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Exurbankevin
03-22-2016, 08:46 AM
Today's horrors in Belgium have driven home that I need trauma gear on me as a "carry" part of my EDC, rather than "near" me in my car. I have the Cleer EDC kit, (thanks, Todd!), but it's a bit big for on-the-belt carry, and I can't guarantee I'll have a spare pocket to stow it in. Is there something out there that's that is approximately the size of a pistol mag which offers some degree of hemorrhage control / trauma response?

ST911
03-22-2016, 08:59 AM
Critique my 2016 GSW/Trauma Kit
https://pistol-forum.com/showthread.php?19052-Critique-my-2016-GSW-Trauma-Kit

ankle med kits
https://pistol-forum.com/showthread.php?19401-ankle-med-kits&highlight=ankle+tourniquet

Carrying Medical Supplies
https://pistol-forum.com/showthread.php?18222-Carrying-Medical-Supplies&highlight=ankle+tourniquet

EDC TQ / blowout kit, vs BUG / mag etc
https://pistol-forum.com/showthread.php?14273-EDC-TQ-blowout-kit-vs-BUG-mag-etc&highlight=ankle+tourniquet

PNWTO
03-22-2016, 09:09 AM
Today's horrors in Belgium have driven home that I need trauma gear on me as a "carry" part of my EDC, rather than "near" me in my car. I have the Cleer EDC kit, (thanks, Todd!), but it's a bit big for on-the-belt carry, and I can't guarantee I'll have a spare pocket to stow it in. Is there something out there that's that is approximately the size of a pistol mag which offers some degree of hemorrhage control / trauma response?

A SWAT-T? I try to always have one on me. Going up a step, I try to carry one of these (https://darkangelmedical.com/product/pocket-d-a-r-k-mini/) on me when dress always, and have a few more stashed around.

I'm about to pull the trigger on one of those Ryker ankle rigs.

Dropkick
03-22-2016, 09:35 AM
Is there something out there that's that is approximately the size of a pistol mag which offers some degree of hemorrhage control / trauma response?

A SOFTT-W Tourniquet flat folded is about the closest you're going to get to "pistol mag" size. You'd use it for traumatic bleeding from extremities. There are an ever growing number of pouches to carry one on your person too.

SeriousStudent
03-22-2016, 08:06 PM
A SWAT-T? I try to always have one on me. Going up a step, I try to carry one of these (https://darkangelmedical.com/product/pocket-d-a-r-k-mini/) on me when dress always, and have a few more stashed around.

I'm about to pull the trigger on one of those Ryker ankle rigs.

I have one of those Dark Angel kits in my blazer that I wear to church, and in my laptop bag for work. Along with certain other life-saving devices.

I have been wearing a Ryker nylon ankle rig for about a month now, and love it.

Cookie Monster
03-22-2016, 08:11 PM
I'm about to pull the trigger on one of those Ryker ankle rigs.

Do it. It's great.

TGS
03-22-2016, 09:07 PM
Kevin, ST911 gave you some good links to check out. There's a bunch of very useful medical threads on the forum. I wanted to address this question specifically:


Is there something out there that's that is approximately the size of a pistol mag which offers some degree of hemorrhage control / trauma response?

No, and anyone who tells you otherwise is either woefully misinformed or trying to sell you something.

There's not 1 intervention that is applied to all hemorrhages/traumas, unlike video games where you "throw" the med pack at the character and the problem is solved by virtue of it being a small, medium, or large medpack. If you're concerned about trauma from GSWs and blast explosions and what will kill you quickest, you need to have the following capability:

At a minimum:
-Pack a wound with either fluff gauze or hemostatic gauze
-Apply a pressure dressing
-Apply a tourniquet to an extremity
-Improvise a chest seal
-manage an airway (for EDC this can simply be the rescue position)
-treat for shock/hypothermia (for EDC this can be whatever jackets, blankets, or tarps you can find)

Besides the ankle kit I'm currently using, this is my other (belt) solution with a Kahr PM9 for size reference. While wearing this in a suit, my TQ is carried on my wide Perry suspenders. Not shown is a flat "roll" of duct tape, which was added after the picture.

http://i1357.photobucket.com/albums/q758/Finkerfuggles/20160221_172513-1_zpsdjmsxu3g.jpg (http://s1357.photobucket.com/user/Finkerfuggles/media/20160221_172513-1_zpsdjmsxu3g.jpg.html)

There's other ways to skin the cat, but that's an example of a pretty bare bones trauma kit and how much room it still takes up. If space is really a premium you can forego the pressure dressing and just use your shirt, and just carry a TQ, duct tape and gauze for wound packing.

If I'm not mistaken your CLEER EDC kit should be able to fit in your back pocket like a slim wallet, no?

Hizzie
03-22-2016, 11:05 PM
Playing with TQ's I didn't like the SOFTT-W. I preferred the CAT by far. The SWAT-T was interesting as it would work on small children due to the small limbs. I couldn't see efficient self application.

BehindBlueI's
03-22-2016, 11:29 PM
http://i204.photobucket.com/albums/bb183/Docwagon1776/Ruger/20160314_182939_zpsjzhcfohl.jpg

Ankle carry, spare mag (or flashlight) handcuffs, RATS tourniquet.

http://ratstourniquet.com/

Obvious disadvantages: Tourniquet only, nothing for torso hits, sucking chest wound, etc.
Advantage: Space efficient, cost efficient.

Nephrology
03-23-2016, 06:07 AM
At a minimum:
-Pack a wound with either fluff gauze or hemostatic gauze
-Apply a pressure dressing
-Apply a tourniquet to an extremity
-Improvise a chest seal
-manage an airway (for EDC this can simply be the rescue position)



http://i204.photobucket.com/albums/bb183/Docwagon1776/Ruger/20160314_182939_zpsjzhcfohl.jpg

Ankle carry, spare mag (or flashlight) handcuffs, RATS tourniquet.

http://ratstourniquet.com/

Obvious disadvantages: Tourniquet only, nothing for torso hits, sucking chest wound, etc.
Advantage: Space efficient, cost efficient.

For your average person with no medical training beyond CPR, I *really* don't like the idea of people buying airway management kits (NPAs, etc). Honestly, beyond management of life-threatening hemorrhage via TQs, I am not sure how much I want someone without at least EMT-B certification to be spending their time managing medical problems vs. getting them to an ED ASAP. Even a sucking chest wound is not something I am sure I want your average person trying to manage pre-hospital...

TGS
03-23-2016, 06:13 AM
For your average person with no medical training beyond CPR, I *really* don't like the idea of people buying airway management kits (NPAs, etc). Honestly, beyond management of life-threatening hemorrhage via TQs, I am not sure how much I want someone without at least EMT-B certification to be spending their time managing medical problems vs. getting them to an ED ASAP.

Survival lies with those who apply the first bandage.

The experiences overseas have proven the effectiveness of TCCC taught at the layman's level. At my current agency we get a 3 day TCCC course followed by a more advanced 4 day one in some of our follow on training.....I'd much rather they have that training than be told, "you're not an emt, fuck off."

BehindBlueI's
03-23-2016, 07:05 AM
Well, let's keep in mind that, at least in 1998, EMT-B training was 40 hours of classroom work and 8 hours of "clinicals". So whatever TCCC stands for is likely in the same realm, but I would assume focusing more on trauma and leaving out the child birth, diabetic shock, etc. I think you guys are mostly on the same page that someone with no training shouldn't be playing with airway management tools and that some basic training is helpful to go along with your kit.

Former EMT-I/D (D was manual defibrillation), for what it's worth, though it's been so long since I used it I'm not much more than an advanced band-aid sticker-onner now.

TGS
03-23-2016, 07:27 AM
Well, let's keep in mind that, at least in 1998, EMT-B training was 40 hours of classroom work and 8 hours of "clinicals". So whatever TCCC stands for is likely in the same realm, but I would assume focusing more on trauma and leaving out the child birth, diabetic shock, etc. I think you guys are mostly on the same page that someone with no training shouldn't be playing with airway management tools and that some basic training is helpful to go along with your kit.

Former EMT-I/D (D was manual defibrillation), for what it's worth, though it's been so long since I used it I'm not much more than an advanced band-aid sticker-onner now.

The current NA EMT course is 250 hours. At my previous workplace, TCCC was viewed as a continuing ed. like PHTLS.

Dropkick
03-23-2016, 08:16 AM
There's not 1 intervention that is applied to all hemorrhages/traumas, and anyone who tells you otherwise is either woefully misinformed or trying to sell you something.

You hit the nail on the head. I wanted to articulate that in my earlier post, but couldn't find the right words.

ST911
03-23-2016, 01:12 PM
The level of training required to perform the most critical life-saving interventions is very minimal, and does not require a formal pre-hosptial care provider credential of any sort. Cub scouts, octogenarians, homemakers, and morons can all be taught to apply a TQ, drop a naso, pressure wrap a wound, cover a hole in the chest, and lay someone on their side. Credible training does not have to be credential training.

People drastically overestimate the value of EMS creds for applications such as these. Many would not believe how far behind a lot of EMS remains in knowledge and equipment. It's better in recent years, but TQ phobia is alive and well, TQ drills in EMT class can be minimal at best, 5 minutes with Fred the Head is the OPA/NPA block, and so much is still certificate by powerpoint.

Whatever you do, take a class, learn the tools, and practice with whatever tribe you've gathered.

SpyderMan2k4
03-23-2016, 05:30 PM
I'm still working out options for Combat Gauze and probably a chest seal or two, but I've been carrying a soft t wide in a BFG pouch, with a soft loop AIWB for a couple weeks and have been very very pleased with it.

6692

BehindBlueI's
03-23-2016, 08:15 PM
The current NA EMT course is 250 hours. At my previous workplace, TCCC was viewed as a continuing ed. like PHTLS.

I'll take your word on it. I don't even recognize the acronyms. Is BTLS still a thing?

TGS
03-23-2016, 08:43 PM
I'll take your word on it. I don't even recognize the acronyms. Is BTLS still a thing?

Yeah, they renamed it to ITLS (International Trauma Life Support), which is a competitor course to PHTLS (Pre-Hospital Trauma Life Support). Both are 16 hour courses and at least in NJ are usually required by most places to work as a paid EMT....most places will accept one or the other.

BehindBlueI's
03-23-2016, 09:31 PM
Yeah, they renamed it to ITLS (International Trauma Life Support), which is a competitor course to PHTLS (Pre-Hospital Trauma Life Support). Both are 16 hour courses and at least in NJ are usually required by most places to work as a paid EMT....most places will accept one or the other.

Ok. I have to correct myself. The 40 hours was the manual defib portion. EMT B was 160 hrs and 3 shifts of clinical. That was after combat lifesaver not sure if those hours counted. Anyway, I was wrong...in addition to being outdated.

highready
03-23-2016, 09:48 PM
I'm still working out options for Combat Gauze and probably a chest seal or two, but I've been carrying a soft t wide in a BFG pouch, with a soft loop AIWB for a couple weeks and have been very very pleased with it.

6692

That's almost exactly what I've been looking for. Where did you get the IWB loop/adapter for the pouch? I've tried some similar setups with using an ITS EDC kit as well as just a SOFT-W and have yet to find something I'm really happy with.

SpyderMan2k4
03-23-2016, 09:54 PM
That's almost exactly what I've been looking for. Where did you get the IWB loop/adapter for the pouch? I've tried some similar setups with using an ITS EDC kit as well as just a SOFT-W and have yet to find something I'm really happy with.
I cannibalized the soft loop and small piece of kydex (that I covered in Velcro to be held on place by the BFG belt loop) from an old holster. Shoot Tom (Orionz06) from Dark Star Gear a message. I've had a few people asking about loops to do this mod, and I've been bugging him to offer little loop kits to do so.

As a little more detail why I went this route, the soft pouch keeps it really comfortable to carry. A rigid AIWB holster has to be pretty precisely placed to be comfortable. Being soft, there's a little more leeway for placement. Carrying vertical, particularly with a single soft loop, helps minimize the amount of belt space, which is good cause I carry a lot of stuff. It could be carried anywhere, not just AIWB, but I like being able to access it with either hand.

Jac
03-30-2016, 08:32 AM
Anyone happen to have some good size comparison shots of some of the various TQs and/or kits; especially next to, say, an iPhone? It would be nice to know what I'd be getting into, but it's tough to get a feel for the size of these things based on dealer photos.

entropy
03-30-2016, 08:50 AM
Here you go. Sorry for the poor iPad pic. Both these items ride in a small messenger type bag that is always with me at work. I have more comprehensive kits in each vehicle. For low threat EDC carry, I really dont have anything on my person. Probably a very poor habit.

http://s24.postimg.org/e7e53h8yd/image.jpg (http://postimage.org/)
image ru (http://postimage.org/)