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PostPosted: Wed Jan 13, 2016 12:19 pm 
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Hey, BTW, your making more of an effort with a kit than a lot of the old paramedics that I know. They don't have anything like that. Probably because they are a bunch of burned out clowns, but, either way, Good on you man.... :clap:


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PostPosted: Wed Jan 13, 2016 2:03 pm 
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IANMCDEVITT wrote:
I'll give you an example now that I have some time......a lot of your pictures seem to show you in pretty remote areas. You need to ask yourself questions, the WHAT IF's......................Now what am I gonna need to keep someone alive with my level of training? What skills can I learn that would help me keep someone alive?...........HYDRATION is a biggee, ORS, Maybe I should learn IV skills?.........FRACTURES, both simple and compound (am I ready for those?)......... PATIENT CARRIES, so maybe a pole-less litter attached to the outside of that fancy pack?............OK, I know I won't be doing CPR out here because the chances of someone surviving with either a traumatic or medical arrest are about nil, but what will I be doing?......How about making sure my signaling equipment is up to speed? Pen flares? Strobe attached to that pack? How about some kind of emergency flow chart so maybe someone thats not familiar with the contents knows how to use the stuff? A MIST card? How's your medical gear for eye injuries? Imagine trying to walk someone out with their eyes bandaged? Is there a small light attached to that pack that would illuminate you so people can follow you while walking on a narrow trail? Headlamp for everyone? Cyalume for trail markers for rescuers?..............And really, really important if I happen to be traveling with you, Got any pain control stuff in there? Ice packs are underrated.......and even though I hate carrying it, if your out there alone for awhile, a BP cuff............did you have one? I may have missed it............Honestly, I wish I was closer, I'd go through that pack top to bottom with you for fun and in about four hours, you'd be the king.


My training plans for the year had to be put on hold but it was this very forum that made me put the effort into solidifying the bag and contents.

Fracture training needed.

No litter at this time but will consider if the group size is 3 or more.

IV is interesting, Would have to think about it.

BP cuff is a very interesting point. Definitely want to hear more about it.

Taking a CPR refresher next week since it is short and easy.

For eye injuries I just have some eye patches but nothing beyond that. Good point! Suggestions?

I do have extra headlamps in the vehicle and at least one Firefly strobe as well as plenty of flashlights that can strobe. No pen flares but do have a green signalling laser.

Always have my SPOT rescue beacon!

Pain control is only over the counter stuff like "Vitamin I" (Ibuprofen)

I did complete a list of the bag's contents but I really like the idea of a visual flow chart. Will make a stab at it.

No MIST card but that brought up a great point about trying to communicate with professional medical folks. I need to fix that. There is also the 9-line Medevac format.

It would be fun to have a FAK bag tear down and discussion!

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PostPosted: Wed Jan 13, 2016 2:21 pm 
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Rescue Essentials QuikLitter
http://www.amazon.com/Rescue-Essentials ... _mrai_1_dp


Tac Med Poleless Litter
http://www.amazon.com/TAC-Tac-Med-Polel ... ncy+litter

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PostPosted: Wed Jan 13, 2016 2:49 pm 
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Am I the only one who thought a poleless litter was a "Polish litter" the first time they heard it?

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PostPosted: Wed Jan 13, 2016 2:49 pm 
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Yea, those can be wrapped up, but I didn't see, did they come with their own carrying pouch? I just used a NARP litter with a nice multicam pouch with MOLLE on the back. Unfortunately it wasn't mine so I had to give it back and anything from NARP is kind of outrageously priced. Don't count on using any of your normal space blankets to carry patients, they suck. Maybe a heat sheets blanket, but it won't last for long and the area you are in almost, ALMOST requires a technical rescue rig. The IV skills would be mainly used for basic rehydration in your case, not trauma resuscitation. You wouldn't have the skill or assessment level for that yet.....but, ultimately, you should almost always give fluids by mouth first if possible in wilderness medicine. Don't focus on the CPR, in your situation, it's not practical. I would immediately, first priority, attach a little LED to the outside of that pack. If you put that down in that terrain and walk away a few feet, you may not find it again. Whenever you go out at night, snap that light on.... fractures are a big deal in your situation. Read everything you can on immobilization and longer term treatment and complications, I'd read everything from hematoma formation, fibrocartilagenous callus formation, and how fractures heal and are managed. Let me know any other questions you have.


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PostPosted: Wed Jan 13, 2016 3:20 pm 
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Langenator wrote:
Am I the only one who thought a poleless litter was a "Polish litter" the first time they heard it?


Is that a litter of Polish dogs?
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PostPosted: Fri Jan 15, 2016 7:14 pm 
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teotwaki wrote:



I *think* the poleless litter I have is the Rescue Essentials one, but I'm not 100% sure. It's definitely a one-time-use item, though, and needs some kind of case to protect it.

ETA: Just checked my order history, and it was the older version of the RE one. It was marked as disposable when I purchased it.


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PostPosted: Fri Jan 15, 2016 8:44 pm 
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jdev wrote:


I *think* the poleless litter I have is the Rescue Essentials one, but I'm not 100% sure. It's definitely a one-time-use item, though, and needs some kind of case to protect it.

ETA: Just checked my order history, and it was the older version of the RE one. It was marked as disposable when I purchased it.


They offer a kit where they roll the litter up tightly and store it iside of a Condor water bottle carrier. :mrgreen:

One use is okay. It will be an awfully rare occaision to need one so this one could be suitable.

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PostPosted: Fri Jan 15, 2016 9:21 pm 
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teotwaki wrote:
jdev wrote:


I *think* the poleless litter I have is the Rescue Essentials one, but I'm not 100% sure. It's definitely a one-time-use item, though, and needs some kind of case to protect it.

ETA: Just checked my order history, and it was the older version of the RE one. It was marked as disposable when I purchased it.


They offer a kit where they roll the litter up tightly and store it iside of a Condor water bottle carrier. :mrgreen:

One use is okay. It will be an awfully rare occaision to need one so this one could be suitable.



Sounds like a plan to me! I keep one with my bag I take to the field with my Guard unit, but I like the idea of putting it in the Condor water bottle carrier. I might have to try that myself!


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PostPosted: Sat Jan 16, 2016 12:34 am 
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Found the litter in bottle holder here
http://www.rescue-essentials.com/casual ... ation-set/

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PostPosted: Sat Jan 16, 2016 8:05 pm 
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teotwaki wrote:
Found the litter in bottle holder here
http://www.rescue-essentials.com/casual ... ation-set/


Outstanding! Thanks!


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PostPosted: Sun Jan 17, 2016 11:45 am 
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Yesterday I met a real live California ZS member (Akin) at the local gun show. After spending a few hours gawking at the cool wares I ended up buying some medical items and will add some of them to the kit.

3 Water-Jel brand burn gel packets
2 small rolls of duct tape
4 Dry Sterile Burn Dressings
1 new Military distress marker (strobe)

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PostPosted: Sun Jan 17, 2016 2:42 pm 
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Cool. A quick break down? I'm guessing they are the small condiment size Water-Jel Dressings? Only use that stuff on burns less than the size of your palm or smaller. Be careful, burns rarely come in one degree. It's usually worse where the skin contacted the source, and can radiate out in decreasing degrees of severity. Just be careful, don't put any crap on a serious burn. Instead, stop the burning process and keep it as clean as possible. The duct tape? I'd only use it if I was really, really a in a jam, alone and still needed to self extricate from whatever shit got me injured in the first place. The burn dressing? They are good, what size are they and are they still good? expired? The strobe? that's cool, but get a VS-17 also. Good luck.


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PostPosted: Sun Jan 17, 2016 5:56 pm 
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IANMCDEVITT wrote:
Cool. A quick break down? I'm guessing they are the small condiment size Water-Jel Dressings? Only use that stuff on burns less than the size of your palm or smaller. Be careful, burns rarely come in one degree. It's usually worse where the skin contacted the source, and can radiate out in decreasing degrees of severity. Just be careful, don't put any crap on a serious burn. Instead, stop the burning process and keep it as clean as possible. The duct tape? I'd only use it if I was really, really a in a jam, alone and still needed to self extricate from whatever shit got me injured in the first place. The burn dressing? They are good, what size are they and are they still good? expired? The strobe? that's cool, but get a VS-17 also. Good luck.


Hey Ian!

The Water-Jels are 4"x16" and dates are late 2018 into 2019
First rule of burn treatment is cooling, preferably clean water, right?
The Duct Tape is good for the Sam Splints and other such things that need the stronger tape (but not on skin).
Great idea on the VS-17. No batteries required. :mrgreen: Scored on on Ebay for $8.95
The dry, sterile & non-adherent burn dressings are 45"x45"x63" and are latex free and securely sealed. The 10/2016 expiration date should not matter for these as far as I know, right?

Out on snowbound peaks and glaciers I've carried packs of Koolaid and used those to create large markers in the snow.

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PostPosted: Mon Jan 18, 2016 4:19 pm 
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Wow, cool, you got the big ones. Learn about burns though, read. Usually a burn that size comes with other injuries......Remember, you want to be a "Medical Detective".......it's the only way to be thorough and effective. The rest of the stuff, cool, sounds good. Yea, the VS-17 is good. I used to cover my pack with it when running with the maneuver element in Africa, I wanted the F.O to know EXACTLY where I was, there were Katushka rockets going over head and 120mm mortars hitting the target before the assault. Then I could take it off my pack and put it on the mirror of the Caspir I was in so everyone knew where I was riding.....it's just good for recognition purposes.


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PostPosted: Thu Jan 21, 2016 3:09 pm 
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teotwaki wrote:

Out on snowbound peaks and glaciers I've carried packs of Koolaid and used those to create large markers in the snow.


Great tip, Teo - thanks!


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Jorian wrote:
teotwaki wrote:

Out on snowbound peaks and glaciers I've carried packs of Koolaid and used those to create large markers in the snow.


Great tip, Teo - thanks!


Small bonus: on the last day of an expedition you can mix up the Koolaid and drink it :v:

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PostPosted: Fri Jan 22, 2016 9:13 am 
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teotwaki wrote:
Jorian wrote:
teotwaki wrote:

Out on snowbound peaks and glaciers I've carried packs of Koolaid and used those to create large markers in the snow.


Great tip, Teo - thanks!


Small bonus: on the last day of an expedition you can mix up the Koolaid and drink it :v:


Just don't forget to re-stock!

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PostPosted: Fri Jan 22, 2016 11:40 am 
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For this forum it just has to be this package :mrgreen:
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PostPosted: Tue Feb 09, 2016 7:05 pm 
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Found this: Blood Pressure (BP) Cuff & Steth Combo $25.95

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"The Professional's Choice" diagnostic kit includes a professional quality stethoscope and sphygmomanometer. Includes nylon cuff with range markings, standard inflation bulb, calibrated manometer gauge, gauge holder and artery label. One year calibration warranty.

http://www.ebay.com/itm/180583612420

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PostPosted: Tue Feb 09, 2016 8:12 pm 
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teotwaki wrote:
Found this: Blood Pressure (BP) Cuff & Steth Combo $25.95

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"The Professional's Choice" diagnostic kit includes a professional quality stethoscope and sphygmomanometer. Includes nylon cuff with range markings, standard inflation bulb, calibrated manometer gauge, gauge holder and artery label. One year calibration warranty.

http://www.ebay.com/itm/180583612420


The BP cuff looks like what my agency issues. The stethoscope is probably garbage, though. I'd at least upgrade that to a $10-15 Sprague-rapport type. Clearer sound.


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PostPosted: Tue Feb 09, 2016 9:14 pm 
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jdev wrote:
teotwaki wrote:
Found this: Blood Pressure (BP) Cuff & Steth Combo $25.95

Image

"The Professional's Choice" diagnostic kit includes a professional quality stethoscope and sphygmomanometer. Includes nylon cuff with range markings, standard inflation bulb, calibrated manometer gauge, gauge holder and artery label. One year calibration warranty.



The BP cuff looks like what my agency issues. The stethoscope is probably garbage, though. I'd at least upgrade that to a $10-15 Sprague-rapport type. Clearer sound.



Thanks for the feedback! At this ebay store they don't sell the cuff separately so I'll have to shop around some more

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PostPosted: Wed Feb 10, 2016 10:54 am 
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teotwaki wrote:
jdev wrote:
teotwaki wrote:
Found this: Blood Pressure (BP) Cuff & Steth Combo $25.95

Image

"The Professional's Choice" diagnostic kit includes a professional quality stethoscope and sphygmomanometer. Includes nylon cuff with range markings, standard inflation bulb, calibrated manometer gauge, gauge holder and artery label. One year calibration warranty.



The BP cuff looks like what my agency issues. The stethoscope is probably garbage, though. I'd at least upgrade that to a $10-15 Sprague-rapport type. Clearer sound.



Thanks for the feedback! At this ebay store they don't sell the cuff separately so I'll have to shop around some more

I'd also suggest if you don't have previous training, acquiring training on how to use it and practice it on every person who will let you. Also, learn how to take BP by "Palp", Which is very helpful in loud environments or when conditions aren't optimal(like bouncing around in the back of an Ambulance while a Firefighter is driving :lol: ). And since you have a stethoscope, work on and learn how to properly listen for lung sounds (and find some good youtube vids on what abnormal lung sounds, sound like). Again its something that you want to try to practice on anyone who will let you because the best way to learn about abnormal lung sounds is to listen to lungs in person.

Furthermore, you can learn about and listen to bowel sounds and what abnormal bowel sounds present like. There are a large number of things you could run into while on the trail and far away from civilization, something like a bad case of diverticulitis could be very deadly if not diagnosed(technically "field impressioned") and delivered to definitive care in time.

Just a few things that popped into my head when I saw you acquired a Steth and Cuff, Good on you for becoming better prepared, you have a nice kit going.

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PostPosted: Wed Feb 10, 2016 11:43 am 
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Thanks for the feedback zXzGrifterzXz! I have a surgical PA and some doctors in the family that have promised to help me. I am also looking at wilderness first aid and first responder courses in my area of Southern California although many offer national courses. Found these so far:

https://wildlead.com/courses/medical-training/ San Diego

http://adventureriskmanagement.com/ Idyllwild

https://sierrarescue.com/schedule/categ ... responder/ Truckee

http://www.nols.edu/wmi/courses/wfr.shtml various locations

https://www.wildmed.com/wilderness-medi ... mr-option/ various locations

https://sites.google.com/a/wildernessfi ... ourse/home LA area

REI's Wilderness First Aid with WMI

http://www.sierramountaincenter.com/WMA_WFR.html

Anyone have direct experience with these companies? NOLs is well-known.

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