How to use your IFAK
HTML-код
- Опубликовано: 2 окт 2024
- Are you curious on how to treat major trauma or gun shot wounds with your IFAK? I will walk you through how to use some of the supplies in your trauma kit.
In this video I used the following:
CAT TQ
Israeli Bandage
Combat Gauze (Quik Clot)
Compress Gauze
#28 NPA
Hyfin Chest Seals
Buy the supplies at:
www.medicalgea...
Training Manikin
• DES Tourniquet Trainin...
Facebook.com/SkinnyMedicRUclips
Google ► plus.google.co...
Twitter ► / skinnymedic
Store ► shop.skinnymedi...
Buy supplies here: medicalgearoutfitters.com/
Thanks for the link ive been buying from dark angel and Amazon
@@KeepBodyAndSoulTogether Awesome!
I was taught to roll the person into the recovery position (on their side, legs bent and head cradled) with the chest injury closest to the ground.
Would you use wound packing an a cat on the same wound?
@@reflection8578 I'm no expert by any means (not even an amateur yet). That's a great question, and I hope you get a lot of attention on this question. Very interested to see what experienced medics have to say. I have seen a video or two that said it is attempted/performed at times. If the packed gauze begins to show signs of hemorrhage, after slowly releasing the CAT pressure, tighten the windlass back up and leave it. So many variables to injuries and available applications. I guess the gauze packed hemorrhage control would be best, because the rest of the limb would still maintain normal circulation...and that's gotta' help a patient feel/think calmer If the packed/pressure gauze doesn't keep the bleeding stopped by itself, going back to the CAT windlass certainly will. Two things I do know is that I am always going to keep a headlamp and a proper magnifying glass in/on my IFAK!
these supplies aren't cheap so thank you for opening them and showing us
I mean a CAT TQ is like 40€ here in Europe
@DOSTGOYEVSKY ! That's if you buy those prepacked pro level stuff for paramedics, you can piece together a quality kit for much less
Josh S amazons the jam
some of the stuff can be reused, and even the stuff that can't can probably be used in training classes. at least, i hope so.
In Aliexpress if you know how to find them it's really cheap and works. Tourinquets yes, buy the originals, I tried the aliexpres ones for 3 to 6 dollars and worked everyone of them, but don't do that 😅. Israeli bandage costs 4 or 3 dollars in aliexpress and 20 gauses for less than2 dollars. The problem is the chest seal, try to find them, one time I found 7 for one dollar
Who thumbs down these videos?!?
You’re teaching people how to save lives. Thanks, Skinny Medic!!! 👊🏼
"First thing, do a head to toe quick check. My head is gone.". I'm no EMT, but that's bad, right? LOL!!! :-D
Hey! Pay attention.
Apply a tourniquet on neck, if head is missing, to control bleeding?
Apply a tourniquet on neck, if head is missing, to control bleeding?
No head is just a minor issue!!! ;)
we need duct tape, stat!
In case you’re watching in 2022, there are a few things that have changed from the time this video was uploaded to today. Firstly, at 2:25 ish he talks about putting your knee on the groin to stop bleeding. This isn’t really being done anymore because of pelvic fracture, by putting your knee on the pelvis like that, you could cause more damage or bleeding if a pelvic fracture was present. If you know the patient wasn’t in a accident with blunt force or shot in that area then you could use your knee(injuries like stabs or lacerations are what you’d do this for). It’s also important to place your knee on the inner thigh since thats where the blood vessels are located, this does cause a lot of pain and might increase heart rate which will increase bleeding, it’s also might cause the patient to move and cause more damage trying to stop you which might make it harder to help and consume time so it’s best to only use this method if you have no medical supplies and if you know there is no pelvic injury. Same applies with the shoulder.
Next is the NPA, if you have the training for it, then you should use it, however if you don’t have one or know how to use one, the you should try and learn the recovery position which will do the job of the NPA. If you decide to get an NPA and training, it’s vital that you get the correct size, there isn’t a one size fits all and everyone is different so it’s important to size it up and cut it if you need to because you can definitely do more harm than good if you use an incorrect size.
My combat medics said to never put a knee in their groin. If they got shot in the leg or whatever happened the bones could be weak and putting a knee on them could brake those bones and make it worse. Additionally you're probably not going to hit his artery anyways, so it's accomplishing nothing while risking A LOT.
I have seen a knee same someone’s life
What you're doing here is beyond awesome. I was surprised on how little my family and friends knew about Medical Aid.Gifted them all trauma kits like this and I make sure to forward all these videos to them just incase it's me they need to help one day.
Great job on covering the basic major bleeding procedures in just a few minutes.
I hope i never have to use what you teach me
Justin Crawford, if you do, note the saying “go high or die” on the tourniquet. ALWAYS put the tourniquet as far up on the limb and if you have to apply a 2nd tourniquet apply it with absolutely no gap between the 2 tourniquets. When this video was made what he says was what was taught but it has changed since then
@@JWLane thanks for the update
Great tips for those that I’ve never seen this type of training.
Unfortunately you applied the Israeli bandage incorrectly. The clip will always go over the wound site which you showed proper placement. Once you wrap it around one time, the running end is inserted in the clip. It will then be PULLED BACK to allow for tighter compression then wrapping the remaining running end the OPPOSITE direction.Then you clip the top and bottom to the bandage. 🤙🏼
It’s optional. If he used the bandage like you would on an extremity then the patient would have an extremely hard time breathing. The bandage is giving adequate pressure and it’s pretty much there to keep the packing in place, not to apply pressure.
Thank you for opening the package and showing how to use what's inside. AWESOME video!
Skinny medic, can you do a video on burn dressing? Would you recommend water jel, h&h, or just primed gauze?
Jack Kardic.... oh ok. What about TCCC?
sterile dressing. think infection infection infection.
MrCheckitout123 & make sure the dressing is dry & never use any ointment etc!
For those watching: Please note that, except in extreme circumstances, head trauma counter-indicates the use of an NPA. Otherwise it is preferably to an OPA because, as he mentions, the NPA avoids the gag reflex. OPA's may trigger the gag reflex. NPA is preferred, OPA if there is a head trauma or you don't have an appropriate size NPA, if they gag while attempting OPA or OPA isn't available, Two Person CPR with a CE Jaw Thrust.
(All these techniques can be found on RUclips as training reference for EMT-B National Certification. IF AT ALL POSSIBLE PLEASE LEVE THESE TECHNIQUES TO QUALIFIED PERSONNEL OR SEEK TRAINING TO BECOME QUALIFIED PERSONNEL! Notably, if you become a volunteer EMT with a volly fire department, you can often get Tax breaks/etc as well as increasing the number of trained first responders in your community!)
Wow. This was an amazing video. You're a great teacher; thanks Skinny
Thank you!
thank you for instructions. I like to keep up on first aid techniques for myself and famliy. Great demo.
Great video. I'm an EFR instructor for many years and really appreciate you sharing your expertise on the use of an IFAK. I picked up some knowledge here and I'm sure many of your viewers did as well. Please do more of this type of instructional videos. They would be invaluable to those of us who can't travel to your classes. Thank you and please keep em coming.
Thank you for the videos that you do. Citizens are more likely to be a first responder in accidents involving cars and other types of traumas not involving gunfire. Your videos show how much more training I need, thank you.May God always watch over you and bless you with continued success.
That finger work packing gauze was very impressive and smooth. Goes to show how important training, practice, and experience is. Thanks for teaching and making readily available important lessons in these crazy times.
When wound packing you mentioned "finding the artery" with your finger. What would we be feeling for to know the source, and what kind of techniques would you use to ensure you properly pack the wound the first time?
Oh dear god
An arterial bleed will have pretty substantial flow and will likely “pulse”. When you’ve got your finger on it, you’ll know it. Usually just following the wound path is going to get you really close (a completely severed artery may “retract” slightly from the initial wound path but, in that case, just follow the flow of blood “up stream”).
The best things are the things You know how to use.Train how to use what You carry!
Thank you for your vids they very helpful, although I hope I never have to use my CAT and the other things
Im very happy to have my CATs but I agree, I hope I never need it.
Recently became an EMT-B, I found your videos helpful for reviewing skills, thanks for the help!!
Putting a knee to a patients groin doesn’t sound fun.
Johnson Pan Code Name: Wizard sounds better than dying though
bleeding out isnt fun either
no near as bad as the wound packing im sure
It’s a horrible feeling
Thanks for another great video Skinny!
@5:30 - if you DON'T have more gauze, would it be better to leave the existing gauze in? And continue applying pressure?
Whatever you put in, don’t take out, because you can disrupt the clothing process.
Good quick instruction. A little bit of a refresher/reminder is always welcome. Thank you for the video
Your EDC Trauma kit is pretty unique for a commercially available kit. I haven’t seen anything else as cost effective for this purpose!
this is probably the best one I've found that covers everything in one.
"His head's gone"....there's your problem!
I enjoy your video's and am glad I found you. I am a retired firefighter/medic from a career dept in Texas. My question involves the isreali type bandage. How is the isreali type bandage better than a 4 inch roller gauze and an ace wrap?
I believe it's the "all in one" aspect of it. The wrap of the Israeli/ETD is similar to an ACE bandage. But the Israeli bandage has the tensioning bar that allows for a tighter wrap. And the Israeli bandage also has the keeper on attached.
Either set of products can accomplish the same thing, the Israeli just comes with everything in one package.
I was a little scared of the whole ifak system at first but seeing it demonstrated makes me feel more comfortable with the system
Your knowledge sharing is very appreciated. I hope I never have to use this knowledge.
I was always taught to do ABC. Airway before bleeding. (Airway -A, Bleeding -B, Circulation - C.)
You should update your teaching to CAB
As others have said. These supplies Aren't Cheap.
THANKS for Opening Them and demonstrating application.👍👍👍
kay or blood for lube sounds like a standered saturdy night
Rock _ 7.62x39 free range organic!
Especially on those articles with a rubber texture when you need them to slip in with as little resistance as possible..
(At least he knows we were paying attention.)
I attended a class in which the instructor thought you can do rescue breathes on an unconscious choking victim. She didn’t know humans had trachea and esophaguses.this class was for 40,000 member police department.
scene safety/bsi..... I just had to beat somebody to the punch! great content as always!
Craig Meise when I took my hands on tests everyone was very worried so I decided to lighten the tension by kicking open the room door and yelling "bsi scene safe" and freaking out the testers. It threw them off. Haha
steven karbowski ah man 😂 my dad told me his story of where he was told to “spike the bag” and he picked it up threw to the ground and yelled “TOUCHDOWN” and started beating his chest. Let’s just say I won’t follow his example there lol
Awesome explanation! Thank you for sharing your experience and medical supplies.
Thank you
Thanks!
Great tutorial and I appreciate you having a store so we can buy exactly what was used 👍
I just got a March Ifak resupply kit with this in there, thanks for the extremely helpful video. On a side note, I was able to get Narcan from a local methadone clinic and added that to my kit
In my layperson's opinion, there are 2 types of ifaks. ones for you to use on yourself,
and ones you carry on yourself for someone else to use on you/ ones you carry to use on someone else.
the first type would be a barebones ifak with TQs and would dressings, maybe one chest seal. Are you going to be slapping chest seals on your back or putting tubes up your own nose? probably not
the second would be a full ifak
Thanks again. Great as usual. I just got an email from NAR about the national Stop the Bleed campaign - you have been way ahead of them, teaching the public what they, only now, are saying we should all be trained in. It's not just for us first aid weirdos anymore, lol. Wonderful service you give.
Great video...personally I was trained to place the TQ as high on the extremity as possible because there may be multiple holes and the high placement, although cuts off flow to the entire limb, it removes the possibility of having missed a hole...but I also understand that context for different organizations may dictate this practice as well...I know as a former direct care medical professional, tourniquets used to be a no go and combat casualty care in the Army, a tourniquet is always a go
I was taught the same way
WE NEED TO STOP THE BLEEDING..... bro his head is gone, i think were past that point....
Great video! I had already picked up everything demonstrated in the video, so was very lucky to come across something that went through all the stuff I have!
Know this video is a few years old but i found it very educational as we dont have civilian courses that teach this. I also realise by watching it it doesnt make me an expert, but at least if Im out hunting in the back blocks it gives me an idea if the worst happens. Thanks again. Stu NZ
Never have I been exposed to this kind of First Aid but I am learning. Thanks.
How effective is expired combat gauze, let us say 4 years expired.
If the patient is a child that is a toddler, is there anything about this process that is different? Can I still use these same supplies if I had to on one of my kids?
Reminds me of a CPR block of instruction I took a long time ago. My battle buddy next to me went to gently shake the Annie doll, the head popped off and rolled across the floor. I almost wet myself laughing so hard. I think decapitation in the field is gonna need a lot of duct tape and gauze....
Based on my visual assessment, your patient didn't make it. I can't see any sign of life. Probably bled out from being decapitated and losing a limb.
GREAT jOB bro.
Insert npa and immediately tip it down to enter the nasal passage. If you insert it tipped up you will hit a dead end.
Patient be like:
Thanks br0, but can you do something about the whole "being cut in half" thing?
Thanks for sharing this! I’d like to request a similar video for car accidents - IFAK contents and procedures, it would be great for us in the city who want to help out.
Its basically the same exact procedure you just need to take C-Spine injuries into account. If you're unsure about a possible spinal injury and it's safe leave them in the car, have someone support their head, and do what you can. There's more than likely going to be some facial injuries so you need to determine if they're superficial or not, if it isn't just a minor cut that's bleeding alot you probably won't be able to use the NPA to secure the airway and you would either need an OPA or they'll need to be intubated. I kind of rushed past it but facial lacerations usually aren't too big of a problem but they will bleed a good bit. If you ever watch wrestling, like WWF, all the blood they get flowing from a chair to the face or whatever is typically just a very small incision on the eyebrow since that's really easy to cut for a dramatic amount of blood. Hope this helped and that you never need it
Great information, exactly what I was looking for. Hopefully anyone I need to work on with an IFAK has a head. Thanks skinny.
Do you insert the tube into the nose no matter the injury if there unconscious or semi unconscious? Weather it's a through and through to chest or a leg wound whatever or is that injury spesific?
keenan walker don't insert the tube (NPA) if the patient has any type of head injury
So you wouldn't pack hemorrhaging in the abdomen? How would you treat sever bleeding in that case?
Need to open wound area to treat internal abdomen puncture wound bleeding and this requires trauma ER / trauma surgeon treatment.
Responsiveness
Breathing
Bleeding
Shock
Fractures
Burns
Head Injuries
Right out of the US Army Common Tasks Manual LVL 1
Very instructive. Thank you
But how do you know when to use the NPA?
You forgot one thing!
“BSI IS MY SCENE SAFE?!?! SIR ARE YOU ALRIGHT ARE YOU OK?!?!”😂😂😂
scene safe bsi dance! haha
Do you have a video on the mechanics of breathing with chest seals?
Just subscribed to your channel, this stuff makes me uncomfortable but I want to be knowledgeable of it because of it's importance. Where do you get training for this kind of stuff anyway?
"As if you were trying to cut off blood flow"? As a medic ya gotta have a humerus.
What do you mean?
Someone else once recommended getting a class from the local fire dept.. If one near you does offer this you can buy two of everything and have them teach you how to use it. Then you still have your second one because to really learn how to use it you will likely burn through your first set.
Just got your civilian IFAK. This video is amazing. Thank you!!
"My head's gone" I don't think even Skinny Medic can bring that one back! LOL
Great information and demonstration. Thanks young man
God Bless (us all)
I thought a TQ was a last resort and that I should try to start wound packing first and then if unsuccessful then use a TQ? I do understand for an arterial bleed that you should probably use a TQ but for just major hemorrhaging I think I would use a hemostatic first then a pressure bandage and if all else fails then a TQ? Just a thought please let me know if I'm wrong.
Brandon Chambers the standard used to be like that but the thought now is in a severe blood loss situation apply TQ then pack wound.
I always thought gauze was like a jelly viscous substance. Haha. I don't understand how the chest seal sticker will stop bleeding. But I'll look up another one of your videos.
Only two words: Very useful!!! Thank you!!
If the bleeding doesn't stop after some minutes and continues bleeding the same, or even worse, could a tourniquet next and an isreali or Olaes bandage on the bleeding,both be used, as a better mesure, to stop the bleeding? Thanks in advance
Thanks for the video. Great content. I learned a lot.
Thank you so much for the great demo!
Whoever could thumbs down this should be punched in the face.
a knee into the groin!!!
what do you do to repair the testicals...
kick to the face.?
no wonder the dummy's heads missing!
jk.
very informative ty
Been following you before you went fulltime youtube. Time to get a realistic dummie to improve your videos. Imo
In the Army they taught us to apply pressure to the hip region using our knee to control bleeding while we prep the TQT. I never agreed with the method because it hurts like a royal SOB even just training without an actual gunshot wound and has the potential to cause further injury. I always preferred to keep my tqt's prepped for a fast application to avoid having to cause the casualty any unnecessary pain. The Army later changed the method to not using the knee pressure because if the individual has a shattered pelvis you could further harm them. Moral of the story is prep your equipment, train with it to find friction points in your set up and adjust accordingly, because if someone is bleeding severely you have mere minutes to find the source and stop it. Great video though, these interventions are simple, yet highly effective ones we should all be familiar with.
Thanks man. That’s useful. I will do my best with my kit if I have to. Thanks for video even you have to waste your kits to teach us. Respect.
Great video. I'm basically a doctor now.
Basically
@@SkinnyMedic seriously, thanks. I am going to rewatch a few times to really make sure I have it down. I just bought an IFAK II, and now that I've seen this video, it makes me want to buy 3 more lol. You the man.
"Start from the head.... do a head-to-toe exam. My head is gone."
I... dont like the chances for this patient. 😳
Joke aside, thanks and keep up the good work.
If you applied the first tourniquet to the limb and it didn’t work, and you don’t have a second one, should you start wound packing with gauze?
Many thanks to Skinny Medic from Ukraine for the video. Watched it several times before my training in 2024!
BEST. VIDEO. EVER. Sir, you are magnificent.
Very useful and excellent advice SkinnyMedic, thank you for all you do.
Thanx for taking the time to educate. It would be helpful to see your credentials in the description area above (e.g. EMT, Paramedic, etc) for new viewers like myself.
Is it possible to inflate a pneumothorax via mouth to mouth and someone else sealing the hole before inhalation draws pressure back in if hole not sealed???? Also could moss work as a field gauze if sterilized in boiling water???
Olaes is Filipino. Oh-Lees or Oh-leez w/emphasis on the Oh. SSGT Operator killed in Afghanistan
Great video and really educational, thanks.
Save a life everyone, thanks for the lesson
Only thing I could counter would be to apply the tourniquet as high as you can on the limb that you’re trying to cut circulation to. A few inches over the wound could end up with other issues if you have holes higher up that you didn’t notice. Great info!! 💪🏽💪🏽
I'm guessing that as soon as you put the knee into someone, you're going to get a big response from them. Can you do a video on this subject? I would imagine you can almost be in a defensive mode while trying to administer some of these things.
Thanks for the demonstration! I primarily have trauma type items in my car first aid kit. The last thing I want to do is pull up to an accident and not have the basic items or knowledge necessary to keep people alive until the EMS can get there. In today's world, unfortunately, we pretty much need to be prepared to deal with trauma anywhere at any time.
Thank you for watching!
@@SkinnyMedic I put in an order through your company just a couple of days ago. I have been using this time at home to inventory and update my first aid kits and I'm happy to support a business like yours rather than Amazon.
Great video I would love to contact you for buying some stuffs
shop.skinnymedic.com
Thanks, your RUclips videos are super helpful.
"Stick your finger into the hole to find the artery"
Ok so after i do that, and i wake up from passing out, what is next?
I second that comment from 6 years ago - thanks again for demonstrating the use of the expensive equipment!
Thank you for this! I hope I never need to use this for myself or anyone I love, but the knowledge is so helpful.
thank you!
Thank you for showing how instead of what you have in your pack. Big thumbs up.
Would you recommend the NPA 28F size for children and adults?