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Meduim Med Kit

16871 Views 32 Replies 9 Participants Last post by  Prepadoodle
I just finished updating a first aid kit that I think of as "the medium med kit." This one usually rides around with us in the car, and we take it camping (which can involve up to 8 people) and to the range. It fits into the 8" X 8" X 3" pouch that came with my tarp, and it probably weighs 2.5 pounds.

The idea was to create a "ready for almost anything" kit that would cover a wide range of applications, and do so in as small a package as possible. I thought it might be semi-interesting(ish), informative, or amusing to list the contents in some detail. Maybe it will give new preppers some ideas for kits tailored to their own needs.

I keep it all organized more or less by task, so that's the way I'll list it...

12 - Expectorant - 400 mg guaifeneasin
12 - Antihistamine - 25 mg diphenhydramine
24 - Anti-diarrheal - 2 mg loperamide
24 - Antacid - 500 mg calcium carbonate
24 - Aspirin - 325 mg aspirin
24 - Ibuprofen - 200 mg ibuprofen
24 - Acetaminophen PM - 500 mg + 25 mg diphenhydramine

sm tube - Muscle rub
sm tube - Triple antibiotic w/ painkiller
sm tube - Oral gel, 20% benzocaine
1 bottle - Eye drops
8 packets - Burn gel, 2% lidocaine + aloe

4 - Alcohol prep pads
2 - Disposable scalpels
4 - Splinter-outs
4 - Lancettes

4 - Alcohol prep pads
sm tube - SuperNumb, 5% Lidocaine topical
4 - Sutures, 4-0 silk
1 - 5" hemostats
1 - 5" forceps/tweezers
20 - Cotton swabs

4 - Antiseptic towelettes
sm tube - Superglue
4 packs - 1/4x3 Steri-strips
15 - Lg Butterfly closures
30 - Assorted self-adhesive bandages

6 - Antiseptic hand cleaner
2 pair - Exam gloves

8 packets - WoundSeal powder
2 - 5x9 ABD pads
4 - 3x4 No-stick pads
4 - 3x3 Gauze sponges
6 - 2x2 Gauze pads
4 - 1x1 Hemostatic gauze

2 - 3" Gauze rolls
2 - 2" Gauze rolls
2 - 1/2" Waterproof tape
1 - 1" Surgical tape
1 - Scissors (NOTE: Never run with these!)

2 - Triangular bandages
1 - Instant cold pack
1 - 4" ACE bandage
1 - 3" Self-adherent wrap
1 - 1" Self-adherent wrap

sm box - Waterproof matches
2 - Tea-light candles
1 - Sharpie + ballpoint pen
1 - Small notebook
1 - Mylar blanket

And yes, this all fits into that small bag... barely. I'll probably add an 18" SAM Splint, but that won't fit into this bag. Anyway, as always, I invite your comments and criticism. Well, not the snarky big goofball kinda criticism, which I seek to avoid, but any reasonably constructive criticism is definitely invited.. BYOB.
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Inor, All I have in this one is a pair of straight 5" hemos, a pair of general "surgical" type scissors, and a couple of one-use disposable scalpels These are good for cutting lots of things and just handy to have sometimes.

Apex, The woundSeal powder stops bleeding fast. You just rip open a package and dump it right into the wound and it pretty much stops unless you have a major artery pumping or something. It's micro-sponges treated with a clotting agent, and you can just bandage over it and leave it in there.

edited to add: Oh, and a pair of forceps or tweezers are in there too.
Rigged, I think it used to go by the name QR.

Amazon: WoundSeal Powder, 4 ea
Rigged, I have some Celox, which has to be removed from the wound. The WoundSeal forms an instant scab that falls off when the wound heals. Either one will work. The QuikClot is good too. I have some in with our main first aid supplies. I picked the WoundSeal for this kit because the packets are small and I only had so much room.

I always have some paracord around. I keep a sleeping bag in the car and the compression straps would make good tourniquets too. I'm not that worried about a tourniquet. I do have 4" and 6" Israeli bandages, but no room for them. I can more or less do the same thing with gauze pads and tape or self-adherent wraps.

I always have some duct tape around too, but it's not part of the medical kit. Same goes for a flashlight. Both are good to have on hand.

As far as the sucking chest wound... in a pinch, I would use the inside (sterile) part of a dressing wrapper to seal it and tape it in place with the surgical tape. After that, it's either a race to an actual doctor or a sad, "I'll miss you buddy" speech. I have no idea how to really treat one beyond that. I'll have to learn how, thanks for the heads up!
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MsInor, yes, that's all that fits. This kit is really meant to be replenished when needed. If I ever needed to use gloves to like pop out a spleen or whatever, I guess I could only do 2 a day, come back tomorrow.

Now the main reason I carry a small tube of triple antibiotic is that it also contains a topical analgesic. I know, pain is weakness leaving the body, and wouldn't think of using it myself, but some of the softer folk might appreciate it.

If this kit was for a bug out bag, I would have less stuff. How much less depends on the situation.

If, on the other hand, it was for an INCH bag, I would take more stuff and shift the focus a little more towards longer term sustainability. This is where the antibiotics are worth adding, along with multivitamins, B Complex, Vitamin C, Probiotics, and whatever serious stuff you may have laying around.

So OK, let's just call this a "group bag" and assume everyone in the group will also be carrying an individual kit geared more towards the tactical side. Since this individual kit doesn't exist yet, we'll have to create it.

What would you carry as an individual if you needed it to fit into a double mag pouch and weigh about a pound? Should everyone else just carry a tourniquet and an Israeli bandage and be done with it, or what? What do you think?
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Not bad Apex, but it seems a little light in the "other gunshot wounds" area.

Let's forget the idea that it has to fit in a mag pouch, that's a goofy shape for a kit like this. It should be roughly that volume and weight about a pound. As long as everyone has the same pouch it doesn't matter.

Is there any way to lighten the load enough to include some sort of battle dressing and a clotting powder or couple of QuikClot sponges?
Inor, it's not about prepping to me, it's about self sufficiency. My entire knowledge of medical stuff can be summed up with, "clear the airway, stop the bleeding, treat for shock." I will never be a doctor, but I would like to be able to do a little more than that. I had decided not to accumulate more stuff because we are looking to move. Finding the right property is taking a lot longer than we expected, so I'm feeling the urge to do a little now just in case. I would admit to being crazy, but most of the voices in my skull tell me I'm not. ¯\_(ツ)_/¯

What I am trying to do is switch my thinking to more of a "tasked based" approach and develop self-contained modules which would each contain everything I need to do a specific task. For example, my "sprain kit" consists of An ACE Bandage, cold pack, triangular bandages, and self-adherent gauze wraps, and gives me everything I need to handle most minor sprains. I'm working on a "breaks" module (SAM splints and more wraps) that will extend my capabilities there.

In an emergency, you might not have time to sort through all those supplies to find what you need. Having at least some of your stuff pre-sorted into task kits gives you instant "grab and go" capabilities that might save valuable time. This lets me quickly and easily customize my medical capabilities to suit the "mission" while ensuring that I don't forget something needed for a particular job.

As I develop these kits for my own use, I'm becoming aware of shortcomings in my training. This is a good thing because it kinda forces me to learn things that I may need some day. So when I put together the items I need to deal with a sucking chest wound, I'll be learning how to treat this wound too. I won't have experience, but at least I'll have the tools and a working knowledge of their use.

Because of this thread, I now see I should have a "Gunshot Initial Response" module. Ultimately, it doesn't really matter how much it weighs or how big it is, but it should be as small and light as possible while containing everything you need to treat 1 or 2 gunshot wounds until help arrives.

The idea is to stop the bleeding and get them ready to hand off to someone with actual medical training. I'll probably make an add-on kit that would have longer-term supplies to keep the wound clean and covered if there aren't gonna be any doctors around. If the catheters are for drains, maybe they would go into this add-on. If I knew anything about catheters, I would probably know this!

Here's my first shot at this kit...

2 - Exam gloves
2 - Antiseptic hand wipes
1 - EMT scissors
4 - Providone Prep Pads
1 - SOF Tactical Tourniquet or equiv
2 - 4" Israeli Bandage/Battle Dressing
1 - 6" Israeli Bandage/Battle Dressing
2 - HALO Chest seals
4 - Blood stopper (QuikClot or equiv)
4 - 4X4 Gauze pads
8 - 2X2 Gauze pads
2 rolls - 2" Self-adherent gauze wrap
1 roll - 3" Elastic Bandage
1 roll - 1" Surgical tape
sm roll - 2" Duct tape

Would that do it?
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Small version for individual use...

2 - Antiseptic wipes
1 - SOF Tactical Tourniquet or equiv
1 - 4" Israeli Bandage/Battle Dressing
1 - HALO Chest seal
2 - Blood stopper (QuikClot or equiv)
4 - 3X3 Gauze pads
4 - 2X2 Gauze pads
1 roll - 2" Self-adherent gauze wrap
1 roll - 3" Elastic Bandage
1 roll - 1/2" Waterproof tape
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Inor, these HALO thingies are already sticky enough to seal to the wound, that's what they are for. I guess you should have 2, because it might be a through hole and need one on each side. I'm thinking you could slap one on the exit and use the wrapper for the entrance hole if you had to, so 1 would be the bare minimum (easiest) way to go.
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I won't point out that both of the last lists were stuff I left out of the first one.

I'll put this kit together and store it with my camp/car kit. to better deal with car and range accidents. If I'm going to a "Wild West" situation, I would pack the individual kit on my belt or vest and have the bigger version in my bag.

This is all morphing into the Modular Medical system. Hmmmm
I don't list anything I'm not supposed to have. If there is no legal way for me to get something, I try to find a work-around. I'm not planning on injecting anyone with anything.

As an example, the SuperNumb in the suture kit might (or might not) be very useful as a local painkiller. All I know is that tattoo places seem to like it for their customers, and that's like needles jabbing into you, right? So as far as I know, that's the best I can do. If someone knows a better over the counter product, let us know!
We must have been naughty or something.

2% Lidocaine with aloe is BurnJel
5% Lidocaine is SuperNumb or Dr Numb Deep Numb Cream, both made for tattoo artists

1% Pramoxine with calamine is Aveeno Active Natural Anti-Itch Cream
Neosporin + Pain is Pramoxine with anti-biotics
Many anti-itch creams combine Pramoxine with hydrocortisone (anti-itch, anti-inflammation)

But all of these take awhile to start working because they get absorbed through the skin. I have no idea what they would do to an open wound.

5%, 10% or 20% Benzocaine is available in "toothache" gels. This stuff numbs your mouth fast and is obviously safe enough to ingest in small quantities. Has anyone here even smeared some into a cut? If someone is willing to slice themselves and try, that would be great. Please let us know how it went.
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