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Thread 64134956

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Anonymous No.64134956 >>64134981 >>64135027 >>64135825 >>64135833 >>64137495 >>64140396
Trauma FAKs for the Tactical Loadout
What are some good companies that sell quality Trauma First Aid Kits (FAKS) and some good Individual FAKS. I know two good companies:
>My Medic
>Refuge Medical
Individual IFAKs are not designed for mass casualty trauma care, but instead for one individual. The larger kits, however, can treat multiple people who are wounded by a gunshot. Multiple tourniquets will be required, preferably ones with a windless rod clip. An IFAK is a good addition to your tactical kit when you are shooting rounds down range or when SHTF. It is also a good addition to have when you are hiking or out hunting. If you have medical experience, and have the drive to save lives, I do recommend some mass casualty kits that can be found online. In the event of an active shooting, the first objective is to neutralize the shooter, if he’s still alive or surrenders without getting shot, restrain him. Apply first aid to the belligerent and await First responders to come to the scene. They will take the injured shooter to the Hospital where he will be treated for gunshot wounds. When he is discharged into police custody, he will go to jail to await his trial for shooting up a place, which will, in the future, be considered another act of domestic terrorism.
When you get your IFAK, learn its contents and if necessary, modify it with your own additions. Learned the MARCHE algorithm and learn how to treat gunshot victims with care under fire. Learn TCCC (Tactical Combat Casualty Care). There are dummies that can be purchased for the use of practicing field medical care. Trauma FAKS are an essential item to purchase, and it is up to you, the armed citizen, to find the right TFAK/IFAK that works for you.
Anonymous No.64134970 >>64134982 >>64136067
rhino rescue
Anonymous No.64134981 >>64134992
>>64134956 (OP)
Why does that red bag have the Swiss flag on it and what does it have to do with your chatgpt wall of text?
Anonymous No.64134982 >>64134999
>>64134970
I will save your life with my IFAK
Anonymous No.64134984 >>64135014 >>64136664
I used a tourniquet on my pp and it turned blue
Anonymous No.64134992 >>64136112
>>64134981
It just came with the Swiss Flag, and it is one of my trauma kit bags. I am too used to typing up professionally written documents, so it just looks like AI written texts. Perhaps I too am robotic
Anonymous No.64134999
>>64134982
it's too late my son, the rhino rescue didn't have immodium
Anonymous No.64135014 >>64135022
>>64134984
If it’s still attached, you’re in the clear and in the safe zone. You made it. No woman can hurt you now
Anonymous No.64135022
>>64135014
It fell off
Anonymous No.64135027
>>64134956 (OP)
Anonymous No.64135033
Anonymous No.64135205 >>64135562 >>64135851 >>64136297 >>64136685 >>64137026 >>64137519 >>64146266 >>64146282
>Buying a premade IFAK

Chest seal
3 rolls 4" Kerlex gauze
2 rolls 4" ace bandage
1 roll 6" ace bandage
Israeli bandage
1 unit combat gauze
Tourniquet x 1
Permanent marker for tourniquet
2 pairs latex gloves, large

Without medical training, this is all you really need.

>t. medfag
Anonymous No.64135562
>>64135205
I’m taking notes. I’ll keep this list in mind while building my own IFAK
Anonymous No.64135588
First aid is the first step to saving a life when someone gets shot. Access the victim, locate the wound, check for an exit wound, if no exit wound treat the entrance wound. Apply a tourniquet to stop the blood flow. Pack the gunshot wound with gauze. Then apply an Israeli/compressed bandage. Write on the CAT tourniquet with a Sharpie the time the tourniquet was applied for the next level of care, who would be the EMTs. If done correctly, you may have saved someone’s life or your own life. This only applies to a gunshot to the legs or arms. For a penetrating wound to the abdomen, pack the wound with gauze. For a chest wound through the lungs, apply a chest seal
Anonymous No.64135679
If you walk into an IED or a mine, and your leg gets blown off, apply a tourniquet 4 to 6 inches above the wound. Wrap the wound in a thick layer of gauze., then apply an Israeli/Pressure bandage. The tourniquet stops the blood flow in the veins and arteries, the gauze covers the wound, and the Israeli bandage compresses the wound and covers it more. The same method can be applied to arms of victims who got their arms blown off or dismembered.
Anonymous No.64135714
Care under fire is part of TCCC(T triple C ) I have been out of the military for several years, so I’m a bit rusty. Just reference the proper procedures that I am sure is readily available information that is on the internet. Guy goes down in combat. Rush to him. Fight off the enemy. Assess your downed buddy. Apply first aid from his own Individual First Aid Kit (IFAK). Evacuate the casualty for an upper echelon of care
Anonymous No.64135754 >>64135801
I served in the Marine Corps and was issued an IFAK as part of standard issued CIF gear. I never went through it to look at it, which was a good thing, I would have messed with its arrangement. That kit which I kept on my body armor, which we called our Flaks, was to save my own life, all other Marines were responsible for having their own IFAKs on them when they were deployed. In bootcamp we were trained in the art of individual traumatic first aid, the beginning stages of saving a life before the Corpsman (the medics of the Marine Corps) arrived. I am sure you can buy a Marine Corps IFAK or even an Army IFAK, if they even call it by that acronym, on the inter-web
Anonymous No.64135770 >>64136000
The Israeli military has a new IFAK, I forgot what they called their kit. I have seen a couple of website that sell their new kits. Israel can use all of the money as they can get, and I got to tell you, they have made some serious innovations in military and medical technologies during their short time as a nation.
Anonymous No.64135801
>>64135754
If a Marine deploys ready for battle without his IFAK, not only did his NCOs failed him, not only his leadership failed him, but his Command as a whole failed him. Because prior to deployment, they are required to conduct gear inspections to make sure they have everything they need beforehand. If it found that they don’t have what they needed and they are killed in combat, their death is on their leaderships hands. The IFAK is an important piece of equipment that not only deployable soldiers or Marines should have on hand, but also the individual armed citizen as well
Anonymous No.64135825 >>64141727
>>64134956 (OP)
I made one myself for stomping around in the marsh which can wade chest deep with me. It's a plastic box with a rubber seal around the edge, a velcro backer which affixes to a drop leg attachment and the latches and buckle glow in the dark so the homies can still see it and hopefully still figure out how to get it open even after dark.
Anonymous No.64135833
>>64134956 (OP)
Reminder that you can find first aid+CPR+AED & Stop the Bleed courses for low-cost or free in your area. You're also way more likely to use it than TCCC.
Anonymous No.64135851 >>64135894 >>64136007
>>64135205
The first step to creating an IFAK will be to purchase a medical bag or IFAK bag with enough space to hold the necessary items to save a life (Picrel). It has to be large enough to be able to fit the necessary modifications from OP’s original Formula. Military bros who have been trained for combat have already been trained in the basic art of Military Individual First Aid Traumatic Injuries. It is the job of the individual gun wielding citizen to educate him or herself in the same or greater art of first aid and traumatic injury treatment outside of hospitals. When SHTF, there will be no hospitals to evacuate the casualties or yourself to. Set up camp once you stabilize your own wound, but don’t lose track of your location in perspective of where your hold out is located. Stay frosty as always.
Anonymous No.64135885
I don’t need an IFAK, I purchased an ENT bag that I modified with a chest seal, a minor burn kit, a compressed bandage, and a SWAT T Tourniquet that comes equipped with enough gauze and bandages to last me a hundred years until I have to use it and replace the contents. It is packed to the brim with supplies
Anonymous No.64135894 >>64135904
>>64135851
Sure anon. Again, without proper medical training you will be doing more harm than good with

>needle decompression
>any sort of IV access
>any sort of scalpel
>any sort of surgical clamp/hemostat
>any sort of electrocautery

If SHTF I can guarantee you that, if you cannot get to medical care, and need any of the above equipment, you are so many kinds of fucked from Sunday that no amount of prep short of formal medical training would save your ass

Bandaid dont do anything that sterile gauze doesn't, and sterile gauze does loads that bandaids can't. If you are serious about backwoods or SHTF medical care, you will focus on one of two things: learning all of medicine ((you wont do this)) or Stop The Bleed training NOW while it exists.
>t. actual medfag
Anonymous No.64135904 >>64135914 >>64135928
>>64135894
The hard part isn't learning the info it's remembering how to use it when you only touch up on the training once a year with a PowerPoint because the command decides that's good enough to put the tick in the box. Unless of course you're a med nerd by trade. It's the sane argument for comms dudes
Anonymous No.64135914 >>64135921
>>64135904
That is actually a good idea. Every command should give the order for the medical guys, whether in the Army, or the Corpsman in the Marines, to conduct refresher training for the troops, then have those warriors conduct practical application. Virtual training isn’t enough, and neither are demonstrations
Anonymous No.64135921 >>64135941
>>64135914
We were required to be certified in TCCC before we deployed on ship
Anonymous No.64135928 >>64136048 >>64136297
>>64135904
100%. If you remember MARCH, the #1 killer on the battlefield is massive hemorrhage. It does not take a genius to stop bleeding. I can guarantee you that, with sufficient access, I could stop almost any bleed in your extremities, abdomen, or thorax with one finger. The trouble is always access.

Full disclosure, I am a fourth year medical student. I do not expect others to shove their digits into bleeding wounds like I have been trained to do. I would hope that others would take my word for it and do formal Stop The Bleed training (or equivalent in your country) and focus on hemorrhage control in their IFAK because I am certainly not using my shit on them.

If you need medical care above the level of self aide / buddy aide and are genuinely "No matter what I do, I will not have access to a hospital or helicopter in the next 24 hours" levels of in the woods, then I hope you make peace with God.
Anonymous No.64135941 >>64135962
>>64135921
I certified TCCC on my ship for VBSS in 2022 and haven't practiced it again or even looked in an IFAK since then. Lucky I had to resert CPR a few months ago so I will make sure to give you chest compressions to Stayin Alive to fix your gunshot wound to the arm
Anonymous No.64135962 >>64136032
>>64135941
Always remember what you can in traumatic first aid and you will always save a life or your own life
Anonymous No.64136000 >>64136098
>>64135770
A few websites for the new trauma kit for the Israeli Military, the MD2:

https://agilitegear.com/products/md2-compact-trauma-kit?srsltid=AfmBOoooD7800RtT0IQt4B-j6R62cgpH4yp_BDXfVPLZj_I0FjSPWIv8

https://mavericktactical.com/products/agilite-md2-compact-trauma-kit-ifak?srsltid=AfmBOooJJsdvBMlQ41Mp_E92AbPdhKczDbhhjW62kHEEX1hye8MPgtX9

https://www.optactical.com/product/agilite-md2-compact-trauma-kit-ifak/

https://offbase.co/products/agilite-md2-compact-trauma-kit-pouch?srsltid=AfmBOorTv3rlSces8Tlew_9vJDChZoRvxlV5SDoO2PNCMOf7nL_0_dbp
Anonymous No.64136007 >>64136013 >>64136031
>>64135851
USMC IFAK pouch
https://www.googleadservices.com/pagead/aclk?sa=L&ai=DChsSEwjj1terwpOPAxUyWkcBHZj1HiMYACICCAEQHxoCcXU&co=1&gclid=Cj0KCQjw-4XFBhCBARIsAAdNOksXAMFVIW_U4AxZwQL6Y60NTf8ir3StMyMjUpLXXkKnpx2jTnqQVV8aAs7GEALw_wcB&ohost=www.google.com&cid=CAESVOD2h4LRlTn_P6byMnvVXMxPrUcXbaGnh1JUoOLLH5OEvXrXSlmRtFaXK7sDLx95aWi0Ny5jWWe5PGNfeJbNwDy6Qm4Mp2vJmf3WPyCUb2q-7jeXdg&sig=AOD64_3Dr8LXQaPMldKzZ_CM11SIL64tSg&ctype=5&q=&ved=2ahUKEwjWo9KrwpOPAxW6MVkFHamPB48Qwg8oAHoECAkQDQ&adurl=
Anonymous No.64136013
>>64136007
>https://www.googleadservices.com/pagead/...
Jesus Christ
Anonymous No.64136031
>>64136007
I looked online myself and it is hard to find a well prepared USMC first aid kit, I have searched far and wide
Anonymous No.64136032 >>64136037 >>64136660
>>64135962
I'm not arguing that, im arguing that our training is poopy asshole and I can learn the information on my own (can't practice we don't have the spare equipment for that) but it makes almost zero difference when the other 11 people on the team refuse to learn anything even if it's an essential skill
Anonymous No.64136037
>>64136032
You could talk to your squad leader to bring it up to your Platoon Sergeant, who could bring it up to your Staff NCO who could bring it up to your Officer in Charge
Anonymous No.64136048 >>64141776
>>64135928
>If you need medical care above the level of self aide / buddy aide and are genuinely "No matter what I do, I will not have access to a hospital or helicopter in the next 24 hours" levels of in the woods, then I hope you make peace with God.
That's a ridiculous thing to say, there are plenty of injuries that will absolutely require tertiary level care but can be at least stabilised by a minimally trained civilian. A traumatic amputation is the most obvious example - sure, it needs definitive treatment but it can it wait for >24 hours if you've tourniqueted and dressed the wound appropriately.

>self aide / buddy aide
Why you adding an e to aid, bro?
Anonymous No.64136067
>>64134970
This thread fucking rocks. /k/ needs refresher medical threads every now and then…..
Anonymous No.64136085 >>64136098
The Israeli Military’s new trauma kit, the MD2, tested in Gaza.

https://youtu.be/SBiQfPD4wA8?si=90P1ZK0pi1Gdyo9V
Anonymous No.64136098 >>64136217
>>64136000
>>64136085
>Sacrifices crucial trauma supplies for the bear minimum carrying capacity. Standard issue Israeli gear. They could at least use more medical equipment…….
Anonymous No.64136112 >>64136138
>>64134992
Your syntax and grammar are at middle school level.
Anonymous No.64136138
>>64136112
As long as you can understand the message, that is okay. I am not worried about outside reviews of my writings in this specific thread on this image board. I may have had a few hiccups in the spelling but I won’t argue with you on the reading level of what I typed.
Anonymous No.64136217 >>64136234
>>64136098
A website for Israeli Trauma Kit Supplies:

https://israelifirstaid.com/?srsltid=AfmBOorWtguURxSH6jtaO9PACxBI5ls8iOEAXRChKPMHXsYTVYDXCRXR

Your welcome…
Anonymous No.64136234
>>64136217
The Israelis are ingenious for battlefield innovations. War has throughout time, improved the technology of the civilian world. The civilian world in this instance, being, the tactical battle ready civilian…………
Anonymous No.64136297 >>64136900 >>64146311
PrepMedic on youtube has some IFAK reviews plus what you should carry in them. I would start with him. I was issued pic related when I was in my unit and it was a total piece of shit, the guts would fly off and dangle behind you when you’re running in the woods. TQ holders were fine tho. Some medics would build their own, but most wouldn’t bother with them since we had our aid bags everywhere. As for myself I threw what this guy listed >>64135205 plus a few extra TQs, IV starter kit, and needle-d kits in a small bag, threw that in my truck, and called it a day. It comes with me when I shoot at the range.
Deployed Medicine is a good app you can put on your phone since it’s free and you can access all the TCCC presentations that we use. If you’re a med nerd and want more check out the CPGs. They’re really great and a necessity if you ever need to go into prolonged field care.
>t.68W and paramedic

>>64135928
How’s medschool? I want to go at it when I’m done with my BSN. What do you see people struggle with the most?
Anonymous No.64136660
>>64136032
>I can learn the information on my own ... but it makes almost zero difference when the other 11 people on the team refuse to learn anything
Not really. It only takes one person who knows what they're doing to save a life in an emergency. Just because your squadmates dumb fucks is no reason to let your own standards slip, don't let them drag you into mediocrity.
Anonymous No.64136664
>>64134984
If you keep doing that every night you can increase your girth
Anonymous No.64136685
>>64135205
Should be chest seals, plural, you're gonna likely need two for entry and exit wound. In a civilian environment, torso injuries are also much more likely. More than 1 TQ would also be good, if a bit bulky, and TQ should always be on the outside and easily accessible, not fucking ziptied.
Anonymous No.64136900 >>64137038 >>64137271
>>64136297
Medical school simultaneously sucks ass and is a lot of fun. It is the hardest I have ever studied, bar none. Undergrad was a fucking joke.

For the first two years you study 8+ hours a day on top of 4-6 hours of lecture, then in third year you only study ~4 hours/day because youre also working a full-time (often overtime) job on your clerkships while

A) Not being paid
B) Constantly being infantalized by everyone around you (including 20 year-old nursoids 35 seconds out of undergrad) even though you're a grown man who has had a job.
C) Paying $75k/year for the privilege of A and B

But at least you get to be a doctor in the end, and the job itself can be fun.

>what do people struggle with
The volume of material you have to learn quickly. There's no way to prepare for medical school, any studying you did to get in will be surpassed in the first week or so. I'm not joking when I say we covered the entirety of my biology degree that had any relevance to medicine in the first day. If you want to succeed, you need to keep your nose to the grindstone and be constantly evaluating whether your study methods are working, asking your friends what they're doing, and trying new things until you can't find anything better.

Your medic experience can help with some things. I was not a medic, but I've had the privilege of working with some. It's two different skillsets entirely.

Lastly, don't get sold on the idea that being a medic or a veteran is automatic admission to medical school, it's still very tough to just get in.
Anonymous No.64137026 >>64139084 >>64146282
>>64135205
>Tourniquet x 1
>one (1) tourniquet
do not do this
Anonymous No.64137038 >>64137167
>>64136900
>For the first two years you study 8+ hours a day on top of 4-6 hours of lecture, then in third year you only study ~4 hours/day because youre also working a full-time (often overtime) job on your clerkships while
How much of that study do you feel is actually useful?
And is it really that much through the entire semester or just around exam times?

I studied med at arguably the top school in the EU and I wasn't putting in even half those hours. Sure, I didn't graduate at the top of my class but I graduated.
Anonymous No.64137045 >>64137271
I have heard tales of Israeli commandos using factor 7 to stop bleeding in combat. Is there any verification for this?
Anonymous No.64137167
>>64137038
Sure you can pass with less, but you're handicapping yourself if you want to do a more competitive specialty. If you want to be a primary care doctor (family medicine) all it takes is a pass. It depends on what you want to do in medicine. Most people don't know for certain until after 3rd year. If you aimed to just pass and found you really really wanted to be a surgeon, especially a subspecialty like ENT or Ortho, you would be pretty hosed.
Anonymous No.64137271 >>64137305
>>64136900
Thanks I appreciate the heads up. I’m hoping I’m not biting off more than I can chew working full time, raising a kid, and trying to go into medschool. Godspeed to you bro when you start residency. What specialty are you wanting to match in?

>Lastly, don't get sold on the idea that being a medic or a veteran is automatic admission to medical school, it's still very tough to just get in.
Lmao I’m not that arrogant. I know the experience will look good and help a lot but even the MCAT prep courses beat the idea out of me that this would be easy.

>>64137045
I can’t find anything directly about Israeli commandos giving factor vii but I’m fairly certain that IDF med system has used it given that it borrows a lot from the US, but its use has declined. Not surprising that commandos are doing it given that 18Ds and Ranger medics were passing along protocols for walking blood banks to us in big army.
https://emj.bmj.com/content/30/4/316
https://apps.dtic.mil/sti/tr/pdf/ADA480377.pdf
Anonymous No.64137305
>>64137271
I'm applying Emergency Medicine, and I'm in the Army as well. Im not prior service but many of the Army docs are, lots of 68W and 18D but one of my corotators was an armor officer. Military medicine can be a good deal I would suggest looking into it, it's not for everyone but you know that more than most.

Keep at it, I wish you the best for luck and success in your hard work.
Anonymous No.64137495
>>64134956 (OP)
Just got a physical copy of this, and Jesus. Thing's built like a tome. Four-five times thicker than the Ranger counterpart. Flipped through a random page, and ended up with contoured diagrams of a doctor extracting a newborn straight outta the va-gee-gee.
To all future 18-Deltas, good luck. You'll be needing it. But know also that you'll stand among the most accomplished doctors the world has ever seen should you survive the cut.
Anonymous No.64137519 >>64139084
>>64135205
No space blanket?
Anonymous No.64139084
>>64137519
Sure, it's lightweight and doesn't take much space that's a good add.

>>64137026
Sure, go ahead knock yourself out they stay good for a long time as long as they're out of the sun.
Anonymous No.64140396 >>64141671
>>64134956 (OP)
I'm gonna be real with you Anon. The only things you're gonna need in an IFAK is general first aid shit, quickclot, gauze, bandages, and tourniquets. Anything more and you should get legitimate training, otherwise you're going to kill or maim someone.

Equipment is nice, but practicality means the most here. Bleeding control is what you'd most likely need a kit for. Have an emergency plan for yourself and others, plan accordingly. Don't be one of those retards who carries a bunch of medical gear and is unable to perform.

Also, a couple of you fags might recognize the bag.
Fuck you MacLean, please legitimately kill yourself soon.
Anonymous No.64141671 >>64145690
>>64140396
>Also, a couple of you fags might recognize the bag.
I knew it was 5 Guys before I even noticed the receipt
Anonymous No.64141727 >>64141743
>>64135825
BASED. What's your Reddit username and how long did it take you to make this impeccable edit for updoots?
Anonymous No.64141743 >>64141875
>>64141727
I don't go on leddit full stop, but I did make a guide in case anyone in the future is also disappointed trying to find a ready made one from a real company
Anonymous No.64141776 >>64143456 >>64145690 >>64146311
>>64136048
>stabilised by a minimally trained civilian. A traumatic amputation is the most obvious example - sure, it needs definitive treatment but it can it wait for >24 hours if you've tourniqueted

A study I read and can't find atm showed that even trained soldiers didn't apply enough strength on the tourniquet. Also 24h without any checks, pain meds, plus a patient in hypovolemia (and other injuries depending on the kind of amputation) is a recipe for disaster. The Ukrainians are seeing a lot of basically unneeded amputations, because tq use is so widespread, but transport afterwards is sometimes delayed
Anonymous No.64141875
>>64141743
OK. I admire the grind chief.
Anonymous No.64143456
>>64141776
The problem is many people dont tighten the strap all the way before they turn the windlass. You need to really tighten that bitch down first.
Anonymous No.64143471
WHAT DO YOU NEED A MEDIC FOR!?1/1/1!
Anonymous No.64145690 >>64146256 >>64146311 >>64149659
>>64141776
Sort of but not quite.

The reason for high unwarranted amputation rates is most likely due to improper triage and wound assessment, lack of field surgeons and facilities, and more likely just improper treatment after application.

Hypovolemia is a minimal factor when it comes to the use of tourniquets, primarily I'd be more concerned about Ischemia, DVTs, compartment syndrome, and issues related to reperfusion. All of which contribute to amputation necessity.

>>64141671
Was more speaking about the IFAK itself.
They're the only decent burger joint nearby my work, so I pay the patty tax.
Anonymous No.64145714
bump
Anonymous No.64146256 >>64149864 >>64149864
>>64145690
>Hypovolemia is a minimal factor when it comes to the use of tourniquets
That's completely false. Hypovolaemia significantly increases the risk of adverse events associated with tq use.
Anonymous No.64146266
>>64135205
at least 1 Burntech dressing would be good
Anonymous No.64146282
>>64135205
I would add a second unit of combat gauze and a second chest seal. They don't take up much volume or weight. Otherwise good list.
>t. another medfag
>>64137026
He's right unfortunately, you only have physical space for one CAT-7 in any reasonably sized IFAK I've seen. Additional tourniquets should be kept in other pockets, and the pattern should be standardized at the squad or platoon level (ie, every man has one in his left shoulder pocket)
Anonymous No.64146311 >>64146338 >>64149659 >>64149864
>>64141776
When I was a 68w I always told joes to tighten the tourniquet until it hurts, and then give it one more half-turn. While this is overkill, it's at most going to cause some bruising, and ensures that they don't under-tighten the thing.
>>64145690
>Hypovolemia is a minimal factor when it comes to the use of tourniquets, primarily I'd be more concerned about Ischemia, DVTs, compartment syndrome, and issues related to reperfusion. All of which contribute to amputation necessity.
Okay so you actually do know what you're talking about. But idk if you have actual field medicine experience. Part of the problem with tourniquets and hemorrhage is that the person wearing it is moving very roughly. If they're still able to fight, they're going to have the muscle groups under that TQ contract and relax repeatedly. And if not, they're going to be jostled a fuckton in transport before ever reaching even a casualty collection point. The time between tq application and reaching CCP is a high risk period for restarting hemorrhage unless the tq is tighter than would be necessary in a field hospital. And this is why you simply do not worry about extremity injury in a combat environment - the hemorrhage risk is present even after the TQ is on.
>>64136297
>How’s medschool? I want to go at it when I’m done with my BSN. What do you see people struggle with the most?
NTA but don't do it, like for real just go be a PA if you're interested in field medicine. "Grass is always greener" and all that, but 4 years + residency feels a lot longer than you think it will be as an undergraduate
Anonymous No.64146338
>>64146311
>While this is overkill, it's at most going to cause some bruising, and ensures that they don't under-tighten the thing.
That's not overkill at all. Tourniquets should hurt.
Anonymous No.64146784
I'm considering the Kommandostore P84 as my first non-micro chest rig, but would it have killed them to include three MOLLE columns on either side? I'm not sure what to do with two columns other than a couple of Spiritus Nalgene holders.
Anonymous No.64148151 >>64148185
The correct amount to tighten a tourniquet to is "until the bleeding stops" with frequent reassessment iirc
Anonymous No.64148185 >>64149113
>>64148151
tighten it till they scream, then tighten it another lap. write down time, let the people at the hospital solve the rest.
Anonymous No.64149113 >>64149659
>>64148185
That's the attitude that has resulted in a wave of unnecessary amputations in Ukraine.
"Write the timedown and let the experts sort it out" is fine if you're a grunt with the full weight of the US medevac system behind you or if you're an urbanoid that never leaves the city but if you're prepping for natural disasters or shtf, if you spend time backwoods camping, or if you're from a country that faces the prospect of a peer war then you should know enough to convert the tourniquet to a sinple dressing when appropriate.
Anonymous No.64149142 >>64149488
Is it possible to self administer a decompression needle?
Anonymous No.64149488
>>64149142
>Possible
Yes
>Advisable
No

If you do not have proper training, you can do more harm than good. Ultimately, also, you need more than a needle decompression you may require a tube thoracostomy.

I do not trust the general public to know when a needle decompression is indicated.
Anonymous No.64149659
>>64149113
NTA but you missed the point that >>64146311 made. Interventions can and will be displaced during any kind of movement, that’s why we crank that shit down, tape it, and constantly reassess. What’s a far more important factor than a TQ being too tight is handing your pt off to a higher level of care. Like >>64145690 mentioned, the far more likely reason for a high amputation rate is a lack of adequate facilities, resources, and delayed transport. You have to go find that study and show some data because your claim doesn’t make sense.
Anonymous No.64149864
>>64146256
Hypovolemia is absolutely a secondary concern in the theatre of common use. I am in no way concerned about potential hypoxic damage to organs, over stopping myself or my buddy from hemorrhaging and getting out of up-fuck river.

Now in a field hospital or relevantly equipped medevac, it absolutely is a concern during transport/care. Hence back to my original point.

>>64146311
I do have field experience and you're absolutely right. Lack of patient compliance and unavoidable circumstances can contribute heavily. In my experience, release and reapplying are best practice for preventing irreparable damage; Even doubling up can assist. Vasopressors in a pinch if you can't get fluids in, but I guess >>64146256 doesn't know about them. But yeah, obviously a soldier still pushing against shove while binding their very soul from leaking is definitely a factor.

I don't know the exact circumstances these fighters are in and what exactly their CLSs have access to. Can only speculate so far, regardless, shit is fucking awful man.