Understand this is older video but felt the need to comment for viewer edification. Hemostatic agents are not to be used for chest or abdominal wound, wounds around the eyes, or open cranial wounds. They are also to be used WITH direct pressure. Too many people think it's a magic powder to stop bleeding.
I have asked the manufacturers, but they neglected my question asking if I am a first aider of any sort or in the medical field etc. Telling me that they are for the emergency catastrophic haemorrhage etc. I know that. Thanks for pointing out about abdominal,chest and head wounds (by the way is it only around eyes and open cranial or any type of head injuries?). What I asked them specifically, WHY why only 24 hours time frame? What happens then? In the guideline it says if there is no chance to receive a definitive medical professional help within 24 hours then this agent is not appropriate, so resort to something else. The reasoning is (unless Im wrong) is that it must be removed ONLY by medics in the hospital. I wonder what happens to the wound if I use hemostatics? Will it re-bleed after 24 h? What if I remove it earlier? I see... if it is a serious wound there will be no temptation to remove anything from it... but... noone explains why it is not efficient if we dont get to the hospitalin 24h. If so... it is not very useful in the wilderness? If it is a serious case there is an option of calling SAR unit which definitely may come faster than 24h timeframe. Well... Im just curious if it is worth carrying.
@@coniferousforests8030 I know your comment is 6 months old, and on a 5 year old video but your question is still valid. www.celoxmedical.com/eur/eurfaq/ There are other hemostatic agents on the market but Celox is the main brand, speaking just for Celox here. In short hemostatic agents are not magical cures, if you have a serious wound you still need to treat it by cleaning it out and sealing it up with a proper seal such as stitches. There have been cases where hemostatic agents haven't caused leakage after 24 hours. Hemostatic agents can and will start to break down and be absorbed. Recommendation is for it to be removed "ONLY" by a medical professional is because if you have a wound that serious you should be getting proper help. You can't cut your self in the woods, pour some magic "powder" in your wound and be good to go. Any medical professional is going to tell you the wound will need proper care, wound irrigation, stitching. Layman's term hemostatic agents are clotting bandaids.
Back when we didn't have fancy chest seals we taped the foil packet with the Vaseline gauze still inside. It gave the best seal. I used the plastic wrapper from a pack of cigarettes once. When a sucking chest wound clots off you're gonna get a tension pneumo and you'll need to punch 'em. Hopefully by then you'll have Advanced Life Support on scene and they can decompress. I used 14 ga. x 3.25" Jelco's all the time back in the day and they did the job. Once sanitary napkin makes a field expedient ABD pad. Always keeps min. 2 triangle bdgs in kit. Sooo many uses. A 1" roll of Gorilla tape can make pressure dsgs, wrap splints, make a sling & swathe, TK, etc. It can tape a magazine against a rib cab to stabilize a flail chest or magazine as a splint. I always carry a cheap cotton handkerchief in my hip pocket and have used them dozens on time, whether on me or co-workers. I keep a few individual multi-trauma dsgs (Band-Aids) in my wallet. Beats getting blood on a customer's carpet. Good channel Skinny. I retired as a paramedic in '92. I get to sleep all night now and eat meals on time. LOL.
Walmart sells amylopectin in two areas of the store, camping and medical. It costs less in the medical section of the store, called Bleedstop. Sold in a box of three 15mg packages for about $5.
Pro tip for everyone. First Aid kit should never be the thing you go on cheap! but sometimes the cheap one can do the job as well as the expensive one.
Terrific breakdown and comparison. Its nice seeing the actual kit then the DIY kit side by side with explanation of wht each item does. Good reference also.
The woundstop pro bandage ($5) is a great, cost effective version of the Israeli bandage and the the standard woundstop bandage ($2) is a great compact bandage or secondary bandage. Then there is also the Pac-Kit Hema-Flex bandage that is so small it would fit in a wallet for micro first aid kits but to be effective should be paired with a hemostatic agent. In my time as an EMT, I have never used a hemostatic agent. We did not even get them on the truck or anything and I worked for a rural EMS company where it takes 20-30 minutes to get to an ER. We were able to stop bleeding effectively with some 5x9s, tourniquets, pressure bandages and the like. Hemostatic agents are nice to have but not 100% necessary. You can build a full trauma kit for under 30 bucks, I have done it and it includes a tourniquet and hemostatic agent. I will post a video on mine when I get the chance.
Walmart actually has blood stopper powder...$5 a box .. two decent size packs come in a box .. mine has a photo of Lou ferrigno..(The incredible hulk) .. he is actually an EMT... So it must be good if it's endorsed by him!
This is great, so I can have my main iFak trauma kit but at the same time have a back up with out killing the wallet. Love this channel, keep up the great work bro.
Awesome idea on the Israeli dressing/bandage, I never even thought of that. granted my kits have both a TQ and the bandage, but for someone on a budget that is a great idea.
For the petroleum gauze, we were taught to take the gauze out, throw it against the wall and then use the packaging to and tape to create the seal. Makes sense when you start thinking about how to get tape to adhere to vaseline, it won't
It kind of feels to me like this is an area that is easy cheap out on but you really shouldn't. I mean, if you're a prepper, camper, hunter, recreational shooter etc, odds are you're already spending a decent amount of money on gear, guns, ammunition and other items. Good medical equipment should be a pretty high priority if you want to be prepared. If you're willing to spend two grand on weapons and ammo, 100-200 bucks for a decent IFAK isn't *that* much when you think about it.
I think for people in my situation, where I'm on a budget trying to cover the many categories of basic prepping, it can be very difficult. And I would like enough supplies for a few instances, or for several people in a camp or what have you. Otherwise I agree, if you're trying to focus on being a solid medic, then spend the money.
$10 for the rescue gauze, plus an Israeli bandage and some Ziploc Chest Seals is less than $25. That's pretty affordable for anyone that owns a gun. Especially if you're shooting at a location that takes more than 10 minutes to get an ambulance to. Cheap insurance. Heck, some dollar store gauze pads and dollar store ace bandages are better than nothing.
Good ideas. Israeli bandages are relatively cheap, but for those that can't afford them or in a pinch you can use an Ace wrap and a carabiner instead. Peace.
Excellent video! I have been trying to put together a few kits to store different places: range bag, EDC bag, truck of my car, etc. It gets expensive after a while, but this really helps! Thanks, bud! And I love that design on the wall behind you ;)
The trauma kits and the bleed kits are a new and more effective twist on the old first-aid kit. We need to add gloves and the Ambu rescue breathing shield, along with aspirin for heart attacks. It wouldn't hurt to have a few Band-aids and other dressings for minor booboos. One more thing; the American Heart Association's recommendations on first aid for lay persons do not support occlusive dressings for chest wounds. They only recommend a conventional gauze dressing. I don't know if this has been adopted across the board.
*I recommend looking in dollar stores for some supplies at a inexpensive price.* Stores in my area has boxes of gauze pads & rolls, not including a number of other items & many of those products are name brand products.....all for a dollar, that's a win-win. Some people will say you need this & that, but if you can't afford it.....you can't afford it, so is it better to use something to try to save someone's life or have nothing & have their chances of living diminish greatly?? Cool vid, thanks for sharing with everything.
Good info Skinny. Thank you not only for the great videos but for the work you guys do. My youngest daughter goes to college in your area and I for one am very happy to know you are there if she should need you. Tell your wife I miss her videos on the oils.
Thanks for the info sir. Subscribed just a but ago and again love the info. Recent EMT for my dept (officer in NYC) so my responsibilities changed but will def use your info to personalize my own supplies.
Great info. For the price of 1 Cat TQ, you could get 3-4 pressure bandages that have multiple functions including a tourniquet. The only downside I could think of is that they are larger so they take up more space. Their weight is about the same as the Cat though.
The CAT is fast. And effective. You can apply one and be done with it so you can move onto whatever is next. Trying to use a pressure bandage as a tourniquet is slower. And you may find you are going back to adjust it because you have leakage. That’s time you could be spending on the next wound or next patient.
In the hospital we use petroleum gauze and tape on THREE sides. Taping on 4 sides will prevent trapped air from escaping and create a tension pneumothorax. This is a medical emergency caused by the first responder that will kill the person who would have survived much longer with no dressing at all. THREE sides people!
I actually teach now to tape 4 corners, this allows for it to vent out all 4 sides. Which ever takes the least amount of pressure for the air / blood to vent.
-You can replace the tourniquet with an Israeli if and only if you're willing to risk a patient's life in a serious bleed. -Hemostatic agents: clever, expensive, high markup. In my tour in Iraq including 5 months as a MEDEVAC medic I _never_ met a medic who used the stuff nor dealt with a patient who'd had it used on them. -Replacement chest seal: petroleum gauze is decent but tremendously sub-optimal! The plastic bag is better than petro-gauze.
As long as we are talking of people being cheap skates & they just don't want to spend money on those products, well I'm all with you on that. Now people that don't have the means for whatever reason, to buy the proper products, it's better to buy something & try to save someone's life, as opposed to standing there with nothing, unable to do anything.
I almost gag every time someone complains about the price of med supplies but own multiple firearms. If you can afford $500+ Glocks and $800+ rifles you can afford $100 worth of trauma kit.
Wish we all could say the same. I am foreign and my job paid 2 USD per hour, about 2.5 when exchange rate benefited us and due to abuses in the workplace i am unemployed now. earning 8 or 12 for flipping burgers at McDonalds? a dream, honestly.
there is nothing better than an item that's dedicated to one thing and one thing alone with that said nothing can replace a tourniquet and you should know this
to those talking about your life being worth any cost. Of course it is always better to get proper gear when trusting lives on it. That being said plenty of people have limited funds and if there's one thing I know., it's that the best medical kit is the one in your pocket. Not the one sitting on a store shelf.
One does not pack chest- or gut-wounds. Simply because there is nothing rigid to pack against. Just seal it. You need bones to pack against. (shoulders, legs, arms and groin). If something has penetrated a chest, to "pack" the skin against the ribs is not doing anything for the true problem (something has penetrated the lunge). The chest seal is basically avoiding the patient sucking "false air" through the hole (collapsing lung that, simply explained, requires it to be air-tight to work. If you try to inflate a balloon that has a whole in addition to the opening you blow through, that balloon is not going to look impressive and inflated, no matter how much you blow, to put it simply. You also seal it to avoid grit and dust entering straight into the lunge-tissue (our throat is equipped with a great dust-removal kit) Do not stuff bellies and torsos. Seal it and call for help. You are trying to keep someone alive who will not survive without open surgery ASAP
glacier activity well that’s great to know, thank you for that. But in terms of what to seal the sucking chest wound with. Do you use the petroleum gauze dressing that’s in the package to “seal” the wound? Or do you use the packaging that is protecting the gauze, as the “seal”?
A recent shooting accident that happened at a range not far from me was when a range officer was shooting trap and had a negligent discharge right into another range officer's abdomen. What would be the appropriate response to that? I would imagine the bird shot would have made packing it quite difficult. He ended up having to be life flighted.
At the risk of sounding tacky, could tampons be used in puncture or gunshot wounds to aid in stopping the bleeding. They come in different sizes and would be inexpensive for a diy trauma kit. Feminine pads may also be a good topical bandage. Please advise.
Paramedic here, please please please don't use tampons in gunshot wounds. They swell when they absorb blood and can leave nasty fibers in the wound, causing more trouble down the line when a surgeon is debriding the wound. If you absolutely have to pack a wound, use hemostatic gauze (preferably quikclot rolled gauze) and use a pressure dressing like an Israeli or an ace wrap until EMS can get to you. Also don't be afraid to use tourniquets. The best thing I can advise you to do is seek appropriate first aid training.
bexs 22 They don't. You'll never find a combat medic that has tampons in his kit. Skinny has a great video about tampons and kotex and it shows just how ineffienct a tampon would be against sterile gauze packed in a wound. It's all about volume and pressure, even inside a wound. Good question, please watch that video
You can actually purchase blood stopper powder.. at Walmart in the camping section...$5 for a box of two decent size pouches of blood stopper.... Mine even has a photo of Lou Ferrigno..(The incredible hulk 1970s).. he is actually an EMT... If it's endorsed by Lou ferrigno it's got to be good 😂👌👍
Hey SkinnyMedic and others on this channel. I made up a medic kit that constitutes a lv.2 medic kit for about $150. It includes plenty of gauze, hemostatic agents, chest seals, and trauma items. Is this price reasonable for a custom build or did I overshoot? Keep up the good work SkinnyMedic I love your videos.
+senta ukrai It honestly seems about about right, maybe a little high. These kits can get high in price. Check out my kits and you can compare shop.skinnymedic.com
SkinnyMedic Thanks. I guess mine is similar to the condor Rip-Away EMT Pouch for $95 (its the same pouch I'm using) In addition to the items in the pre made pack I have more pharmaceuticals, dental repair items and a reusable emergency blanket for shock patients. A SAM splint is also in mine. Had I looked at the site first I might have saved a few bucks but I guess I broke even. Thanks for the advice and you are a credit to the rest of us in the First Responder Fields.
what's a good price range would u say a decent medical kit would run after throwing all your stuff in? and also were u an EMT? or some other type of medical response unit?
It's probably not as good, but he shows how to use the closure bar(not the pressure bar) on the very end of the Israeli wrap to stick through the rest of the wrap and twist like a tourniquet, granted it's plastic and could break, and like he covers in other videos if the artery retracts above the wound it'll still cause internal bleeding and won't compress the artery, but you work with what you have, and buy, there's still your belt now that you have the bleeding somewhat controlled which you could apply above it as a tourniquet. That's what I would do at least, if l was still conscious that is.
Here's a twist for you. I'm not sure if your a Dog or Cat person (or both), but do you have any suggestions on putting together a small trauma kit for Dogs and or Cats. I have a few dogs and sometimes they get into little scraps. I'd appreciate appreciate any suggestions. Thanks.
Great video. But as a South African. The items that save lives...celox, chest seals isralie bandages and or torniquits...cost a damn arm and a leg because its all imported with no local equivalent.
in a pinch keep an aluminum dowel, pressure wrap, and gauze on you. you can use the dowel as a windlass, as the windlass is the hardest part of a tourniquet to jury rig. ( either the pressure wrap or trauma shears and your t shirt can make pretty much anything else). Ce lox and quick clot are amazing if you can afford it but medics in ww2 saved plenty of lives with wound packing and gauze rolls.
what are your thoughts on placing a hemostatic powder to stop an arterial bleed and the powder getting into the artery eventually getting into the blood stream and causing a clot further down like a stroke an MI or a pulmonary embolism?????
+Igar155 Yes there is a risk of blood clots when using the hemostatic agents. When you are using these products it is for massive bleeding, so I would stop the bleeding and then worry about the side effects.
excuse my ignorance,but how can you pack a wound with normal gauze or hemostatic gauze while the victim is still conscious?? i imagine it would be pretty painful
Will carrying a trama kit or active shooter kit draw attention to me if I carry it everywhere? Would it look strange to do and others like security or police wounder why I'm carrying this stuff. Let's say going to a concert or entertainment park where u go through security
It won't draw attention to you. Security might have a look at it, but no more than any other bag. Police would be glad if something happens and you can offer them some material to give first aid before the ambulance arrives. Unless you start throwing patches on it like "zombie response team" and whatnot I don't think you'll have a weird look at all.
Don't forget that tourniquet is way better than bandage in case such as amputations and similar injuries. Maybe skip out the highly expensive hemostatic gauze and buy proper tourniquet.
With which item? I travelled with some first aid gear in my carry-on baggage just the other week and had no trouble getting through security. 2 tourniquets, 1 Israeli bandage (going to and from Israel, incidently), nitril gloves, a bunch of gauze rolls and a flashlight. I did however put my rescue hook in the checked luggage, since i didnt want to risk it.
5 years later, Skinnymedic would never advocate to replace a tourniquet with a 6-inch Israeli bandage like here. The "tourniquet" effect is just marketing, all it does is increase pressure but not to the required level. Also, studies have shown that tourniquets, including the CAT, are only 70-80% effective on legs. Of course that also depends on operator error, but then so does any tool or weapon.
Never replace a tourniquet. A tourniquet is a must. I rather pay the price than my families and friends life. An Israeli bandage is great but cannot and will never replace a tourniquet. If you want something that you have to replace less frequently, I would go with a SWAT T tourniquet.
They always say "how to make an IFAK" but they never say "How to use an IFAK" :cry: Seriously tho, i bought a small first aid kit and there is some shit i don't even know how to use
Buy Supplies here: medicalgearoutfitters.com/
Gun guys: $3500 AR build
$1200 modified Glock
$9 IFAK
I feel attacked
this is funny
Understand this is older video but felt the need to comment for viewer edification. Hemostatic agents are not to be used for chest or abdominal wound, wounds around the eyes, or open cranial wounds. They are also to be used WITH direct pressure. Too many people think it's a magic powder to stop bleeding.
You are correct, thank you for the comment!
I have asked the manufacturers, but they neglected my question asking if I am a first aider of any sort or in the medical field etc. Telling me that they are for the emergency catastrophic haemorrhage etc. I know that. Thanks for pointing out about abdominal,chest and head wounds (by the way is it only around eyes and open cranial or any type of head injuries?). What I asked them specifically, WHY why only 24 hours time frame? What happens then? In the guideline it says if there is no chance to receive a definitive medical professional help within 24 hours then this agent is not appropriate, so resort to something else. The reasoning is (unless Im wrong) is that it must be removed ONLY by medics in the hospital. I wonder what happens to the wound if I use hemostatics? Will it re-bleed after 24 h? What if I remove it earlier? I see... if it is a serious wound there will be no temptation to remove anything from it... but... noone explains why it is not efficient if we dont get to the hospitalin 24h. If so... it is not very useful in the wilderness? If it is a serious case there is an option of calling SAR unit which definitely may come faster than 24h timeframe. Well... Im just curious if it is worth carrying.
@@coniferousforests8030 I know your comment is 6 months old, and on a 5 year old video but your question is still valid.
www.celoxmedical.com/eur/eurfaq/
There are other hemostatic agents on the market but Celox is the main brand, speaking just for Celox here. In short hemostatic agents are not magical cures, if you have a serious wound you still need to treat it by cleaning it out and sealing it up with a proper seal such as stitches. There have been cases where hemostatic agents haven't caused leakage after 24 hours. Hemostatic agents can and will start to break down and be absorbed.
Recommendation is for it to be removed "ONLY" by a medical professional is because if you have a wound that serious you should be getting proper help. You can't cut your self in the woods, pour some magic "powder" in your wound and be good to go. Any medical professional is going to tell you the wound will need proper care, wound irrigation, stitching.
Layman's term hemostatic agents are clotting bandaids.
Definitely throw a space blanket in there! Cold blood won't clot!
Back when we didn't have fancy chest seals we taped the foil packet with the Vaseline gauze still inside. It gave the best seal. I used the plastic wrapper from a pack of cigarettes once. When a sucking chest wound clots off you're gonna get a tension pneumo and you'll need to punch 'em. Hopefully by then you'll have Advanced Life Support on scene and they can decompress. I used 14 ga. x 3.25" Jelco's all the time back in the day and they did the job. Once sanitary napkin makes a field expedient ABD pad. Always keeps min. 2 triangle bdgs in kit. Sooo many uses. A 1" roll of Gorilla tape can make pressure dsgs, wrap splints, make a sling & swathe, TK, etc. It can tape a magazine against a rib cab to stabilize a flail chest or magazine as a splint. I always carry a cheap cotton handkerchief in my hip pocket and have used them dozens on time, whether on me or co-workers. I keep a few individual multi-trauma dsgs (Band-Aids) in my wallet. Beats getting blood on a customer's carpet.
Good channel Skinny. I retired as a paramedic in '92. I get to sleep all night now and eat meals on time. LOL.
Walmart sells amylopectin in two areas of the store, camping and medical. It costs less in the medical section of the store, called Bleedstop. Sold in a box of three 15mg packages for about $5.
What we need is our very own "Skinny Medic" that we can carry in a molle pouch! ;)
+Appalachian Freedom Outdoors I am easy just not cheap! haha
Pro tip for everyone. First Aid kit should never be the thing you go on cheap! but sometimes the cheap one can do the job as well as the expensive one.
Terrific breakdown and comparison. Its nice seeing the actual kit then the DIY kit side by side with explanation of wht each item does. Good reference also.
The woundstop pro bandage ($5) is a great, cost effective version of the Israeli bandage and the the standard woundstop bandage ($2) is a great compact bandage or secondary bandage. Then there is also the Pac-Kit Hema-Flex bandage that is so small it would fit in a wallet for micro first aid kits but to be effective should be paired with a hemostatic agent. In my time as an EMT, I have never used a hemostatic agent. We did not even get them on the truck or anything and I worked for a rural EMS company where it takes 20-30 minutes to get to an ER. We were able to stop bleeding effectively with some 5x9s, tourniquets, pressure bandages and the like. Hemostatic agents are nice to have but not 100% necessary. You can build a full trauma kit for under 30 bucks, I have done it and it includes a tourniquet and hemostatic agent. I will post a video on mine when I get the chance.
+CrazyIrishMedic Thank you for the input!
Walmart actually has blood stopper powder...$5 a box .. two decent size packs come in a box .. mine has a photo of Lou ferrigno..(The incredible hulk) .. he is actually an EMT... So it must be good if it's endorsed by him!
This is great, so I can have my main iFak trauma kit but at the same time have a back up with out killing the wallet. Love this channel, keep up the great work bro.
Love it: Dirt cheap =sterile= petrolatum gauze pack. Had to chuckle. Like your series.
I would take some freezer bags which are super cheap.. & pre-cut them.. have them ready for chest seals along with your duct tape...
Awesome idea on the Israeli dressing/bandage, I never even thought of that. granted my kits have both a TQ and the bandage, but for someone on a budget that is a great idea.
For the petroleum gauze, we were taught to take the gauze out, throw it against the wall and then use the packaging to and tape to create the seal. Makes sense when you start thinking about how to get tape to adhere to vaseline, it won't
It kind of feels to me like this is an area that is easy cheap out on but you really shouldn't.
I mean, if you're a prepper, camper, hunter, recreational shooter etc, odds are you're already spending a decent amount of money on gear, guns, ammunition and other items.
Good medical equipment should be a pretty high priority if you want to be prepared. If you're willing to spend two grand on weapons and ammo, 100-200 bucks for a decent IFAK isn't *that* much when you think about it.
I think for people in my situation, where I'm on a budget trying to cover the many categories of basic prepping, it can be very difficult. And I would like enough supplies for a few instances, or for several people in a camp or what have you. Otherwise I agree, if you're trying to focus on being a solid medic, then spend the money.
$10 for the rescue gauze, plus an Israeli bandage and some Ziploc Chest Seals is less than $25. That's pretty affordable for anyone that owns a gun.
Especially if you're shooting at a location that takes more than 10 minutes to get an ambulance to. Cheap insurance.
Heck, some dollar store gauze pads and dollar store ace bandages are better than nothing.
even for driving a car👀
I’m just a blacksmith man
A lot of the replacement items are good replacements. Most of your replacement items were some of my replacement items in my EMS class.
Good ideas. Israeli bandages are relatively cheap, but for those that can't afford them or in a pinch you can use an Ace wrap and a carabiner instead. Peace.
Excellent video! I have been trying to put together a few kits to store different places: range bag, EDC bag, truck of my car, etc. It gets expensive after a while, but this really helps! Thanks, bud! And I love that design on the wall behind you ;)
+Survivalkraft haha thanks!
I made 3 range kits with this advice, 6 inch israeli bandage, 2 rolled gauzes with some abd pads and 2 petroleum gauzes and a roll of tape.
the enclusive doe's work. I remember using them back in the 1990s when we didn't have chest seals,taping 3.5 sides works best.
The trauma kits and the bleed kits are a new and more effective twist on the old first-aid kit. We need to add gloves and the Ambu rescue breathing shield, along with aspirin for heart attacks. It wouldn't hurt to have a few Band-aids and other dressings for minor booboos. One more thing; the American Heart Association's recommendations on first aid for lay persons do not support occlusive dressings for chest wounds. They only recommend a conventional gauze dressing. I don't know if this has been adopted across the board.
This is a great channel with critical information.
*I recommend looking in dollar stores for some supplies at a inexpensive price.* Stores in my area has boxes of gauze pads & rolls, not including a number of other items & many of those products are name brand products.....all for a dollar, that's a win-win. Some people will say you need this & that, but if you can't afford it.....you can't afford it, so is it better to use something to try to save someone's life or have nothing & have their chances of living diminish greatly?? Cool vid, thanks for sharing with everything.
Good info Skinny. Thank you not only for the great videos but for the work you guys do. My youngest daughter goes to college in your area and I for one am very happy to know you are there if she should need you. Tell your wife I miss her videos on the oils.
Thanks for the info sir. Subscribed just a but ago and again love the info. Recent EMT for my dept (officer in NYC) so my responsibilities changed but will def use your info to personalize my own supplies.
Dang dude! This was a very informative video. Thank you.
LOVE this channel! just ordered 2 kits last night.
P.S. My reading suggests first aid supplies qualify as eligible items for Flex and HSA accounts.
+mmix224 Thank you for the support!
Great info. For the price of 1 Cat TQ, you could get 3-4 pressure bandages that have multiple functions including a tourniquet. The only downside I could think of is that they are larger so they take up more space. Their weight is about the same as the Cat though.
The CAT is fast. And effective. You can apply one and be done with it so you can move onto whatever is next. Trying to use a pressure bandage as a tourniquet is slower. And you may find you are going back to adjust it because you have leakage. That’s time you could be spending on the next wound or next patient.
In the hospital we use petroleum gauze and tape on THREE sides. Taping on 4 sides will prevent trapped air from escaping and create a tension pneumothorax. This is a medical emergency caused by the first responder that will kill the person who would have survived much longer with no dressing at all. THREE sides people!
I actually teach now to tape 4 corners, this allows for it to vent out all 4 sides. Which ever takes the least amount of pressure for the air / blood to vent.
-You can replace the tourniquet with an Israeli if and only if you're willing to risk a patient's life in a serious bleed.
-Hemostatic agents: clever, expensive, high markup. In my tour in Iraq including 5 months as a MEDEVAC medic I _never_ met a medic who used the stuff nor dealt with a patient who'd had it used on them.
-Replacement chest seal: petroleum gauze is decent but tremendously sub-optimal! The plastic bag is better than petro-gauze.
+loganv0410 I would rather see an Israeli bandage than a belt or triangle bandages.
+SkinnyMedic me to skinny medic great video
Israeli bandages work just as well as normal tourniquets.
For patients on blood thinners, a hemostatic agent can be vital
Good advice! I don't necessarily like the idea of using an IBD in place of a tourniquet, but it'd definitely be better than nothing!
+Gunslinger454 Correct :-)
if it saves a life price is secondary.
As long as we are talking of people being cheap skates & they just don't want to spend money on those products, well I'm all with you on that. Now people that don't have the means for whatever reason, to buy the proper products, it's better to buy something & try to save someone's life, as opposed to standing there with nothing, unable to do anything.
That's a nice philosophy but it doesn't work for people living paycheck to paycheck who don't have $100 to drop on top of the line med gear
Cheap stuff present, versus expensive stuff not present all. Which would you prefer?
I almost gag every time someone complains about the price of med supplies but own multiple firearms. If you can afford $500+ Glocks and $800+ rifles you can afford $100 worth of trauma kit.
Wish we all could say the same.
I am foreign and my job paid 2 USD per hour, about 2.5 when exchange rate benefited us and due to abuses in the workplace i am unemployed now.
earning 8 or 12 for flipping burgers at McDonalds? a dream, honestly.
there is nothing better than an item that's dedicated to one thing and one thing alone with that said nothing can replace a tourniquet and you should know this
Sugar also helps the clotting process I've used it personally and it works remarkably well
Great tips dude, stuff like the chest seals are not common here in europe usually. At least not for reasonable prices. So this video is great!
+NordicBritPrepper Thank you
im glad i found your channel. thanks for the uploads!
+Danil Shimanskiy Welcome to the channel!
thanks.
to those talking about your life being worth any cost. Of course it is always better to get proper gear when trusting lives on it. That being said plenty of people have limited funds and if there's one thing I know., it's that the best medical kit is the one in your pocket. Not the one sitting on a store shelf.
Thank you for the video Mr S.
For the petroleum gauze as a seal. We’re you referring to putting the gauze over the chest wound, or the packaging over the chest wound?
One does not pack chest- or gut-wounds. Simply because there is nothing rigid to pack against. Just seal it.
You need bones to pack against. (shoulders, legs, arms and groin). If something has penetrated a chest, to "pack" the skin against the ribs is not doing anything for the true problem (something has penetrated the lunge).
The chest seal is basically avoiding the patient sucking "false air" through the hole (collapsing lung that, simply explained, requires it to be air-tight to work. If you try to inflate a balloon that has a whole in addition to the opening you blow through, that balloon is not going to look impressive and inflated, no matter how much you blow, to put it simply.
You also seal it to avoid grit and dust entering straight into the lunge-tissue (our throat is equipped with a great dust-removal kit)
Do not stuff bellies and torsos. Seal it and call for help. You are trying to keep someone alive who will not survive without open surgery ASAP
glacier activity well that’s great to know, thank you for that. But in terms of what to seal the sucking chest wound with. Do you use the petroleum gauze dressing that’s in the package to “seal” the wound? Or do you use the packaging that is protecting the gauze, as the “seal”?
Fantastic ideas Skinny !
Cayenne pepper is a natural hemostatic agent! I use it on all my large wounds I've had as well as my pets :)
Did it burn like hades when you put it on?
Surprisingly no it actually doesn't burn
+Q-Pid Avenger capsaicin only effects the taste buds...unless I'm mistaken?
Well, those of us who have had enough at one time will attest to it burning other things about a day later...:-)
Cayenne? you are an assshole
A recent shooting accident that happened at a range not far from me was when a range officer was shooting trap and had a negligent discharge right into another range officer's abdomen. What would be the appropriate response to that? I would imagine the bird shot would have made packing it quite difficult. He ended up having to be life flighted.
Rock solid video. Im gong to share this to my members.
Thank you!
Where can training be obtained? Please let me know 🙏,
At the risk of sounding tacky, could tampons be used in puncture or gunshot wounds to aid in stopping the bleeding. They come in different sizes and would be inexpensive for a diy trauma kit. Feminine pads may also be a good topical bandage. Please advise.
Paramedic here, please please please don't use tampons in gunshot wounds. They swell when they absorb blood and can leave nasty fibers in the wound, causing more trouble down the line when a surgeon is debriding the wound. If you absolutely have to pack a wound, use hemostatic gauze (preferably quikclot rolled gauze) and use a pressure dressing like an Israeli or an ace wrap until EMS can get to you. Also don't be afraid to use tourniquets. The best thing I can advise you to do is seek appropriate first aid training.
Lucas Gardner i never thought of that so why do the military advise the use of them then?
bexs 22 They don't. You'll never find a combat medic that has tampons in his kit. Skinny has a great video about tampons and kotex and it shows just how ineffienct a tampon would be against sterile gauze packed in a wound. It's all about volume and pressure, even inside a wound. Good question, please watch that video
I would also add a RAT tourniquet, they're cheap
Why don't you use ducktape as a chest sealer in the first place instead of a ziplock bag if the hole is small enough?
You can actually purchase blood stopper powder.. at Walmart in the camping section...$5 for a box of two decent size pouches of blood stopper.... Mine even has a photo of Lou Ferrigno..(The incredible hulk 1970s).. he is actually an EMT... If it's endorsed by Lou ferrigno it's got to be good 😂👌👍
Noticed what appeared to be a first aid manual but you didn't mention it. What's the recommendation there?
Great Videos and great channel. Keep it up!
Can you make a video, on making a FAK for common Family issues. ??
+Kanzee Yes I will
Great effort
hello! it's possible to use "tegaderm polyurethane" instead of chest seals?
Hello SkinnyMedic. I have a question. Say you go to your local walgreens or CVS what items can you pick out to be in an IFAK?
Great info as usual!
Thank you so much! This was a very useful video
Hey SkinnyMedic and others on this channel. I made up a medic kit that constitutes a lv.2 medic kit for about $150. It includes plenty of gauze, hemostatic agents, chest seals, and trauma items. Is this price reasonable for a custom build or did I overshoot? Keep up the good work SkinnyMedic I love your videos.
+senta ukrai It honestly seems about about right, maybe a little high. These kits can get high in price. Check out my kits and you can compare shop.skinnymedic.com
SkinnyMedic Thanks. I guess mine is similar to the condor Rip-Away EMT Pouch for $95 (its the same pouch I'm using) In addition to the items in the pre made pack I have more pharmaceuticals, dental repair items and a reusable emergency blanket for shock patients. A SAM splint is also in mine. Had I looked at the site first I might have saved a few bucks but I guess I broke even. Thanks for the advice and you are a credit to the rest of us in the First Responder Fields.
Sounds like a good kit!
what's a good price range would u say a decent medical kit would run after throwing all your stuff in? and also were u an EMT? or some other type of medical response unit?
Very informative video.
Great video
I feel like the wrap just wouldn’t work good as a tourniquet?
It's probably not as good, but he shows how to use the closure bar(not the pressure bar) on the very end of the Israeli wrap to stick through the rest of the wrap and twist like a tourniquet, granted it's plastic and could break, and like he covers in other videos if the artery retracts above the wound it'll still cause internal bleeding and won't compress the artery, but you work with what you have, and buy, there's still your belt now that you have the bleeding somewhat controlled which you could apply above it as a tourniquet. That's what I would do at least, if l was still conscious that is.
Here's a twist for you.
I'm not sure if your a Dog or Cat person (or both), but do you have any suggestions on putting together a small trauma kit for Dogs and or Cats.
I have a few dogs and sometimes they get into little scraps.
I'd appreciate appreciate any suggestions.
Thanks.
Plastic bag: chest wound sealer, and IFAK waterproofer!
Great video. But as a South African. The items that save lives...celox, chest seals isralie bandages and or torniquits...cost a damn arm and a leg because its all imported with no local equivalent.
in a pinch keep an aluminum dowel, pressure wrap, and gauze on you. you can use the dowel as a windlass, as the windlass is the hardest part of a tourniquet to jury rig. ( either the pressure wrap or trauma shears and your t shirt can make pretty much anything else). Ce lox and quick clot are amazing if you can afford it but medics in ww2 saved plenty of lives with wound packing and gauze rolls.
What pouch is that? I need one of those!
what are your thoughts on placing a hemostatic powder to stop an arterial bleed and the powder getting into the artery eventually getting into the blood stream and causing a clot further down like a stroke an MI or a pulmonary embolism?????
+Igar155 Yes there is a risk of blood clots when using the hemostatic agents. When you are using these products it is for massive bleeding, so I would stop the bleeding and then worry about the side effects.
Good stuff! I appreciate you sharing this important info. Thanks!
-The B.R.O.
Thanks for watching
Do you have an opinion on wound seal? Is it really different than celox granules?
excuse my ignorance,but how can you pack a wound with normal gauze or hemostatic gauze while the victim is still conscious?? i imagine it would be pretty painful
With a reassuring tone of voice and a firm hand, i figure.
Not a pleasant experience for anybody involved, but doable. 😣
Thank you!
Thank you!
Where do you suggest people go for training to learn other than basic first aid?
+Jetblast02 Find a Red Cross or AHA Course for basic first aid then try and find a trauma class in your area
Where can I get the package in thr Fannie bag?
how about cayenne pepper
Works for minor - to moderate
Will carrying a trama kit or active shooter kit draw attention to me if I carry it everywhere? Would it look strange to do and others like security or police wounder why I'm carrying this stuff. Let's say going to a concert or entertainment park where u go through security
It won't draw attention to you. Security might have a look at it, but no more than any other bag. Police would be glad if something happens and you can offer them some material to give first aid before the ambulance arrives. Unless you start throwing patches on it like "zombie response team" and whatnot I don't think you'll have a weird look at all.
great info as always
I've seen a unsterile Israeli bandage and an unsterile guase. You talked of removing your tourney. Eeeeek. More training required
What pouch is that in this video?
Don't forget that tourniquet is way better than bandage in case such as amputations and similar injuries. Maybe skip out the highly expensive hemostatic gauze and buy proper tourniquet.
Awesome! This is very informitive. By the way great channel and I sub'd!
I have an expired Israeli bandage here in Baghdad Iraq .Can I find it on amazon?
Yes
Would you use expired combat gauze?
Yea I would
+SkinnyMedic ok. I figured it would work just like regular gauze and the chemicals inside have just dried up. Thanks for the videos!
could you travel on a plane with one
With which item?
I travelled with some first aid gear in my carry-on baggage just the other week and had no trouble getting through security.
2 tourniquets, 1 Israeli bandage (going to and from Israel, incidently), nitril gloves, a bunch of gauze rolls and a flashlight.
I did however put my rescue hook in the checked luggage, since i didnt want to risk it.
5 years later, Skinnymedic would never advocate to replace a tourniquet with a 6-inch Israeli bandage like here. The "tourniquet" effect is just marketing, all it does is increase pressure but not to the required level. Also, studies have shown that tourniquets, including the CAT, are only 70-80% effective on legs. Of course that also depends on operator error, but then so does any tool or weapon.
You would need that ziploc on BabeeBlueOnTheTown :P ha ha Great tips.
+J Doe haha
Never replace a tourniquet. A tourniquet is a must. I rather pay the price than my families and friends life. An Israeli bandage is great but cannot and will never replace a tourniquet. If you want something that you have to replace less frequently, I would go with a SWAT T tourniquet.
I thought he said "if your around farms" then I'm like no dumb ass he said fire arms😂
They always say "how to make an IFAK" but they never say "How to use an IFAK" :cry:
Seriously tho, i bought a small first aid kit and there is some shit i don't even know how to use
Like this video I made ... "How to use your IFAK!" ua-cam.com/video/w6pQV-CE4Fw/v-deo.html
Are you saying I-fact??
IFAK = individual first aid kit
@@JefeDow I know what an IFAK is but that's not what he called it. He said i-fact.
Did u no u just had an add run before video criticizing Trump and Pence re women's "health" rights.
why do u remind me of morty
a WHAT dressing? Please slow down and speak clearly in order to communicate important information.