- 15
- 44 719
The Guerrilla Medic
United States
Приєднався 16 гру 2022
Do Everything Chest Rig? @TREXARMS TRAAP Rig
My take on the @TREXARMS TRAAP Chest Rig.
Переглядів: 7 948
Відео
Tourniquets: High and tight isn't always right
Переглядів 1155 місяців тому
Tourniquets: High and tight isn't always right
Northwoods Medical: Tactical Combat Casualty Care
Переглядів 5818 місяців тому
Tactical Combat Casualty Care (TCCC) training through Northwoods Medical. Hosted by 3Aces PSOC in Spokane WA @SpiritusSystems @CoTCCCCommitteeonTCCC
The Guerrilla Medic Podcast Episode 9: Getting The New Guys Squared Away
Переглядів 275Рік тому
Full episode on podbean: The Guerrilla Medic Podcast. Here's a chunk of the most recent episode we did. Check out podbean for the full episode. Agree or disagree, these are some lessons learned over the years. The Guerrilla Medic Podcast: Podbean: www.podbean.com/pa/pbblog-8ha5x-e3af43 Spotify: spotify.link/SN57lDJlpDb
Trex Arms Quad Flap Chest Rig: Initial Thoughts
Переглядів 10 тис.Рік тому
Going over some initial thoughts about the Trex Arms Quad Flap Chest Rig.
Eviscerations: One Way to Deal With Them
Переглядів 573Рік тому
One way you can quickly go about dealing with an evisceration in the field.
Orion Training Group CQB course loadout
Переглядів 7 тис.Рік тому
Quick rundown on some of the gear I'll be using an the upcoming Orion Training Group CQB course.
Dump Pouches: Are They Viable?
Переглядів 676Рік тому
I've spent alot of time and money messing with dump pouches. Here's my take on some of the most popular ones out there and some of my "why" behind whether or not I'd run a dump pouch. Hopefully it can save you some coin and headache if you're just getting started with dump pouches. Spoiler, @SOEtacticalgear with SOE Gear makes a damn good product.
Magpul DAKA Pouch First Aid Kit
Переглядів 1 тис.Рік тому
Magpul DAKA Pouch First Aid Kit A quick rundown of what I keep in my boo boo kits. Know your most likely use case and plan accordingly. You don't need to bring the kitchen sink-keep it light and keep it simple.
Spiritus Systems Delta Bag
Переглядів 11 тис.Рік тому
A quick rundown of the new spiritus systems delta bag. I've been using it since it dropped in late February and have been putting it through its paces. I'll do a final review after using it more and running it through all 4 seasons. So far its been a great med bag, but its not for everyone.
Vehicle Med Bag
Переглядів 1,5 тис.Рік тому
A rundown of my vehicle med bag. I go into the bag, the contents and the"why" behind what I pack, how I pack it and why it's there. Don't just buy a bag based on someones clout. Analyze your most likely needs for a vehicle based trauma bag and plan accordingly.
Long Term Medical Preparedness-The Rolling Aid Station
Переглядів 783Рік тому
What's your plan to provide medical care for your tribe? I go over one aspect that is worth considering-essentially an urgent care on wheels.
Do you have a link for the admin pouch?
@@DQ_Actual www.blueforcegear.com/general-purpose-pouch
Hi mate, could you do a comparaison between a CSM style dump pouch vs the SOE?
@rafaelr9266 the soe one rolls up smaller, not quite as large. Csm type usually just stay open. I leave mine rolled up until I need it. Hope that helps!
In my day we couldn’t even change the “placement” of our IFAK’s and they were huge. I can’t stand being “lopsided”. I would have much rather have carried a kit behind my front ESAPI plate. They are making materials specifically packed flat designed for this purpose (my opinion). If I’m schwacked so hard that they’re looking for an IFAK… I want mine behind armor. . All the “snivel” medications and issues. That’s for the Corpsman to address. If Doc always has moleskin and Tylenol or Ibuprofen (or some other take with water magic)… everyone doesn’t need that. Doc will even carry surplus “prescription medications”. That’s Doc’s world. Doc (Navy Corpsman). If you do have a TCCC Casualty Card… that is YOUR card… so fill it out… BEFORE YOU GET HURT. Doc doesn’t need to waste his valuable time writing down nonsense. Vaseline 4x4’s… you could carry 12 of them to equal the weight and bulk of the Heyfin. That gauze covered tin foil makes a great “chest seal” coupled with GOOD tape (which is also useful for so much more than just First Aid). Just gotta clean the area well. The needle used for chest decompression can be shrunk down to around a third of the volume if the same needle is carried in a different container. NAR has made some “improvements” but they’re not necessary if you have an understanding of how to use another method/tool. Kringle gauze and a SWAT-T (not TCCC approved… I believe… for the reason that if conducting self aid… to say an amputated limb… your odds of dying go up. The CAT will in many ways “self arrest” meaning if you pass out or become unable to continute to effectively care for yourself… all the “winds” you did… or progress to close a pipe… won’t be lost… as the windlass will catch in the design. But the SWAT-T makes a good combo. Because the SWAT-T works. I hate to give the Russians any credit. But if a competent person is doing it… a giant rubber band… even pink… will close off (crush major pipes against bone) very well. And the gauze and rubber band in the wide ~2” ribbon format… Both are multifunctional. And if in ample supply can be used for all sorts of things. The compressed gauze and that big rubber band… can do all the things an Israeli Dressing can do. And more. You can’t make a slingshot out of a Israeli dressing.
There should be more “flexibility” with medical kits. We handicap ourselves in many ways. Movement over terrain by foot has been forgotten. If you’re climbing a mountain… that medical kit is “everyone’s” spread between 4 to 8 people. I’ll take a single item out of the IFAK like a CAT. Don’t get me wrong… the benefits of a TCCC approved (and even some non approved like the SWAT-T) TQ. And for some injuries by yourself… there is the chance of death (higher)… but if someone trained is able to get to you in within a few seconds (which should always be the case).. the simple cravat and closest “stick like object to hand (I always used one of my rifle cleaning rods)… can shut off a pipe just as quickly as a CAT. I can assure you. So if you didn’t go in with a mindset that every single person has four of them. It’s not practical unless you’re confined (stuck) to a logistical system. AKA SOMEONE ELSE TO MOVE YOU (Vehicle). Helo, LAV, Hummer, ship, civilian aircraft. You’re fine. But not if you’re moving long distances over all sorts of “bad terrain”. Jungle, arctic, mountains and extreme elevations, swamps, just extremely long distances on paved roads. Whatever the movement… much of what is in an IFAK can be improvised and spread much thinner than is current “practice”. Anything can pack a wound. It doesn’t need to be sterile… (that’s what antibiotics are for) and it doesn’t necessarily need to “clot” just compress. A cut up shirt or trouser from the wounded man can pack just fine. Just carry trauma shears (which in my opinion were valuable and light enough that I always carried them… but I was also a Combat Aidsman designee… which for me was being taught everything the Corpsman knew. Which he was an awesome Corpsman and tried to get me to his level of competency/standard of care/depth of knowledge. And equipped me as such. But just in general a lot can be improvised. Splints. Carry more cravats. They have an infinite number of uses. Beyond first aid. Our “first aid” mindset is off. We need higher levels and more training and much of what you carry can be shed. Or at least cross loaded more efficiently. Like having a “Corpsman’s” mule. Which is what I often functioned as but the point is everyone else could focus more on practical items. Patton said it best. I’m not “un aliving” for my county… I’m making the other poor SOB “un alive” for his! We need the same flexibility in body armor. The fact that we are so confined to vehicles… that’s a huge huge weakness. At least for our Professional Military. I hope it changes and civilians acknowledge that flexibility and knowledge are key. Cheers.
No
@@garrettzkool63 you get to carry the SAW and the man pack… not very bright… constantly doing battle with “the words” and “thinking”… you’re gonna be of use. Like a mule. Fear not.
If you’re still running the soft litter on the side, try using the female buckles that hook into MOLLE on each side. Take the double male buckles that the Marine Corps uses for CLS bags and then you cinch it down. Eliminates bouncing and is more secure.
That's a big brain move
If you want your spud pouch to be more quiet I know surus operations has a buckle set that adapts to spud pouches to be buckle secured. I have it for mine and it works well
I'll check it out!
Where is that last pouch from? The one all the way to the right next to your tan one.
Aws gear
Check out the RDR AMP pouch It does fanny pack and dangler really well in one package
Anyone have a link to the earpiece?
@@axm2689 I believe it was this one coderedheadsets.com/crew-jr-3-5-swivel-type-listen-only-earpiece-for-2-way-motorola-radios/
I like this rig, gave me some ideas. I wear a Fanny pack with MAR, start of C. Adding a “plus up” of fluids that’ll be a med bag in between if I don’t have my bag for whatever reason.
I bought one of these and the quad flap around the same time. The quad flap is solid but I found trying to reindex mags under nods was a major pain in the ass. I bought just the traap panel and threw on a velocity systems ultracomp harness I had laying around. With kywi inserts it instantly solved my issue. I run mine with the T.rex hydro and gp pouch, 2 TQs up front, ferro mini dangler, and a bfg ten speed triple mag placard up front in case I wanna add more ammo. I’m really digging it so far and like that it’s still slim up front for going prone.
@PastorDr.MartinSsempa love it. I went back and forth on a bfg tenspeed up front but went with their admin pouch for the reasons stated in the video. Great thing about modular rigs like this though is I can always swap the admin for a ten speed.
@@theguerillamedic Agree completely. I started off with a velocity systems pusher and I think the investment of pouches for MOLLE style rig is worth not being stuck with pre sewn pouches.
Hey bud do you have a link for the earpiece for the Disco 32, im a dumb Ape and can't find it
AR152 Baofeng fits in open top mag pouches perfectly..!
@@MartinJHarris can confirm
Im considering getting this one of these days. Not a fan of the price point currently. Didnt enjoy the TAPs rig itself. Maybe ill try to get a used one if it pops up
@TacticalGaggle if you have a harness that you like you can get the panel for about $100 cheaper. Wish that was an option when I bought it lol
@@theguerillamedic good point. I do have a H harness for my current taps that makes it way more bearable lol.
@@theguerillamedicThat’s what I did. The price is much more justifiable that way.
Great vid
I have a BFG on my big chest rig for incidental stuff but my primary one is a rollypoly on the belt (basically identical to the SOE)
Thanks for sharing!👍🏼😊
I've wanted somebody to make an updated TAPS. I like this one (and it comes in woodland) but I do wish it was priced more like the Onward Research... Also American made
@tstrongarm77 a taps with a spiritus upgrade kit is about half the price. The cost is what it is. People have been buying crye for years and never have a problem with price. Idk if trex is crye quality though. So far all their cordura has held up well for me personally. Time will tell.
Also if you learn how to do the upgrades yourself it costs even less. Just gotta be more creative when you’re broke for tactical gear. Lol
100% agree on the Crye harness. I use one with the Spritus 34A and it works out very well
Those big dermabond pens are a little over kill for small cuts & scrapes. I keep like 4 of the small ones in my rig. Those are better for small lacs and single use so you aren’t wasting one of those big pens.
Overall good overview though 🤙🏻
@loganellis5974 definitely agree, just what I had on hand.
HMU if you need some lol, I get them in the OR after cases all the time haha
@@loganellis5974 -I would like some. Can I get in touch with you somehow?
The taps/traap rig seems to be the best stand alone system. Great review 👍👍
Thats a seet set up dude!
I'll stick with the K-ZERO from Agilite
@@LarryeWhite61 👍
@@theguerillamedic I had gotten sucked into the hype of TRexArms then wised up later.
Actually you could connect the chest Rig panel to the plate carrier
Go do a hike in the mountains with a pack and you’ll definitely want to ditch the plate carrier.
@@PastorDr.MartinSsempa why would you be wearing a plate carrier on a mountain hike in the first place?
Looks like the pad you're using is the same one I have. It's a Cloutac "Templars (blah blah blah) Comfort Pad"
Do you keep more IV glucose in the med bag?
@echosierra2869 he keeps a bag of either D5 or D10 on him. If he's not responding appropriately to oral glucose we're getting him to higher care. We usually go out fairly rural so my D10 is just to help support him on the way to meet up with EMS or an ER.
🏴☠
Gotta love a “medic” with an improperly staged TQ
@BoredAmerican I can see where you're coming from. What you're missing is context and the fact that it's deliberate not staging the tab. It's exposed to the environment so exposed velcro gets leaves, dirt and all manner of debris in it making it pointless. If uncle daddy was buying me supplies and I could swap it out after every time it gets some debris in it I might reconsider, but that's not the reality for most people. Covering the velcro extends its service life.
Placing kit, medical or otherwise, is user preference. Nothing wrong with his TQ staging. I’d be more upset to not see one at all.
@@theguerillamedic aside from the time tab, (I cover them when I’m not doing anything so hair and shit) the tourniquet is staged velcro to velcro so it’s a two handed operation
@@DocCypher “user preference” yes I love it when guys have their TQs as hard to use as possible to the point it’s a two handed operation where fine motor skills are needed so when they’re bleeding because their brachial artery is severed in half and they can barely use their arm, they’re light headed and full of adrenaline and shaking like a leaf it’s as inefficient and difficult as possible to put that tourniquet on. 👍 genius guys, personal preference gets guys killed. There are so many free videos online on this stuff. “Bear independent trauma medicine series” He shows you how to stage TQs properly
@BoredAmerican I usually use as many hands as I have when I'm applying it to someone. This isn't for use on me, its a POI one for someone else. Mine is on my ifak.
Just got mine in mail yesterday, like it so far.
Sweet rig. Subd. HT🤙🇺🇸
@@hangtough503 much appreciated!
Hey! Well done video. What is your level of training? Thanks again!
Appreciate the kind words! This kit is mostly reflective of similar stuff I did as a Navy Corpsman. These days I do boring admin/operations stuff
Follow up review after a year?
Yep, aiming for the next week
Amazing content, I'm currently using saline flushes to saturate the dressings. Could you provide the link where you got the saline bottles instead of the flushes?
- how many EpiPens do you need? - yeeees
All the epi lol
4 fingers above and, as you say, never on a joint is what we were taught.
Do you still recommend it?
Still a good rig. Not my preferred one though.
@@theguerillamedic What’s your preferred?
@Briathos1 right now the traps rig with an airlite harness has been the best overall, most comfortable and most flexible to fit in different roles.
@@theguerillamedic The Traps from TRex? Thanks you for the response, I appreciate it.
@Briathos1 yep. That's just what I got. Now days you can get just the traps panel and add your own harness which would have saved me some money but wasn't an option when it came out.
Can you switch out the harness? How’s the rig holding up?
It's held up pretty well and yes, I've swapped out the harness for a mayflower one to see if it fit. Gonna do a follow up video on it soon. Still a good rig, not my preferred one though
The prodigal son returns! Good to seeing you make videos again. Thanks for the advice!
Much appreciated! Got some new video stuff coming out with the Art and War podcast boys soon. Actually had an amazing camera guy so the camera work is bangers 👌
@@theguerillamedic can’t wait! Take care brother!
I like the quad flap in combination with crossfire’s Dz-rig belt kit.
A full sized chest rig in conjunction with belt kit? All the mags
@@theguerillamedic for the armed prepared civilian for sustaining and resupplying himself when operating in a small unit or alone, yes to a full size rig with as much mags you could carry! The more fire power you have to suppress and evade the longer you’ll stay in the fight. Look at the battle in Niger where 4 SOF were ambushed and killed. They fought for as long as they could before being overwhelmed. Or look at the current Ukrainian forces fighting in trenches where they’re mostly suppressing fire to frog leap towards objectives.
@@WisSota_Boy definitely agree!
No scissors?
Yes scissors. Just not in the spiritus fanny pack, they're carried somewhere else on body. I've got a med fanny by aws that they sent out to play with and the ifak contents plus an additional tourniquet and shears fit in that one easily.
Soon 12 months since Delta bag vid dropped, update video?
Snuck up quick but yeah I think that's in order!
"I Narcanned Your Honor Student" 10/10, top tier as usual.
🤌 only the best
I don't think it's worth the 300.00. If you are actively practicing tactical medicine, this may be very slim. The Tajmainian Tiger MKII large is wayyyy better and about 1/3rd cheaper. Frankly, it's a rip-off. If the price was 150-200, I think it would be more reasonable. Students where I am at are showing up with these, and it's not going to do the trick (platoon-size coverages). But I guess it depends on the use case and your budget. But god man 300 dollars is balls and you don't even get any panels for the inside. We are experimenting with some new concepts at the schoolhouse, and with the new(ish) blood-on-target capability, this is definitely cutting it close. Good car bag maybe... maybe a good mini-speedball.
It's definitely a niche bag. For a line medic I'd still stick with something like an M9. I was curious when it came out and had the scheckles. Definitely don't recommend it for everyone.
Just picked up the SOE based on this vid, awesome job!
I love mine, hope you get good use out of it. They take a while to ship sometimes but I've always found their gear was worth the wait.
This vs m9 beg?
Both good. Whats your use case?
Just discovered you from the Art and War guys. Putting together my own medbag and medical training. You’re stuff is invaluable to everyone. Keep it up man
Much appreciated!
SO good. Thank you. This would make a great book w many color photos.
Thanks for the kind words PJ! Thats a good idea. I think I'm going to put this into a downloadable PDF with pictures for folks to have access to, I'll email you a copy.
Might be a dumb question but can you explain the taped up dip cans?
You can use them to help with junctional bleeds. Adds a bit more direct pressure. This guy did a great job demonstrating an improvised junctional dressing, I just like adding the dip cans for pressure. ua-cam.com/video/09RIhF8yzP8/v-deo.htmlsi=gnFZojSnkScw1u2W
@@theguerillamedic You just add the dip cans round side down on top of the packing or you pack, wrap, add dip can, wrap again? Also why IV on person but not a cric or vitals?
@floridaman8136 the dip cans are just a stop gap to a junctional tourniquet. You'd pack, add it on top and put a dressing or wrap over the top to add the extra pressure. Iv start on body for a few reasons. The C in the MARCH algorithm includes getting vascular access if needed. Also, with IV access you can start TXA if needed or other drugs. Cric in the bag. A cric absolutely needs a bvm with it, which I can't fit on body so cric without it is no go. Vitals are bag as well. I keep a pulse of on my person so that's the only vitals supplies I keep on me unless I have access to an EMMA for monitoring end tidal CO2. BP cuff comes after all the MARCH items have been addressed, so it stays in the bag.
@@theguerillamedic Why does a Cric absolutely need a BVM? Is that because every patient you've seen that needed a cric also needed to be ventilated? IK you are text book supposed to ventilate and listen to lung sounds but you can also just check for misting, feel breath against your cheek/wrist, and monitor spo2. By vitals I meant spo2 and emma, not bp cuff/steth. Didn't know you had spo2 on person. Overall my question is really why an abominal kit on your person when thats more of a secondary injury? Are eviscerations common? Were you taught to secure it before moving a PT to prevent further harm? Or is it just because that was the medical scenario you guys ran through at TUSC? Not trying to be a dick. Im a 68W and you seem very knowledgeable and experienced. Trying to understand what's lead you to set it up this way.
@floridaman8136 Not at all man, these is the kind of questions I love. Crics. If I'm doing a surgical airway, I'm owning the airway. Really the only time I can think of doing an airway like that and the pt can ventilate themselves would possibly be a burn, but that airway is at serious risk and needs to be monitored. If there's another scenario where you'd cric and not vent I'm all ears, I definitely don't know everything. Abdominal kit. That's a me specific thing. If I need extra gauze, tourniquets, dressings etc I'm pulling from another guy that's cross loaded or an aid bag. I'm the only one in a crew with this kit. For my use these days post-mil the thought process is A) common MOI and B) doing everything I can to help set the pt up for long term success. Common MOI-shotguns are very prevalent in the states and most armor doesn't cover the abdomen. Moving a guy prior to securing it introduces a greater risk of foreign debris and bacteria getting into it as well as kills the moral of the team. Full transparency, it's also deeply ingrained in me from dealing with them before without an abdominal kit that I swore I'd never not have one. Hope that helps! Always feel free to reach out on IG, dms allow for easier conversations.
I am very annoyed at myself for not putting the pro mask into the dump pouch idea. As I absolute despise the drop leg method of carry. Glad I stumbled on to your channel. Love the kit idea's.
Yeah man, I despise leg pouches. Glad you could get something out of the chanel!
Those clear organization bags look helpful. Do you know the size or where you got them? Looking for a similar setup.
Small Haley strategic zippered pouches.
Thanks
What meds are you running? I was thinking Zofran, Diphenhydramine, Epi, Dex, Turbutaline, Calcium, TXA, and Rochephin.
Depends on what I'm doing, but usually its just bls type meds-epi, zofran, diphenhydramine, non-narcotic analgesics, small thing of lido for crics if time permits, rocephin, some corticosteroids, and albuterol for the most part. If we're out doing some longer term shenanigans in the field I usually I add some more abx, immodium type meds and boo boo stuff. I don't do cool stuff anymore so I don't get txa or als drugs but if I did those would definitely be in there. The former pj's at greenfeet medical do some good stuff and probably have more insight on those.