Thank you for saying the hemostatic agent hasn't been shown to have better long term outcomes than vanilla gauze! I feel like everyone acts like the magic pixie dust is a MUST have and anytime budget restricted people are building a kit I end up having to send them links to papers on how being good at wound packing is more important than hemostatic vs untreated gauze. So, thanks for that :)
Seconded! The insane cost per single haemostatic gauze pack means you’re losing the potential of 4 or 5 times that, of good quality gauze, careful packing and wound compression.
@@theshieldwall1570 Thanks! I admit I've bought the hemostatic gauze believing it was better. And I haven't spent enough time making sure I know wound packing well. I'll be stepping that up.
Just for clarification, quick clot gauze IS better and is the gold standard. But regular gauze will do the job almost as well. The cost benefit ratio might not be worth it for some people.
Looks like a nice setup! As another medic who does a lot with SAR/wilderness medicine, I feel the pain of balancing the ALS gear with the other stuff. I think you (edit: in general, not commenting on your specific setup) can get away with carrying much less stuff, especially splinting/wound management supplies, by asking your SAR teammates to carry just a little extra in their personal first aid kits. I happily give them a roll of gauze, a triangular bandage and an ACE wrap; adds minimal weight to their gear, but when a litter team shows up now I have six of everything and I can do a lot! The only really important thing I see missing is some wound cleaning/management tools...not sure what your team's calls look like, but we see a fair amount of soft-tissue injuries and I place a lot of importance on early wound cleaning. I've got a vacuum-sealed package of a 60mL syringe for irrigation, some hemostats and forceps for exploration/debris removal, travel toothbrush for road rash (and some lidocaine gel to be kind lol), some PI prep pads/swab sticks for turning water into a 1% PI solution, and some large Tegaderm for bandaging over wet-dry dressings. All that fits nicely into a collapsible dog bowl for my irrigating water. If your team doesn't already have one stored with the litter, a patient "hygiene kit" to manage waste is a really nice thing to have as well for litter evacs. Mine has some baby wipes and 4-5 Chux folded nicely into a gallon Ziploc. Pre-place all of them, and as one gets used you can just pull it out and your Ziploc becomes the storage for used Chux/wipes. Big fan of the PFC patient documentation system, especially for revising problem lists and charting/trending vitals. Sorry dude, you kinda activated the launch sequence on that one lol....but I'm also getting ready to go through and re-inventory mine this shift.
Great load out! When I put my SAR kit together I realized it's basically breathing, bleeding, and BJMI. Anything more than that would be a recovery mission. I see too many people trying to carry half an ambulance on their backs.
Hi Sam, Just graduated today from EMT school from the Idaho Medical Academy and during the last four months I bought an empty NAR4 bag and have been putting it together based on my needs and your reviews. The instructors loved it. Based on my 13 years in the film industry as a SAG actor, my goal is to eventually be a movie set medic, and you’ve been an awesome resource. All the best to you and your fans. Love your site PrepMedics! Kope
You have great content ! I tend to watch more Australian or Canadian content as the American approach/considerations ( tactical/mass shootings etc) and the educational differences are pretty unique to the states. Your content is clear, Concise and Is delivered by a clinician who is experienced and measured
4:22 essentially means if they were bleeding, by the time we get there there will have "resolved" and a medic isn't much use. Noted, don't bleed in the woods.
Great pac I always kept a SOL escape bivvy instead of a rescuer blanket it zips closed, you can put the pt in a sleeping bag, our team always had one to two extras between the group then use the bivvy to keep it water and wind proof. I’m also a big fan of chem lights as a back up to my back up plus great for signaling. The other thing I threw in my kit was something to quench thirst, quench gum or jolly ranchers, especially if the have an abd injury and you don’t want the pt to drink. Getting those salivary glands going can help a lot psychologically. I don’t know hat you use for your diagnostic kit but I ended up getting a second set up with the littman light weight stethoscope (it was aluminum) and the Welch Allen lightweight single hose plastic bp cuff to keep weight down.
I have the same TT medic assault small , it’s great. I have it setup one panel for trauma , other panel for boo-boo/minor injuries and the small zip pouch I keep meds , Benadryl, Advil , Tylenol etc. Ive also got a C-Splint in the front like you do. The way I have mine stocked it’s good for hunting, family camping/road trips , dirt biking etc etc. It also fits perfectly in the radio pouch of a large Alice pack which works great for multi day/backcountry hunting trips.
Nice set up! For SAR my Paramedics carry less 'trauma' type stuff (and we teach the rest of the team to carry it....we moved away from IGel to a military issue King Airway, as then we also have a large syringe that can be used for suction (as really dont get on well with 'tactical type' suction devices. One of the key lessons I teach SAR Medics is that you 'can improvise everything...... but not diagnostic capability, drugs and syringes', so I think you have achieved a really good balance and awesome set up!
Great video as always! I'm a rope rescue/confined space tech so my pack also focuses on ortho/soft tissue primarily. My only add is that I carry Coban as my primary dressing/splint securement. A rolled gauze fits inside and you have packing plus bandage in one unit.
Thank you for making these great videos. I'm not a paramedic, or in search and rescue. However I do spend a lot of time on backwoods expeditions. It is really helpful to see what kinds of things a professional would be carrying with them. It will definitely help me make decisions on what I should be carrying.
Tytek has a decent compact manual suction device that I include with any kit that has a BVM. It's cheap and I've used it on chunky vomit before with success. Highly recommend.
Thanks for this. Been following for a while and I never comment. Love the content. Normal civilian that always wants to learn more about medical prepping. Thank you for these videos.
This is great timing. I'm in the process of creating a special operations medic program in my EMS Dept in partnership with or local FD. And I have been nerding out on kits and loadouts.
I carry pretty much the same kit as you except for the items that are used on other people like the BVM. I finally switched to X Shears from my Raptor and not going to buy quikclot any more in the future after my present one becomes expired thanks to you advice
Thanks for the video. Maybe I'm the only Brazilian to watch it, but I struggle a lot to understand it. but it is very knowledgeable. Obrigado pelo video. Talvez eu seja o unico brasileiro a assistilo, mas luto muito pata entendelo. mas e de grande conhecimento.
Looks good from my SAR perspective. Sadly most dynamic interventions are few and far between unless you’re able to get to the patient via vehicle or are there to witness the incident yourself. Alas after a long foot slog it often comes down to application of ‘good basics’ by the SAR Team… and some luck on the patients behalf. Asphyxiation is still the biggest killer.
Yeah, I totally agree. When I put this together my thought was “how do I justify not having some of the more life the dynamic interventions in the pack even though their use is exceedingly rare. Couldn’t rationalize it in the end. We are kind of a unique team because we are not actually SAR members. We just attach to teams as the medics and we are expected to be able to provide a high level of care as that is our only responsibility.
@@PrepMedic I completely agree. Given your skill set it’s a very difficult one to judge. As a SAR member first and team medic second, I have the dumb luxury of ‘demanding’ a swift evacuation, whilst ‘only’ having to maintain basic life support. Thankfully it’s my advanced second line colleagues (such as yourself) who’ll either join me in the evacuation line and bring specific medical interventions once the patient is found - or wait until I’ve brought a ‘poorly person’ back to Tier 1 Care My priority is always to get them evacuated ASAP. Identify the Chain of Survival and get them to it quickly. All that said, a 30 minute inbound can easily fail, meaning that 3 hours later it’s still me in the field ‘wishing’ that I had more advanced cardiac life support (instead of a battered AED and BVM 😂)… or another dozen bottles of O2 and stronger pain relief. There’s never a perfect solution in SAR - but I reckon you’re as close to it as anyone is. My only niggling thought is in regards to Saline / Haemaccel / blood expander. It’s clearly a huge boon to the patient, but given its time of potential delivery (relative to time of incident), the time that it can subsequently take to extract said-patient; and finally the potential for significant delays at any point of the Evacuation Chain, are you carrying enough to make any meaningful difference? Unless perhaps each member of the SAR Team also carries a 500/1000ml bag in with them, you might use that space for something else? Its not sexy medicine, but Hypothermia is more likely to kill an exposed patient in my part of the World, than a Hemothorax. Asphyxia kills more than Anaphylaxis. It’s counter intuitive to Medical Professionals but imo, a SAR medic needs to deliver Speed and ‘just good enough’ Medicine. (It’s not synonymous with ‘bad medecine’, but doesn’t equate to normal clinical expectations either) Once they’re on the Coastguard helicopter or air ambulance, it’s over to the the next part of the Chain. If I can delivery the basics and avoid more than 30-40% blood loss, I’m doing the best that I can.
The only thing i would add to this kit is a bacterial/viral filter to go with the BVM, it's not strictly necessary, but a nice to have item. Nice over all setup, and I absolutely love the fact that you have a few triangle bandages, they have so many uses!
The Tasmanian Tiger Medic Packs comes in different sizes. Small, normal (without any size on the description) and large. Also theres a Backpack called "First Responder Move on" that consists of two backpacks. One lager backpack and a smaller backpack that's nearly the same as the medic assault pack small that is connected to the larger backpack with a zipper. Could be interesting for you to take a look at. The lager backpack for SAR Equipment than medic equipment and the smaller backpack zipped on as the small medic pack as shown here. But while TT is common here in Europe I don't know how common it is in the US.
Look into Tasmanian Tiger's Move On bag. It's the TT Medic Assault Pack, but it zips on to a larger bag. The larger bag seems to be primarily designed as a truck bag, but you could easily just use if for sustainment, which is how I'm using mine.
What I wont miss in my first responder kit is a stifneck collar as I used it in 50% of all emergencies. I know it's a larger equipment, but it's a usefull part do do an active de-stabilisation.
So not really. Spinal immobilization is not a super common practice anymore. There is a lot of evidence that C-collars and back boards are not beneficial to patients with spinal injuries and actually might be harmful
@@PrepMedic Hey brother no worries. LOL All good. Really like your reviews. Keep it up. We almost went with that bag for the team but we ended up going a different direction. It was a very close race. Still an awesome bag!!! Unfortunately I don’t participate in social media so no worries. Keep up the good content. Don’t listen to all the haters. 🤙🏽🇺🇸💪🏽
Thanks for Sharing: as a SAR Medic I see to many kits that are based on combat kits, we generally don't have issues with Sar patients exploding. We also don't have issue with MCI or more then 2 patients so no need for 10 compression dressings. I would like to know your meds your packing (but I could freeze frame) I just pack immediate life saving meds and a good radio. Suggestion: Pack IV Fluids in an insulated water bottle pouch, add hot packs (handwarmers) when deploying, for warm Fluids. I use a 1lt molle water bottle pouch for 1 ltr Ringers. Works great.
Great kit! I like TT bags alot and have several of them. Great quality and value for the price! I'm surprised you don't carry the RISE (rigid immobilization sysstem for extremities) from tacmed solutions? Super light weight, versatile and perfect for SAR
Not even really something medical related, but i would honestly pack a survival straw. Lets you drink from a freshwater source with a drastically reduced chance of picking up cholera or some other pathogen. And of course, spare batteries. Everything I have in my pack, I've tried to maintain gear that uses the same batteries and just kept a plastic bag of fully charged spares in a side pocket. Last thing I'd want is for a headlamp, pulse ox, whatever, to run out of batteries in the field. Ounces = pounds but if it could mean the difference between life and death, I can suck it up.
where I live (more or less arctic circle) we have huge number of hypothermia recovery last few years, a new industry has started and the 3000 new workeds are mostly not local but from southern parts, they have no idea how fast weather will change here even in summer (had snow midsummer's eve few years ago) and how bad things will be after just an hour of near freezing rain without proper gear. here a helicopter is at least two hours away at best, and that is if we can even contact them (terrain and other things like aurora mess with radios)
Check out the Refuge Medical STOMP kit, mini STOMP, MACK 8 (mass casualty kits), etc. They are good people, and they have really thought out their kits.
I am almost done with my EMT-B certification. I am getting it because for years I have volunteered as a motorcycle marshal for special events such as charity bike rides, marches and parades. I have always carried some first aid gear but last year one of the events had a major trauma event. I was the first one there and the ambulance was staged almost 8 minutes away. It was a good outcome in the end but it could have gone the other way fast. These events used to have multiple EMT-B, EMT-A and Paramedics on motorcycles but over the years there have been less and less. I would love to collab and discuss recommendations for kits that fit on a motorcycle, provide that bridge between the transport process and the Rapid response team on bikes and is customized to fit each classification of care provider.
Great video. Good kit. Where did you get the beacon you had on the bag? I am looking for a small beacon to Velcro to pouches for confined space rescue. Thanks!
All the tasmanian tiger velcro clear pouches and velcro gear rack fits really nicely inside the tasmanian tiger tactical sling bag 20L. Love how the straps on both bags fit nicely in tuck away areas. Light weight. Just wondering where to purchase that small velcro light that fits next to the scissors.
I looked through you videos and couldn’t find the review on your main SAR bag. I was wondering if you could do one if you haven’t already and if you have could you share the link. Thank you, your videos help me a ton with my gear and pack ideas
NAR S fold vs NAR compressed? Would have thought S fold was the recommended for wound packing. Also that Velcro backed LED beacon. Who makes it? I use a clip on red bike light, but being able to put it on a velcro panel higher on the bag would be better. 👍
What’s the black tube on the outside of the bag? I’m guessing a litter but I want to know which one because I am DYING to find a small one like that size that I can put on my plate carrier
Maybe add one more spare headlamp, they are small, and don’t way much. Yours might brake, ore someone else might run out of battery, or need on. Light, when it’s dark, is worth a lot! Thanks for sharing all the valuable info👍👍
I think it's amusing for people to be counting dollars and cents on gear and supplies. I have a few bills burned on stuff I hope not to use, on people I don't know Yet. If you manage to save my life or someone I know I will be more than happy to buy you what ever you need!!
I agree, when money isn’t an issue, but if you totaled everything in this kit it would come to around $1000. That’s a lot of money for a “just incase scenario” when someone might be struggling to put food on their table or fill their car with gas. Now the guy with the Gucci CCW and NVGs on their range helmet has no excuse however 😂
Could you take a look at the spiritus Delta bag? Been considering to pick one up as a truck medical bag as opposed to just vacuum sealed packs scattered about.
This kit appears to be mostly for goal destination patient care. Do you and your team carry self care and rehab kits for within the team. These self care and rehab kits can be a force multipler within the team and for destination patient care.
At 5:57 you said the SAM splint could be used as a C collar, would is your opinion on the use of C collars? I wrote a short essay on their use and there's a lot of evidence against their use.
Hey Sam, nice kit there. Quick question: Say one wasn’t in need of a backpack solution and the aid bag would always be attached to another bag like the way you attach this one. In terms of functionality, versatility, spacing etc. Would the Myfak Large or even the Vanquest fatpack pro be of any consideration over this? Or you’d consider this an overall better bag?
What would be your choice of hardcase (Pelicas, Otter or similar) for med vials and the pulseoximeter? I mean, rain, submersion, cave rescue etc can bang up the pack pretty good. But this might even be reviewed as a video on its own? (Putting together an aid bag myself so any info on what hardcase to choose would be greatly appreciated)
I carry a Trama kit. It's not as comprehensive as this one : X2 Isreal Bandages X2 Ratcheting Tourniquet X1 Splint X2 Bleedstop X2 Chest Seal X2 Venelated Chest Seal X2 Wound packing gauze X2 Cloth Tourniquet X2 Roll Gauze X1 Sterile pk of Surgical Blades X2 Sterile Surgical Suiture kit X2 Sterile Surgical gloves X2 Mylar Blankets X1 Knife X1 Headlamp X2 Penlight X1 Mirror X1 Magnifying Glass X4 Tylenol X4 Ibuprofen X4 Asprin X4 Antiseptic Wipes This fits my mollie bag system. My bag is 7 in x 4 in by 3in. This bag weight, approximately 16 oz
How is the weight distribution with regards to distance from your back? Would a TSSI M9 allow weight closer to the back. I do like the setup. A lot of the non medical pers I work with don’t appreciate the subtle requirements different environments and role require. Otherwise I think you have got a great setup. I like the med mag concept. However I do find them rather expensive. I have a similar pack that is a little wider and it sits nicely in the top of my field pack. This provides extra protection from the elements. And I keep a extended boo boo kit in a pouch on the top of my field pack so I don’t need to accept my med kit every time someone wants a Band-Aid of paracetamol 🤨
Some suggestions and questions from my point of view. What does your SAR Team uses for Hypothermia prevention? I'm a fan of small and cheap bodywarmers for smaller kits. In combination with space blankets they can warm a lot. But for longer durations and cold environments that wouldn't be enough. What about a pelvic binder? A pelvic fracture will get worse on transport without splinting them.
I’m sure you might’ve answered this question before but in terms of your medications that your bring along for SWAT and for SAR what kind of meds do you bring and who provides them to you for your kits?
Does anybody knows what the small velcro LED light is called? Would be a perfect addition to one of my pacs. But can't find it anywhere with the kinda broad search terms.
I am how many Canadian forces search and rescue technician I currently use longboat ranger technical rescue pack and have a attached this particular pack to the outside along side with their patrol 3 aid
So, in our packs, we have to carry up a mix of ALS and some BLS care items. We use the acronym March paws along side, sustainment gear and technical rescue equipment so that we can be dropped into a situation and I have enough gear to treat a casualty until we can request additional gear gear
Thank you for saying the hemostatic agent hasn't been shown to have better long term outcomes than vanilla gauze! I feel like everyone acts like the magic pixie dust is a MUST have and anytime budget restricted people are building a kit I end up having to send them links to papers on how being good at wound packing is more important than hemostatic vs untreated gauze. So, thanks for that :)
Seconded! The insane cost per single haemostatic gauze pack means you’re losing the potential of 4 or 5 times that, of good quality gauze, careful packing and wound compression.
Is the hemostatic gauze faster to apply? Maybe the vanilla gauze is as effective but only if you ha e time to be careful to do it right.
@@rday7573 no, both have to be packed correctly and with the same care
@@theshieldwall1570
Thanks! I admit I've bought the hemostatic gauze believing it was better. And I haven't spent enough time making sure I know wound packing well. I'll be stepping that up.
Just for clarification, quick clot gauze IS better and is the gold standard. But regular gauze will do the job almost as well. The cost benefit ratio might not be worth it for some people.
Looks like a nice setup! As another medic who does a lot with SAR/wilderness medicine, I feel the pain of balancing the ALS gear with the other stuff. I think you (edit: in general, not commenting on your specific setup) can get away with carrying much less stuff, especially splinting/wound management supplies, by asking your SAR teammates to carry just a little extra in their personal first aid kits. I happily give them a roll of gauze, a triangular bandage and an ACE wrap; adds minimal weight to their gear, but when a litter team shows up now I have six of everything and I can do a lot!
The only really important thing I see missing is some wound cleaning/management tools...not sure what your team's calls look like, but we see a fair amount of soft-tissue injuries and I place a lot of importance on early wound cleaning. I've got a vacuum-sealed package of a 60mL syringe for irrigation, some hemostats and forceps for exploration/debris removal, travel toothbrush for road rash (and some lidocaine gel to be kind lol), some PI prep pads/swab sticks for turning water into a 1% PI solution, and some large Tegaderm for bandaging over wet-dry dressings. All that fits nicely into a collapsible dog bowl for my irrigating water.
If your team doesn't already have one stored with the litter, a patient "hygiene kit" to manage waste is a really nice thing to have as well for litter evacs. Mine has some baby wipes and 4-5 Chux folded nicely into a gallon Ziploc. Pre-place all of them, and as one gets used you can just pull it out and your Ziploc becomes the storage for used Chux/wipes.
Big fan of the PFC patient documentation system, especially for revising problem lists and charting/trending vitals.
Sorry dude, you kinda activated the launch sequence on that one lol....but I'm also getting ready to go through and re-inventory mine this shift.
What about a can of Normal Saline?? Some are 4oz.
Great load out! When I put my SAR kit together I realized it's basically breathing, bleeding, and BJMI. Anything more than that would be a recovery mission. I see too many people trying to carry half an ambulance on their backs.
Haha that was me not to long ago.
Hi Sam,
Just graduated today from EMT school from the Idaho Medical Academy and during the last four months I bought an empty NAR4 bag and have been putting it together based on my needs and your reviews. The instructors loved it.
Based on my 13 years in the film industry as a SAG actor, my goal is to eventually be a movie set medic, and you’ve been an awesome resource.
All the best to you and your fans. Love your site PrepMedics!
Kope
How was EMT school for you, how long did it take you?
@@helloanthonyjennings It was about 4 months. I enjoyed it
That's awesome man congrats! Thinking about enrolling encouraged to hear you enjoyed it. @@andrewkoponen3031
You have great content ! I tend to watch more Australian or Canadian content as the American approach/considerations ( tactical/mass shootings etc) and the educational differences are pretty unique to the states. Your content is clear, Concise and Is delivered by a clinician who is experienced and measured
4:22 essentially means if they were bleeding, by the time we get there there will have "resolved" and a medic isn't much use. Noted, don't bleed in the woods.
Nice to see a TT Bag in the states
I have two TT kit bags similar to the NAR squad bags. Love them and admire this one as well.
Next video idea: items that Sam can vacuum seal. 😀
Sam could vacuum bag his Sam splint! 😂
Great pac I always kept a SOL escape bivvy instead of a rescuer blanket it zips closed, you can put the pt in a sleeping bag, our team always had one to two extras between the group then use the bivvy to keep it water and wind proof. I’m also a big fan of chem lights as a back up to my back up plus great for signaling. The other thing I threw in my kit was something to quench thirst, quench gum or jolly ranchers, especially if the have an abd injury and you don’t want the pt to drink. Getting those salivary glands going can help a lot psychologically. I don’t know hat you use for your diagnostic kit but I ended up getting a second set up with the littman light weight stethoscope (it was aluminum) and the Welch Allen lightweight single hose plastic bp cuff to keep weight down.
I have the same TT medic assault small , it’s great. I have it setup one panel for trauma , other panel for boo-boo/minor injuries and the small zip pouch I keep meds , Benadryl, Advil , Tylenol etc. Ive also got a C-Splint in the front like you do. The way I have mine stocked it’s good for hunting, family camping/road trips , dirt biking etc etc. It also fits perfectly in the radio pouch of a large Alice pack which works great for multi day/backcountry hunting trips.
Nice set up! For SAR my Paramedics carry less 'trauma' type stuff (and we teach the rest of the team to carry it....we moved away from IGel to a military issue King Airway, as then we also have a large syringe that can be used for suction (as really dont get on well with 'tactical type' suction devices. One of the key lessons I teach SAR Medics is that you 'can improvise everything...... but not diagnostic capability, drugs and syringes', so I think you have achieved a really good balance and awesome set up!
Great video as always! I'm a rope rescue/confined space tech so my pack also focuses on ortho/soft tissue primarily. My only add is that I carry Coban as my primary dressing/splint securement. A rolled gauze fits inside and you have packing plus bandage in one unit.
Coban and tape go a long way for securing a lot!
Thank you for making these great videos. I'm not a paramedic, or in search and rescue. However I do spend a lot of time on backwoods expeditions. It is really helpful to see what kinds of things a professional would be carrying with them. It will definitely help me make decisions on what I should be carrying.
Optimize the kits is a great challenge wherever you are, you are done an amazing job doing this.
Tytek has a decent compact manual suction device that I include with any kit that has a BVM. It's cheap and I've used it on chunky vomit before with success. Highly recommend.
Thanks for this. Been following for a while and I never comment. Love the content. Normal civilian that always wants to learn more about medical prepping. Thank you for these videos.
This is great timing. I'm in the process of creating a special operations medic program in my EMS Dept in partnership with or local FD. And I have been nerding out on kits and loadouts.
I carry pretty much the same kit as you except for the items that are used on other people like the BVM. I finally switched to X Shears from my Raptor and not going to buy quikclot any more in the future after my present one becomes expired thanks to you advice
Thanks for the video. Maybe I'm the only Brazilian to watch it, but I struggle a lot to understand it. but it is very knowledgeable.
Obrigado pelo video. Talvez eu seja o unico brasileiro a assistilo, mas luto muito pata entendelo. mas e de grande conhecimento.
Such an eye candy when you opened the main compartment.
Great video! Thanks for sharing. Only suggestion I would share is to put a paracord-loop or lanyard on your tape so it doesn't get lost. =)
Looks good from my SAR perspective.
Sadly most dynamic interventions are few and far between unless you’re able to get to the patient via vehicle or are there to witness the incident yourself.
Alas after a long foot slog it often comes down to application of ‘good basics’ by the SAR Team… and some luck on the patients behalf.
Asphyxiation is still the biggest killer.
Ps really enjoying your show and learning a lot of new things
Yeah, I totally agree. When I put this together my thought was “how do I justify not having some of the more life the dynamic interventions in the pack even though their use is exceedingly rare. Couldn’t rationalize it in the end. We are kind of a unique team because we are not actually SAR members. We just attach to teams as the medics and we are expected to be able to provide a high level of care as that is our only responsibility.
@@PrepMedic I completely agree. Given your skill set it’s a very difficult one to judge.
As a SAR member first and team medic second, I have the dumb luxury of ‘demanding’ a swift evacuation, whilst ‘only’ having to maintain basic life support.
Thankfully it’s my advanced second line colleagues (such as yourself) who’ll either join me in the evacuation line and bring specific medical interventions once the patient is found - or wait until I’ve brought a ‘poorly person’ back to Tier 1 Care
My priority is always to get them evacuated ASAP. Identify the Chain of Survival and get them to it quickly.
All that said, a 30 minute inbound can easily fail, meaning that 3 hours later it’s still me in the field ‘wishing’ that I had more advanced cardiac life support (instead of a battered AED and BVM 😂)… or another dozen bottles of O2 and stronger pain relief.
There’s never a perfect solution in SAR - but I reckon you’re as close to it as anyone is.
My only niggling thought is in regards to Saline / Haemaccel / blood expander.
It’s clearly a huge boon to the patient, but given its time of potential delivery (relative to time of incident), the time that it can subsequently take to extract said-patient; and finally the potential for significant delays at any point of the Evacuation Chain, are you carrying enough to make any meaningful difference?
Unless perhaps each member of the SAR Team also carries a 500/1000ml bag in with them, you might use that space for something else?
Its not sexy medicine, but Hypothermia is more likely to kill an exposed patient in my part of the World, than a Hemothorax. Asphyxia kills more than Anaphylaxis.
It’s counter intuitive to Medical Professionals but imo, a SAR medic needs to deliver Speed and ‘just good enough’ Medicine. (It’s not synonymous with ‘bad medecine’, but doesn’t equate to normal clinical expectations either)
Once they’re on the Coastguard helicopter or air ambulance, it’s over to the the next part of the Chain.
If I can delivery the basics and avoid more than 30-40% blood loss, I’m doing the best that I can.
The only thing i would add to this kit is a bacterial/viral filter to go with the BVM, it's not strictly necessary, but a nice to have item. Nice over all setup, and I absolutely love the fact that you have a few triangle bandages, they have so many uses!
Nice kit! I'm sure you will tweek it over time but, it gives you what you need on the go. That bag looks interesting.
Thank you for this video, that's coming from a sar volunteer!
Dude........I LOVE my vaccum sealer too........ so handy
In my medical bag(i have the same one) i squeezed a hard neck collar through the opening in the back of the sack.Great video
I’d love to see what you’re carrying in the hill people gear bag if it’s any different from your hiking setup
The Tasmanian Tiger Medic Packs comes in different sizes.
Small, normal (without any size on the description) and large.
Also theres a Backpack called "First Responder Move on" that consists of two backpacks.
One lager backpack and a smaller backpack that's nearly the same as the medic assault pack small that is connected to the larger backpack with a zipper.
Could be interesting for you to take a look at.
The lager backpack for SAR Equipment than medic equipment and the smaller backpack zipped on as the small medic pack as shown here.
But while TT is common here in Europe I don't know how common it is in the US.
Chinook Medical makes great IV start kits and other kits vac sealed for those who are putting together packs without hitting up the supply room.
Nice! excited I ordered the one size up from this a week ago
Look into Tasmanian Tiger's Move On bag. It's the TT Medic Assault Pack, but it zips on to a larger bag. The larger bag seems to be primarily designed as a truck bag, but you could easily just use if for sustainment, which is how I'm using mine.
This works perfect for me and my application, im not Search and Rescue but I do almost the same in Law Enforcement.
What I wont miss in my first responder kit is a stifneck collar as I used it in 50% of all emergencies. I know it's a larger equipment, but it's a usefull part do do an active de-stabilisation.
So not really. Spinal immobilization is not a super common practice anymore. There is a lot of evidence that C-collars and back boards are not beneficial to patients with spinal injuries and actually might be harmful
@@PrepMedic , that's the difference between US and EUROPE way to pick up patients until they will be carried to the hospital.
@PrepMedic You can buy the flat version of the OLAES bandage which takes up much less space ;)
thanks for the info from your perspective
SS Delta Bag has won me over
Thanks for the info. I’m an SRT medic with Miami Dade SRT. My team and I are always looking for new gear. 🤙🏽
Bro I am so sorry I doubted you 😂. If you got a gram DM me and I’ll shoot some patches your way.
@@PrepMedic Hey brother no worries. LOL All good. Really like your reviews. Keep it up. We almost went with that bag for the team but we ended up going a different direction. It
was a very close race. Still an awesome bag!!!
Unfortunately I don’t participate in social media so no worries. Keep up the good content. Don’t listen to all the haters.
🤙🏽🇺🇸💪🏽
Really really enjoyed This video.
Thanks for Sharing: as a SAR Medic I see to many kits that are based on combat kits, we generally don't have issues with Sar patients exploding. We also don't have issue with MCI or more then 2 patients so no need for 10 compression dressings. I would like to know your meds your packing (but I could freeze frame) I just pack immediate life saving meds and a good radio.
Suggestion: Pack IV Fluids in an insulated water bottle pouch, add hot packs (handwarmers) when deploying, for warm Fluids. I use a 1lt molle water bottle pouch for 1 ltr Ringers. Works great.
Good tip! I have a commercial warmer I can throw in but it’s a bit bulkier then I would like.
Great setup
Great kit! I like TT bags alot and have several of them. Great quality and value for the price! I'm surprised you don't carry the RISE (rigid immobilization sysstem for extremities) from tacmed solutions? Super light weight, versatile and perfect for SAR
Very nice BVM.
Not even really something medical related, but i would honestly pack a survival straw. Lets you drink from a freshwater source with a drastically reduced chance of picking up cholera or some other pathogen. And of course, spare batteries. Everything I have in my pack, I've tried to maintain gear that uses the same batteries and just kept a plastic bag of fully charged spares in a side pocket. Last thing I'd want is for a headlamp, pulse ox, whatever, to run out of batteries in the field. Ounces = pounds but if it could mean the difference between life and death, I can suck it up.
where I live (more or less arctic circle) we have huge number of hypothermia recovery last few years, a new industry has started and the 3000 new workeds are mostly not local but from southern parts, they have no idea how fast weather will change here even in summer (had snow midsummer's eve few years ago) and how bad things will be after just an hour of near freezing rain without proper gear. here a helicopter is at least two hours away at best, and that is if we can even contact them (terrain and other things like aurora mess with radios)
I watch random stuff online and it's very entertaining. That's Just me.
Tasmanian Tiger = Best tactical backpacks in the world. It's as simple as that.
You would like the Mystery Ranch hiking bags that have the OVERLOAD feature.
Pretty high-speed pack.
Check out the Refuge Medical STOMP kit, mini STOMP, MACK 8 (mass casualty kits), etc.
They are good people, and they have really thought out their kits.
I am almost done with my EMT-B certification. I am getting it because for years I have volunteered as a motorcycle marshal for special events such as charity bike rides, marches and parades. I have always carried some first aid gear but last year one of the events had a major trauma event. I was the first one there and the ambulance was staged almost 8 minutes away. It was a good outcome in the end but it could have gone the other way fast. These events used to have multiple EMT-B, EMT-A and Paramedics on motorcycles but over the years there have been less and less. I would love to collab and discuss recommendations for kits that fit on a motorcycle, provide that bridge between the transport process and the Rapid response team on bikes and is customized to fit each classification of care provider.
thanks you very much.
With boating season coming (already a go in some regions) have you ever considered doing a boater out (supplies, dry storage options, etc)?
Hey awesome kit! Show us that hill people gear bag with the stuff in it im super curious plz thx
Great video. Good kit. Where did you get the beacon you had on the bag? I am looking for a small beacon to Velcro to pouches for confined space rescue. Thanks!
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can you please make the TT FIRST RESPONDER MOVE ON would be nice,
greatings from Austria
Can you post a link on the led light for the outside of your bag? Love the video.
It's UNITY TACTICAL SPARK MARKER LIGHT
All the tasmanian tiger velcro clear pouches and velcro gear rack fits really nicely inside the tasmanian tiger tactical sling bag 20L. Love how the straps on both bags fit nicely in tuck away areas. Light weight. Just wondering where to purchase that small velcro light that fits next to the scissors.
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I looked through you videos and couldn’t find the review on your main SAR bag. I was wondering if you could do one if you haven’t already and if you have could you share the link.
Thank you, your videos help me a ton with my gear and pack ideas
NAR S fold vs NAR compressed? Would have thought S fold was the recommended for wound packing. Also that Velcro backed LED beacon. Who makes it? I use a clip on red bike light, but being able to put it on a velcro panel higher on the bag would be better. 👍
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How many Pts do you prep for in 1 pack. FYI, because of you I am now an unpaid x-sheer sales guy.
What’s the black tube on the outside of the bag? I’m guessing a litter but I want to know which one because I am DYING to find a small one like that size that I can put on my plate carrier
Probably should have some pain killers and antibiotics
AGGGHHHH! I NEED A MEDIC BAG
Maybe add one more spare headlamp, they are small, and don’t way much. Yours might brake, ore someone else might run out of battery, or need on.
Light, when it’s dark, is worth a lot!
Thanks for sharing all the valuable info👍👍
Dude you need to try the shaw concepts pcp
I think it's amusing for people to be counting dollars and cents on gear and supplies. I have a few bills burned on stuff I hope not to use, on people I don't know Yet.
If you manage to save my life or someone I know I will be more than happy to buy you what ever you need!!
I agree, when money isn’t an issue, but if you totaled everything in this kit it would come to around $1000. That’s a lot of money for a “just incase scenario” when someone might be struggling to put food on their table or fill their car with gas. Now the guy with the Gucci CCW and NVGs on their range helmet has no excuse however 😂
Could you take a look at the spiritus Delta bag? Been considering to pick one up as a truck medical bag as opposed to just vacuum sealed packs scattered about.
This kit appears to be mostly for goal destination patient care. Do you and your team carry self care and rehab kits for within the team. These self care and rehab kits can be a force multipler within the team and for destination patient care.
ahhhhhh I need a medic bag
Did you skip out on a suction because the manual ones dont work well, or because it's not likely something you'd deal with?
is there a video on your search and rescue pack? :)
Have you looked at the Conterra packs?
I suppose a big part of this sort of thing also could be SAR people getting injured on a mission.
At 5:57 you said the SAM splint could be used as a C collar, would is your opinion on the use of C collars? I wrote a short essay on their use and there's a lot of evidence against their use.
Hey Sam, nice kit there. Quick question: Say one wasn’t in need of a backpack solution and the aid bag would always be attached to another bag like the way you attach this one.
In terms of functionality, versatility, spacing etc. Would the Myfak Large or even the Vanquest fatpack pro be of any consideration over this? Or you’d consider this an overall better bag?
How about a video for multi - day MSAR?
What would be your choice of hardcase (Pelicas, Otter or similar) for med vials and the pulseoximeter? I mean, rain, submersion, cave rescue etc can bang up the pack pretty good.
But this might even be reviewed as a video on its own?
(Putting together an aid bag myself so any info on what hardcase to choose would be greatly appreciated)
I have been searching for a PARAMEDIC patch like that one. Where did it come from?
I carry a Trama kit. It's not as comprehensive as this one :
X2 Isreal Bandages
X2 Ratcheting Tourniquet
X1 Splint
X2 Bleedstop
X2 Chest Seal
X2 Venelated Chest Seal
X2 Wound packing gauze
X2 Cloth Tourniquet
X2 Roll Gauze
X1 Sterile pk of Surgical Blades
X2 Sterile Surgical Suiture kit
X2 Sterile Surgical gloves
X2 Mylar Blankets
X1 Knife
X1 Headlamp
X2 Penlight
X1 Mirror
X1 Magnifying Glass
X4 Tylenol
X4 Ibuprofen
X4 Asprin
X4 Antiseptic Wipes
This fits my mollie bag system. My bag is 7 in x 4 in by 3in. This bag weight, approximately 16 oz
What medication pouches do you recommend? To go in either RATS Pack or other Wilderness SAR pack
How is the weight distribution with regards to distance from your back? Would a TSSI M9 allow weight closer to the back. I do like the setup. A lot of the non medical pers I work with don’t appreciate the subtle requirements different environments and role require. Otherwise I think you have got a great setup. I like the med mag concept. However I do find them rather expensive. I have a similar pack that is a little wider and it sits nicely in the top of my field pack. This provides extra protection from the elements. And I keep a extended boo boo kit in a pouch on the top of my field pack so I don’t need to accept my med kit every time someone wants a Band-Aid of paracetamol 🤨
I put chem lights in my bag, because headlamps sometimes fail and batteries die.
Good day ... I really enjoy your video ... I am just hoping if i could get the list and how many per kit ? Tnx
Some suggestions and questions from my point of view.
What does your SAR Team uses for Hypothermia prevention?
I'm a fan of small and cheap bodywarmers for smaller kits. In combination with space blankets they can warm a lot.
But for longer durations and cold environments that wouldn't be enough.
What about a pelvic binder?
A pelvic fracture will get worse on transport without splinting them.
Pelvic binder can be improvised with the TQ and sam splint.
@@chrisowen4723 Wow what an amazing comment to find. I had never heard of that. Thanks for the info!
Could you share a link to that Velcro light? I can’t seem to find it. Thanks!
Anyone else out there know where these lights are?
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Given the needles and IV supplies, how come there's no sharps shuttle?
I’m sure you might’ve answered this question before but in terms of your medications that your bring along for SWAT and for SAR what kind of meds do you bring and who provides them to you for your kits?
Does anybody knows what the small velcro LED light is called? Would be a perfect addition to one of my pacs. But can't find it anywhere with the kinda broad search terms.
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Awesome. Where's that bacon from?
What bag do you use for you diagnostic kit?
Just curious, why did you choose NS over LR?
Can you show how to use compressed gauze etc. in off label use?
Hey Sam!
What is the best kit for a live on sailboat, with 1 to 2 people.
Thanks!
Whats the reason for guys not liking the Olaes banadges?
*Dallas would like to know your location*
Looking for a car medical bag to cover auto accidents,active shooter victims, and boob kits. Any suggestions?
Try to make Mountain Bike adventure small Med pack. 👍🏻👍🏻👍🏻👍🏻
I am how many Canadian forces search and rescue technician I currently use longboat ranger technical rescue pack and have a attached this particular pack to the outside along side with their patrol 3 aid
So, in our packs, we have to carry up a mix of ALS and some BLS care items. We use the acronym March paws along side, sustainment gear and technical rescue equipment so that we can be dropped into a situation and I have enough gear to treat a casualty until we can request additional gear gear
Add a sharps container???