Compact IV Start Kit
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- Опубліковано 16 бер 2024
- IV access is an important aspect of medical care. North American Rescue (NAR) makes a compact vacuum sealed IV lock kit geared towards the tactical environment.
Buy here: www.narescue.com/nar-needlele...
I think it was good you went over the tourniquet, some people watching this may not have known. It was smart
I am a non-medical person and really appreciate your extra info and explanations of how these things work. The medical world is a giant mystery to me and I appreciate the glimpse you share of what is going on in there. Another great video, as always!
What I have for that is empty syringes, straight needles, and a 250 bag to draw from for flushes with those needles and syringes. Works for me, then I have a couple deconstructed start kits so if one person goes down I don’t have to rip open a packaged iv start kit.
You can't buy that kid anyway without a medical device permit or some nonsense.
I am ready to wrinkle my brain a little with some more medical advice
Are you a paramedic? If not you won’t be starting IVs or anything advanced like this.
@minutemanmedic4143 oh yeah, you're right! Why would anyone need or want that type of knowledge. I only trust government approved institutions.
@@minutemanmedic4143I have not a single cert for this but I just watch just because I like to watch
Cool video!
To add one possibility for prepper medicine and IV hydration. If someone is sick and having diarrhea and vomiting while unable to keep fluids down. Sometimes fluid and anti-nausea is all you need to get back quickly or possibly not die of dehydration.
An alcohol swap is good in a pinch for nausea. Not sure how it goes with active vomiting however.
@@krisdeaglephotography4539totally agree for nausea. For active vomitting I would still prefer IV Boul’s NSS and Zofran.
You should make an updated IV start video.
Absolutely. Please do one with some human volunteers! Also, if you have the experience, doing a K-9 IV start video would be invaluable.
@@RMSVAI don’t think he’s the one making the video, go ask Sam 😂
Finally someone who speaks English going over this start kit.
Love the video and this product! I am a student paramedic in the UK. I like what you said about blood products over saline. I wanted to raise another point I found in support:
- Fluids are often cold (5 degress approx) and when you push into central circulation you may cause a drop in temperature, contributing to hypothermia and then coagulopathy therafter.
That being said, most EMS systems or expedition medics do not carry blood products, and what the clinical literature is now saying, is that if you don't have blood, and your patient is hypovolemic and/or in shock, do not withold fluids. The patients condition will of course determine, but putting a complete negative stigma on pasta water in trauma is dangerous, as it might be the best the patient can get for a while. We know that patients who are fluid resuscitated when blood isn't available, do better than those who have them witheld (in the case of hypovolemic shock)
Unfortunately I have been at more than one major trauma patient now where crews have been watching their patient reduce in their GCS and drop BPs to dangerous levels whilst witholding fluids due to 'permissive hypotension'. I have then intervened and given some conservative resuscitation to find an improvement in GCS, BP and reduction in tachycardia. Fluids aren't poisonous.
We also know that if you have a prolonged flight time/transfer and the kidneys are not perfused for more than a couple of hours, this can profoundly effect survival post 30 days too.
For me, I look at trauma patients and ask 'how is this patient managing with this blood pressure?' and if they need volumeric support for organ perfusion, I will give some conservatively. Ultimately the best fluid for these patients is Diesel.... to the nearest trauma unit that can give blood.
So I agree, and before the combat medics attack me, I know the patient needs the red stuff (although lots of yellow stuff too). All I am saying is most medics don't have that on them, and if all they have is pasta water, and the patient has lost significant volumes, that water may just save their life, and witholding it WHEN they need it, could be fatal.
Personally I like to keep the BP enough so the patient can maintain a consistent GCS. If unconscious, I resuscitate to maintain minimum of 90 systolic for peripheral trauma, 60 for central (ish look at patient size).
I would also say we must not let patients with traumatic brain injuries become hypotensive either, as this can cause a secondary brain injury.
Thanks again :)
Well effing said
@@orlandparkcounselors7036 Thankyou :)
I was a scout sniper and EOD Corpsman. I really like all NAR products, but these start kits are just great. Compact, has everything you need and designed very well.
I went through this training a hot minute ago, but the other reason to get an IV going was to ensure you had a patent line while the patient still had a decent BP. That way, you had access and the ER didn't have to waste 15 minutes trying to get something started before slamming blood products (or any other meds that required IV access). Granted, this was long before IO became a thing (and one of the big pluses on IO is that you don't need to be able to find a vein, blood pressure or no).
You should do a video about off duty interventions. You have ARS needles and other ALS equipment. It'd be interesting to talk about the legal implications of ALS interventions off duty.
Air Release System (ARS), Advanced Life Support (ALS).
As a current paramedic, I can tell you that this issue is very dependent on your states statutes. Do look into that because it varies widely. I got slammed for doing IV stick in AZ because I had no license there to cover me. I ran back to the fact that I am ex SF Medic, and that barely got me out of the crap. Just be safe.
I will say I find it amusing that you peel open all the packaging instead of ripping it open or popping the device through the paper side.
I can't remember the last time I peeled open a catheter.
As ex SF Medic and combat veteran, this seems like a fabulous kit. I will definitely be picking up some of these.
8:15
lmao.
When you said it at first I yelled out loud "oh my god say you're joking someone in the comments who doesn't know medicine is going to think you're serious".
I can see it now. Someone ends up in the ambulance and the medic misses and they go "OH YEAH WELL THAT UA-camR NEVER MISSES" rofl.
BABE!!!!! WAKE, THE FUCK, UPPPPP!!!! SAM POSTED ANOTHER VIDEOOOOO!!!!!
*snoring noises*
@@Nurse_Xochitl Fine, I’ll watch him without you 😾
A new iv start and a k9 iv start would be sweet. I really appreciate the extra knowledge just in case.
6:06 I remember those days. Bi lat 14's and off to the trauma center!
18g is standard. I like that its prepacked & not a bundled up mess that can get damaged. Dont have to get through tape (my packing method). Good videos thx.
Great video. Thank you for your explanation of the product.
Great video as always and the mustache game is on point. I thought this was a young Tom Selleck giving medical advice. 😂
😅
“I’ve never missed an IV before” - said no doctor or medic ever😂😂😂
Been waiting on his for a long time
Great content, man. Thanks.
Very good video, I’m a IV therapist
Nicely done sir.........
I always pull back and prime the tubing with blood, then flush with NS like you showed. It gives me the option of drawing labs, and limiting sticks in patients with poor peripheral veins. I’m not a big fan of using just the luer lock fitting directly connected to the cannula. I find the small “pig tail” more useful because it allows greater flexibility when connected to an IV set. The rigidity of the luer lock fitting alone causes a lot of lateral strain on the cannula insertion site. YMMV🤷🏼♂️
Как всегда спасибо за хорошее видео! Теперь я точно знаю как использовать РАПТОР (Raptor IV).
Get some.
Now if they would just make a tiny little IO kit like this that actually comes with a tiny one-time use I/o drill
the raptor strap is pretty nice.
i could probably piece together my own kit for less though
I was thinking this would be great to have if someone is dropping out from dehydration. As far as blood transfusion is that even moderately doable for a layman. I know there 8s flow calculations and stuff but best to have blood already stored but lets be honest, in a shtf situation we're not gonna have bags with anticoag in them on standby.
Can you do a video on IBSC TRC and/or TRP certifications along with the CE requirements?
Those cheap needles are still the best around. Heavily agree with having a 20 though.
My take on i.v. sets in prepping: It has a place but maybe not in the way many preppers think.
Dehydration can usually be solved p.o. For trauma patients cristalloid fluids is only a way to get them into the OR alive, so for a grid down situation it's not completely useless, but more kind of supportive care to aid recovery. I don't think it will save someone in that context. Even for a patients developing a sepsis it might support them, but without antibiotics I dont't think it will save them and you would need quite a lot so p.o. would be the way to go.
For general prepardness it might have a place for trained personell off duty being the first on scene, since it's better to establish the i.v. before circulation is compromised.
That being said most of the i.v. stuff the EMTs and paramedics i know carry in their cars is used recover from a long night of drinking.
Oh and yes, we still use cristalloid fluids in prehospital trauma care since in our region severe trauma happens not often enough for blood products on ambulances to be anything else than waste of scarce ressources.
I agree with you on almost everything. Interestingly enough studies have shown that even a small amount of crystalloids in a hemorrhagic shock state is harmful to the patient. In the absence of blood products many service have gone to pretty extreme permissive hypotension.
@@PrepMedic that's good info. Unfortunately it didn't yet (as far as I know) make it into our local 2023 polytrauma guidelines or the current TECC guidelines (just did the refresher one week ago). But yeah absolutely makes sense since it will dilute the rather small remaining amount of blood.
Anyway happy to read that you agree on the rest.
Now that you bring it up, I would really like a video adressing expiration days of common first aid supplies. It seems for example, insane to me that aluminium blankets have an expiration date. Would you ever carry supplies that are due their expiration date?
Just found your channel. Looking forward to checking out more videos. Lotta weird comments here though. Does that always happen?
Not entirely related to this, but seeing as this episode is geared more towards those with medical certificatation, when I was a Hospital Corpsman from 2015-2018 we were trialing the use of TXA before we moved towards battlefield blood transfusions. I was wondering if there is any civilian world use you'd have insight on, or direct experience with. Seeing as how I'm not working in a medical capacity anymore, if I was to push an IV of anything during a trauma event pre-hospital, that would be what I would push based off of my experience.
(Still better than 25 years ago...)
I have a question.. What to do if there is a deep wound and there is no anticeptic while camping?
So What is the natural antibacterial medicine?
Finding this equipment in the US is nearly impossible without a medical practitioners license. I'm thankful NAR are bringing it to the market, but it begs the question; this product is usually about $0.20-$0.80 tops. How much are NAR charging for it? Edit: This product requires Medical Device Authorization for purchase.
I would highly encourage you to watch the entire video. I discuss the purchasing
All you need is a LA County Fire Trauma roll. 1000 bag of saline, drip set, 2-14g 2-16g IV caths, tape, alcohol wipes, and a TQ. What more do u need
Well they definitely don’t need saline. It’s always eye opening to me how stuck in the past California EMS is, especially LA. Even LASD SEB rescue 5 medical protocols are lack luster. No RSI, no ketamine, no blood etc….
While camping if there is no antibacterial medicine how can i use charcoal on wound as a antibacterial?
Burns!
100 ml of air… For all you RN’s and Med Students or anyone starting PIV’s as little as 1cc of air can cause a PE cascade under the right circumstances. Just look a a CT during a CTA and a poorly primed IV and check out the Pt. Atrium. These are not micro bubbles in say a TEE, or IR case. They can sometimes be fairly large and vapor lock a vessel in the lung and start a clotting issue. Think about a TLC, is it in a vein or artery? That should answer your question. But if you want to test it, start an IV on yourself and just push 5cc of air and let me know how it goes? He may have misspoke, but as little or no air is the standard we should be going for imo.
I don’t know why but those safety needles blow my veins when they use them on me. Regular needles don’t but those safety ones do.
Good luck getting fluids or meds for it. You can buy Fent and oxy on the street but you can not have your own meds to take care of yourself.
Where can I buy IV hydration bags?
I am looking to mack a red cross station in the mountains of British Columbia Canada can you mack eny suggestions of the things I should stock note I do not have my first ade and now the first person is the best chance for surviving I am going to get a sack phone do to no cell service in parts of the Montans.
Why would this kit expire?
As a fromer NREMT-P I want to know how you have never missed a cannulation. I hear this quite often from Paramedics to ER Nurses. I call it bollocks. Your advice as a Paramedic is excellent though.
As a former paramedic you have a bad sarcasm detector 😂. Especially because I clarified it was a joke 30 seconds later. But I do agree, anyone who says that is full of crap
@@PrepMedicBeen out of the biz for quite a few years mate. My sarcasm detector needs an update.
The only way to never miss one is to never attempt one 😉
I don't see the market for this. 3 times more expensive, only an 18g so not very adaptable, and you have to fill your own flush.
i noticed your “eye bags” below the eyes are getting more pronounced. you’re still young. you better get more sleep…
One of the benefits of working 24 hour shifts
Its all fun and games until Marines go into clubs in dress blues and all they get all the ladies
Last comment
It's interesting but not rly suited for me. And man that price. I will stick with my individualy prepared kits
lmao u say u've never missed an IV in ur life? Im a surgeon and i miss all the time.
1. Doctors are notoriously bad at IVs
2. Sarcasm: a mode of satirical wit depending for its effect on bitter, caustic, and often ironic language that is usually directed against an individual
3. Watch the rest of the video 😂
We can always put a central line while u guys look in awe tho 😛 I didn’t say doctors, I said surgeons
I am an Ex Army Paramedic with Combat Experience. I have worked in the Civilian field and I am a Level Four Certified Trainer both for Army and Civilian. The Highest Level Available. I hold the Rank of Captain.
I have over 25 Years Experience.
OK. I will add a few comments and observations.
You are only training, nevertheless, the first thing you teach students is to put on gloves, and how to take them off correctly. VERY IMPORTANT. You don’t pull off each glove individually and fling them into a Toxic Waste Bag. Grip your Primary Hand Glove with your fingers pressed into your palm. Peel the Glove over your hand without releasing it. Place that hand into the palm of your second hand and peel the glove off. What you end up with is a “Sterile Package” containing both gloves with their interiors exposed. Unless you have torn or punctured your gloves that package is Sterile. Dispose of it accordingly.
The Tourniquet you used is a cheap and to me useless item. Invest in several Units that really pull in tightly, allow a small or gradual release of pressure and can be Removed with the press of one button.
I noticed your comments re IV Size. Gone are the days when everything was a Size 16. The
Army thinking used to be “The Bigger The Better” Similar thinking to Ammo Size!
Now, most Cannulas for the Administration of Pain Medication is always 20 Gauge.
The days when Low BP necessitated the use of Saline have passed. Medical thinking is now to allow the body to “Self Heal” unless BP is really bottoming out. Generally you Cannulate a Patient only if you know IV Medication or other fluids will need to be
Administered.
Now to your Instructional Video. I could get picky on the way you open packaging but I am sure you follow Strict Sterile Procedures in actual Trauma Conditions. Overall well done.
I repeat my Warning re CANNULATION.
If you haven’t been trained DON’T TOUCH.
On a lighter note. Yes, Coconut Water is Sterile. You can Wash Down Trauma Sites and I have used it in a Cannula. The Soldier was in a bad way, and Yes, he did live and I am still in contact with him. After Nam he returned home, got married and has Three Children.
They all love Coconut. 😂
To those that have watched this and are NOT Medically Trained, DON’T TRY TO CANNULATE ANYONE. UNLESS YOU HAVE BEEN THROUGHLY TRAINED YOU CAN DO MORE HARM THAN GOOD. No one wants to see a Patient arrive at a Trauma Centre looking like his arm has been used for a Dartboard. You could also damage a Vein or put fluid into the Tissue instead of a Vein. Neither outcome is desirable.
Don’t mess around with sharp pointy things unless you have been throughly Trained.
Your Video was well presented. I am tempted to produce a Video myself. If I am stepping on anyone’s toes let me know in the comments.
I’m fairly sure all of his videos in reference to procedures are aimed at those appropriately trained, certified and within their scope. If someone goes gung-ho thinking they are a medical professional from a YT video, that’s on them for being a donkey.