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#289873 - 07/13/18 03:23 PM Re: Customizing Your Medical Kit [Re: Jeanette_Isabelle]
hikermor Offline
Geezer in Chief
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Registered: 08/26/06
Posts: 6897
Loc: southern Cal
As one who is about to overcome his earlier training and include some tourniquets in his FAK, your remarks are very worthwhile to me. Also your comments about being on scene before any official first responders.

That has been my lot on at least three occasions (family emergencies excepted) and on two of them I was beaten to the victim's side by a nurse who just popped up from out of nowhere.
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#289874 - 07/13/18 05:06 PM Re: Customizing Your Medical Kit [Re: hikermor]
M_a_x Online   happy
Old Hand

Registered: 08/16/02
Posts: 1047
Loc: Germany
Reading this forum gets kind of expensive. I have been looking for a tourniquet (for some of my hobbies the risk may be small but the potential damage could be severe) for a while and got some useful leads here.
In the vast majority of accidents the first person on the scene would be the one to call the official first responders and then keep the victim alive until the responders arrive. Odds are the first person is not an official first responder.
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#289875 - 07/13/18 05:22 PM Re: Customizing Your Medical Kit [Re: Jeanette_Isabelle]
Jeanette_Isabelle Offline
Pooh-Bah

Registered: 11/13/06
Posts: 2084
Loc: Somewhere in Florida
The one area in which I cannot make up my mind is the wound/burn section. Anyone else having trouble deciding? The following is the current configuration:

WOUND / BLISTER / BURN
(2) Trauma Pad, 5" x 9"
(1) Burn Dressing, 4"x16"
(1) Burn Dressing, 4" x 4"
(3) Burn Jel, 3.5 g
(1) 30 Band-Aid, 6 Knuckle, 6 Moleskin
(1) Cloth Tape, 1" x 10 yds.
(2) Stretch Gauze, 3" x 4.1 yds.
(6) Povidone-Iodine Prep Pad
(2) Benzoin Swabsticks
(2) Oval Eye Pad
(2) Povidone-Iodine, 22 mL
(2) Wound Closure Strips, 0.25" x 4"
(6) Cotton Tipped Applicator, 6"
(2) Non-Adherent Dressing, 3" x 4"
(6) Sterile Gauze Pad, 4" x 4"

Edit: I edited my list again. Given the number of other wound items I have, six gauze pads seem to be the right amount. What about non-adherent dressing? Should I have none, two or four?

Jeanette Isabelle


Edited by Jeanette_Isabelle (07/13/18 09:51 PM)
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#289877 - 07/13/18 09:30 PM Re: Customizing Your Medical Kit [Re: hikermor]
Russ Offline
Geezer

Registered: 06/02/06
Posts: 5131
Loc: SOCAL
Decided to buy a couple more SWAT-Tís and figured Iíd get a better price on Amazon - no, REI had them beat by a few cents and then when I checked out, there was a further (unexplained, possibly volume since I bought more than one) discount. ó SWAT-T at REI.
Not affiliated, except that I have been a member of the co-op since the 1980ís. wink

One of these days Iíll post the truck kitís content list... and then Iíll modify it again smile

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#289878 - 07/14/18 02:02 AM Re: Customizing Your Medical Kit [Re: Russ]
hikermor Offline
Geezer in Chief
Geezer

Registered: 08/26/06
Posts: 6897
Loc: southern Cal
Thanks for the link. I will be dropping by the local REI tomorrow - garage sale!! I wonder if there will be any slightly used T's.....(or returned -"did not work' - subject bled out"....)
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#289889 - 07/15/18 12:46 PM Re: Customizing Your Medical Kit [Re: hikermor]
bacpacjac Offline
Carpal Tunnel

Registered: 05/05/07
Posts: 3601
Loc: Ontario, Canada
Originally Posted By: hikermor
It isn't that hard to exhaust the contents of any normal FAK and who says you will be dealing with only one casualty in an incident?

On one operation with one seriously banged up victim, I was now improvising splints, casting questing eyes at a small pine tree along the trail, and I had removed my pants to use them for splint padding. I had another pair in my pack and treatment and stabilization was a higher priority. This one victimnearly exhausted my fairly extensive FAK.

You might even have to use a non-sterile material to staunch blood flow in an extreme case. Not recommended,, of course but if you can deliver a patient to the ER still containing appropriate liquids, they have the resources to compensate for infection.


I'm learning so much from this thread. Thanks gang!

FWIW - As first responders at a truck vs elderly pedestrian collision a few years ago, the nurse who stopped with me grabbed a package of paper towels from her trunk and told me to grab the other one instead of the gauze pads from my FAK. A whole package or four non-sterile of gauze pads would have been helpful in that case, not just a few individually wrapped pads. I've carried a couple rolls of paper towel in my vehicles ever since.
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#289890 - 07/15/18 01:02 PM Re: Customizing Your Medical Kit [Re: bacpacjac]
hikermor Offline
Geezer in Chief
Geezer

Registered: 08/26/06
Posts: 6897
Loc: southern Cal
I usually carry a bandanna in my left rear pocket - a classic multiuse item. While I prefer to apply sterile dressings over a bleeding wound, I wouldn't think twice bout slapping on that bandanna if necessary. It is usually red, so blood won't ruin it -also fairly decent color for signaling, good potholder, general padding, etc.

How many uses are there for a red bandanna, anyway??
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#289891 - 07/15/18 01:50 PM Re: Customizing Your Medical Kit [Re: hikermor]
pforeman Offline
Member

Registered: 04/23/08
Posts: 129
Loc: Iowa
I just read a magazine article last night about 100 uses for a bandana! A quick web search this morning turned up an on-line pdf document with 180 uses. Some of them, such as holding a hot branding iron, I will guess don't see much use.

As a side note, medical / FAK gear is a 'funny' thing in that it's often a product of experience, training and needs. Having had the chance to get some good training over the years I'm happy with some simple every-day supplies and rely on knowledge rather than gear.

This site also helps me expand that knowledge base every time I visit - example from today is I'm putting some paper towel rolls in the car trunk tomorrow on the way to work.

Paul -

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#289892 - 07/15/18 02:07 PM Re: Customizing Your Medical Kit [Re: hikermor]
Russ Offline
Geezer

Registered: 06/02/06
Posts: 5131
Loc: SOCAL
When I last took my Wilderness First Aid course, NOLS marketed a large orange bandana with first aid instruction imprinted. It seems to be out of stock or no longer available, shoulda bought two, maybe itís a collectors item. cool

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#289893 - 07/15/18 02:15 PM Re: Customizing Your Medical Kit [Re: pforeman]
Russ Offline
Geezer

Registered: 06/02/06
Posts: 5131
Loc: SOCAL
Originally Posted By: pforeman
... I'm happy with some simple every-day supplies and rely on knowledge rather than gear. ...

Earlier in the thread we discussed ďimprovisationĒ and thatís always good, but improvisation takes time and sometimes thatís time the victim does not have available. A dedicated tourniquet is easier and quicker to deploy if you have one, and you donít need to worry about your favorite belt being trashed when it arrives at the ER (you ainít getting it back).

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