Most Overrated Piece of Gear
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- Опубліковано 7 лип 2024
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The CAT (combat application tourniquet) is a solid piece of kit - but is it the most important piece of gear we need?
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I guess, my mindset is. If I’m carrying a gun, I’m carrying a TQ.
Carrying a TQ is like having a fire extinguisher in ur house. U may go ur whole life and never have a fire, but the one time u do, if u dont have one, u may lose everything.
In the realm of an SHTF event, infection will likely be the most deadly enemy.
Absolutely and dental hygiene
That actually was the #1 cause of the majority of deaths during the Civil War
DISEASE & INFECTION
On the Oregon Trail there were an average of ten graves per mile. That's one person in ten died on the trail. Twenty thousand people in 20 years.
Biggest issue, typhoid fever and cholera, death by diarrhea. There were also gun accidents from people who bought guns for the trip and never trained, falling out of the wagon and being run over, infected wounds, stampede, lightning strike, fighting amongst emigrants. Documented deaths by fights with natives, 362.
This is the bug out scenario. Use soap, boil your water, kitchen sanitation is a must, stay out of trouble, keep your hands and feet in the vehicle until it has stopped moving and is secured.
How many die that could have been saved from applying a tourniquet in time? Google doesn't know.
Regarding the tourniquet, it's not the odds that you will have to use it that should guide your decision to carry one - it's the stakes if you do need it and don't have it. The same could be said about the odds of ever needing a firearm.
There's a line someone has to draw when thinking that way. If I only thought that way I would be wearing my soft armor on and a serbu shorty in a backpack that also has a rifle plate in it, with a flare gun on the outside.
@@GUARDIAN.13 you do whatever works for you brother and I'll do the same. I must be doing something right, I've survived 65 years.
10,000 + uses in GWOT, according to the TCCC Committee on casualty care. It's like a carry piece, better to have it and not need it, than need it and not have it.
Better to have it and not need it. Probably won't need it, hopefully won't need it, but I want one with me.
This video is a real facepalm.
I'm wayy more likely to use it driving somewhere (car accident or car accident response), running a chainsaw, or some workplace accident involving a coworker and a forklift.
It may be unlikely, but if you don't have one, you have MAYBE 90 seconds before you bleed out. I am knowledgeable, and EMT trained, so for me, having the tools to go along with the training makes sense. A TQ is useless if you haven't practiced putting it on yourself and others under duress.
You made a good point about training. If you're into prepareness, you should be trained at the very least on the first responder level.
Do you carry a gun every day if so why? The chance that you'll have to use it is very small. Guess it goes back to the old saying rather have it and not need it. Not a good video.
Hard pill to swallow but true. I have 25 years in some form of emergency medicine and have only needed/used a TQ a couple times. People EDC a TQ when a battle dressing will be needed more often.
I've prob removed TQ people or first responders have put on incorrectly, wrong time used or used something like 550 cord as much as I've used a TQ.
If we resist the .gov the purpose of a TQ is to help you live long enough to try and make a difference in the fight for the people that are gonna live. People carry 4 TQ thinking they are gonna have all 4 extremities amputated with no hospitals, no safe areas, no recovery areas, prob limited antibiotics.
Great food for thought
As an advance care paramedic of over 2 decades of working frontline in uk and Australia I have applied a TQ twice in anger. One for a stab to upper arm. One from glass to a hand/wrist from being punched through a glass panel. Both were mainly precautionary due to amount of blood making it difficult to make a decision to whether it was or wasn’t a catastrophic bleed. Then well aimed direct pressure with packing gauze and trauma dressing and then converting to tq to confirm if the bleeding was arrested. But both times my crew mate was impressed on how quick it was applied due to the fact it was on my jump bag and not in the major trauma bag that was still in the truck. It gave us the time to slow down do a good blood sweep and primary assessment of the patient. Now in a country that does not have a gun culture like the USA the majority of trauma injuries would be from sharps, high kinetic impact, and not ballistic. We will never see the amount of use in the civilian world compared to military actions but it has its place. It’s a Gucci bit of kit and looks good in training scenarios but more training on well aimed direct pressure and wound packing should be stressed more. Just my 2c worth. Loved the typewriter sound.
I keep tourniquets in all my vehicles and med kits, but I tend to agree. I see a lot of information just pointing to “just put a tourniquet on it and it’s all good.” I believe a good understanding of bleeding control is far more important.
I once stopped at a car accident as unofficial first responder, (as that was part of my work job) I put my coat over someone that was going into shock. I now carry mylar space blankets.
We can quote all the % we want. When we happen to be one of the %, we are glad we have the gear.
that's old data before it was recognized and not hated on. Each to their own but if you carry a gun. sharp objects or power tools you may want to carry at least one. I work in emergency services and they are used a lot more now. I do agree with the training 100%.
I find the most used items in my first aid kit are the plasters. Great video, thanks for all you do.
I guess I'm the odd case who has used a tourniquet 2 times, and both times it was a life saver. Both were car vs motorcycle and in both circumstances the Israeli bandage with bleed stop wasn't enough. I'm fairly well trained, and would rather not use them if I don't have to...
I spend alot of time in the woods. Most often using a chainsaw. After seeing a logger in the ER with a leg wound from a chain saw, you bet your a$$ I carry a tourniquet.
Love it AND when we do a triage of a mass casualty event, you don't put a tourniquet on anyone until you have triaged everybody. My personal opinion - only a physician can remove them. So, in an SHTF situation, if you put one on, who will take it off and/or heal the wound and/or prevent gangrene or infection if you leave it on?
YOU Invited Me To NEVER Watch An ORANGE TAB ever again ....
*_Challenge ACCEPTED .!!_*
Good briefing. I’ve had many issues with all the other things, but haven’t used one yet (which I hope continues). Come to think of it, I’ve seen or had multiple concussions, too! I’m not throwing out the tourniquets I have, like you said!
Can't lie man. You had me ready to tune out on this video because we all know how important a tourniquet is to have but you are so right on the everyday "most likely" stuff that can happen and does happen. The small details is what can separate you from the rest. Good stuff..
Lolololol my number carry item is “your tears” that was pretty epic hahahahahahahhahahaha
All I can say is this. I have no problem with having a tourniquet. I have several and carry them. But here is what I have learned in 34 years a paramedic. I have never seen an bleeding injury that could not be controlled by direct pressure or wound packing and direct pressure. In that time I have been to many stabbings, shootings and other trauma injuries and have never used a tourniquet and have only seen one applied before we arrived. Get one, learn how to use it, but don't depend on just it!
I just started wearing a piece of elastic cordage around my neck. I put it on to wear a bandanna as a dust mask, so I can tuck the free corner of the bandanna under and get a good dust seal.
It occurred to me to keep it on because it's basically unnoticeable and might serve at some point for whatever, including a small tourniquet.
I also thought I might wear a doubled or tripled length of this elastic cord after the same manner and to the same ends.
Exactly, I am more likely to slip on ice in my driveway than to need Iodine tablets. So I keep my driveway well cleared in the winter. I don't have Iodine tabs.
I'm in my 60's and have all the old injuries, so when I take my dog for a multi mile walk I carry a knee wrap and an ankle wrap.
I've never put a tourniquet on someone, but I took off my coat for a car accident victim that was slipping into shock. Now I carry a mylar space blanket. It is with me in the walk the dog pack and in the range first aid kit.
The range first aid kit has one, also has lots of gauze, chest seals, quick clot, tape, eye wash, gloves and an instant cold compress. (cold compress? yah, I've seen scope bite on a person) And then there's all the small stuff, including bandaids, nitroglycerine tabs (we are old) a BP cuff and stethoscope. Me old boy scout, former industrial first responder, wife, former EMT. Official first responder time probably 12 minutes, to the ER, 45 minutes.
We went to a public range for years. We've seen people pick up guns while others were downrange, I had a woman walk in front of my table as I was leaning into the scope. And that's where I saw someone get bit by a scope.
Keep in mind that TQ use was against protocol for decades on the civilian side because of the misconception that they would almost certainly cause tissue damage, which wouldn't make sense in the short time between transferring from prehospital to higher care, especially when most bleeds can be handled with direct pressure. It wasn't until experience during the GWOT that it became understood that a properly designed and applied tourniquet would not risk prolonged tissue damage for a significant period of time. Since direct pressure still works in the vast majority of situations, in our area they are still not used on the ambulance, but for first responders (police, firefighters et al) they are more common now because the person isn't necessarily trained or equipped to recognize when one is necessary and when one isn't, and the risk of harm of a tourniquet being used when it wasn't necessary is minimal, assuming it was properly applied. Likewise, they have other considerations like scene security, mass casualty incidents, or having to take care of a patient inside a vehicle during a lengthy extrication, so setting it and forgetting it makes more sense. For the layperson, wilderness first responder situations can occur where you also may face a significant time before reaching higher care, and so they make sense here too especially if you're doing activities that involve greater risk. Like the decision to carry a full size vs mousegun, it's not the odds, it's the stakes. While the risk of a sprained ankle is higher, the consequences of not having an ACE wrap are lower. While tourniquets are easy to improvise technically, their effectiveness is often low (belts) and risk of tissue damage is high (gauze and windlass). The vast, vast majority of situations do not call for a tourniquet, but the increase in proliferation is a positive because it means in the unlikely event one is needed, it's far more likely to be available.
I keep a few tourniquets, but I've had to create one after amputating my right hand at the wrist on broken glass before, and trying to use your hands to create one isn't easy.
I listen to BearIndependent , and I appreciate you putting your opinion out on public display, I would Highly suggest you go take one of Refuge Medicals Stop the Bleed classes before suggesting that a TQ is overrated. If you carry things that make holes carry things to plug holes. Nuff Said.
Why do people keep telling me i need a turn of kit or something
Your little place there reminds me of the set up inside the operations house at Orgun-e Afghanistan.
Remember all the First aid classes, CLS classes and I also go through red cross training each year.
Stay vigilant
Just ordered the SHTF manual
I carry an IFAK with me everyday. I deliver for FedEx out and BFE and it would take emergency services at the soonest. 45 minutes to reach me. So I keep everything in there from major major stuff from Dog bites to bandates and splinters and headaches. Customize yours for your own needs.and for the issues you run into on a daily basis.
i mostly carry a wound care kit which has more likely to be needed since cuts scrapes and bruises are more common than a life threatening injury. tho as an emt I do carry an IFAK whenever I ca such as when traveling via car or packing light on my scooter
We were taught how to make chest seals out of whatever was laying arounf in the military as well.
Great video and topic, I'll have to check out some first aid classes. I've got some basic stuff, but with the New population jump. I may need to utilize my defensive skills and possibly first aid skills. I'm also a hunter and that's another reason.
Thanks. I'll throw my tourniquets out now.
I've always felt the same way, and have never purchased one. But if needed, I always have a belt string, tape, etc.
I carry a small blow-out kit with me....a TQ is a part of it along with compressed gauze, rolled gauze, Israelia pressure dressing, etc.. What I actually ending up using is my small boo-boo kit for minor scrapes, cuts, and so on....LOL But I do understand that I'm usually alone, using some sharp tools....so I have it (and the training to use it). Heck, having a lower extremity injury and getting lost is a much more likely situation to happen than a major bleed out by an extreme margin. So having a Sam splint and ace bandage is a much more realistic approach to wilderness medicine....
You make people think beyond the trends or even the most obvious! 👊🏽
Great video guys
You need at least…5 tourniquets for every hour you’re outside. What I want to know is what these guys are doing after the tourniquet application in a grid down sitchiation
I just watched tribe 13 , he's going through some knife drills then stops applies a tourniquet to his upper leg,goes back to drilling and then stops to apply tourniquet to upper arm. He's going back n forth, just thought I'd share that with y'all.
As a EMT I have two in my car but hope hope I‘ll never need it. I respond as a first responder for my district so it can‘t hurt to have em by hand. That’s beeng said Germany isn’t the USA so we haven’t nearly as many Guns as on the other side of the pond. I only used one in duty and none private in almost ten years in EMS.
You should cancel your auto insurance. After all, you're not likely to need on a yearly basis.
National average EMS response time- 7 minutes.
Average time to bleed out- 1-5 minutes.
Maybe EMS isn't using them often because it's too late on arrival.
Tourniquets still weren't widely used in the beginning of GWOT either. I was in Baghdad from 3/2003-8/2004. Tourniquets were not individual gear for us. Only medics had them.
I never saw an IFAK in units until about 2006.
Top Stoker ain't jacked up. I worked as a paramedic in a former life. I'm no longer active, but i remember most of the skills.
3 years military
4 years volunteer fire
13 years LE
4 years volunteer EMS
3 years paid EMS
4 years private security
I know of 2 TQ applications. 1 improvised (early gwot timeframe) 1 CAT. Both by LE. The one with the CAT the ER doctor told me “direct pressure would have been fine.” The improvised TQ saved a life after a motorcycle accident.
I carry a SOF TQ at work. That said, i have the skills to address the myriad more likely medical scenarios. Recommend everyone does the same.
Great points, keep the common sense flowing.
I almost hate to say it, but I’ve been a full time EMS provider for over 8 years now and in that time, I’ve applied a tourniquet 3 times (one of them turned out to be unnecessary due to the fact that it was just a very dramatic venous bleed due to an angle grinder accident). That said, I’ve also used a Sam splint countless times while on duty and numerous times off duty. I wanted to be mad at the video, but there’s a lot of reality here.
Jokes aside though, it’s situation dependent. I’ve used a TQ twice in the field and both saved lives. Going hunting? Yes. Going out in general situations; eh. It’s part of my first aid kit so it lives rent free to be used in a sub 1% chance 🤷🏾♂️
I alive today because I had a TQ on me. Suffered a compound fracture lower leg from falling while hanging a tree stand. I was able to stop the bleed with it and crawled out of the woods.
It's a few ounces of gear. Kinda stupid not to have one.
If that 30% was an actual family member of yours like your child and you didn't have that kit, you telling me you wouldn't have had any regrets?
It is not overrated gear. What is underrated is the proper training in its use. How often it is used is not really an important metric. Fact is, a TQ can absolutely give someone a chance to live long enough to receive lifesaving treatment. You don't need it until you do.
I think we figure the more likely things , which are alao probably a lesser degree of physical defcon four , are easily survivable without gear. Meanwhile you're less likely to survive without gear to keep your blood , should you need such gear.
Great topic.
Agree of being somehow overrated in the community as an edc item, as the risk that you might need one is low - imho you do not need to carry one as an always edc in normal life.
But If you need it,you need it fast and it takes a lot longer to improvise it. People faint quick due to bloodloss, than tend to bleed out and die. To be able to self apply it fast to yourself füris important.
Especially when you are alone.
As many carry a bunch of items ,some of lesser importance, i see no reason
not to have one in reach.
At least have one in the car and have one when you are alone in the woods or anytime firearms are involved.
Might not hurt to have one If you work in constuction either.
A SWAT - T tourniquet is compact and easy to carry.
I’m surprised by how many seemed to miss the overall point that you’re not saying, “don’t carry one”…you’re saying of all the things we’re most likely to need a tourniquet seems to be a “I’m good to go” crutch at the sake of the equipment, skills and training we’re most likely to need. Not to mention the salient point that many are carried somewhere or in a manner less easily deployed.
People hear what they want to hear.
Better to have something and not need it then need it and not have it. And guess what that's one of them.
Thanks for the video. The American Heart Association offers a 1st aid class that anyone can take. Also, most areas offer EMR emergency medical responder classes for free. EMT class is not that expensive. Go get trained.
The first time I used one I thanked God I had it.. Train Train Train
Agree totally Brother. And i base that on being a former Law Enfocement EMT.
I've never carried one. I do carry an Israeli bandage because it has more uses than a TQ. I'm more worried about the little stuff a bleed stop will handle with the iband I have with me. If it requires a TQ, then they require a true medic. Do I probably need to carry one, probably.
Same reason I carry a 🔥💪. If I have it I won’t need it. If I don’t have it I’d wish I did.
OK Cartman. :D
Tourniquets are just one part of your med kit. You'll need a bandage far more likely 99% of the time, than a TQ. Common sense and a safety mindset will largely mitigate the chances of needing a TQ; it's called PREVENTION! ...And beyond that, the most important piece of kit is the one that takes up no space, it's knowledge/experience!
WHEN U NEED A TQ AND DON;T HAVE ONE AND U OR YOUR BUDDY ARE BLEEDING OUT...YOUR FUCKED... BEEN THERE
I wonder what other options there are to stop circulation..🤔 😂
Dude what's the point? I'll carry a TQ
Ever practice trying to apply a tourniquet to yourself only using one hand to simulate a shot arm? I'm pretty sure I bled out the first time. It's not as easy as it sounds.
The reason why they became popular with civilians is due to the Iraq (2) war and anywhere else U.S. soldiers got limbs blown off within the past twenty plus years. They saved a lot of lives. (Hemostatic products helped also). It probably took zero marketing genius to spread into the civilian world.
They aren’t overrated if it helps save a life. They might be over “calculated”, but so are other safety items…your gun (statistically more likely to be used to hurt yourself than for self defense)…smoke alarms…defibrillators…body armor. You’ll probably never need those things.
If you’re never expecting to have bullets coming your way, don’t possess products to deal with what happens just before or after they enter your body. Ditch the body armor, gauze, tourniquets, etc. You’re adulting now. You’ve figured out there are consequences you won’t suffer. Other people might. But not you. You’re special.
I totally agree with you
I carry 2. One for immediate access and a back-up. I will never NOT carry one or two. Yes always carry item's for other emergencies but also carry a TQ. It's only common sense in my book. Have to respectfully disagree.
If you have a pt belt you are good to go
Because it takes 10-15 mins for an EMT to show up. A tourniquet is useless after the first 3 mins. Imagine how many more lives would have been saved , if someone on scene had one.
This is to funny.
Ok so he gives us numbers of how many of these things we used between this date and that. Then lets ask some of these folks if they are worth carrying.
Did it help save their lives who knows but it was used just the same. Now if it's a shtf situation people will be doing things that will most likely cause injuries where this piece of gear might be needed even more. These things take up no room. Buy it carry it. The life it saves just Might be your own or somebody you love.
Oh and ask your local EMT if theirs are individual wrapped. 😊
Dp you see the firearm community guys showing them and their staff's EDCs and they're carrying 3 TQs.. daily.. on them... ankle hoslters and all.. 😂 I've never felt such second-hand embarassment in quite some time.
member of Lakewood CERT.
go get free training like Stokerman said.
CERT is attached to FEMA, so you know.
loo kit up in your local area, and get the knowledge!
Peace, friends.
Overrated...
But necessary
By this logic it’s stupid to carry a gun because there’s only a .0001 chance of needing it. Sorry, not interested in his statistics. Dumb logic when it can save your life
I was thinking about this matter a while ago, but there is a verse in the Holy Quran... : قُل لَّن يُصِيبَنَآ إِلَّا مَا كَتَبَ ٱللَّهُ لَنَا هُوَ مَوْلَىٰنَا ۚ وَعَلَى ٱللَّهِ فَلْيَتَوَكَّلِ ٱلْمُؤْمِنُونَ
Meaning, nothing will happen to you except what God Almighty has written.... Of course, God has commanded us to take the reasons.
Couldn't you use a two or three tourniquets and a couple of pieces of wood to make a splint?
You're right. Broken bones sprained ankles snake bites excetera excetera
GOOD SHOW,,,,,SO YOU DID TIME ARMY ME TO 1980,TO 2000,ON YOUR SHOW TO DAY YOUR SPOT ON,,,,,,,1 THING THANK YOU FOR YOUR SHOW TO DAY ,,,AND THANK YOU FOR YOU TIME IN THE ARMY ,,YES ITS A VET ,THING,,,,,,,,
10,000 + uses in GWOT, according to the TCCC Committee on casualty care. It's like a carry piece, better to have it and not need it, than need it and not have it.
10,000 + uses in GWOT, according to the TCCC Committee on casualty care. It's like a carry piece, better to have it and not need it, than need it and not have it.