are actually ever needed, but it take up little to no room in the kit so it is not like something didnt make it in the kit because of it.
View Quote View All Quotes
View All Quotes
Discussion ForumsJump to Quoted PostQuote History
Quoted:
Quoted:
Great thread!

One topic that carries throughout, which I hate to see left out of many such discussions, the correlation between training level, equipment carried, and individual anticipated needs. KISS when weight and/or space are considerations.

Also like to comment on Heineken's kit...notice the Sharpie. When TSHTF, that's the way to mark your casualty's TQ time, on the forehead with a Sharpie. When it comes down to it, writing legibly on the labels on the TQ will be the least of your worries, difficult to do, and may wear off or be obscured with fluids. And a casualty that needs TQ will have much bigger worries than how to remove the Sharpie ink from his or her forehead. Unfortunately I speak from experience.


Good tip, makes sense.

A note about training, I can tell you I have a chest decompression needle in my kit, BUT no way in hell i would attempt to use it, i have it in case there is a trained professional around who can use it.  i would rather have and not need then need and not have.  i have also seen the debates about how unlikely it is that these are actually ever needed, but it take up little to no room in the kit so it is not like something didnt make it in the kit because of it.


Training on the military side has always been to put the time on the casualties forhead and ditto on KISS.
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