Equipment Suggestions for a noob EMT?

Posted by: AyersTG

Equipment Suggestions for a noob EMT? - 05/19/04 05:59 PM

OK - new thread, as I said to Matt.

Situation: Eldest son is certifying as an EMT in a couple of weeks and will begin the final leg of the Paramedic certification journey next semester.

What sorts of personal equipment do y'all suggest? He's a seasoned, hardened, extremely capable outdoorsman and has enough personal gear along those lines to handle whatever comes up in THOSE situations. My focus here is strictly personal gear as it pertains to EMT and eventually Paramedic duties. He's quite passionate about serving as an EMT, if that matters - it clicks something on inside him.

TIA,

Tom
Posted by: paramedicpete

Re: Equipment Suggestions for a noob EMT? - 05/19/04 06:16 PM

Sorry, I answered here before I saw the new thread. Pete

http://www.equipped.org/ubbthreads/showt...=true#Post27581
Posted by: AyersTG

Re: Equipment Suggestions for a noob EMT? - 05/20/04 12:24 AM

Thanks, Pete! Lots to choose from there - any specific recommendation? (I'm not gonna get him a Master Cardiac Electronic....)

Matt - thanks for:

Quote:
Now as far as the EMT stuff for your son goes. I know that amount and type of calls vary from area to area. In NYC as EMTs we get a lot of trauma although now I’m doing more medical calls due to paramedic training. Because of that tools will vary a bit. Good stethoscope is a must but let your son choose what he wants. Blood pressure cuff is pretty standard unless you want to get him a set with glow in the dark dials and different cuff sizes. Get him a good duty belt, glove holder and radio/shears holder. Also Benchmade rescue hook is a life saver (I wrote review about it here of ETS). It works better than shears. My belt also has multitool attached and I carry Spyderco Assist in my pocket. I also have emergency repel belt and it came handy during few roof jobs as my personal safety. Our Heroes (FD) respect medical profession very much and would much rather have us doing medical work than trying to play doctors. Also solid boots will save his ankles, feet, knees and back. I saw people also using combat shooting gloves for doing 10 fl carry downs. I personally have a nice set of construction calf skin gloves that suit me just fine. But the most important buy is a portable DVD player so he can watch all the movies in between calls. 

You can’t go wrong with the pelican light. Everyone wants Surefire but at one glimpse at mine they all end up getting M6. Also since Pelican is totally unsuitable to check pupils ARC AA is much better (and your son has a fine taste)

I also carry a small puls/oxygen (pulsox) meter. But I don’t recommend it for the reason that you need to get you vitals perfect without use of any gadgets. Only when you know how to take them with your eyes closed while hanging upside down you can start going for gadgets that make your life easier.


...and if you could give some example(s) of duty belt (I understand webgear, medic aid bags, field dressings, etc, so speak slowly so this old Army guy can understand you...) I'm guessing you mean something like a cop's duty belt, but that barely helps me...

Thanks again, and please continue to add to this list!

Tom
Posted by: stargazer

Re: Equipment Suggestions for a noob EMT? - 05/20/04 02:58 AM

Tom:
I can provide some answers your looking for.

Duty belt: Is basically a trousers belt in black leather (usually basketweave pattern) about 1.5" wide and besides holding up pants provides some (minimal) back support. You can normally hang a two-way radio on it without causing the radio to bend the belt. You can find them at most uniform stores and on-line. Try www.qmuniforms.com for example, or try a google search for police, fire, EMS uniforms.

Equipment Holster: A nylon or leather pouch, which holds scissors, knife, flashlight etc. You can find this item also through some uniform companies such as www.galls.com

I would not recommend the electronic version of the Littman Cardiology Stethoscope. EMS is a brutal work environment. You are exposed to things from temperature changes to running into something, all of which will contribute to problems for you. Besides, even with the best of co-workers, these types of scopes have a unique tendency to strangely enough grow legs and walk off. Only to show up months later in the back of a rival services ambulance.

Glove Holder: A small pouch, usually nylon, which can hold between one and two pairs of gloves. Some of the newer EMS cargo trousers have a small outer pocket on the outside, which holds gloves. If your son will be working for a service which provides uniform style shirts, he can carry a pair in one of the pockets.

Other equipment I recommend:

The most important tool has already been mentioned in these forums. The one between the ears and the knowledge, or rather wisdom within.

Boots: Already mentioned.

Good Trauma Shears: Cheaper than a Benchmade Rescue Hook.

A good quality knife: Very self explanatory and covered elsewhere better than I can.

Multitool: I have never carried one, so I cannot say anything here, but others have, with success.

Notebook: Can be used for a lot of things and is better than trying to remember all of those blood pressures, pulse rates, etc. as he becomes a paramedic, he’ll value having to recall when and how much dose of a drug he gave. When writing a patient care report, he’ll have patient names etc.

2 Pens: Why two? As Doug and others have said, “things have a way of conking out at the worst possible moment!”

Pencil: Why? Refer to the pens above. For ease, I carry a combo pen and pencil set and then add an additional pen. OBTW, my partners don’t always have a pen available.

Change of Uniform: If not required get in the habit. You never know when a patient will either vomit, or you will get blood on you. Working a whole shift without a change is taking too great a risk.

A couple of SHOUT or similar wipes these can be carried in a shirt pocket and used for cleaning the uniform of minor problems.

Small bottle of Purell, or other Gelled alcohol. The service I work for and additionally the state (Idaho) requires a hand sanitizer. WASH YOUR HANDS AFTER EACH PATIENT CONTACT! Very important, even with gloves.

Patient care cheat sheets: Such as InforMeds (www.emsguides.com) pocket notebook for EMS, with basic, intermediate, paramedic and RN versions. Again, trying to remember what to do at 0h 3 hundred after being woken up is nerve rattling at best. I know I have done this as a volunteer since, well let’s just say awhile.

Any more questions please ask!

Take care,
Stargazer








Posted by: Polak187

Re: Equipment Suggestions for a noob EMT? - 05/20/04 11:24 AM

Again it depends on the fashion of the local EMTs but here's how we do it in NYC.

You EMT pants are held up by regular leather 1.5 inch belt. You can also instead of leather use Last Resort Belt .

Duty belt is what Army had as a pistol belt. Here you can see example. We wear duty belt on top of our regular belt. Just like you would wear LCE in the Army (minus suspenders). Duty belt is not getting fit thru the belt loops on your pants. It is stand alone part of your uniform than can be ditched if you snag on something.

This is radio/shears/misc items holster I use: Conterra Trauma Pro EMS/Radio Holster ( link ). It can be fitted for most of the radios out there. It has two side pockets: one that would fit ARC AA and second will fit wrench/key to open oxygen tanks. It also has a small pocket for about 6 pairs of gloves. This seems to be very popular item out here.

Besides that I have a flashlight case, multitool and extra pouch for rubber gloves.

Let me know if I can help you any further.

Matt
Posted by: paramedicpete

Re: Equipment Suggestions for a noob EMT? - 05/20/04 03:57 PM

The Classic II S.E. or the Master Classic II are great and will serve him well. If you wanted to go for something in an upgraded version either the Cardiology III or the Master Cardiology. Pete
Posted by: Polak187

Re: Equipment Suggestions for a noob EMT? - 05/20/04 04:17 PM

I would second the Master Classic or Master Cardiology. Great solid ears.

Matt
Posted by: X-ray Dave

Re: Equipment Suggestions for a noob EMT? - 05/20/04 04:46 PM

A good stethescope will help with all the background noise. Since I don't hear well to start with, a good set of ears helps inside, and on the side of the road with traffic etc it's a must.
Posted by: stargazer

Re: Equipment Suggestions for a noob EMT? - 05/20/04 05:53 PM

Matt:

I have a couple of questions myself and need some clarification please.

You mentioned the nylon pants belt. Is the model you mentioned the same as one the BLM provides for wildland firefighters? If so, I would not recommend it. The model I am familiar with barely lasts one full fire season (gov’t low bid) and folds easily if you are slightly overweight. Another problem I have seen with them is they never stay cinched tight enough to actually work. <img src="images/graemlins/blush.gif" alt="" />

The duty belt you mentioned, is it the same as a nylon gun belt for law enforcement? We used to call them Sam Browne belts, or just gun belts.

I like the holster you have. I am not sure of your uniform in NYC, but since our service uses EMT cargo pants like these. I have not worn a belt holster in years. I do carry it in my nylon briefcase when on duty. I use the Motorola HT1250 radio (personal purchase) and it is the only item hanging from my belt these days. I recall getting caught on too many car frames, doorframes etc. with both a different radio and my old nylon holster. Since streamlining to the cargo pants, I don’t experience this as often. Our uniform shirts are the typical duty uniform shirts from Horace Small Uniforms in French Heather Blue from Galls. I normally carry a small notebook, 2 pens and a pencil in the left pocket and the EMS guide in the right pocket with a small penlight. <img src="images/graemlins/grin.gif" alt="" />

You mentioned an emergency rescue harness, I think, which one are you using?

Thanks in advance,

Stargazer
Posted by: Polak187

Re: Equipment Suggestions for a noob EMT? - 05/20/04 06:24 PM

Quote:
You mentioned the nylon pants belt. Is the model you mentioned the same as one the BLM provides for wildland firefighters? If so, I would not recommend it. The model I am familiar with barely lasts one full fire season (gov’t low bid) and folds easily if you are slightly overweight. Another problem I have seen with them is they never stay cinched tight enough to actually work.


I've head mine for two years and it is working fine. But than again wildlife fire fighters put much more wear and tear on their equipment.

Quote:
The duty belt you mentioned, is it the same as a nylon gun belt for law enforcement? We used to call them Sam Browne belts, or just gun belts.


Same thing. Regular gun belt. Mine is exactly the same belt that the Army is using in their LCEs but black.

Quote:
You mentioned an emergency rescue harness, I think, which one are you using?


I'm using the belt you dislike (mentioned above). We can't really repell or do any crazy stunts but when stuff needs to get done you do what you got to do to get there. I will strap in when working on the balconies, roof and during fires. Together with BProof vest and drug/o2/monitor my center of gravity and balance can get little funky.

We are using the same pants you guys have but bp cuff takes one pocket and gloves take the second one. I also carry two pens, notebook and local protocols like you do. For some reason we are all about the holsters. That's were the drug box goes, radio and other junk.

Matt
Posted by: stargazer

Re: Equipment Suggestions for a noob EMT? - 05/20/04 06:57 PM

Matt: Thanks for the reply. Amazing how similar we all dress in this profession. I don't carry a B/P cuff in the cargo pants, ours is in the trauma bag. I like that idea. May have to try it.

I do carry leather gloves in one cargo pocket. Nothing real fancy here, just regular ol' calfskin gloves from Wells-Lamont.

We don't wear armored vests either, unless you are on the SWAT team.

I wear a pair of combo sun and safety glasses from UVEX for auto extrication, except at night, then it is the clear ones. I normally carry these in the other cargo pocket.

take care,

Stargazer

Posted by: Polak187

Re: Equipment Suggestions for a noob EMT? - 05/20/04 07:04 PM

We have a BP cuff in a trauma bag too but I prefer to have one on me just in case since equipment can go missing or break.

Matt
Posted by: AyersTG

Re: Equipment Suggestions for a noob EMT? - 05/20/04 10:53 PM

Great ideas/discussion - thanks, everyone!

Of course, if the thread continues... that's great - more info for me to digest. I'm sharing the info with my buddy because his son (older than my son and younger than Matt) should certify as a Paramedic in late December.

Thanks again,

Tom
Posted by: Anonymous

Re: Equipment Suggestions for a noob EMT? - 05/22/04 01:22 PM

I don't think this was mentioned but I would include a good, very bright flashlight such as a Streamlight Ultrastinger, Tigerlight FBOP, or as last resort, a Magcharger. In my experience in urban and rural environments there is never enough light to go around at night. Also, its easier to see street numbers that are set off the road with a good flashlight than using floods or alley lights.

A good trick is that if you are shorthanded you can stick the light in your back pocket and aim it at the ceiling. There will be enough reflected light for an inital assessment or to carry a patient down stairs.

Chris
Posted by: WOFT

Re: Equipment Suggestions for a noob EMT? - 05/22/04 01:41 PM

A headlamp, like Petzl duo? hands free lighting, where hands are pretty neccesary.
Posted by: AyersTG

Re: Equipment Suggestions for a noob EMT? - 05/22/04 02:46 PM

Good catch - I mentioned it in a previous post but it's not in this thread. Just to keep all this stuff together: Pelican M6. Additional light that Matt suggested (and son would agree with) is an ARC AA.

My son admires the ARC AAA for EDC but feels that the ARC AA will be more suitable for duty because it is a tad larger, 1.5 v lithiums for cold weather use are commonly available, it can sit on its tail (room illumination), and it fits very nicely in the readily available headbands that allow AA diameter lights to be used as a hands-free headlamp. Comments, anyone?

OTOH... I'm thinking about building something on an AA minimag body with a single white LED and a clickie tailcap. AA or 2 x AA - haven't decided. Trivial to drop an Oplalec 3 x 5mm LED conversion in one, but that (and the terrastar2 Luxeon conversion) are too bright for checking pupils. Construction details will be better discussed on CPF, but does anyone here have any EMT form/function thoughts on a clickie + LED mod on a minimag AA body VS the ARC AA?

Tom
Posted by: OldBaldGuy

Re: Equipment Suggestions for a noob EMT? - 05/31/04 06:24 AM

In addition to all the other stuff mentioned, a pencil sized spring loaded center punch for breaking tempered side and rear vehicle windows (carried in a pen slot in the pocket), maybe a pocket mask with one way valve, just in case he has to do CPR and his kit isn't handy (NEVER want to go bareback on a total stranger)...
Posted by: Chris Kavanaugh

Re: Equipment Suggestions for a noob EMT? - 05/31/04 07:27 AM

Don't laugh, but in the Coast Guard I learned to say some simple prayers appropriate for all the major religons and had a crucifix, mezzuza, Saint Elmo's medallion and photo of his Holyness the Dalai Lamma( I cover my options <img src="/images/graemlins/grin.gif" alt="" />. ) A few times it was very usefull calming victims. A regretably few other occassions the families knew their people passed in the comfort of their beliefs.
Posted by: AyersTG

Re: Equipment Suggestions for a noob EMT? - 05/31/04 05:01 PM

Thanks - he already has one of the spring-loaded center punches (on sale at Harbor Freight again - less than 2 bucks, I think), but not sure if he carries it. Great idea on the back-up pocket mask - local Red Cross office sells several models otc at bargain prices. His first night, first patient, was a CPR case...
Posted by: AyersTG

Re: Equipment Suggestions for a noob EMT? - 05/31/04 05:03 PM

I'll pass that on - he won't laugh, believe me. (Actually, he's lurking around in here someplace - I saw where he signed up)
Posted by: OldBaldGuy

Re: Equipment Suggestions for a noob EMT? - 05/31/04 07:10 PM

Speaking of calming people, and small stuffed animal works wonders with little kids, usually stops their crying in seconds...
Posted by: Anonymous

Re: Equipment Suggestions for a noob EMT? - 06/04/04 05:09 AM

Hello everyone, I just wanted to take a moment and thank all of you for the great info you have dropped on this subject. With the knowledge gained here in I will be much better prepared for any situation I may incounter while on duty, or off.
So thank you all very much!!!

-Corbin EMT-B
Posted by: stargazer

Re: Equipment Suggestions for a noob EMT? - 06/05/04 08:18 AM

Corbin:

Your welcome, hope something I added was of benefit.

Welcome to the world of EMS. Where you go from here is entirely up to you!

Stargazer