I find a Pulse Oximeter and an Emay EKG reader to be helpful in a wilderness environment, and they only weigh a few ounces. Ruling out serious issues can be just as helpful as finding them.
Man, that was well done. I was an EMT 14 years ago and looking to get back into it. It’s been a while but you sure as hell know what your talking about. The explanation of specific items and their uses was great. Thanks
I am not an EMT and will not venture outside what I know. But this video was very helpful in preparing a kit that can be used to help people until EMT's and first responders arrive on scene. Trying to build a first aid kit that suits my needs for the a vehicle, the house, and when I'm up hunting. Hoping I can find the time in the winter to take a pretty extensive first aid course when work is slow. The more you know, the better. Thanks again for giving us this knowledge. The internet is a wonderful thing.
Funny thing about bandaids. After multiple 911 calls for people just asking for a band aid, I bought a box of Hello Kitty Bandaids. Great for kids, but way better for the cop that has a paper cut. That look on their face is priceless.
Hey man just stumbled upon your channel. I’m working in a hospital operating room as a PCT and I start EMS Basic school in January! I’m actually learning a lot from your channel and your content is phenomenal. Keep up the good work!
Thank you for a great video, just subscribed! Made me think about the pack in my car and how I may improve it. Greets from Sweden! And stay safe! / Pavel
I kept a few sharpies to jot down vitals, patient ID or phone numbers, and a roll of duct tape (partially used roll to cut down on size and weight), and simple one way valve CPR shields in my kit in addition to much of what you carry
I'm an AEMT eyeballing this bag. I'd love to know your layout. I want to work within my scope in a more organized way than the house bags on the trucks....I work at multiple services and I hate digging around a different bag everyday
An excellent kit, Covers most emergencies one would come across, in most emergencies, I carry similar myself, but in a different bag, as a rescue medic, Slainte.
I also keep a C-Collar (I hope it's the correct term) in my car to a if with neck stabilization after a car crash. Great video I am very glad that I discovered your channel :D
I've also heard you can use SAM splints for that. It has many uses, and probably takes up less space. But I'm not a medical professional, so don't take my word for it :)
Before anyone makes one of these kits I would implore you to run it buy your medical director/ems office first. I know ours would stroke out for doing ALS skills outside of our own agency in our personal car, plus opens you up to litigation in the future if something goes wrong. The vast majority of trauma calls can be handled by high quality BLS skills and nobody is running a code completely on their own. Just food for thought. All I carry in my car is a GSW kit for myself that has a lot of bandages, coban, gauze, chest seals, Israeli bandage and a CAT tourniquet
@SirScarecrow in NY we've always been taught you're not covered under Good Samaritan Laws in your state of practice because you're trained under the same Protocols.
@@ImKracker Every state I've ever checked has a similar, sometimes more extensive exemptions to their Good Samaritan Law. The reason for the law is that if you aren't trained to perform certain procedures, you are almost more likely to make the situation worse, so it doesn't make any sense to give you immunity to liability in those situations.
I think here many things are covered by law if you’re trained. Iv Access and saline should be ok anyways. Needle decompression may be doubtful. Tourniquets, hemostats and bandages are ok anyways. An io would certainly be not.
That’s so cool you worked as a ski patrol! I ski in the winter here in Montana and it would be so cool if you made a video talking about your life as a ski patrol and what sort of medical stuff skiers should have in their IFAK if any.
You can add a loop of shock cord to one of the shears handles so you can pull it over the end of the shears. This will secure them to the outside of your pack.
Been looking for a good video for some ideas on my car first aid kit. I'm not an EMT by any means but I like your videos and your kit is much better than anything I would have made on my own. I'm from Iowa also so that got you ahead too haha!
When I was in Korea in the military during winter I got heat exhaustion (was very dehydrated , we were carrying alot of weight and was hiking a very hard and steel hill) and my team gave me an IV. The IV bag was partially frozen and i could feel the cold going through my veins. It helped me but could have also killed me. I think a simple saline IV is crucial. That being said i would probably not give an IV to someone I didn't know. I do occasionally give myself an IV because it makes me feel better but it's hard to find them any more. I buy them from vet supply places but most of them require a RX now for even saline.
Love your videos! Just subscribed. I'm actually from the Iowa City area! I'm on a service north of IC. Anyways, great kit! Two things: More gloves and I didnt see any kind of tape, coban, rolled gauze, or ace wraps, etc. to secure dressings/hold stuff in place. Other than that I like it! Small and compact too.
It doesn’t count as first aid but I have a reflective vest in my “Tactical Honda” kit if I roll up on an MVA, and lots of hand sanitizer bc of the time we’re living in. I’m also gonna get a glucometer to keep In There as well
Have you ever had an issue with the eye flushes freezing in winter? I live in Manitoba and it gets down to -40F in the cold months. But at my work we are always getting stuff in our eyes regardless of the eye protection are wearing at the time.
As you know, peripheral venous constriction is an ongoing process, get a saline lock in when you can, while you can, with EJ/IO as back up when the bus gets there. Advocate for 0 neg low antigen FHB on your buses or FD plasma. 0.9 NaCl is never served warm, so it exacerbates hypothermia, is acidotic unto itself and contributes to coagulopathy through hemodilution. Permissive hypotension doesn't perfuse much in a sick patient. What are you using to hold your SAM splint in place if the cravats are needed elsewhere? As stated, acidosis/coagulopathy/hypothermia kills people. The one part of that triangle that we can directly address, is hypothermia. I vote to keep the hot packs, only make them bigger and keep them fresh. I have a used military closed cell pad (deconned with 10% bleach) with a 100% wool blanket, space blanket, wool watch cap and hot packs, all rolled up together. Foam pad under the patient removes heat loss to the ground and pads a long board, hypothermic trauma patients aren't generating much heat for the space blanket to contain, so the hot packs, under the wool blanket under the space blanket. After the trauma strip. minimize exposed skin. Heat in the back of the bus is on high, even in an eversion thermal
Another great video! I don't think Pocket BVM saves much room compared to any other BVM that can be folded in 3 pieces (SPUR II or LSP) and its expensive. Any other reason for choosing this pocket BVM? Thank you very much!
Got a few ideas for my kit. Thanks! Do you take your kit out of your car overnight? I had some meds in my bag but got concerned about the temperature extremes since I was leaving the bag in my car.
Would glucose packets be recommended for any BLS first aid kit? As for anaphylaxis, what would be a good med for treatment? Children's Benadryl is all I have.
my only question about this is. how do you deal with the heat inside the car? when you park it somewhere are you looking alwas for shade?. I live in a VERY hot and humid place. leaving things in a car is complicated because of this. everything that has adhesive goes bad fast. medications, i guess they do to, the car temperature can get way over the recomended storage temperature for most things.
*I pretty much have the same things in my car first aid kit (including Petzl headlamp).* *One thing that you could do is clearly mark the bag as medical bag in case you need to tell someone to get you your kit from your car, or in case the kit needs to be used on you.* *The brand and the pair of shears on the outside might be enough for some to ID it as a med bag but maybe not for someone who's not in EMS.* *I also added some PPE to my kit (safety glasses and leather gloves) in case I need to extract someone from a vehicle.* *And a Resqme on the car keys to break windows and cut seatbelts.*
I like your thinking Joe. Personal protection seems to be underrated by many people. Regarding gloves, they actually sell ones that are made specifically for the purpose you mentioned. I believe they're called _"Extrication Gloves",_ but maybe they're a bit overkill? Also, if you want to minimize the things you're carrying / needing to equip, then you can consider buying safety glasses with built in LEDs. That kills two birds with one stone. I believe 3M sells one that is called _"3M Light Vision"._ Might not be as powerful as a headlamp, but I'm guessing it's enough for close work on patients (or helping someone out of a car in the middle of night) I guess you can also add a filtering half mask / respirator if you want to go a step further. Depending on which you choose, it can protect you from harmful particles and bodily fluids such as blood. Not an expert, so you might want to read up on that. There’s different ratings across the world. For example, they might use N95 masks in the US and FFP3 masks in Europe. Not sure if this is being overprotective, but it’s something to consider… Anyways, those are just my thoughts :)
*Hey John, I have regular leather work gloves that I also use to change tires.* *They will protect your hands from glass and hot metal just fine.* *Extaction gloves are usually longer to protect your forearms .* *I keep a dust mask with an additional trauma kit that I also keep in the car next to the first aid kit, just for that purspose (dust/blood).* *If you need to take someone out of a burning car there will be sharp glass, smoke and hot steel.* *I keep several flashlights and strobe lights for signalling as well, a reflective vest and other basic car safety stuff that could be used to secure the scene of an accident.* *Protecting your hands is very important, if you cut yourself while breaking glass and then have to touch a bleeding victim your exposing yourself to some bad stuff.* *I wear medical gloves under the leather gloves if possible as well.* *Actually my glove box is full of gloves (duh!), medical gloves, winter gloves, work gloves, gloves to take gas etc.*
Good points. I totally forgot to even mention the reflective vest (maybe because it's mandatory where I'm from) It protects you from cars, so I guess you can consider it as PPE. After all, you can't help anyone if you get run over :) And you're right about the glove thing. Medical gloves are important, but they won't protect you from getting cut on glass or metal. I suppose leather gloves (especially heavy duty ones) would protect you pretty well. Much better than nothing. Wouldn't be too thrilled to help a bleeding stranger if my hands were also bleeding. Funny how your glove box is filled with gloves. It's always good to have the right tool for the right job. Just out of curiosity, why do you have special gloves for filling up on gas?
*They are disposable plastic gloves to keep your hand(s) clean (and keeps the smell of diesel away). Most gas stations offer those for free next to the gas pumps.* *I assume it was pretty common.* *I'm always surprised that most people have everything BUT gloves in their glove box.*
I’m an ER nurse. I’m searching for a good trauma/first aid kit or bag that I can carry in my vehicle that I drive to work everyday. I understand the cost of materials & equipment drives it up, but I am wanting to find what the most essential things to carry are that doesn’t cost an arm & a leg to save an arm & a leg of a victim. & to determine if I’m better to buy a premade kit (mymedic or kit from NAR) or if I should purchase a bag(recommended size?) and build my own. TIA for any help.
Good kit, great advice not caring much ALS equipment. I see alot of guys buying als equipment without training with the idea of a more advanced provider showing up. I see many of these als interventions are expired, opened or damage in ifaks....when I was in iraq I stopped using any advanced interventions from ifaks because of this. If I can get my health worked out and become an emergency provider again i would still not use it.
So, with the Sam splints, does it matter how small I role or fold mine, to store them in my pack? (I just have Standard First-Aid with CPR/AED HCP Level, by the way)
with Sam splints, we always kept them in rolls. That's how they came from the manufacturer and that's how we stored them in our truck. The service are currently work for doesn't have them as part of our general supplies, but other services I worked for all kept them rolled, and not folded.
I see you use OPAs, and you also mentioned NPAs. How do they compare to other ways of managing airways, such as the head-tilt/chin-lift or jaw-thrust? Are they better? Do they have different functions?
Thanks for the info. Don't think I will carry NPAs or even OPAs without the training. If I come across a vehicular accident where people are unconscious and positioned in a way that would obstruct airways, I would probably try using the chin-lift maneuver. As a layperson, what else can you really do? You don't know if they have a spine injury, but you DO KNOW that suffocation causes death. I guess that's what Good Samaritan laws are for (even though they vary by countries and states) The only problem I see is that you can't do the chin-lift on all passengers simultaneously. I guess that's where the NPAs come in? Is there something else you can do to free your hands while also keeping the airway open. Like...I don't know...taping their head to the car seat?
That would be great! I assumed that airway obstructions would be prioritized over the rare case of spinal injuries. And you're probably right about picking one patient and focusing on them. I imagine it's difficult to help a bunch of passengers when you're just 1 person. I also assume that it's best to focus on people who aren't screaming or making any noise. Once you've dealt with them, you can try to help the others who are more vocal. Never been in a car crash, or even seen one, but I imagine that managing airways, performing CPR and stopping massive bleeding are some of the main things that anyone can do? (in addition to securing the scene and calling for help, of course) If you're lucky, you might have other pedestrians or drivers that can help out, but there's always the bystander effect. Nowadays a surprising amount of people would rather pull their cellphone cameras out instead of helping.
Since you said you're a layperson with no official medical training, if you do happen to come crossed an incident such as a motor vehicle accident and you suspect that there could be cervical spine trauma, use the jaw thrust maneuver instead of the head tilt/chin lift. Both methods open the airway, however the jaw thrust doesn't put the patient at risk of damage to the cervical spine. Advice from an NJ EMT. Good luck and stay safe!
I think its really interesting how Americans focus so much on bleeding control. In 5 years as an EMT in Austria, I have never come across bleeding that couldn't be stopped by using a pressure bandage. Chances are much higher, that I stumble upon a cardiac arrest than a severe haemorrhage. I carry a BVM and a set of King Tubes, for that. I still have a tourniquet in my car just in case...
It is all about preventible causes of death. CPR and bleeding control are the two most effective items that can be easily taught to bystanders and have a profound effect on victims.
PrepMedic has a video on the Stop the Bleed course by the Amer College of Surgeons. ruclips.net/video/WGLLXy3AsBQ/видео.html Here is a vid of a young skiier saved by that course which ski patrol had just taken. It is also offered to lay people. ruclips.net/video/Lh7ekDeFQ_s/видео.html
Hey PrepMedic ! I very like watching your channel because it is interesting.I probably watched all movies about Kit and Equipment stuff and i have noticed that you have only Trauma very advance dressing (israeli Bandage hyfin vent etc.)Why you do not give to your kits civilian dressing? Basic stuff like some plaster , bandage or silly triangular bandage?After all, we are not always dealing with massive bleeding or some amputation very often it is small injured and we can help without ambulance.Thanks for answer
Thanks for reminding folks - IF you are NOT currently certified to perform certain procedures or use/apply specific medical items you can be putting yourself into a legal sling by providing services, even after informing a patient, "Hey, I have no certificate for this stuff..." Some personnel are by law under a duty to offer to render aid; People who are not employed as law enforcement officers or paramedics, emts, et cetera *are NOT*, and may NOT be protected from civil suits by "good samaritan" laws, particularly if the aid you give causes harm.
I am in slight dislike of the antibiotic cream. Antibiotics are already terribly overused and small injury in a country with a decent medical infrastructure is not an indication for an antibiosis (if you were on a trip in Ghana, sure, that would make sense, but really not in a first world country). Even a single use of antibiotics can turn a person into a breeder for multi-resistant bacteria, as has been well shown with Acne patients (and maintaining an isolation room in a full hospital ward is no fun). Personally I'd rather go with swabbing the wound with some suitable disinfectant (octenisept is what we use) or, if you prefer cream, povidone iodine.
I did not believe you were going to use it by the ton :P. Still, even a bite wound is better off with a general antiseptic than with antibiotics. With the latter, you could promote the growth of multiresistant germs by creating a selection pressure. For example MRSA is a bad requisite for healing of that wound. Better use a disinfectant that kills everything ( I for my part use octenisept, that stuff is actually used on MRSA-wounds as well). (Unless it is an emergency, such as sepsis) an antibiosis should only be started if the culprit germ is known and it should extend far beyond the application of some cream.
I completely agree. People often seem to believe that you need antibiotic cream to keep a wound clean. Iodine works great most of the time. I do have prescription strength anti biotic cream but that's because I'm immunocompromised and only for when conventional methods haven't worked and only for myself
Sorry for the reply to a 4 year old comment, but topical antibiotic ointment is not that big of a deal. I last used it the other day in treating a cut on my finger. I used it because while the blade that cut the hand was new and not rusty my hand wasn't all that clean and it would have caused much more pain to flush it with isopropyl or peroxide and I didn't have peroxide with me. Topical antibiotic ointment for the rare occasion isn't going to cause you to lose natural immunity. I don't use antibiotic soap at home and rarely use hand sanitizer. It's just another capability for SOME circumstances.
@@Manatee360Phototography No problem for the late reply, but your comment misses the point entirely. What you described is absolutely not something to use antibiotics on. Isopropanol generally isn't suitable to disinfect wounds, it is only for skin and hand disinfection. For wound disinfection you can use the products I mentioned in the original comment and previous reply. Antibiotic overuse does not cause a "loss of natural immunity" it promotes the evolution of antibiotic resistant bacteria. The use of antiseptic soap or hand sanitizer has nothing to do with that. Antibiotics in the field are a capability if you are a soldier out in the field in the middle of nowhere and you got shot. That's when you snack some ciprofloxacin. Not as a cream, but as a pill. Antibiotics have no place in wound treatment by first aiders.
@@whynotjustmyusername I'm just going off of what I've been told from the doctors and nurses I've talked to plus a couple EMTs. Just from me thinking through the issue it seems like it would be more beneficial than harmful, especially since covered bandages provide what seems like an ideal breeding ground for bacteria. I would love it if you could possibly point me in the direction of some videos to watch on the subject that share your point of view. I fully admit you have more knowledge in the area than I do so I would like to learn more.
In stopping a major bleed- just keep it clean. 'Asepsis' is not your main concern when regular medical care is imminent. Stopping the bleed is your main focus.
I'd much rather have a diagnostic light. These small pulse oximeters are notoriously unreliable especially in cold weather, on patients with low blood pressure, nail polish, any number of things. And without oxygen, there's nothing you can really do when it shows low oxygen levels (assuming they're not way off anyway). Look for cyanosis instead, that'll give you enough information to classify the patient as critical. A diagnostic light is more versatile, not just for pupil reaction, but also for airway inspection or wound inspection; never blinding the patient in the process. Side note, I'd never carry headache medication or such things. If it's not an emergency, I'm not going to hand out medication. If it IS an emergency, I'll wait for ALS and a as complete a patient history as possible before administering medication, especially things like ASA. Maybe it's because I'm only an EMT (equivalent, not from the US), but I'd never give medication without full information and all material and personell required to deal with the worst possible adverse reactions. And a paramedic (or local equivalent) / physician present. Rare exceptions including things like epinephrine in allergic shock (luckily we have a callback system here).
Spec, The OTC medication is for friends and members of his SWAT team, I’m sure. With OTC medications you aren’t “administering” it; the patient is “taking” it. They could get it at any gas station if they wanted. Would I give Benadryl to a stranger having anaphylaxis? Probably not. Tylenol to a buddy with a headache? Obviously on duty is different; even OTC meds require authorization from medical direction.
I’ve been asked for bandaids and didn’t have any. Granted with infantry stuff it’s like dude get over it lol. I hate not knowing answers to primary care questions, that’s what bugs me. I have a huge respect for paramedics because of all the clinical stuff you guys come to learn. Limited primary care stuff is never really in the military’s mind for medics, so we have to homeschool ourselves if we don’t want to look like an asshole.
Great bag, only thing I would do is to take the cat out of the wrapping , most likely if you need the cat tourniquet it’s a high stress situation and your hands may be soaked in blood and fine motor skills blah blah you get the gist , lol . I even pre fold the Velcro over a bit so it’s easier to pull the Velcro off , other then that great bag and I love the content
Put cliff bars or one of its substitutes in there for diabetics. Put paracord, a knife, a sillcock key (if you’re in an urban situation) or a lifestraw /something better (if you’re in the woods) tin foil, some sort of mask (a firehood would be great if you can find one), and a lighter in there and with the cliff bars you have a get home bag incase something bad happens.
Not exactly ALS, but things that are easy to use and life (or at least brain) savers might be: an EpiPen (I carry a 1cc syringe and 2 1mg epi vials, as EpiPens are really expensive, and anaphylaxis kills); a couple of g50 vials (better if you have also a glucometer, but often by history and symptoms you can diagnose an hypoglycemia, and sugar saves brain); thinking about trauma, you might have a 100cc saline or ringer and 1g of tranexamic acid, as it has a big impact in mortality in life threatening bleeds; a pulse oximeter, although have some limitations, as you have a bvm, might be a good tool to have around. Might have a couple of aspirins, for your typical cardiac chest pain, as it is the drug that has impact on mortality. And of course, this should only be used if you have knowledge, training and authorization to use. My 2 cents.
He mentioned the purpose of this bag was to supplement his other resources. Also, his thought process around designing this particular kit was that anyone could use (most) of the items in this kit, so any medication/drug/TXA is automatically a no-go. Car first aid kits should be tailored around multi-system trauma which rules out giving aspirin as it increases the rate at which a victim of a traumatic injury can bleed out.
Kind of a stupid law with direstricions. Where i live theres non of that b.s. If you are trained in the use of any special equipment you can use it. Dont matter if youre trained in the military, rescue, hospital or other. Just the way it should be.
I don’t think I know any medic or nurse who would d/c a working IV. Just chart as “present PTA” (prior to arrival), make sure it flushes, and leave it. They’d feel silly if they took it out and couldn’t get another one. Haha
Interesting policy. Our trauma center leaves them; they’re supposed to be changed out q3 days. One of the docs was even complaining about that saying that as long as they don’t infiltrate, peripherals rarely have problems, and if the nurse couldn’t get another one a four day old peripheral was way better than a central line, infection wise. I guess it depends on the jurisdiction.
Hello good morning thank you for being beautiful thank you for being wonderful the greatness in you is beautiful I hope you have a great day. Good night
I cannot stress this enough- you can’t learn how to do needle-chest decompression or start an IV just from looking at the internet. If you aren’t trained on those techniques, you don’t need the equipment.
I find a Pulse Oximeter and an Emay EKG reader to be helpful in a wilderness environment, and they only weigh a few ounces. Ruling out serious issues can be just as helpful as finding them.
Man, that was well done. I was an EMT 14 years ago and looking to get back into it. It’s been a while but you sure as hell know what your talking about. The explanation of specific items and their uses was great. Thanks
I have to take the NREMT exam again, but I miss being an EMT too.
@@johnorr8094 same here, same here.
“Tactical Subaru” 😂
I am not an EMT and will not venture outside what I know. But this video was very helpful in preparing a kit that can be used to help people until EMT's and first responders arrive on scene. Trying to build a first aid kit that suits my needs for the a vehicle, the house, and when I'm up hunting. Hoping I can find the time in the winter to take a pretty extensive first aid course when work is slow. The more you know, the better. Thanks again for giving us this knowledge. The internet is a wonderful thing.
Funny thing about bandaids. After multiple 911 calls for people just asking for a band aid, I bought a box of Hello Kitty Bandaids. Great for kids, but way better for the cop that has a paper cut. That look on their face is priceless.
I have had that same pack for the past 6 years. I love it. Use it for all of my sports medicine gear when I’m playing hockey.
Hey man just stumbled upon your channel. I’m working in a hospital operating room as a PCT and I start EMS Basic school in January! I’m actually learning a lot from your channel and your content is phenomenal. Keep up the good work!
Everyone should have something like this in their vehicle! Keep the videos coming! Stay Safe!!
Thank you for a great video, just subscribed! Made me think about the pack in my car and how I may improve it. Greets from Sweden! And stay safe! / Pavel
That is a great kit. I really like that bag.
ADV Nevada what bag is it and where can I get it
If you forgot anything? Com'on, you and Skinny Medic are my two online to go guy for any first aid and trauma info! Thank you for all the videos!
I kept a few sharpies to jot down vitals, patient ID or phone numbers, and a roll of duct tape (partially used roll to cut down on size and weight), and simple one way valve CPR shields in my kit in addition to much of what you carry
Great video! I carry a couple different rolls of tape, a pressure wrap, a couple quick clot sponges.
Might want to put in a roll of cohesive bandage to secure the SAM splint. Otherwise a good kit: hostile, agile, and mobile.
Great stuff I actually carry the same kit in my work vehicle, an Ambulance
I'm an AEMT eyeballing this bag. I'd love to know your layout. I want to work within my scope in a more organized way than the house bags on the trucks....I work at multiple services and I hate digging around a different bag everyday
@@codyforsythe3952 it’s a joke
@smellynelly312 well that's kinda disappointing lol.
An excellent kit, Covers most emergencies one would come across, in most emergencies, I carry similar myself, but in a different bag, as a rescue medic, Slainte.
I tend to strap a bicycle light to my bags just for added visability in low light conditions plus their cheap to replace
I subscribed to your channel a couple days ago and enjoy your content. God Bless you
Great video, good to see what other medis add to their vehical kits. I would recomend some combat gauze.
I also keep a C-Collar (I hope it's the correct term) in my car to a if with neck stabilization after a car crash.
Great video I am very glad that I discovered your channel :D
I've also heard you can use SAM splints for that. It has many uses, and probably takes up less space. But I'm not a medical professional, so don't take my word for it :)
@@sandercohen3309 Yes you can but it takes some fancy bending to get it correct.
As a curious civilian, loving your vids! Keep up the great work!
Before anyone makes one of these kits I would implore you to run it buy your medical director/ems office first. I know ours would stroke out for doing ALS skills outside of our own agency in our personal car, plus opens you up to litigation in the future if something goes wrong. The vast majority of trauma calls can be handled by high quality BLS skills and nobody is running a code completely on their own. Just food for thought. All I carry in my car is a GSW kit for myself that has a lot of bandages, coban, gauze, chest seals, Israeli bandage and a CAT tourniquet
@SirScarecrow in NY we've always been taught you're not covered under Good Samaritan Laws in your state of practice because you're trained under the same Protocols.
@@ImKracker Every state I've ever checked has a similar, sometimes more extensive exemptions to their Good Samaritan Law. The reason for the law is that if you aren't trained to perform certain procedures, you are almost more likely to make the situation worse, so it doesn't make any sense to give you immunity to liability in those situations.
I think here many things are covered by law if you’re trained. Iv Access and saline should be ok anyways. Needle decompression may be doubtful. Tourniquets, hemostats and bandages are ok anyways. An io would certainly be not.
Or you could push for national registration and personal insurance like the UK and Australia. We are a profession, we need to start acting like one.
That’s so cool you worked as a ski patrol! I ski in the winter here in Montana and it would be so cool if you made a video talking about your life as a ski patrol and what sort of medical stuff skiers should have in their IFAK if any.
You can add a loop of shock cord to one of the shears handles so you can pull it over the end of the shears. This will secure them to the outside of your pack.
Been looking for a good video for some ideas on my car first aid kit. I'm not an EMT by any means but I like your videos and your kit is much better than anything I would have made on my own. I'm from Iowa also so that got you ahead too haha!
I didn't know that blood clotting was inhibited in hypothermic patients. Good to know. Thanks man!
I Love your vidoes, Keep them coming.
Great bag, I use red version as an event Responder
This is an excellent video and reflects real thought and maturity in the process. I'd add some tape, a sharpie, NARCAN, and a diag/pen light.
Great bag
When I was in Korea in the military during winter I got heat exhaustion (was very dehydrated , we were carrying alot of weight and was hiking a very hard and steel hill) and my team gave me an IV. The IV bag was partially frozen and i could feel the cold going through my veins. It helped me but could have also killed me. I think a simple saline IV is crucial. That being said i would probably not give an IV to someone I didn't know. I do occasionally give myself an IV because it makes me feel better but it's hard to find them any more. I buy them from vet supply places but most of them require a RX now for even saline.
Love your videos! Just subscribed. I'm actually from the Iowa City area! I'm on a service north of IC. Anyways, great kit! Two things: More gloves and I didnt see any kind of tape, coban, rolled gauze, or ace wraps, etc. to secure dressings/hold stuff in place. Other than that I like it! Small and compact too.
It doesn’t count as first aid but I have a reflective vest in my “Tactical Honda” kit if I roll up on an MVA, and lots of hand sanitizer bc of the time we’re living in. I’m also gonna get a glucometer to keep In There as well
I would add a whole bunch of gloves and other ppe
I've always found it a little awkward when a lady finds the flex-cuffs & gloves on a first date...
Have you ever had an issue with the eye flushes freezing in winter? I live in Manitoba and it gets down to -40F in the cold months. But at my work we are always getting stuff in our eyes regardless of the eye protection are wearing at the time.
As you know, peripheral venous constriction is an ongoing process, get a saline lock in when you can, while you can, with EJ/IO as back up when the bus gets there. Advocate for 0 neg low antigen FHB on your buses or FD plasma. 0.9 NaCl is never served warm, so it exacerbates hypothermia, is acidotic unto itself and contributes to coagulopathy through hemodilution. Permissive hypotension doesn't perfuse much in a sick patient.
What are you using to hold your SAM splint in place if the cravats are needed elsewhere?
As stated, acidosis/coagulopathy/hypothermia kills people. The one part of that triangle that we can directly address, is hypothermia. I vote to keep the hot packs, only make them bigger and keep them fresh. I have a used military closed cell pad (deconned with 10% bleach) with a 100% wool blanket, space blanket, wool watch cap and hot packs, all rolled up together. Foam pad under the patient removes heat loss to the ground and pads a long board, hypothermic trauma patients aren't generating much heat for the space blanket to contain, so the hot packs, under the wool blanket under the space blanket. After the trauma strip. minimize exposed skin. Heat in the back of the bus is on high, even in an eversion thermal
Another great video! I don't think Pocket BVM saves much room compared to any other BVM that can be folded in 3 pieces (SPUR II or LSP) and its expensive. Any other reason for choosing this pocket BVM? Thank you very much!
Thank you for all the Great and not so great product that you show us . . .
I really like this bag but can't seem to find it anywhere at a decent price. Does anyone know a bag that is really close to this one?
I alway use a strip of Velcro on My shears on the out side of my med kits. Wrap through hole and loop on bag. It works well for me.
I do the same--- but it all the problem is getting the shears back afterwards
Got a few ideas for my kit. Thanks!
Do you take your kit out of your car overnight? I had some meds in my bag but got concerned about the temperature extremes since I was leaving the bag in my car.
Would glucose packets be recommended for any BLS first aid kit? As for anaphylaxis, what would be a good med for treatment? Children's Benadryl is all I have.
Do you worry about the heat of a closed car denaturing the drugs you carry in your car bag?
I’ve had this question for a while, too. Especially in the South.
Put a rubber band around around the shears and the webbing, it will hold them nice and tight but you can still pull them out easily when needed.
Why no hemostatics/clotting powder?
my only question about this is. how do you deal with the heat inside the car? when you park it somewhere are you looking alwas for shade?. I live in a VERY hot and humid place. leaving things in a car is complicated because of this. everything that has adhesive goes bad fast. medications, i guess they do to, the car temperature can get way over the recomended storage temperature for most things.
Approx how long will chest seals and combat gauze last sitting in a hot car nearly year round in steamy south FL?
Wouldn't a glucometer, some glucose strips and some lancets be useful in case of hyperglicaemia or hypoglicaemia?
*I pretty much have the same things in my car first aid kit (including Petzl headlamp).*
*One thing that you could do is clearly mark the bag as medical bag in case you need to tell someone to get you your kit from your car, or in case the kit needs to be used on you.*
*The brand and the pair of shears on the outside might be enough for some to ID it as a med bag but maybe not for someone who's not in EMS.*
*I also added some PPE to my kit (safety glasses and leather gloves) in case I need to extract someone from a vehicle.*
*And a Resqme on the car keys to break windows and cut seatbelts.*
I like your thinking Joe. Personal protection seems to be underrated by many people.
Regarding gloves, they actually sell ones that are made specifically for the purpose you mentioned. I believe they're called _"Extrication Gloves",_ but maybe they're a bit overkill?
Also, if you want to minimize the things you're carrying / needing to equip, then you can consider buying safety glasses with built in LEDs. That kills two birds with one stone. I believe 3M sells one that is called _"3M Light Vision"._ Might not be as powerful as a headlamp, but I'm guessing it's enough for close work on patients (or helping someone out of a car in the middle of night)
I guess you can also add a filtering half mask / respirator if you want to go a step further. Depending on which you choose, it can protect you from harmful particles and bodily fluids such as blood. Not an expert, so you might want to read up on that. There’s different ratings across the world. For example, they might use N95 masks in the US and FFP3 masks in Europe. Not sure if this is being overprotective, but it’s something to consider…
Anyways, those are just my thoughts :)
*Hey John, I have regular leather work gloves that I also use to change tires.*
*They will protect your hands from glass and hot metal just fine.*
*Extaction gloves are usually longer to protect your forearms .*
*I keep a dust mask with an additional trauma kit that I also keep in the car next to the first aid kit, just for that purspose (dust/blood).*
*If you need to take someone out of a burning car there will be sharp glass, smoke and hot steel.*
*I keep several flashlights and strobe lights for signalling as well, a reflective vest and other basic car safety stuff that could be used to secure the scene of an accident.*
*Protecting your hands is very important, if you cut yourself while breaking glass and then have to touch a bleeding victim your exposing yourself to some bad stuff.*
*I wear medical gloves under the leather gloves if possible as well.*
*Actually my glove box is full of gloves (duh!), medical gloves, winter gloves, work gloves, gloves to take gas etc.*
Good points.
I totally forgot to even mention the reflective vest (maybe because it's mandatory where I'm from) It protects you from cars, so I guess you can consider it as PPE. After all, you can't help anyone if you get run over :)
And you're right about the glove thing. Medical gloves are important, but they won't protect you from getting cut on glass or metal. I suppose leather gloves (especially heavy duty ones) would protect you pretty well. Much better than nothing. Wouldn't be too thrilled to help a bleeding stranger if my hands were also bleeding.
Funny how your glove box is filled with gloves. It's always good to have the right tool for the right job. Just out of curiosity, why do you have special gloves for filling up on gas?
*They are disposable plastic gloves to keep your hand(s) clean (and keeps the smell of diesel away). Most gas stations offer those for free next to the gas pumps.*
*I assume it was pretty common.*
*I'm always surprised that most people have everything BUT gloves in their glove box.*
Aaaha. Never heard of those before, but I guess it makes sense. And yeah, people keep a bunch of random stuff in their glove box.
Great content! added
How do you like your Littman Master Cardiology for peds/babies? I think that might be one advantage of the Cardiology 4.
I’m an ER nurse. I’m searching for a good trauma/first aid kit or bag that I can carry in my vehicle that I drive to work everyday. I understand the cost of materials & equipment drives it up, but I am wanting to find what the most essential things to carry are that doesn’t cost an arm & a leg to save an arm & a leg of a victim. & to determine if I’m better to buy a premade kit (mymedic or kit from NAR) or if I should purchase a bag(recommended size?) and build my own.
TIA for any help.
How do you get the training to use an ARS needle? Is there a way do to it without it taking two years to get an EMT certification?
Love your presentations! Would some Z-Pack / Quick Clot be a good addition?
Do you think it would be worth keeping some hi-viz jackects in the front pocket to help you be seen by traffic.k x
I'm not a emt. Do you ever carry any anti biotic ointments or iodine solution for wound cleaning? I am a novice!!
great kit, how much would it cost to put together??
Good kit, great advice not caring much ALS equipment. I see alot of guys buying als equipment without training with the idea of a more advanced provider showing up.
I see many of these als interventions are expired, opened or damage in ifaks....when I was in iraq I stopped using any advanced interventions from ifaks because of this.
If I can get my health worked out and become an emergency provider again i would still not use it.
Like 5th time seeing this but let’s get a UPDATE to this video 😌
A note on 4x4's. I've found some have twice as many layers as others, so now I check for that and only buy the thicker ones.
So, with the Sam splints, does it matter how small I role or fold mine, to store them in my pack? (I just have Standard First-Aid with CPR/AED HCP Level, by the way)
with Sam splints, we always kept them in rolls. That's how they came from the manufacturer and that's how we stored them in our truck. The service are currently work for doesn't have them as part of our general supplies, but other services I worked for all kept them rolled, and not folded.
I see you use OPAs, and you also mentioned NPAs. How do they compare to other ways of managing airways, such as the head-tilt/chin-lift or jaw-thrust? Are they better? Do they have different functions?
Thanks for the info. Don't think I will carry NPAs or even OPAs without the training. If I come across a vehicular accident where people are unconscious and positioned in a way that would obstruct airways, I would probably try using the chin-lift maneuver. As a layperson, what else can you really do? You don't know if they have a spine injury, but you DO KNOW that suffocation causes death. I guess that's what Good Samaritan laws are for (even though they vary by countries and states) The only problem I see is that you can't do the chin-lift on all passengers simultaneously. I guess that's where the NPAs come in? Is there something else you can do to free your hands while also keeping the airway open. Like...I don't know...taping their head to the car seat?
That would be great!
I assumed that airway obstructions would be prioritized over the rare case of spinal injuries. And you're probably right about picking one patient and focusing on them. I imagine it's difficult to help a bunch of passengers when you're just 1 person. I also assume that it's best to focus on people who aren't screaming or making any noise. Once you've dealt with them, you can try to help the others who are more vocal.
Never been in a car crash, or even seen one, but I imagine that managing airways, performing CPR and stopping massive bleeding are some of the main things that anyone can do? (in addition to securing the scene and calling for help, of course)
If you're lucky, you might have other pedestrians or drivers that can help out, but there's always the bystander effect. Nowadays a surprising amount of people would rather pull their cellphone cameras out instead of helping.
Thanks for the info. I'll look into these things.
Since you said you're a layperson with no official medical training, if you do happen to come crossed an incident such as a motor vehicle accident and you suspect that there could be cervical spine trauma, use the jaw thrust maneuver instead of the head tilt/chin lift. Both methods open the airway, however the jaw thrust doesn't put the patient at risk of damage to the cervical spine. Advice from an NJ EMT. Good luck and stay safe!
Where in Iowa do you live? My sister lives in Sioux City!
What bag is that?
I think its really interesting how Americans focus so much on bleeding control. In 5 years as an EMT in Austria, I have never come across bleeding that couldn't be stopped by using a pressure bandage. Chances are much higher, that I stumble upon a cardiac arrest than a severe haemorrhage. I carry a BVM and a set of King Tubes, for that. I still have a tourniquet in my car just in case...
It is all about preventible causes of death. CPR and bleeding control are the two most effective items that can be easily taught to bystanders and have a profound effect on victims.
PrepMedic has a video on the Stop the Bleed course by the Amer College of Surgeons. ruclips.net/video/WGLLXy3AsBQ/видео.html
Here is a vid of a young skiier saved by that course which ski patrol had just taken. It is also offered to lay people. ruclips.net/video/Lh7ekDeFQ_s/видео.html
Hey PrepMedic !
I very like watching your channel because it is interesting.I probably watched all movies about Kit and Equipment stuff and i have noticed that you have only Trauma very advance dressing (israeli Bandage hyfin vent etc.)Why you do not give to your kits civilian dressing? Basic stuff like some plaster , bandage or silly triangular bandage?After all, we are not always dealing with massive bleeding or some amputation very often it is small injured and we can help without ambulance.Thanks for answer
Thanks for reminding folks - IF you are NOT currently certified to perform certain procedures or use/apply specific medical items you can be putting yourself into a legal sling by providing services, even after informing a patient, "Hey, I have no certificate for this stuff..." Some personnel are by law under a duty to offer to render aid; People who are not employed as law enforcement officers or paramedics, emts, et cetera *are NOT*, and may NOT be protected from civil suits by "good samaritan" laws, particularly if the aid you give causes harm.
Can you send the name of the bag?
I am in slight dislike of the antibiotic cream. Antibiotics are already terribly overused and small injury in a country with a decent medical infrastructure is not an indication for an antibiosis (if you were on a trip in Ghana, sure, that would make sense, but really not in a first world country). Even a single use of antibiotics can turn a person into a breeder for multi-resistant bacteria, as has been well shown with Acne patients (and maintaining an isolation room in a full hospital ward is no fun). Personally I'd rather go with swabbing the wound with some suitable disinfectant (octenisept is what we use) or, if you prefer cream, povidone iodine.
I did not believe you were going to use it by the ton :P. Still, even a bite wound is better off with a general antiseptic than with antibiotics. With the latter, you could promote the growth of multiresistant germs by creating a selection pressure. For example MRSA is a bad requisite for healing of that wound. Better use a disinfectant that kills everything ( I for my part use octenisept, that stuff is actually used on MRSA-wounds as well). (Unless it is an emergency, such as sepsis) an antibiosis should only be started if the culprit germ is known and it should extend far beyond the application of some cream.
I completely agree. People often seem to believe that you need antibiotic cream to keep a wound clean. Iodine works great most of the time.
I do have prescription strength anti biotic cream but that's because I'm immunocompromised and only for when conventional methods haven't worked and only for myself
Sorry for the reply to a 4 year old comment, but topical antibiotic ointment is not that big of a deal. I last used it the other day in treating a cut on my finger. I used it because while the blade that cut the hand was new and not rusty my hand wasn't all that clean and it would have caused much more pain to flush it with isopropyl or peroxide and I didn't have peroxide with me. Topical antibiotic ointment for the rare occasion isn't going to cause you to lose natural immunity. I don't use antibiotic soap at home and rarely use hand sanitizer. It's just another capability for SOME circumstances.
@@Manatee360Phototography No problem for the late reply, but your comment misses the point entirely. What you described is absolutely not something to use antibiotics on. Isopropanol generally isn't suitable to disinfect wounds, it is only for skin and hand disinfection. For wound disinfection you can use the products I mentioned in the original comment and previous reply.
Antibiotic overuse does not cause a "loss of natural immunity" it promotes the evolution of antibiotic resistant bacteria. The use of antiseptic soap or hand sanitizer has nothing to do with that.
Antibiotics in the field are a capability if you are a soldier out in the field in the middle of nowhere and you got shot. That's when you snack some ciprofloxacin. Not as a cream, but as a pill. Antibiotics have no place in wound treatment by first aiders.
@@whynotjustmyusername I'm just going off of what I've been told from the doctors and nurses I've talked to plus a couple EMTs. Just from me thinking through the issue it seems like it would be more beneficial than harmful, especially since covered bandages provide what seems like an ideal breeding ground for bacteria. I would love it if you could possibly point me in the direction of some videos to watch on the subject that share your point of view. I fully admit you have more knowledge in the area than I do so I would like to learn more.
Which make/model is the burn dressing?
Its made by NAR
I would put in something to treat diabetes, but then again I have a insulin dependent husband and put that everywhere.
You should sell fully stocked kits
I didnt wanna be that guy without a bandaid so the first thing I did was put a box of bandaid in my bag
Hey there I see you don't carry anything fo asepsis or cleaning agent, why is that?
In stopping a major bleed- just keep it clean. 'Asepsis' is not your main concern when regular medical care is imminent. Stopping the bleed is your main focus.
You should add a pulse oximeter to your diagnostic pouch
I'd much rather have a diagnostic light.
These small pulse oximeters are notoriously unreliable especially in cold weather, on patients with low blood pressure, nail polish, any number of things. And without oxygen, there's nothing you can really do when it shows low oxygen levels (assuming they're not way off anyway). Look for cyanosis instead, that'll give you enough information to classify the patient as critical.
A diagnostic light is more versatile, not just for pupil reaction, but also for airway inspection or wound inspection; never blinding the patient in the process.
Side note, I'd never carry headache medication or such things. If it's not an emergency, I'm not going to hand out medication. If it IS an emergency, I'll wait for ALS and a as complete a patient history as possible before administering medication, especially things like ASA. Maybe it's because I'm only an EMT (equivalent, not from the US), but I'd never give medication without full information and all material and personell required to deal with the worst possible adverse reactions. And a paramedic (or local equivalent) / physician present. Rare exceptions including things like epinephrine in allergic shock (luckily we have a callback system here).
Spec, The OTC medication is for friends and members of his SWAT team, I’m sure. With OTC medications you aren’t “administering” it; the patient is “taking” it. They could get it at any gas station if they wanted. Would I give Benadryl to a stranger having anaphylaxis? Probably not. Tylenol to a buddy with a headache? Obviously on duty is different; even OTC meds require authorization from medical direction.
Tweezer?
Just had a thought that you could secure that outer trauma shears with a cheap carabiner.
You frogot a emergency snack
That's good for those going into hypoglycemic shock, or are just lethargic for some reason. Good item to have.
@@johnorr8094 Honey is awesome, because it never expires, and you can give it to an unconscious diabetic also.
I’ve been asked for bandaids and didn’t have any. Granted with infantry stuff it’s like dude get over it lol. I hate not knowing answers to primary care questions, that’s what bugs me. I have a huge respect for paramedics because of all the clinical stuff you guys come to learn. Limited primary care stuff is never really in the military’s mind for medics, so we have to homeschool ourselves if we don’t want to look like an asshole.
How come you do not carry 4 x 4 gauze pads, 4 inch gauze rolls and true multi trauma (10x 30) dressings in this kit?
Lee Hart he had 4x4 gauze pads in the big section, right side, under the iv kits.
Great bag, only thing I would do is to take the cat out of the wrapping , most likely if you need the cat tourniquet it’s a high stress situation and your hands may be soaked in blood and fine motor skills blah blah you get the gist , lol . I even pre fold the Velcro over a bit so it’s easier to pull the Velcro off , other then that great bag and I love the content
I think in a car accident, according to the mechanism of the accident, pelvic sling is more important.
Should keep the scissors inside it is more hygienic. Like there is no need to put it outside. Exept 4 tacticool look
Great video! But don't you also have some gloves in that kit?
Put cliff bars or one of its substitutes in there for diabetics. Put paracord, a knife, a sillcock key (if you’re in an urban situation) or a lifestraw /something better (if you’re in the woods) tin foil, some sort of mask (a firehood would be great if you can find one), and a lighter in there and with the cliff bars you have a get home bag incase something bad happens.
Love your videos and the bag. Add item; Insta Glucose?
"Tatical soobawoo"
Not exactly ALS, but things that are easy to use and life (or at least brain) savers might be: an EpiPen (I carry a 1cc syringe and 2 1mg epi vials, as EpiPens are really expensive, and anaphylaxis kills); a couple of g50 vials (better if you have also a glucometer, but often by history and symptoms you can diagnose an hypoglycemia, and sugar saves brain); thinking about trauma, you might have a 100cc saline or ringer and 1g of tranexamic acid, as it has a big impact in mortality in life threatening bleeds; a pulse oximeter, although have some limitations, as you have a bvm, might be a good tool to have around. Might have a couple of aspirins, for your typical cardiac chest pain, as it is the drug that has impact on mortality. And of course, this should only be used if you have knowledge, training and authorization to use. My 2 cents.
He mentioned the purpose of this bag was to supplement his other resources. Also, his thought process around designing this particular kit was that anyone could use (most) of the items in this kit, so any medication/drug/TXA is automatically a no-go. Car first aid kits should be tailored around multi-system trauma which rules out giving aspirin as it increases the rate at which a victim of a traumatic injury can bleed out.
@@jomiles3605 I carry aspirin, indicated for suspected cardiac issues.
Kind of a stupid law with direstricions. Where i live theres non of that b.s. If you are trained in the use of any special equipment you can use it.
Dont matter if youre trained in the military, rescue, hospital or other. Just the way it should be.
I don’t think I know any medic or nurse who would d/c a working IV. Just chart as “present PTA” (prior to arrival), make sure it flushes, and leave it. They’d feel silly if they took it out and couldn’t get another one. Haha
Interesting policy. Our trauma center leaves them; they’re supposed to be changed out q3 days. One of the docs was even complaining about that saying that as long as they don’t infiltrate, peripherals rarely have problems, and if the nurse couldn’t get another one a four day old peripheral was way better than a central line, infection wise. I guess it depends on the jurisdiction.
Hello good morning thank you for being beautiful thank you for being wonderful the greatness in you is beautiful I hope you have a great day. Good night
You should add a - tourniqet - celox - pocket mask - isdraelian bandages..
Ciao bro
Why do you need flex cuffs as a medic? Great way to get false imprisonment charges thrown on you.
Swat medic.
I cannot stress this enough- you can’t learn how to do needle-chest decompression or start an IV just from looking at the internet. If you aren’t trained on those techniques, you don’t need the equipment.
We were taught to keep a tourniquet on the outside.
You show a 1st responded trauma bag and call it a 1st aid kit. REALLY?
Cant be a first aid kit. No kids bandage.... i always get one of those when i hurt my finger att home.. 🤕
Young man, what do you think you're doing? Those scissors belong on your belt! And why is there only one pair? Shameful.😂😂😂
It won’t be embarrassing when they get that cut on their finger infected and have overwhelming sepsis; and I bet you don’t carry penicillin.
Triple antibiotic ointment
Good content but garbage cringe-worthy music track