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Post by Browning35 on Sept 30, 2014 14:49:58 GMT
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Post by Browning35 on Sept 30, 2014 15:07:11 GMT
First Aid Kit No 3. (Right now this kit usually going to the range and on hunting trips with me, however since I only have one C.A.T. Tourniquet I usually combine it with that first IFAK - I need to break down and buy a tourniquet for each kit) County Comm Maratac EOD bag -One box of Band-Aids -3 one inch tape tolls -1 two inch tape -One large multi-trauma dressing -1 sterile burn sheet -4 pairs of gloves (8) -1 Vaseline gauze\occlusive dressing -Three 5 x 9 abdominal pads -One pack of sterile gauze -3 gauze pads -2 rolls of coban wrap bandages -2 triangular bandage/cravats/slings with 4 safety pins -1 bottle of sterile water -1 stethoscope -2 pairs of trauma shears (one orange handled and one black). -One basic and intermediate EMS field guide -One tampon -One eyeglass repair kit -One OB kit The OB kit contains : One pair of disposable disposable sterile gloves, one drape sheet, two umbilical cord sterile clamps, two OB towelettes, one disposable scalpel, one OB pet pad sterile, one receiving blanket, six Scott sponges sterile, one bulb syringe, four disposable towels, 2 tie offs, two alcohol preps medium, two twist ties, plus one bag for placenta (kind of nice that they provide a bag for the placenta don't you think?). Meds. : 8 aspirin and 10 ibuprofen Items that need to be added : 1 - flashlight 2 - Spare AA batteries 1 - CAT tourniquet 4 - Phenergan 4 - Tabs of 25mg Benadryl 1 - Black Sharpie Marker 1 - C.A.T./Combat application tourniquet 1 - Package of 35 grams Celox or the Celox impregnated bandage. 1 - 28 Fr. Nasopharyngeal Airway 1 - Packet of lubricant jelly 1 - Tube of triple antibiotic (to the boo-boo part of the kit separated out into the M-16 pouch) 1 - Tube of oral glucose 1 - Glucose test strips or a glucometer (my father-in-law is a diabetic and a normal member of our hunting party) I'm pretty comfortable with its contents for the most part. When treating pt's I generally dump much of the contents in their lap or to the side, so finding shit in a hurry isn't an issue. I'm getting a different bag for this kit, one that splits open in the middle and lays everything out rather than doing the ' Lap Dump'. That works, but when it's time to go with the pt you're generally grabbing all your stuff and just throwing it into the top of the bag and sorting it out later. Since this bag is a little to small for what I need in there I couldn't just throw it in the top when I needed to move. I'd have to take the time to stuff it back in there or I'd just have to leave stuff behind. A better bag that's more organized would sort that issue out.
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Post by NamelessStain on Oct 2, 2014 11:52:31 GMT
OK, with the newest ebola scare, what disposable mask (make/model, etc) would you use?
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Post by Browning35 on Oct 2, 2014 16:30:58 GMT
Any 100p HEPA mask would do. There might be something newer on the market that I don't know about, but that's about the best I'd know of. Someone who's based in a lab setting or Dannus since he's still active Fire/EMS or maybe Redeyes (since he does something nursing related I think) might know of something that's come out in the last year or so. That's the best we had available (100p HEPA masks/filters). Something like this... www.amazon.com/gp/aw/d/B001BXRRH4/ref=redir_mdp_mobileI don't know a hell of a lot about Ebola, but it doesn't sound like it's airborne, it's spread through direct contact. So it's not as easy to get as say the flu. www.al.com/news/index.ssf/2014/10/how_is_ebola_spread_cdc_expert.htmlSo the mask is more to protect/shield you against anything that would splash or fly up on you like spit or blood and get in your mucosa. I'd be more cognizant of touching them and so I'd double glove, gown and mask up.
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Post by Gingerbread Man on Oct 2, 2014 16:34:56 GMT
As aggressive as Ebola is I'm looking for full face coverage with a hood. Sure, tin foil but I don't have any 1 ups so I'm overly cautious.
It sounds like Ebola is as easy to get as cold. Touch something they touched, you go it. They say it can survive for 17 days outside the body. Yeah, some rubber gloves and boots seem to be of interest as well.
Upside is the bleach kills it in a diluted solution. It's the little things, really.
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Post by Browning35 on Oct 2, 2014 21:03:08 GMT
As aggressive as Ebola is I'm looking for full face coverage with a hood. Sure, tin foil but I don't have any 1 ups so I'm overly cautious. It sounds like Ebola is as easy to get as cold. Touch something they touched, you go it. They say it can survive for 17 days outside the body. Yeah, some rubber gloves and boots seem to be of interest as well. Upside is the bleach kills it in a diluted solution. It's the little things, really. You mean like they snot up, blow their nose, slime some surface and then three hours later someone comes along and touches that surface and then touches their face. I wondered about that, but I don't know how long it lives outside the body. That 17 days outside the body for sure? Doesn't really help that all this shit is occurring in Dallas right on my doorstep and that my wife works in an ER not to far away from the originating hospital that dropped the ball. Gigantic fuck up. Apparently the travel history the guy communicated to the nurses and that was documented wasn't read by the docs. Or something like that. So dude was released from the hospital and now he's come into contact with a whole bunch of other people (some of whom might get sick and seek emergency care). Greeeeeaat.
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Post by Gingerbread Man on Oct 2, 2014 21:59:03 GMT
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Post by redeyes on Oct 3, 2014 1:03:24 GMT
The main thing with ebola is to stay covered up. A mask that covers your mouth, nose, and has an effective eye shield is what you need. Rubber gloves and boots are definately a good idea. Covering any exposed skin will keep an ebola patient from scratching you.
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Post by NamelessStain on Oct 3, 2014 10:58:04 GMT
I called my sister last night (who lives near Houston). I told her as soon as someone shows up infected in her area, she needs to GTFO! I have spare rooms for her and my niece.
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Post by as556 on Oct 6, 2014 20:03:34 GMT
IFAK on my backpack BOB w/ FA kit IFAK on my chest rig Note the TQ for the chest rig is in the far right pistol pouch and clearly marked plus a hi viz orange TQ for quick access. The pack with hydration bladder (not pictured) is around 25 pounds.
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Post by as556 on Nov 13, 2014 5:10:38 GMT
10x 5x9 ABD pads 2x NAR compressed gauze 2x Zpak gauze 1 NPA 3x petrolatum gauze 3x triangular bandage 2x ACE wraps 12x gauze rolls Not too shabby at $40 shipped. I love that site.
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Post by Browning35 on Nov 13, 2014 14:22:32 GMT
Keep seeing that Z Pak gauze, never used it. Is it just gauze or is it impregnated with Quik Clot or something?
Picked up some more Quik Clot yesterday and a FAK for my wife's car. It's mostly just a box of bandaids, so I'll have to beef it up. Place to start from on her car though.
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Post by as556 on Nov 13, 2014 14:59:50 GMT
Its just regular gauze z folded then vacuum sealed. I think its 4"x4yd. Pretty good value for $1.75ish. That NAR gauze looks like the same amount just compacted way more then sealed. The NAR is $2.50. The petrolatum gauze is $2.50..got 3 to act as chest seals in my 3 FAKs. No idea how to use an NPA, that's for someone more experienced to use if they're around. If someone's airway is blocked Id give it the old college try, at least.
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Post by Browning35 on Nov 13, 2014 15:39:23 GMT
It's really easy to do. Only disclaimer I'm going to throw in is that say the patient has some head/facial trauma (shot in the face, beaten in the head with a pipe or thrown through the windshield or a car or whatever) you have to recognize that the structures inside their skull could have changed. Some patients could have a basal skull fracture and there have been instances where there's been Intracranial placement of nasopharyngeal by medical providers. www.ncbi.nlm.nih.gov/pmc/articles/PMC2564185/That's extremely rare, but something you have to be aware of. In that case try an OPA and hopefully their jaws aren't locked. They're fucked without an airway anyway though.
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Post by as556 on Nov 22, 2014 4:11:57 GMT
Good video. Straight and to the point. That's good you got a first aid kit for her car, Quikclot is always a good addition. I just made a very minor kit for my girlfriends car that fits in a sandwich ziplock. Has some 5x9s, gauze rolls, bandaids, disinfectant,gloves, ACE wrap, duct tape..think that's it. Some acetaminophen, too. Nothing fancy, enough to treat a cut or sprain or make an improvised pressure dressing, though.
Threw it in the glove box along with some granola bars and a case of water in the trunk then instructed her to try and not die lol. Her and I are going to sit down together soon and build a little get home bag for the trunk.
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