Friday, July 29, 2016

Serious First Aid Kit For The Range

Oh give me a home, where the boat tails roam, and the RTO’s and shooter’s play… Home on the range!
I spend probably way too much time on the range. I’ve talked about it before, my obsession with a shooting range. I love the smell, the sights and sounds. Well, there may be a time when you’ll need a first aid kit at the range. Usually it’s just a sliver from the rough shooting tables, but it’s always best to be prepared. I would recommend a range trauma kit.
Training trumps gear, but usually both are best. Shooters should have a basic knowledge of first aid. I talked to a combat medic and asked what he felt should be taught concerning trauma and gunshot wounds.
He said that the traditional A-B-C (airway, breathing, circulation) training had to be changed in combat to X-A-B-C-D-E (eXsanguination, Airway, Breathing, Circulation, Disability (neuro), Evacuate).

He explained it this way. The amount of time, on average, you can die on the battled field is how we determined our priorities.

Exsanguinating Hemorrhage (severe arterial bleeding as the result of penetrating trauma, ie. stab wound, bullet wound, etc): 1-3 minutes
Airway obstruction (blood/debris in the upper or lower airway occluding the passing of oxygen into the lungs): 4-5 minutes
Tension Pneumothorax (air leaking into the pleural space inside the chest causing cardiac arrest due to penetrating trauma, ie. stabbing): 10+ minutes
Shock (poor perfusion leading to organ failure and death, usually due to severe blood loss in victims that did not immediately die of exsanguination within the first 1-3 minutes) : "The Golden Hour”

Based on this information we recommend you make your own kit. Here are suggested items to include:
2 combat tourniquets (research this, there are many good ones on the market, ie. CAT)
4 pairs of gloves (in a zip loc bag)
1 to 2 Quickclot (this can be expensive so be aware)
15 Surgical pads (I like the traditional Johns & Johnson “Band-Aid” brand Surgipad. They are 5x9 and thick. Good blood-stoppers)
2 Rolls 3” guaze
Assorted band-aids
1 Tube Anti-biotic cream
1 Roll Surgical tape
1 Roll of duct tape (you can put in several “rolls” of duct tape wrapped on old credit cards for portability)
OTC pain meds
1 pair EMT scissors
1 pair forceps/hemostats
1 pair tweezers
1 instant heat pac
1 instant cold pac
Assorted small guaze pads

This is my kit. I am big on blood stoppers from my limited training and experience. Get as much medical training as you can. My son is an EMT and he sees a lot of crazy things and is grateful for the training he received. During that training he wondered why some training was needed, he found out later how important it was.
Semper Paratus
Check 6