@@killdizzle Absolutely. Improvising is fine when you run out of purpose built equipment. Planning to improvise from the start will lead to failure. Much love.
@@killdizzle yeah I think what he was referring to was the kind of people who try to improvise from the beginning in order to save money or cut corners, which when done in the medical field will never end well for anyone involved.
I always put a small boo boo kit in my medkits. Anti diarrheals, ibuprofen, Tylenol, assorted bandages, and alcohol wipes. You’ll never know when they come in handy.
Wanted to do one in Germany, 700 Euro and only on request with a minimum amount of attendants. Yeah fuck off, our Department doesnt think its necessary.
Best advice I've heard about applying a TQ to someone is that if they are still awake/aware/not in shock, then the TQ is tight enough when their protestations are louder than when they received the injury. From my grandfather, who served as a corpsman in Korea.
Ive heard stories that soldiers getting put on a TQ is actually, genuinely asking their mates to shoot them dead instead of letting them experience the pain
@@Vildhjerta As someone who had a TQ (CAT) properly put on me multiple times a week for 2 months straight, I can tell you it doesn't hurt that much, especially if you don't try and move the limb it is on. An improvised tourniquet however, hurts a lot, but still, not really enough to make a grown ass man (or woman) scream.
@@king-of-memes6712 yeah from what i hear the "cat" tq are effect but made to help keep patient calmer, of corce stop bleed first deal with screaming fool later
He forgot to include about NOT putting a tourniquet on your lower arm below your elbow. If so you could break 2 bones in your arm. However from the upper region from your shoulder down to your elbow, it is a single piece of bone. Same thing for the leg. Part of the leg above the knee is a single bone. Part of the leg below the knee is made up of 2 bones.
I swear almost every army medic has the exact same speech pattern/ cadence. Very straight to the point, concise, and dry sense of humor. Much love Doc!
High and tight is a good general suggestion, but remember for headshot wounds the only effective place to put the tourniquet is around the neck (below the wound). It's okay, I struggle with directions too sometimes
A few notes for those that read the comments: - TRAINING SCARS - TQ application can be uncomfortable. In training dudes don't like to hurt their buddies so they finger drill TQ applications and don't tighten them down all the way. To fix this training scar, have the first responder apply the TQ to the casualty role player tight and someone who is watching/grading the lane can confirm the TQ is effective (absent distal pulse) and then loosen the TQ for the rest of the training. What this does is reinforces the trainee to always tighten TQ down all the way. - Finger Drilling - Have your real world medical supplies and then buy additional supplies to train with. Don't finger drill your training. Dont cheat your training. You cant cheat real life. - The IFAK and first responder are simply the first steps of medical preparedness. In the field all were doing is trying to stop the dying process and get them to a higher level of care. Dont get shot, prevention is key. I want to hit on getting the first steps knocked out, I think your average stop the bleed class and BLS/CPR classes are great ways to begin your journey in being an asset to your team and your community. - Medical interventions will always be REASSESSED and REINFORCED. You place a H&T TQ on your buddy, you need to check that the bleeding is actually controlled. Your barrel chested freedom fighter legs may require two TQ's. To reassess, you can check for a distal pulse or you can "milk" the wound. To milk the wound you squeeze the tissue above the injury and pull down. Watching for a constant flow of blood coming from the wound. Your team medic then places a large bore IV in your buddy's arm, it should probably be as secure as possible, you could tape it down, use coban etc. But it needs to be secured. After long movements you need to get eyes onto the injuries and treatments and ensure that they are still effective and didn't get messed with enroute. If you got this far, thanks for taking a look at my unsolicited opinions. God Bless.
I am a student an learn with the ABCDE or C-ABCDE protocol, which is basically the same a MARCH. MARCH teaches to reassess TQ's and other means of stopping bleading in the C(irculation) part of the protocol. Also, if there's time, you could do a blood sweep at C, but that wouldn't be very useful if the patient is already laying in a pool of blood.
@@dennyrulos7370 which is why for combat casualty care they encourage individuals to follow the MARCH treatment algorithm. ABCDE is probably fine for a civilian EMS provider responding to a 72 yo male with COPD but makes little sense when the only patients you see have been blown up or shot. Remember Denny, Massive Hemorrhage does not just mean extremity tourniquets, you could pack n' wrap a bad axilla pocket bleed, or apply a sam junctional TQ to a high leg amputation. Bottom line if its spraying bright red, its should be addressed sooner rather than later. Treating massive hemorrhage might mean that you drop a sternal IO and hang a unit of blood. But that is something you develop over time.
Took a class on this in highschool. Really should be a mandatory class. Learned so much shit in there that I can know use to help people. Probably one of my favorite classes too. Got certified in the class and I’m now looking into taking a class again and refreshing what I know
It’s a shame but I probably would elect to not use that training on just some good Samaritan type shit because of the legal liability. The thing is when shit like that happens I just react I don’t really have a freeze or flight in may just fight which always means protect. I was at a concert and this girl collapsed I waited two beats to see if the dude she was with was gonna do any fucking thing he didn’t so I immediately went over there started situating her body so that it wasn’t on top of her limbs, I saw some dude just looking and I said hey go get help, tell me why this motherfucker comes back a minute and a half later with two bottles of water, I cussed him out and then as I was doing that I was looking at her pupils absolutely no shrinkage completely dilated I kind of looked around and assess the situation for a bit then flush the light back in her eyes no dilation I was one second away from starting chest compressions when she came back. I couldn’t feel her pulse but that’s probably because I was freaking the fuck out to degree it was hot as fuck A literal rap concert was going on in the background so it was kind of a lot but had I started this chest compressions and injured her unnecessarily not only what I feel bad about doing so I would be liable for her medical costs
Out of the hundreds of medical trauma tutorials I've watched on the internet (prepmedic, mountain man medical, etc.) this guy gives you as much useful information per second than any other video I've seen to this date. Also, you don't fall asleep while you're watching it.
7th time watching this video. As a Civilian only EMS worker, I use this as a teaching aid to SO many students and even long time Medical Professionals that haven't adapted to modern ideas. The humorous delivery holds the attention of many various backgrounds and the seriousness of what is good and what should be avoided makes them think: "If I short change equipment, I'm short changing survivability and patient death is my fault." Mentalities. TCCC is provided but not required for my gov based service but I attend 2 of the 4 times a year. It keeps my CERT up to date for those periods sure, BUT it also keeps me fresh on my Critical Thinking aspects. I've worked several intentional and unintentional GSW's and stabbings, and many accidental injuries involving immediate Airway, Breathing, or Circulation based situations and the repeated training has kept me calm, cool, and collected in stopping the issue and aiding a patient in surviving the problem. A common phrase for us and many others is "Their Emergency is not YOUR emergency." The patient may die but you won't; so don't panic and focus on the task at hand. Your casual treatment will save a life, but your frantic panic will cost lives...
Love the musical reference to All Quiet on the Western Front. Brilliant! These videos never cease to entertain and inform. Well mostly entertain....mostly.
Loved this vid. When I started working EMS I was much more of a rescue Ricky, once I moved to working in a LVL1Trauma, I really understood enough shit to allow me to streamline my kit. Only thing I would have added is means to stabilize orthopedic injuries. SAM splints are a no-brainer if you have enough room to pack em. This content is kewl ❤️
I feel like trauma first aid is pretty overlooked and I'm also guilty of this. I've been just recently thinking about how to upgrade my kit medically and this is some nice short and simple straight forward information to get me started and I really appreciate it!
I appreciate that even though Admin mostly wants to have fun and show off cool guns, he still realizes that there are important things that also need to be learned, and so he puts up practical vids like this along with the goofy stuff
Another piece of advice: If you're really looking for what supplies to get but you just don't know, go talk to your local fire department or EMS agency and ask them. Tell them you want to put together a personal first aid kit and you'd like some help. Another thing too is to talk to your doctor about going back country hiking and getting prescriptions for travel antibiotics and ibuprofen to pack in your stuff. In a bad situation in the wild or with no help, antibiotics can help hold off lethal infections from developing.
A word of caution; take their advice with a grain of salt and verify it with 30 minutes of internet research. As someone who comes from an EMS background and now teaches this kind of Tac Med stuff, not everyone in EMS is that in-tune with this kind of stuff. In a lot places, the EMS is a volunteer organization that may not have the experience or availability for this kind of training.
Active Duty TCCC instructor here. We are teaching the same info, all good stuff ! Bleeding is still the #1 killer when bullets and shrapnel are involved
hey, im in ukraine...lived here 16 years. I shuttle doctors and 18d guys around to help. from what i am hearing..crushing injuries and blunt trauma injuries are a good majority also. Would love to see someone go over crushing injuries and head trauma. A combat medic i know, (alisa)near Kramatorsk, has had 3 concussions in 4 months. Its starting to get to her. anyway...cool vid. no one ever covers those which i mentioned....anyone know a good series to watch?
My team all had their tourniquet strapped to them using a light weight ziptie. I guess I don't see the issue. The ziptie we used is light enough grade that any man worth his salt could easily rip it off. We trained with this setup day in and day out without issue. I have the usual certs and a few other special ones ie TCCC, CLS, Live tissue lab etc. Will Willis actually taught our TCCC, guy is a hoot. Great educational video btw
Interesting! I think from what I heard zip ties and other retaining methods were giving issues to guys trying to render self aid that had a bunch of blood loss.
@@AdministrativeResults There is that plus damaged/missing limbs. This is theory of course as I've never been with anyone who has suffered that much blood loss that they couldn't pull a tourny. That is why all team members had the same med training, to provide buddy aid. Obviously situation dependent. I think for most the info provided in the video was good to go!
Quick tip from a 68W here: totally true that initial "bite" of the tourniquet is the most important thing. A very effective way to aid in that bite is after threading the tail through the plastic, is to _grab that tail on one hand and the T-handle on the other and oscillate hard tugs against each other._ Practice on your self (thigh) or a buddy, and you'll immediately see how snug and bundle-free that "bite" or wrap around the clothing becomes. Super simple, super quick, 2-4 motions will go the mile to making 1-2 twists all you need on the twisting portion do it's job.
While training for a marathon, and on a 18 mile run..... someone switched on the coffee pot. The percolations, cold sweats, and stomach cramps hit hard and fast, and I was MILES in the woods away from anything. A quick detour off the trail was my only move, and after I had exhausted my supply of baby wipes (this has happened before)... all I had left was the compressed gauze in my IFAK and a pair of small trauma shears. That gauze is definitely a lifesaver.
Good stuffs. I agree with pretty much everything Matt said. I took a Wilderness Medical class, quite a few years ago. Fun class, learned a lot, and the TEST at the end was fenominal!!! Hands on with 3 different scenarios to accomplish!!!
Good to see info like this being pushed out. Lots of guys get so caught up in "Shoot" that they forget about moving, communicating, medicating, and sustaining. Stuff like this is a good way of introducing the basics, keep it up.
My favorite tape is Leukotape. Has great adhesion. Tough woven fabric as the material. You can use it as tape for wounds but also a MUCH better moleskin for blisters on long hikes. I put some on the first day of a week long backpacking trip and it stayed in place all week, even after getting in and out of a stream.
I'm adding the ACE wraps. That over an Israeli bandage for non-arterial bleeding would be perfect instead of messing around with the tie wraps for pressure. ACE gives you nice, even pressure all around. Obviously he can't go much more in depth without giving actual medical advice but I'd like to see this guy back on the channel. Mega based.
thank you for covering what I consider to be a more important topic in combat readiness more so then arms and gear my brother was a Navy corpsman when he came back from his tour he taught me everything he learned I combine that with my own training to be able to figure out what the most pertinent kit is to have in your IFAK and one of the biggest ones I see people skipping is hemostatic agents remember you can just as easily bleed out from a thousand shrapnel Cuts as you can from one main arterial bleed
Hey Admin, thanks for these videos man. You’ve helped me migrate away from fun range toys and driving more purpose-built kits. Just took a Stop the Bleed course yesterday because of this video, and investing more in gear & training. Keep it up man
My dept sent me to North American rescue for training in Spartanburg SC. It was easily the best med course I’ve ever been to. I can’t recommend it enough.
Grizzly to stop the bleed, CMS to fix the blacked out limb, Grizzly again to bring the health back up. Its that simple. Oh, and make sure you always have it up your butt too.
@@chandlerm2571 AFAK/IFAK in the ass. 4 is bandage, 5 is TQ, 6 is found salewa, IFAK, or AFAK, and 7 is compass when with buddies. Order of severity left to right my dude. 4, 5, 6.
I have always carried a small MyMedic IFAK in my backpack as well as a Tourniquet and a plastic baggie of “boo-boo” stuff such as ibuprofen and band-aids. I have never had to use it (and hope that I never have to) but also having it and the ability to use to help others is honestly a big motivator as well. Prepare for the inevitable, people.
OLAES bandages work great for junctional wounds (places where tourniquets cannot reach). It has a little half sphere built into it that keeps downward pressure on the gauze. If the gauze has no pressure and becomes unpacked then you have to start over. It only takes a couple of minutes to bleed out from an arterial wound. I took a TCCC class that was put on by some SWAT medics from the Los Angles Sheriff’s Department. Good video man.
I remember learning about torniquets in scouts and hearing "if you have to use one, you'll probably lose the limb". Maybe things changed since I was in Boy scouts, but the amputation rate caused by the torniquet itself is surprisingly low. From what i read people who lost limbs would have lost them without the torniquet (assuming they didnt die from blood loss)
Yea from my understanding unless the tourniquet is one for 5-6+ hours your chances of loosing the limb because of it is low, but you still leave it on for the hospital/ professional medical personnel to remove
That’s antiquated thinking, and it caused a lot of deaths in the past because guys were afraid of using tourniquets. They would only use them as a last resort, and by that time, your buddy has already bled out. Tourniquets typically need to be your first response to massive hemorrhage from a limb. -TCCC instructor
Research from Afghanistan has shown pretty much what you said unless the tourniquet has been on for 5-6 hours there’s no real risk of them losing the limb and let’s be real here if you have to have a tourniquet in place for 5-6 hours you have far larger problems to deal with
The new military method is put tourniquet first and if you can not MEDEVAC make a conversation from tourniquet to bandage so you can keep the guy alive for a day or two. I say new because in a full war like Ukraine it's almost impossible to bring a MEDEVAC helo in a hour to lift the casualty to hospital and you need to keep your wounded personal in trenches until the artillery stops and you can carry him by hand to the rear
Another great thing to have in any IFAK/ first aid kit. Preparation H! Great for lacerations. I know it may seem odd but it has a Steroid for tissue growth, antiseptic to prevent infection and a strong pain reliever. Learned from my grandfather who was on patrol for 37 years. I’ve also personally used it to dress a stab wound and split open head. Not a end all be all but worked great for me. Also I’m by no means a medical professional and only have basic medic training.
Think i have a new favorite episode, seeing one of my favorite gun tubers and favorite first responder pages together dropping hot medical knowledge? Beautiful
Admin, this is one of your best videos so far, thanks quite a bit for taking the time to properly adress this. Still keeps it funny as hell too! Awesome guest!
true. When I first enlisted, the "IFAK" consisted of the OD green dressing pack and a packet of sodium bicarbonate=Both worn on the non firing shoulder......
I was a combat medic for 12 years. For the people who are curious: He gave you the cliff notes on a Combat Lifesaver Course. Save this shit for further education. With that said, I do want to add... the trauma card? That piece of paper where you fill in the patient's info, including what the fuck happened and what you did to help? Yeah, learn how to do that, please. Don't underestimate how helpful it is to write down what you did for the next level of care. Yes, that includes something as simple as writing down when you slapped on that tourniquet.
Corpsman -> cop -> paramedic here... good info. Down and dirty basic stuff is the best way to go about things for EVERYONE. The pros are only pros because they do the basics very efficiently.
Im an emt working on going medic in the near future. Good to see more crash course videos on this content for laymen. See a lot of homies rocking ifak without any knowledge on do’s and dont’s
I remember that video. I thought the drone operator had a great sense of humor. It's so important not only to have, but to be able to use it. Thanks for the info.
Glad to see this topic covered. It's the one I cannot get any of my gun buddies to take seriously because its not "cool." When I was in the academy and we were learning CATs, hemostastic gauze, chest seals etc, we had a mass shooting at a local court house and let me tell you that cemented that idea real fast.
Awesome vid, totally agree with the use of proper gear over improv. Improv is for when you didn"t plan on needing something, not when you're building your kit.
I remember seeing a debate about how tampons would've saved a character's life in Cyberpunk 2077 and the dude who said that was rightfully laughed at for thinking so. Mr. Medic is on the ball.
Thing that wasn't mentioned about tampons is that most tampons have an anticoagulant to help them absorb period blood better (period blood tends to coagulate and come out chunky with out it). Sooooo It isn't the fact they can't absorb a lot, it's the fact they actively hinder your body from even naturally coagulating the wound. Source I'm a NREMT-P.
Thanks, love a great refresher. And validation of what i learned from my old medics. I wanted a step one...heal with steel. eliminate the threat moment, but alas...just good solid advice.
Yep, have 5 of them myself that I built from scratch together about 3yrs ago. And found a good deal on pouches for the two I have not set up for gear. One for the range bag and the other is a TIFAK, or Truck IFAK. Decided to do this after running across an accident scene where the driver was ejected from the vehicle, not much an IFAK could do, but it was the inspiration to build one. the shears, the C-lox, the combat gauze, the Israeli bandage, the 911 blanket, and the CAT-T. Also have some Dude wipes for additional wound cleaning, nitriles gloved, hand sanitizer and note pad/marker for when the EMT's get there.
I'm grateful for how far medical technology has come. Could you imagine seeing the "medic" rushing towards you with a bloody saw, a belt, and a half empty bottle of whiskey? Also, mad props to Molly Pitcher and Clara Barton. ✌️😎
I did buy a RATs a while back because it looked neat and I wish I had done more research beforehand. I have, however, heard that they can work as a "better-than-nothing" solution for dogs as their limbs are too thin to get a CAT or SOF-T on. Not that I'm saying to go buy a RATs (please don't) or that I would ever use it on a human.
One last tip I would throw in, very important, is make sure if/when applying a torniquet to someone else's leg, if you're going high up on their thigh, make sure their junk isn't on that side / out of the way so the person you're trying to save doesn't lose a testicle in the process. It has happened.
I like this guy. He doesn't have time for our bullshit while he's trying to help us not die in a pool of our own blood. Very based.
True that. The "Sponsor us" and "Debate me in the comments" were sure fire, not fucking around quotes.
@@killdizzle Absolutely. Improvising is fine when you run out of purpose built equipment. Planning to improvise from the start will lead to failure. Much love.
@@killdizzle yeah I think what he was referring to was the kind of people who try to improvise from the beginning in order to save money or cut corners, which when done in the medical field will never end well for anyone involved.
should still preach to monkey the fundamentals of using a decomp needle.
Refuge medical, your all welcome.
Step 1: get med gear
Step 2: get training in how to use it
Step 3: stick to hard cover, not getting shot is the best medical advice
Step 4: Tampoon
@@gratefulguy4130 step 5: die because tampons are not designed to stop the profusely bleeding gunshot wound in your gut
Step 6: profit?
@@gratefulguy4130 only if you hang out with soy boys. Didn’t know manginas could PMS though.
Biden also sniffs women
@@gratefulguy4130
well the author is a good fighter
but not an EMT dude
I always put a small boo boo kit in my medkits. Anti diarrheals, ibuprofen, Tylenol, assorted bandages, and alcohol wipes. You’ll never know when they come in handy.
Bandaids
@@dravenocklost4253 Yee
I think you forget that Ice blocks heal every thing,you could shave off a lot of weight
JK
@@JuiceyBeverage wait… your telling me I shouldn’t carry ice blocks in my kit? FUCK I knew something was adding weight
@@wendysbaconator1175 You are welcome 👍
Having to use your IFAK while actively suffering from a case of bad field ration MRE diarrhea is a fate I wouldn't even wish upon my worst enemy.
I like how he handed you the tourniquet and was basically like "Here go play with this" while explaining chest seals.
As an elite member of Meal Team 6 my IFAK consists of a 20pc McNugget and a Four Loko
Thank you for your service, we need more gravy seals for meal team 6
What flavor Four Loko? Trying to larp and want my kit to be accurate
We should make a knockoff four loko. Baja blast and Rite Aid vodka. Quatro crazy?
@@knifetech101 Depends on the op. For instance when I'm raiding my moms fridge for the tendies I prefer the Black Cherry for a stealth boost
What are the size and weight considerations of bringing 2 honey mussies for dipping your nuggies? Worth it?
Took a TCCC course recently. Can confirm, this dude speaks facts
thx bb
Super fun course. Wish they would put everyone through it
Wanted to do one in Germany, 700 Euro and only on request with a minimum amount of attendants. Yeah fuck off, our Department doesnt think its necessary.
They can't count to ten without tech support.
@@gn4720 German Authorities ? Tech ? You mean old Fax Devices they still use to this day ? Or PCs running Windows 2000 ? Meh
Best advice I've heard about applying a TQ to someone is that if they are still awake/aware/not in shock, then the TQ is tight enough when their protestations are louder than when they received the injury. From my grandfather, who served as a corpsman in Korea.
Ive heard stories that soldiers getting put on a TQ is actually, genuinely asking their mates to shoot them dead instead of letting them experience the pain
I used a T-shirt on my thigh, full pass-through and it wasn't even fitted correctly. Don't panic
@@Vildhjerta As someone who had a TQ (CAT) properly put on me multiple times a week for 2 months straight, I can tell you it doesn't hurt that much, especially if you don't try and move the limb it is on. An improvised tourniquet however, hurts a lot, but still, not really enough to make a grown ass man (or woman) scream.
@@king-of-memes6712 yeah from what i hear the "cat" tq are effect but made to help keep patient calmer, of corce stop bleed first deal with screaming fool later
He forgot to include about NOT putting a tourniquet on your lower arm below your elbow. If so you could break 2 bones in your arm. However from the upper region from your shoulder down to your elbow, it is a single piece of bone. Same thing for the leg. Part of the leg above the knee is a single bone. Part of the leg below the knee is made up of 2 bones.
I swear almost every army medic has the exact same speech pattern/ cadence. Very straight to the point, concise, and dry sense of humor. Much love Doc!
honestly it's the guys in ski masks telling me things that I trust the most
Stay away from vans full of candy bro, just trust me on this one
@@cadencollier9225 you are part of the lamestream media!!! you are trying to stop me from finding candyland salvation. i am going to va-HELP ME
@@cadencollier9225 nah, those dudes usually have shag rugs and no ski mask
High and tight is a good general suggestion, but remember for headshot wounds the only effective place to put the tourniquet is around the neck (below the wound). It's okay, I struggle with directions too sometimes
Disclaimer this is sarcasm;)
Disclaimer: this is fact.
It's reversed if you're operating in Australia because you're on the bottom of the earf
This is correct
if your buddy gets shot in the head, it's best to assume he's dead and start looking for cover.
A few notes for those that read the comments:
- TRAINING SCARS - TQ application can be uncomfortable. In training dudes don't like to hurt their buddies so they finger drill TQ applications and don't tighten them down all the way. To fix this training scar, have the first responder apply the TQ to the casualty role player tight and someone who is watching/grading the lane can confirm the TQ is effective (absent distal pulse) and then loosen the TQ for the rest of the training. What this does is reinforces the trainee to always tighten TQ down all the way.
- Finger Drilling - Have your real world medical supplies and then buy additional supplies to train with. Don't finger drill your training. Dont cheat your training. You cant cheat real life.
- The IFAK and first responder are simply the first steps of medical preparedness. In the field all were doing is trying to stop the dying process and get them to a higher level of care. Dont get shot, prevention is key. I want to hit on getting the first steps knocked out, I think your average stop the bleed class and BLS/CPR classes are great ways to begin your journey in being an asset to your team and your community.
- Medical interventions will always be REASSESSED and REINFORCED. You place a H&T TQ on your buddy, you need to check that the bleeding is actually controlled. Your barrel chested freedom fighter legs may require two TQ's. To reassess, you can check for a distal pulse or you can "milk" the wound. To milk the wound you squeeze the tissue above the injury and pull down. Watching for a constant flow of blood coming from the wound. Your team medic then places a large bore IV in your buddy's arm, it should probably be as secure as possible, you could tape it down, use coban etc. But it needs to be secured. After long movements you need to get eyes onto the injuries and treatments and ensure that they are still effective and didn't get messed with enroute.
If you got this far, thanks for taking a look at my unsolicited opinions. God Bless.
lots of people need this out there right now, stay safe fellas
I am a student an learn with the ABCDE or C-ABCDE protocol, which is basically the same a MARCH. MARCH teaches to reassess TQ's and other means of stopping bleading in the C(irculation) part of the protocol. Also, if there's time, you could do a blood sweep at C, but that wouldn't be very useful if the patient is already laying in a pool of blood.
@@dennyrulos7370 which is why for combat casualty care they encourage individuals to follow the MARCH treatment algorithm. ABCDE is probably fine for a civilian EMS provider responding to a 72 yo male with COPD but makes little sense when the only patients you see have been blown up or shot. Remember Denny, Massive Hemorrhage does not just mean extremity tourniquets, you could pack n' wrap a bad axilla pocket bleed, or apply a sam junctional TQ to a high leg amputation. Bottom line if its spraying bright red, its should be addressed sooner rather than later. Treating massive hemorrhage might mean that you drop a sternal IO and hang a unit of blood. But that is something you develop over time.
Yeah
Bad ass.Wow.Thanks for taking the time to write that out.Looks like my CPR class needs one hell of an upgrade!😎👊
Took a class on this in highschool. Really should be a mandatory class. Learned so much shit in there that I can know use to help people. Probably one of my favorite classes too. Got certified in the class and I’m now looking into taking a class again and refreshing what I know
It’s a shame but I probably would elect to not use that training on just some good Samaritan type shit because of the legal liability. The thing is when shit like that happens I just react I don’t really have a freeze or flight in may just fight which always means protect. I was at a concert and this girl collapsed I waited two beats to see if the dude she was with was gonna do any fucking thing he didn’t so I immediately went over there started situating her body so that it wasn’t on top of her limbs, I saw some dude just looking and I said hey go get help, tell me why this motherfucker comes back a minute and a half later with two bottles of water, I cussed him out and then as I was doing that I was looking at her pupils absolutely no shrinkage completely dilated I kind of looked around and assess the situation for a bit then flush the light back in her eyes no dilation I was one second away from starting chest compressions when she came back. I couldn’t feel her pulse but that’s probably because I was freaking the fuck out to degree it was hot as fuck A literal rap concert was going on in the background so it was kind of a lot but had I started this chest compressions and injured her unnecessarily not only what I feel bad about doing so I would be liable for her medical costs
@@floweuphoria69420 the legal part only falls onto actual "professionals". There is actually laws to prevent lawsuits against "good samaritans"
@@floweuphoria69420 If you are giving me a CPR and break a few ribs and I live, I will not sue you but buy you a beer.
My health class back in high school made sure we were cpr certified, which makes some sense. Didn't learn a thing about bleeding control though.
@@oz_jones what's that saying? If you aren't going deep enough to where you might break ribs, you aren't giving effective cpr?
Out of the hundreds of medical trauma tutorials I've watched on the internet (prepmedic, mountain man medical, etc.) this guy gives you as much useful information per second than any other video I've seen to this date. Also, you don't fall asleep while you're watching it.
Medical is fictional. Do you think and act as if thats untrue?
The facts to fluff ratio is high.
7th time watching this video. As a Civilian only EMS worker, I use this as a teaching aid to SO many students and even long time Medical Professionals that haven't adapted to modern ideas. The humorous delivery holds the attention of many various backgrounds and the seriousness of what is good and what should be avoided makes them think: "If I short change equipment, I'm short changing survivability and patient death is my fault." Mentalities.
TCCC is provided but not required for my gov based service but I attend 2 of the 4 times a year. It keeps my CERT up to date for those periods sure, BUT it also keeps me fresh on my Critical Thinking aspects.
I've worked several intentional and unintentional GSW's and stabbings, and many accidental injuries involving immediate Airway, Breathing, or Circulation based situations and the repeated training has kept me calm, cool, and collected in stopping the issue and aiding a patient in surviving the problem.
A common phrase for us and many others is "Their Emergency is not YOUR emergency." The patient may die but you won't; so don't panic and focus on the task at hand. Your casual treatment will save a life, but your frantic panic will cost lives...
very well said
These intro’s, they are-they are just a masterpiece. They never fail to amuse me! Love you admin!
You are too good to me
Way better than garand dumb
@@samjohnson2801 they are neck to neck, flannel daddy and admin both have amazing intros!
@@mattA5335 they gotta be cousins or something
@@samjohnson2801 dude, for like the longest time I though that admin and flannel daddy where the same person 😂
The bigger question: can vote-counters in Maricopa County count more than 10 votes without requesting another pair of hands?
At this rate I'm a hit 1 million subs before they finish
Well played.
No, for every 3 Republican votes the have to make 10 Democrat votes by hand, it's hard to count while cheating.
They can count to 20 when they take their shoes off. Dudes can count to 21.
@@AdministrativeResults 2 million just to be sure lad
Love the musical reference to All Quiet on the Western Front. Brilliant! These videos never cease to entertain and inform. Well mostly entertain....mostly.
They could have stretched it out to the point that someone else was handed his balaklava with his name on the tag before getting enlisted
My teenage son forced me to watch it Saturday evening and I've heard it 3 times on IG already. "I understood that reference!"
"patriot cop" with the bastardized blue line flag. You're a bundle of sticks, accept it.
The blue belongs in the Union.
What is the song called?
Been wanting to watch that movie. Is it good?
Loved this vid. When I started working EMS I was much more of a rescue Ricky, once I moved to working in a LVL1Trauma, I really understood enough shit to allow me to streamline my kit. Only thing I would have added is means to stabilize orthopedic injuries. SAM splints are a no-brainer if you have enough room to pack em. This content is kewl ❤️
I feel like trauma first aid is pretty overlooked and I'm also guilty of this. I've been just recently thinking about how to upgrade my kit medically and this is some nice short and simple straight forward information to get me started and I really appreciate it!
I appreciate that even though Admin mostly wants to have fun and show off cool guns, he still realizes that there are important things that also need to be learned, and so he puts up practical vids like this along with the goofy stuff
Agreed man.
Another piece of advice: If you're really looking for what supplies to get but you just don't know, go talk to your local fire department or EMS agency and ask them. Tell them you want to put together a personal first aid kit and you'd like some help. Another thing too is to talk to your doctor about going back country hiking and getting prescriptions for travel antibiotics and ibuprofen to pack in your stuff. In a bad situation in the wild or with no help, antibiotics can help hold off lethal infections from developing.
Good idea
A word of caution; take their advice with a grain of salt and verify it with 30 minutes of internet research. As someone who comes from an EMS background and now teaches this kind of Tac Med stuff, not everyone in EMS is that in-tune with this kind of stuff. In a lot places, the EMS is a volunteer organization that may not have the experience or availability for this kind of training.
Active Duty TCCC instructor here. We are teaching the same info, all good stuff ! Bleeding is still the #1 killer when bullets and shrapnel are involved
check out Refuge Medical, best IFAKs and medical training in the world
hey, im in ukraine...lived here 16 years. I shuttle doctors and 18d guys around to help. from what i am hearing..crushing injuries and blunt trauma injuries are a good majority also. Would love to see someone go over crushing injuries and head trauma. A combat medic i know, (alisa)near Kramatorsk, has had 3 concussions in 4 months. Its starting to get to her. anyway...cool vid. no one ever covers those which i mentioned....anyone know a good series to watch?
You know the one similarity between a cop and a fireman?
They both want to be firemen.
Facts.
I’m an active duty combat medic with 2 combat deployments. Dude is solid and advice is solid.
I.F.A.K.
I Fear Admin's Kalashnikov
While you shouldn't *only* have a boo-boo kit, you should have a boo-boo kit. Cuts and blisters can take you down if not treated correctly.
Something a lot of people forget, dieing from a infected splinter or diarrhea isn’t cool.
Everyone should be carrying mole skin! Fkk'ed up feet while out in the field is gonna be a bad time.
Gotta say, I fucking love this guy. please do more with him, seems like a wealth of knowledge while also matching the goblin energy of your channel.
My team all had their tourniquet strapped to them using a light weight ziptie. I guess I don't see the issue. The ziptie we used is light enough grade that any man worth his salt could easily rip it off. We trained with this setup day in and day out without issue. I have the usual certs and a few other special ones ie TCCC, CLS, Live tissue lab etc. Will Willis actually taught our TCCC, guy is a hoot.
Great educational video btw
Interesting! I think from what I heard zip ties and other retaining methods were giving issues to guys trying to render self aid that had a bunch of blood loss.
@@AdministrativeResults There is that plus damaged/missing limbs. This is theory of course as I've never been with anyone who has suffered that much blood loss that they couldn't pull a tourny. That is why all team members had the same med training, to provide buddy aid. Obviously situation dependent. I think for most the info provided in the video was good to go!
Quick tip from a 68W here: totally true that initial "bite" of the tourniquet is the most important thing. A very effective way to aid in that bite is after threading the tail through the plastic, is to _grab that tail on one hand and the T-handle on the other and oscillate hard tugs against each other._
Practice on your self (thigh) or a buddy, and you'll immediately see how snug and bundle-free that "bite" or wrap around the clothing becomes.
Super simple, super quick, 2-4 motions will go the mile to making 1-2 twists all you need on the twisting portion do it's job.
While training for a marathon, and on a 18 mile run..... someone switched on the coffee pot. The percolations, cold sweats, and stomach cramps hit hard and fast, and I was MILES in the woods away from anything. A quick detour off the trail was my only move, and after I had exhausted my supply of baby wipes (this has happened before)... all I had left was the compressed gauze in my IFAK and a pair of small trauma shears. That gauze is definitely a lifesaver.
I have sadly been in the exact same situation lmao…
Good stuffs. I agree with pretty much everything Matt said. I took a Wilderness Medical class, quite a few years ago. Fun class, learned a lot, and the TEST at the end was fenominal!!! Hands on with 3 different scenarios to accomplish!!!
Good to see info like this being pushed out. Lots of guys get so caught up in "Shoot" that they forget about moving, communicating, medicating, and sustaining. Stuff like this is a good way of introducing the basics, keep it up.
My favorite tape is Leukotape. Has great adhesion. Tough woven fabric as the material. You can use it as tape for wounds but also a MUCH better moleskin for blisters on long hikes. I put some on the first day of a week long backpacking trip and it stayed in place all week, even after getting in and out of a stream.
Took a cls class back in 2019, that was some of the best training I've ever had. That knowledge will never leave my mind
Ate four eggs, a bowl of oatmeal and two glasses of chocolate milk watching this masterpiece
My God man
@@AdministrativeResults a man’s gotta eat
For me, That would cause an ass explosion similar to the one dramatized in the intro.
@@Synthgunner same
I ate two Chicken Burrito microwave bowls. I'm pretty sure that Taco Tuesday is coming a day early.
I knew Johnny was still out there fighting the good fight. 👍
I'm adding the ACE wraps. That over an Israeli bandage for non-arterial bleeding would be perfect instead of messing around with the tie wraps for pressure. ACE gives you nice, even pressure all around.
Obviously he can't go much more in depth without giving actual medical advice but I'd like to see this guy back on the channel. Mega based.
thank you for covering what I consider to be a more important topic in combat readiness more so then arms and gear my brother was a Navy corpsman when he came back from his tour he taught me everything he learned I combine that with my own training to be able to figure out what the most pertinent kit is to have in your IFAK and one of the biggest ones I see people skipping is hemostatic agents remember you can just as easily bleed out from a thousand shrapnel Cuts as you can from one main arterial bleed
Hey Admin, thanks for these videos man. You’ve helped me migrate away from fun range toys and driving more purpose-built kits. Just took a Stop the Bleed course yesterday because of this video, and investing more in gear & training. Keep it up man
My dept sent me to North American rescue for training in Spartanburg SC. It was easily the best med course I’ve ever been to. I can’t recommend it enough.
Learning first aid is so incredibly important. You don’t get to decide when an emergency happens to you or around you.
Thanks for putting this out. We need more education than just entertainment. Fun is obviously good too, but I want to learn as well
Edutainment!
As a paramedic for 15 years in a busy urban department I can say this is great advice 👍
Every Tarkov player knows how to IFAK.
Please stop
Press 4
Of course. You spend 3/4 of every match in a corner coughing and healing.
Grizzly to stop the bleed, CMS to fix the blacked out limb, Grizzly again to bring the health back up. Its that simple. Oh, and make sure you always have it up your butt too.
@@chandlerm2571 AFAK/IFAK in the ass. 4 is bandage, 5 is TQ, 6 is found salewa, IFAK, or AFAK, and 7 is compass when with buddies.
Order of severity left to right my dude. 4, 5, 6.
The smile on my face when you introduced worst responders. Ive followed them since I was an EMT years ago and them memes thoooo.
Gang gang
@@worstresponders1156 glad google translated this to "Time and time again"
I have always carried a small MyMedic IFAK in my backpack as well as a Tourniquet and a plastic baggie of “boo-boo” stuff such as ibuprofen and band-aids.
I have never had to use it (and hope that I never have to) but also having it and the ability to use to help others is honestly a big motivator as well.
Prepare for the inevitable, people.
worst responders is getting big. I love those dudes and they got me some good contracts over the years
OLAES bandages work great for junctional wounds (places where tourniquets cannot reach). It has a little half sphere built into it that keeps downward pressure on the gauze. If the gauze has no pressure and becomes unpacked then you have to start over. It only takes a couple of minutes to bleed out from an arterial wound. I took a TCCC class that was put on by some SWAT medics from the Los Angles Sheriff’s Department. Good video man.
I remember learning about torniquets in scouts and hearing "if you have to use one, you'll probably lose the limb". Maybe things changed since I was in Boy scouts, but the amputation rate caused by the torniquet itself is surprisingly low. From what i read people who lost limbs would have lost them without the torniquet (assuming they didnt die from blood loss)
Yea from my understanding unless the tourniquet is one for 5-6+ hours your chances of loosing the limb because of it is low, but you still leave it on for the hospital/ professional medical personnel to remove
That’s antiquated thinking, and it caused a lot of deaths in the past because guys were afraid of using tourniquets. They would only use them as a last resort, and by that time, your buddy has already bled out. Tourniquets typically need to be your first response to massive hemorrhage from a limb.
-TCCC instructor
Research from Afghanistan has shown pretty much what you said unless the tourniquet has been on for 5-6 hours there’s no real risk of them losing the limb and let’s be real here if you have to have a tourniquet in place for 5-6 hours you have far larger problems to deal with
The new military method is put tourniquet first and if you can not MEDEVAC make a conversation from tourniquet to bandage so you can keep the guy alive for a day or two.
I say new because in a full war like Ukraine it's almost impossible to bring a MEDEVAC helo in a hour to lift the casualty to hospital and you need to keep your wounded personal in trenches until the artillery stops and you can carry him by hand to the rear
So true! I never leave my house without a fanny pack full of rohypnol and canola oil.
Mixed together, or in separate Ziplocks?
Your forgetting the mint essential oils
Also, Prep Medic is a great resource for Medical stuff. He's got a whole Playlist on first aid!
Had a hiking accident that almost cost me my life last year. I had a micro IFAK and it saved my life but I wish I’d had a bigger kit
Another great thing to have in any IFAK/ first aid kit. Preparation H! Great for lacerations. I know it may seem odd but it has a Steroid for tissue growth, antiseptic to prevent infection and a strong pain reliever. Learned from my grandfather who was on patrol for 37 years. I’ve also personally used it to dress a stab wound and split open head. Not a end all be all but worked great for me. Also I’m by no means a medical professional and only have basic medic training.
Think i have a new favorite episode, seeing one of my favorite gun tubers and favorite first responder pages together dropping hot medical knowledge? Beautiful
Admin, this is one of your best videos so far, thanks quite a bit for taking the time to properly adress this. Still keeps it funny as hell too! Awesome guest!
IFAK myself all the time.
I keep falling off the couch... please share your wisdom.
@@Jeff.78 You don't want the details. Don't go there.
Epic quote! Pain is the patient's problem.
Spot on man!
Hard to find this quality of videos, really. hard to stop watching. good job. Easy to listen and follow.
Fun fact, “IFAK” was originally an acronym for “Improved First Aid Kit”, not individual. Of course, common usage has effectively changed that.
true. When I first enlisted, the "IFAK" consisted of the OD green dressing pack and a packet of sodium bicarbonate=Both worn on the non firing shoulder......
I was a combat medic for 12 years. For the people who are curious:
He gave you the cliff notes on a Combat Lifesaver Course. Save this shit for further education.
With that said, I do want to add... the trauma card? That piece of paper where you fill in the patient's info, including what the fuck happened and what you did to help? Yeah, learn how to do that, please. Don't underestimate how helpful it is to write down what you did for the next level of care.
Yes, that includes something as simple as writing down when you slapped on that tourniquet.
Once again, method acting on point. This is exactly what would happen to me if I was there. Bombed while dropping bombs.
Corpsman -> cop -> paramedic here... good info. Down and dirty basic stuff is the best way to go about things for EVERYONE. The pros are only pros because they do the basics very efficiently.
It doesn't fail whatever random assumption of what we are doing while watching you throw in is always what I'm doing at the time ❤️
I can honestly say I stayed to the end. This guy is great and I would love to know more about this topic.
Refuge medical/ Bear independent has a lot of good kits and information on this subject as well.
Yes and Yes. Went through one of their classes and grabbed a BearFAK while there. Both are top notch.
I FUCKING LOVE COPPER WIRE SO GOD DAMN MUCH
Im an emt working on going medic in the near future. Good to see more crash course videos on this content for laymen. See a lot of homies rocking ifak without any knowledge on do’s and dont’s
Something I always carry in my IFAKs is eye pad bandages, butterfly bandages/superglue for lacerations, and burn cream
oh and almost forgot, GLOVES
I like the authentic Russian GRU zip-tied tourniquet AKA the martyr kit.
I remember that video. I thought the drone operator had a great sense of humor.
It's so important not only to have, but to be able to use it.
Thanks for the info.
Glad to see this topic covered. It's the one I cannot get any of my gun buddies to take seriously because its not "cool." When I was in the academy and we were learning CATs, hemostastic gauze, chest seals etc, we had a mass shooting at a local court house and let me tell you that cemented that idea real fast.
“Them tampons are just as good sonny” >proceeds to to bleed out
I could listen to this guy for hours talk about this medical gear
Awesome vid, totally agree with the use of proper gear over improv. Improv is for when you didn"t plan on needing something, not when you're building your kit.
0:10 Sergay bout' to hit that griddy.
IVAN WHY DID YOU ATE TACO BELL BEFORE THE BATTLE !? Nice video administrative results!
I remember seeing a debate about how tampons would've saved a character's life in Cyberpunk 2077 and the dude who said that was rightfully laughed at for thinking so. Mr. Medic is on the ball.
Thing that wasn't mentioned about tampons is that most tampons have an anticoagulant to help them absorb period blood better (period blood tends to coagulate and come out chunky with out it). Sooooo It isn't the fact they can't absorb a lot, it's the fact they actively hinder your body from even naturally coagulating the wound. Source I'm a NREMT-P.
The intro brings back fond memories of the soldier from Metal Gear Solid who can never control his bowels...
Wouldn't that be semi-solid or liquid then?
@@Manco65 I think thats the concept behind solidous snake.
@@Manco65 the way he sh*ts his pants and are stained I'm going to guess it's most likely liquid
Thanks, love a great refresher. And validation of what i learned from my old medics. I wanted a step one...heal with steel. eliminate the threat moment, but alas...just good solid advice.
Great information! Simple and straight forward, like hemostatic agents are use where you cant get a tourniquet.
The highest honour is for someone to eat cheesy puffs while watching a video can't get better
This is big FAX
Just don't touch yourself. You'll leave evidence.
Not that I have any experience in that.
Sorry Admin. Some of your videos are just too good.
My IFAK is filled with gummy bears, baby wipes, a tourniquet, and a pack of smokes. How screwed am I?
As a FM corpsman I carried a pint of old granddad and crazy glue. A sip of nasty bourbon will stop a jarhead whining
You're really screwed when you run out of gummy bears...........or smokes.
It isn't a true field squat if there's not a lit cigarette.
Yep, have 5 of them myself that I built from scratch together about 3yrs ago. And found a good deal on pouches for the two I have not set up for gear.
One for the range bag and the other is a TIFAK, or Truck IFAK. Decided to do this after running across an accident scene where the driver was ejected from the vehicle, not much an IFAK could do, but it was the inspiration to build one.
the shears, the C-lox, the combat gauze, the Israeli bandage, the 911 blanket, and the CAT-T. Also have some Dude wipes for additional wound cleaning, nitriles gloved, hand sanitizer and note pad/marker for when the EMT's get there.
2-3inch above the wound or high and tight. This rings in my head over and over and over, constantly.
I am absolutely shook. I can’t believe Worst Responders is there. Now we just need ICUnursesonly and the circle will be complete.
It’s happening
I'm grateful for how far medical technology has come.
Could you imagine seeing the "medic" rushing towards you with a bloody saw, a belt, and a half empty bottle of whiskey?
Also, mad props to Molly Pitcher and Clara Barton.
✌️😎
It always throws me for a loop that the closest thing most people had in the past century to an IFAK was a piece of gauze in a altoid tin.
Wait....What?........I just saw that last week. He made me put down my Lebel Rifle.
I'm soooo behind the times.
And leeches, don't forget the leeches. I'd rather use a red hot iron to stop the bleeding.
Blyat!
CYKA - I was eating my coffee and drinking my bagel until I heard the 'Rhea ASMR and it induced my own case of bubble guts.
Life saving advice from two of the most trusted faces I’ve ever seen. It’s a beautiful thing.
God bless Worst Responders. Found an EMT contract on their job page and their articles helped me get hired, and the memes are A1
Ayyy, #ContractGang. Get paid my dude
I did buy a RATs a while back because it looked neat and I wish I had done more research beforehand.
I have, however, heard that they can work as a "better-than-nothing" solution for dogs as their limbs are too thin to get a CAT or SOF-T on.
Not that I'm saying to go buy a RATs (please don't) or that I would ever use it on a human.
See they always bring up the excuse it works on small children or dogs but a tight pressure dressing will work fine.
Look up the Cambridge medical study on RATs. They work as well as CAT if applied correctly. Just like any other medical gear.
I LOVE COPPER WIRE
OMG 😮 COPPER WIRE
One last tip I would throw in, very important, is make sure if/when applying a torniquet to someone else's leg, if you're going high up on their thigh, make sure their junk isn't on that side / out of the way so the person you're trying to save doesn't lose a testicle in the process. It has happened.
god damn these intros be top notch every time, it like a competition of comedy between the gun channels and you guys are killing it.
This has nothing to do with the topic of the video but I love the energy you bring to the video
Wasn’t gonna sub till you dropped the “this will be painful… for you”
COPPER WIRE
I FUCKING LOVE COPPER WIRE