Combat Medic (68W) Medical Bag Overview
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- Опубліковано 11 вер 2024
- Jarod is a combat medic (68w) assigned to an infantry unit in the Iowa National Guard. In this week’s video Jarod gives an in-depth look at the medical equipment he carries in the Army.
Medical Bag: www.tssi-ops.c...
No idea what kind of unit you are in so it is difficult to give some professional critiquing but I have some recommendations after carrying one of those for almost 6 years, depending on the mission.
In no particular order:
1) Ditch the TC3 cards unless it is required that you carry them. From the sound of it, you are primarily doing training coverage. If you send a soldier in for treatment and the S1 receives that card instead of a SF 600 or a DA 2173, they are going to look at you like "WTF?"
Get a gallon size zip lock bag and throw 6-10 600's and 1-2 2173 packets in it. You may or may not know it is there, but there is a compartment secured with Velcro at the top of that bottom zipper pocket where you have your NPA's. Shove the paperwork in there to keep it out of the way but accessible.
2) Ditch the ETD's. Pack more gauze and ACE wraps. They are far more versatile, take up less space, and you will get more mileage out of them over the cumbersome and expensive ETD's.
3) Shove 2 SAM splints in the mesh pocket behind your shoulder straps on the outside of your M9.
4) Replace the shears with a Benchmade Rescue Hook ASAP. Use one of the NAR retractable lanyards to ensure you never lose it.
5) Keep ductape to be used as your workhorse for anything serious. I kept mine in a grenade pouch on my chest rig (I bought my own and ditched the FLC). The small MOLLE piece meant to secure the spoon is ideal for 550 cord. Tie a piece through it and your tape so it can dangle somewhat in front of you and you can keep it accessible, out of the dirt, and it will be one less thing to sorry about because it is essentially dummycorded to you.
6) Free up some space in your bag by keeping the TQ's on your vest. I don't know how you have your FLC set up but you can keep two staged next to each other inside the flapped M16/M4 mag pouches. I kept 4 on my chest rig in such pouches and 1 in my right leg pocket by my boot.
I'm sure there is more but it is late and I'm worn out. If you'd be interested in hearing anymore suggestions/recommendations, I'd be happy to pass on some things learned through trial & error.
Best regards.
Kudos to your comment, but regarding number 4, Sam ie prepmedic, showed some shears, that I actually bought that are collapsible I am finding them useful, but they are in my truck, and I can not remember what they are called. I served 20 years as a Combat Medic, and HR guy with the Reserves and then been serving way too long a EMT/Paramedic here in Kentucky so I continue to carry my military gear or a version of it as my civilian gear.
You are referring to the Leatherman Raptor shears. They are pretty amazing. I had the opportunity to play with some a couple of times. They are definitely a significant step up in the world of shears but for tactical field use, my money is still on the Benchmade Rescue Hook.
My rationale is that while I have never had my Leatherman multitool fail me, my concern would be getting so much sand or other foreign matter into the parts that require articulation that they would be ineffective and/or inoperable when seconds count. The Benchmade Rescue Hook has the advantage of being a single, solidly forged piece that can take a lot of abuse and usage. It is also much faster to drag the hook down a casualties pant leg (or the like) than it is to cut your way down, even with something as well made as the Leatherman Raptor. The hook can easily carve through boots and 500/1000 denier ballistic nylon. While it may not be as versatile as the shears, it more readily compliments the mission set and purpose of a bag like the M9 in my opinion.
To each their own though. Nothing about field care is "one size fits all." Just gotta find what works best for you and train with it.
*thumbs up*
@@desertking11xray Roger Roger, true not two medics will do things exactly the same, something I do that other paramedics at one agency thought was funny, every run I put 3in tape on my leg, and that is where vitals go until I get to do the report if I have two patients, right leg is patient on stretcher, left is the patient on bench, no one else gets it.
@@dillonlexington
That's a great idea. I never put tape on myself like that but I kept a strip inside of my Blackhawk STOMP II and my SO Tech MDMP for a similar "down and dirty" set of vitals for me to write on with a sharpie.
Worst case scenario, I peel it off and slap it on the casualty before handing off to a flight medic or whoever else.
@@desertking11xray it really works well, once you learn how to write ledgibly on your leg, if you take this idea, I suggest you carry gel2 pens. that is what I found works best for me.
I was gifted one of these with all the contents years ago. It kick-started my obsession learning tactical medicine.
I really like this one and makes me miss my issued aid bag ;)
im an rn in California. I signed up for US Army in 2010 for combat medic. the recruiter was selling combat engineering hard. I salute you combat medic out there. Saving combat Trauma for US soldiers God bless you all.
Bag set up is nice. Following the MARCH sequence is the way to go. Keeping with that will help young 68W coming out of AIT to keep their skill set sharp. If your unit is anything like mine, we are only allowed to treat life, limb, and eye sight during drill. During AT they slack up a bit but not much. Thanks for put up.
Awesome video man! Thank you to your coworker for his service and time to show us his loadout!
*Thanks for sharing! It's interesting to see that combat medic keep things pretty simple.It's all BLS stuff for the most part.Tourniquets, gauze, pressure bandages, chest seals and basic tools to monitor your patient.*
*There's not much you can do in the field.I see folks with surgery kits, suture kits etc in their "medic bag" it's ridiculous.*
I partly agree. If your goal is to get to a higher level of medical care, BLS is fine. With that being said, being able to treat a non-hemorrhaging laceration isn't a bad idea either IF you know how. 😂 the mall ninja (or mall doc) carrying a bag of goodies is damn near useless, unless you're selling the shit to him.
@saddleup _andride If you want to learn to stitch, get a pack of chicken thighs and some #4 nylon sutures. Basic debridement is pretty straightforward. 😂 it's called practicing medicine for a reason.
The goal of combat casualty care is to get casualties the care they need, take note the priority is not to get people to a hospital, you may not be able to but that doesn’t change what the casualty may need. If you are trained to do advanced interventions and have the capabilities to carry them in the field in deployed or austere environments, do it! You can do a lot in the field outside of just MARCH interventions.
Well, if your "kit" is for a hiking trip 60 miles into nowhere, that suture kit might come in very handy. I don't know what "surgery" you're going to successfully pull off in the field without giving the patient sepsis and probably bleeding them out as a civilian, but I presume if these folks you know have them, it's probably just a basic kit for removal of some foreign body (like a piece of metal stuck in some muscle, or impalement on a stick or some shit)... But if you are going to be out in the wilderness where NO ONE will come to aid you for 24 hrs, or somewhere they will have to send a damn helo in to med-evac your casualty laden ass, I can see a suture kit as something very worthwhile. Giving someone a quick 3 stitches, performing a needle cath decompression, or starting an IV for basic LRS rehydration is not hard once you know what you are doing.
Also... just for reference, in 1942 a Navy Hospital Corpsman (then called "Pharmacist Mate 1st Class") performed a successful appendectomy on a sailor aboard the USS Seadragon submarine. Bro lived thanks to that surgery. So... just saying, if they could do it in 1942 with that era's tech, imagine what Corpsemen are trained to pull off now in a secret sub mission or other "we can't take you to the hospital right now" scenario.
You seriously deserve more view on your videos! Keep up the great work
You need your own UA-cam channel. Good job.
I was National Guard medic as well. I was in from 2011-2018. Used the STOMP 2 in training then once I got to my unit. My unit didnt care what you carried, so you could buy your own bag and do it however you wanted. I always stuck with the STOMP style. They gave this bag to new guys coming in. It always felt too limited and small for me, but it also sucked lugging that giant STOMP around too lol. Great set up and lay out, it looks great. Always great to have a flow, and label things in case someone else needs to use it.
Thankyou for your service
Howdy Jarod from Sean an old 8404 / N.Y.C. CCTP. Every medic knows you can not treat any aided effectively unless you have the requisite PT belt on and tape in your jump bag! Great video Brothers! Be well Love Those Close To You and Echo Hard! HM1 "Doc"
I love the fact that you guys take the time to show and explain. I can tell you take this seriously. Can’t wait for EMT school to start. Do you have any suggestions for new EMT’s?
Hi Kevin, would love to give you some advise but have a question first.. are you following the EMT course in the USA or somewhere else and will you take the EMT-B course?
Start reading your book ahead of time...make sure to read before you began the lectures in class...make sure you know what you are reading, most of the time you can go through the chapters but if you don't understand the concepts then it's going to be hard...look online for additional resources such as skill videos, anatomy videos, and even disease videos, Good luck and DO your best
Medic Yoshi in America Melbourne Florida. Eastern Florida state college.
josh garza I’m reading the book right now just started medical terminology. Thanks guys. I really do appreciate it.
I'm an EMTB in training right now
Great work dude
Always making great content
Thanks
Keep up the great work
🇿🇦🇺🇸🇿🇦🇺🇸🇿🇦🇺🇸
For anyone that’s interested in the Black Hawk Stomp II but isn’t a fan of the size and is also a fan of the M9 bag for its size. LBT makes a bag called SCOTT and it combines the best of both worlds. The front half unzips into its own backpack a little bit smaller than the M9 for smaller missions/ vehicle operations. The bigger second half has velcro on the inner flap and two pockets for your pouch inserts like the STOMP II.
I’ve been running it for a couple of years now and it bag is the most durable bag that I’ve ran. The STOMP’s buckles broke on me after 2 weeks.
Now I will say it’s not a cheap bag, but you can find used ones on eBay for a little cheaper than what LBT is charging but you most likely won’t get the velcro pouches with them.
Very interesting. Thank you gentlemen 🙏🏻
We all know the PT belt is better than any side plate vest...lol JK, great video brother.
Been putting together one lately, seen to many crazy people,
Very good!
A love military medic bag!
Do you use the PHTLS as a reference ?
All the medic teaching is iaw PHTLS standards
@@ethancampbell5373Army medic training is based on CoTCCC's TC3 standards. PHTLS is an additional civilian reference that has since incorporated some TC3 standards. War on Surgery is the other reference the Army medics course uses.
Consistently creating great content.
Anything like morphine or opioid to relieve wounded soldier's pain?
your channel is amazing
On a deployment what kinds of meds do you carry ? I have been out of the game for a few years and I’m curious what has changed.
PT BELT
So they're hiring at my local sheriff's department, but I'm in the middle of medic school.
Should I go ahead and apply? I don't wanna miss the chance, but it would be alot at once.
Awesome info!!!!
Great video.
Should consider packing a roll of cling wrap for burns and other uses, as well as some thermal blankets.
68w is with the Army... They provide the gear and it's primarily for battlefield medicine. I.e. this jumpbag isn't a first aid kit but for tactical medicine.
@@LukeSoro_MM I get that. Both items are reasonable to include for tactical purposes, even for training operations. This kit is clearly geared towards trauma, and hypothermia kills in trauma, hence thermal blankets. Cling wrap works for burns, as an occlusive dressing for eviscerations, as a wrap and probably a bunch of other purposes.
Good afternoon,I just watched your video today and I enjoyed it. I am a retired ff/medic not a military medic. I have a couple of questions regarding the equipment you dont carry. How come you do not carry a SAM splint and triangle bandgaes and a lot more gauze. Did I miss a bag valve mask?. Thanks for your service and have a good day
Lee Hart 6:48 I almost missed it and was wondering the same thing
Nicely done
Thanks, Guys.
Great and thanks to both of you
Can you make a video about flight medics?
@@PrepMedic okay cool also I'm about start EMT school this month I'm kinda nervous got any advice for me
You still have ACU pattern ones? Thought ARNG upgraded. My unit gave us M10 medbags and they gave us much needed space.
Hey, do you think the M10 is significantly bulkier than the M9 ?? I can't decide if I take M10 or M9... thank you !
@@777Zubi I like the 9s better because I was used to it, before we upgraded.
Not a bad setup but I would get rid of the glow belt and the OPAs it's no longer part of the TCCC guideline.
@@PrepMedic yeah I guess the army is like that. Haha
Have you taken a look at the guidelines? OPAs are definitely still in there for combat medics/corpsman. I know cause i just checked after reading your comment.
Kore makes the best gun belt I ever had. I have a bad back, EMS injury retired, and was tired of constantly tying to adjust my horse hide belt from sitting to standing or trying to adjust to a position of comfort when the back was acting up. About a month ago I decided to put away the Glock 19 and XDS9 and bought a Glock 43. I always carry and thought the Kore belt might be the next piece of the puzzle I needed. It is now the end of two and a half days and I know already this is much better. Even if I didn't have the back problems I would still want this belt.
I got here from watching a breakdown of what Aidmen carried in WW2 - we sure have come a hell of a way from sulfa powder/tablets, morphine and Lucky Strikes 😅
Which pulse ox are you using? Looked like a mini, is it reliable? Bout 8:11 in to the video.
Thanks!
They are reliable to about 3-4 percent, I tested them at my unit, put one on each pointer finger, read 99 and 97 did it a few more times got either the same or close.
Cool vid. What’s the scope of practice for 68W when it comes to meds. I heard Epi and Benadryl... anything else? TXA, narcs, etc?
Motrin, mobic, naloxone, OTFC (oral transmucosal fetanyl citrate), and or morphine vials.
When he says that there have been studies to show that the combat gauze with hemostatic agent is no more effective than normal guaze how do you guys feel about that?
a. www.ncbi.nlm.nih.gov/pubmed/21496135
b. www.naemt.org/docs/default-source/education-documents/phtls/trauma-resources/phtls-literature-reviews/Prehospital_Topical_Hemostatic_Agents.pdf?sfvrsn=bfb9cbfe_2
c. www.ncbi.nlm.nih.gov/pmc/articles/PMC5334026/
What was the brand/model of your stethoscope and BP cuff? What is your preference for those two items and why?
Cmon man where’s your trauma blanket at
Im a medic at ft hood, we dont often carry trauma blankets on person, I personally keep one in a on site vehicle
In every WWII Movie when the medic arrives he pours white sulphur powder on the wound and then hits him with a morphine injection
Cite your combat gauze studies, I bet cotccc didn’t find the same results. Ditch the Conan and the opas. Other than that it looks good... organized.
Yaaas!
Good stuff!
What kind of bag is this and where did you get this bag?
It's a TSSI M9
It’s issued
Do you think this would be a good bag for SAR ops ???
Where do you carry a SAM spint and triangle bandages?
For M9 med bags right where the straps are to hold it, there's a pocket there for the padded straps, and alot of medics carry their SAMs there.
Thank you @@thegamingredneck1879
Interesting, but how about a translation of all the abbreviated jargon so the rest of us know what you are talking about, thankyou.
Somebody could you tell me that what does it mean exactly the ACE and ETB words?
My brother's with the National Guard but he won't tell me anything about it. He's been ACTing that way (closed up tighter than a crypt) since the first time he went to Iraq. Before that, he used to talk to me a lot more. Not SINCE then. And he says nothing at ALL abt actually being there.
Vicki Bee He’s probably seen things that you don’t want to hear about. I’m not in the military, but as a firefighter I have seen things that I will never tell my friends or family about.
What about the M10 bag ?
Can anyone tell me the NSN for the molle pouch he said he put on his IBA/FLC? Or at least the nomenclature for it
I’m planning on being a 68W I’m signing my contract in a couple days. Do you have any backpack recommendations
Use the issued M9 by the time you are done with your 16 week vacation at fort Sam Houston you will know that bag inside and out, trust me.
Where is the combat IV Start kit from please?
North American Rescue makes them. I believe you can purchase them from Rescue Essentials
@@PrepMedic Thanks a lot! Big fan of your channel in Australia
Prep Medic, do you ever think you will become a Sergeant?
Will you have to buy your own OCP or will it be issued?
Issued for your first 7 sets, after that once a year you will get a bit of extra money with your paycheck to go out and buy one or two new sets.
Can u show us how to properly fill DD 1380? (plz)
So you don't carry morphine and other similar medication?
I hate that bag. I spent like 10 minutes Trying to fit 2×1000 ml bags of saline in it.
I was thinking how all the compartments looked really tight. Definitely better options out there.
😂 I looked all over for a bag I liked, and ended up buying a Wal-Mart duffel bag and Plano trays. It works
You can easily fit 2 x 1000 ml bags, tubing and starter kits wrapped up in cravats like burritos in the bottom segmented zipper compartment.
@@desertking11xray I could only fit one in the bottom segment because that's where I kept my stethoscope, BP cuff, and other items. I left the other 1000 ml free balling in the main compartment.
@@FPSacramento It all works. I usually kept my diagnostic gear in a truck bag and kept my M9 ready for immediate interventions like it was designed for but depending on what we were doing, I would occasionally strip out the bottom modular pouch and shove my Steth/BP Cuff and BVM in there and go about my day.
Don't understand why you need to need the bloodpressure etc in the middle of a battle, if the blood pressure is much too high , what are you are going to do ?? First aid and evac !
Blood pressure and MAP are crucial indicators of hypovolemia and guides treatment.
@@PrepMedic es you are right ofcourse, but still what does that change on the battle field ?
@@pim1234 a lot. Do you give blood? Do you give calcium, TXA? Can their BP support pain medications? How rapid does evac need to be? In a PFC scenario ground forces might be treating a patient for up to 72 hours they need to be able to trend BPs and vital signs.
@@PrepMedic ah, ok, you can see that I am not a medic 😄
No morphine to prevent shock ?
Morphine doesn’t prevent shock
TSSI
Thank you for showing your med kit. However abbreviations are only good it you know what they mean. Common person look at this and doesn't know what you are talking about, what is common for precentor is as you doing physic of astro rotation dynamics.
Hey man can I ask you a question ?
@9:44 crotch rot strap 😂🤣😅
A lot of jargon and acronyms not explained
Ditch the fucking drop legs. Wait until you do a 16hr walk about. It is also worthless when kneeling or in the dark. Keep shit up on the body in Rhodesian rig or on your body armor.
IBA LOL
First
It's clear this is a NG aid bag and you dont get much use out of it, I'm assuming you're not a line medic and spend most of your army time doing simple trama lanes, couldn't finish the video to many eye rolls lol this is a fresh off the ait boat aid bag