Red_Snow wrote:I am currently in the planning stages right now, and none of these supplies have been purchased as of yet. Looking for a critique of the items chosen so far as well as pointing out of any weak spots in the load-out.
The primary use of this kit would be for Industrial use, I spend most of my life on processing facilities anymore so it brings its own set of primary injury risks. Most commercial "OSHA Approved" kits are really just overpriced booboo kits.
My friend, I am deeply sorry for the long delay in reply. Especially after you emailed me asking for my input. I've been busy with back to back disaster mobilizations and some military travels for my wife have kept us busy. Anyway, lets have a look. Most OSHA Kits are either overpriced, or, woefully inadequate. I'll throw some suggestions your way by going line by line.
Our highest risks are as follows, in descending order of likelyhood:
- Eye injury; generally foreign body or exposure
I recommend a rigid, breathable eye shield. Fox makes some good quality ones that aren't too expensive. H&H and NAR both make polycarbonate ones for around $10-ish. We stock the H&H Combat Eye Shield, which is based around the Fox Eye Shield and has a nice Hydrogel adhesive ring to keep the shield in place.
https://archangeldynamics.com/products/ ... eye-shield
- Hand Injuries; small lacerations, and pinch points
- Small Burns; Generally1st and 2nd degree burns from steam piping and instrumentation
Small lacerations can easily be handled with your standard bandaids, 4x4s, etc. As for burns, stock sterile burn sheets. I love the H&H Super Combat Cravat, as it is a sterile triangular bandage (think: multi use item. Burn sheet and can be used for sling immobilizer for fractures and dislocations).
https://archangeldynamics.com/products/ ... n-dressing
- Heat/Cold Casualties
Store cold packs, and a few hypothermia blankets.
Secondary concerns would be:
The as-planed load-out list:
- Blunt force trauma (e.g. falling object that bypassed PPE)
- Broken Bones
- Accidental dismemberment
- Post explosion/fire initial care while waiting on EMS
Basic Wound Management
- Adhesive Bandages (assortment, mainly fingertip and knuckle)
- Blister Management
- Durapore Tape
There is no better medical tape in my opinion. Good choice.
- 4x4 Gauze Pads
- 3x4 Non-Adherent Dressing
- 2" Elastic Bandage
I'd recommend something a little larger, 3-6" performs very well as a pressure bandage as well. 2" is rather small.
- Antimicrobial Wipes
- Chinook OTC Medical Module
Advanced Wound Management
- Burn Jel
The science is always in flux, but, current PHTLS / TCCC / ATLS guidelines recommend dry, sterile dressings for burns, once the burning process has stopped. Wet dressings can precipitate hypothermia, which is a killer in burns. So couple that with the high cost of a burn gel kit? I'd avoid this and just get plenty of burn dressings.
- 4x4 Burn Dressing
- 2x6 Burn Dressing
- Chinook ToolPak - Includes EMT shears, Thermometer, duct tape, etc
- Hydratiton Powder (Oral Re-hydration Salts)
- Eye Wash
- CPR Mask
- 4" Olaes Bandage
Store a few of these, or have a look at the new T3 Israeli Bandage, or consider some H&H Bandages.
https://archangeldynamics.com/t/pressur ... --bandages
- Celox Z-Fold Rapid Gauze
- QuickClot 1st Response (redundant, haven't decided between QC or Celox)
Both perform admirably. Some research shows that Celox is superior in the anticoagulated patient, or the patient with a significant coagulopathy due to massive hemorrhage. Ultimately, both are CoTCCC recommended and both have an excellent track record.
- CAT Tourniquet
What am I missing?
I would recommend at least one SAM Splint, and maybe a Pelvic Binder of some type, as pelvis fractures are fairly common around falls, and are quite life threatening. Sling material (Triangular bandage, or the Super Combat Cravat). A means to carry someone, like a nylon litter, these run sub $25 and are a great way to move someone a fair distance. A chest seal of some type for penetrating torso trauma, we stock the Wound Seal Duo and are awaiting shipment on the new H-Vent, both from H&H.
https://archangeldynamics.com/products/ ... d-seal-duo
Stock antidotes for any specific threats you may deal with (industrial corrosive or caustic agents).
It looks like your list hits all of the major points. Well done one compiling a REAL Austere Trauma Kit here, looks good!!