Soldier's 1st Aid Kit
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CH1 said:
The problem with the IM (Auto Injector) Morphine Kits were that they were not that effective.
This is why:
The auto injector was an Intra muscular injection.
When a person goes onto shalk from pain or any other reason a flight or fight responce is kicked in. This shunts all the available blood to areas that are essential for survival. the heart, lungs, brain for starters. This blood has to come from somewhere namely the periferal circulatory system. This meens that the muscles that you just shot the morph into now has a decreased circulatory volume.
To circulate the morphine into the rest of the body, it needs that blood to wash it out of the muscle and to the brain where it will do its magic. The result is that the morphine just sits in the muscle.
Now what was the old protocol for Morphine Auto Injectors... If it does not work then give them another to a total of X.
The end result is that you are giving a big depot of unused morphine in the persons glute or thigh.
Now fast forward to the UMS.
They start to stabalize the shalk. This caused all that "parked" morphine to hit the system all at once. The result is what we call in the medical world...BAD.
Now I think these injectors are still around for one reason or another but they are on their way out along with MAST and Fluid Bolusing trauma pre-facility.
GF
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The only recommendation I have is to KEEP IT SIMPLE. Gloves, bandages, tape, antibiotic cream/ointment (polysporin), band-aids, maybe a type of CPR shield device, and some waterless hand cleaner.
medicineman
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There is the First Aid Kit, Individual, LFC available from CMED - NSN 6545-CF-001-2354. There isn't a barrier device in it other than gloves, and you should add an antibiotic ointment of your choice to it as well as a strip of elstoplast or something similar. Comes pretty tidy in a ziplock bag. UMS's usually get them with their theatre package from CMED.
MM
MM
In my left cargo pocket of pants/flight suit I always have an Isreali dressing. In my med kit on my vest in a small BHI pouch I have:
Israeli Dressing
2x Hemcon bandages
Danish SF tourniquet
Ascherman's
medical tape
1x OPA
1x NPA
Quickclot small package
In Bosnia we were issued 2 Canadian field dressings and 2 pairs of latex gloves which were used for picking up tampons on LZs as to not damage the Griffon's delicate rotors.
Israeli Dressing
2x Hemcon bandages
Danish SF tourniquet
Ascherman's
medical tape
1x OPA
1x NPA
Quickclot small package
In Bosnia we were issued 2 Canadian field dressings and 2 pairs of latex gloves which were used for picking up tampons on LZs as to not damage the Griffon's delicate rotors.
I think it's important to re-visit this topic, as there are quite obviously some misunderstandings out there as to the best way to equip oneself for theater. As was stated it is important to realize the difference between a trauma kit or "blow out kit" or "IFAK" or whatever you want to call it, and a boo boo head ache kit. Your band-aids and tylenol, blister kit, teddy bear should be in your ruck. Your trauma kit needs to be in a standard location, ideally reachable by either hand. This way you can give yourself self aid or your buddy will know exactly where your gear is to use it on you. In here you need to put the things that are going to save your life, not fix a boo boo.
one handed (effective) tourniquet (CAT, SOFT-T)
Israeli dressing (cinch tight works too) This does nothing to "save" your life, but is good to prevent infection and for slower bleeds
Vacuum sealed gauze
HemCon and or
Quick Clot
Petrolum Gauze
14 gauge needle, alchol swab optional,
NPA with a squirt of lube
gloves
Theres not to much of a requirement for a barrier mask or triangular dressing.
I'd loose the OPAand tape (it wont stick to anything)
I've heard good things about the Danish Tourniquet, but there is no data on it, so I remain sceptical. Two HemCons? You must have deep pockets!
one handed (effective) tourniquet (CAT, SOFT-T)
Israeli dressing (cinch tight works too) This does nothing to "save" your life, but is good to prevent infection and for slower bleeds
Vacuum sealed gauze
HemCon and or
Quick Clot
Petrolum Gauze
14 gauge needle, alchol swab optional,
NPA with a squirt of lube
gloves
Theres not to much of a requirement for a barrier mask or triangular dressing.
Big Red said:
I'd loose the OPAand tape (it wont stick to anything)
I've heard good things about the Danish Tourniquet, but there is no data on it, so I remain sceptical. Two HemCons? You must have deep pockets!
Having a personal first aid kit is great but with the Tv find a place to carry it. Check out Sgt Bilko on EBAY for the drop leg first aid kit. Will carry about what the individaul needs with a spot for mask....made locally in Petawawa. NSE just purchased 70 in Arid and there are quite a few individuals buying one for themselves
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It is not your responsibility to find a spot...it is the chain of command's. In particular the RSM. Everyone should have thier medical supplies in the exact same location, preferably the exact same pocket as everyone else. You can ditch alot of other crap and have one or two pockets holding all your medical gear. Other then ammo, water, and medical supplies, what else do you really need in the other pockets of your vest?
You do not need to carry a pocket mask. Its bulky and a waste of space. Tell your CoC to get a face shield for AR if you are concerned...they are cheaper and smaller.
BTW
on't even think about having to do 'rescue breathing' to anyone not in a NATO military. Chances of you bringing them back....
slim to none.
You do not need to carry a pocket mask. Its bulky and a waste of space. Tell your CoC to get a face shield for AR if you are concerned...they are cheaper and smaller.
BTW
on't even think about having to do 'rescue breathing' to anyone not in a NATO military. Chances of you bringing them back....slim to none.
JANES said:
The tape gets used for other things. The inventor of the Danish tourniquet is a friend of mine and he says it works. That's the feedback hes got from the guys it's been issued to. I like it because its lightweight. I wear two London Bridge Trading ratchet straps anytime I'm on the road.
Like anything else, Hemcons are free if you know the right people.
Big Red said:The tape gets used for other things. The inventor of the Danish tourniquet is a friend of mine and he says it works. That's the feedback hes got from the guys it's been issued to. I like it because its lightweight. I wear two London Bridge Trading ratchet straps anytime I'm on the road.
Like anything else, Hemcons are free if you know the right people.
Just because the guy that invented it says its good, doesnt mean it's good. You need independant testing and data. A bias opinion won't save your life. The guys that invented the SATS say it's good too, but that thing will kill you faster than doing nothing. If the tape is used for other things I would take it out of the medical kit then. And wearing two rachets?! wow, thats hard core. Can't say your not prepared. If the free HemCons have a training only sticker on them, I wouldn't use them also. There are a lot of free training ones out there. But I'm sure they are not. I'm notsaying you're what you're doing is wrong, just adding my two cents. It thinks it's good you're taking a proactive approach to mortality prevention.
Well finally stopped laughing long enough to post. Blister kits and triangular bandages in the indiv 1st aid kit! Might as well stick the st john's standard aide memoire in there and some diaper pins. I do have a question about the 1 way mask and gloves, though. Are troops with hep or aids dag green and deploy overseas? I guess clean gloves keep dirty hands away from bloody holes, but a CPR shield, or whatever you call it? Just thinking. As for the Asherman, I've never seen one, but I've heard of it, and it doesn't sound too effective. Medic after medic stood up and said "tried the Ashermann, it failed. 1 guy after several failures used the Hemcon packaging and lube gel, and had success. Anyone else hear anything similar?
Gloves are for dealing with locals. I wouldnt worry about getting bloody hands from one of our own, though you NEVER know for sure. Thats why if you have time and ability, glove up. If you have time, throw three pair on, then you can just peel the dirty pair and your good to go for the next guy. The CPR mask is extra weight and space. Not required. Medic should have a BVM. Ashermans have worked. They are getting a lot of bad reviews lately. The glue is faulty, and I havent heard back from Rusch if they've solved the problem yet. They are pretty much being phased out by a lot of users. I would recommend going back to the petrolum gauze and a needle. You can burp the petrleum gauze if it is an open pneumo. The needle skills are being pushed down to the soldiers level too, which is good.
You know what, thats fair. I was trying not to go to far out of the box as some people start to get off topic when I do that. But alas here I go. Tegaderm, Opsite are thin and flimsy, vasoline bad, Ashermans don't stick, tape and dressing package - forget about it. Go dig into your AED - thats that extremely useful peice of kit for combat trauma (sarcasm people - you can't be to careful around here!) and take those AED pads and put them to good use. Cut off the wires and go stick them on holes in peoples chests. That will seal it up! Then people say, well what if the guy if hairy, and I ask you, well what if he was hairy when you try put an Asherman on him? Take the disposable bic out of the AED when you're raiding it for the pads and give him a combat shave, patch the hole, needle the chest, two sandbags beside his head and call Rampart! Oh ya, wrong topic, this is about First Aid kits.
medicineman
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JANES said:
Glad you added that bit in - try explaining the why's and wherefore's to your med supply folks about the sudden run on AED pads ;D.
MM
On the way back from Appollo in 02, I bought a new shaving kit bag at the K-Mart in Guam. it has a side pocket I use for blister stuff, etc., and what I call my 'OAM' (Old Age Medicine). If buddy reaches into my vest for my fd dressing, I don't want him getting mad at me when he pricks his finger on my toe nail scissors.
Fom an old post on this thread:
"When a person goes onto shalk from pain or any other reason a flight or fight responce is kicked in. This shunts all the available blood to areas that are essential for survival. the heart, lungs, brain for starters. This blood has to come from somewhere namely the periferal circulatory system. This meens that the muscles that you just shot the morph into now has a decreased circulatory volume.
To circulate the morphine into the rest of the body, it needs that blood to wash it out of the muscle and to the brain where it will do its magic. The result is that the morphine just sits in the muscle.
Now what was the old protocol for Morphine Auto Injectors... If it does not work then give them another to a total of X.
The end result is that you are giving a big depot of unused morphine in the persons glute or thigh.
Now fast forward to the UMS.
They start to stabalize the shalk. This caused all that "parked" morphine to hit the system all at once. The result is what we call in the medical world...BAD."
- I am a living example of similar. I had an L1S5 (or is it L5S1? I am a Crewman...) lower back 'event' in Nov, and got carted to the WATC clinic by two other Crewmen (also with 'experienced' backs. Track vibration comes back to haunt you..). I think I got Demerol first, then, after no effect, Morphine (or a clone?). Still no change, but when they try to get me to stand and my heart starts to come out of it's 'stand-by' mode, the muscle relaxent capability of the two needles (originally intended to help my back) did it's thing on the walls of my circulatory net, with the unsuprising result that I dropped like a half filled sack of grain, and gave the clinic staff a good - though unscheduled - training session. It was interesting to watch - in a detached sort of way. Calm, with a focused sence of urgency. In some respects like inside a tank turret.
I jokingly half accused them of giving me TX'd Morphine, or cutting their product to double their profits. I told them that if it was 'the street', I'd be looking for a new supplier.
Me; "I got carried in here this morning, and this afternoon, you wheel me to the front door in a wheelchair. You guys call this progress?"
The Doctor thought that was funny. The rest had a fairly pedestrian sense of humour by that point.
Anyway, the physiotherapist and good ol' physical exercise got me to where I did the BFT two weeks ago, so all's well that ends well.
Fom an old post on this thread:
"When a person goes onto shalk from pain or any other reason a flight or fight responce is kicked in. This shunts all the available blood to areas that are essential for survival. the heart, lungs, brain for starters. This blood has to come from somewhere namely the periferal circulatory system. This meens that the muscles that you just shot the morph into now has a decreased circulatory volume.
To circulate the morphine into the rest of the body, it needs that blood to wash it out of the muscle and to the brain where it will do its magic. The result is that the morphine just sits in the muscle.
Now what was the old protocol for Morphine Auto Injectors... If it does not work then give them another to a total of X.
The end result is that you are giving a big depot of unused morphine in the persons glute or thigh.
Now fast forward to the UMS.
They start to stabalize the shalk. This caused all that "parked" morphine to hit the system all at once. The result is what we call in the medical world...BAD."
- I am a living example of similar. I had an L1S5 (or is it L5S1? I am a Crewman...) lower back 'event' in Nov, and got carted to the WATC clinic by two other Crewmen (also with 'experienced' backs. Track vibration comes back to haunt you..). I think I got Demerol first, then, after no effect, Morphine (or a clone?). Still no change, but when they try to get me to stand and my heart starts to come out of it's 'stand-by' mode, the muscle relaxent capability of the two needles (originally intended to help my back) did it's thing on the walls of my circulatory net, with the unsuprising result that I dropped like a half filled sack of grain, and gave the clinic staff a good - though unscheduled - training session. It was interesting to watch - in a detached sort of way. Calm, with a focused sence of urgency. In some respects like inside a tank turret.
I jokingly half accused them of giving me TX'd Morphine, or cutting their product to double their profits. I told them that if it was 'the street', I'd be looking for a new supplier.
Me; "I got carried in here this morning, and this afternoon, you wheel me to the front door in a wheelchair. You guys call this progress?"
The Doctor thought that was funny. The rest had a fairly pedestrian sense of humour by that point.
Anyway, the physiotherapist and good ol' physical exercise got me to where I did the BFT two weeks ago, so all's well that ends well.
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kj_gully said:
+1, a blow out kit should only have basic, life saving gear.
Mudgunner49 clued me in to the V.O.K. (Ventilated Operator Kit) from Tactical Response Gear, I have 2 of them on the way. For $26US it is a very good deal for those who currently have nothing more than a field-dressing in their gear. Not to mention Tactical Response Gear has the best customer service I have ever encountered (their website wasn't taking Canadian credit cards, call them and they will go out of their way to sort you out, my order shipped the same day).
Contents:
(1) Cinch Tight Compression Bandage (similar to Isreali)
(1) Primed Gauze (crinkle cotton)
(1) Tourni-Kwik (3” wide)
(1) Nasopharyngeal Airway (30FR Robertazzi Style)
(1) 14ga x 3 ¼ Catheter (sterile)
(1) Alcohol Prep Pad
(2) Safety Pins (2”) multipurpose
(1) Duct Tape (2”x100” roll)
(1) Set Nitrile N-Dex Gloves
(1) Three gram tube of Surgilube
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In my combo personal FAid/Survival kit, I used an old 64 pattern pouch that could attach to a ruck or belt, on the outside so it was always available. In addition to many of the items some have already mentioned, I carried a few unusual items:
Small container of honey - good for burns, has antiseptic properties, acts as a second-skin barrier, AND its edible if you are in survival or E/E mode!
Small container of charcoal - good for settling the stomach or fighting off various indigestion problems.
Chem Glowstick - always good for night time or when your batteries are dead. Use guntape to cover one side so it doesnt radiate light everywhere.
Foil blanket - good for wrapping people (or yourself) who go into shock after they are hit, plus good as an improvised sleeping bag, shelter or signalling device.
Small container of honey - good for burns, has antiseptic properties, acts as a second-skin barrier, AND its edible if you are in survival or E/E mode!
Small container of charcoal - good for settling the stomach or fighting off various indigestion problems.
Chem Glowstick - always good for night time or when your batteries are dead. Use guntape to cover one side so it doesnt radiate light everywhere.
Foil blanket - good for wrapping people (or yourself) who go into shock after they are hit, plus good as an improvised sleeping bag, shelter or signalling device.
