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2/9/2011 6:12:53 PM EDT
As the name implies I've started working on another set of blow out kits, but in buying all the supplies I started to wonder if anything new has come out, or if anything has changed which may provide to be a better option.



Here's what each kit will have





-2 Kerlix (4.5")

-1 pair of gloves (Nitril)

-1 Israeli Emergency Bandage

-1 Asherman Chest Seal

-1 SOF-T

-1 hemorrhage control*
*Can't decide here, while it seems the gauze would be easier to use along with other items (IE Israeli bandage and kerlix) I've been hearing a lot about the pellets still working better.





These kits will be added to the vehicle kits, and added to various backpacks that are used for hunting, hiking, four wheeling etc. My main concern is the area we play in. Lots of people target shooting, and in some spots the infamous "cartel signs" have now appeared seemingly overnight. It would be the shits to go for a simple hike and end up running into a group of smugglers. I'm also replacing some of the worn out items in the kits I use for work (LE) that have since been destroyed from being abused.





So how about it guys in the know, hows this kit look, and are there other better choices before I hit the submit button.
2/9/2011 6:21:11 PM EDT
[#1]
Looks pretty good to me.

Is that the total kit?  I'd like to see a cpr mask.

I usually look at what some of the other kits( like Larue's) have and then try and put all that together.
2/9/2011 6:28:25 PM EDT
[#2]
Please regard my opinion like a grain of salt as I am EGO centric about medical things. I suggest 15G celox for major wounds and lots of butterfly closure bandages and I mean the 1.5 in. ones and a metric crap ton of gauze and 3x3's or 4x4s. If your in AZ like me Choyas will be a primary concern so get tweezers/hemostats and mayby a scalpel for digging things out. Good Luck! I also reccomend you look at this place for everything you need and more.
2/9/2011 7:33:09 PM EDT
[#3]




Quoted:

Looks pretty good to me.



Is that the total kit? I'd like to see a cpr mask.



I usually look at what some of the other kits( like Larue's) have and then try and put all that together.




Oather Keeper huh? I'm guessing you are a member over their too? Just heard about them today on TSP, seems like a pretty cool group of people.

Got the CPR mask covered in all the kits, good idea to include that though. They arn't the large plastic mask (inside my duty bag there is one though) they are the smaller pocket soft masks with a one way valve for space considerations.  
Keegaroo, I was looking at the 15gr packages over the 3Xgr packages but including two. My reasoning was that if its a nice sized wound, whats it going to hurt to open a second package, but if its a small one why waste the rest of larger (more expensive) package. As for the cholla, nasty little bastards! Note taken, hemostats would be simple enough to package into the kits and would prove to be useful. My leatherman is usually the hero when I stumble into them, but over time their "precision" nose has been undone.



2/10/2011 6:05:28 PM EDT
[#4]
Quoted:
As the name implies I've started working on another set of blow out kits, but in buying all the supplies I started to wonder if anything new has come out, or if anything has changed which may provide to be a better option.

Here's what each kit will have


-2 Kerlix (4.5")
If space is a consideration, H&H sells vacuum packed gauze
-1 pair of gloves (Nitril)
Give strong consideration to two pairs. They rip easily and it's nice to be able to swap out or pull the second set over the first when they're covered in blood and you have a moment.
-1 Israeli Emergency Bandage
The Olaes bandage has velcro strios every 6" or so on the bandage portion, so slipping with it during application doesn't cause you to lose all your tension and have to start over again. This is especially handy during self application. it also incorporates an occlusive dressing and wound packing material. They're much more versatile than the izzie at about he same cost / weight / space.
-1 Asherman Chest Seal
I'm carrying the HALO, as it sticks better than the Asherman, but it doesn't have the valve. Regardless, I also include a section of peel off backing duct tape. You may find that an Asherman doesn't stick as well as you'd like to bloody, sweaty skin. The duct tape can be a good work-around to that, as well as another occlusive drssing in a pinch, self-splint material, etc. Essentially no space / weight penalty, too handy to be without. The peel-off backing stuff is much, much easier to use than the regular stuff. I get it off Amazon
-1 SOF-T
-1 hemorrhage control*




*Can't decide here, while it seems the gauze would be easier to use along with other items (IE Israeli bandage and kerlix) I've been hearing a lot about the pellets still working better. The single most effective way to control a bleed that can't be controlled via pressure or a TQ is wound packing. A hemostatic such as combat gauze is a bonus to this, but the simple fact that you can pack effectively with it is crucial. The kitty litter version is next to useless in real application. I didn't carry any hemostatic until one of our paramedics went to Sam Huston for some sort of medical specific BNOC as a part of his reserve traininjg and went through the goat lab there. he came back speaking very well of combat gauze, and I added it to my BOK.


These kits will be added to the vehicle kits, and added to various backpacks that are used for hunting, hiking, four wheeling etc. My main concern is the area we play in. Lots of people target shooting, and in some spots the infamous "cartel signs" have now appeared seemingly overnight. It would be the shits to go for a simple hike and end up running into a group of smugglers. I'm also replacing some of the worn out items in the kits I use for work (LE) that have since been destroyed from being abused.


So how about it guys in the know, hows this kit look, and are there other better choices before I hit the submit button.




Tommy's take on a BOK;


I went with a Condor rip away pouch - lets me place it at ~4:00 on my gear and still access it easily.


It's a bit big for a minimalist BOK, but I'm usually functioning in the role of a medic, and I'm paranoid by nature. The BOK supplements an Eagle med pack close to hand most of the time, but works adequately as a stand alone major trauma kit when i need to be a bit lighter.



The top portion, or the right section as you look at the picture holds a HALO chest seal, (If I weren't ready to needle a chest, I'd go with a Bolin or Asherman, as the HALO doesn't have a valve. It sticks the best of the three though, and each pack contains two) a flat pack cinch-tight dressing (I like the Oales for my primary, but like having two pressure dressings, and the flat pack is a nice bandage taking up little space. I use them in my smaller BOKs as stand-alones), a section of peel off backing duct tape a CAT tourniquet and two 14 gauge IV caths. i carry the caths 'cause needle thoracostomy is within my scope. I stand neutral on the subject of folk who aren't versed in the procedure carrying such.

The middle compartment contains an Oales dressing, two pair of exam gloves and Combat Gauze.

The fold out flap contains a NPA, packet of lube and a mini-sharpie.

I also carry a Benchmade 7-hook, but a pair of trauma shears is an inexpensive alternative. A small LED light (white, blood is difficult to make out under colored lights) is also a handy addition, but I have a fenix as my EDC light.

Like I said, this is probably overkill for a BOK for most folk. I'm quite comfortable with the idea of treating a GSW with this stuff though, and have done so.

I subscribe to the belief that a blow out kit is separate from a first aid kit. it is intended only for major trauma. While band aids, splinter forceps, neosporin, an irrigation syringe, etc are important, they're a separate kit and a separate subject. i don't want my hello Kittie band aids and chap stick getting in my way when I need a tourniquet.
2/10/2011 7:40:39 PM EDT
[#5]
Outstanding reply! Thanks!
2/13/2011 8:54:54 AM EDT
[#6]
All thank you for the posts and information.  This is the best so far for terseness, comparison of products, and the link to order individual items.

I am updating my BOK which is now just cling, 4x4s, duct tape, cravats Quick Clot Sort and space blanket.  I also keep my EMT shear and sharpie in the pouch.   It goes with me to range and training classes, places were ALS is never far away, and MOST of the time there is a Corpsman in the group.  I was an EMT-B and CPR Instructor a long time ago and my certs have long ago lapsed, so anything beyond basic first aid is beyond my purview.  

I am looking at the following:
Israeli bandage or similar as a primary dressing
Tourniquet (SOF-T)
Occlusive dressing / chest seal with valve to preclude needing a needle....
CPR shield
4x4s
roll of cling
Quick Clot sport
Space blanket
EMT Shears
NPA & lube * (should I have it for JIC?)
14ga x 3.25" cath *  (should I have it for JIC?)
Cravat (make my own and they have 1000s of uses..)
I will carry this kit in an SOE medical insert tray in 3 mag size pouch on my chest rig or belt depending on what I am doing..

I have another first aid pouch for on my belt or in my range bag for a second copy of the items above with more cravats, 4x4s, cling and big trauma dressing..

I would also like to build larger kit based on the same items and expand them to include boo boo kit, tweezers, ice pack, splinting material, etc...to keep in the house and in vehicles.  

Looking for any feedback concerning items, especially to Quick Clot Sport and QCS Silver.  
Thanks again.  Be safe.


2/13/2011 6:20:56 PM EDT
[#7]
Sorry cant quote ya BMYK it's doin something weird when I try but I think that kit looks good, but you may not need the NPA or Quicklot because unless it is a major injury pressure wil usualy do the trick. Also in my opinion you may not need to Cath.

2/14/2011 8:44:21 AM EDT
[#8]
Quoted:
All thank you for the posts and information.  This is the best so far for terseness, comparison of products, and the link to order individual items.

I am updating my BOK which is now just cling, 4x4s, duct tape, cravats Quick Clot Sort and space blanket.  I also keep my EMT shear and sharpie in the pouch.   It goes with me to range and training classes, places were ALS is never far away, and MOST of the time there is a Corpsman in the group.  I was an EMT-B and CPR Instructor a long time ago and my certs have long ago lapsed, so anything beyond basic first aid is beyond my purview.  

I am looking at the following:
Israeli bandage or similar as a primary dressing
Tourniquet (SOF-T)
Occlusive dressing / chest seal with valve to preclude needing a needle....
CPR shield
4x4s
roll of cling
Quick Clot sport
Space blanket
EMT Shears
NPA & lube * (should I have it for JIC?)
14ga x 3.25" cath *  (should I have it for JIC?)
Cravat (make my own and they have 1000s of uses..)
I will carry this kit in an SOE medical insert tray in 3 mag size pouch on my chest rig or belt depending on what I am doing..

I have another first aid pouch for on my belt or in my range bag for a second copy of the items above with more cravats, 4x4s, cling and big trauma dressing..

I would also like to build larger kit based on the same items and expand them to include boo boo kit, tweezers, ice pack, splinting material, etc...to keep in the house and in vehicles.  

Looking for any feedback concerning items, especially to Quick Clot Sport and QCS Silver.  
Thanks again.  Be safe.




Tacmedsolutions has Olaes dressings, SOF-T tqs and Asherman chest seals. They have great customer service, and the owner / developer is a former SF medic. I'm consistently impressed by their products.They also have quik-clot combat guaze, which IMHO is far better than the quik-clot sport or silver.

I think poorly of the CPR microshields available. I'd strongly suggest that you go with a full size pocket mask if you want a barrier device for ventilation.
In a full arrest situation (with the exception of 'lack of air' events such as drownings), compression only CPR actually works better anyway. I know it sounds counterintuative, but my service switched to CCR a couple of years ago along with a couple of other tricks like inducing hypothermia after return of circulation, and we've seen our save rates sky-rocket as a result. Nowadays, we don't even try to breathe for the patient for the first several minutes of an arrest. If you're interested, read up on cardiocerebral resucitation

Kling is available at Walgreens, or H&H compressed gauze is the same thing, vacuum packed to take up much less space.

As well as having the H&H gauze, tactical response gear also has the Bolin chest seal, NPA, IV caths and trauma shears.

2/14/2011 11:40:01 AM EDT
[#9]
Thank you, the TACMED solutions are what I am ordering.  I appreciate your insights into CPR, I have not been certified for about 15 years.  This from being an instructor and EMT-B..  As far basic kling and 4x4s, wife works for a vet....nuff said there, I get all the near expired stuff.  As far as chest seals, if I am not carrying a cath (for ALS to use on ME JIC they forgot all theirs..) do you recommend a vented or non-vented seal?  If non-vented, then petroleum gauze and duct tape get the nod?
So really, short of a selection of the Aloes dressings and the SOF T, everything is pointing to a KISS which is about what I am running with now.
Thanks again, and you guys on the job please be safe.  I look forward to hearing more guidance from you all.
R/
Mike


Quoted:
Quoted:
All thank you for the posts and information.  This is the best so far for terseness, comparison of products, and the link to order individual items.

I am updating my BOK which is now just cling, 4x4s, duct tape, cravats Quick Clot Sort and space blanket.  I also keep my EMT shear and sharpie in the pouch.   It goes with me to range and training classes, places were ALS is never far away, and MOST of the time there is a Corpsman in the group.  I was an EMT-B and CPR Instructor a long time ago and my certs have long ago lapsed, so anything beyond basic first aid is beyond my purview.  

I am looking at the following:
Israeli bandage or similar as a primary dressing
Tourniquet (SOF-T)
Occlusive dressing / chest seal with valve to preclude needing a needle....
CPR shield
4x4s
roll of cling
Quick Clot sport
Space blanket
EMT Shears
NPA & lube * (should I have it for JIC?)
14ga x 3.25" cath *  (should I have it for JIC?)
Cravat (make my own and they have 1000s of uses..)
I will carry this kit in an SOE medical insert tray in 3 mag size pouch on my chest rig or belt depending on what I am doing..

I have another first aid pouch for on my belt or in my range bag for a second copy of the items above with more cravats, 4x4s, cling and big trauma dressing..

I would also like to build larger kit based on the same items and expand them to include boo boo kit, tweezers, ice pack, splinting material, etc...to keep in the house and in vehicles.  

Looking for any feedback concerning items, especially to Quick Clot Sport and QCS Silver.  
Thanks again.  Be safe.




Tacmedsolutions has Olaes dressings, SOF-T tqs and Asherman chest seals. They have great customer service, and the owner / developer is a former SF medic. I'm consistently impressed by their products.They also have quik-clot combat guaze, which IMHO is far better than the quik-clot sport or silver.

I think poorly of the CPR microshields available. I'd strongly suggest that you go with a full size pocket mask if you want a barrier device for ventilation.
In a full arrest situation (with the exception of 'lack of air' events such as drownings), compression only CPR actually works better anyway. I know it sounds counterintuative, but my service switched to CCR a couple of years ago along with a couple of other tricks like inducing hypothermia after return of circulation, and we've seen our save rates sky-rocket as a result. Nowadays, we don't even try to breathe for the patient for the first several minutes of an arrest. If you're interested, read up on cardiocerebral resucitation

Kling is available at Walgreens, or H&H compressed gauze is the same thing, vacuum packed to take up much less space.

As well as having the H&H gauze, tactical response gear also has the Bolin chest seal, NPA, IV caths and trauma shears.



2/14/2011 2:50:31 PM EDT
[#10]
Quoted:
Thank you, the TACMED solutions are what I am ordering.  I appreciate your insights into CPR, I have not been certified for about 15 years.  This from being an instructor and EMT-B..  As far basic kling and 4x4s, wife works for a vet....nuff said there, I get all the near expired stuff.  As far as chest seals, if I am not carrying a cath (for ALS to use on ME JIC they forgot all theirs..) do you recommend a vented or non-vented seal?  If non-vented, then petroleum gauze and duct tape get the nod?
So really, short of a selection of the Aloes dressings and the SOF T, everything is pointing to a KISS which is about what I am running with now.
Thanks again, and you guys on the job please be safe.  I look forward to hearing more guidance from you all.
R/
Mike


Quoted:
Quoted:
All thank you for the posts and information.  This is the best so far for terseness, comparison of products, and the link to order individual items.

I am updating my BOK which is now just cling, 4x4s, duct tape, cravats Quick Clot Sort and space blanket.  I also keep my EMT shear and sharpie in the pouch.   It goes with me to range and training classes, places were ALS is never far away, and MOST of the time there is a Corpsman in the group.  I was an EMT-B and CPR Instructor a long time ago and my certs have long ago lapsed, so anything beyond basic first aid is beyond my purview.  

I am looking at the following:
Israeli bandage or similar as a primary dressing
Tourniquet (SOF-T)
Occlusive dressing / chest seal with valve to preclude needing a needle....
CPR shield
4x4s
roll of cling
Quick Clot sport
Space blanket
EMT Shears
NPA & lube * (should I have it for JIC?)
14ga x 3.25" cath *  (should I have it for JIC?)
Cravat (make my own and they have 1000s of uses..)
I will carry this kit in an SOE medical insert tray in 3 mag size pouch on my chest rig or belt depending on what I am doing..

I have another first aid pouch for on my belt or in my range bag for a second copy of the items above with more cravats, 4x4s, cling and big trauma dressing..

I would also like to build larger kit based on the same items and expand them to include boo boo kit, tweezers, ice pack, splinting material, etc...to keep in the house and in vehicles.  

Looking for any feedback concerning items, especially to Quick Clot Sport and QCS Silver.  
Thanks again.  Be safe.




Tacmedsolutions has Olaes dressings, SOF-T tqs and Asherman chest seals. They have great customer service, and the owner / developer is a former SF medic. I'm consistently impressed by their products.They also have quik-clot combat guaze, which IMHO is far better than the quik-clot sport or silver.

I think poorly of the CPR microshields available. I'd strongly suggest that you go with a full size pocket mask if you want a barrier device for ventilation.
In a full arrest situation (with the exception of 'lack of air' events such as drownings), compression only CPR actually works better anyway. I know it sounds counterintuative, but my service switched to CCR a couple of years ago along with a couple of other tricks like inducing hypothermia after return of circulation, and we've seen our save rates sky-rocket as a result. Nowadays, we don't even try to breathe for the patient for the first several minutes of an arrest. If you're interested, read up on cardiocerebral resucitation

Kling is available at Walgreens, or H&H compressed gauze is the same thing, vacuum packed to take up much less space.

As well as having the H&H gauze, tactical response gear also has the Bolin chest seal, NPA, IV caths and trauma shears.





In the absence of needling the chest, I'd prefer an occlusive with a valve. I think well of both the Ashermans and Bolins, but the Bolin packs more easily as you don't have to worry about creasing the little vent nipple thing like you do with the Asherman. If you want to save money though and still have any EMS connections, expired defib pads work very well as occlusives. (I actually tend to use the non-expired ones in the rig, but at ~70 bucks a pop, that pisses off the purchasing guy pretty badly. Of course, he already hates me for convincing him that he needed to order left handed IV caths.)

The petroleum gauze or plastic wrapper and tape trick is fine as far as it goes, but we played around with that compared to the commercial dressings in my tactical medic class, and again at a couple of Defensive Edge advanced classes where we were incorporating immediate action medical into the training. We found that peeling off the backing and sticking an Asherman / Bolin / Halo was much faster and easier than ripping three pieces of tape, putting the dressing over the hole and taping three sides down, especially when doing self-aid.. I think a commercial occlusive is to the petroleum gauze thing is just like the commercial pressure dressing is to the ACE wrap and surgi-pad; Either will work, but the advantages of the commercial product make them worth the cost to me.

So, cliff notes - I'd recommend the Bolin.
2/14/2011 4:11:15 PM EDT
[#11]
Quoted:
Quoted:
Thank you, the TACMED solutions are what I am ordering.  I appreciate your insights into CPR, I have not been certified for about 15 years.  This from being an instructor and EMT-B..  As far basic kling and 4x4s, wife works for a vet....nuff said there, I get all the near expired stuff.  As far as chest seals, if I am not carrying a cath (for ALS to use on ME JIC they forgot all theirs..) do you recommend a vented or non-vented seal?  If non-vented, then petroleum gauze and duct tape get the nod?
So really, short of a selection of the Aloes dressings and the SOF T, everything is pointing to a KISS which is about what I am running with now.
Thanks again, and you guys on the job please be safe.  I look forward to hearing more guidance from you all.
R/
Mike


Quoted:
Quoted:
All thank you for the posts and information.  This is the best so far for terseness, comparison of products, and the link to order individual items.

I am updating my BOK which is now just cling, 4x4s, duct tape, cravats Quick Clot Sort and space blanket.  I also keep my EMT shear and sharpie in the pouch.   It goes with me to range and training classes, places were ALS is never far away, and MOST of the time there is a Corpsman in the group.  I was an EMT-B and CPR Instructor a long time ago and my certs have long ago lapsed, so anything beyond basic first aid is beyond my purview.  

I am looking at the following:
Israeli bandage or similar as a primary dressing
Tourniquet (SOF-T)
Occlusive dressing / chest seal with valve to preclude needing a needle....
CPR shield
4x4s
roll of cling
Quick Clot sport
Space blanket
EMT Shears
NPA & lube * (should I have it for JIC?)
14ga x 3.25" cath *  (should I have it for JIC?)
Cravat (make my own and they have 1000s of uses..)
I will carry this kit in an SOE medical insert tray in 3 mag size pouch on my chest rig or belt depending on what I am doing..

I have another first aid pouch for on my belt or in my range bag for a second copy of the items above with more cravats, 4x4s, cling and big trauma dressing..

I would also like to build larger kit based on the same items and expand them to include boo boo kit, tweezers, ice pack, splinting material, etc...to keep in the house and in vehicles.  

Looking for any feedback concerning items, especially to Quick Clot Sport and QCS Silver.  
Thanks again.  Be safe.




Tacmedsolutions has Olaes dressings, SOF-T tqs and Asherman chest seals. They have great customer service, and the owner / developer is a former SF medic. I'm consistently impressed by their products.They also have quik-clot combat guaze, which IMHO is far better than the quik-clot sport or silver.

I think poorly of the CPR microshields available. I'd strongly suggest that you go with a full size pocket mask if you want a barrier device for ventilation.
In a full arrest situation (with the exception of 'lack of air' events such as drownings), compression only CPR actually works better anyway. I know it sounds counterintuative, but my service switched to CCR a couple of years ago along with a couple of other tricks like inducing hypothermia after return of circulation, and we've seen our save rates sky-rocket as a result. Nowadays, we don't even try to breathe for the patient for the first several minutes of an arrest. If you're interested, read up on cardiocerebral resucitation

Kling is available at Walgreens, or H&H compressed gauze is the same thing, vacuum packed to take up much less space.

As well as having the H&H gauze, tactical response gear also has the Bolin chest seal, NPA, IV caths and trauma shears.





In the absence of needling the chest, I'd prefer an occlusive with a valve. I think well of both the Ashermans and Bolins, but the Bolin packs more easily as you don't have to worry about creasing the little vent nipple thing like you do with the Asherman. If you want to save money though and still have any EMS connections, expired defib pads work very well as occlusives. (I actually tend to use the non-expired ones in the rig, but at ~70 bucks a pop, that pisses off the purchasing guy pretty badly. Of course, he already hates me for convincing him that he needed to order left handed IV caths.)

The petroleum gauze or plastic wrapper and tape trick is fine as far as it goes, but we played around with that compared to the commercial dressings in my tactical medic class, and again at a couple of Defensive Edge advanced classes where we were incorporating immediate action medical into the training. We found that peeling off the backing and sticking an Asherman / Bolin / Halo was much faster and easier than ripping three pieces of tape, putting the dressing over the hole and taping three sides down, especially when doing self-aid.. I think a commercial occlusive is to the petroleum gauze thing is just like the commercial pressure dressing is to the ACE wrap and surgi-pad; Either will work, but the advantages of the commercial product make them worth the cost to me.

So, cliff notes - I'd recommend the Bolin.


Dude, I wish you were in VA.....  left handed IV cath....LMAO.  Really, All good advice.  In Navy boot camp first aid, they taught us our id cards for sucking chest wounds.....  At least I am upgrading from duct tape, roll of paper towels and a tube of super glue.....  No EMS connections, but next time I take my to lunch, I will raid her supply locker at the vet clinic for vet wrap and SAM splint material.  Vet wrap is the stuff.....stretchy and clingy....I always get dibs on the orange with blue bones......
2/15/2011 6:32:23 AM EDT
[#12]
Quoted:
Please regard my opinion like a grain of salt as I am EGO centric about medical things. I suggest 15G celox for major wounds and lots of butterfly closure bandages and I mean the 1.5 in. ones and a metric crap ton of gauze and 3x3's or 4x4s. If your in AZ like me Choyas will be a primary concern so get tweezers/hemostats and mayby a scalpel for digging things out. Good Luck! I also reccomend you look at this place for everything you need and more.


Cacti are half of why I carry a Leatherman with a good set of pliers in it =)  I'll be damned if those things don't have a way of making it right through the sole of a Danner boot like a hot knife through butter...

To the OP, I'd say that setup sounds pretty good, but I also have ZERO training on how to USE any of those items in the field, so I really haven't a clue wtf I'm talking about =)
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