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Old 06-09-2008, 18:07   #1
swatsurgeon
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personal medical kit contents

What would you consider the essentials to have in your personal carry kit? Size is typical leg bag/molle pouch. What are the contents and be specific. I reserve the right to critique and be critical. Realestate and weight as well as utility are all major factors.
This can be a wish list by the way..
If you want a tourniquet you have to specify which one (and why), etc for all equipment. My goal is to find a standardized list that civilians or military "should" carry. Most civilians carry stuff that serves little or no purpose...but it looks cool and chicks dig it.

Ss
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Education is the anti-ignorance we all need to better treat our patients. ss, 2008.

The blade is so sharp that the incision is perfect. They don't realize they've been cut until they're out of the fight: A Surgeon Warrior. I use a knife to defend life and to save it. ss (aka traumadoc)
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Old 06-09-2008, 18:28   #2
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If I'm the Doc I need to know number of personnel on mission, length of mission, ect ect..... But lots of pressure bandages, got to control the bleeding. As far as a tournaquet why have one in med kit when you use your wounded belt.
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Old 06-09-2008, 18:44   #3
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As far as a tournaquet why have one in med kit when you use your wounded belt.
Because you may need more than one, you may only have one hand to place it, or you may want something more effective than a belt to save your buddy.

TR
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Old 06-09-2008, 18:47   #4
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In a drop leg rig for the care under fire phase:

1. Tourniquets, CAT (3-4) (Easy access to this type)
2. Surgical cric kits (2) ("home made" and sealed with ET tube, shortened scalpel, "hook" to stabilize trach, alcohol preps, and tube tamer)
3. 12ga decompression needles (4-6 needles) with one way valves
4. A couple Israeli dressings
5. Petroleum gauze/tegaderms
6. Trauma shears
7. Pen light
8. Non-latex gloves

The rest of the bag is stuffed with a few cravats, roller gauze, alcohol preps, etc. Most equipment choices are based on what I can get through the current supply chain. NARP used to make a cric kit like the one described above, but I don't think it is availabe in the compact packaging anymore. Keep a lot more stuff in the aid bag to use when things calm down a bit. Stay safe and standing by for critique/advice,

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Old 06-09-2008, 19:17   #5
swatsurgeon
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Let me clarify, this is not the medics kit, this is a kit that is on everyone...you get wounded and you either use the contents on youself or the medic uses it on you, saving his own equipment for others or when your pouch contents are inadequate to care for you.

Ss
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'Revel in action, translate perceptions into instant judgements, and these into actions that are irrevocable, monumentous and dreadful - all this with lightning speed, in conditions of great stress and in an environment of high tension:what is expected of "us" is the impossible, yet we deliver just that.
(adapted from: Sherwin B. Nuland, MD, surgeon and author: The Wisdom of the Body, 1997 )

Education is the anti-ignorance we all need to better treat our patients. ss, 2008.

The blade is so sharp that the incision is perfect. They don't realize they've been cut until they're out of the fight: A Surgeon Warrior. I use a knife to defend life and to save it. ss (aka traumadoc)

Last edited by swatsurgeon; 06-09-2008 at 19:19.
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Old 06-09-2008, 19:25   #6
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Originally Posted by swatsurgeon View Post
What would you consider the essentials to have in your personal carry kit? Most civilians carry stuff that serves little or no purpose...but it looks cool and chicks dig it.

Ss
I just go down to my Local WALMART.. would that work SS?
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Old 06-09-2008, 19:53   #7
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OKAY on the real side now...

First off in all side pockets (arms & Legs pockets) 1ea CAT or SOFT Tourniquets; 5 total with one in Chest area. If I'm driving the lead V... I have 1 to 2 ea on my legs (Thighs) if needed, road IED threat. GMVs, M1114s get smokey FAST.

I go for something on side of my kit, waist level. What my Tm Medic hands out. Something along these lines.

2ea "Isreali" Fld Dressings
2ea kerlix gauze
2ea Chest Dressing
2ea Non-latex gloves
1ea Pill Pack
1ea 3" roll coban gauze
1ea 4" Elastic (ACE) Bandage
1ea Medical Shears (not in IFAK, I carry it center of chest area)
1ea Pk Petroleum gauze
1ea one 28fr nasopharyngeal airway with lubricant packet
1ea hemostatic gauze Pk
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History teaches that when you become indifferent and lose the will to fight someone who has the will to fight will take over."

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Intelligence failures are failures of command [just] as operations failures are command failures.
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Old 06-11-2008, 17:35   #8
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Originally Posted by MtnGoat View Post
OKAY on the real side now...

First off in all side pockets (arms & Legs pockets) 1ea CAT or SOFT Tourniquets; 5 total with one in Chest area. If I'm driving the lead V... I have 1 to 2 ea on my legs (Thighs) if needed, road IED threat. GMVs, M1114s get smokey FAST.

I go for something on side of my kit, waist level. What my Tm Medic hands out. Something along these lines.

2ea "Isreali" Fld Dressings
2ea kerlix gauze
2ea Chest Dressing
2ea Non-latex gloves
1ea Pill Pack
1ea 3" roll coban gauze
1ea 4" Elastic (ACE) Bandage
1ea Medical Shears (not in IFAK, I carry it center of chest area)
1ea Pk Petroleum gauze
1ea one 28fr nasopharyngeal airway with lubricant packet
1ea hemostatic gauze Pk
MtnGoat,
What is a 'chest dressing' and for what purpose? Not meaning to be a wise ass....just trying to understand the 'what' and 'why'. Most people ask for equipment that they have little understanding of it appropriate use and more importantly, it's limitations. What kind of hemostatic gauze? What do you need the kerlex for, or koban, petroleum gauze??


ss
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'Revel in action, translate perceptions into instant judgements, and these into actions that are irrevocable, monumentous and dreadful - all this with lightning speed, in conditions of great stress and in an environment of high tension:what is expected of "us" is the impossible, yet we deliver just that.
(adapted from: Sherwin B. Nuland, MD, surgeon and author: The Wisdom of the Body, 1997 )

Education is the anti-ignorance we all need to better treat our patients. ss, 2008.

The blade is so sharp that the incision is perfect. They don't realize they've been cut until they're out of the fight: A Surgeon Warrior. I use a knife to defend life and to save it. ss (aka traumadoc)
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Old 06-11-2008, 20:31   #9
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Quote:
Originally Posted by MtnGoat View Post
OKAY on the real side now...

First off in all side pockets (arms & Legs pockets) 1ea CAT or SOFT Tourniquets; 5 total with one in Chest area. If I'm driving the lead V... I have 1 to 2 ea on my legs (Thighs) if needed, road IED threat. GMVs, M1114s get smokey FAST.

I go for something on side of my kit, waist level. What my Tm Medic hands out. Something along these lines.

2ea "Isreali" Fld Dressings
2ea kerlix gauze
2ea Chest Dressing
2ea Non-latex gloves
1ea Pill Pack
1ea 3" roll coban gauze
1ea 4" Elastic (ACE) Bandage
1ea Medical Shears (not in IFAK, I carry it center of chest area)
1ea Pk Petroleum gauze
1ea one 28fr nasopharyngeal airway with lubricant packet
1ea hemostatic gauze Pk

SS

No problem on the why, what and hows..

2ea "Isreali" Fld Dressings ( better & easyer than the standard Mil Field Dressing. Has everything rolled up into one)
2ea kerlix gauze (Pack those GSW.. Takes at least 3 rolls IMHO-E)
2ea Chest Dressing (Asherman Chest Seal is the one issues.. Which SUCK IMHO.. When Rick sold his Company the new "Owners" changed the Dressing Adhesive so now they suck)
2ea Non-latex gloves
1ea Pill Pack [(Mobic 15mg, Acetaminophen 1000mg, and Gatafloxacin 400mg) is the standard issued "drugs" help for that first med "Boost" for the PATs body]
1ea 3" roll coban gauze (Helps make stuff (Dressings) stick when needed)
1ea 4" Elastic (ACE) Bandage [Hold back those Field Pressure dressing and all that Kerlix for thos enasty GSW]
1ea Medical Shears (not in IFAK, I carry it center of chest area) [Cut all he clothes that are around those open wounds, Shapnel and GSWs]
1ea Pk Petroleum gauze (Aids in Chest wound GSW or Shapnel holes-sealing them)
1ea one 28fr nasopharyngeal airway with lubricant packet (Air way through your Nose) [Body needs air and water to OP(live)]
1ea hemostatic gauze Pk [(Quick Clot, HemCon, or TraumaDex) Helps to stop all that red liquid running out of those openings in your body] I know DOCs Surgeons don't like what is can or does to tissue. But....


I would like to add.. Military wise. It helps to have a IFAK, Med Bag, Blow out bag that can be PULLED off the persons BA. It speeds up the Medical Process. That guys BA will be taken off and thrown to the side and now you have to go looking for his IFAK-BOB.

PROs and CONs to both. Just my .02
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History teaches that when you become indifferent and lose the will to fight someone who has the will to fight will take over."

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Old 06-09-2008, 21:19   #10
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6 self adhering ACE
3 self adhering ACE
Asherman Chest Seal
Xeroform dressing
2 ABD pads
5 pack of sterile 4X4 gauze
6 Kerlex
14 ga. Angiocath 2.5 length
100 ml Saline eyewash
2 pr. Large gloves
2 roll Durapore
10 blade scalpel
32 fr NPA
Packet surgilube (taped to npa)
In a perfect world a Benchmade Rescue 5, but a pair of trauma shears will do
Hemostat
2 safety pins
All of this fits in a large ziplock, which will fit in a BDU pants pocket.
The kit can be chopped down to fit in a 1 qt canteen pouch, which would contain the 6 ACE, the Kerlex, the ACS, one ABD pad, The 14 ga. IV cath, the eyewash bottle, the gloves, tape, and the NPA with lube.
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Old 06-09-2008, 21:43   #11
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I'm assuming we're talking GSW/Blast trauma kit, and not something I'd take with me on a backpacking trip, right?

Razor,
Correct, not for backpacking

Last edited by swatsurgeon; 06-10-2008 at 07:04.
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Old 06-09-2008, 22:01   #12
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1. Gloves (PPE)
2. Nasal Airway 7.0 (secure Airway)
3. (2) large safety pins (secure bandage, sling, or to secure airway in a pinch)
4. 14 ga or larger 3” catheter (needle drill)
5. Cinch Tight “H” bandage (large bandage)
6. (2) Cinch Tight priMed gauze roll (smaller vaccum sealed Kerlix)
7. Duct tape (no kit is complete without it)
8. Quick Clot, HemCon, or TraumaDex as you prefer (duh)
9. Tourniquet SOFT-T(there should also be a minimum of 1 more on the soldiers centerline which he can get to with either hand (2 is 1; 1 is none)
10. Pill Pack (Mobic 15mg, Acetaminophen 1000mg, and Gatafloxacin 400mg)
11. Chest seals (Package from item 5 & 6 can be used for occlusive dressings along with duct tape thus saving weight and space)

I think that about covers it.

I am rethinking what I am having my guys carry. There may be changes to this list as I test out a few newer bandages...

Crip
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Old 06-11-2008, 17:41   #13
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1. Gloves (PPE)
2. Nasal Airway 7.0 (secure Airway)
3. (2) large safety pins (secure bandage, sling, or to secure airway in a pinch)
4. 14 ga or larger 3 catheter (needle drill)
5. Cinch Tight H bandage (large bandage)
6. (2) Cinch Tight priMed gauze roll (smaller vaccum sealed Kerlix)
7. Duct tape (no kit is complete without it)
8. Quick Clot, HemCon, or TraumaDex as you prefer (duh)
9. Tourniquet SOFT-T(there should also be a minimum of 1 more on the soldiers centerline which he can get to with either hand (2 is 1; 1 is none)
10. Pill Pack (Mobic 15mg, Acetaminophen 1000mg, and Gatafloxacin 400mg)
11. Chest seals (Package from item 5 & 6 can be used for occlusive dressings along with duct tape thus saving weight and space)

I think that about covers it.

I am rethinking what I am having my guys carry. There may be changes to this list as I test out a few newer bandages...

Crip
Surgcric,
what do you do with the chest seal ...and what is it's intended use....and why use it? What is the reason you would want to apply one?
ss
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'Revel in action, translate perceptions into instant judgements, and these into actions that are irrevocable, monumentous and dreadful - all this with lightning speed, in conditions of great stress and in an environment of high tension:what is expected of "us" is the impossible, yet we deliver just that.
(adapted from: Sherwin B. Nuland, MD, surgeon and author: The Wisdom of the Body, 1997 )

Education is the anti-ignorance we all need to better treat our patients. ss, 2008.

The blade is so sharp that the incision is perfect. They don't realize they've been cut until they're out of the fight: A Surgeon Warrior. I use a knife to defend life and to save it. ss (aka traumadoc)
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Old 06-11-2008, 17:39   #14
swatsurgeon
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Originally Posted by VXMerlinXV View Post
6 self adhering ACE
3 self adhering ACE
Asherman Chest Seal
Xeroform dressing
2 ABD pads
5 pack of sterile 4X4 gauze
6 Kerlex
14 ga. Angiocath 2.5 length
100 ml Saline eyewash
2 pr. Large gloves
2 roll Durapore
10 blade scalpel
32 fr NPA
Packet surgilube (taped to npa)
In a perfect world a Benchmade Rescue 5, but a pair of trauma shears will do
Hemostat
2 safety pins
All of this fits in a large ziplock, which will fit in a BDU pants pocket.
The kit can be chopped down to fit in a 1 qt canteen pouch, which would contain the 6 ACE, the Kerlex, the ACS, one ABD pad, The 14 ga. IV cath, the eyewash bottle, the gloves, tape, and the NPA with lube.

okay, so what is the utility of the self adhering ace (and in 2 sizes), the xeroform is used for what, 14G 2.5 inch caths for what? (they wouldn't make it into the Reapers chest...no offense TR, just the truth.

ss
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'Revel in action, translate perceptions into instant judgements, and these into actions that are irrevocable, monumentous and dreadful - all this with lightning speed, in conditions of great stress and in an environment of high tension:what is expected of "us" is the impossible, yet we deliver just that.
(adapted from: Sherwin B. Nuland, MD, surgeon and author: The Wisdom of the Body, 1997 )

Education is the anti-ignorance we all need to better treat our patients. ss, 2008.

The blade is so sharp that the incision is perfect. They don't realize they've been cut until they're out of the fight: A Surgeon Warrior. I use a knife to defend life and to save it. ss (aka traumadoc)
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Old 06-12-2008, 08:19   #15
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okay, so what is the utility of the self adhering ace (and in 2 sizes), the xeroform is used for what, 14G 2.5 inch caths for what? (they wouldn't make it into the Reapers chest...no offense TR, just the truth.

ss
The ace is used in combination with the ABD, gauze, or kerlex to create a pressure dressing. I like the 6 for arm and leg coverage, but I prefer the 3 for heads, hands, and feet. I also like the Ace for the splinting of ankles, used in conjunction with either a SAM or a stick, it covers the R and C in RICE therapy (Rest, Ice, Compression, Elevation). I prefer the self adhering model so I am not relying on little metal clips or tape.
The xeroform is used with the ACS. For multiple penetrating injury to one side of the chest the ACS can be used to occlude the wound allowing the most air passage, and the xeroform can be used to seal the other holes. While I know that history shows us the wrapper or plastic wrap can be used as an occlusive, I think the semi-adherent nature of the xeroform makes it more suited for this purpose.
I like the shorter IV caths because they can also be used for peripheral IV access, and I feel the 3 models give a lot of resistance when you try to advance the catheter when used for this purpose. The deciding factor would be if a 2.5 angiocath could reliably decompress a chest when inserted into the 5th or 6th intercostal space on the midaxilary line, where you would encounter less mass.
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