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Paul G

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Reply with quote  #1 
Hi, folks. We were discussing first aid stuff on the FB page last week and Craig asked me to put up a thread with a list of what to carry. So here goes.

First off I am not any sort of authority on prehospital care. I am a just pre-nursing student and I have completed an EMT course with certification. That's it. 

A lot of our hobbies tend to involve firearms and remote locations.  If a life threatening injury where to happen, the injured person would most likely have to wait longer for hospital care and miss what they call the "golden hour". I figured it's best to have a few items on hand to help with bleeding and/or shock. I looked at a lot of the first aid kits out there and for the most part I didn't really like what I saw. $50 to $75 basically got you some aspirin, band aids, burn cream, antiseptic and maybe some ammonia inhalants. 
Those are all fine and good, but I wanted to have stuff for serious stuff like gun shot wounds. So I pieced together some stuff and  a dedicated the one pouch of my backpack to  first aid stuff. 

Here's what I currently have:

1: 4x4 gauze (1" stack of it)
2: Tape 
3: SWAT-T tourniquet
4: Celox coagulant ( this stuff burns tissue. only use if absolutely necessary) 
5: Little bottle of saline (irrigating wounds) 
6:Ace wrap
7;Scissors
8: Penlight
9: Sharpie
10: Cheesy little first aid kit with band aids, ibuprofen, triangular bandage, etc.
11: Little emergency blanket

I got most of this stuff off amazon. 
I might  add a SAM splint later on. 

Again, I'm not an authority on this type of stuff. I've just had a little training and I have an interest in being able to keep a friend or some random hippie I come across on the trail alive. 

Anyways, hope this helps. Feel free to suggest any additional items that you think would be useful. 





Oh yeah/ Sorry for lagging on getting this up, Craig. [crazy]
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Sconsin Rick

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Reply with quote  #2 

Most first aid required in the field is causes by minor cuts, scrapes and burns. Most of you should be able to take care of these with washing affected area with clean water applying an antiseptic and covering with either a Band-Aid or an appropriate sized piece of gauze and keeping clean and dry.

 Where we get into trouble and when we require a more substantial supply list is with serious injuries. These injuries are usually a joint injury like ankle or knee sprains or even broken bones the tibia/fibula in the lower leg being most common. These injuries require immobilization.  The acronym RICE is used to remember what to do with these types of injuries. Rest don’t use the injured body part if possible, Ice place ice on it for 20 minutes on 15 minutes off and repeat, this is to reduce swelling. Don’t just leave the ice on it or blood flow can be seriously reduced causing further harm. If ice is not available cool water is better than nothing.  Compression wrap it tightly to prevent excessive swelling but not so tight that it cuts off blood circulation.  Elevation raise the body part above the rest of the body to prevent fluid pooling and reduce swelling.

I keep a roll of sports tape im my bag for these types of injuries.  And a few chemical Ice packs.

Serious cuts from falls or knife mishaps may also occur while in the field. These can range from moderate to severe. A moderate laceration not through a major artery can usually be stopped and addressed with pressure to the wound using A few 4x4 gauze pads, an Abdominal pad bandage or anything else that is handy like a towel, napkin, clean rag and so on.  A tourniquet can be used if needed till the bleeding stops. The wound should be flushed with clean water and wrapped in clean gauze till it can be looked at by a medical professional.

Serious cuts can be life threatening, and there are a few items that can mean the difference between life and death. Cutting a major artery can result in significant blood loss.  It needs to be stopped and controlled immediately.  Applying pressure is the first remedy that should be taken. Followed by the wrapping tightly with bandages, 4x4 or Abdominal bandages with tape or roll gauze will work best. Followed by tight tourniquet above laceration area.  If possible drink large amounts of water or other liquid.  NOT alcohol, it will cause more bleeding, and nothing with caffeine if something else is available. Fluid will help to keep the blood pressure up so you don’t go into shock or pass out from blood loss.

Injuries from gunshots either bullet or shot can cause more than bleeding wounds , nervous system  shock and broken bones are common, complicating the treatment.

Remaining calm and focused is the most important thing you can do with any major injury.   This is a list of what I carry when I go out into the deep woods, the list varies depending on distance from vehicle, and length of time I’ll be away and number of people im with.  Some of the items are not available to non-medical professionals.  Being an RN in a hospital has its advantages.

Letting people know where you are going and when you will be back are also important safety considerations. Having a way to call for help is also important and with technology nowadays there is no excuse, I not only carry my cellphone and backup battery I carry a compass, and Garmin Rhino that combines a GPS and GMRS radio into one.  

 

 

 

 

4-6 small Band-Aids.

4 large Band-Aids.

1” roll of medical tape.

2” roll of cloth sports tape

20 steri-strips

10 butterfly bandages

Ace bandage roll

Coban 2” cling bandage

4” roll of gauze

4 4x4” quick clot sponge

40 individually wrapped sterile 4x4 gauze pads.

4 ABD pads, Feminine hygiene pads can be substituted

15” elastic tourniquet like they use when they draw your blood for labs.

30” rope to be used for large tourniquet or stabilize broken leg or arm.

Small and large zip ties

0.5L sterile water

5 10ml sterile flush syringes

5 20g x 1” syringe needles

5 syringe with 22g x 1.5” needle attached

3 suture kits

Medical scissors

Trauma sheers 

Medical staple kit

Staple removal kit

Epinephrine 30ml bottle

Lidocaine 30ml bottle

Epi-pen

Tweezers

Sharp knife

Razorblades

Extra daily medications if taken

Tylenol for pain or fever

Ibuprofen for pain swelling inflammation

Benadryl pills and topical cream for allergic reactions

Hydrocortisone cream for allergic reactions.

Burn cream packets

Neosporin packets

Triple antibiotic cream

Sting ease pen to insect bites

Petroleum jelly packets

Ammonia inhalants

Individual saline eye drops/tear replacement

Alcohol wipes

Antiseptic wipes

10 salt packets  

10 sugar packets

Betadine swabs

Survival Mylar blanket

Survival straw

Bic lighter
Vinyl or latex gloves
4 Chemical hand warmers

 oral thermometer

Blood pressure cuff / can also be used as tourniquet

Stethoscope

Magnifying glass

Flashlight.

If all this is too much and you want the bare minimum, 1 Roll electrical tape, a couple heavy duty folded paper towels and a couple large zip ties.


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