Do you carry a first aid kit?
What do you have in it?
Asks someone that needs one currently? I hope not. Ha. That’s my luck.
I carry a basic (useless for anything serious) one in my truck and a bottle of eye wash that will probably be frozen when I need it (the salt in it will help a little). I'm going to upgrade my truck kit. I don't carry anything in the woods.
2 tourniquets.
1 Israeli bandage.
2 rolls Kerlix.
2 packs quick clot.
And an NPA for good measure.
My biggest fear is bashing my face and/or head and suffocating because I don’t have an airway and whoever MIGHT help doesn’t have a way to. Which; this is super far fetched. But most people in the woods wouldn’t know how to use the NPA anyway. But I think that same fear applies to others and I would use it for you them.
I’ve even though about a tension pneumothorax and how I’d fix that, in case of an accidental shooting. I mean, the needle and the occlusive dressing aren’t all that heavy.
Whatcha gonna do with that NPA, and is the appropriate size for you? I’d be very hesitant to place a NPA in a patient with a facial injury who can’t maintain their airway. If there’s a basal skull fracture, the risk outweighs the benefit. Jaw thrust works.
Semper Fi,
Mike
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Hmmm. I was just trained to always slap an NPA. Even up til recently. This is why we must continue education boys and girls.
It is the proper size for me. Not that I’d be able to use it in the case that I needed it for myself.
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They come in an array of sizes. Too short and it won’t displace the tongue. Too long and it can curl and occlude, or go in to the esophagus. If you’re gonna carry one, just carry a kit so you can measure if you need to use one. They typically range from 20-34fr. It should measure nose to earlobe. NPA is contraindicated with facial fractures and nose bleeds. Insertion in the right nare is preferred, as it’s the larger of the two. Bevel edge to the inside and rotate as it’s going in.
Semper Fi,
Mike
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I toss in a few Benadryl too just in case. And for the guys at a higher risk of heart attack possibly some full strength Aspirin.Quickclot is a good choice.
Neosporin
Bandaids
Gauze
Medical tape
Small bottle of sterile water
Tweezers
Two Cravats
I strongly encourage you all to forego a tourniquet. As a flight paramedic I cannot tell you how many times I’ve stepped in to the back of an ambulance and found a tourniquet applied by either EMS or Law Law Enforcement unnecessarily. All that bleeds does NOT require a tourniquet. Direct pressure, gauze and tape will often get the job done. Quickclot gauze or powder will work just fine too. A bright red spurting arterial bleed “might” require a tourniquet, but outside of the combat-bullets-flying-overhead environment, IT SHOULD NOT BE THE FIRST DEVICE. If a TQ is needed, place it 2 inches above the wound, not high up in the joint. We could get in to a lengthy discussion about why that’s a bad idea, but in the interest of brevity, just take my word for it.
In place of a tourniquet, the cravat can be used. The cravat can also be used to fashion a splint, and with the second one you can make a sling. Two cravats take up the same space as a TQ and have more uses.
Semper Fi,
Mike
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