Advanced Wilderness Medical Gear
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- เผยแพร่เมื่อ 9 ก.ค. 2024
- A detailed walk through of the advanced life support (ALS) medical supplies I carry with me as a member of a wilderness medical team. The All Hazards Response Team (AHRT) is a specialized group of EMTs and Paramedics that regularly deploy to disaster areas, attach to search and rescue teams (SAR), offer fireline medical support and provide advanced medical care in austere environments.
Buy the RATS Pack here: www.avantlink.com/click.php?t...
Buy medical supplies here: medicalgearoutfitters.com/?af...
In the next weeks episode: "How to pack an ambulance inside a backpack"
*how to pack an entire hospital into a purse
I can’t find a purse that compliments my body armor.
@@lukizaracodin241 I’m still waiting to find out how to tie the hospital around my ankle
I havent made a vid in a long time, but maybe i will do a walkthrough of how I set up my RATS as an Army Combat Medic. Would anyone be interested?
Yea that sounds cool mate
I am working on putting one together in the next month or so.
Would definitely appreciate it
Yes
Yes. Did you make it?
I'm missing a pelvic sling.
Pelvic trauma will nearly always lead to a C-issue and to a lot of pain on transport. Both can be reduced with a pelvic sling.
You can improvise one, but, as tourniquets, I would prefer a commercial one.
Look into the RISE Splint
Love that kit, perfect! Brought back a lot of memories, thank you
Looks like a pretty good load out. Can’t make a one size fits all but this is definitely a one size fits most. Would love to see updates as you use it more! Great pack! Great load out!
I’m not a medic so.... just curious, who pays for all this stuff, do you get a budget from the service you work for or is there some awesome closet full of stuff to pick through?
Usually companies have there set gear. If you choose to make your own bags your pretty much paying out of your own pocket. However my company allows me to take items from stock to make my bag within reason. Expensive items your going to be on your own. Also the bag itself.
Awesome load out. Thank you for going over it in such depth.
Great comprehensive set up, Sam. I like that tear away pouch on the side of the RATS pack. That would be nice to set up a backpacker's minimal IFAK and not have to go into a pocket to access it. I wish many years ago I had one of those traction splints. Using tree saplings, a triangular bandage for tension and duct tape to secure the leg was rather primitive however it worked, saving the man's leg. Watching your videos has been very helpful in my gathering supplies for an overland camping first aid/trauma kit. I noted a couple items not in your kit: an oral or rectal thermometer and disposable masks. So, many thanks, Sam, for your help.
This is the vid I have been waiting for 🤘🤘🤘
Nice set up! I am an EMT with the U.S. Border Patrol and what I have done in my pack is add an outside molly pouch, where I have my vitals assesment tools all in one. In the past I would be digging for stuff, now its all in one place. I also carry a glucometer, and headlight.
Corona Virus: *spreads*
Sam: "I have a little bit of a cold"
His fans: 😳
you stupid or stupid?
r/woosh, I guess?
Colds can be caused by an endemic coronavirus. There are possibly millions of different coronavirus strains. I am guessing you are referring to SARS-Cov2.
finally!!! i have two of them,really like your set.
Love the use of the split screen!!
Loved the video Sam!
The RATS is a cool pack, but I prefer my Chinook. The RATS is empty already as heavy as my TMK is kitted. It’s the heaviest medical pack I‘ve seen so far. Thanks for your vids. Enjoy the much. Regards from a German medic.
*pulls out a hatchet*
“And here we’ve got the can opener”
I know it’s a rescue term but that honestly made me chuckle
Very nice setup !!! Loojs like ut will do you well in these missions in the wild
Thats one awesome backpack. I was very interested in your pharmacy pouch 👍👍
Great walkthrough of the contents in your RATS pack, interesting to see yours! Looking to improve mine, I use mine for marathons/community events/camps and keep a mini O2 tank in place, while local certification and licensure limits me to LMAs and OPAs and basic drugs.
The RATS has served me well for about a year now, and has been that sweet spot that’s larger than an M9 but smaller (and more comfortable) than a STOMP/SCOTT. Let us know again after one year of use?
Watch those Bearclaws. They're so nice paired & compressed, but if you haven't worked with them-- time yourself trying to get a pair on; in that state they are vacuum compressed, and when PPE comes first, the extra seconds can be the weak link in your whole kit. Takes up a liitle more room, but I separate mine in advance.
From your videos I’ve gather that you’ve been in ems, law enforcement, fire, ski patrol, and wild land SAR.
Yes.
Really enjoy your videos :)
love these vids
+1. Even when I don't an idea of what he is talkin about!
Awesome kit you are very knowledgeable
Sam, you should make a video of how the jump bags are set up at your new job in CO!
Nice setup. ..
Semper Fi!!!
Wow great load out ,
Thank you
Im an EMT in boulder. and certified WEMT. I've never heard of AHRT it sounds awesome!
I really like that you carry a traction splint and a warming blanket. That hangable IV bag is pretty sweet, although i'm a little surprised your not running any IO's
With no ability to get IOs, I would be screwed. I guess they would do an EJ? Every time they need IV access in the ER they need the ultrasound for me. Hopefully they could get away with giving me whatever IM instead at least until I got to the hospital.
The rusch brand NPA can fit over that 25ml syringe and be used as a suction device. When your get rid of your OPA kit you might want to consider waterjel burn dressings and telfa non stick gauze.
Very comprehensive bag.
If i could take the blood and death i would love to be trained in how to properly use all the equipment and carry it every day off body in a great bag settup.
Thx for the video, well explained and informative
Thanks ATB
I would consider a MacCoy larngoscope over a mac 3/4, the moveable flap on the end is good for lifting the epiglottis out of the way,bougee and a MacCoy , got us out of a few difficult intubations, but have to say, good kit, a couple of Roberts would take up very little space, All the Best from the UK.
Do a review of the SOG parashears!
I have made the experience of regularly having providers over-pressurizing cuffs, especially on the King LTs.
Maybe you can throw in a small cuff pressure-meter which may also come in handy with blocked tubes and descending mountains quickly (shift in air pressure).
Just my 0.02$ there, a lot of small cuff pressure meters might fit in the pouch with the ETs just fine. And please throw in a PEEP valve for lung protective ventilation. 🤓
Thanks again for that awesome video! 💪🏼
I was really waiting for it since you did the review of the pack itself. And again you have a very nice mancave in the back 😉😎
LTs are are very fine supraglottic Airways for Prehospital Settings.
There werde some negative Points in the Paste, but most of them weren because the LT was not proberly used.
Use some device to measure the cuff pressure.
Its very important not only for LT.
Use LTs with a oesophagus suction channel.
The oesophagus cuff can only block very low pressure from the stomach.
This is regularly a problem if the stomach is full of food or he has been mask ventilated before or you need more than about 20 mbar ventilation pressure.
The algorithm in my department ist:
Set the LT, start ventilation and set a tube in the stomach through the suction channel as soon as possible.
It is interesting to see what an ALS group carries. I carry the same BVM. I mainly carry a Berman set, as I am not trained to use the degree of nasopharangel airways. Just a WFR not a EMT-WR. Cool review.
Axes are great in case of zombie bites. AKA Hershel Greene situations.
You should make a video on hemostatic agents!
Just remembered when my aunt thought i was talking about homeopathy when i was mentioning hemostasis lol
He mentioned it in his wound packing video
Where/how do you carry water, snacks and other supplies for yourself? Especially if you have to hike out into the wilderness to get to the patient
Pretty advanced care you are prepared for (gear & skills); that’s awesome! Do you take food hydration for yourself?
Good video, I noticed you are missing a sharps container and stuff for IOs. Also, any 2 cents on the i-gel vs king tube debate?
That hatchet scares me if I would actually have to use it for survival, that blade shape let alone that giant weakpoint in the middle of the steel
Out of curiosity, it sounds like you guys are out in the boonies for relatively extended periods of time (more than a few hours)... where do you keep personal supplies? (Water, etc)
What is the callsign system for AHRT? I noticed the A799 on your pack, is that a callsign format for the unit or for something else?
Sam, have you ever had to provide medical help to someone when you were off duty?
What sort of gear would you recommend to individuals that could reduce the amount of medical treatment you have to provide? (Preventative medicine - example: eye glasses, some climbing gear) What gear could people carry as a standard that could reduce the amount of gear you have to carry, allow you to treat more patients or allow you to carry more specialized gear? (Proactive medicine - example: the nasopharyngeal tube that fits them, a traction splint, a tourniquet)
Does anybody know at what temp does the saline bottles freeze? I take mine out on really cold days so they don’t burst in my bag but I don’t know if that is really necessary.
That Blue Force mini IFAK is dope, isn't it? Told ya.
No headlamp or you wear one helmet-mounted?
Hey Sam awesome video man
Question for you, what's your opinion on the IGEl vs king LTE? Not much experience with the IGEL other than 1 demo
IGel are safer and more comfortable as far as I can say. Difficult to use wrong, no danger of blocking the trachea accidentally with the cuff of the King
Hey Sam! Can you do a review of the G3 Advanced Safety Vest from Statpacks?
Where did you get the airway roll from? Medic here looking for that roll to put in my event bag
So I know that you are a paramedic, so you are allowed to kit to that level of care. Can you do a video that breaks down what an EMR would be expected to carry, then EMT-B, and then what an EMT-A? Because I work in the wilderness as an EMR. I have goals to become an EMT-B by the end of the year, and I kinda want to see what you would recommend for the different levels of kit.
Right now, I work out of a my-medix largemyFAK that I added some chest seals, some adult NPA's, a combat tourniquet, and some wound packing gause
QUESTION: How much does the complete kit weigh?
Where abouts do you get your patches from ? for both the organisers inside and the big MED one?
great bag! Just one thing is missing, a normal emergency blanket
Great Video, Things are different her in the UK, I noticed you said you purchased a lot of gear yourself, in the USA do you have to purchase you own gear (whether refunded or not) or do you purchase your own gear to suppliment / upgrade issued equipment.
It depends on your employer. Some places will give you a pack and supplies, but you buy your own pack if you want a better one, and simply replenish supplies from a stock room. Other employers just give you money to get whatever pack you want and let you outfit it as you like, following their guidelines.
Your saline IV set up may not be so helpful in major trauma but if I remember correctly, it’s vital for shock patients. Am I right?
How do you have room for your cold weather gear? Don’t you get called out to higher elevations and in the winter since you are In Colorado? You can’t wear it all while you are hiking in. You would over heat,even in conditions well below freezing. Space for crampons and/or microspikes would be good as well.
I'm surprised all the doubling within med classifications with limited space (I.e. Benzo's, Paralytics etc.). Interesting kit though... thanks for going through it!
I used a stacked/staggered mag case and just stick my TQ in a zip lock. It’s already staged for use, just need to rip the bag off of it.
I have been thinking about something similar for my MTN rescue pack. How do could you balance technical rescue gear in there with your medical supplies?
Advanced wilderness is different from basic wilderness because the trees are taller
So I have a question, it seems like you almost buy all of your equipment yourself, but arent you issued something? Or do you have to pay for everything yourself?
You'll notice he didn't reply to that particular question. All Taxpayer funded. In other words, YOU
@@jessiewright1053 Inother word no, I don't live in the US.
I'd imagine there is a standard/approved peice of equipment and if there is a better alternative the individual can buy it and get it approved for his/her loadout.
People who take their job serious will invest in their own gear. Most issued gear is usually going to be mediocre at best to complete garbage at worst.
So its wise to buy things that are going to aid you in doing your job better and easier. It pays off in the field when you need it.
Often you can put it as a tax write off if its work related
@@ThatGuy-sc5rx But he still has guns in tje background that he had while being on the swat team and I don't think he had to buy them himself.
*Great kit!*
*You could add a few light options (not sure if you work at night).*
*I keep a strobe light on the outside of my med bag to bee seen by others, find my bag etc...*
*Also a headlamp and small keychain flashlights clipped to zippers to find stuff at night inside the bag.*
I just want to tell you I absolutely love this channel. I’m glad you have chosen a life giving topic to be passionate about and educate people about…. TH-cam likes to flood my channel with a bunch of hateful toxic machismo men who have nothing to offer the world except how to use women 🤔 no matter how I tell them I’m not interested in it lol
Do you recommend the master or the cardiology 4 littman for paramedic?
I just passed my NREMT for my basic. Im really interested in working as an EMT for wild land. If anyone knows how to do this please let me know
Do you ever carry suture materials for minor wounds? Or does it make more sense to simply pack the wound and await transfer to a healthcare facility?
Quick question.....I saw that about the only thing you can do for an evisceration is wet an ab pad and wrap it to keep it from drying out and dying. Is this still recommended in freezing temps or does the risk of it freezing to the organs negate that? Thanks. Awesome video. Can't wait to get out to CO and do some hiking/camping. I'll just hope I'm in your AO. Lol. Take Care and Be Aware
ChiefPrepper for cooler temps it would be highly dependent on what you have on you. The heating blanket he had in this video + and emergency blanket would prevent freezing as long as evac times are minimal. For extended evac times you would have to use your best judgement. One thing I have done in the past is taken the plastic cover from a roll of kerlix and placed it over the exposed intestine and tapped it down on all four sides then wrapped with a loose 6” etd for insulation. That plus the emergency blanket stopped any freezing from occurring. This was in about 12 degree weather in the mountains. Took us an hour and a half to get them on to an open location and on a bird.
ChiefPrepper a better option would be to cover the evisceration with a non-adhesive occlusive dressing, like a trash bag, and then place a bulky dressing over. This removes the need to keep wetting the area and the need to carry additional sterile fluids in austere environments. But an evisceration still requires a surgical fix.
i love you SAM YOU HAVE GOOD SESEN OF HORMOR AN ALL HAZRAD RESPONSE TEAM / AHRT
Do you guys take your cardiac monitors with you on deployments?
Perfet 👍👍👍💪💪💪
Question from a fellow paramedic that was an intermediate for a long time: why not just a King Airway instead of all the ET stuff? That's a lot of extra gear, and honestly I don't feel like they are as secure n as a King when jostling a posting about. Just a thought.
there's a lot of talk about this, but mostly it's believed that SGAs do not protect from aspiration as well as OT tubes, specially on patients where you are using high pressures to ventilate. Personal opinoin now: probably less prone to dislodging when extracting from an austere place
Nice set up, but why no glucometer?
that was my question too. light, cheap and really useful
Aw man I wanna be on an AHRT team that sounds fucking awesome
Do you do SAR
Nice sir actually im starting to complete the EDC bag or kit
Hey do you pay for all your own gear? Or are you allowed to claim from the dept?
Great video thinking of buying this pack. Does it have space for 15in laptop?
Do you have any recommendations for first aid / trauma / field medicine training programs, beyond a standard first aid course, for those that may be in the medical field but not in EMS or similar services?? Asking for myself of course lol. Thank you for any help you may have! I love your channel and videos!
Micah Howell
REI has a wilderness training course that runs over a weekend. You can also search the web. Good luck. Don’t forget CPR do healthcare worker more extensive and a real eye opener.
@@Greatgadgetsgear thanks for the tip! I'll look into that! Shortly after I commented I was able to talk to someone at North American Rescue and they have a course. Now if I can just get the money for travel 🤔 lol
Micah Howell
That’s great enjoy fun classes.
Hydration?
Maybe keep an OPA for a bite block on intubated patients or to assist in ventilating a patient you can't intubate.
Yay
Good pack
5.11 rush 72 is
Far bigger and half the price
7:08 "So Yo!" LOL
What is the REI medicin called
No glucometer or thermometer?
Heard Atropine and I immediately thought of chemical agents in the mountains.
Hey brother, I am hearing that TXA is not the hero we thought it was initially according to the latest lit. Thoughts?
if you have any study about it, i'd love to read. Last I know is Crash3 on TXA for TBI, for that case, it's very iffy. Havent read anything new reagarding bleeding
13:55 Ive just finished my "EMT" training in Germany and we were also trained with these Larygeal Tubes, but we were told that a larygoscope would be way to Overkill. We just use the chin lift with our thumb and it slides in easily. I can also confirm this personally, because I had the "fortunate" opportunity to use this in hospital, and would prefer them over IGEL, because once they're blocked, they are tight, no need for correcting the fit. What do you think? (Pardon any mistakes, English isnt my first language :D)
Congarts man! I'm a 'Rettungssanitäter' too... Where where you trained?
I don't have any problems with the Laryngeal Tubes without a laryngoscopd as well, they work like a charm. The main problem with the laryngeals however is, that you should technically (and legally) check the cuff pressure right afterwards, because you could damage the patient airway system in case of an over-blockage..
Also we don't have any IGEL yet, and i couldn't try any, but a few other emt's told me that they too, work fairly well
That’s funny. I prefer IGELs over the King-Lt
Okay now I know how to became a one-man ambulance.
How much does this full kit weigh?
Hi Sam, have you seen this? www.emox.co.za . I am not affiliated with the company but it is a practical solution for oxygen on demand, the mines use it. It is a plastic "tank" where you put powder and water in, with some water in a builtin humidifier tank. The price is roughly a US$ 100 with 3 x 15 minute loads a 4 pack refill is around US$ 15 .I see the got FDA approval as well.
What about a thermometer in case of hypothetmia?
Are they cold, yes they are. Are they found in a cold environment, yes. Then assume hypothermia.
Raven Call And how cold?! Are they so cold that they get an arrythmia? Can we rewarm them or donwe call the medical cavallery? And? How cold are the now?! What ever I do, I do for a reason.
@@mediurs Now you have a monitor to detect arrhythmia? You also wouldn't attempt to rewarm them in an austere environment.
Suggestion- a few more space blankets for multi patient outdoor instances. Definitely a headlamp in that pack even if it’s a backup to one u carry elsewhere for your SAR/ austere mission. Can’t remember if u had shears? Anyway stay safe.
It's a nice bag but I can't see spending $500 on just the bag
Mark Cannito for real Lol
Get A military surplus medic molle bag, I got one and it's 90% as good as this bag, full zip open, very thick wide backpack straps with nice padding on the backpack. flip pockets and organizers. Molle attached bags on the exterior, Mesh organized pouches on the interior with IV bag pockets.
I Then i filled the entire bag with gear, entire setup came in under $300 including the bag which i found on Ebay for $40 (which is admittedly very lucky.) They tend to be closer to $80-150 used but still very worth it at that price. That's one of the nice things about Ebay though, never know what will come up for sale, and the Used bag i got is like new condition wise.
Neither can I, that's why I bought the 5.11 ALS Operator bag
Can you please do a vid on chest seals?
MMR Tactical th-cam.com/video/fRI-m5nLOHg/w-d-xo.html
Can you make a video about wound packing?
Already did.
th-cam.com/video/XieRLnynqhA/w-d-xo.html
How much do you get paid???
Nice pfp, It’s new right?
EDIT: wth, just noticed youtube decided to unsub me and I sure as hell wouldn’t unsub.