Life saving First Aid in a mass casualty situation.

[actaeon277]

2 x Combat*Application Tourniquets
2 x Stretch, Wrap And Tuck-Tourniquets
2 x HALO Chest Seals
2 x 4” Emergency Bandages
2 x NPA2 x Compressed Gauze
2 x Mylar Blankets
2 x Polycarbonate Eye Shields
2 x QuikClot Bleeding Control Dressings (12 ft)
2 x QuikClot Bleeding Control Dressing (4 ft)
2 x H&H Mini Compression Bandages
1 x 6’ Length of duct tape
1 x 1” roll of surgical tape
1 x trauma shears, black
Assorted bandages (10 1×3, 10 ¾ x 3, 5 2×4.5, 5 1.75 x 2, 5 1.5 x 3, 5 3×3)
5 x large Butterfly Sutures
5 x medium Butterfly Sutures
2 x Sunscreen packets
2 x Burn Gel packets
2 x Sting Wipes
2 x 2×2 Gauze Pads
5 x Alcohol Wipes
5 x pair Nitrile Gloves
1 x Decal Set


.50 Cal can NOT included.

 

[rhino]

Given the scenario of the fellow who was shot and killed by the ISP officer just north of Crawfordsville on Friday night, this topic is especially poignant. Aside from the "tactical" needs of securing the area, we see someone who most likely exsanguinated due to a gunshot wound less three minutes from a hospital with an emergency room. Let's all keep in mind that training, knowledge, wisdom, judgement, skill, and the will to help to help are all critically important, but all of those things are bound by time. Like other life and death situations such as self-defense, the end results are almost always intrinsically linked to time and its passage. You have little time to act and how little depends on the specifics.

 

[Sylvain]

That's quite a lot of stuff in that kit, Act!

Mainly trauma/bleeding stuff and not much booboo items.
The opposite of what you find in store-bought kits where you get 50 different bandaids, 2 gauze pads and not much else to even take care of medium injuries.

 

[actaeon277]

That's quite a lot of stuff in that kit, Act!

Mainly trauma/bleeding stuff and not much booboo items.
The opposite of what you find in store-bought kits where you get 50 different bandaids, 2 gauze pads and not much else to even take care of medium injuries.

I was thinking in terms of a mass casualty event, where my ankle kit isn't enough.
With this in the car, it gives me some more options.
I may add to it, but I need to see how much room it has.

 

[actaeon277]

And my Ford Escape already has 2 "First Aid" kits for "boo boos".

 

[Sylvain]

And my Ford Escape already has 2 "First Aid" kits for "boo boos".

That's good.I try to keep both trauma stuff and boo boo stuff separate in all my kits.

You don't want to have to search thru bandaids and cleaning wipes to find a tourniquet.

 

[Sylvain]

It's time to train! Or rather practice.

A great addition to your EDC tourniquet is a training version.
Just like with a knife or a gun.

I just got one to practice with the CAT as you shouldn't use the tourniquet you carry over and over again during training.

A finger pulse oximeter is nice to have as well to make sure that the tourniquet is tight enough.

 

[SmileDocHill]

It's time to train! Or rather practice.

A great addition to your EDC tourniquet is a training version.
Just like with a knife or a gun.

I just got one to practice with the CAT as you shouldn't use the tourniquet you carry over and over again during training.

A finger pulse oximeter is nice to have as well to make sure that the tourniquet is tight enough.

Wait, what? Isn't the point of the tourniquet to stop the bleeding at the wound? That can be significantly different than stopping all circulation "downstream" in the extremity. What benefit does the pulse ox add beyond "tighten until bleeding stops or is a manageable ooze with more site specific pressure ".
I'm honestly asking, not trying to sound like I have some specialty training. Because I don't.

 

[SmileDocHill]

Wait, what? Isn't the point of the tourniquet to stop the bleeding at the wound? That can be significantly different than stopping all circulation "downstream" in the extremity. What benefit does the pulse ox add beyond "tighten until bleeding stops or is a manageable ooze with more site specific pressure ".
I'm honestly asking, not trying to sound like I have some specialty training. Because I don't.

Edit to add: I need to get a trainer, or designate a single cat for training and mark it well to distinguish it from the others.

 

[rhino]

Wait, what? Isn't the point of the tourniquet to stop the bleeding at the wound? That can be significantly different than stopping all circulation "downstream" in the extremity. What benefit does the pulse ox add beyond "tighten until bleeding stops or is a manageable ooze with more site specific pressure ".
I'm honestly asking, not trying to sound like I have some specialty training. Because I don't.

Some advocate always applying a tourniquet until you can't feel a pulse downstream of application.

My modestly trained layman's opinion is that tightening enough to control the bleeding (as you noted above) makes more sense and reduces the chances of inducing other problems. If you can control the bleeding while still allowing return flow from downstream of the tourniquet it's a better situation.

 

[2A_Tom]

I think Syl's point is that in training there is no actual bleeding so the device tells you that it is actually tight enough.

Personally I thought about buying one once and decided it was an unnecessary expenditure.

 

[Sylvain]

I think Syl's point is that in training there is no actual bleeding so the device tells you that it is actually tight enough.

Personally I thought about buying one once and decided it was an unnecessary expenditure.

This!

The pulse oxymeter is only used during training to make sure there's no pulse.
Sometimes the tourniquet can feel pretty tight but you can still feel a pulse.

You don't need a pulse oxymeter in a real life situation to apply a tourniquet.

But it's a nice tool to have to monitor your patient's vital signs.
I keep it in my car first aid kit with a BP cuff and stetoschope.

Pulse oxymeters are quite cheap nowadays.I think I paid $10 or $15 for mine.
It's not just usefull when you practice with your tourniquet.

You can feel your own pulse with your hand and don't necessary need a pulse oxymeter.
The nice thing with the pulse oxymeter is that it works on a toe when you apply the tourniquet to a lower limb.

 

[Sylvain]

Edit to add: I need to get a trainer, or designate a single cat for training and mark it well to distinguish it from the others.

I'm not sure if it can be seen on the crappy picture I posted but my training tourniquet is blue, the one in the holster is black.

 

[SmileDocHill]

That makes sense. Thanks for clarifying for my slow brain.

Not so much "Mass casualty" related but Sunday was basically all things first aid day. I'm fighting the end of a cold so I couldn't go outside. Stayed in and watched most of Skinnymedic's Youtube videos and dropped about $150 on components on his site. I probably could have saved a buck or two shopping around but there is value in the information he puts out there!

 

[Sylvain]

That makes sense. Thanks for clarifying for my slow brain.

Not so much "Mass casualty" related but Sunday was basically all things first aid day. I'm fighting the end of a cold so I couldn't go outside. Stayed in and watched most of Skinnymedic's Youtube videos and dropped about $150 on components on his site. I probably could have saved a buck or two shopping around but there is value in the information he puts out there!

He makes some great videos and offers good kits as well.

Nothing beats hands-on training and taking actual classes but you can learn a lot from watching Youtube videos (as long as the Youtuber is legit).

I subscribe to a few EMTs or combat medics on Youtube.They post interesting stuff.

I recently discovered those guys ...

They posted a 3 hours video on their TCCC class.If you have some more free time ...

[video=youtube;PF5GhoYKK3g]https://www.youtube.com/watch?v=PF5GhoYKK3g[/video]

It's basic stuff but great stuff if you've never taken a class.

If you want to see real first aid done on real people (with blood and whatnot) you can follow the Academy of Emergency Medicine.

They are civilian medis working in Syria and Iraq.

https://www.youtube.com/channel/UCYtA_hsFG9u-zQ1bNUqDWow/featured

 

[Vigilant]

He makes some great videos and offers good kits as well.

Nothing beats hands-on training and taking actual classes but you can learn a lot from watching Youtube videos (as long as the Youtuber is legit).

I subscribe to a few EMTs or combat medics on Youtube.They post interesting stuff.

I recently discovered those guys ...

They posted a 3 hours video on their TCCC class.If you have some more free time ...

[video=youtube;PF5GhoYKK3g]https://www.youtube.com/watch?v=PF5GhoYKK3g[/video]

It's basic stuff but great stuff if you've never taken a class.

If you want to see real first aid done on real people (with blood and whatnot) you can follow the Academy of Emergency Medicine.

They are civilian medis working in Syria and Iraq.

https://www.youtube.com/channel/UCYtA_hsFG9u-zQ1bNUqDWow/featured

Are those the same guys that got all ******* over trademarking the “TCCC” moniker? If so, I’d lose a lot of learning just to NOT take one of their classes. Fortunately, if it is them, nothing they do is secret, and can be learned from any quality school such as Dark Angel Medical, Skinny Medic, etc.

 

[Vigilant]

Are those the same guys that got all ******* over trademarking the “TCCC” moniker? If so, I’d lose a lot of learning just to NOT take one of their classes. Fortunately, if it is them, nothing they do is secret, and can be learned from any quality school such as Dark Angel Medical, Skinny Medic, etc.

Nevermind, these are not those guys.

 

[MCgrease08]

Great thread. I started putting my first IFAK kit together today. There are a lot of good takeaways here.

 

[actaeon277]

Great thread. I started putting my first IFAK kit together today. There are a lot of good takeaways here.

I'm waiting on my .50 cal can kit. Should be here any day

 

[actaeon277]

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