Great kit, but I have the same problem with carrying too much. As others mentioned, look at double duty for the bulky stuff. Don't sweat the multiple changes of dressings though. If it is bad enough that you are changing that much dressing, you should be evacing instead. Carry enough to treat minor stuff that wont pull the plug on the trip, and enough to handle the triage of a major event that requires evac.

Side note, while I don't carry sutures, I do carry steri strips. I have used them to close up minor facial wounds and others that tend to pull apart. Little risk of infection is paramount though.

Bill