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Old 02-01-2013, 16:58   #1
Morris
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Carry those trauma kits!

http://www.nbcdfw.com/news/health/189147551.html
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Old 02-01-2013, 19:01   #2
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I've carried a QuikClot 25 ACS in my left cargo pocket for as long as I've been a cop. Thankfully, I've never had to use it on myself or another officer. I would use it on a child, firefighter, ems...maybe a hot girl who I followed for several miles.
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Old 02-01-2013, 20:37   #3
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Wow! Talk about timing!
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Old 02-01-2013, 20:49   #4
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I was trying to convince the department head of my current job to purchase something similar last week.


He looked at me as though I had six heads.
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Old 02-01-2013, 20:53   #5
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Quote:
Originally Posted by seanmac45 View Post
I was trying to convince the department head of my current job to purchase something similar last week.


He looked at me as though I had six heads.
They look that way at the paramedic we have that's all ate up with this kind of stuff. We have LOADS of mass-casualty equipment and training, thanks to him pushing for it, yet people think it's some kind of joke.
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Old 02-01-2013, 21:01   #6
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One of ours :( thankful for the haltom city officer there with trauma kit. He's out of surgery and doing well. Shot 3 times total. BG DRT.

Anyone interested in trauma kit should check out officer survival solutions. They make a kit that is vacuum sealed and fits behind trauma plate for $44, also have same kit made for pocket carry. Owner is a good dude and answered the phone on first ring.


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Old 02-01-2013, 21:50   #7
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I have a trauma kit with my rifle, but nothing on me. Does anybody know if maybe two of the two-Gram Celox pax might be enough for a "typical GSW?
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Old 02-01-2013, 22:34   #8
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I had two pockets sewn on to my Bratwear, each side of my leg just above the knee. Left side contains a CAT, Combat Gauze and Sani-Wipe packs I get from the hosedraggers. The right at least four pairs of gloves.

I looked at some small kits but alas, they're were just a size too big for the pocket. This is my local go to kit guys:

http://www.officersurvival.org/
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Old 02-02-2013, 07:38   #9
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I had two pockets sewn on to my Bratwear, each side of my leg just above the knee. Left side contains a CAT, Combat Gauze and Sani-Wipe packs I get from the hosedraggers. The right at least four pairs of gloves.

I looked at some small kits but alas, they're were just a size too big for the pocket. This is my local go to kit guys:

http://www.officersurvival.org/
Thank you for the link, sir. Just ordered a Basic Patrol Aid Kit. And your peeps are from my (?) future home town of Kingston, to boot!
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Old 02-01-2013, 22:42   #10
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My office just got 60 kits from Jake @ Officer Survival Initiatives. (Awesome service.)

They aren't doing any good in the boss's office. I liberated one last night before going to the range today.
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Old 02-01-2013, 22:53   #11
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Originally Posted by ottomatic View Post
I have a trauma kit with my rifle, but nothing on me. Does anybody know if maybe two of the two-Gram Celox pax might be enough for a "typical GSW?
Lots of variables. Depends on location and if there's an entrance and exit or just entrance wound. I carry 2x QC combat gauze on my person and 5x more between plate carrier and med bag. IMHO a tourn is more important than QC.


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Old 02-06-2013, 08:37   #12
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Lots of variables. Depends on location and if there's an entrance and exit or just entrance wound. I carry 2x QC combat gauze on my person and 5x more between plate carrier and med bag. IMHO a tourn is more important than QC.


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FYI, I have seen (elsewhere) EMT's state that when they see a tourniquet, that signifies--to the surgeon--cut here--as in cut off for amputation!
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Old 02-06-2013, 09:14   #13
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Originally Posted by random southpaw View Post
FYI, I have seen (elsewhere) EMT's state that when they see a tourniquet, that signifies--to the surgeon--cut here--as in cut off for amputation!
That's old school thinking.... That's what I was taught in my EMT class way back in the mid 90's.

Unfortunately one of the things we've learned with all the combat injuries overseas is that tourniquets can be applied and provide lifesaving assistance and not require removal of the limb.... Now that certainly doesn't go for every case, but it's not nearly as much of a definite thing as it used to be.

Like CJ said earlier, you can use a triangular bandage in a pinch, but products such as the CAT tourniquet work more efficiently. They spread the pressure over a greater surface area and the ratcheting tension device makes loosening prior to advanced aid less of a problem.

Unfortunately they are a must have for cops these days.
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Old 02-06-2013, 09:49   #14
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Quote:
Originally Posted by random southpaw View Post
FYI, I have seen (elsewhere) EMT's state that when they see a tourniquet, that signifies--to the surgeon--cut here--as in cut off for amputation!
New standard as taught in my TC3 class is they can be applied for up to two hours without permanent damage. Lots of good trauma information has come out of the wars in Iraq and Afghanistan, and this is one of them. They teach us in the military now, that if you're still under fire, and someone's bleeding profusely, the standard immediate action is to put a tourniquet on them and get them out of the line of fire until things die down enough to do a more thorough assessment and decide on more appropriate treatment.
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Old 02-06-2013, 13:01   #15
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New standard as taught in my TC3 class is they can be applied for up to two hours without permanent damage. Lots of good trauma information has come out of the wars in Iraq and Afghanistan, and this is one of them. They teach us in the military now, that if you're still under fire, and someone's bleeding profusely, the standard immediate action is to put a tourniquet on them and get them out of the line of fire until things die down enough to do a more thorough assessment and decide on more appropriate treatment.
If a pressure dressing doesn't solve it slap a TQ on it. PERIOD. That is the current AHA guidelines for civvy and the current guidelines for the .mil

It DOES NOT MEAN they will be amputated, TQ's a great stuff don't freak out. However, only use the amount of pressure on the windlass to stop the bright spurting stuff, if it leaks just a bit but a pressure dressing over the leaky part.

If your getting a flat setup for use in your carrier put it in the back slot and hope you get shot facing the threat.

Quote:
It's that time of year apparently, I couldn't find the old thread that we had going a yearish ago. Let’s discuss building your own first aid kit. This is just a quick post I am certainly open to lots of discussion and will help you build a kit if you need help. If you want your PD to purchase equipment and or training take a look at:
http://www.jems.com/article/training...after-giffords

This is also true of Aurora, guys were just throwing casualties into their vehicles and running them to the hospital. Community EMS cannot and will not deploy into a hot zone, they won't make entry in most areas until it's declared safe. Many times that's a half hour or more. I'm not knocking EMS, I are one

At a minimum you guys should go online to Amazon.com and buy some Celox trauma gauze:

Amazon.com: CELOX Gauze Roll, 5-Foot by 3-Inch: Home Improvement $32.50 and it fits in your front pocket. Get this stuff and let it ride with you in your pocket every day, gets pretty flat and you’ll forget it’s there.

Celox V12090 - GR Gauze Roll, 10' L x 3" W: Amazon.com: Industrial & Scientific This is the .mil stuff same as the above just twice as long.

If you want one that’s already built checkout tacmedsolutions.com they offer an LE discount and have decent kits for great prices. I prefer different Celox Combat gauze to quickclot and Bolin chest seals to Halo seals but this is for the easybutton approach.

https://www.tacmedsolutions.com/store/Products_Detail.php?ProductID=48[/COLOR]

The breakdown of the equipment is as follows if you want to buy the best and build your own kit:

Naso/Oralpharangyl of most common size [IF TRAINED]
One each of most common size, while typically not to be done during an active shooter if there is a lull or the situation is under control it would allow any EMT to perform lifesaving airway management to ensure that the patient would survive long enough for ALS to arrive. It is highly unlikely that any medic should or would be able to carry their medical equipment with them, but highly likely that after the threat is secure to be a significant amount of time before EMS is allowed into the building due to the need to ensure that it is secure.

Bolin Chest seal x2 (one for entry and one for exit)
http://www.chinookmed.com/cgi-bin/it...--------------
This has a built in valve that allows for placement to be incredibly quick, it also seals much easier than the traditional occlusive dressing and tape solution.



Combat Application Tourniquet
http://www.combattourniquet.com/
This can be applied one handed by the victim to an extremity, death by fluid loss from an extremity is a serious issue that can be easily solved by the victim while the responding officers continue towards the threat. Simple and very fast.
http://www.narescue.com/C-A-T_-_Comb...7051138B3.html
DO NOT BUY THESE ON EBAY, FAKES ABOUND!

Israeli Combat Dressing 6” and 12” abdominal
[URL="http://www.chinookmed.com/cgi-bin/item/05131"]http://www.chinookmed.com/cgi-bin/item/05131
[URL="http://www.chinookmed.com/cgi-bin/item/05150"]http://www.chinookmed.com/cgi-bin/item/05150
With this device an officer can utilize one hand to apply either dressing, it provides both a gauze padding/absorbent layer as well as compression from what is basically an ace bandage. However this device is attached in such a way to allow tensioning with one hand and the tension bar also keeps it from becoming a tourniquet accidentally.


Another option here is the O.L.A.E.S Bandage:
http://www.chinookmed.com/cgi-bin/it...--------------
http://www.youtube.com/watch?v=YbKDNuLB54A


Celox Trauma Gauze
http://www.chinookmed.com/cgi-bin/it...--------------
http://www.youtube.com/watch?v=aJRs-ZNX6tA
This gauze is a hemostatic agent that is not caustic or thermally invasive in anyway. This is different than the ‘quick-clot’ branded gauze in that it is entirely inert having no active ingredients it will not burn the officer. It is also not a powdered formula that requires intensive debreeding treatments once at the ER. This non chemical formula can also be absorbed by the body, it is made of shell fish shells but is nontoxic and non-allergenic. In the included video you will see that you can stuff the gauze into a wound and then it can be removed at the ER simply by pulling out the gauze. It will clot off an arterial bleed that if not stopped will lead to officer death very quickly, within 30sec of applying the gauze and some pressure it will clot off even a femoral bleed.

4 pairs of gloves

Pocket CPR mask

2” Durapore Tape


This would all fit into something like this:
Amazon.com: EMT Fanny Pack Royal (case only) - Style 911-82612: Health & Personal Care
While it may not be the ‘coolest’ looking pouch it will allow the officer to secure it to the rear of his body like a fanny pack while not interfering with any of the duty gear. It will allow rapidly dropping the pack as needed. It is not tactically looking in nature and shouldn’t intimidate anyone.
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Old 02-02-2013, 06:40   #16
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I keep a kit in my motor's pannier. Been there for years, hope it has no occasion for an appearance.


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Old 02-02-2013, 08:06   #17
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Old 02-02-2013, 08:10   #18
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I used to keep Israeli bandages in my raid vest, my glove compartment, my desk, and everywhere else I could think of.
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Old 02-02-2013, 18:12   #19
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NewCop & Morris-

Thanks for the props, I'm glad you guys have been happy with us so far. And thanks for liberating that kit NewCop. You're right, they do no good in the bosses office.

Morris- your kit should be there by Tuesday. If you have any issues at all, let me know.

Let me know if anyone needs anything.

//Jake


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Old 02-03-2013, 12:07   #20
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I'd sure like every LEO to be issues kits like these. I've managed a few kits from Jake, for my carry, but I don't know of anyone else who carries one.

My agency did issue us a package of Quickclot Combat Gauze and some extra gauze, which each person is ordered to keep in their glove compartment. I would like to see us go a step further and put some on every officer; at least, give them to each officer (I know some guys won't carry them).
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