Nice setup. I feel like the Tasmanian Tiger line of medical bags would also accomodate this kind of kit pretty well. They are very prominent here in Europe
Love all your videos man. I’m looking to get my medic fairly soon, and I’ve been trying to absorb all the practical information I can, I love following your logic and the practicality of how you set things up. Keep them coming.
It's absolutely insane and incredibly sad. I've seen in person multiple times both police and EMT's make statements such as: "Put a mask and gloves on that white powder on the table across the room is probably fet, once we step inside the room we're at risk of overdose" Or "Quick give me a narcan the fet powder got on my pants"
Excellent example of a tiered kit. My only add would be a SAM splint. I understand that splinting isn’t always a priority but they are light and pack easily enough.
If you reach out to Massimo directly about testing the EMMA, a rep may get back to you and deal a non purchase order for you. I’ve dealt with one of their Canadian based product reps directly
Sounds like you're having a pretty stressful, yet pretty awesome job. Good luck on future missions. Hopefully you won't be needing to use this part of your gear much.
The real question is.... does that pack actually zip? 😆 Because when he flipped it over at the end of the video, it looked real tight for closing space.
Hi Sam! I suggest 1 to 2 Space blankets and a chemical small body warmer pads against hypothermia. In my small first aid kits I use a space blanket with a 4x5 inch body warmer. It's small, lightweight and cheap but it really makes a different. And I'm missing some (medical) tape?
instead of Dx equipment being in a non-mesh pouch, why not put it in the top mesh compartment? That would allow you to place your chest seals and possibly packing gauze or an Israeli bandage right beside your massive hemorrhage. also it would avoid confusion as to what would be in that pouch. additionally consider placing your med pouch in the mesh compartments. that way all labels are visible.
How do you think a MR Rats pack would work in the HEMS world? I know it’s capacity is on the smaller side but I feel the design and setup would work well.
I think it is too small. Maybe for a non -critical ship it would work but we simply have way too much to fit in that bag, even if it was designed as a scene bag only.
Because moneeeeh Honestly we're a very niche community and we work in a very expensive field; couple those with the cost of producing low-count, costly purpose designed gear, you get slapped with a big ol' cost.
An NPA can be inserted in both responsive or unresponsive patients and you don’t risk triggering their gag reflex with them which could cause a new airway issue.
Hey, nice video. I have been watching you for quite a while, and I started carrying an IFAK in my bag. while ago. though, it is a little difficult to track this stuff down without many links. If possible, I think it would be great to put links to either your own website where you put links in or just put links in the description of videos would be super helpful. Thanks man!
Would you mind elaborating on the I-Gel? I trained on them just under a year ago. However in the past few months my organization has moved away from them. We’ve been advised not to use them. They followed up by instructing us to use King LT’s but those too have fallen out of favor. It seems like they jump from NPA/OPA’s to Cric’s
@@PrepMedic little confused as well as to why they would jump completely from a BLS adjunct to a surgical airway… there are supraglottic airways and intubation for a reason
@@PrepMedic The way it was explained to me was that the I-gel often led to injury of the patient and/ or a high failure rate. The explanation for the King-LT was due to a high failure rate where they accidentally inserted it down the wrong pipe or plainly failed to preserve the airway. Our standard of care is to NPA any unconscious or unstable/ semiconscious patients. If the NPA is ineffective then we move to a Cric-key. This is in a military setting, which would explain in part why they opt for a surgical intervention over a standard intubation with a laryngoscope. (Without ratting myself out too blatantly this is a department of the navy, and I receive medical training from Navy Corpsman).
@@EBMisKing Trust me, it had me furrowing an eyebrow when it was taught to me. I want to trust what I was being taught but it did not line up to what I was aware of. My job is not a high echelon of care, just the basics of CLS. However, I study diligently to keep up with CoTCCC guidance and general medical practices. I’d love to hear further input from professionals on this who have field experience and higher training than myself. I really do appreciate this
Big fan of my Condor Deployment Bag. Small bag I use as a medic for those quick access items. Will fit a broselow tape, cardiology IV stethescope, and a a bunch of other stuff but is still manageable
I love your content. Would you look into doing a video on Lifevac. Looks like a good device to keep with a home kit or in your car. Curious what your thoughts are. I’m only at the EMT level, and there isn’t much I can do outside of back blows and the Heimlich maneuver
Kind of curious, and I think this is a fantastic preso! I know this is more focused on gunshot victims and such, but, many times diabetics will present in some strange ways. Would you consider keeping either a glucose shot, or, glucose gels in case you had that issue? Seems like those wouldn't take a lot of space. If so, what would be your consideration, in regards to this presentation, would cause you to pack that option?
This might be a silly question, but if you aren't carrying ET tubes, why would you want the EMMA capno? I haven't had good luck with them on epiglotic airways and if you are only using post-cric, how often are you doing that? Corpsman, two tours, paramedic for 2 years, CVICU nurse for 16, and now SWAT medic for 8, and I've cric'd 9 patients in that entire time.
Superglotic airways work great with capno and should give you very similar readings to an ET tube. The Emma can be used standalone with a mask or placed directly on an NPA for real-time hemodynamic monitoring. Even while doing BVM respirations it is a valuable tool. And like you said cric confirmation and patient monitoring
I was wondering what is the concept of a patient returning a pulse spontaneously in CPR or returning a pulse because adrenaline is given and then again he loses pulse (spontaneous pulse return)?
Usually when you get a pulse and lose it, you have to get back on chest compressions and administer more epinephrine, when the pulse returns keep up with the BVM about every 5 seconds. Medics are people and they all do some things a little different from the next like most jobs.
Hey Sam, I‘d like to send you a pack over. Really want your comments on it. I am not monetary involved, just curious what you might think about it. How to?
I have a question about carrying a certain item in an ALS bag (just posting here because it's a recent video). I use to work in the ICU and now do wound care. I have been wanting to build a kit for my car. One item I have not seen in all the videos I've watched is an AED. My first reasoning for thinking this could be a valuable tool is because my dad has comorbidities that can certainly lead to cardiac arrest. So if I'm ever visiting him and that should ever happen, I feel like it would be nice to have (yeah, I know, probably should just get him one to have for himself). Second reasoning is that I have seen people go into cardiac arrest just being out and about -- in fact, that's how a neighbor of mine passed, just out on a short trail on lunch break. Should this be something to consider keeping in a ALS bag for a vehicle? All of my experience exists in a hospital setting, so that's why I am asking.
Multiple reasons. This kit is a professional kit. We don’t use AED in EMS unless it is a BLS level service. We have Zoll X series monitors on all of our trucks that can perform manual defibrillation, waveform capno, 12 lead EKGs, cardioversion, pacing and monitor vitals. For personal vehicles while an AED is a great addition they are somewhat cost prohibitive and come with pretty rigorous maintenance and testing standards. With the shear number or public AEDs it is not something I have prioritized in my off duty preparation. That isn’t to say it isn’t useful.
*I might have missed it but you don't have anything for minor wounds or small boo-boos?* *Being a team medic I imagine you're sometime asked for a just a bandaid.*
from this, the backpack looks like it's for more advanced interventions in a controlled environment, as a third line. his first (belt) and second (plate carrier) lines probably have a boo boo kit alongside the MARCH type of stuff
I use a little pouch inside my pack with small boo-boos stuff, thing is, your gear is prepared for the end of the world scenario/active shooter but you don't have anything for smaller/minors wounds. That goes a long way to establish confiance with your SWAT team or other partners if you can treat their minors wounds.
Everything and the kitchen sink but only a couple rolls of gauss and no chest seals? No Ace bandages? Nothing for burn injuries? Seems like you have a bag full of crap to do CPR until a real nedic pulls up in a truck. Your name sounds about right seeing as how you just "prep" the patient for care instead of administering it. But that's state side 1st world care for you. Do you ever think about a true mass casualty event that overwhelms hospitals and emergency services or even renders them inoperable? Seriously you need to rethink how things are done because swat and SAR SOPs doesn't seem to encompass what a real threat environment will be.
So before commenting I would always suggest you actually watch the video. The first 2 minutes are discussing a tiered approach to building a third line bag. In case you are not familiar with a tiered system, it is a way to avoid redundancy in kit to avoid wasted space, cut down on weight and expense and organize gear. In this case, most massive bleeding control items and chest seals are on my MARCH belt or vest and every operator on the team carries an IFAK which is used before digging into my own equipment (TECC 101). Beyond that an insistence on carrying supplies for burn injuries shows a lack of knowlage in current prehospital burn care. 1. stop the burning process (water if needed) 2. dry sterile dressing (which I have). Lastly, this is not a mass casualty kit. SWAT medics are not a mass casualty resource, we have a rescue task force for that.
"Never missed an IV in my life!" I honestly laughed too loudly at that comment, because we all tell ourselves that!
I can only assume he is joking, if not then he is deluded or has never actually tried in the first place lol.
I believe him.
@@davidplowie4670 Sam is a critical care paramedic, he's definitely tried lol. I think it was just sarcasm.
he stated it was sarcasm on another comment.
@@rektrakboi3127 Roger
Nice setup. I feel like the Tasmanian Tiger line of medical bags would also accomodate this kind of kit pretty well. They are very prominent here in Europe
Their small IFAK sucks,barely any compartments whatsoever.....
Their assault medic pack series is great I have the S and also the L and I love them
@@sxygott2559 I've been using the medium version for a couple of years now and I've been very satisfied
They are not used a ton on this side of the ocean. I know one cop that has one in his patrol car. Looks high quality.
Basically a dump pouch with a lid and molle....
Love all your videos man. I’m looking to get my medic fairly soon, and I’ve been trying to absorb all the practical information I can, I love following your logic and the practicality of how you set things up. Keep them coming.
i’m glad you said the narcan wasn’t for passive exposure i think there’s a lot of fear mongering with fentanyl
It's absolutely insane and incredibly sad. I've seen in person multiple times both police and EMT's make statements such as:
"Put a mask and gloves on that white powder on the table across the room is probably fet, once we step inside the room we're at risk of overdose"
Or
"Quick give me a narcan the fet powder got on my pants"
100%. So much hype, LEO's and first responders passing out ... the brain can convince you of anything if you believe it
Excellent example of a tiered kit. My only add would be a SAM splint. I understand that splinting isn’t always a priority but they are light and pack easily enough.
If you reach out to Massimo directly about testing the EMMA, a rep may get back to you and deal a non purchase order for you. I’ve dealt with one of their Canadian based product reps directly
Never missed an IV in my life, what bull crap. He's the gift to EMS !
Sarcasm brother.
I love all you content. Thank you for passing on your knowledge.
Love medic bags that open all the way like that
Get this man an Emma
Sounds like you're having a pretty stressful, yet pretty awesome job.
Good luck on future missions. Hopefully you won't be needing to use this part of your gear much.
The real question is.... does that pack actually zip? 😆 Because when he flipped it over at the end of the video, it looked real tight for closing space.
Great video Ronald!
AHHHH I NEED A MEDIC BAG
Hi Sam!
I suggest 1 to 2 Space blankets and a chemical small body warmer pads against hypothermia.
In my small first aid kits I use a space blanket with a 4x5 inch body warmer.
It's small, lightweight and cheap but it really makes a different.
And I'm missing some (medical) tape?
finally dallas can get the medic bag he needed.
This reminds me of the plate carrier trauma kits from phokus research group. You should check them out if you haven’t already.
instead of Dx equipment being in a non-mesh pouch, why not put it in the top mesh compartment? That would allow you to place your chest seals and possibly packing gauze or an Israeli bandage right beside your massive hemorrhage. also it would avoid confusion as to what would be in that pouch. additionally consider placing your med pouch in the mesh compartments. that way all labels are visible.
Check out the H&H medical cricket kit. Not sure if I told you about it. We have it at AC1 and I think it’s even better than the NAR.
Haven’t heard of it! I’ll check it out. Do you remember our attempted cric together? 😂
I just love your videos!!!
Could you tell me the name of the intraosseous puncture kit?
Excellent video
@prepmedic would you mind making a BLS or an idea of what a BLS provider could carry?
How do you think a MR Rats pack would work in the HEMS world? I know it’s capacity is on the smaller side but I feel the design and setup would work well.
I think it is too small. Maybe for a non -critical ship it would work but we simply have way too much to fit in that bag, even if it was designed as a scene bag only.
Do you have a links for everything thing?
Can you please go over what non controlled meds you have and uses?
Hi Sam , thanks for a great channel and loads of ideas. What do you think of the Meret Savior7 Pro back pack for SWAT use?
Where did you get that Paramedic ID patch?
I'm a Combat Medic in the State Militia and I'm just wondering why the Nar 4 Aid bag (bag only) is just so so expensive?
Because moneeeeh
Honestly we're a very niche community and we work in a very expensive field; couple those with the cost of producing low-count, costly purpose designed gear, you get slapped with a big ol' cost.
Hi! If you've never missed an iv, would you mind sharing any tips on how you get a 100% hit rate?
That was sarcasm 😂
@@PrepMedic I was hoping that, but damn you looked so serious 😂
What do you think of the pre lubricated NPAs, one less thing to have to do/possibly lose.
Multi cam is gods camo that’s why.
Ooh yeah. I hear you brother
Whats the rationale behind the calcium if you're not able to give whole blood without CC crew?
Is all of that equipment available to civilians and were would we get it
Nice setup! The only thing I missed is a few sizes of Guedel airways 👍
Honestly I don’t use OPAs any more. No real point in my mind.
@@PrepMedic Interesting, their our go to if we don't want to use or need to use an i-Gel.. Why have you gone away from them?
An NPA can be inserted in both responsive or unresponsive patients and you don’t risk triggering their gag reflex with them which could cause a new airway issue.
@@PrepMedic That makes a lot of sense 👍 We had that in the military, but we don’t use it in the ambulance here..
Prepmedic do you sell patches for your channel?
Glad to see the multi cam. Gotta stay ultra high speed on those dialysis runs 😏.
AHHHHHHHHHHHH I NEEEEEEEEEED A MEDIC BAG
Looking for a vial case similar to yours, but just for a few basic medications vials/ampolues can't find any online. Any suggestions?
Cro has a smaller hard case you could check out
@@PrepMedic Thank you buddy
Thank you.
Having been in the cloud of chemical weapons spray do you carry Sudecon etc?
Great video!
Hey, nice video. I have been watching you for quite a while, and I started carrying an IFAK in my bag. while ago. though, it is a little difficult to track this stuff down without many links. If possible, I think it would be great to put links to either your own website where you put links in or just put links in the description of videos would be super helpful. Thanks man!
Also, I think it would be cool to have like a community discord, as I think it would be great for assistance in many cases.
Thankyou very much for this. If you're setting it up thinking your going into a school - can you get a BVM for children?
Would you mind elaborating on the I-Gel? I trained on them just under a year ago. However in the past few months my organization has moved away from them. We’ve been advised not to use them. They followed up by instructing us to use King LT’s but those too have fallen out of favor. It seems like they jump from NPA/OPA’s to Cric’s
I mean that’s not inline with standard of care. Did they tell you why?
@@PrepMedic little confused as well as to why they would jump completely from a BLS adjunct to a surgical airway… there are supraglottic airways and intubation for a reason
@@PrepMedic The way it was explained to me was that the I-gel often led to injury of the patient and/ or a high failure rate. The explanation for the King-LT was due to a high failure rate where they accidentally inserted it down the wrong pipe or plainly failed to preserve the airway. Our standard of care is to NPA any unconscious or unstable/ semiconscious patients. If the NPA is ineffective then we move to a Cric-key. This is in a military setting, which would explain in part why they opt for a surgical intervention over a standard intubation with a laryngoscope.
(Without ratting myself out too blatantly this is a department of the navy, and I receive medical training from Navy Corpsman).
@@EBMisKing Trust me, it had me furrowing an eyebrow when it was taught to me. I want to trust what I was being taught but it did not line up to what I was aware of. My job is not a high echelon of care, just the basics of CLS. However, I study diligently to keep up with CoTCCC guidance and general medical practices. I’d love to hear further input from professionals on this who have field experience and higher training than myself. I really do appreciate this
what would you recommend for a small tactical ems sling, I have a base bag, but I need something smaller, and lighter.
Statpacks g3 medslinger.
Big fan of my Condor Deployment Bag. Small bag I use as a medic for those quick access items. Will fit a broselow tape, cardiology IV stethescope, and a a bunch of other stuff but is still manageable
I love your content. Would you look into doing a video on Lifevac. Looks like a good device to keep with a home kit or in your car. Curious what your thoughts are. I’m only at the EMT level, and there isn’t much I can do outside of back blows and the Heimlich maneuver
Great setup, you may cover a masscal very easy :D
Kind of curious, and I think this is a fantastic preso! I know this is more focused on gunshot victims and such, but, many times diabetics will present in some strange ways. Would you consider keeping either a glucose shot, or, glucose gels in case you had that issue? Seems like those wouldn't take a lot of space. If so, what would be your consideration, in regards to this presentation, would cause you to pack that option?
Why do you carry calcium?
I would add a magills foreceps, a tongue depressor and some Lignocaine spray.
I don’t really see a use for any of that. What’s your reasoning?
Can someone explain what this means in dumb?
This might be a silly question, but if you aren't carrying ET tubes, why would you want the EMMA capno? I haven't had good luck with them on epiglotic airways and if you are only using post-cric, how often are you doing that? Corpsman, two tours, paramedic for 2 years, CVICU nurse for 16, and now SWAT medic for 8, and I've cric'd 9 patients in that entire time.
Superglotic airways work great with capno and should give you very similar readings to an ET tube. The Emma can be used standalone with a mask or placed directly on an NPA for real-time hemodynamic monitoring. Even while doing BVM respirations it is a valuable tool. And like you said cric confirmation and patient monitoring
@@PrepMedic interesting. Thank you for your input.
❤❤❤
I was wondering what is the concept of a patient returning a pulse spontaneously in CPR or returning a pulse because adrenaline is given and then again he loses pulse (spontaneous pulse return)?
Usually when you get a pulse and lose it, you have to get back on chest compressions and administer more epinephrine, when the pulse returns keep up with the BVM about every 5 seconds. Medics are people and they all do some things a little different from the next like most jobs.
Where are your fentanyl resistant gloves? 😱
Jokes aside - nice kit! Maybe throw in some trauma shears for the „it‘s a kit on its own“-thing.
Can you pls do another medivac day in the life
Hey Sam, I‘d like to send you a pack over. Really want your comments on it. I am not monetary involved, just curious what you might think about it. How to?
Check his channel Info for email
@@EBMisKing Impossible to email a pack…
Shoot me an email at PrepMedic@yahoo.com and let me know the details (what company you represent etc…)
I have a question about carrying a certain item in an ALS bag (just posting here because it's a recent video). I use to work in the ICU and now do wound care. I have been wanting to build a kit for my car. One item I have not seen in all the videos I've watched is an AED. My first reasoning for thinking this could be a valuable tool is because my dad has comorbidities that can certainly lead to cardiac arrest. So if I'm ever visiting him and that should ever happen, I feel like it would be nice to have (yeah, I know, probably should just get him one to have for himself). Second reasoning is that I have seen people go into cardiac arrest just being out and about -- in fact, that's how a neighbor of mine passed, just out on a short trail on lunch break. Should this be something to consider keeping in a ALS bag for a vehicle? All of my experience exists in a hospital setting, so that's why I am asking.
Multiple reasons. This kit is a professional kit. We don’t use AED in EMS unless it is a BLS level service. We have Zoll X series monitors on all of our trucks that can perform manual defibrillation, waveform capno, 12 lead EKGs, cardioversion, pacing and monitor vitals. For personal vehicles while an AED is a great addition they are somewhat cost prohibitive and come with pretty rigorous maintenance and testing standards. With the shear number or public AEDs it is not something I have prioritized in my off duty preparation. That isn’t to say it isn’t useful.
forgot gloves and mask... this is very interrested I work in the ER im a medicial assistant/Phlebotomist...
Neither one is something that is kept in third line gear and honestly PPE usage is not the top priority in tactical medicine.
@@PrepMedic what is third line gear? Forgive me, I am new to this
First line is pockets and/or belt
Second line is plate carrier
Third line is pack.
Not everyone will have their lines set up Exactly like that though.
🙏🙏🙏👍👏
*I might have missed it but you don't have anything for minor wounds or small boo-boos?*
*Being a team medic I imagine you're sometime asked for a just a bandaid.*
from this, the backpack looks like it's for more advanced interventions in a controlled environment, as a third line. his first (belt) and second (plate carrier) lines probably have a boo boo kit alongside the MARCH type of stuff
I use a little pouch inside my pack with small boo-boos stuff, thing is, your gear is prepared for the end of the world scenario/active shooter but you don't have anything for smaller/minors wounds. That goes a long way to establish confiance with your SWAT team or other partners if you can treat their minors wounds.
I make my guys carry their own booboo kits. Ain't got time for those shenanigans.
Use disposable chemical capnography. Nellcor Easy Cap end tidal CO2.
You forgot to close the zipper looked like would take some effort lol
Get some.
You never missed an IV?😉
Sam... an 18g & a TWENTY??? What are you, a nurse? J/K buddy. (kinda)
You miss 100% of the IVs you dont take
Everything and the kitchen sink but only a couple rolls of gauss and no chest seals? No Ace bandages? Nothing for burn injuries? Seems like you have a bag full of crap to do CPR until a real nedic pulls up in a truck. Your name sounds about right seeing as how you just "prep" the patient for care instead of administering it. But that's state side 1st world care for you. Do you ever think about a true mass casualty event that overwhelms hospitals and emergency services or even renders them inoperable? Seriously you need to rethink how things are done because swat and SAR SOPs doesn't seem to encompass what a real threat environment will be.
So before commenting I would always suggest you actually watch the video. The first 2 minutes are discussing a tiered approach to building a third line bag. In case you are not familiar with a tiered system, it is a way to avoid redundancy in kit to avoid wasted space, cut down on weight and expense and organize gear. In this case, most massive bleeding control items and chest seals are on my MARCH belt or vest and every operator on the team carries an IFAK which is used before digging into my own equipment (TECC 101). Beyond that an insistence on carrying supplies for burn injuries shows a lack of knowlage in current prehospital burn care. 1. stop the burning process (water if needed) 2. dry sterile dressing (which I have). Lastly, this is not a mass casualty kit. SWAT medics are not a mass casualty resource, we have a rescue task force for that.
Thank you