My Aidbag, how do you pack yours?

[Doc_D]

This is my aidbag, it is a stomp II. I keep a penlight and trauma shiers on the side.

This is where i keep all my hemmorage control :censored::censored::censored::censored:. I got a bunch of CAT tournakits, Kerlix, ACE wraps, 3" medical tape, ETB (Emergency Trauma Bandages aka Isreali/Muslim Bandages). The red top pen looking things are NCD (Needle Chest Decompression) kits with 14 gauge needles in them. Also got a Sharps container for the needles, a couple rolls of Quik Clot Combat Gauze.

This is all my IV related stuff. I got 18 and 20 guage catheters, some BSI, alchohol pads, gauze, some heplocks/saline locks. Tegaderm. 1" medical tape and whatnot

I keep my fluids and already made IV sets with constricting band, catheter, saline lock kits and whatnot. I carry Hextend, Saline, and Lactated Ringers. I carry a stethescope, some cric (cricothyrodotomy) kits, and a FAST 1 IO kit, instant ice packs etc... The Blue handeled bag is my :censored::censored::censored::censored::censored: kit with OTC's and bandaids. But the most crucial and life saving equipment i got is my M4 cut off there in that photo. If you supress the enemy first, your battle buddies wont get hurt.

 

[Shishkabob]

Give a bag of fluids to each soldier in your squad.


Less weight on you.

 

[Doc_D]

Give a bag of fluids to each soldier in your squad.


Less weight on you.

We dont always have the supplies for it, and not every casualty needs fluids. They all get saline locks though. I only push fluids when a radial pule isnt present,atleast for the hextend. I keep LR's for the burn casualties. Saline i use for the heat casualties and as back up if i dont hextend or LR's.

 

[citizensoldierny]

Judging by the plywood walls it looks like your enjoying some mighty fine B-hut living. What about moleskin and Ibuprofen? Aren't those items mandatory for medics? Last but not least would be 1,000 duct tape, in a tactical color

 

[jjesusfreak01]

Judging by the plywood walls it looks like your enjoying some mighty fine B-hut living. What about moleskin and Ibuprofen? Aren't those items mandatory for medics? Last but not least would be 1,000 duct tape, in a tactical color

Camo FTW

 

[jonpw52]

I just wanna say thank you for your service!

______________________________

I NEED MEDICS, MEDICS!!!

 

[Doc_D]

Judging by the plywood walls it looks like your enjoying some mighty fine B-hut living. What about moleskin and Ibuprofen? Aren't those items mandatory for medics? Last but not least would be 1,000 duct tape, in a tactical color

I keep moleskin for patrols and whatnot, but for mounted operations its not neccesary. I keep a lot of Ibeuprofin its with all my other OTC's/

I just wanna say thank you for your service!

I appreciate it

 

[Aidey]

Just out of curiosity why nothing bigger than an 18? I know from talking with the ER docs an 18g is the smallest they are willing to push blood through, and they prefer something bigger.

 

[akflightmedic]

You can push blood products through various sized caths, 20g is about the smallest without much risk of hemolysis to the cells.

How do pediatrics receive blood? Think they get an 18 or larger?

 

[Aidey]

I have to admit that since I don't/can't run blood I've just gone with what the ER docs have said, which is 18g or bigger.

As for peds I would have guessed either dilution or a sub-clavian/central line.

 

[Doc_D]

I dont push blood, i dont carry blood. If one of my guys has lost large volumes of blood and he has no radial pulse, i will start pushing hextend wchich is a volumizer. The bird's carry blood though, but my hextend will hold them solid for the time being

 

[Melclin]

Whats the deal with carrying colloids? Is it just to reduce the volume you have to carry?

 

[Doc_D]

Whats the deal with carrying colloids? Is it just to reduce the volume you have to carry?

Well, to my knowledge Saline is a crystalloid correct? You need to remember that what i do is very different from civilian EMS. All 3 of my fluids have a general purpose. The 4 main threats on the battle field are...

-Hemmorage
-Airway
-Pnuemothorax
-Hypothermia

I carry Normal saline for the heat casualties, but its also my back up for the other fluids. The LR's are for mainly burn patients, hextend is for my casualties who have lost large amounts of blood...normally they are in decompensated shock and their BP has dropped so i can not get a radial or any distal pulses from them. I could use saline or LR's as subs for hextend though i wouldent prefer it...but you never give LR's to casualties of crush injuries. All my PT's get a heplock/saline lock though. Thats mandatory.

 

[Aidey]

I dont push blood, i dont carry blood. If one of my guys has lost large volumes of blood and he has no radial pulse, i will start pushing hextend wchich is a volumizer. The bird's carry blood though, but my hextend will hold them solid for the time being

Yeah, neither do I. But that doesn't stop me from thinking ahead to what the doctor might want or need.

 

[Shishkabob]

Well, to my knowledge Saline is a crystalloid correct? You need to remember that what i do is very different from civilian EMS. All 3 of my fluids have a general purpose.

If by "very different" you mean Basics doing medic level trauma interventions, and not doing nearly as much when it comes to medical, than yes.


Otherwise, no it isn't. We get GSWs, we get hypothermia, we get tension pneumos / hemopneumos... you forget that many inner-city areas are a lot like battlefields.



You just get a few more IEDs h34r:

 

[Melclin]

Well, to my knowledge Saline is a crystalloid correct? You need to remember that what i do is very different from civilian EMS. All 3 of my fluids have a general purpose. The 4 main threats on the battle field are...

-Hemmorage
-Airway
-Pnuemothorax
-Hypothermia

I carry Normal saline for the heat casualties, but its also my back up for the other fluids. The LR's are for mainly burn patients, hextend is for my casualties who have lost large amounts of blood...normally they are in decompensated shock and their BP has dropped so i can not get a radial or any distal pulses from them. I could use saline or LR's as subs for hextend though i wouldent prefer it...but you never give LR's to casualties of crush injuries. All my PT's get a heplock/saline lock though. Thats mandatory.

Doesn't really answer my question. I've read a few books and seen a few post that always show you blokes using colloids for haemorrhagic shock, mostly hespan from memory. I was wondering why that is considering its not done in any civilian EMS systems. I figured it was because you get more bang for your buck from a colloid (more expanding from using less fluid, and it lasts longer in the intravascular space). Is that why? Or is there another reason?

 

[akflightmedic]

Doesn't really answer my question. I've read a few books and seen a few post that always show you blokes using colloids for haemorrhagic shock, mostly hespan from memory. I was wondering why that is considering its not done in any civilian EMS systems. I figured it was because you get more bang for your buck from a colloid (more expanding from using less fluid, and it lasts longer in the intravascular space). Is that why? Or is there another reason?

You are talking way above this guy's head. They are not instructed on any of this, they are taught to start IVs and use this for that type of scenario. Welcome to "Combat Medicine" said with emphasis and chest thumping.

 

[Melclin]

You are talking way above this guy's head. They are not instructed on any of this, they are taught to start IVs and use this for that type of scenario. Welcome to "Combat Medicine" said with emphasis and chest thumping.

Ah, fair enough. If I beat my chest, I'd risk crimping one of the three chest hairs I've been working on, so I'd best steer clear. B)

It doesn't have to be the OP who answers me. I'm sure someone in this thread knows.

 

[Doc_D]

If by "very different" you mean Basics doing medic level trauma interventions, and not doing nearly as much when it comes to medical, than yes.


Otherwise, no it isn't. We get GSWs, we get hypothermia, we get tension pneumos / hemopneumos... you forget that many inner-city areas are a lot like battlefields.



You just get a few more IEDs h34r:

My zones dont compare to yours in any way. We do many things that are paramedic level and we improvise our own equipment because we dont have as abundant equipment as you, nor is our hospital down the road like yours. In some places a MEDEVAC wont come for 3 hours and im stuck using all my equipment on one guy, trying to keep him stable. I dont always have BSI on, atleast with american soldiers (always with afghanis though). I cant choose to sit and hide in the truck if the 'scene isnt safe' like you can. I have an M-4 and a 9 mil for a reason, and i dont rock a red cross.

I wasnt trying to be rude, but if you insult what i do i will insult what you do.

 

[Aidey]

All politics aside, when it comes down to it medicine is medicine. When it comes to the actual medical care, there aren't a lot of differences.