Good work, Sam. I'm a SWAT Medic for my regional SRT & I am working to standardize our program. I'd love to talk with you sometime to get ideas & bounce some things off of you.
100% agree that 80% of my hands on is while on my knees. Get a good set of kneepads. It only took one patient, on gravel in 110* weather after a half mile hump to the target location. Kneepads!
Sam, I think a video going over your ski patrol gear would be interesting. We've seen a lot of your tactical gear, but you've rarely hit on the ski patrol equipment.
ABSOLUTELY! I've cric'd 5 pts my entire career, but I've given out way more moleskin and Ibuprofen! I really like what you said about NOT being the mass casualty responder. I have tried to explain this to my command more times than I can count.
Great advice about having the same kit and it's location! That applies to any type of group outing where injuries can likely accrue...hiking, hunting, and biking to name just a few.
Good video and information. I have been a medic for my agency SRT for several years. In the military I was taught, the IFAK I carry on my kit is for self aid or someone else to use on me, not for me to use on someone else. That is why, as a medic, I carry a med bag and other items elsewhere. Never work on a patient out of your IFAK. If I’m injured and I already used my IFAK on someone else, whoever comes to render aid may not have any equipment and will need to use what is in my IFAK. That’s the point of an Individual First Aid Kit (IFAK). A lot of what we do today medically comes from the military and the lessons learned through the CoTCCC and JTS.
Excellent video. I struggle with the over packing thing. Trying to streamline the items I bring, but I almost feel like I'm handicapping myself. Also, good reminder of what TEMS medics are supposed to be and what they are not. If you could, do a video about mindset and how some of that has changed from when you first were a street medic vs operating in a tactical environment. What were some of the beginning issues you encountered, and some of the realizations you made to make you better at TEMS.
I have been enjoying these types of videos. Though I may not be a trained paramedic/medic for the military, I think that it's important to know things that could end up help keeping people alive until help arrives
Most TQ carriers have a slot and vecro in the rear to carry a scissor. I put one in, cheap enough that I won't cry if it gets left behind, so there's always one right at the TQ. There's also never a marker for the time, so I toss in a "shorty" marker that cellophane wrapped at the factory. If it works, great, one less thing to look for. Once the seal is broken, it will be replaced.
Great video. Lots of things to consider. I try to pack my kit depending on the activity I'm doing. My ambulance vest has enough on it to get the patient to the ambulance. My airsoft vest has basic medical but also long bone injury kit I've created with Sam splints, Ace bandages and slings to cover long bone sports type injuries.
In my experience as a swat advanced practice paramedic, most medics I worked with/trained were actually liabilities to the team. Mainly because they were over packed. This made simple tasks take longer than they need to. Example, if you are organic to the team you are mission directed or do everything they do. Like a combat medic who is armed. If you are not organic then you are a tactical medic & are likely not armed. You then require security which may take away from the teams mission set. Either way, the medic must be able to perform all Med tasks quickly so that the team remains dynamic & agile or they could all get into trouble. Less is more & get off they X like now & keep it moving. Nothing else will ensure confidence by team members than a quick efficient medic.
Excellent video as always! As a side note, from a TEMS perspective, would you be able to do a video describing what YOU think frontline officers should carry in an IFAK or other miscellaneous lifesaving gear for use on others? There are a million sources of info out there on this topic, but very few from someone who can bridge the gap between LEO experience and paramedicine.
In the background you had a rig with a joey pouch, swinging below the front of the rig. Is this a good idea for mobility and having access to supplies or are you better off putting it infront if a triple mag shingle?
In my county we’re all equipped with plate carriers and a helmet. Each plate carrier has two IFAKs attached and each team has a 5.11 bag with the MAR part of MARCH (massive hemorrhage airway respirations etc)
@@billforner3380 I think a video discussing those choices would be on point (carried equipment/med supplies vs on vest. Plate carrier vs soft armor, helmet styles etc.
Have you ever tried out the First Spear AAC vest? Might be a inbetween thing compared to the two you got. Personally very happy about it. Personally running two First Spear SOF medical packs on my gun belt, which I can turn around and have them on my frontside while working. Any experience with these kind of setups?
@@PrepMedic thousands of people with trachs might disagree. Point is you aren't getting as much dead space with a proper cric tube if it's in your protocols that way.
Not him obviously, but my 2 cents, and something to consider. Ibuprofen can slow down clotting times, and is often considered to be a mild blood thinner. Obviously blood thinners can put a damper on things when you have to try and stop the bleeding
Interesting . I want my son , he is still young , to be Flight Paramedic . Recently , actual war is happened at East Europe area , then , it needs to Medical than usual .
Welly's Quick Fix is an inexpensive and fairly well equipped compact boo boo kit that's in a hard clamshell case about the size of a touriquet carrier. FWIW they also make a variety of artful bandaids that will help help any kid stop crying.
Sam, if you're assigned to the team, are you making the primary entry/assault with them? If son you should be armed. If not, then when do you go in? If you are waiting until the scene is securen then you are potentially loosing precious time for treating immediate threat to life injuries. What are your thoughts/comments?
He says he is an unarmed component of his team in other videos. Most TEMS guys are unarmed and it is a mistake by any tactical team to disarm a medic. It makes no tactical sense and creates risks for the team. But liability means more to the brass on top.
I'm going to be the designated medic on our volunteer team in Ukraine. I need a medic pouch which is suited for a smaller front panel. what are you running in the front under the admin pouch?
I'm no expert but i would assume its because it takes a bit to activate and also it cant help too much with major pains. Im still just as clueless as you are.
@@stijn2472 All NSAIDs to varying degrees. Acetaminophen is not considered an NSAID and does not have the same adverse effects, which is why it's appropriate in a tactical environment.
@@oxanau751 Thank you for the info. I forgot that acetaminophen is not considered an NSAID. In tactical environments, should the same dose (1000mg for adults) be administered?
Idk why anyone follows Saint Fisher and it’s nice to finally hear someone admit that. I personal can’t stand the guy after he called my child stupid in the comment one day for voicing his opinion. Can you do a video explaining how tourniquets aren’t approved by the TCCC and how they get “ 3.5% of anything sold with their recommendations “ ? That would be a bombshell of a video and would get like 5million views guaranteed!!!
So most likely it wasn’t Dr. Fisher who commented. Saint Fisher EBM is not run by him, it’s run by “scooby” and “tot”. Dr. Fisher has done a lot for pre-hospital medicine in the way of blood administration and evidence based care. Also there is no commission from manufacturers to the CoTCCC that I am aware of. Your welcome to find me a source but that wouldn’t really make any sense for how the lit reviews are performed.
@@PrepMedic it was major fisher at the time and they get 3.5% royalties from all of the manufacturers that play ball with them and use the Stop the Bleed logo on the products you personally promote for them buddy. If you don’t believe me just ask Dr. fisher or the DoD for Stop the bleed but honestly you should already know this since your endorsing their products. I can get you over a copy if you don’t believe it but I don’t know what you mean by “lit” and it wouldn’t matter, sounds somewhat arrogant since there’s a royalty involved
CoTCCC and stop the bleed are not the same thing. Yeah man, still can’t find anything to support the claim of 3.5% royalties. Shoot over the supporting document to prepmedic@yahoo.com
@@PrepMedic just ask dr about it, it’s over 3%. I’ll find you the information and email it if fisher doesn’t want to tell you but if I do I ask that you do a video on it as full disclosure for us folks that buy the product. Hats off once again for speaking out about saint fisher, it’s not an easy thing especially how he attacks online. If it was someone else called “scooby” so be it, he should be more responsible at who runs his pages!!!
If you are not at lease attempting to be prepared for mass casualty scenario, you are wrong. Evac and additional emergency medical resources will not magically show up (and not stage for 15 min). I've seen simple "routine" missions turn into mass casualty events extremely quickly and unexpectedly. You should always attempt to be prepared for one and absolutely not think "I'm not a mass casualty medic". Stay safe. -retired 18d, somc instructor & Swat Medic.
Sure but that is why every officer has a IFAK. 5 officers get shot and each of them has the supplies already on their person. Let’s say things go sideways even more and 10 bystanders are shot, the officers can still use their blowout kits for the scenario even though they are usually reserved for self aid. It doesn’t make sense to pack the medics kit with 10,000 TQs and packing gauze when the 10-15 man team each has supplies as well.
Your space problem would be solved with a dump pouch on your side.I do not see any magazine pouches on you,i think you should carry a few magazines for your self protection if the other members of the team fail to support you.
You shouldn’t be using your IFAK for someone else it yours to be used on you. As the medic you should have a separate med pouch to use on other people.
Oh yeah, the unsworn unarmed medic working for a local EMS agency contracting with a local non-federal agency is totally coming to confiscate your AR pistol. Instead of trolling comments on irrelevant videos to your cause trying to convince people you are based why don’t you actually do something to combat the laws you are firmly against like donating to different lobbying organizations or writing your representatives?
@@PrepMedic You just dunked on him in the most logical, respectful, correct and helpful way one possibly could 😂... You sir are a true professional hat's off.
Lol we all know u guys swipe meds I’ve been around emts vets or doctors and the let’s not say steal but a good amount of meds can some how end up at home with them haha I’ll say I would prefer to have a stash of meds that magical end up leaving the drug locker to my house or even farmers who have old timer type vets that sell or give them controlled substance and u seem lik a guy who likes to be prepared so I would easily bet a good amount of money u have taken controlled meds home not saying your a addict but I bet u have stuff for a emergency I know emt how just tell me yeah I say I dropped the vile and it broke or the patient took it or something or they say the gave two doses and only give the patient one and pocket the other I use to do volunteer fire stuff and meet a eclectic group of folks that like to stock pile or they have tons of animals and family so they have antibiotics and some pain meds or stuff to put down a animal and some of the stuff is controlled drugs
I have never, and will never, take controlled substances home. Ever. Diverting narcs is a BIG deal and will hold jail time if caught. If an agency has a culture of narcotic diversion so profound that they are literally admitting to people that they have stockpiles for “preparedness” they are just asking for feds to shut the entire operation down.
Good work, Sam. I'm a SWAT Medic for my regional SRT & I am working to standardize our program. I'd love to talk with you sometime to get ideas & bounce some things off of you.
Try his instragram page. Easier message.
My dream job, would you say I need to get a community degree in law?
@@liamobryan6105 I'm not following. What exactly is your question? If you need a law degree to be a SWAT Medic?
@@liamobryan6105 why would you need a law degree to be a SWAT medic? You just need to be a NR Paramedic for most teams
100% agree that 80% of my hands on is while on my knees. Get a good set of kneepads. It only took one patient, on gravel in 110* weather after a half mile hump to the target location. Kneepads!
"As a SWAT paramedic, you are not a mass casualty resource." Unless a SWAT intervention goes horribly wrong.
Good video, happy new year.
I think the point is that swat team member has IFAK vs civilians usually don't.
I am halfway through EMT school, you’re the reason why. Can’t wait to continue to follow you through medic school.
Sam, I think a video going over your ski patrol gear would be interesting. We've seen a lot of your tactical gear, but you've rarely hit on the ski patrol equipment.
ABSOLUTELY! I've cric'd 5 pts my entire career, but I've given out way more moleskin and Ibuprofen! I really like what you said about NOT being the mass casualty responder. I have tried to explain this to my command more times than I can count.
Great advice about having the same kit and it's location! That applies to any type of group outing where injuries can likely accrue...hiking, hunting, and biking to name just a few.
Good video and information. I have been a medic for my agency SRT for several years. In the military I was taught, the IFAK I carry on my kit is for self aid or someone else to use on me, not for me to use on someone else. That is why, as a medic, I carry a med bag and other items elsewhere. Never work on a patient out of your IFAK. If I’m injured and I already used my IFAK on someone else, whoever comes to render aid may not have any equipment and will need to use what is in my IFAK. That’s the point of an Individual First Aid Kit (IFAK). A lot of what we do today medically comes from the military and the lessons learned through the CoTCCC and JTS.
Excellent video. I struggle with the over packing thing. Trying to streamline the items I bring, but I almost feel like I'm handicapping myself. Also, good reminder of what TEMS medics are supposed to be and what they are not. If you could, do a video about mindset and how some of that has changed from when you first were a street medic vs operating in a tactical environment. What were some of the beginning issues you encountered, and some of the realizations you made to make you better at TEMS.
I have been enjoying these types of videos. Though I may not be a trained paramedic/medic for the military, I think that it's important to know things that could end up help keeping people alive until help arrives
Most TQ carriers have a slot and vecro in the rear to carry a scissor. I put one in, cheap enough that I won't cry if it gets left behind, so there's always one right at the TQ. There's also never a marker for the time, so I toss in a "shorty" marker that cellophane wrapped at the factory. If it works, great, one less thing to look for. Once the seal is broken, it will be replaced.
Great video. Lots of things to consider. I try to pack my kit depending on the activity I'm doing. My ambulance vest has enough on it to get the patient to the ambulance. My airsoft vest has basic medical but also long bone injury kit I've created with Sam splints, Ace bandages and slings to cover long bone sports type injuries.
In my experience as a swat advanced practice paramedic, most medics I worked with/trained were actually liabilities to the team. Mainly because they were over packed. This made simple tasks take longer than they need to. Example, if you are organic to the team you are mission directed or do everything they do. Like a combat medic who is armed. If you are not organic then you are a tactical medic & are likely not armed. You then require security which may take away from the teams mission set. Either way, the medic must be able to perform all Med tasks quickly so that the team remains dynamic & agile or they could all get into trouble. Less is more & get off they X like now & keep it moving. Nothing else will ensure confidence by team members than a quick efficient medic.
Your team is lucky to have you Sam!!
Excellent video as always! As a side note, from a TEMS perspective, would you be able to do a video describing what YOU think frontline officers should carry in an IFAK or other miscellaneous lifesaving gear for use on others? There are a million sources of info out there on this topic, but very few from someone who can bridge the gap between LEO experience and paramedicine.
I’d love a full kit breakdown
Great video!!! Happy new year 🎉
In the background you had a rig with a joey pouch, swinging below the front of the rig. Is this a good idea for mobility and having access to supplies or are you better off putting it infront if a triple mag shingle?
Sam would love to see a part 2 on this
grateful for your channel and content. well done, young man.
Would love to see a similar video with your thoughts on a setup for RTF members. If it already exists, I couldn't find it!
In my county we’re all equipped with plate carriers and a helmet. Each plate carrier has two IFAKs attached and each team has a 5.11 bag with the MAR part of MARCH (massive hemorrhage airway respirations etc)
@@billforner3380 I think a video discussing those choices would be on point (carried equipment/med supplies vs on vest. Plate carrier vs soft armor, helmet styles etc.
@@mddc326 I agree, personally I wish we had soft plates so we could move faster but all our plates are steel.
I just got my higher quality plate carrier 5.11 tactec and i am trying to set it up for myself, wish me luck! 😅
Love our tactecs
Have you ever tried out the First Spear AAC vest? Might be a inbetween thing compared to the two you got. Personally very happy about it. Personally running two First Spear SOF medical packs on my gun belt, which I can turn around and have them on my frontside while working. Any experience with these kind of setups?
Me hearing a bunch of acronyms I don't know:
Oh totally. Yeah man. Completely agree.
Amazing video as always. Can you do more reviews of MyMedic gear?
snore fest
@@gordonlekfors2708 it's quite relaxing for me, also gives you an insight on some stuff.
Once again an amazing tip video...
One thing I will say- A cric kit without a BVM makes more sense than a scope and tube, or LTD/ Igel without a BVM.
Advanced airways don’t make sense without a BVM readily available.
@@PrepMedic thousands of people with trachs might disagree. Point is you aren't getting as much dead space with a proper cric tube if it's in your protocols that way.
Hey buddy thanks for another great video. One question: Why did you say to prefer Tylenol vs Ibuprofen in a SWAT medic role? Thanks!!
Not him obviously, but my 2 cents, and something to consider. Ibuprofen can slow down clotting times, and is often considered to be a mild blood thinner. Obviously blood thinners can put a damper on things when you have to try and stop the bleeding
Ibuprofen is an NSAID which can inhibit clotting.
@@landonhinkle3651 thanks! Makes sense
The RTF role sounds similar to the UK Ambulance SORT. Could you recommend a kit setup for Paramedics focusing around this role?
What is the vest name? And also that side arm vest, is it included? Cause they look so cool😍
Interesting . I want my son , he is still young , to be Flight Paramedic .
Recently , actual war is happened at East Europe area , then , it needs to Medical than usual .
Thank you.
your circle is lucky to have such an asset.
Why did you make the ibuprofen comment? I’m not familiar
Like the kit! I wanna ask where did you get that patch on the chest plate? (Next to the radio mic)
Sam, where did you get your plate carrier and medic bag?
Welly's Quick Fix is an inexpensive and fairly well equipped compact boo boo kit that's in a hard clamshell case about the size of a touriquet carrier.
FWIW they also make a variety of artful bandaids that will help help any kid stop crying.
Happy New Year
Sam, if you're assigned to the team, are you making the primary entry/assault with them? If son you should be armed. If not, then when do you go in? If you are waiting until the scene is securen then you are potentially loosing precious time for treating immediate threat to life injuries. What are your thoughts/comments?
I’m pretty sure he makes primary entry with the team, I’m not sure if he carries a rifle but I think he does carry a sidearm
He says he is an unarmed component of his team in other videos. Most TEMS guys are unarmed and it is a mistake by any tactical team to disarm a medic. It makes no tactical sense and creates risks for the team. But liability means more to the brass on top.
@@chrishugs61731000%%%
Dude. Beard. YES.
I love the “not the drug” bits lmfao
your armor is beautiful
What kind of medical pouch is the one at 11:47 ? the one you recommend for a medic?
R plates in both Carrie's same size?
How you dress up tourniquet on yourself arm if you wearing the ballistic shoulder pads?
Yeahhhh…. This didn’t get deleted. Don’t know why you thought that. You take the pad off your arm to put a TQ on it. Very simply to do
Which admin pouch is that
I'm going to be the designated medic on our volunteer team in Ukraine. I need a medic pouch which is suited for a smaller front panel. what are you running in the front under the admin pouch?
What’s the pouch w the roll of tape called?
I've heard a couple of times now that ibuprofen is not recommended for a violent environment, can you elaborate on why?
I'm no expert but i would assume its because it takes a bit to activate and also it cant help too much with major pains. Im still just as clueless as you are.
It’s an anti platelet and promotes bleeding.
@@PrepMedic Thanks Sam!
If I may ask, why is ibuprofen a bad idea?
In the context of trauma, it has antiplatelet properties, so carries an increased risk of bleeding.
@@oxanau751 Thank you for your reply. Is that with all NSAID, or just ibuprofen and acetaminophen?
@@stijn2472 All NSAIDs to varying degrees. Acetaminophen is not considered an NSAID and does not have the same adverse effects, which is why it's appropriate in a tactical environment.
@@oxanau751 Thank you for the info. I forgot that acetaminophen is not considered an NSAID.
In tactical environments, should the same dose (1000mg for adults) be administered?
Stijn, i was wondering the same thing. thanks for asking!
Tuck
Ruck
Truck
Tuck is on you - IFAK stuff
Ruck - advanced airway, vascular access, boo boos, Tylenol, etc
Truck - Medicines, Lifepak
How much the vest protect you?
Idk why anyone follows Saint Fisher and it’s nice to finally hear someone admit that. I personal can’t stand the guy after he called my child stupid in the comment one day for voicing his opinion. Can you do a video explaining how tourniquets aren’t approved by the TCCC and how they get “ 3.5% of anything sold with their recommendations “ ? That would be a bombshell of a video and would get like 5million views guaranteed!!!
So most likely it wasn’t Dr. Fisher who commented. Saint Fisher EBM is not run by him, it’s run by “scooby” and “tot”. Dr. Fisher has done a lot for pre-hospital medicine in the way of blood administration and evidence based care. Also there is no commission from manufacturers to the CoTCCC that I am aware of. Your welcome to find me a source but that wouldn’t really make any sense for how the lit reviews are performed.
@@PrepMedic it was major fisher at the time and they get 3.5% royalties from all of the manufacturers that play ball with them and use the Stop the Bleed logo on the products you personally promote for them buddy. If you don’t believe me just ask Dr. fisher or the DoD for Stop the bleed but honestly you should already know this since your endorsing their products. I can get you over a copy if you don’t believe it but I don’t know what you mean by “lit” and it wouldn’t matter, sounds somewhat arrogant since there’s a royalty involved
CoTCCC and stop the bleed are not the same thing. Yeah man, still can’t find anything to support the claim of 3.5% royalties. Shoot over the supporting document to prepmedic@yahoo.com
Someone lied to you.
@@PrepMedic just ask dr about it, it’s over 3%. I’ll find you the information and email it if fisher doesn’t want to tell you but if I do I ask that you do a video on it as full disclosure for us folks that buy the product. Hats off once again for speaking out about saint fisher, it’s not an easy thing especially how he attacks online. If it was someone else called “scooby” so be it, he should be more responsible at who runs his pages!!!
Is it really getting things wrong or just your kit evolving from previous experiences and learning what works for you or your job over time.
Dude I think I met you at uc greeley
How come ibuprofen doesn’t work for combat environments?
Last thing you want is a blood thinner in a tactical environment....
It’s not a blood thinner, rather it has slight anti-platelet properties similar to aspirin.
Aloe Vera is such a good plant for medical use. Just saying
Sure. But not really for emergency use, especially not the tactical environment.
@@PrepMedic survival bushcraft for a period of days…… yes
The DAPs tho... 🤣
🌮
If you are not at lease attempting to be prepared for mass casualty scenario, you are wrong. Evac and additional emergency medical resources will not magically show up (and not stage for 15 min).
I've seen simple "routine" missions turn into mass casualty events extremely quickly and unexpectedly. You should always attempt to be prepared for one and absolutely not think "I'm not a mass casualty medic".
Stay safe.
-retired 18d, somc instructor & Swat Medic.
Sure but that is why every officer has a IFAK. 5 officers get shot and each of them has the supplies already on their person. Let’s say things go sideways even more and 10 bystanders are shot, the officers can still use their blowout kits for the scenario even though they are usually reserved for self aid. It doesn’t make sense to pack the medics kit with 10,000 TQs and packing gauze when the 10-15 man team each has supplies as well.
Ounces = pounds
Pounds = pain
You forgot the preperation H, the condoms, the lube
Your space problem would be solved with a dump pouch on your side.I do not see any magazine pouches on you,i think you should carry a few magazines for your self protection if the other members of the team fail to support you.
really preGmediC
You shouldn’t be using your IFAK for someone else it yours to be used on you.
As the medic you should have a separate med pouch to use on other people.
Um yes…. That is stated in this video.
Why are you unarmed?
Thank you, we are watching you from the Russian city of Donetsk. The information helps in the liberation from the ukrainian nazis.
Okay troll
Disagree (mostly).
Don't forget this is the guy who will be doing a no knock because you have a pistol brace.
Oh yeah, the unsworn unarmed medic working for a local EMS agency contracting with a local non-federal agency is totally coming to confiscate your AR pistol. Instead of trolling comments on irrelevant videos to your cause trying to convince people you are based why don’t you actually do something to combat the laws you are firmly against like donating to different lobbying organizations or writing your representatives?
@@PrepMedic 👏🏽👏🏽👏🏽
@@PrepMedic You just dunked on him in the most logical, respectful, correct and helpful way one possibly could 😂... You sir are a true professional hat's off.
F chain
@@PrepMedic you support the government, you are the enemy
Why do cops feel the need to play military dress up? Multicam, battle belts.🤡
I wish you could share links to your equipment @prepmedic
Do you teach your skillset to Civilians?
I have an entire UA-cam channel dedicated to it.
Lol we all know u guys swipe meds I’ve been around emts vets or doctors and the let’s not say steal but a good amount of meds can some how end up at home with them haha I’ll say I would prefer to have a stash of meds that magical end up leaving the drug locker to my house or even farmers who have old timer type vets that sell or give them controlled substance and u seem lik a guy who likes to be prepared so I would easily bet a good amount of money u have taken controlled meds home not saying your a addict but I bet u have stuff for a emergency I know emt how just tell me yeah I say I dropped the vile and it broke or the patient took it or something or they say the gave two doses and only give the patient one and pocket the other I use to do volunteer fire stuff and meet a eclectic group of folks that like to stock pile or they have tons of animals and family so they have antibiotics and some pain meds or stuff to put down a animal and some of the stuff is controlled drugs
I have never, and will never, take controlled substances home. Ever. Diverting narcs is a BIG deal and will hold jail time if caught. If an agency has a culture of narcotic diversion so profound that they are literally admitting to people that they have stockpiles for “preparedness” they are just asking for feds to shut the entire operation down.