Don’t know if it’s been said but I’d definitely recommend carrying blue gloves instead of black since it’s hard to see blood on black gloves making blood sweeps and checking for bleeds harder, especially in a rainy or muddy environment you’d see in the woods.
For anybody who isn’t aware you can carry the larger SAM splint and use the trauma shears to easily cut the SAM splint to size. Just make sure you fold the cut edge to cover the sharp edge.
I really appreciate your approach - it's smart and efficient - you education and intellect comes through and that adds a kind of credibility many other guys don't have. Not hating on anyone just giving credit where it is due. Thanks for this vital information. ✊🏾
Same. Most people can't "teach" while showing this stuff but he has it broken down in such a way that you can do your note taking etc easily while making your list. Very good approach!
My Bug-Out Medical bag is the most important bag I carry. This video is a great starter to make a medical Bug-Out bag. My bag is pretty much like his, I do have other items that I feel I need that he didn't cover. Stop Bleed. This comes as a granule. You can buy single packs and larger bags for more severe wounds. This works very well for stopping blood flow. They have some Stop Bleed that is in a good size syringe to place the granule in deep wounds, gunshots and stabbing wounds. Bleed Stop also kills bacteria and germs for sanitation of heavy bleeding wounds. I have two sterile Staple guns that are preloaded and disposable. The kit has gloves, tweezers ( one large and one small) to close the wound while stapling. I also have several size sterile threaded needles for stitches. I like to use the staple gun, it's faster, less painful and sterilized. I have these not to stop the blood flow but to close the wound so no contamination from outside source. I generally don't try to staple or stitch but sometimes the butterfly suture just don't stick or the wound is in a bad spot. I also have several ways to stop the pain. Tylenol, Aspirin, Ibuprofen for minor pain. I do have some 100% Lidocaine that I talked my Dr out of. It's in sterile syringes and used for numbing before operation. I use this to put on the stab wound, gunshot wounds or deep and painful cuts. I use this also as a prep before staples, just makes it less painful and I could use it to numb the pain for broken bones. I also carry a LifeTent. It's very small to carry and is made of the same material as a emergency mylar blanket. Two people can use this LifeTent and with it being made of Mylar it reflects your body heat back to you. It can be used in the rain, sleet and snow, a real life saver. I also carry two Mylar sleeping bags that can be used as a emergency blanket for people in shock and as a emergency sleeping bag. I put this in with my medical BugOut bag but also have the same system in my " tools" Bug-Out bag. I also carry alcohol for wounds, hydrogen peroxide, hydrocortisone cream, burn gel, Silver nitrate, Iodine Solution, First Bite ( insect bites or stings), Calamine Lotion ( poison Ivey, sumac or other poison plants), You will definitely need a emegancy radio that can provide power to charge your phone or other survival items. Preferably a emergency radio that you can crank to recharge the battery, have a solid panel for recharging the battery, NOAH certified with a light. few ways t
Good tip for blister prevention is to wear a pair of thin merino socks as a first layer and then your usual boot socks. This is by far the best ever tip I got for preventing blisters.
Man Josh great vid. I really like your kit. Very well thought through and well put together. I’m saying this as a ten year paramedic that does EMS for a living.
It's very refreshing to hear advice from someone that's been there. So many people with no practical experience talking about what you should have/do. I always frowned when I got a patient (CSH) that really could be doing better if someone would have just put on a field dressing or tourniquet. On the flipside, it was great to see a patient come in with a normal blood pressure even after having a traumatic amputation because somebody was on it with a tourniquet.
I don't carry it in my pack, but i do carry that NAR hypo kit in my truck during winter. A space blanket and a couple of the large hothands warmers make a comparable , more compact, kit for pack carry in colder weather.
Great vid only thing I would change are the black gloves to a (what I use) light blue. Black gloves can hide blood during blood sweeps making it harder to triage. That is just what was taught to me. -Matt
Great information. This cleared up a few areas in my first aid that was lacking now I just need to get some first aid training and I'll be set.Ive been dealing with some injuries that have set me back and haven't allowed me to get some of the training I would like to but after this month I'll have my last surgery taken care of and hopefully I can get back to a normal life that I have missed out on for the last couple of years.Thankyou for all the info you put out for us, your calm demeanor and approach make it much easier to absorb.
I'm jealous. When I got to the middle east we didn't have TQ's. Heck, we hadn't even heard of an up-armored Humvee and all but three of ours were soft tops. Love your videos, man.
Ive been watching you religously, i out watch my fair share of dave and shawn and dan, dave has a lot of good long term stuff, dan has alot on well i guess questions, shawn just camps now, but you are a mix of em all and i really like how you constantly go over kits and such, good for versatility.
Logging cuts used tape from axe neck to wrap sock and use a small stick to twist with tape to apply pressure on wound. If awhile till rescue use pitch as an antiseptic.
I'm not trying to troll you.... Great vid on what is out there now! I didn't get to use this med equipment. You can accomplish the same as this equipment with sticks, ropes and a clean bandana. Then again I was trained (old school) as an EMT, National ski patrol, NYS lifeguard. I think the first, newer style SAM splints were just coming onto the market when I got my EMT training...lol... I have always done what I could with what I had at hand, which usually wasn't much. Nice gear though!
Great setup! Gotta hate those "Anker Injuries" or as I say "Sprankle an ankle"... I'm a big fan of roller gause for securing splints (also love SAM Splints) nice and neat with few pressure points, though I'm still impartial to Israeli Bandages as similar can be done with a thick dressing/Abdominal Pad and roller gause, but if you want a one stop shop - the Israeli Bandage is certainly a great option. I'm also not a big fan of triangular bandages in general anymore aside for use as slings. Just my opinion from an industrial first responder/medic as well as SAR perspective and experience. Of course I have no objections to what Josh recommends in any way! I think he really covers all the bases really well as he usually does, and we all know that he knows what he's talking about! Though what could be included could be; a couple symptom relief meds like 81mg ASA for Chest pain and Glucose for diabetic emergencies, maybe a few other pain/irritation relief OTC meds... *Remember to have the proper training standard that these things requires as well.
I took an IFAK and went a little overboard with it. My wife had a bad bleed in the mountains one time and we weren't prepared for it, really bad feeling.
the only thing that i would recommend is a few small adhesive removers if you’re carrying adhesive. they look like small alcohol wipes, i’m sure you know!
Yes, i know exactly the ones you mean. I think I have some in my home kit, but don’t carry them in the field. I’m usually taking people from the field to the hospital and have never found a need for them before they get there.
Love all of your content. Fantastic delivery and just well done all around thank you for sharing your experience and the items you trust. Im a working dog trainer in Maine and i from now on will always have these things in a kit.
As a Green Beret Medic you have met your share of wounds. In todays hunting situations it is possible to have a need too work on several types of problems. Falling on a sharp object causing a deep puncture wound ie a cutoff sapling. A sharp rock edge again by fall and of course the broken bone. Thesse situation are very real to take place in remote area hunting such as Elk hunting in the mountains. Thx in advance....
I thought you were by the amount of effort you place into your emergency Med videos.. If you have a Green Beret friend that was a med it could be an interesting video for remote hunters. I understand that those guys are not your average bear.Thx.@@GrayBeardedGreenBeret
I think you would faint if you were to see my first aid kit! My wife and I, when younger, would spend up to three weeks, completely naked but for our footwear, usually flip- flops, in the South African bush. We had with us for first aid: a bottle of honey; a box of bicarbonate of soda (baking soda); some ampoules of adrenaline and antihistamine tablets, (my wife is highly allergic to certain insect stings); 1 mm syringes and needles to deliver the adrenaline; suture material and the appropriate forceps; sachets of cayenne pepper; my asthma "pump"; cling wrap, analgesic tablets or powder, Band Aids, some bandages and clean rags. We NEVER use disinfectants or antiseptics, as many of them damage the tissue they are supposed to be sterilising. The honey is nothing fancy: we just buy it in the shops, ensuring that it is NOT "irradiated". We simply pour it on everything from cuts to third-degree burns. If the wound has dirt in it, we will wash it off with clean water, stop any bleeding using pressure, then apply the honey. This is covered with a layer of cling wrap and held in place with some bandage or clean rag. Do not underestimate the healing power of honey: it is one of the most miraculous substances I have ever encountered - and we both have nursing backgrounds, so we know something about medicine. The most important factor when using honey is NOT TO WASH THE WOUND at all during the healing process! The honey forms a barrier over the wound and washing it off will allow pathogens to enter. Check the area daily, add more honey, cover with clean cling wrap and secure: that's all. The honey will also lift any dirt or debris, so washing the wound actually becomes superfluous. The bicarb is used to "draw" bites and stings and is mixed to a stiff paste with the honey to ease the pain and cleanse the area. Honey does a brilliant job of alleviating pain in even very severe burns and I have yet to have a single case of sepsis or infection when using honey on people or animals. The bicarb is also used in case of stomach upsets. Many women suffer with "the burns" when they urinate. This is reversed if the parts are washed with a bicarb solution and she drinks a glassful of water to which a level teaspoon of bicarb is added, up to three times a day. This has also been shown to ward off colds and 'flu when the first symptoms appear. The cayenne pepper is in case of angina, stroke or heart attack. The patient is given a teaspoonful stirred into a cup of hot water to drink - and I like to add a teaspoon of turmeric if available. The cayenne pepper dilates the blood vessels, dislodging the clot and carrying more oxygen to the heart and organs, while the turmeric appears to help dissolve the clot. I used this mixture to reverse the semi-paralysis of the right side of my body after suffering a stroke. I did NOT go for medical assistance - just drank the cayenne-turmeric "tea" three times a day for a week. All mobility returned within a month and I have not had a recurrence in over four years now. This may also be due to me eating a large quantity of animal fat and no plant material of any kind. I know that most people do not know how to suture, but I do. I would not use this on other people, but only on my wife, our pets and myself. We have used this, and only this "first aid kit" for close to forty years now, healing even a compound fracture in the hind leg of one of my dogs - with nothing more than honey and a make-shift splint cut from corrugated cardboard. The bone was smashed in two places, but Hobo regained full mobility within three weeks of our treatment. I'm NOT suggesting that anyone else use our methods, but WE will not use anything else.
Glad you mentioned the RATS TQ and other things to consider for kids, mine will be with me anytime they venture into the wilderness and of course are more prone to accidents and injuries, so I definitely want to be prepared for them. Looking forward to this series and to getting hands on training.
Anothet excellent video. Very informative for people. As a Paramedic myself, I love your choice of equipment and kit. I'd love to have that for myself. Lol. You can yell it's well thought out and you are right that a kit like that can become quite pricey.
I have always carried chemical hand warmers, the large 12 hour ones. I usually carry 10. Very similar to your heat blanket. Can say that a white water rafter I was with would have most likely not survived a hypothermia event without them. Great for the unexpected temp drop. I will be doing some upgrades to my major rafting medical kit. thanks for the video and list. Makes my life easier having your list.
Go to Lowes and ask for New Skin tubes. 2 in a pack for minor cuts you would have from a knife or a thorn. Single use tubes. But you add a few layers and a standard bandaid and you are good for about 2 days assuming you don't rub it much. Lastly, it is also an antiseptic....meaning it WILL burn like hell. But it doesn't require anything else. So if you prefer NOT to carry any form of bandage, you can get away with not rubbing that area you apply it to and it last a day or 2 plus sterilizes it.
I carry the RATS as a back up and for large extremities. A big leg (or arm) may be hard to get around and get tight. Adding the RATS to what ever else I'm using as a supplement can help. FWIW I learned this working as an anesthetist in an ortho room taking care of people with BMIs >40 getting total knees and having the OR tourniquet fail. Actually used a RATS once when they got into some oozing that wouldn't allow visualization of the field.
Good vid, but most importantly remember how to use all the items you carry, particularly in the wilderness where help may not be readily available. Taking a wilderness first aid course (or marine) will be extremely beneficial to anyone that likes to explore the wild.
Regarding irrigation. What do you suggest carrying to facilitate that? I've always carried the iodine pads to dilute in a small sterile solution but haven't had to use it. It unfortunately may be older information and any guidance or update you feel comfortable passing on would be appreciated. The channel is a wealth and depth of knowledge that is unmatched. Thank you for what you have done, and for what you are doing now.
I'm glad that I found your channel. You are full of good information and ideas . I made a small fist add bag when I go hiking & camping. Keep it up and going. 👍👍👍🇺🇸
First thing, Thank you for your service. I find your videos greatly informative and entertaining. Keep up the good work. All the best from an Australian veteran
Good video Joshua . For stings and bites we use the leaf of the plantain plant ( also known as white mans footprint ) . Chew a leaf and apply to sting/bite . PRID for burns ...................... Have you tried any of these ? I'd be interested in your opinion .
Gray you can recommend a special set for use, where everything you need is included in the kit! And how expensive it is! and where to get this, thanks to you. !
I can source a pretty complete kit, but they aren’t cheap. It’s difficult to put together a full kit since training levels vary so much, and individual practitioners tend to lean on familiar products which is expected. I tend to use North American Rescue products along with SAM Medical almost exclusively, that’s what I carry on my website
@@GrayBeardedGreenBeret that was very helpful, great tip I'll take a look around! I am a specialist in survival. I would have been dead seven times and I am always looking for more experience. It has always saved my survival with every action I have done. ! I will definitely stay on your side and continue to soak up everything in me. ! great that you exist. ! We hear from each other. !
Good video with great information. One instance where sutures can stop bleeding is in a scalp wound. Scalp wounds will frequently bleed profusely and can be difficult to stop with direct pressure. Opposing the edges of the wound with a skin stapler is a simple way to control of the bleeding. Have you thought about stashing one in your bag?
Scalp lacerations are capillary bleeds and you will not bleed out from them. It looks like way more than it is. There is no need to staple or suture in the field.
In regards to burns, I'm reminded of the survivor episode where the person passed out and fell into the fire. I'm reminded of a technique used in combat where the knees are posted up so the person falls behind cover. Maybe a more conscientous kneeling technique can be taught so people don't fall into the fire?
Medical stuff has been up graded some since my training and what we were given for combat in 1966-67 in Vietnam. Was not much in that little pouch on my web gear :- ) real lucky I did not need it ! Also had great Medics, who should have been awarded Bronze stars and more .
Ive heard to stay away from QuickClot for hemostatic bandages. The paramedics will have to remove the quickclot or it can get into your heart and kill you. Celox is preferred Also have heard burn dressings are excruciating to be removed when you get to the hospital. So you might be better off with just the burn gel Great video. Looking forward to the series.
The military uses QuikClot almost exclusively and has for over a decade. "Removing" it does not fall under any paramedic level pre-hospital care protocol that I have ever read or heard of and I have never heard of it being a danger if it gets into your heart. I have also never hear of anyone suggesting not dressing a burn because of discomfort to the patient. Typically in pre-hospital care you do what is necessary even if it is uncomfortable to the patient. Where did you hear all of this?
The Gray Bearded Green Beret I have asked paramedics why they dont generally use it and their response is either economic reasons or there is research that quickclot, celox and other hemostatic agents can cause an embolism if not removed thoroughly and should be a last resort to when a TQ doesnt work. Same paramedic told me surgeons told him celox is more efficiently removed than quickclot but thats just anecdotal. Heres a study I found www.degruyter.com/downloadpdf/j/pjvs.2016.19.issue-2/pjvs-2016-0041/pjvs-2016-0041.pdf The surgeons would likely be the ones to remove it, youre right. but if you did a field dressing with it, I was thinking a qualified paramedic would want to do things their way and it could be a problem if a hemostatic agent isn't thoroughly removed or if they dont know you used one. And I said you "might" be better off with just the burn jel. If necessary, of course use it. But if I burn myself and I'm already on the way to an ER. I'll just use the gel and maybe normal bandage if its not too severe. I've heard the burn gel dressing dissolve into small pieces and have to be picked out. Just thought I would share. But yes, obviously use it if you believe its necessary.
Does anyone else feel Josh looks a bit like a bearded David Boreanaz? He even sounds like him. I wonder if they're related. Lol. All joking aside, I love his videos...very informative. Something everyone should definitely educate themselves with. Thank you Josh!
Have you ever done a video on a basic car kit. I’m not in the back country at all but I keep a lot of the stuff you’re talking about. One concern is the effect of heat from riding around in the trunk for months at a time. For instance nitrile gloves degrade. If you had an EpiPen I imagine it would be great as well. Maybe a few words of advice on stuff they can stay in your trunk without being replenished every six weeks would be useful. I’m amazed they teach none of the stuff in nursing school.
I just discovered your videos today and can’t stop watching. Thank you for your service and thank you for your realistic and practical explanations! This is one thing I lack when backpacking - the knowledge for a Serious injury. I was USAF back in the 70’s and 80’s but obviously not out in the field so I appreciate you Sharing your knowledge. I am Also curious how much your pack weighs with just the med kits alone.
@@GrayBeardedGreenBeret thanks for your quick response. Also, great answer. I think people sometimes get really hung up on the weight of their pack. I can understand, but at the end of the day, take what you need and it is what it is.
Glad you have this on your website. Was just thinking after watching that there are some med supplies I’m lacking and it was really convenient just to be able to go down the list and check off what I needed and order. Any chance you’ll be adding the other tourniquets in the future (RevMDX and rats)?
I am a new subscriber....excellent video....could very well be the best...Besides having the knowledge, you explain everything in a well organized, easy to understand way. Thank you. also....could you tell me which backpack you have next to you? thanks again
Great info on med items. Looking forward to the pract app videos. J, what is your recommendation on the minimum NAR kit for urban non-firearm carry? Thanks for sharing. Semper Fi!
which would be interesting! a kit against poisonous snakes, or plants that are poisonous, or against poisoning if you haven't eaten good food would be very interesting. ! What can you do there . ! do you have any information, thanks to Major Peer!
@@fattyalpaca No, but I'm traveling @@fattyalpaca world. ! As what I do not want to say, I act very independently, I have a gun license for every country, but I am not a hunter. ! Small tip, I hunt it but if it hunts you as a peaceful person. ! (makes it click) I'm always looking for the experience of people on the internet that I think are very interesting or very intelligent. ! I just have time. ! This is totally absent for me at times. ! I had a lot of injuries, that's why I have time and click through the internet. ! Hodson enjoy life if you would know mine, I prefer not to continue talking, stay the way you are, I will take a look as long as I have the time. ! Hello . !
If a blood vessel is located, how do you feel about pinching it closed with a hemostat? I pack tourniquets, Israeli bandages, vented chest seals, Celox homeostatic gauze, Kerlix, compressed gauze, but I also like to carry at least one hemostat. They are very affordable compact, and add yet another option for stopping the bleed. Again, this is only if a blood vessel is visible. I could be wrong here, but it's also much quicker in such a case where it's applicable. I'd like your opinion on this since I've never encountered traumatic bleeding situation yet. I will say though, just the other day there was a roll over accident where the vehicle ended up in our front yard and after calling 911, I grabbed my kit and ran out there. Fortunately, there was no need for it, but that woke me up to the reality that, (To quote Skinny Medic), any of us can become first responders.
In your playlist’s I only see two wilderness medical videos. In this video you mention you will talk about certain things in upcoming videos, were those videos not made or am I just not seeing them?
Great intel GB. About all I know in medical is keep pressure on it. Need more training in that field. What kind of weights that add to your kit? Thanks again
do you know an antiseptic, which generally helps against poisoning from standing water. ?! I know that sounds pretty extensive now. ! against bacteria that cause gangrene. ?! In warm regions in particular, it is so delicate with wounds. !?
Iodine or Potassium Permanganate in solution can both act as an antiseptic or will kill bacteria in water and on fruit and vegetables. Won’t kill living parasites though, so boiling or filtration of water is advisable. Also can’t help remove actual poisons or salt, so a high purity filter or distillation might be necessary.
Something I have wondered is generally how long do these supplies last? Shelf life wise. I have a number of bags and just need to know whether I need to cycle out less or more often.
I was turned onto your channel via your ultralight bugout series. This seems like it follows a different philosophy, and obviously your first aid kit in that series was quite different from this one. I know you mentioned early in the video that it was for going out with students and would be overkill for most people, which makes sense. (I'd still be curious to know the overall weight and volume of everything in this kit.) With that in mind though, I wish you had spent a bit of time not just explaining what you carry and what it does (which you did a fantastic job describing, by the way), but also why you carry it, or more specifically what sort of wilderness scenario you would definitely bring the gear and when you would choose to leave something behind in favor of keeping your loadout light and minimalist. Since most people aren't often leading group survival classes, it would be nice if it was easier to use the information in this video and tailor it to my individual needs. I don't mean to be harsh. You have a lot more experience than me and I've been a very happy subscriber to your channel and email list for some time now and that is still very much the case.
This is an excerpt from a 6- or 7-hour film that is being released in the next couple of weeks. That films goes into detail of the why and how to use it.
I have a latex allergy, my first question to every medical personnel is are those non latex gloves? I had a dentist use latex gloves once and my throat closed up.
Nice video. What do you think about SWAT TQ? Do you realize that you can easily cut the splint with trauma shears? So I think the shorter ones is not necessary.
If I carried all this I wouldn't have any room left for actual gear , love the info but it doesn't seem practical to carry all that , how many cubic inches of pack space does this kit take up ? How much does it weigh?
Weight? Size? You've outlined a good kit.....but it seems a bit big and bulky for backpacking or long-distance foot travel. Great start for a base camp kit though.
Thanks for the great information. I'm trying to keep my first-aid kit small, which seems impossible. I guess you would have to spread this gear all over your pack somehow.
Don’t know if it’s been said but I’d definitely recommend carrying blue gloves instead of black since it’s hard to see blood on black gloves making blood sweeps and checking for bleeds harder, especially in a rainy or muddy environment you’d see in the woods.
Ooo I love you pointing out the pediatric tourniquet advantages... such an overlooked population in wildnerness medicine and trauma preparedness.
A butterfly can be used to close a would until you can get to a doctor anyway.
Like the grey beard says, stopping the bleeding is most important.
For anybody who isn’t aware you can carry the larger SAM splint and use the trauma shears to easily cut the SAM splint to size. Just make sure you fold the cut edge to cover the sharp edge.
I was wondering about that... thanks!
I really appreciate your approach - it's smart and efficient - you education and intellect comes through and that adds a kind of credibility many other guys don't have. Not hating on anyone just giving credit where it is due. Thanks for this vital information. ✊🏾
Same. Most people can't "teach" while showing this stuff but he has it broken down in such a way that you can do your note taking etc easily while making your list. Very good approach!
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Great video! As a 30 year medic I really enjoyed it. Better than most of the CE I’ve attended over the years . Thanks for the posting
People charge decent fees for this information. Thanks for sharing your knowledge.
My Bug-Out Medical bag is the most important bag I carry. This video is a great starter to make a medical Bug-Out bag. My bag is pretty much like his, I do have other items that I feel I need that he didn't cover.
Stop Bleed. This comes as a granule. You can buy single packs and larger bags for more severe wounds. This works very well for stopping blood flow. They have some Stop Bleed that is in a good size syringe to place the granule in deep wounds, gunshots and stabbing wounds. Bleed Stop also kills bacteria and germs for sanitation of heavy bleeding wounds.
I have two sterile Staple guns that are preloaded and disposable. The kit has gloves, tweezers ( one large and one small) to close the wound while stapling. I also have several size sterile threaded needles for stitches. I like to use the staple gun, it's faster, less painful and sterilized. I have these not to stop the blood flow but to close the wound so no contamination from outside source. I generally don't try to staple or stitch but sometimes the butterfly suture just don't stick or the wound is in a bad spot.
I also have several ways to stop the pain. Tylenol, Aspirin, Ibuprofen for minor pain. I do have some 100% Lidocaine that I talked my Dr out of. It's in sterile syringes and used for numbing before operation. I use this to put on the stab wound, gunshot wounds or deep and painful cuts. I use this also as a prep before staples, just makes it less painful and I could use it to numb the pain for broken bones.
I also carry a LifeTent. It's very small to carry and is made of the same material as a emergency mylar blanket. Two people can use this LifeTent and with it being made of Mylar it reflects your body heat back to you. It can be used in the rain, sleet and snow, a real life saver. I also carry two Mylar sleeping bags that can be used as a emergency blanket for people in shock and as a emergency sleeping bag. I put this in with my medical BugOut bag but also have the same system in my " tools" Bug-Out bag.
I also carry alcohol for wounds, hydrogen peroxide, hydrocortisone cream, burn gel, Silver nitrate, Iodine Solution, First Bite ( insect bites or stings), Calamine Lotion ( poison Ivey, sumac or other poison plants),
You will definitely need a emegancy radio that can provide power to charge your phone or other survival items. Preferably a emergency radio that you can crank to recharge the battery, have a solid panel for recharging the battery, NOAH certified with a light. few ways t
30 year civilian medic here, with some time in the sandbox. This is good stuff and I can't add or subtract from it.
Good tip for blister prevention is to wear a pair of thin merino socks as a first layer and then your usual boot socks.
This is by far the best ever tip I got for preventing blisters.
Man Josh great vid. I really like your kit. Very well thought through and well put together. I’m saying this as a ten year paramedic that does EMS for a living.
Valuable information! Thank you!
It's very refreshing to hear advice from someone that's been there. So many people with no practical experience talking about what you should have/do. I always frowned when I got a patient (CSH) that really could be doing better if someone would have just put on a field dressing or tourniquet. On the flipside, it was great to see a patient come in with a normal blood pressure even after having a traumatic amputation because somebody was on it with a tourniquet.
Outstanding shout out from Fayetteville NC 32 years as a Paramedic well done my friend.
As a former Ski Patroler and CCEMTP I am impresed with your kit ,planning, and thought process and supprised how similar my kit is to yours Cheers
I don't carry it in my pack, but i do carry that NAR hypo kit in my truck during winter. A space blanket and a couple of the large hothands warmers make a comparable , more compact, kit for pack carry in colder weather.
This is Janet. Thank you for sharing your knowledge and expertise. Happy Prepper Day.
Sometimes boomers are adorable!
The best first aid, wilderness first aid, video I have seen. Excellent presentation! Thanks for taking the time to bring this video to us!
You're an insanely good teacher brother. Can't get enough of your videos. Thanks for the content.
Great vid only thing I would change are the black gloves to a (what I use) light blue. Black gloves can hide blood during blood sweeps making it harder to triage. That is just what was taught to me.
-Matt
I’m Italian. It’s not racist. It’s awesome! You rock Josh!
Great information. This cleared up a few areas in my first aid that was lacking now I just need to get some first aid training and I'll be set.Ive been dealing with some injuries that have set me back and haven't allowed me to get some of the training I would like to but after this month I'll have my last surgery taken care of and hopefully I can get back to a normal life that I have missed out on for the last couple of years.Thankyou for all the info you put out for us, your calm demeanor and approach make it much easier to absorb.
That is really very well explained! you can tell you're a specialist! Gray! Best regards from Major Peer!
I'm jealous. When I got to the middle east we didn't have TQ's. Heck, we hadn't even heard of an up-armored Humvee and all but three of ours were soft tops. Love your videos, man.
Ive been watching you religously, i out watch my fair share of dave and shawn and dan, dave has a lot of good long term stuff, dan has alot on well i guess questions, shawn just camps now, but you are a mix of em all and i really like how you constantly go over kits and such, good for versatility.
Logging cuts used tape from axe neck to wrap sock and use a small stick to twist with tape to apply pressure on wound. If awhile till rescue use pitch as an antiseptic.
I'm not trying to troll you.... Great vid on what is out there now!
I didn't get to use this med equipment. You can accomplish the same as this equipment with sticks, ropes and a clean bandana. Then again I was trained (old school) as an EMT, National ski patrol, NYS lifeguard. I think the first, newer style SAM splints were just coming onto the market when I got my EMT training...lol... I have always done what I could with what I had at hand, which usually wasn't much. Nice gear though!
Great setup! Gotta hate those "Anker Injuries" or as I say "Sprankle an ankle"... I'm a big fan of roller gause for securing splints (also love SAM Splints) nice and neat with few pressure points, though I'm still impartial to Israeli Bandages as similar can be done with a thick dressing/Abdominal Pad and roller gause, but if you want a one stop shop - the Israeli Bandage is certainly a great option. I'm also not a big fan of triangular bandages in general anymore aside for use as slings. Just my opinion from an industrial first responder/medic as well as SAR perspective and experience. Of course I have no objections to what Josh recommends in any way! I think he really covers all the bases really well as he usually does, and we all know that he knows what he's talking about! Though what could be included could be; a couple symptom relief meds like 81mg ASA for Chest pain and Glucose for diabetic emergencies, maybe a few other pain/irritation relief OTC meds... *Remember to have the proper training standard that these things requires as well.
So refreshing and reassuring to see such an often neglected area of bushcraft presented so well cheers 👍
I took an IFAK and went a little overboard with it. My wife had a bad bleed in the mountains one time and we weren't prepared for it, really bad feeling.
the only thing that i would recommend is a few small adhesive removers if you’re carrying adhesive. they look like small alcohol wipes, i’m sure you know!
Yes, i know exactly the ones you mean. I think I have some in my home kit, but don’t carry them in the field. I’m usually taking people from the field to the hospital and have never found a need for them before they get there.
Love all of your content. Fantastic delivery and just well done all around thank you for sharing your experience and the items you trust. Im a working dog trainer in Maine and i from now on will always have these things in a kit.
As a Green Beret Medic you have met your share of wounds. In todays hunting situations it is possible to have a need too work on several types of problems. Falling on a sharp object causing a deep puncture wound ie a cutoff sapling. A sharp rock edge again by fall and of course the broken bone. Thesse situation are very real to take place in remote area hunting such as Elk hunting in the mountains. Thx in advance....
I wasn't a Medic, I was a Weapons guy
I thought you were by the amount of effort you place into your emergency Med videos.. If you have a Green Beret friend that was a med it could be an interesting video for remote hunters. I understand that those guys are not your average bear.Thx.@@GrayBeardedGreenBeret
I've been watching your videos for quite some time. Always amazed with new info. Thanks
I've found that the SAM splints cut very easily with trauma shears if you need smaller pieces for fingers, etc...
Excellent tip
I think you would faint if you were to see my first aid kit! My
wife and I, when younger, would spend up to three weeks, completely
naked but for our footwear, usually flip- flops, in the South African bush.
We had with us
for first aid:
a bottle of honey; a box of bicarbonate of soda (baking soda); some
ampoules of adrenaline and antihistamine tablets, (my wife is highly
allergic to certain insect stings); 1 mm syringes and needles to
deliver the adrenaline; suture material and the appropriate forceps;
sachets of cayenne pepper; my asthma "pump"; cling wrap, analgesic
tablets or powder, Band Aids, some bandages and clean rags.
We NEVER use disinfectants or antiseptics, as many of them damage the
tissue they are supposed to be sterilising. The honey is nothing fancy:
we just buy it in the shops, ensuring that it is NOT "irradiated". We
simply pour it on everything from cuts to third-degree burns. If the
wound has dirt in it, we will wash it off with clean water, stop any
bleeding using pressure, then apply the honey. This is covered with
a layer of cling wrap and held in place with some bandage or clean rag.
Do not underestimate the healing power of honey: it is one of the most
miraculous substances I have ever encountered - and we both have
nursing backgrounds, so we know something about medicine. The most
important factor when using honey is NOT TO WASH THE WOUND at all
during the healing process! The honey forms a barrier over the wound
and washing it off will allow pathogens to enter. Check the area
daily, add more honey, cover with clean cling wrap and secure: that's
all.
The honey will also lift any dirt or debris, so washing the wound
actually becomes superfluous.
The bicarb is used to "draw" bites and stings and is mixed to a stiff
paste with the honey to ease the pain and cleanse the area. Honey does
a brilliant job of alleviating pain in even very severe burns and I have
yet to have a single case of sepsis or infection when using honey on
people or animals.
The bicarb is also used in case of stomach upsets.
Many women suffer
with "the burns" when they urinate. This is reversed if the parts are washed
with a bicarb solution and she drinks a glassful of water to which a level
teaspoon of bicarb is added, up to three times a day. This has also been shown
to ward off colds and 'flu when the first symptoms appear.
The cayenne pepper is in case of angina, stroke or heart attack. The patient is
given a teaspoonful stirred into a cup of hot water to drink - and I like to add a
teaspoon of turmeric if available.
The cayenne pepper dilates the blood vessels, dislodging the clot and
carrying more oxygen to the heart and organs, while the turmeric
appears to help dissolve the clot. I used this mixture to reverse the
semi-paralysis of the right side of my body after suffering a stroke.
I did NOT go for medical assistance - just drank the cayenne-turmeric
"tea" three times a day for a week. All mobility returned within a
month and I have not had a recurrence in over four years now. This may
also be due to me eating a large quantity of animal fat and no plant
material of any kind.
I know that most people do not know how to suture, but I do. I would
not use this on other people, but only on my wife, our pets and myself.
We have used this, and only this "first aid kit" for close to forty
years now, healing even a compound fracture in the hind leg of one of
my dogs - with nothing more than honey and a make-shift splint cut
from corrugated cardboard. The bone was smashed in two places, but
Hobo regained full mobility within three weeks of our treatment.
I'm NOT suggesting that anyone else use our methods, but WE will not
use anything else.
Glad you mentioned the RATS TQ and other things to consider for kids, mine will be with me anytime they venture into the wilderness and of course are more prone to accidents and injuries, so I definitely want to be prepared for them. Looking forward to this series and to getting hands on training.
I’m so grateful for your instruction. Thank you so much for putting this information out for us.
Anothet excellent video. Very informative for people. As a Paramedic myself, I love your choice of equipment and kit. I'd love to have that for myself. Lol. You can yell it's well thought out and you are right that a kit like that can become quite pricey.
I have always carried chemical hand warmers, the large 12 hour ones. I usually carry 10. Very similar to your heat blanket. Can say that a white water rafter I was with would have most likely not survived a hypothermia event without them. Great for the unexpected temp drop. I will be doing some upgrades to my major rafting medical kit. thanks for the video and list. Makes my life easier having your list.
Go to Lowes and ask for New Skin tubes. 2 in a pack for minor cuts you would have from a knife or a thorn. Single use tubes. But you add a few layers and a standard bandaid and you are good for about 2 days assuming you don't rub it much. Lastly, it is also an antiseptic....meaning it WILL burn like hell. But it doesn't require anything else. So if you prefer NOT to carry any form of bandage, you can get away with not rubbing that area you apply it to and it last a day or 2 plus sterilizes it.
I carry the RATS as a back up and for large extremities. A big leg (or arm) may be hard to get around and get tight. Adding the RATS to what ever else I'm using as a supplement can help. FWIW I learned this working as an anesthetist in an ortho room taking care of people with BMIs >40 getting total knees and having the OR tourniquet fail. Actually used a RATS once when they got into some oozing that wouldn't allow visualization of the field.
Nice!
Hey man, Just stumbled onto your channel. This is Excellent advice thanks for taking the time and continuing to do so.
Good vid, but most importantly remember how to use all the items you carry, particularly in the wilderness where help may not be readily available. Taking a wilderness first aid course (or marine) will be extremely beneficial to anyone that likes to explore the wild.
I talk about this in the blog that accompanies this video
Regarding irrigation. What do you suggest carrying to facilitate that? I've always carried the iodine pads to dilute in a small sterile solution but haven't had to use it. It unfortunately may be older information and any guidance or update you feel comfortable passing on would be appreciated. The channel is a wealth and depth of knowledge that is unmatched. Thank you for what you have done, and for what you are doing now.
Great kit, and your knowledge of how to apply all of it is very obvious. 👍
Very informative,,I always appreciate your time and knowledge,Thank you for sharing this with me ...
I'm glad that I found your channel. You are full of good information and ideas . I made a small fist add bag when I go hiking & camping. Keep it up and going. 👍👍👍🇺🇸
Could you please comment on the weight of all that medical gear as well as space requirements.
Good video Joshua , thanks for sharing , God bless !
First thing, Thank you for your service. I find your videos greatly informative and entertaining. Keep up the good work. All the best from an Australian veteran
Good video Joshua . For stings and bites we use the leaf of the plantain plant ( also known as white mans footprint ) . Chew a leaf and apply to sting/bite . PRID for burns ...................... Have you tried any of these ? I'd be interested in your opinion .
how much does 'your' kit weigh. just curious
It weighs as much as 'dem gainz.
Gray you can recommend a special set for use, where everything you need is included in the kit! And how expensive it is! and where to get this, thanks to you. !
I can source a pretty complete kit, but they aren’t cheap. It’s difficult to put together a full kit since training levels vary so much, and individual practitioners tend to lean on familiar products which is expected. I tend to use North American Rescue products along with SAM Medical almost exclusively, that’s what I carry on my website
@@GrayBeardedGreenBeret that was very helpful, great tip I'll take a look around! I am a specialist in survival. I would have been dead seven times and I am always looking for more experience. It has always saved my survival with every action I have done. ! I will definitely stay on your side and continue to soak up everything in me. ! great that you exist. ! We hear from each other. !
Do you vids on how to use each style of tornequets?
GB seems like he would put holes in you...then save your life....just to say "did you learn your lesson?" Great video GB!
😂 a lot of truth to that statement
Good video with great information. One instance where sutures can stop bleeding is in a scalp wound. Scalp wounds will frequently bleed profusely and can be difficult to stop with direct pressure. Opposing the edges of the wound with a skin stapler is a simple way to control of the bleeding. Have you thought about stashing one in your bag?
Scalp lacerations are capillary bleeds and you will not bleed out from them. It looks like way more than it is. There is no need to staple or suture in the field.
In regards to burns, I'm reminded of the survivor episode where the person passed out and fell into the fire. I'm reminded of a technique used in combat where the knees are posted up so the person falls behind cover. Maybe a more conscientous kneeling technique can be taught so people don't fall into the fire?
thanks for another Josh looking forward to those new velcro patches and your other items take care
Medical stuff has been up graded some since my training and what we were given for combat in 1966-67 in Vietnam. Was not much in that little pouch on my web gear :- )
real lucky I did not need it ! Also had great Medics, who should have been awarded Bronze stars and more .
Ive heard to stay away from QuickClot for hemostatic bandages. The paramedics will have to remove the quickclot or it can get into your heart and kill you. Celox is preferred
Also have heard burn dressings are excruciating to be removed when you get to the hospital. So you might be better off with just the burn gel
Great video. Looking forward to the series.
The military uses QuikClot almost exclusively and has for over a decade. "Removing" it does not fall under any paramedic level pre-hospital care protocol that I have ever read or heard of and I have never heard of it being a danger if it gets into your heart. I have also never hear of anyone suggesting not dressing a burn because of discomfort to the patient. Typically in pre-hospital care you do what is necessary even if it is uncomfortable to the patient. Where did you hear all of this?
The Gray Bearded Green Beret I have asked paramedics why they dont generally use it and their response is either economic reasons or there is research that quickclot, celox and other hemostatic agents can cause an embolism if not removed thoroughly and should be a last resort to when a TQ doesnt work. Same paramedic told me surgeons told him celox is more efficiently removed than quickclot but thats just anecdotal.
Heres a study I found
www.degruyter.com/downloadpdf/j/pjvs.2016.19.issue-2/pjvs-2016-0041/pjvs-2016-0041.pdf
The surgeons would likely be the ones to remove it, youre right. but if you did a field dressing with it, I was thinking a qualified paramedic would want to do things their way and it could be a problem if a hemostatic agent isn't thoroughly removed or if they dont know you used one.
And I said you "might" be better off with just the burn jel. If necessary, of course use it. But if I burn myself and I'm already on the way to an ER. I'll just use the gel and maybe normal bandage if its not too severe. I've heard the burn gel dressing dissolve into small pieces and have to be picked out. Just thought I would share. But yes, obviously use it if you believe its necessary.
@@nesslee4394 It sounds like you're talking about the old school granules, not the gauze. Otherwise, that doesn't make sense.
Thank you for sharing your knowledge and experience. I appreciate your efforts. I have watched a lot of your videos and have learned a lot.
Does anyone else feel Josh looks a bit like a bearded David Boreanaz? He even sounds like him. I wonder if they're related. Lol.
All joking aside, I love his videos...very informative. Something everyone should definitely educate themselves with.
Thank you Josh!
What about using tampons for immediate packing of bullet wounds?
Have you ever done a video on a basic car kit. I’m not in the back country at all but I keep a lot of the stuff you’re talking about. One concern is the effect of heat from riding around in the trunk for months at a time. For instance nitrile gloves degrade. If you had an EpiPen I imagine it would be great as well. Maybe a few words of advice on stuff they can stay in your trunk without being replenished every six weeks would be useful. I’m amazed they teach none of the stuff in nursing school.
I just discovered your videos today and can’t stop watching. Thank you for your service and thank you for your realistic and practical explanations! This is one thing I lack when backpacking - the knowledge for a
Serious injury. I was USAF back in the 70’s and 80’s but obviously not out in the field so I appreciate you
Sharing your knowledge. I am
Also curious how much your pack weighs with just the med kits alone.
I don’t think I’ve actually weighed it. I have always just packed what I need and the weight is what it is in the end
@@GrayBeardedGreenBeret thanks for your quick response. Also, great answer. I think people sometimes get really hung up on the weight of their pack. I can understand, but at the end of the day, take what you need and it is what it is.
Superb overview w rationale!
The 10 c's, a bottle of Jameson(helps ward of Corvid 10) and now this... I'm going to be needing a SHERPA😎👍
Just remember not to drink alcohol in Sub-Zero temps. Alcohol stays liquid below zero, and can freeze burn skin/esophageal tissue. Bad way to go.
@@scottwermuth9201 I take rum
I bring red wine.
Solid video. Great content for the community. Excellent period of instruction
funny how things change, remember the first Izzy bandage we seen. Handy as hell and fast IMHO
Thank you
Nice. Great info, as usual. Break it down shotgun style. Easy to follow, easy to understand.
Glad you have this on your website. Was just thinking after watching that there are some med supplies I’m lacking and it was really convenient just to be able to go down the list and check off what I needed and order. Any chance you’ll be adding the other tourniquets in the future (RevMDX and rats)?
Another great video
I am a new subscriber....excellent video....could very well be the best...Besides having the knowledge, you explain everything in a well organized, easy to understand way. Thank you. also....could you tell me which backpack you have next to you? thanks again
Great info on med items. Looking forward to the pract app videos. J, what is your recommendation on the minimum NAR kit for urban non-firearm carry? Thanks for sharing. Semper Fi!
Ty for being an excellent teachers God Bless you
which would be interesting! a kit against poisonous snakes, or plants that are poisonous, or against poisoning if you haven't eaten good food would be very interesting. ! What can you do there . ! do you have any information, thanks to Major Peer!
Are you from Australia?
@@fattyalpaca No, but I'm traveling @@fattyalpaca world. ! As what I do not want to say, I act very independently, I have a gun license for every country, but I am not a hunter. ! Small tip, I hunt it but if it hunts you as a peaceful person. ! (makes it click) I'm always looking for the experience of people on the internet that I think are very interesting or very intelligent. ! I just have time. ! This is totally absent for me at times. ! I had a lot of injuries, that's why I have time and click through the internet. ! Hodson enjoy life if you would know mine, I prefer not to continue talking, stay the way you are, I will take a look as long as I have the time. ! Hello . !
For day hunters (not deep in the back country), what do you recommend for their IFAK?
If a blood vessel is located, how do you feel about pinching it closed with a hemostat? I pack tourniquets, Israeli bandages, vented chest seals, Celox homeostatic gauze, Kerlix, compressed gauze, but I also like to carry at least one hemostat. They are very affordable compact, and add yet another option for stopping the bleed. Again, this is only if a blood vessel is visible. I could be wrong here, but it's also much quicker in such a case where it's applicable. I'd like your opinion on this since I've never encountered traumatic bleeding situation yet. I will say though, just the other day there was a roll over accident where the vehicle ended up in our front yard and after calling 911, I grabbed my kit and ran out there. Fortunately, there was no need for it, but that woke me up to the reality that, (To quote Skinny Medic), any of us can become first responders.
I also have a pair in all my personal kits. If its one you can get ahold of, it is better to have it and not need it than to need it and not have it
@@GrayBeardedGreenBeret I guess we're on the same page there. Thanks for your service by the way.
Great video and I appreciate your advice and experience!
In your playlist’s I only see two wilderness medical videos. In this video you mention you will talk about certain things in upcoming videos, were those videos not made or am I just not seeing them?
Always excellent information thanks for taking the time to educate us
Great intel GB. About all I know in medical is keep pressure on it. Need more training in that field. What kind of weights that add to your kit? Thanks again
do you know an antiseptic, which generally helps against poisoning from standing water. ?! I know that sounds pretty extensive now. ! against bacteria that cause gangrene. ?! In warm regions in particular, it is so delicate with wounds. !?
Iodine or Potassium Permanganate in solution can both act as an antiseptic or will kill bacteria in water and on fruit and vegetables. Won’t kill living parasites though, so boiling or filtration of water is advisable. Also can’t help remove actual poisons or salt, so a high purity filter or distillation might be necessary.
Outstanding class ! Very helpful. Thank you very much
Something I have wondered is generally how long do these supplies last? Shelf life wise. I have a number of bags and just need to know whether I need to cycle out less or more often.
Shelf life varies by the individual pieces. They have expiration dates printed on them
Is it better if everything is exhausted?! Everything that has to do with syringes. !?!
Amazing & informative. Thank you.
Your website doesn't have any Med gear on it.
Best Wishes! M.H
I am curious what your thoughts are on pure aloe vera gel for burn care?
I was turned onto your channel via your ultralight bugout series. This seems like it follows a different philosophy, and obviously your first aid kit in that series was quite different from this one. I know you mentioned early in the video that it was for going out with students and would be overkill for most people, which makes sense. (I'd still be curious to know the overall weight and volume of everything in this kit.)
With that in mind though, I wish you had spent a bit of time not just explaining what you carry and what it does (which you did a fantastic job describing, by the way), but also why you carry it, or more specifically what sort of wilderness scenario you would definitely bring the gear and when you would choose to leave something behind in favor of keeping your loadout light and minimalist.
Since most people aren't often leading group survival classes, it would be nice if it was easier to use the information in this video and tailor it to my individual needs.
I don't mean to be harsh. You have a lot more experience than me and I've been a very happy subscriber to your channel and email list for some time now and that is still very much the case.
This is an excerpt from a 6- or 7-hour film that is being released in the next couple of weeks. That films goes into detail of the why and how to use it.
I have a latex allergy, my first question to every medical personnel is are those non latex gloves? I had a dentist use latex gloves once and my throat closed up.
Not good. Thank you for the information.
@@joeyjones9041 Harbor freight also sells Nitrile gloves. They have some really thick ones.
I used them when I did pest control.
I have a box of nitrite gloves already, thanks for that advice though
Great advice.
Nice video.
What do you think about SWAT TQ?
Do you realize that you can easily cut the splint with trauma shears? So I think the shorter ones is not necessary.
I dislike the SWAT. I disagree that it is a tourniquet at all. I talk about this in the blog that accompanies this video
If I carried all this I wouldn't have any room left for actual gear , love the info but it doesn't seem practical to carry all that , how many cubic inches of pack space does this kit take up ? How much does it weigh?
Weight? Size? You've outlined a good kit.....but it seems a bit big and bulky for backpacking or long-distance foot travel. Great start for a base camp kit though.
Thank you!
What in relation to this kit would you carry bushcrafting? Just an ifak and leave this in your vehicle?
I basically just pull a small bleeder kit out to keep on me. That’s the most likely thing to need in a hurry
Thanks for the great information. I'm trying to keep my first-aid kit small, which seems impossible. I guess you would have to spread this gear all over your pack somehow.
There are a number of kits that are sized for different purposes. I have 6 that I am about to do some videos on and compare them.
I need to up my med kit game. Most of us just have a IFAK on the plate carrier and call it good... lol