@@reflection8578 I'm no expert by any means (not even an amateur yet). That's a great question, and I hope you get a lot of attention on this question. Very interested to see what experienced medics have to say. I have seen a video or two that said it is attempted/performed at times. If the packed gauze begins to show signs of hemorrhage, after slowly releasing the CAT pressure, tighten the windlass back up and leave it. So many variables to injuries and available applications. I guess the gauze packed hemorrhage control would be best, because the rest of the limb would still maintain normal circulation...and that's gotta' help a patient feel/think calmer If the packed/pressure gauze doesn't keep the bleeding stopped by itself, going back to the CAT windlass certainly will. Two things I do know is that I am always going to keep a headlamp and a proper magnifying glass in/on my IFAK!
In Aliexpress if you know how to find them it's really cheap and works. Tourinquets yes, buy the originals, I tried the aliexpres ones for 3 to 6 dollars and worked everyone of them, but don't do that 😅. Israeli bandage costs 4 or 3 dollars in aliexpress and 20 gauses for less than2 dollars. The problem is the chest seal, try to find them, one time I found 7 for one dollar
In case you’re watching in 2022, there are a few things that have changed from the time this video was uploaded to today. Firstly, at 2:25 ish he talks about putting your knee on the groin to stop bleeding. This isn’t really being done anymore because of pelvic fracture, by putting your knee on the pelvis like that, you could cause more damage or bleeding if a pelvic fracture was present. If you know the patient wasn’t in a accident with blunt force or shot in that area then you could use your knee(injuries like stabs or lacerations are what you’d do this for). It’s also important to place your knee on the inner thigh since thats where the blood vessels are located, this does cause a lot of pain and might increase heart rate which will increase bleeding, it’s also might cause the patient to move and cause more damage trying to stop you which might make it harder to help and consume time so it’s best to only use this method if you have no medical supplies and if you know there is no pelvic injury. Same applies with the shoulder. Next is the NPA, if you have the training for it, then you should use it, however if you don’t have one or know how to use one, the you should try and learn the recovery position which will do the job of the NPA. If you decide to get an NPA and training, it’s vital that you get the correct size, there isn’t a one size fits all and everyone is different so it’s important to size it up and cut it if you need to because you can definitely do more harm than good if you use an incorrect size.
What you're doing here is beyond awesome. I was surprised on how little my family and friends knew about Medical Aid.Gifted them all trauma kits like this and I make sure to forward all these videos to them just incase it's me they need to help one day.
That finger work packing gauze was very impressive and smooth. Goes to show how important training, practice, and experience is. Thanks for teaching and making readily available important lessons in these crazy times.
Great video. I'm an EFR instructor for many years and really appreciate you sharing your expertise on the use of an IFAK. I picked up some knowledge here and I'm sure many of your viewers did as well. Please do more of this type of instructional videos. They would be invaluable to those of us who can't travel to your classes. Thank you and please keep em coming.
Thank you for the videos that you do. Citizens are more likely to be a first responder in accidents involving cars and other types of traumas not involving gunfire. Your videos show how much more training I need, thank you.May God always watch over you and bless you with continued success.
This channel is INVALUABLE. You are helping out a lot of folks, SkinnyMedic; on both sides of the divide. Thank you for sharing, and for igniting the interest and the practice. INVALUABLE.
My combat medics said to never put a knee in their groin. If they got shot in the leg or whatever happened the bones could be weak and putting a knee on them could brake those bones and make it worse. Additionally you're probably not going to hit his artery anyways, so it's accomplishing nothing while risking A LOT.
For those watching: Please note that, except in extreme circumstances, head trauma counter-indicates the use of an NPA. Otherwise it is preferably to an OPA because, as he mentions, the NPA avoids the gag reflex. OPA's may trigger the gag reflex. NPA is preferred, OPA if there is a head trauma or you don't have an appropriate size NPA, if they gag while attempting OPA or OPA isn't available, Two Person CPR with a CE Jaw Thrust. (All these techniques can be found on UA-cam as training reference for EMT-B National Certification. IF AT ALL POSSIBLE PLEASE LEVE THESE TECHNIQUES TO QUALIFIED PERSONNEL OR SEEK TRAINING TO BECOME QUALIFIED PERSONNEL! Notably, if you become a volunteer EMT with a volly fire department, you can often get Tax breaks/etc as well as increasing the number of trained first responders in your community!)
Know this video is a few years old but i found it very educational as we dont have civilian courses that teach this. I also realise by watching it it doesnt make me an expert, but at least if Im out hunting in the back blocks it gives me an idea if the worst happens. Thanks again. Stu NZ
Great tips for those that I’ve never seen this type of training. Unfortunately you applied the Israeli bandage incorrectly. The clip will always go over the wound site which you showed proper placement. Once you wrap it around one time, the running end is inserted in the clip. It will then be PULLED BACK to allow for tighter compression then wrapping the remaining running end the OPPOSITE direction.Then you clip the top and bottom to the bandage. 🤙🏼
It’s optional. If he used the bandage like you would on an extremity then the patient would have an extremely hard time breathing. The bandage is giving adequate pressure and it’s pretty much there to keep the packing in place, not to apply pressure.
In the Army they taught us to apply pressure to the hip region using our knee to control bleeding while we prep the TQT. I never agreed with the method because it hurts like a royal SOB even just training without an actual gunshot wound and has the potential to cause further injury. I always preferred to keep my tqt's prepped for a fast application to avoid having to cause the casualty any unnecessary pain. The Army later changed the method to not using the knee pressure because if the individual has a shattered pelvis you could further harm them. Moral of the story is prep your equipment, train with it to find friction points in your set up and adjust accordingly, because if someone is bleeding severely you have mere minutes to find the source and stop it. Great video though, these interventions are simple, yet highly effective ones we should all be familiar with.
I just got a March Ifak resupply kit with this in there, thanks for the extremely helpful video. On a side note, I was able to get Narcan from a local methadone clinic and added that to my kit
When wound packing you mentioned "finding the artery" with your finger. What would we be feeling for to know the source, and what kind of techniques would you use to ensure you properly pack the wound the first time?
An arterial bleed will have pretty substantial flow and will likely “pulse”. When you’ve got your finger on it, you’ll know it. Usually just following the wound path is going to get you really close (a completely severed artery may “retract” slightly from the initial wound path but, in that case, just follow the flow of blood “up stream”).
Thanks again. Great as usual. I just got an email from NAR about the national Stop the Bleed campaign - you have been way ahead of them, teaching the public what they, only now, are saying we should all be trained in. It's not just for us first aid weirdos anymore, lol. Wonderful service you give.
Great video...personally I was trained to place the TQ as high on the extremity as possible because there may be multiple holes and the high placement, although cuts off flow to the entire limb, it removes the possibility of having missed a hole...but I also understand that context for different organizations may dictate this practice as well...I know as a former direct care medical professional, tourniquets used to be a no go and combat casualty care in the Army, a tourniquet is always a go
In my layperson's opinion, there are 2 types of ifaks. ones for you to use on yourself, and ones you carry on yourself for someone else to use on you/ ones you carry to use on someone else. the first type would be a barebones ifak with TQs and would dressings, maybe one chest seal. Are you going to be slapping chest seals on your back or putting tubes up your own nose? probably not the second would be a full ifak
Great video! I had already picked up everything demonstrated in the video, so was very lucky to come across something that went through all the stuff I have!
Someone else once recommended getting a class from the local fire dept.. If one near you does offer this you can buy two of everything and have them teach you how to use it. Then you still have your second one because to really learn how to use it you will likely burn through your first set.
Excellent! Thanks for demonstrating all these items. With your permission I would like to use this video at a Boy Scout meeting to train the Scouts. I took a fall on an Scout hike and the Scouts knowledge of splints and improvised walking crutch allowed me to walk a mile out of the woods to a waiting ambulance.
Thanks for another great video Skinny! @5:30 - if you DON'T have more gauze, would it be better to leave the existing gauze in? And continue applying pressure?
Thanx for taking the time to educate. It would be helpful to see your credentials in the description area above (e.g. EMT, Paramedic, etc) for new viewers like myself.
Thanks for sharing this! I’d like to request a similar video for car accidents - IFAK contents and procedures, it would be great for us in the city who want to help out.
Its basically the same exact procedure you just need to take C-Spine injuries into account. If you're unsure about a possible spinal injury and it's safe leave them in the car, have someone support their head, and do what you can. There's more than likely going to be some facial injuries so you need to determine if they're superficial or not, if it isn't just a minor cut that's bleeding alot you probably won't be able to use the NPA to secure the airway and you would either need an OPA or they'll need to be intubated. I kind of rushed past it but facial lacerations usually aren't too big of a problem but they will bleed a good bit. If you ever watch wrestling, like WWF, all the blood they get flowing from a chair to the face or whatever is typically just a very small incision on the eyebrow since that's really easy to cut for a dramatic amount of blood. Hope this helped and that you never need it
I enjoy your video's and am glad I found you. I am a retired firefighter/medic from a career dept in Texas. My question involves the isreali type bandage. How is the isreali type bandage better than a 4 inch roller gauze and an ace wrap?
I believe it's the "all in one" aspect of it. The wrap of the Israeli/ETD is similar to an ACE bandage. But the Israeli bandage has the tensioning bar that allows for a tighter wrap. And the Israeli bandage also has the keeper on attached. Either set of products can accomplish the same thing, the Israeli just comes with everything in one package.
I had always paired a single vented occlusive dressing with a non vented one for the reason you stated. It also saves you a few bucks if you are putting more than one set in your kit or making more than one kit.
The best things are the things You know how to use.Train how to use what You carry! Thank you for your vids they very helpful, although I hope I never have to use my CAT and the other things
Thanks for your help especially with the airway tube insertion explanation. I've been carrying one of your trauma kits for a few years now and almost ditched the tube for not knowing how to properly use it.
If the patient is a child that is a toddler, is there anything about this process that is different? Can I still use these same supplies if I had to on one of my kids?
If the head's gone, don't worry about that. That's just a minor detail. Haha! Sorry, I just couldn't resist. Seriously though, I really appreciate SkinnyMedic's videos. Hope to continue seeing more informative videos like this.
Justin Crawford, if you do, note the saying “go high or die” on the tourniquet. ALWAYS put the tourniquet as far up on the limb and if you have to apply a 2nd tourniquet apply it with absolutely no gap between the 2 tourniquets. When this video was made what he says was what was taught but it has changed since then
Only thing I could counter would be to apply the tourniquet as high as you can on the limb that you’re trying to cut circulation to. A few inches over the wound could end up with other issues if you have holes higher up that you didn’t notice. Great info!! 💪🏽💪🏽
Do you insert the tube into the nose no matter the injury if there unconscious or semi unconscious? Weather it's a through and through to chest or a leg wound whatever or is that injury spesific?
Craig Meise when I took my hands on tests everyone was very worried so I decided to lighten the tension by kicking open the room door and yelling "bsi scene safe" and freaking out the testers. It threw them off. Haha
steven karbowski ah man 😂 my dad told me his story of where he was told to “spike the bag” and he picked it up threw to the ground and yelled “TOUCHDOWN” and started beating his chest. Let’s just say I won’t follow his example there lol
I attended a class in which the instructor thought you can do rescue breathes on an unconscious choking victim. She didn’t know humans had trachea and esophaguses.this class was for 40,000 member police department.
Good Video a long time ago I arrived at a scene on the shoulder of a major highway two individuals struggling at the ditch side front door. I walked up real cautious hands out in the clear asked what is going on Turns out a suicide attempt disrupted by a local paramedic. I went back to my car and got my trusty home built first aid kit in fifty cal can with 4 Field Dressings several Cloth diapers for additional thickness if needed surgical sponges in two sizes lots of gauze both pads and rolls Some tape as the tape tended to get wrecked in hot car with no A/C.. 38 Special round nose to the upper left chest we treated it as a sucking chest wound using the Field dressing packaging no exit hole treated for shock while we waited for a good citizen who stopped before me to drive to a local gas station to call it in. Pre Common cell phone era. All I had was a pager and a commercial band dispatch radio under the front seat and the citizen had left the scene just as I arrived so all was good on that. That was a wake call for that fire dept. to get kits built for all the off duty paramedics. With regular scheduled inventory of the kits and what if Training for both on duty and off duty emergency presentations they might have to deal with.
I thought a TQ was a last resort and that I should try to start wound packing first and then if unsuccessful then use a TQ? I do understand for an arterial bleed that you should probably use a TQ but for just major hemorrhaging I think I would use a hemostatic first then a pressure bandage and if all else fails then a TQ? Just a thought please let me know if I'm wrong.
Hello skinny medic i am just a teen and wondering since i took a class in bleeding control and tourniquets can i use some of these items in a first aid kit that is compacted into a small kit
What a absolutely amazing video! This is going to save lives! Thank you for making the videos you do! Can I ask you a question though please? I k ow you must be really busy, but I can't seem to find a answer. When to you use a N.P.A. over a O.P.A? I was told before use a N.P.A. if they are concious and a O.P.A. if they are unconscious, Do you think this is correct? How do you decide between a N.P.A. or a O.P.A.? P.S. will definitely be visiting your shop! Thanks for the fab videos! Like I said there going to save lives,it's a shame that where I live they don't teach first aid,which is completely wrong in my opinion. Anyway sorry I'm going off on a tangent! Thank you for the video,but I would love a answer on when to use a N.P.A. and when to use a O.P.A.
Is it possible to inflate a pneumothorax via mouth to mouth and someone else sealing the hole before inhalation draws pressure back in if hole not sealed???? Also could moss work as a field gauze if sterilized in boiling water???
If the bleeding doesn't stop after some minutes and continues bleeding the same, or even worse, could a tourniquet next and an isreali or Olaes bandage on the bleeding,both be used, as a better mesure, to stop the bleeding? Thanks in advance
What about tension pneumothorax. You need to add a catheter to your kit because if you put a chest seal on and then the patients breathing becomes shallow, you have to stick the 14 gauge 3.25 in needle between the second and third rib to relieve the pressure that is belt up in their lung cavity.
@@regularguy1140 most likely, yes. If you've ever been in a pool, the Jets that redistribute water can be felt when you run your hand by them. It slipped be like that. You'll feel the flow.
Great video, thank you. I always learn something new. A couple times you referred to the manikin as to small for the technique you were demonstrating, since smaller people, like children are often victims, would you discuss how you would modify techniques, as necessary, to deal with smaller victims?
efred22 I didn't realize English was a prerequisite for being a good first responder. I wonder how they do it in countries where they don't speak English.
Thanks for the demonstration! I primarily have trauma type items in my car first aid kit. The last thing I want to do is pull up to an accident and not have the basic items or knowledge necessary to keep people alive until the EMS can get there. In today's world, unfortunately, we pretty much need to be prepared to deal with trauma anywhere at any time.
@@SkinnyMedic I put in an order through your company just a couple of days ago. I have been using this time at home to inventory and update my first aid kits and I'm happy to support a business like yours rather than Amazon.
Buy supplies here: medicalgearoutfitters.com/
Thanks for the link ive been buying from dark angel and Amazon
@@KeepBodyAndSoulTogether Awesome!
I was taught to roll the person into the recovery position (on their side, legs bent and head cradled) with the chest injury closest to the ground.
Would you use wound packing an a cat on the same wound?
@@reflection8578 I'm no expert by any means (not even an amateur yet). That's a great question, and I hope you get a lot of attention on this question. Very interested to see what experienced medics have to say. I have seen a video or two that said it is attempted/performed at times. If the packed gauze begins to show signs of hemorrhage, after slowly releasing the CAT pressure, tighten the windlass back up and leave it. So many variables to injuries and available applications. I guess the gauze packed hemorrhage control would be best, because the rest of the limb would still maintain normal circulation...and that's gotta' help a patient feel/think calmer If the packed/pressure gauze doesn't keep the bleeding stopped by itself, going back to the CAT windlass certainly will. Two things I do know is that I am always going to keep a headlamp and a proper magnifying glass in/on my IFAK!
these supplies aren't cheap so thank you for opening them and showing us
I mean a CAT TQ is like 40€ here in Europe
@DOSTGOYEVSKY ! That's if you buy those prepacked pro level stuff for paramedics, you can piece together a quality kit for much less
Josh S amazons the jam
some of the stuff can be reused, and even the stuff that can't can probably be used in training classes. at least, i hope so.
In Aliexpress if you know how to find them it's really cheap and works. Tourinquets yes, buy the originals, I tried the aliexpres ones for 3 to 6 dollars and worked everyone of them, but don't do that 😅. Israeli bandage costs 4 or 3 dollars in aliexpress and 20 gauses for less than2 dollars. The problem is the chest seal, try to find them, one time I found 7 for one dollar
Who thumbs down these videos?!?
You’re teaching people how to save lives. Thanks, Skinny Medic!!! 👊🏼
In case you’re watching in 2022, there are a few things that have changed from the time this video was uploaded to today. Firstly, at 2:25 ish he talks about putting your knee on the groin to stop bleeding. This isn’t really being done anymore because of pelvic fracture, by putting your knee on the pelvis like that, you could cause more damage or bleeding if a pelvic fracture was present. If you know the patient wasn’t in a accident with blunt force or shot in that area then you could use your knee(injuries like stabs or lacerations are what you’d do this for). It’s also important to place your knee on the inner thigh since thats where the blood vessels are located, this does cause a lot of pain and might increase heart rate which will increase bleeding, it’s also might cause the patient to move and cause more damage trying to stop you which might make it harder to help and consume time so it’s best to only use this method if you have no medical supplies and if you know there is no pelvic injury. Same applies with the shoulder.
Next is the NPA, if you have the training for it, then you should use it, however if you don’t have one or know how to use one, the you should try and learn the recovery position which will do the job of the NPA. If you decide to get an NPA and training, it’s vital that you get the correct size, there isn’t a one size fits all and everyone is different so it’s important to size it up and cut it if you need to because you can definitely do more harm than good if you use an incorrect size.
What you're doing here is beyond awesome. I was surprised on how little my family and friends knew about Medical Aid.Gifted them all trauma kits like this and I make sure to forward all these videos to them just incase it's me they need to help one day.
Great job on covering the basic major bleeding procedures in just a few minutes.
As others have said. These supplies Aren't Cheap.
THANKS for Opening Them and demonstrating application.👍👍👍
That finger work packing gauze was very impressive and smooth. Goes to show how important training, practice, and experience is. Thanks for teaching and making readily available important lessons in these crazy times.
Great video. I'm an EFR instructor for many years and really appreciate you sharing your expertise on the use of an IFAK. I picked up some knowledge here and I'm sure many of your viewers did as well. Please do more of this type of instructional videos. They would be invaluable to those of us who can't travel to your classes. Thank you and please keep em coming.
this is probably the best one I've found that covers everything in one.
Thank you for the videos that you do. Citizens are more likely to be a first responder in accidents involving cars and other types of traumas not involving gunfire. Your videos show how much more training I need, thank you.May God always watch over you and bless you with continued success.
Thank you for opening the package and showing how to use what's inside. AWESOME video!
This channel is INVALUABLE. You are helping out a lot of folks, SkinnyMedic; on both sides of the divide. Thank you for sharing, and for igniting the interest and the practice. INVALUABLE.
My combat medics said to never put a knee in their groin. If they got shot in the leg or whatever happened the bones could be weak and putting a knee on them could brake those bones and make it worse. Additionally you're probably not going to hit his artery anyways, so it's accomplishing nothing while risking A LOT.
I have seen a knee same someone’s life
For those watching: Please note that, except in extreme circumstances, head trauma counter-indicates the use of an NPA. Otherwise it is preferably to an OPA because, as he mentions, the NPA avoids the gag reflex. OPA's may trigger the gag reflex. NPA is preferred, OPA if there is a head trauma or you don't have an appropriate size NPA, if they gag while attempting OPA or OPA isn't available, Two Person CPR with a CE Jaw Thrust.
(All these techniques can be found on UA-cam as training reference for EMT-B National Certification. IF AT ALL POSSIBLE PLEASE LEVE THESE TECHNIQUES TO QUALIFIED PERSONNEL OR SEEK TRAINING TO BECOME QUALIFIED PERSONNEL! Notably, if you become a volunteer EMT with a volly fire department, you can often get Tax breaks/etc as well as increasing the number of trained first responders in your community!)
I was a little scared of the whole ifak system at first but seeing it demonstrated makes me feel more comfortable with the system
Recently became an EMT-B, I found your videos helpful for reviewing skills, thanks for the help!!
Thank you for actually using the supplies even if it’s expensive.
Know this video is a few years old but i found it very educational as we dont have civilian courses that teach this. I also realise by watching it it doesnt make me an expert, but at least if Im out hunting in the back blocks it gives me an idea if the worst happens. Thanks again. Stu NZ
Just got your civilian IFAK. This video is amazing. Thank you!!
Great tips for those that I’ve never seen this type of training.
Unfortunately you applied the Israeli bandage incorrectly. The clip will always go over the wound site which you showed proper placement. Once you wrap it around one time, the running end is inserted in the clip. It will then be PULLED BACK to allow for tighter compression then wrapping the remaining running end the OPPOSITE direction.Then you clip the top and bottom to the bandage. 🤙🏼
It’s optional. If he used the bandage like you would on an extremity then the patient would have an extremely hard time breathing. The bandage is giving adequate pressure and it’s pretty much there to keep the packing in place, not to apply pressure.
I second that comment from 6 years ago - thanks again for demonstrating the use of the expensive equipment!
"First thing, do a head to toe quick check. My head is gone.". I'm no EMT, but that's bad, right? LOL!!! :-D
Hey! Pay attention.
Apply a tourniquet on neck, if head is missing, to control bleeding?
Apply a tourniquet on neck, if head is missing, to control bleeding?
No head is just a minor issue!!! ;)
we need duct tape, stat!
Thank you for this! I hope I never need to use this for myself or anyone I love, but the knowledge is so helpful.
In the Army they taught us to apply pressure to the hip region using our knee to control bleeding while we prep the TQT. I never agreed with the method because it hurts like a royal SOB even just training without an actual gunshot wound and has the potential to cause further injury. I always preferred to keep my tqt's prepped for a fast application to avoid having to cause the casualty any unnecessary pain. The Army later changed the method to not using the knee pressure because if the individual has a shattered pelvis you could further harm them. Moral of the story is prep your equipment, train with it to find friction points in your set up and adjust accordingly, because if someone is bleeding severely you have mere minutes to find the source and stop it. Great video though, these interventions are simple, yet highly effective ones we should all be familiar with.
I just got a March Ifak resupply kit with this in there, thanks for the extremely helpful video. On a side note, I was able to get Narcan from a local methadone clinic and added that to my kit
When wound packing you mentioned "finding the artery" with your finger. What would we be feeling for to know the source, and what kind of techniques would you use to ensure you properly pack the wound the first time?
Oh dear god
An arterial bleed will have pretty substantial flow and will likely “pulse”. When you’ve got your finger on it, you’ll know it. Usually just following the wound path is going to get you really close (a completely severed artery may “retract” slightly from the initial wound path but, in that case, just follow the flow of blood “up stream”).
Your EDC Trauma kit is pretty unique for a commercially available kit. I haven’t seen anything else as cost effective for this purpose!
thank you for instructions. I like to keep up on first aid techniques for myself and famliy. Great demo.
Awesome explanation! Thank you for sharing your experience and medical supplies.
Thank you
Great tutorial and I appreciate you having a store so we can buy exactly what was used 👍
Skinny medic, can you do a video on burn dressing? Would you recommend water jel, h&h, or just primed gauze?
Jack Kardic.... oh ok. What about TCCC?
sterile dressing. think infection infection infection.
MrCheckitout123 & make sure the dressing is dry & never use any ointment etc!
Hey man thanks for actually demonstrating with the products! I know they aren't cheap. Much appreciated!
Thanks again. Great as usual. I just got an email from NAR about the national Stop the Bleed campaign - you have been way ahead of them, teaching the public what they, only now, are saying we should all be trained in. It's not just for us first aid weirdos anymore, lol. Wonderful service you give.
Wow. This was an amazing video. You're a great teacher; thanks Skinny
Thank you!
Very helpful video, i just put together a personal trauma kit for edc and now i know how to use it!
Many thanks to Skinny Medic from Ukraine for the video. Watched it several times before my training in 2024!
I subscribed because thank you for opening these med packs to show us. Your videos may save somebody’s life!
Insert npa and immediately tip it down to enter the nasal passage. If you insert it tipped up you will hit a dead end.
Only two words: Very useful!!! Thank you!!
Great video...personally I was trained to place the TQ as high on the extremity as possible because there may be multiple holes and the high placement, although cuts off flow to the entire limb, it removes the possibility of having missed a hole...but I also understand that context for different organizations may dictate this practice as well...I know as a former direct care medical professional, tourniquets used to be a no go and combat casualty care in the Army, a tourniquet is always a go
I was taught the same way
In my layperson's opinion, there are 2 types of ifaks. ones for you to use on yourself,
and ones you carry on yourself for someone else to use on you/ ones you carry to use on someone else.
the first type would be a barebones ifak with TQs and would dressings, maybe one chest seal. Are you going to be slapping chest seals on your back or putting tubes up your own nose? probably not
the second would be a full ifak
Great video! I had already picked up everything demonstrated in the video, so was very lucky to come across something that went through all the stuff I have!
Someone else once recommended getting a class from the local fire dept.. If one near you does offer this you can buy two of everything and have them teach you how to use it. Then you still have your second one because to really learn how to use it you will likely burn through your first set.
I was always taught to do ABC. Airway before bleeding. (Airway -A, Bleeding -B, Circulation - C.)
You should update your teaching to CAB
Good quick instruction. A little bit of a refresher/reminder is always welcome. Thank you for the video
Very instructive. Thank you
But how do you know when to use the NPA?
thanks bro , for opening supplies and teaching briefly.
Thank you for this video. Will save lives!!
Excellent! Thanks for demonstrating all these items. With your permission I would like to use this video at a Boy Scout meeting to train the Scouts. I took a fall on an Scout hike and the Scouts knowledge of splints and improvised walking crutch allowed me to walk a mile out of the woods to a waiting ambulance.
Absolutely
Thanks for another great video Skinny!
@5:30 - if you DON'T have more gauze, would it be better to leave the existing gauze in? And continue applying pressure?
Whatever you put in, don’t take out, because you can disrupt the clothing process.
Thanx for taking the time to educate. It would be helpful to see your credentials in the description area above (e.g. EMT, Paramedic, etc) for new viewers like myself.
Thanks for sharing this! I’d like to request a similar video for car accidents - IFAK contents and procedures, it would be great for us in the city who want to help out.
Its basically the same exact procedure you just need to take C-Spine injuries into account. If you're unsure about a possible spinal injury and it's safe leave them in the car, have someone support their head, and do what you can. There's more than likely going to be some facial injuries so you need to determine if they're superficial or not, if it isn't just a minor cut that's bleeding alot you probably won't be able to use the NPA to secure the airway and you would either need an OPA or they'll need to be intubated. I kind of rushed past it but facial lacerations usually aren't too big of a problem but they will bleed a good bit. If you ever watch wrestling, like WWF, all the blood they get flowing from a chair to the face or whatever is typically just a very small incision on the eyebrow since that's really easy to cut for a dramatic amount of blood. Hope this helped and that you never need it
An excellent MARCH demo, thank you!
I enjoy your video's and am glad I found you. I am a retired firefighter/medic from a career dept in Texas. My question involves the isreali type bandage. How is the isreali type bandage better than a 4 inch roller gauze and an ace wrap?
I believe it's the "all in one" aspect of it. The wrap of the Israeli/ETD is similar to an ACE bandage. But the Israeli bandage has the tensioning bar that allows for a tighter wrap. And the Israeli bandage also has the keeper on attached.
Either set of products can accomplish the same thing, the Israeli just comes with everything in one package.
I had always paired a single vented occlusive dressing with a non vented one for the reason you stated. It also saves you a few bucks if you are putting more than one set in your kit or making more than one kit.
The best things are the things You know how to use.Train how to use what You carry!
Thank you for your vids they very helpful, although I hope I never have to use my CAT and the other things
Im very happy to have my CATs but I agree, I hope I never need it.
Thanks for your help especially with the airway tube insertion explanation. I've been carrying one of your trauma kits for a few years now and almost ditched the tube for not knowing how to properly use it.
Why would you ditch it instead of search about it Or in case someone else does know in an emergency.
@@Nomadic12347 you should never use anything you haven't taken a class for. But keeping it in the kit is definitely a good idea like you say
@@MellowFellowOfYellow agreed
Thank you Skinny. Here for a refresher.
Never have I been exposed to this kind of First Aid but I am learning. Thanks.
Thanks man. That’s useful. I will do my best with my kit if I have to. Thanks for video even you have to waste your kits to teach us. Respect.
This was great, very easy to understand, I still want more training in person, how ever this is a great starter. Thank you!
If the patient is a child that is a toddler, is there anything about this process that is different? Can I still use these same supplies if I had to on one of my kids?
If the head's gone, don't worry about that. That's just a minor detail. Haha! Sorry, I just couldn't resist. Seriously though, I really appreciate SkinnyMedic's videos. Hope to continue seeing more informative videos like this.
Do you have a video on the mechanics of breathing with chest seals?
Great information, exactly what I was looking for. Hopefully anyone I need to work on with an IFAK has a head. Thanks skinny.
This is incredible, life saving information. Thank you so much.
I hope i never have to use what you teach me
Justin Crawford, if you do, note the saying “go high or die” on the tourniquet. ALWAYS put the tourniquet as far up on the limb and if you have to apply a 2nd tourniquet apply it with absolutely no gap between the 2 tourniquets. When this video was made what he says was what was taught but it has changed since then
@@JWLane thanks for the update
Only thing I could counter would be to apply the tourniquet as high as you can on the limb that you’re trying to cut circulation to. A few inches over the wound could end up with other issues if you have holes higher up that you didn’t notice. Great info!! 💪🏽💪🏽
This was extremely helpful thank you!😊
Thank you for showing how instead of what you have in your pack. Big thumbs up.
Thank you so much for the great demo!
Excellent video as always.
Great video and really educational, thanks.
Great video! Not going to lie, I was shocked when you pronounced "Israeli" correctly.
Invaluable info. Will buy all this from you. I really need to take some med classes as well.
Wow lot of good info will have to repeat and practice and get training..thanks for all you do!
Do you insert the tube into the nose no matter the injury if there unconscious or semi unconscious? Weather it's a through and through to chest or a leg wound whatever or is that injury spesific?
keenan walker don't insert the tube (NPA) if the patient has any type of head injury
Great information and demonstration. Thanks young man
God Bless (us all)
scene safety/bsi..... I just had to beat somebody to the punch! great content as always!
Craig Meise when I took my hands on tests everyone was very worried so I decided to lighten the tension by kicking open the room door and yelling "bsi scene safe" and freaking out the testers. It threw them off. Haha
steven karbowski ah man 😂 my dad told me his story of where he was told to “spike the bag” and he picked it up threw to the ground and yelled “TOUCHDOWN” and started beating his chest. Let’s just say I won’t follow his example there lol
Very well done, Great teaching delivery.
I attended a class in which the instructor thought you can do rescue breathes on an unconscious choking victim. She didn’t know humans had trachea and esophaguses.this class was for 40,000 member police department.
So you wouldn't pack hemorrhaging in the abdomen? How would you treat sever bleeding in that case?
Need to open wound area to treat internal abdomen puncture wound bleeding and this requires trauma ER / trauma surgeon treatment.
Good Video a long time ago I arrived at a scene on the shoulder of a major highway two individuals struggling at the ditch side front door. I walked up real cautious hands out in the clear asked what is going on Turns out a suicide attempt disrupted by a local paramedic. I went back to my car and got my trusty home built first aid kit in fifty cal can with 4 Field Dressings several Cloth diapers for additional thickness if needed surgical sponges in two sizes lots of gauze both pads and rolls Some tape as the tape tended to get wrecked in hot car with no A/C.. 38 Special round nose to the upper left chest we treated it as a sucking chest wound using the Field dressing packaging no exit hole treated for shock while we waited for a good citizen who stopped before me to drive to a local gas station to call it in. Pre Common cell phone era. All I had was a pager and a commercial band dispatch radio under the front seat and the citizen had left the scene just as I arrived so all was good on that. That was a wake call for that fire dept. to get kits built for all the off duty paramedics. With regular scheduled inventory of the kits and what if Training for both on duty and off duty emergency presentations they might have to deal with.
Your knowledge sharing is very appreciated. I hope I never have to use this knowledge.
Is Yeager? the friend you were referring to.
Thanks for your help.
BEST. VIDEO. EVER. Sir, you are magnificent.
I thought a TQ was a last resort and that I should try to start wound packing first and then if unsuccessful then use a TQ? I do understand for an arterial bleed that you should probably use a TQ but for just major hemorrhaging I think I would use a hemostatic first then a pressure bandage and if all else fails then a TQ? Just a thought please let me know if I'm wrong.
Brandon Chambers the standard used to be like that but the thought now is in a severe blood loss situation apply TQ then pack wound.
Hello skinny medic i am just a teen and wondering since i took a class in bleeding control and tourniquets can i use some of these items in a first aid kit that is compacted into a small kit
What a absolutely amazing video! This is going to save lives!
Thank you for making the videos you do!
Can I ask you a question though please? I k ow you must be really busy, but I can't seem to find a answer.
When to you use a N.P.A. over a O.P.A?
I was told before use a N.P.A. if they are concious and a O.P.A. if they are unconscious,
Do you think this is correct? How do you decide between a N.P.A. or a O.P.A.?
P.S. will definitely be visiting your shop!
Thanks for the fab videos!
Like I said there going to save lives,it's a shame that where I live they don't teach first aid,which is completely wrong in my opinion.
Anyway sorry I'm going off on a tangent! Thank you for the video,but I would love a answer on when to use a N.P.A. and when to use a O.P.A.
Is it possible to inflate a pneumothorax via mouth to mouth and someone else sealing the hole before inhalation draws pressure back in if hole not sealed???? Also could moss work as a field gauze if sterilized in boiling water???
If the bleeding doesn't stop after some minutes and continues bleeding the same, or even worse, could a tourniquet next and an isreali or Olaes bandage on the bleeding,both be used, as a better mesure, to stop the bleeding? Thanks in advance
What about tension pneumothorax. You need to add a catheter to your kit because if you put a chest seal on and then the patients breathing becomes shallow, you have to stick the 14 gauge 3.25 in needle between the second and third rib to relieve the pressure that is belt up in their lung cavity.
just got to say great job you are now my go to. I love what your doing keep it up and i'm get your pack it is the best
@4:42 how do we know where the source of bleeding is inside the wound in order to pack the wound?
Yeah, like are we gonna feel a tube gushing fluid?
@@regularguy1140 most likely, yes. If you've ever been in a pool, the Jets that redistribute water can be felt when you run your hand by them. It slipped be like that. You'll feel the flow.
Excellent detail!
Great video, thank you. I always learn something new. A couple times you referred to the manikin as to small for the technique you were demonstrating, since smaller people, like children are often victims, would you discuss how you would modify techniques, as necessary, to deal with smaller victims?
dick
Oh yeah, and...how about this for English... dick. ;-)
efred22
I didn't realize English was a prerequisite for being a good first responder. I wonder how they do it in countries where they don't speak English.
Thanks for the demonstration! I primarily have trauma type items in my car first aid kit. The last thing I want to do is pull up to an accident and not have the basic items or knowledge necessary to keep people alive until the EMS can get there. In today's world, unfortunately, we pretty much need to be prepared to deal with trauma anywhere at any time.
Thank you for watching!
@@SkinnyMedic I put in an order through your company just a couple of days ago. I have been using this time at home to inventory and update my first aid kits and I'm happy to support a business like yours rather than Amazon.
"My head's gone" I don't think even Skinny Medic can bring that one back! LOL
This channel is so great!