Search found 62 matches

by Doc_45ACP
Sun Dec 15, 2013 12:45 pm
Forum: First Aid
Topic: Long-Term Medical Cart
Replies: 8
Views: 1716

Re: Long-Term Medical Cart

Great idea, Jedi! I may end up starting something like that myself. The problem I always run into (and I'm sure I'm not alone) is that I buy multiple of something to replace the one in my kit in case I use it. Unfortunately, these "extra" items are usually relegated to a huge Rubbermaid tote marked ...
by Doc_45ACP
Wed Dec 11, 2013 8:06 pm
Forum: First Aid
Topic: Annual con-ed and command recert?
Replies: 14
Views: 2034

Re: Annual con-ed and command recert?

medic photog wrote:Yep, that's the basic way it's done. Problem is getting the con ed sometimes.
I've worked it so that I take the full ACLS and PALS course (12 credit hours each) in alternating years.

Also, documented teaching hours count...
by Doc_45ACP
Tue Dec 10, 2013 5:43 pm
Forum: First Aid
Topic: Annual con-ed and command recert?
Replies: 14
Views: 2034

Re: Annual con-ed and command recert?

I'm not sure what a 'command' recertification is. When PA Medics refer to "Command Recertification" they are lovingly referring to the required attendance at a mandatory end-of-year skills session held by the medical director (or one of his designees, depending on how involved the medical director ...
by Doc_45ACP
Tue Nov 26, 2013 1:28 pm
Forum: First Aid
Topic: Civilian Rapid Intervention Kit
Replies: 52
Views: 9002

Re: Civilian Rapid Intervention Kit

maybe some of you trained medicos could give some thoughts on the potential complications of using a BVM, namely, gastric sufflation, volutrauma, or barotrauma. I'm no EMT but there is literature out there that makes BVM's seem complicated to use. I could not confirm or refute that but would like t...
by Doc_45ACP
Tue Nov 26, 2013 12:57 pm
Forum: First Aid
Topic: DIY Oral Rehydration Solution
Replies: 10
Views: 2493

Re: DIY Oral Rehydration Solution

to highlight a little on the above on the bicarb post: remember with Diarrhea you are losing bicarb (and thus will potentially become metabolically acidotic- usually corrected by excessive blowing off of C02 (acid) in the lungs). Depending on the loss due to diarrhea the acid-base imbalance can be ...
by Doc_45ACP
Fri Nov 22, 2013 11:42 pm
Forum: First Aid
Topic: Homemade Hot Packs
Replies: 16
Views: 3982

Re: Homemade Hot Packs

Boiling water in a Nalgene wrapped up in a pair or two of heavy wool socks has gotten me through some rough winter nights. I completely agree! I used to teach all my students to have at least one Lexan Nalgene in their kits for that exact purpose. I didn't use socks, though (Didn't want to stretch ...
by Doc_45ACP
Thu Nov 21, 2013 10:58 pm
Forum: First Aid
Topic: DIY Oral Rehydration Solution
Replies: 10
Views: 2493

Re: DIY Oral Rehydration Solution

So, does using the zero calorie version eliminate this problem? Believe it or not, it doesn't. While there are many mechanisms by which the gut absorbs sodium, the main one is by way of the Sodium-Glucose Cotransporter. Without going in to a lot of biochemistry that I've tried very hard to forget, ...
by Doc_45ACP
Thu Nov 21, 2013 10:21 pm
Forum: First Aid
Topic: DIY Oral Rehydration Solution
Replies: 10
Views: 2493

Re: DIY Oral Rehydration Solution

I wish to elaborate a bit on one point Sally made regarding the use of sodium bicarbonate. If the patient is dehydrated from fever then it is fine to use this source of sodium instead of table salt (sodium chloride) if this is all you have available. When doing so, use the flexible guidelines above...
by Doc_45ACP
Thu Nov 21, 2013 5:31 pm
Forum: First Aid
Topic: DIY Oral Rehydration Solution
Replies: 10
Views: 2493

Re: DIY Oral Rehydration Solution

Sounds like a good idea. I dunno how I'd do choking down salt water when I'm nauseated...
by Doc_45ACP
Thu Nov 21, 2013 12:35 pm
Forum: First Aid
Topic: Civilian Rapid Intervention Kit
Replies: 52
Views: 9002

Re: Civilian Rapid Intervention Kit

I highly recommend adding an OPA or NPA (I personally prefer the OPA, since if you're using it, it's likely a traumatic arrest and they won't have a gag reflex. NPAs are relatvively contraindicated in anyone with a potential basilar skull fracture. I carry a keychain-sized CPR mask in my blowout kit...
by Doc_45ACP
Thu Nov 21, 2013 12:21 pm
Forum: First Aid
Topic: DIY Oral Rehydration Solution
Replies: 10
Views: 2493

DIY Oral Rehydration Solution

Hey guys, we had a Wednesday conference presentation on diarrhea (everyone's favorite subject!) yesterday. As I have mentioned on here previously, I'm not a fan of OTC anti-diarrheal meds like Imodium for the simple reason that they can actually prolong the illness. By slowing the gut (which is how ...
by Doc_45ACP
Thu Nov 14, 2013 3:01 pm
Forum: First Aid
Topic: WWYD for the First Aid section: Rusty Nail.
Replies: 106
Views: 15616

Re: WWYD for the First Aid section: Rusty Nail.

I'm surprised no one mentioned saucerization yet. I've had several ER patients who stepped on rusty nails through their boots. As was previously mentioned, pseudomonas is the concern since it likes to live in warm, moist places, like shoes. Sauzerization is performed by removing a small shallow circ...
by Doc_45ACP
Mon Nov 04, 2013 12:46 pm
Forum: First Aid
Topic: EDC kits: Help me build?
Replies: 9
Views: 2616

Re: EDC kits: Help me build?

I'd lose the cold pack and the SAM splint. The space:utility ratiop of those two things is way disproportionate. I recommend your kit treat two broad categories: the common and the serious. The common should include minor cuts and scrapes, headaches, allergies, etc. So bandaids, neosporin, tweezers,...
by Doc_45ACP
Mon Oct 28, 2013 3:43 pm
Forum: First Aid
Topic: preppers choice for Antibiotics?
Replies: 51
Views: 9485

Re: preppers choice for Antibiotics?

Later tonight, I will post a quick overview of which antibiotics I recommend for a "well-stocked" med kit and why. I don't have time to do it now from work, so you'll all have to bear with me... I will suggest this: when selecting a good medical reference, I believe that most physician-level medical...
by Doc_45ACP
Mon Oct 28, 2013 3:36 pm
Forum: Other Gear
Topic: What kinda BOOTS do you wear
Replies: 489
Views: 70165

Re: What kinda BOOTS do you wear

I've had great results with both Bates and Magnums as duty boots. To me, they're pretty much Mercedes and BMW, it all depends on which you like better. I have coworkers that swear by Danners. I have had nothing but problems with 5.11 boots. I bought a pair years ago on sale to try, and they sucked (...
by Doc_45ACP
Mon Oct 28, 2013 2:29 pm
Forum: First Aid
Topic: Little Question.....
Replies: 14
Views: 2966

Re: Little Question.....

I wanna add a third reason:

3. Hypoxia.

A GSW to the chest causing a tension pneumothorax can cause unconsciousness also. Just my $0.02...
by Doc_45ACP
Sun Oct 06, 2013 11:33 am
Forum: Bug Out Gear
Topic: 2013 Summer Mock Bug Out Contest - Official Entry Thread
Replies: 50
Views: 8111

Re: 2013 Summer Mock Bug Out Contest - Official Entry Threa

I understand. Yet another reason I don't have kids, I don't think my gear could take the abuse!
by Doc_45ACP
Sun Oct 06, 2013 11:10 am
Forum: Bug Out Gear
Topic: 2013 Summer Mock Bug Out Contest - Official Entry Thread
Replies: 50
Views: 8111

Re: 2013 Summer Mock Bug Out Contest - Official Entry Threa

The family and I camped out in the Kettle Moraine forest this weekend in southern Wisconsin. We had a great time relaxing in the woods with some good friends and their kids. It probably was our last family overnighter for the year. Here's a link to the full post: http://zombiehunters.org/forum/view...
by Doc_45ACP
Sun Oct 06, 2013 10:52 am
Forum: Other Gear
Topic: 3pc. Us Military Modular Sleeping Bag System Goretex Bivy Pa
Replies: 8
Views: 2029

Re: 3pc. Us Military Modular Sleeping Bag System Goretex Biv

I have the ECWS as well. I did the opposite of you, I originally bought just the Gore-Tex bivy. I wanted lightweight warm-weather shelter. Coupled with a poncho liner, I spend several nights in just the bivy, and was comfortable enough (and it was great to carry during the day since it weighs almost...
by Doc_45ACP
Mon Sep 30, 2013 6:06 pm
Forum: First Aid
Topic: My Voodoo tactical set up
Replies: 17
Views: 6527

Re: My Voodoo tactical set up

Nice kit! I've been looking at the Voodoo bag vs the STOMP... Couple suggestions: 1. Unlike others here, I prefer 500mL NSS bags to liter bags. I'd suggest you carry twice as many of them, but you get much more flexibility. You can't (ie shouldn't) recycle half a liter bag for a different patient in...
by Doc_45ACP
Mon Sep 30, 2013 5:01 pm
Forum: Other Gear
Topic: ZS Hot or Not: Combat Loadout edition "Mall Ninja"
Replies: 1053
Views: 280262

Re: ZS Hot or Not: Combat Loadout edition "Mall Ninja"

Didn't realize that qualified as high-speed advice... I apologize for all the delicate sensibilities that I bruised; I was just merely trying to pass on a little education. That is what we do at ZS, isn't it? Anyway, so I don't upset anyone else, here's a picture of me shooting Justin Bieber as a pe...
by Doc_45ACP
Sun Sep 29, 2013 10:11 pm
Forum: Other Gear
Topic: ZS Hot or Not: Combat Loadout edition "Mall Ninja"
Replies: 1053
Views: 280262

Re: ZS Hot or Not: Combat Loadout edition "Mall Ninja"

0122358 wrote:its off the tigger, my front pad is inside the guard, but behind the tirgger...
What in the sphincter of Hell is it doing in there?!
by Doc_45ACP
Sun Sep 29, 2013 8:14 pm
Forum: Other Gear
Topic: ZS Hot or Not: Combat Loadout edition "Mall Ninja"
Replies: 1053
Views: 280262

Re: ZS Hot or Not: Combat Loadout edition "Mall Ninja"

Just threw this together: the evolution of my loadout, 2010 on left and 2012 on right. http://i1125.photobucket.com/albums/l592/AKFTW/LoadoutEvolution1850.jpg hey who's that coyote(?) jacket made by in the left 2010 picture? Also pics from 2012 mock bug out...my current pathietic shotgun set up: ht...
by Doc_45ACP
Tue Sep 24, 2013 5:10 pm
Forum: Other Gear
Topic: Post your load-bearing/chest rig/molle vest
Replies: 474
Views: 170038

Re: Post your load-bearing/chest rig/molle vest

Posted this pic on a different thread earlier, but I'll post it again (along with a different picture...) http://imageshack.com/a/img18/4272/91q8.jpg TAG Banshee Plate Carrier -Level III Steel Plates (front/back) -3 30 round Troy Battle Mags -SOG SEAL Pup -Leatherman -Lenovo Red Line LED Flashlight ...

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