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Old 05-28-2013, 08:47 PM   #1
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First Aid Essentials

Post the first-aid gear you won't leave home without. I'll start:

1. Israeli bandage

2. Quick-clot


(if you're not familiar with these, do a YouTube search)

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Old 05-28-2013, 09:20 PM   #2
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OK, I'll keep going:

3. C.A.T (combat application tourniquet)

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Old 05-28-2013, 09:40 PM   #3
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Some things I always have when backpacking...
4. Moleskin
5. Iodine (doubles as water purification)
6. Nitrile Gloves (for when you are working on someone else)
7. CPR barrier
8 Antihistamine tablets (bug stings)
9 scissors
10 Gastrolyte Sachets (keep hydrated if you get diarrea/gastro, etc)
11 sunscreen
12 lip balm
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Old 05-28-2013, 09:42 PM   #4
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Nice (I need to add Moleskin)
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Old 05-28-2013, 11:01 PM   #5
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My goal is to try to fit all that into a water bottle....
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Old 05-28-2013, 11:20 PM   #6
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Tweezers, nail clippers, aloe gel.
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Old 05-29-2013, 01:22 AM   #7
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(this is not a complete list) I have two of these kits. One stays with me and the other stays at home. Just last week (Friday) I had an employee cut the tip of her left thumb off using a Sheffield Machine. We were able to control the bleeding, reduce the potential for shock and prep her for transport using the very basic tools listed below. After assisting with a field amputation of a leg in the rear of a humvee while doing nearly 80mph there is very little that shocks me. I had two employees (one of which is an Army reservist) hit the deck when blood was spurting from the girls thumb.

One piece of advice I have for anyone carrying a more advanced trauma kit... Know the equipment, now the procedures and know the LEGAL RAMIFICATIONS of rendering aid. There are some life saving steps that can cause a more immediate danger to the patient if done incorrectly or if a complete medical background is not known.
If you are carrying Quick Clot or a similar clotting agent, be sure that it is not expired and be sure you know what you are doing with it. I have seen people jump to the use of Quick Clot and cause more serious damage than would have been done if other less drastic measures had been taken.

(2) 1000ml Sodium Chloride IV bag with starter and tube set
(1) 500ml HESPAN IV bag with starter and tube set
(2) quick clot
(2) CAT tourniquet
(3) snake bit kit
(1) surgical stapler
Trauma tool kit
(6) suture kit w/ multiple gauge needle/thread
(1) suture removal kit
(1) Ascherman chest seal
(1) hypothermia blanket
(1) burn blanket
numerous rolls of bandage, tape, etc.
(2) SAM splints
(1) neck collar
(1) BP cuff and (1) stethoscope
many sets of nitrile gloves
pain meds, allergy meds, eye wash

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Old 05-29-2013, 07:52 AM   #8
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Originally Posted by Carlsbad0331 View Post
(this is not a complete list) I have two of these kits. One stays with me and the other stays at home. Just last week (Friday) I had an employee cut the tip of her left thumb off using a Sheffield Machine. We were able to control the bleeding, reduce the potential for shock and prep her for transport using the very basic tools listed below. After assisting with a field amputation of a leg in the rear of a humvee while doing nearly 80mph there is very little that shocks me. I had two employees (one of which is an Army reservist) hit the deck when blood was spurting from the girls thumb.

One piece of advice I have for anyone carrying a more advanced trauma kit... Know the equipment, now the procedures and know the LEGAL RAMIFICATIONS of rendering aid. There are some life saving steps that can cause a more immediate danger to the patient if done incorrectly or if a complete medical background is not known.
If you are carrying Quick Clot or a similar clotting agent, be sure that it is not expired and be sure you know what you are doing with it. I have seen people jump to the use of Quick Clot and cause more serious damage than would have been done if other less drastic measures had been taken.

(2) 1000ml Sodium Chloride IV bag with starter and tube set
(1) 500ml HESPAN IV bag with starter and tube set
(2) quick clot
(2) CAT tourniquet
(3) snake bit kit
(1) surgical stapler
Trauma tool kit
(6) suture kit w/ multiple gauge needle/thread
(1) suture removal kit
(1) Ascherman chest seal
(1) hypothermia blanket
(1) burn blanket
numerous rolls of bandage, tape, etc.
(2) SAM splints
(1) neck collar
(1) BP cuff and (1) stethoscope
many sets of nitrile gloves
pain meds, allergy meds, eye wash

First kit I've seen (outside the military) with a BP cuff. Nice.
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Old 05-29-2013, 09:03 PM   #9
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Quote:
Originally Posted by Carlsbad0331 View Post
...
One piece of advice I have for anyone carrying a more advanced trauma kit... Know the equipment, now the procedures and know the LEGAL RAMIFICATIONS of rendering aid. There are some life saving steps that can cause a more immediate danger to the patient if done incorrectly or if a complete medical background is not known.
...
In case ya missed it the first 2 times:

Quote:
Originally Posted by Carlsbad0331 View Post
...
One piece of advice I have for anyone carrying a more advanced trauma kit... Know the equipment, now the procedures and know the LEGAL RAMIFICATIONS of rendering aid. There are some life saving steps that can cause a more immediate danger to the patient if done incorrectly or if a complete medical background is not known.
...
Absolutley sound advice.

The best first aid kit is a loaded question, and is simply the one best suited to your training, environment, and probable needs. If you will be outside the 1hr window, meaning an E.R. is 1hr or more away, you need to know a few other things. For instance, I don't carry a BP cuff because the type of injury I will encounter does not require one. If they have a pulse at the ankle, that leg has blood, and that's all I need to know. A father took his son camping in the White Mtns, and the son fell breaking his arm. They hiked out, the father assuming setting the bone would be unnecessarily tramatic. Unfortunately, the blood had been stopped at the breakage, and everything distal had been deprived of blood for 3+ hrs when they reached medical treatment. The arm was amputated.

The absolute best piece of first aid equipment, IMO, is knowing the patient assesment procedure and being able to prepare a 'soap' note. Those two go a long way and will help you know what you need in your kit.

Mine have the normal jazz, with a few other things in my bigger or backcountry ones. Off memory:
Nitril gloves
4x4
3x3
5x9
8x10
Iodine wipes
Alcohol wipes
Cloth bandaids, knuckles, littles, bigs, rounds, etc
Butterflys
Iodine
Eye drops/wash
Saline
Tweezers
Shears
Glucose paste
Jello powder
Airpad (hiking matress type)
Cpr mask
Fresh, untainted water
100' paracord
Safety pins
Whistle
Benadryl
Chewable aspirin
Hemostat
Tape
Triple antibiotic
Aloe w/ lidocaine
Ziplock baggies

And I am sure I forgot plenty. An instructor I once had swears by the Adventure Medical kits and carries the comprehensive mountain series when guiding, http://www.adventuremedicalkits.com/...Comprehensive#. Just be sure to leave the scalpel at home.

And I'll add if you don't have training to close a wound, don't. Closing up an infectous wound can be fatal in extreme cases.
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Old 05-29-2013, 10:37 PM   #10
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You got me on the Jello powder ...
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Old 05-29-2013, 11:47 PM   #11
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You got me on the Jello powder ...
Because there's always room for it...

One thing I see get left out way too often is a light source. Accidents happen at night too! I keep at least a glow stick in my kit.
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Old 05-30-2013, 12:04 AM   #12
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Because there's always room for it...

One thing I see get left out way too often is a light source. Accidents happen at night too! I keep at least a glow stick in my kit.
Good one. One you probably don't need Crispy, but I've heard people up north swear by is an emergency candle. That in a car wreck in winter where you can't get heat, just a candle will keep the car much warmer till help arrives
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Old 05-30-2013, 07:53 AM   #13
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You got me on the Jello powder ...
Cold hiker + hot water & (real sugar) Jello + a 'human burrito' = no hypothermia

Processing sugar turns your internal furnace on and the hot water warms from within. IMO, well worth the tiny weight (this is only in my backcountry kit), but I hike often in the mtns where rain and killer cotton can lead to hypothermia year round.

The whole wilderness medicine concept (where my training is focused) is to bridge the golden hour gap by using simple techniques and little equipment.

And 'cause there is always room for Jello, lol.

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