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Survival and Preparations Long and short term survival and 'prepping'. |
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How/when to use Medical/Trauma Gear
I'm new to Calguns and looking to help out. I'm a paramedic and want to answer any questions you may have about your first-aid kit. Simply having the gear without knowledge on how/when to use it wont do you any good. Please be as specific as possible.
Last edited by Paramedic559; 01-29-2014 at 2:45 AM.. |
#3
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When you have little round holes.
Now, be nice - we have a serious offer for some education here.
__________________
ARCHIVED Calguns Foundation Wiki here: http://web.archive.org/web/201908310...itle=Main_Page "The object of life is not to be on the side of the majority, but to escape finding oneself in the ranks of the insane."Ann Althouse: “Begin with the hypothesis that what they did is what they wanted to do. If they postured that they wanted to do something else, regard that as a con. Work from there. The world will make much more sense.” Not a lawyer, just Some Guy On The Interwebs. |
#5
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Assume you are a regular Joe out shooting with friends. Let's a say a ricochet hit's someone and is probably an arterial wound based on continued blood flow in spite of serious direct pressure on the wound. Are there other considerations before applying a tourniquet to stop the blood loss? Is there anything else you can do prior to first responders arrival or during transport to prevent loss of limbs?
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#6
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We don't carry quick clot on the ambulance, most likely due to the expiration date. I have seen some videos and it seems to work well, but I would not buy it personally. Quick clot may benefit people that take blood thinner medications such as aspirin or coumadin (warfarin). I have had some pretty serious arterial bleeds and direct pressure with a dressing works great. Remember, if the bandage gets completely saturated in blood don't take it off. Just add another one on top of it. Don't be afraid to apply all of your weight to the wound. As a last resort, apply a tourniquet.
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#7
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Also applying a tourniquet doesn't necessarily mean that you will loose the limb as long as you get to a trauma center relatively soon. Human tissue can survive quite a while without blood flow. If loss of limb is from the trauma, don't forget to take the severed limb with you to the hospital & keep it cool (no direct contact with ice)
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#8
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#9
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First off welcome to Calguns . . .
I've been thinking of putting together a SHTF pack of supplies with your general first aid stuff like bandages, cold compress, guaze, antibiotic creams, ace bandages, gloves and what not. What's your opinion on sutures for SHTF or when help is days away?? Can or should the average joe attempt small repairs? Thanks in advance . . .
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I'm not sure since I have not researched prices. I would recommend building your own kit to suit your own needs and possible situation. For example, a kit you would take hunting into the wilderness is different than a kit for your range bag, or one you would keep in your car. I hope that helps. Good luck!
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#13
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Nice of you to offer this. Tagged.
__________________
Don't take refuge in the false security of consensus. What you leave behind is not what is engraved in stone monuments, but what is woven into the lives of others. Nothing worse than an overrated F*** and an underrated S*** iF it'S nOt an aCt of goD, iT's a ConSpirAcy. If it can be measured, it can be optimized. "What can be asserted without evidence can be dismissed without evidence." Chris Hitchens |
#14
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Welcome to CG!
Awesome thread, this is by far my weakest area so I'll be watching intently.
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After watching WTC Bldg #7 being razed, and considering it's main occupants.. I stumbled onto this note while checking advanced weapons.. "911 = false flag. WTC 7 was brought down by demolition. 47 floors came down in 6 1/2 seconds - not hit by a plane. Just one of hundreds of absurdities that occurred that day. Wake up". |
#16
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If a major artery is punctured by say a knife or some sharp object and gets stuck in and there is profuse bleeding should the knife or sharp object be removed or stabalized as it risks futher damage to tissue and the artery if remained in?
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Norman Thomas - "The American people will never knowingly adopt Socialism. But under the name of "liberalism" they will adopt every fragment of the socialist program, until one day America will be a Socialist nation, without knowing what happened. Winston Churchill -We contend that for a nation to tax itself into prosperity is like a man standing in a bucket and trying to lift himself up by the handle. - If you have ten thousand regulations, you destroy all respect for the law. " |
#17
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http://www.calguns.net/calgunforum/s...d.php?t=885607
Mine put together with the help of a navy corpsman while teaching The combat lifesaving course
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Come on, you sons of biches! Do you want to live forever?- Gysgt Dan Daly Courage is endurance for one moment more… - Unknown USMC Lieutenant |
#18
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I have always been taught to leave impaled objects as they are & stabilize. If something gets stuck in an eye, cover the other eye as well to prevent patient from looking around since both eyes move together. Only remove an impaled object if it interferes with chest compressions while doing CPR or is blocking the airway.
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#19
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Nice offer and welcome. To echo what paramedic said quick clot is not that great, a study was just released about the military using it and how effective it really is.
Now tq are very effect and battle field testing and studies have shown to apply a tq when in doubt saves lives time and time again. The TCCC protocal if free for any one to look up ans is what has mase the ifk's what they are today along with CLS and budy aid. Civilian medic standards are far behind on tq's and they also take into account the whole we dont want to be sued thing which limits emt-b/p. |
#20
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http://www.health.mil/Education_And_Training/TCCC.aspx
Intro to TCCC is a good powerpoint with stats. Also there are videos of treating pigs with trauma wounds. Obviously this site has graphic conten! |
#21
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Welcome to CG's. Thanks for the offer.
http://www.amazon.com/gp/product/B00...?ie=UTF8&psc=1 I picked half a dozen of these today to have in car, hiking, and the range bag. What your impression of this type of product and do you roll with this type of product in your line of work.? For $8 a pop they seem like a good deal. -g Product Description Size: 6 Inches The israeli bandage is an innovative, combat proven first-aid device for the staunching of blood flow from traumatic hemorrhage wounds in pre-hospital emergency situations. This 6" wide, all-in-one device consolidates multiple first-aid devices such as a primary dressing, pressure applicator, secondary dressing, and a foolproof closure apparatus to secure the bandage in place. This internationally patented and fda approved bandage is the ideal solution for emergency treatment when every second counts. The emergency bandage is designed for quick and easy application by professional and non-professional caregivers to provide effective, multi-functional treatment. The emergency bandage's sterile, non-adherent pad applies pressure to any site, can be easily wrapped and secured, and has an additional application, similar to a tourniquet, to further constrict blood-flow. The product is so easy to use that even an injured person can self-apply the bandage with one hand. Benefits: immediate direct pressure quick and easy self-application consolidation into a single unit: primary dressing pressure applicator secondary dressing closure bar significant time, space, and cost savings secure, water-resistant closure bar x-ray friendly versatile. This all-in-one bandage consolidates multiple first-aid devices such as a primary dressing, pressure applicator, secondary dressing, and a foolproof closure apparatus to secure the bandage in place. This model includes a sliding/mobile pad for coverage of entry and exit wounds.
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If ever time should come, when vain and aspiring men shall possess the highest seats in Government, our country will stand in need of its experienced patriots to prevent its ruin. -Samuel Adams |
#22
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I have never used one but it looks like it's worth a shot. I like that it has multiple uses, but I wonder if you could get it tight enough if using it as a tourniquet. We mostly use 4x4 gauze and 5x9 ABD pads, but anything is better than nothing.
Last edited by Paramedic559; 01-29-2014 at 1:47 AM.. |
#24
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I am a critical care transport nurse with 13+ years experience in EMS. Tourniquets used to be somewhat taboo, at least in the urban areas with quick ETA's to hospitals. The theory was that it could cause tissue damage from cutting off the blood flow. But lately we have seen a change in attitude it seems as we recently started stocking CAT's (Combat Application Tourniquet) on our rigs in LA. Personally, I wouldn't worry about "tissue damage" from applying a tourniquet if you really needed, because bleeding out trumps anything else. I personally have a drop down molle medic pouch that goes with me everywhere, hiking, camping, road trips, and definitely every range trip. I have CAT in there along with pressure dressing supplies and an assortment of other things. When I have some free time I will upload some photos in the medic kit thread. If in doubt, and serious bleeding is unable to be controlled, tourniquet the limb as close to the injury as possible. There is no coming back from bleeding out, but if repurfused within a decent time frame, tissue damage can be reversed. Just my $0.02. OP. Welcome aboard! Last edited by DontTreadOnMeBro714; 01-29-2014 at 12:15 PM.. |
#25
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#27
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Never remove impaled foreign objects. It can likely be acting to tamponade the artery from bleeding further. Stabilize as best as possible and get to a hospital/surgeon.
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#28
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One thing that I needed to move to the top of my kit, was gloves. I ran into an incident with blood flying, and people panicking. My first instinct was to grab gauze, tape, etc, and stop the bleeding. But my gloves weren't on top, so I forgot them. So for amateurs, like me, I'd suggest putting gloves on top of everything else, so you remember to put them on.
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#29
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Great thead! Thanks paramedic!
I own a medical supply company in Bakersfield. I use Moore Medical a lot to supply doctors offices and patients that need supplies after being released from hospitals and rehab centers. Here is the website. www.mooremedical.com The only thing I can't get from there is meds and some syringes. They ship same day and free shipping if order is $100.00. If anybody here needs stuff from here and can't sign up, I can use my account and drop ship to you at my cost. pm me if you need anything or have any questions. Thanks again for this thread, this is going to be very useful. |
#30
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Your statement is spot on, all the gear in the world will not be any help if you have no clue how to use it. I was a EMT before I joined the Army. While in the Army I was trained as a "Combat Life Saver" (Army version of EMT focusing on combat related injuries). Training is VERY important. |
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#33
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Welcome!
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#34
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Last year I upgraded my first aid kit from my old "box of band aids." 98% of the time I'm probably within 30 minutes max of a hospital so my assumptions center on very short-term treatment until someone else takes over. My newest kit assumes this too.
I was wondering about those rare times when I may be many hours from nearest help. Are there any guidelines for dealing with different ETAs to nearest professional help? Maybe different items to put in the kit or any other considerations? |
#35
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I live out on property with extended family, I'm the only one with "first responder" training. They give me something to practice on every once in a while. |
#36
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For example, see Auerbach's "Medicine for the Outdoors"; my 5th edition is from 2009. There are more things to do, and more complete or different ways to stabilize the injured person for a longer period, as well as monitor his condition. But the general path is still have a victim, stabilize him, transport him to where the medical professionals can take over.
__________________
ARCHIVED Calguns Foundation Wiki here: http://web.archive.org/web/201908310...itle=Main_Page "The object of life is not to be on the side of the majority, but to escape finding oneself in the ranks of the insane."Ann Althouse: “Begin with the hypothesis that what they did is what they wanted to do. If they postured that they wanted to do something else, regard that as a con. Work from there. The world will make much more sense.” Not a lawyer, just Some Guy On The Interwebs. |
#37
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Great thread.
I noticed nobody said this. But for the people that asked about the tourniquets, loosing limbs, blood loss to tissue, etc. just remember you can always undo a bit of pressure off the tourniquet.
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Ray "If you lead your life the right way, the karma will take care of itself. The dreams will come to you." - Randy Paush, Carnegie Mellon University |
#38
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Or to say differently a cat tq can be used as a pressure bandage.
Its 4 to 6 hours before damage sets in. Hopefully you can make it to help in that time. Also those numbes are with a proper tq. Bad ones or material not wide enough can cause damage in less then 20 minutes. |
#39
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And.... it doesn't take very long to bleed out depending on location and depth
of void. It would be great to see some sort of CG weekend get together on basic techniques with particular emphasis on (as Librarian mentioned) stabilize the injured person for a longer period of time. As when help is a long ways off or not at all and your all they got. I've seen people offer emergency classes here before in the past. -g
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If ever time should come, when vain and aspiring men shall possess the highest seats in Government, our country will stand in need of its experienced patriots to prevent its ruin. -Samuel Adams |
#40
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I've used super glue a few times, works pretty good. The only problem is that it will leave a scar.
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A man's GOT to know his limitations. |
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