Um i don't know how to say this but Ive been reviewing many of the preplanned aid kits and I think they are woefully under prepared. I am seriously considering posting a detailed in depth Medical thread but I do have constraints on my time and I could spend hours on this and giving me free reign I would prolly include many things you would not want or may not use. So if you would like give me some suggestions on what you would like to see. Maybe the moderators would even start a new medical section where people could talk about skills supplies and reference material as it is it seems to be pretty diluted down amongst many posts without a cohesive organization. But I am new and maybe havnt found the right place to look.
Ive seen one of your post's where you spoke of your medical supplies i gotta say youve got the 2nd best so far the only thing ive seen you may want to look at is a field blood transfusion kit chinook tactical medical supplies makes one dont know if they are available on the civy market ill check out dark angel while my preworkout kicks in also to consider is developing a walking blood bank cross type and match the people in your survival group to see who is compatible with whom SF medics do this in order to have access to whole blood in unsupported theaters or were evac times are in excess of 2 hrs if you cant get a lab to do it for you there is something called an eldon blood typing card which would allow you to cross type and match your people for the cost of the card and I would always cross type and match there are many more factors than A,B,O and RH factor
Uh do they only make the one product in various flavors I treated a GSW to the chest the other day if this was all I had that kid woulda died in minutes.
Although I will buy a T shirt and hat from them as will many of my fellows I think.
gosh dang that is a nice Saint mikes shirt I dont know if id even cut off the sleeves
allright hearts racing time to pump some iron.
I wiull look into a blood transfusion kit.. It's a good idea to know the blood type of everyone we will be working with also. I will get on that also..
While I would recommend against brain surgery an emergency craniectomy might just be life saving. I wish it was just as simple as O Neg while this is the "Universal donor" Reactions do occur although rare. Wiki acutually has a good page on it. Blood type - Wikipedia, the free encyclopedia
I agree the medical kit is oft underestimated. For me it was one of my first preps. I initially spent about $100 creating 4 separate kits and have slowly built them up. Now, I keep 3 portable kits and the fourth is like my command center.
Emergency Survival Medicine is extremely important. Years ago, I stopped my EMT Training just prior to the very last class (Ambulance Operations) as I had decided I didn't want the financial liability of being sued. I am no doctor, but we all need to understand and recognize even basic medical emergencies and illnesses. I have started "getting back into it", at a leisurely pace so I can provide this type of "service" to my family and friends.
I also keep in mind that as I am not a trained professional, I can do more harm than good so I keep in mind my limited abilities to provide care and that I will not have the luxury of modern health care services should things go south. I remember during my training being told "Doctors have a very hard time providing emergency medical care in the field as they lack two things; Millions of dollars of equipment at their disposal and nurses." I have yet to get into buying surgical type supplies as I'm lucky if I can keep band aids in stock between my two youngest daughters. It's like they can smell them.
There are many others to be sure and lots of printed materials. I like Survival Medicine as he provides written material that you can take notes from and start your own "book". But I'm also more of a visual learner, so I prefer "seeing" things done, then put it together with a book. But that's me.
As I'm sure APEX can attest, field medicine is a whole different ball game. Even in combat zones though, the idea is to stabilize, get them out on a helicopter and to a medical facility. We, especially myself, need to learn long term field care with minimal basic equipment and the emphasis being placed on there not being any airlifts to get out with, or medical centers to send someone to.
Also, APEX, aside from the "ABC's" of care, I view prevention of infection/sepsis as probably the first thing that should be addressed once stabilized. Your thoughts?
It's kind of a wide range for a topic. Are you talking IFAIK/BlowOut kit (Self/Buddy Aid), Combat Life Saver, or Medic level?
Most people can easily handle 90% of TCCC, but training is required for chest puncture wounds that require decompression as does tracheotomy work for collapsed airways.
I agree this is an underaddressed topic and at least a sticky to list kit contents, training resources, and supply sources would be very useful.
I don't think there are very good kits available. I still have mine from when I was doing nurse and EMT stuff. Things I have are airways, ambubag, syringes, needles, burn sheet, dressings including the really big pads. I don't have any illusions that it would be extremely difficult to save some one from massive trauma with a kit. I suspect it would be every bit as bad as what we see on TV in Palestinian hospitals.
Well alot of good replies
Bigdogdoc
Long term field care hum good statement the pen ultimate state of my field is to be able to handle a minor field surgery and hospital with nothing but me and a friend same mos and whatever locals we can train with supplies bought off the local economy. So we are all trained in anesthesia and minor surgery and expected to add to our skills as we gain in experience but all of my training was focused on long term care after initial treatment but we were often reminded that we arnt actually surgeons we arnt actually doctors so it is always preferable to evac them. The way we look at care is. Care under fire tactical field care and casevac/long term management.
Yes sir abc's and evac within the golden hour (time of injury to surgery) is ideal. The prevention of sepsis and infection is a paramount. I often give IV antibiotics (ceftriaxone is a favorite) with my first fluid challenge or 500mg of Avelox as my primary treatment for infection and research supports that soldiers who receive war wound antibiotic therapy recover faster and have a better prognosis civies would consider this a prophylaxis treatment for the most part. another thing i would point out is that sometimes simple things can be used to fight complex issues such as sterile water to wash the wound goes such a long ways but you will use tons of water like gallons and gallons of it because this lowers the viral or bacterial load which is the amount of a particular germ it takes to infect an individual.
Rigged I am having a hard time responding to you because I am not sure what your getting at. I assume a EOTWAWKI type scenario prepare for the worst be surprised by anything else attitude. If all your ready for is self/buddy aid I dont think there is a good prognosis in store that type of training assumes the golden hour is in effect. So I guess what we should discuss is what you expect to see for example Broken bones I dont know how to make plaster but simple cloth and plaster could make an effective cast that would allow someone to return to full function in the long run hell a decent splint could prolly do it provided you immobilized the heck outta the patient. Or a GSW to the chest without a needle decompression your odds of surviving several hours I think are low I havnt seen one yet that didnt develop a tension initially our after initial treatment but I havnt seen as many as a surgeon would. The down and dirty training takes about 10s and is almost 100% accurate more definitive care would be a chest tube with suction. I hate to post said training without all kinds of legal waivers and what not. So if you give me the scenario ill try to give you a better answer.
Inga yes I know but most kits dont account for any serious trauma at all a pulse oximeter stethoscope and BP cuff arnt in any i have seen how are you gonna do anything without even the most basic tools i guess you can do all old school watch and a pair of fingers type stuff but its much harder to gauge a patients status off those. I would like to see alot more Kerlex and ace wrap less band aids and hydrocortizone. If most people spent 1/4 on medical as they do on Guns they would have a far superior kit. I am guilty of this as well but work has pretty much given me everything I could think of minus a transdermal nerve stimulator but ive heard you can make one out of a multimeter if you get the needles that go with um. So what I would like to do for the community is come up with a real list of medical supplies/equipment for various situations and skill levels but I only know and feel how I do so I actually want the community to come up with what they would like to see. For example Blow out kit suture kit minor field surgical kit criq kit intubation dental kit etc.
Remember too, that you can replace up to two pints of lost blood with saline solution. It doesn't work as a transfusion but it can make recovery from blood loss a lot quicker.
I have a pretty decent medical kit that I bought then added too. It does help though that ones son is a doctor to help me put it together. He also made it a point to teach me and his mother how to use some of it properly. Now I sure won't be doing any surgery on any one but sure can treat cuts, broken bones etc. Things I've added consist mostly of antibiotics, things for pain, blood pressure, and a defibrillator. He did show me a way to do a blood transfusion but would never attempt it myself due to not wanting to give the wrong blood type and no way to know.
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