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#289687 - 06/29/18 08:02 PM Re: Customizing Your Medical Kit [Re: chaosmagnet]
Jeanette_Isabelle Online   content
Pooh-Bah

Registered: 11/13/06
Posts: 1847
Loc: Emerald City, OZ
Originally Posted By: chaosmagnet
but again, like with tourniquets, hands-on training is essential.

I ordered the C-A-T trainer. Mom and I will be practicing it.

Jeanette Isabelle
_________________________
"When you're up to your [neck] in alligators, it's hard to remember that your initial objective was to drain the swamp." -- Floridian proverb

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#289790 - 07/07/18 01:28 AM Re: Customizing Your Medical Kit [Re: Jeanette_Isabelle]
acropolis5 Offline
Enthusiast

Registered: 06/18/06
Posts: 341
JI, nice kit. May I suggest that if you are carrying 6, 5”x9” trauma pads, u need more Coflex or, better yet, 2-3, 3” roles of Vet Tape, to strap on the trauma pads. Add a roll of 1” waterproof adhesive tape. It is easier to apply than duct tape and more flexible. But keep the duct tape. Did you give any thought to one or two Israeli 6” , doulble pad bandages , in place of 1-2 f the 5”x9” pads? They are the gold standard for Trauma bandaging. Inexpensive substitute for a chest seal is sterile, foil wrapped Vaseline gauze pad. Watch the U-Tube video for application instruction.

Is your tweezers needle nose. It should be for effective splinter removal. And, especially in ur part of the country , a tick key or equivalent.

In my years as an EMT and the neighborhood first-aid Dad, I found u never pack too many/ enough sterile 4”x4” gauze pads. IMO, ur 6 is too few. 10 is a minimum and 20 is better.

A headlamp keeps ur hands free to give aid. Use AA or AAA lithium batteries for long life and no corrson.

If u r going to give assistance to strangers,e.g. car accidents, I’d add a pair of swim goggles and 2-3, N-95 masks to fend off blood spatter. If you are going to rescue breath, a one way valve mask is a must. Even reusable ones aren’t too expensive and single use ones are very inexpensive. The 28 French NF airways u mentioned r a good idea.

I’d also suggest u buy or assemble a better emergency dental kit. Just Google them and pick.
,
Finally, keep 2 or more, 20oz. , push-pull drink tops of bottled water, along with a few single wrapped iodine pads. One pad in bottle for wound cleaning and one to pour in ur rehydration powder.

Misc. Edit: waterproof pad + pen, #11 disposable sterile scalpel, 6-10 Wet Wipes invidual wipes for wound/ skin cleaning, small magnifier for splinters, thin waterproof marker pen to note tourniquet application with “T” and time , on victims cheek. Make sure ur aspirin is chewable childrens’ 82mg ( 6 is suspected heart attack dose), ibuprofen and acetaminophen together in the correct dosage ( Google it) is now said to give almost as much pain relief as common opoid tablets.


Cheers



Edited by acropolis5 (07/07/18 02:22 AM)

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#289793 - 07/07/18 01:24 PM Re: Customizing Your Medical Kit [Re: acropolis5]
Jeanette_Isabelle Online   content
Pooh-Bah

Registered: 11/13/06
Posts: 1847
Loc: Emerald City, OZ
Originally Posted By: acropolis5
JI, nice kit. May I suggest that if you are carrying 6, 5”x9” trauma pads, u need more Coflex or, better yet, 2-3, 3” roles of Vet Tape, to strap on the trauma pads.

I mentioned I'm modifying my kit and listed the changes along the way. On June 28 I listed what was then the current contents. I reduced the trauma pads from six to two and removed the CoFlex. For what you're mentioning, that is why a trauma bandage is there.

Originally Posted By: acropolis5
Did you give any thought to one or two Israeli 6” , doulble pad bandages , in place of 1-2 f the 5”x9” pads? They are the gold standard for Trauma bandaging.

Though they are 4" instead of 6", the trauma bandage is close to the Israeli Bandage.

Originally Posted By: acropolis5
Is your tweezers needle nose. It should be for effective splinter removal. And, especially in ur part of the country , a tick key or equivalent.

Yes.

https://www.chinookmed.com/01751/uncle-bills-tweezers.html

Originally Posted By: acropolis5
In my years as an EMT and the neighborhood first-aid Dad, I found u never pack too many/ enough sterile 4”x4” gauze pads. IMO, ur 6 is too few. 10 is a minimum and 20 is better.

Space is limited in the wound pocket.

Originally Posted By: acropolis5
A headlamp keeps ur hands free to give aid. Use AA or AAA lithium batteries for long life and no corrson.

Where in the med kit am I supposed to include a headlamp?

Originally Posted By: acropolis5
If u r going to give assistance to strangers,e.g. car accidents, I’d add a pair of swim goggles and 2-3, N-95 masks to fend off blood spatter. If you are going to rescue breath, a one way valve mask is a must. Even reusable ones aren’t too expensive and single use ones are very inexpensive.

Where, in the medical kit, would I put the safety goggles? The respirator masks are already listed. The CPR mask is also listed.

Originally Posted By: acropolis5
I’d also suggest u buy or assemble a better emergency dental kit. Just Google them and pick.

I question the usefulness of a dental kit. If I have access to a dentist, why would I need a dental kit in the first place? If I don't have access, a dental kit would only delay the inevitable.

Originally Posted By: acropolis5
Finally, keep 2 or more, 20oz. , push-pull drink tops of bottled water, along with a few single wrapped iodine pads. One pad in bottle for wound cleaning and one to pour in ur rehydration powder.

Where, in the medical kit, would I put the bottled water. I do keep an 8 OZ bottle of water in my EDC bag and I often have a second bottle of water with me. I understand why I would need bottled water with me for the hydration powder. Why would I need a sport-top water bottle for irrigating when I have an irrigation syringe listed among the instruments?

Originally Posted By: acropolis5
Misc. Edit: waterproof pad + pen,

Listed.

Originally Posted By: acropolis5
#11 disposable sterile scalpel,

That is beyond my level of training.

Originally Posted By: acropolis5
6-10 Wet Wipes invidual wipes for wound/ skin cleaning,

Listed.

Originally Posted By: acropolis5
small magnifier for splinters,

I considered a PSP, which has that.


Originally Posted By: acropolis5
thin waterproof marker pen to note tourniquet application with “T” and time , on victims cheek.

Listed.


Originally Posted By: acropolis5
Make sure ur aspirin is chewable childrens’ 82mg ( 6 is suspected heart attack dose),

The following is what the kit comes with and what I have to work with.

https://www.chinookmed.com/05193pa/aspirin-325-mg-tablets-analgesic.html

There is no room for a bottle of chewable aspirin in my kit; I do have a bottle in my EDC bag.

Jeanette Isabelle
_________________________
"When you're up to your [neck] in alligators, it's hard to remember that your initial objective was to drain the swamp." -- Floridian proverb

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#289794 - 07/07/18 04:48 PM Re: Customizing Your Medical Kit [Re: Jeanette_Isabelle]
Russ Offline
Carpal Tunnel

Registered: 06/02/06
Posts: 4901
Loc: SOCAL
...”Where in the med kit am I supposed to include a headlamp?”...

One option is to keep a headlamp separate from the FAK because it has more uses than lighting for field surgery.

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#289795 - 07/07/18 05:20 PM Re: Customizing Your Medical Kit [Re: Russ]
hikermor Offline
Geezer in Chief
Geezer

Registered: 08/26/06
Posts: 6540
Loc: southern Cal
There are quite a few small headlamps that can fit in small spaces. The Fenix hL10 is a good example, but there are others as well. You definitely want both hands free in a FA situation.
_________________________
Geezer in Chief

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#289796 - 07/07/18 08:28 PM Re: Customizing Your Medical Kit [Re: Jeanette_Isabelle]
Jeanette_Isabelle Online   content
Pooh-Bah

Registered: 11/13/06
Posts: 1847
Loc: Emerald City, OZ
Recently I've been reading to not have anything touching the eye in the event of an injury as there could be swelling. That disqualifies eye pads. Instead, protect the eye with an eye shield. With the modifications that I'm making I had concerns with the Combat Eye Shield getting flattened because the kit is getting stuffed as it is. That leads me to believe that it would be best to skip the eye shield.

The Polycarbonate Eye Shield appears to be addressing concerns I had with the Combat Eye Shield.

https://www.chinookmed.com/item/05262pa/...d-orange/1.html

While it's probably best to wait before making this addition, I want to know what you think.

Jeanette Isabelle
_________________________
"When you're up to your [neck] in alligators, it's hard to remember that your initial objective was to drain the swamp." -- Floridian proverb

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#289816 - 07/09/18 02:54 PM Re: Customizing Your Medical Kit [Re: Jeanette_Isabelle]
CJK Offline
Addict

Registered: 08/14/05
Posts: 541
Loc: FL, USA
A headlamp....or any other light is useless......30 plus years on the road has proven that no matter how much light you have it will either; 1. Never be enough or 2. It can't reach where you need it.

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#289817 - 07/09/18 03:56 PM Re: Customizing Your Medical Kit [Re: CJK]
Russ Offline
Carpal Tunnel

Registered: 06/02/06
Posts: 4901
Loc: SOCAL
So your advice is ...?

A headlamp normally used for hiking is better than no light. First aid in the dark can really suck. It’s probably tough to do surgery with just a headlamp, but for basic first aid a little light than none.

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#289818 - 07/09/18 04:36 PM Re: Customizing Your Medical Kit [Re: CJK]
hikermor Offline
Geezer in Chief
Geezer

Registered: 08/26/06
Posts: 6540
Loc: southern Cal
I heartily disagree. In fact, it is surprising and instructive how useful even a small amount of light can be. There are occasions where you want to bring back the daylight, but they are rare.

in wild caves, a headlamp is essential, since your hands are often busy as you move over rough, varied terrain. The same is true for hiking at night, although I often hold my lamp in my hands near waist level. The variations in the ground ahead of you are much more apparent that way.

In fact, I have been disoriented, walking on smooth trails at night with a headlamp mounted on my head, unable to sense exactly where the ground lay.

I prefer a modest (less than 100 lummens) hand held headlamp, lit sparingly as night falls, so that my eyes can adjust to darkness. You can follow a well defined trail at night, especially if the sky is clear,using a light only now and then. If you have a bright moon, you will go for miles and miles with no artificial light at all.

First aid is a different story. You want LIGHT, and plenty of it. it is all too easy to miss significant injuries if there is not enough light (Don't ask me how I know this). Even the quality and character of the light can be a factor in this context..

Standard practice among cavers is to carry three independent sources of light with you at all times when in a cave. I generally follow this practice on any hike of any significant length.

These days my go to light is a Zebralight 600, powered by an 18650 li-ion battery - variable light levels (up to 1000 lumens), sturdy,light, bright, and dependable. There are other similar models on the market as well. They are all so much better than the junk available years ago....
_________________________
Geezer in Chief

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#289819 - 07/09/18 04:52 PM Re: Customizing Your Medical Kit [Re: hikermor]
Russ Offline
Carpal Tunnel

Registered: 06/02/06
Posts: 4901
Loc: SOCAL
Hikermor - that Fenix HL-23 arrived the other day and it’s a good light. I found it while looking at your HL-10. The controls are easy and there aren’t any “special modes”; one button long press turns on/off, short press switches from Medium > Low > High — that’s it. Because it only uses one AA battery, changing one in the dark is also easy — no tools required, positive end goes in first. Simple is good.

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