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So lets say this. We get shot in the leg, major arterial bleeding and fractured leg, would a shirt or pant leg be enough to stop bleeding until I can get a tourny or no?

Assess the casualty

@Jimmydean338 Depends on the person(leg size, fat content, bone structure), and the way you apply. I would say no because that should be your absolute last option, but if you have no other options, cut or tear fabric into widish strips and wind around, then use a stick or rod of some type as a windlass to tighten down. Arterial bleeding is no joke and there is a high chance that improvised won’t work bc of the inability to consistently apply even circumferential pressure. This should be secondary tho since I highly encourage everyone to carry windlass style tqs in their edc. And most of us are gear whores anyways, so it’s super easy, barely an inconvenience to throw one in the bag.

I now realize I just wrote an essay.

@Jimmydean338 there is multiple studies and articles that home made tq's don't work for a variety of reason. As boogbrain explained you can't guarantee circumferential pressure, the material may not be strong enough to stay tight without tearing, and also using that isn't a wise as a conventional CAT ie more the 2.5" diameter can cause nerve damage and possible lose the limb with in a few hours. And if you have a major arterial bleed your not gonna have the time to cut off a piece of your shirt to fashion up a tq. You'll be in shock with in 60 to 90 services seconds and dead in another 60-90.

@Landfill I think you meant less width can cause nerve damage. Wider will just be less effective

Yeah sorry i was just waking up when i wrote that lol

Building my own personalized ifak. Would it be a good idea to include burn cream? I've already got the basics to help control bleeding. is there anything else I should consider adding?

I would worry more about life threatening trauma interventions

Ifak should be anything immediately needed to save your life, tq, cheat seals, z fold gauze pressure bandages like an Israeli dressing or H bandages, and a basic airway adjunct, 60mm OPA and NPA

And maybe gloves

I mean, marines do carry burn dressing in their IFAK’s, but that’s a holdover from the main threat being IED’s and consequently vehicle fires, if you don’t have that threat, the space could be better used

Things to Keep in an Ifak should be 1-2x TQ's be it NAR CAT or Ratcheting Style 2x Chest Seals, Or Tagaderm 1-2x Z Fold Combat Gauze or Quik Clot Gauze 1-2x Pressure dressing I.e. Isreali Bandage or H Style Bandage 1 ea x 60mm OPA and 60mm NPA 1 pair nitril gloves Optional eqipment 14g Thorasic Needles EDIT* good pair of Sheers Leatherman Raptors are excellent if you can afford them

Now a Main Medical Bag or Tech Bag should consist of the following 4x4's 5x9's And Kling Gauze, enough for your entire group at least 10 of each per person Normal Saline solution at least 4 Liter containers Large Trauma Dressings, they're gonna be big bulky gauze sheets More Tagaderm, Chest Seals Burn dressing 1 0r 2 per person in your group Full Set Of OPA's and NPA's BVM's or Face Shields for resuscitation if necessary More TQ's at least 20 in this bag Blood Pressure Cuff and Good Quality Stethoscope i.e. Littman *Optional if your trained for it would be* At least 5 set of IV catheters ranging from 20g-14g ea 8 Liters Normal saline in, 250mm, 500mm, and 1000mm bags IV start kits Saline Flushes IV Lines Needle Decompression kit Surgical Airway Kit ET Tube Kit Laryngoscope Set Combi Tune Set King Airway Set Shears as stated above Clamps IO Drill and catheters

I've got vented chest seals, tournequit, celox, Israeli bandage and hemostatic gauze, shears, alcohol wipes, and a sealed pack of sterile gloves

shears i forgot to mention

Leatherman raptors are way too much. Just get a good quality basic pair

Yeah I buy the cheaper ones by the 5 pack and essentially treat them as disposable

But raptors are gonna be more effective, they're sharp enough to cut through webbing and soft kevlar, they also have a seat belt cutter and window punch built into it as well, and if your an EMS provider or military you get a 50% off discount

i carry them atwork and i'm going to be buying another set for my go back in my car

How much with discount?

40 i think with shipping

Just found out my hsa will cover an ifak. My checking account is grateful lol.

Hsa?

Health Savings Account. Money goes straight in from your paycheck pre-tax and you only use it on medical stuff.

That's pretty dope actually

I haven't seen the right one before

uwu

So ive been raiding first aid supplies from the over 100 cintas kits at my job. And last night, while I was patrolling the same area for the sixth time that night, I realized I was in fact standing in a fully equipped and stocked 3 room ER essentially. And it has been untouched (or inventoried) since my states lockdown. So, im in the process of slowly repurposing the unused supplies. I have very limited basic medical knowledge so I'm looking for a list of what I should be "discarding due to expiration" Note: I may not be a medic, but my wife is a nurse. Id ask her for the list, but then id have to explain where it was coming from. And I'm not doing that😂😂. Im sure there have been lists made and shared here, but I'm an idiot on the subject so if you could name the specifics of what I'm looking for I could potentially help keep someone alive. Thanks in advance

The only thing in those kits that would actually have "expiration" dates would be saline I'd imagine, you could probably get away with gauze pads and say they were discolored but as far as i recall nothing in those kits actually has an expiration date

But if your going to try it, saline solution, steril water, gauze and bandage wrappings like kling

"Expiration" is a euphemism for pocketing. Im pocketing medical supples and need to know what would serve me best lmao

@Landfill

😂😂😂😂

Just todays pickings lmao

@Landfill not laughing at you just the idea that there are in fact people who think things like gauze or compresses. Sad sad people lmao

Ahhh yeah hard to tell on text how you meant it yeah, then gauze, saline, kling, tape, if you see SAMS splints those

Those are awesome

@John Public also be careful taking from those kits constantly, if it's like my job cintas comes like once a month to check them and restock as necessary, so don't get greedy

There are 93. Not going nuts, but I did just order them refilled so im not worried. But point taken.

I missed the raptor chat, but I’ve used them and Xshears. The x shears are faaaar better, i promise. I don’t carry raptors anymore due to the x shears.

They have a much more ergo grip and bigger cutting surface. They’re also way easier to sharpen.

@Z3R0 never heard of x shears I'll have to look into those

https://youtu.be/M9ShaHSrtEE

The inventor has a series where he tests them on a ton of things

Pretty cool actually, i wouldn't necessarily say better, definitely comparable and more wallet friendly. I'm a full Time EMT so i like the little odds and ends that the Raptor offers but those X Shears are definitely pretty legit and i might invest in them soon thanks bro

But that's just my personal preference

I'll consider it for my friend

what do you guys recommend for an ifak

@Mechromansir originally posted by @Landfill Things to Keep in an Ifak should be 1-2x TQ's be it NAR CAT or Ratcheting Style 2x Chest Seals, Or Tagaderm 1-2x Z Fold Combat Gauze or Quik Clot Gauze 1-2x Pressure dressing I.e. Isreali Bandage or H Style Bandage 1 ea x 60mm OPA and 60mm NPA 1 pair nitril gloves Optional eqipment 14g Thorasic Needles EDIT* good pair of Sheers Leatherman Raptors are excellent if you can afford them

i was looking more for a premade one

There's a few websites with premade ones, Allegheny Rescue co. It's one i know of, another is Medicine In Bad Places but they are a bunch of bootlickers so take that for what it's worth

Be careful with Allegheny rescue co. He is known for being a bit inflammatory on his insta and supposedly called cbrnboi a fed. I’m not saying don’t order from him. Just keep it in mind.

Unfortunately there's very few company's selling ifaks to average joed

How is dark angel medical?

I've heard they are good but never dealt with them personally

I've heard they're solid as well. Never done business with them either.

Looking at their site I'd say give them a shot. I might buy some gear from them soon

Thanks. All I’ve had is hearsay too but no one firsthand

Looks like it’s time to put the hsa to use

@DirtyBird always do research on any gear you buy, youtube, forums. Ect. AND NEVER CHEAP OUT ON LIFE SAVING GEAR

Oh trust me I stopped buying sporting good store first aid kits long ago

I build my own from other supply spots

Just stressing that point, alot of knock offs claim to do the same until you need it and it doesn't function

I went to South America not long ago and a lot of antibiotics/ and necessary meds are over the counter... I wish I had stocked up while there

For real?

Yes. A lot of antibiotics, some low dose pain meds, even e.d. Drugs are over the counter. Others simply require talking to the pharmacist on duty to write the script.

A lot of the very strong pain meds are nonexistent or are hospital only for surgery and end of life care

That's pretty interesting, good luck getting those back into the states though

As long as it’s sealed and you aren’t bringing amounts back for resale it usually isn’t an issue

My old boss had a few bottles of over the counter antibiotics from Mexico.

Antibiotics can be hard to stock though because of expiration and efficacy I feel like

I want to get more educated on plant based stuff though.

I know a guy that makes a trip down south once a year to stock up on some of his meds

Mexico they have more eyes on then some other places but it’s not too hard to do and if you have a script written by a pharmacist down there then they can’t do anything about it when coming back

I know I got a lot heavier eyes looking at me when I came back from Mexico as opposed to when I came back from Chile or Costa Rica

Any tips for treating severely roughed up skin?

Like, waded through a knee deep pool of concrete for an hour level of roughed up

Hmm. Did you clean it good?

Yeah clean that shit up goodm

Is it like road rash? Not sure how you mean roughed up but I’d say clean it up real well and peroxide the shit out of it

@Bravo321 Bravo will have better info though

@1-1Cannibal

I'm so happy that the medical train continued.

Wasn’t the same without the knowledge though. People are interested but I need some learnin’

Like road rash, I already cleaned it well but I'm wondering about whether or not to wrap it

Better safe than sorry.

Copy

I would put some triple antibiotic on it (neosporin) after cleaning the site and put some non stick gauze on it if you have any.

What he said. If it's like a wound in nature, or like a blister or something or that sort where infection is possible, clean it with alcohol or an antiseptic and neosporin that biatch.

Wound care is important.

Infected wounds are no fucking joke.

Look up neurotic fasciitis.

Necrotic*

Don't let any wounds you have get infected. Clean them all thoroughly, whether with iodine, benzalkonium chloride, isopropyl, or any other effective anti-septic.

Once that's done, look for sign of infection, if you think it is infected, hit a doctor.

Would hydrogen peroxide do the job? May be easier than gooping a shit ton of neosporin on there

Even a simple staff infection can kill someone if left untreated