Medical Gear and Questions with Lone Star Medics - Gear Tasting 86
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- เผยแพร่เมื่อ 26 เม.ย. 2017
- What does it take to save a life? Today on Gear Tasting, Caleb Causey of Lone Star Medics joins Bryan as they walk through the medical gear they carry on all levels of their EDC, as well as some tips for storing medical items.
Continuing the medical theme into Questions Over Coffee, Caleb offers his thoughts on tourniquet placement, one handed application and critical items to consider for an Individual First Aid Kit.
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Resources
Lone Star Medics - lonestarmedics.com/
Don’t Be an EDC Troll: Carry What You Need to Prevail - bit.ly/2kjIh5s
EDC Trauma Kit - bit.ly/1JWolNL
ITS ETA Trauma Kits - bit.ly/1KSAKFg
TSSI TACOPS M9 Bag - bit.ly/1kcYpps
To have your gear related question answered on an upcoming episode, tweet us using the poundtag #GearTasting on Twitter.
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In each episode of Gear Tasting, Imminent Threat Solutions Editor-in-Chief Bryan Black answers your gear-related questions and shares his insight into what we're currently evaluating at ITS HQ.
Great video. Phlsters flat pack TQ carrier is great. That's my EDC on body with gloves. High on tourniquets but national stop the bleed campaign is teaching closer to the bleed. Also I wish they would add chest seals to the stop the bleed campaign
I really like these medical episodes. Also, need Caleb on more often!
Copy, more Caleb for everyone! ~ Bryan
Really enjoying these "special guest" Gear Tasting episodes. Quick questions for you and/or Caleb: Do you do any additional prep on Olaes bandages or vacuum sealed stuff to take care of the extra plastic flopping around? I usually tape down the extra material or use rubber bands as the plastic package can get in the way of zippers and take up extra room.
Thanks, glad you're digging them. I personally don't prep them like that, because I'm usually grabbing for that extra material to open them. In fact, I need to demonstrate how to make it even easier to open up packages like that. ~ Bryan
Excellent, Bryan. Thank you for the reply. "Prepping/Packaging for First Aid Kits" would be an excellent article or video! I think we would all really enjoy it if Caleb were part of this discussion also.
Great video as always!! I love the tip about using hemostats to hang an IV bag! Genius. A plastic surgeon once suggested to me that I use petroleum gauze as the first layer in wrapping severe road rash. The patient that the surgeon was working on had dry gauze applied in the field and went through 8 hours of debridement. The surgeon said that it would have only taken 2 hours had petroleum gauze been used. I had a question about the medic placing the TQ 2-3 inches above the wound. Why not just leave the TQ high and tight? Both the SOF-T and the CAT were designed for one bone / one vessel use for optimal performance. A TQ can be left on for long periods of time without any ill effects. I was just curious on your thoughts about it. Thank you for the great content!
7:44 The way he said "sure" was hilarious.
Awesome! I'd love to hear more from Caleb. I like to learn about the do's and don'ts of quick-clot, and the use of super glue.
Sometimes we can't get Caleb to stop talking, so that's a double-edged sword. On a more serious note, those are great questions for next time! ~ Bryan
great episode. very helpful and concise- this is what you need and why. awesome stuff!
Nice job. You guys covered a lot of stuff. I feel compelled to mention that another major reason for carrying emergency blankets is to deal with patients going into shock. So that's one of the things I carry multiples of. Thanks for making and posting the vid. Peace.
Thanks for having me on, Bryan. Glad everyone is enjoying me tearing up his kit:)
Thanks for the kind words. I'll answer y'all's questions as best I can.
From a wildland fire medic POV you guys crushed it! More blood and vomit next time :) If I had any comments worth while, discussing some concerns like newer, high speed, cheaper TKs like RATS, SWAT-T, etc and how to keep medications cool with minimal space would be awesome. A lot of IV (liquid) meds lose potency in a hurry if 150deg F for days on end.
Thanks so much!!!
Hooyah!
TCCC teaches hasty TQ vs. deliberate TQ. Hasty = high and tight. Deliberate TQ should be applied only after the bleeding has stopped and IF you have time to search for where/what that wound is. I wouldn't want someone to not TQ an arterial bleed and instead, begin to cut away clothes searching for where the bleeding is coming from. But hey, that's just me! I teach my guys the hasty vs. deliberate for this reason. Caleb is a very cool dude and I secretly enjoyed him nit-picking your kit. lol!
Honest question regarding the deliberate TQ, why would you apply a tourniquet after bleeding has been controlled? Or do you mean after the initial stabilization of the patient with a high and tight TQ, placing a second tourniquet closer to the wound (and then removing the first), in order to preserve normal perfusion in more of the limb?
The lower extremities are already difficult to successfully stop arterial flow. Arteries are deep in comparison to veins, so, if your wound is, say at the knee or just above/below, you wouldn't want to take the time to determine exactly where the wound is. If your cas is lying, your blood sweep may make it appear the wound is higher, so a deliberate TQ is applied. Once you are no longer care under fire, you can then determine if the TQ can be placed closer to the wound so yes, the rest of the upper leg may perfuse. Sometimes a cas with a large thigh may need both of those TQs to remain to successfully stop arterial flow.
best vid in a while. i got several good takeaways
Excellent episode! Top notch and would like to see more from Caleb on the channel. Medical/ trauma and its addition to my EDC and it's own kits has taken off for me in the last year astronomically from basic to more advanced. Thanks again for another great video! BTW ITS really has something special, I have been watching for many years now and the info as well as the store's offerings are well done. Keep up the great work!
this came just in time! i just received my new trauma bag that I'm about to start stocking.
Instant cold packs?
I'm a big fan of the H&H compressed gauze rolls.
I like them too, but I wind up carrying z-folded gauze because I'm always worried about dropping rolled gauze and it unrolling all over the ground. I like the z-fold stuff because you can be packing a wound and drop it and it stays protected and minimizes unraveling. ~ Bryan
Yep, that is definitely a con of any rolled gauze... I just like it because it packs up so small. I typically only use it for wraps but I have found it works better for wound packing if you pull from the center instead of trying to un-roll it and pack.
GraymanTactics. One trick I have learned with rolled gauze and packing is to pull the inner "beginning" of the roll and pull it out to pack a wound. You keep positive control of the roll and it stays as sterile as possible. This really is a visual thing, but take a roll and try it. It will come out neat and unrolls from the inside out.
WitchDoc check out my reply to him... ;)
Lol! Whoops!
Are you guys aware that your 'intro' 'theme' song whatever you call it, is from a song called Sex Offender Shuffle?
Hey my name is Caleb
Hey Bryan!
Love your videos, especially this one.
I have a wish to you.
I was a cilvillan EMT for 3 years now and will start in fall as an medic in the Austrian military.
I am not that happy with the Bags we get issued and I utilized a 5.11 all hazards prime as my private aid bag. Good bag, but not made for it an definetly not a good military bag. In the military we will be able to take our own stuff to the field as long as it not pink or so.
Could you do a Gear Tasting with Caleb about aid bags and how he is setting his aid bag up? Similar to this video but a level higher in terms of medical skills.
One important thing is the bag has to be jumpable.
I have been looking for some aid bags but unfortunately on TH-cam there are a lot of wannabe medics out there.
It would be unbelieveable if you woud do that with Caleb.
Thank you for this channel, learned a lot from you!
Greetings from Austria! The European one.
I would like to see more K9 feature on GT, especially after Caleb mentioned k9 first aid.
I have a question about your kits. Why don't you have a splint (flexible or rigid)? It would make sense especially for your hiking/truck kit. Or did I miss it?
Drusaurus, SAM splint was at the bottom pouch with the tourniquet
Yep, as Alex said I do have SAM Splints in both the Vehicle Bag and the Large Aid Bag. In the Vehicle Bag it's a flat folded SAM Splint and in the Large Aid Bag it's a rolled SAM Splint. ~ Bryan
ITS Tactical / Imminent Threat Solutions Do you have the name of the blanket he spoke about that could be used as a litter. I think he said it was make by the person who makes the Israeli bandage. Learning a lot from your videos. Thanks in advance.
You should make a mobile app!
I carry a med kit everyday now since being introduced to your company, gear tasting and articles. I know your a pro US made gear guy (when possible) you mentioned the range, wonder if you have a suggestion for US made range bag, I am in the market for a new one. Thanks love Gear Tasting and Gear Tasting Radio
@J Smitty If you're looking for a waist pack like Bryan has in this article, Tactical Tailor makes a nice US made one. Also Chinook Medical has some nice US made bags as does North American Rescue. Not sure if you mean a range bag aid kit or a range bag to carry your shooting gear.
Best kind of feedback we could ever hope for, thanks brother! For a Range Bag, check out GORUCK, all made in the USA too :) ~ Bryan
hah, thank man but no I meant an actual range bag. I have NAR Kit as well as a Dark Angel Med kit.
J Smitty understood. Why didn't you say so?!😁
For a range bag, I use a Red Oxx duffle. The end pockets are big enough for ear pro and/or staplers and the long side pocket can hold targets. The rectangular layout is perfect for plastic 100 rnd ammo boxes. I carry pistols in padded gun rugs or a Bag Master Stage Bag and just slip them inside the main compartment of the duffle. It's really comfortable when loaded down also. PR4 will easily carry your gear and a couple of pistols, PR 5 will carry enough gear for you and another person.
try gaff tape, I havent tried it on an injury yet. but if anything is going to stick its that stuff.
I agree that's some sticky stuff, but not sure how that would do with blood. ~ Bryan
I have yet to find any tape that sticks while sweaty, bloody, muddy... and if it does stick with any of that stuff on or around it probably is not safe for use on human skin. lol
I like that m9 bag. $320 though I think I will pass. I'm not above paying good money for good gear. But that's about $75 over priced.
sterile gauze lots of gauze for burns. If you're going to be inserting a nasal or oral airway you better have a pocket mask or a BVM...a folding barrier mask is going to be very difficult with an adjunct in place. now is the time to remove difficulties, things to remember or motor skills not needed.
Great tips, thanks! ~ Bryan
Oral IV??? What's the deal with that?
It is absolute snake oil.
It is a liquid product that the manufacturer claimed it could "rehydrate" you in the field just by drinking it. Yet they were unable or willing to explain "how" it worked, even at a scientific level. Yet again a great marketing team that tried to sell BS to the public.
Thanks
I was hoping Brian had thrown a tampon in one of his bags just to mess with Caleb.
Why didn't you tell me that sooner, that would have been hilarious! ~ Bryan
stump182 I see we got jokes! lol
Why a joke? Tampons are great if you need to stop a noise bleed quickly. Just make sure you get the short, non applicator kind.
Also, speaking as a lady, any guy who can hand me a tampon when I really need one is my hero.
The reason I'm so against having feminine hygiene products in a med kit of any sort is bc folks still believe that they are adequate at stopping moderate to severe bleeding. There are so many other far better products on the market than tampons that even if packed in a med kit for the strict use of a nose bleed; it runs the risk of 1. being used to stop major bleeding and will fail. 2. is not the best idea for nose bleeds and 3. only perpetuates the use of feminine hygiene products for controlling bleeding.
Lone Star Medics Thanks for replying!
How tall are you Brian ?
Watching Brian cringe as his organization was trampled is sadistic entertainment. You can tell Caleb is a medic because Shrodinger's theory doesn't apply with medic bags, if you haven't visualized it, it's not there
You noticed that, hunh? To be fair, I did tell him to feel free to take anything out of the bags that he wanted to. I Immediately regretted that decision LOL! ~ Bryan
Applying a tourniquet as far up any limb does not make sense and there is a good reason why it should be 2-3 inches above the wound and not as he explains. If we use his example of a bleed low on the arm and applying the tourniquet at the top of the arm then how much blood would be lost from that limb by applying away from the wound? Have a look at your own arm and guess.. thats correct you would lose a lot more volume applying away from the wound instead of 2-3 inches above.
I have a medical background but I'm not a Doctor and you don't need to be one to see this logic perhaps he should take some pointers from his D.O.H.S
oral I.V.
Yeah ...go back to school in the 21st century. But hay typically good info, Just please let someone else take care of me if disaster happens.
Ya not funny intro lol can't lie about that one