kolohekanaka
Active Member
This article brings up some good points about helping wounded shooting victims
https://www.concealedcarry.com/lp-picking-the-trauma-kit-for-you/
https://www.concealedcarry.com/lp-picking-the-trauma-kit-for-you/
“Tourniquet the limbs, pack the junctions, seal the box.”
Thanks for the list and professional insight.I’ve been a EMT/Paramedic for 9 years now. GSWs are relatively easy to treat (in the prehospital setting) and don’t require a whole lot of equipment. Most GSWs that I see (mostly handgun)are controlled easily with an Israeli bandage or Tourniquet. Last shooting I ran the guy took 4 9mms to the legs, Israeli bandage on each leg and the bleeding was controlled in well under a minute. In my range bag I carry trauma sheers, 2 Israeli bandages, 2 Tourniquets, 2 hemostatic dressings, 2 chest seals, and 2 decompression needles. It barely takes up more room than a magazine. “Tourniquet the limbs, pack the junctions, seal the box.” If anyone wants some basic trauma training I’d be happy to help.
I carry an IFAK to the range every trip. I need to carry one hunting as well. Especially after being missed by inches a couple gun seasons ago.
I have chest seals in my kit. Which are preferred, valved or not valved? I'm carrying non-valved seals now...
Thanks for the list and professional insight.
Walmart has a product called Bleedstop for under $5 for 2 20g packages of a powder that has Amylopectin. Is it a product worthwhile adding to a kit?
Most jurisdictions have went towards valved chest seals. If you use non valved seals you may occasionally need to “burp” the patient. Basically air gets trapped in the chest cavity, pressure builds up, and needs to be released in order for the lung to fully inflate. This is why the new seals have one way valves built in. To burp the patient, remove one corner of the chest seal, have the patient exhale deeply, then re-seal.
I have a question on non hemostatic gauze for wound packing. Most kits have compressed, z-fold, s-rolled etc for linear and wrap but they are 6-ply. NAR has a specific wound packer that is 1-ply https://www.narescue.com/nar-wound-packing-gauze.html What is the advantage(s) of the 1-ply over the 6? The six version seems to be more versatile in an ifak. I don't know if it's woven or not or bordered. Lint and fibers of a kerlix type concern me. I lean to the narescue stuff.
I have a question on non hemostatic gauze for wound packing. Most kits have compressed, z-fold, s-rolled etc for linear and wrap but they are 6-ply. NAR has a specific wound packer that is 1-ply https://www.narescue.com/nar-wound-packing-gauze.html What is the advantage(s) of the 1-ply over the 6? The six version seems to be more versatile in an ifak. I don't know if it's woven or not or bordered. Lint and fibers of a kerlix type concern me. I lean to the narescue stuff.
I think what a lot of people fail to realize also, is that if treating while in a city center with good ems response, wound treatment doesn't have to be too complicated, i.e.... clotting agents and vented chest seals.
I think the complexity of treatment usually goes up the further away you are from "civilization".
I'm pretty sure I'm using regular gauze and no coagulant if I'm downtown Glen Burnie.Definitely. Direct pressure on wounds is a good starting point. Maybe a belt around a limb with an artery bleed.
My fear is getting shot while hunting alone(which is 99% of my hunting) or if there is a range accident and EMS is a ways away.
I would be hesitant to use a product so cheap. We don’t use powdered agents in Maryland. I don’t have specific experience with that product but in Maryland prehospital medicine, and as far as I know the national registry of paramedics, we are not pouring any powder on GSWs. We do use gauze that has hemostatic agents in it, but this is for packing the wound. You would be far better off purchasing a well known and well tested product such as celox. If you ever get yourself in the situation that you need to use it you will be happy you spent $30 vs $5 on a packet of powder that an arterial bleed is just going to push off the GSW anyway. Especially if it’s you or your friends that need the help. My recommendation would be to spend the extra few dollars and get a reputable product. PS, don’t buy off brand tourniquets, they brake.