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Thread: Old Medic Pack

  1. #11
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    Quote Originally Posted by Krazykarl View Post
    Staying within your certification is essential. Don't carry stuff that you have no training on.
    This makes sense, but I am thinking abour carrying an ARS for needle decompression even though I do not currently have training in how to use one. I figure I may be the person with the kit but there may also be someone (a doc, a nurse, a cop, an EMT, etc) who does know how to use one but doesn't have a kit of their own.

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    Quote Originally Posted by chuckman View Post
    (snip)

    Second, regarding load-outs and organization, if you can find a copy of the Special Operations Medical Handbook, they have a section with some suggested load-outs. If I recall, they are ALICE-centric; at the time, Pararescue carried a full ALICE with a medical load. I have a handbook somewhere I was issued, I will see if I can find it and get the load-out contents and organization.

    (snip)
    Link for the "Special Operations Forces Medical Handbook", Second Edition 2008, from the US Government Publishing Office Bookstore:

    https://bookstore.gpo.gov/products/sku/008-070-00810-6

    Ebook version $9.99; Printed on tear-resistant, water-resistant, synthetic paper. A 5.25 inch by 8.5 inch quick-reference guide with a three hole punched ring binding, $59.00.

  3. #13
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    Carrying equipment that may be useful to an individual with a higher level of training is fine as long as it is not excessively cumbersome for you to carry. Some stuff can be utilized for various techniques. Needle decompression can be performed with a 14 ga catheter/Needle as long as the patient's chest is not too thick. That same type of needle can also be used for IV access to provide a fluid bolus.

  4. #14
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    Quote Originally Posted by chuckman View Post
    First, that's a great bag. It's the old M5, which was a classic. We used them, and you can still find them in the field here and there.

    Second, regarding load-outs and organization, if you can find a copy of the Special Operations Medical Handbook, they have a section with some suggested load-outs. If I recall, they are ALICE-centric; at the time, Pararescue carried a full ALICE with a medical load. I have a handbook somewhere I was issued, I will see if I can find it and get the load-out contents and organization.

    While the old mantra "two is one, one is none" rings true, there are areas of overkill. The caveat being if you plan on this being a mounted bag (i.e., you don't carry it but instead grab stuff out of it), then weight is not as important.

    You don't need BVMs, cervical collars, any of that stuff. A mouth-facemask, sure, a BVM, no. KISS reigns supreme. Remember, stuff has expiration dates and can be heat-sensitive, so rotate stock, ESPECIALLY meds.

    The old Army green plastic boxes are great for breakables, gallon-size zip-locks are great for other stuff.

    You have snivel gear in your list (cream for sore muscles, etc). Separate all the snivel gear into a totally different section.

    Remember, you are not gearing up to fix anything. You can't fix anything in the field, all you can do is mitigate and prolong a status quo until definitive treatment.

    Did I say what a great bag that is? I'd love to have another.
    Thanks Chuckman. I'll keep my eye out for one of those bags. I'm still close to Hood, so it's not usual to see older gear and kit. If I see one in good shape, I'll grab it for you.

    Thanks for the advice. This bag's main purpose is a) resupply the ifaks in my chest rigs. b) bulky items, and c) items I may need, but will not carry in my chest rig ifak. My ifak is pretty standard trauma stuff: moleskin, ace bandage, plastic tape, quikclot gauze, TQ, shears, roll of gauze, npa, gloves, acetaminophen, antibacterial cream. I keep stuff like imodium and spare wound seal in my GP pouch, and TQ's in various locations, on ammo pouches, X harness shoulder strap opposite comms, easy to grab. I'm working on a spreadsheet with meds and expiration dates that i printed out and use that for rotating stock, although I have read many times that meds generally last longer than the expiration dates although it can lose some potency. So like my antibiotics, I generally keep them after expiration, I just keep them dark and cool, fairly stable temp. environment.

    Right now the bag is in my shop, where it is climate controlled. Partly because I'm still working on it, but also because I keep a couple of ifak type kits in my truck, that can be used to treat, or resupply item I keep in my truck like mentioned earlier. Since I don't lug it around weight isn't an issue.


    I found this book on Amazon. It has the same title you mentioned and is 722 pages. Is this the one you are referring to? It doesn't look like an FM to me, but you may not be referencing a FM.

    Special Operations Forces Medical Handbook


    Then they have this one. Looks like a 2nd edition.

    Special Operations Forces Medical Handbook 2nd Edition

    Are either of these the right book?

    GTF suggested a couple of good books and I picked those up. This books looks pretty through in the situations it covers.

    Thanks again for the suggestions and advice.
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  5. #15
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    Quote Originally Posted by RobertTheTexan View Post
    Thanks Chuckman. I'll keep my eye out for one of those bags. I'm still close to Hood, so it's not usual to see older gear and kit. If I see one in good shape, I'll grab it for you.
    Yeah, thanks, that would be awesome.

    mike_f referenced the manual: https://bookstore.gpo.gov/products/sku/008-070-00810-6

    I don't know about the electronic book, but the looseleaf with binder is what I have floating around. Great reference, waterproof, lots of algorithms and neat stuff you will never need to know about (i.e., treating HACE with Diamox, etc).

    It's not a FM.

  6. #16
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    Quote Originally Posted by chuckman View Post
    First, that's a great bag. It's the old M5, which was a classic. We used them, and you can still find them in the field here and there.

    .......

    Did I say what a great bag that is? I'd love to have another.
    You want a green nylon one?

  7. #17
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    post in error
    Last edited by chuckman; 05-09-17 at 10:15.

  8. #18
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    @RobertTheTexan,

    I found a content list for the M5 from one of my med references. It is by-and-large the load-out I had, but in a different bag. Of course, a buttload of these things are beyond most scopes of practice for non-military, non-paramedic use, but you can certainly add/delete:

    Airway/Breathing Management
    1. Airway, oropharyngeal cuffed 2 ea
    2. Airway, nasopharyngeal 1 ea
    3. Airway, oropharyngeal, lg 1 ea
    4. Airway, oropharyngeal, med 1 ea
    5. Ambu-bag, adult 1 ea
    6. Asherman Device 2 ea
    7. CO2 Detector, colometric, inline 1 ea
    8. Endotracheal Tube, 7 Fr 1 ea
    9. Endotracheal Tube, 8 Fr 1 ea
    10. Bougie, intubation stylet 1 ea
    11. Gauze, Vaseline 4 ea
    12. Heimlich Valve 1 ea
    13. Laryngoscope blade, Macintosh, #4 1 ea
    14. Laryngoscope blade, Miller, #3 1 ea
    15. Laryngoscope Handle, pediatric 1 ea
    16. Pocket Mask 1 ea
    17. Stop Cock, 3 way 2 ea
    18. Syringe, 50-60cc (for suction) 1 ea
    19. Thoracotomy tube, 36 fr. 2 ea
    20. Tracheostomy Tube, Cuffless 1 ea
    21. Tracheostomy Tube, Cuffed 2 ea
    22. Tracheostomy Tube, Inducer 1 ea

    Rapid Sequence Intubation Drugs
    23. Atropine 1 vl
    24. Etomidate 1 vl
    25. Fentanyl, 0.05mg/ml 1 vl
    26. Lidocaine, 1% 1 vl
    27. Scopolamine 1 vl
    28. Succinylcholine 1 vl
    29. Valium 1 vl
    30. Vecuronium 1 vl
    31. Versed 1 vl

    Circulation Management
    32. Bandage, Dyna-Flex, Cohesive Compression 2" x 5 yd 1 ea
    33. Bandage, Muslin 8 ea
    34. Blade, surgical, #10 4 ea
    35. Blade, surgical, #11 2 ea
    36. Blade, surgical, #15 2ea
    37. Blade with handle, #10 4ea
    38. Bone Gun, 6515-01-457-1339 1 ea
    39. Cardiac Needle, 16ga, 6 in 1 ea
    40. Catheter, 14ga 2 ea
    41. Catheter, 16ga 4 ea
    42. Catheter, 18ga 6 ea
    43. Central Venous Cath Kit sgl lumen 2 ea
    44. Drain, Penrose, 1", sterile 3 ea
    45. Dressing, Burn 2 ea
    46. Dressing, Crinkle Fluff 6 ea
    47. Dressing, Field 11 3/4" x 11 3/4" 2 ea
    48. Dressing, Field 4" x 7" 8 ea
    49. Dressing, Field 7 1/2" x 8" 2 ea
    50. Hespan, 500cc 4 ea
    51. Infusion Set, IV 10gtts/ml 4 ea
    52. Pads, Nonadherent, 4" x 4" 5 ea
    53. Syringe disposable 10cc 4 ea
    54. Tape, adhesive 2” 2 ea
    55. Tape, microfoam, 3" 1 ea
    56. Tape, nylon 1" 2 ea
    57. Tegaderm 2-3/8in x 2-3/4in 4 ea
    58. Tourniquet, Kwik 1 ea
    59. Tourniquet, one-handed 4 ea
    60. Wrap, Ace 4” 2 ea

    Disability/Exposure/Vitals Asses/Mgt
    61. Oto/Ophthalmoscope set 1 ea
    62. Pulse Oximeter, finger 1 ea
    63. Scissors Bandage 1 pr
    64. Sphygmomanometer 1 ea
    65. Stethoscope 1 ea
    66. Thermometer, Oral 1 ea
    67. Thermometer, Rectal 1 ea

    Surgery
    68. Case Medical Inst & Supply Set, complete w/instruments 1 ea
    69. Gauze Sponge, 2" x 2" 10 ea
    70. Gauze Sponge, 4" x 4" 10 ea
    71. Gloves, sterile 2 pr
    72. Marcaine, 0.5%, 50ml 1 vl
    73. Pads, Alcohol 10 ea
    74. Provodone Iodine Swab, 3/pk 3 pk
    75. Sponge w/Brush, Surgical, Betadine 1 ea
    76. Steri-strips, 1/2" 2 pk
    77. Suture Prolene, 3-0 2 pk
    78. Suture Prolene, 4-0 2 pk
    79. Suture Silk, size 0 w/o needle 2 pk
    80. Suture, Silk-0 on Keith needle 2 pk
    81. Suture Vicryl, 3-0 2 pk
    82. Suture Vicryl, 4-0 2 pk

    Emergency Medications
    83. Albuterol Inhaler 1 ea
    84. Benadryl, 50mg/ml, 1ml vial 2 ea
    85. Diazepam, 5mg/5ml 2 vl
    86. Epinephrine, 1:1000, 10ml 1 vl
    87. Fentanyl lollypops, 800mcg 4 ea
    88. Fentanyl 250mcg/5ml 4 ea
    89. Morphine Sulfate, 15mg/ml, 30ml 1 bt
    90. Narcan, 0.4mg/ml, 1ml vial 4 ea
    91. Nitroglycerin tablets, 0.4mcg 1 bt
    92. Zofran, 4mg/5ml 6 vl

    Antibiotics/Antifungals
    93. Aspirin 81mg 10 ea
    94. Augmentin XR tab 20 ea
    95. Azithromycin 250mg tab 40 ea
    96. Doxycycline, 100mg capsules 40 ea
    97. Fluconazole, 150 mg tab 12 ea
    98. Metronidazole 500mg tab 40 ea
    99. Rocephin, 1gm Powder 1 ea
    100. Levaquin 750mg tablets 20 ea
    101. Zosyn, 3.375 gm, powder 1 vl
    102. Erythromycin Ophth Oint 0.5% 2 ea

    General Medications
    103. Afrin Nose Spray 1 ea
    104. Zyrtec, 10mg tab 100 ea
    105. Ambien 10mg 200 ea
    106. Bags, drug dispensing 12 ea
    107. Benadryl 25mg tab 25 ea
    108. Imodium, 2mg capsules 24 ea
    109. Celebrex, 200mg tab 100 ea
    110. Mupirocin ointment, 15gm 1 tube
    111. Nature’s Tears 4 ea
    112. Prednisone 50mg tab 40 ea
    113. Psuedoguest, 60mg tab 50 ea
    114. Tessalon Perles 30 ea
    115. Transderm Scop 1.5 mg patch 8 ea
    116. Triamcinalone cream, 15 gm 1 tb
    117. Tylox, 5/500mg tab 20 ea
    118. Tylenol, 500mg tab 50 ea
    119. Valium, 10mg tab 20 ea
    120. Zantac, 150mg tablets 50 ea
    121. Zofran, 8mg tab 24 ea
    122. Zyrtec, 10mg tablets 50 ea

    Miscellaneous Items
    123. Special Operations Forces Medical Handbook (Teton Publishing) 1 ea
    124. Bandage elastic, 4” x 4.5 yds 2 ea
    125. Band-Aids 3/4” x 3” 10 ea
    126. Batteries, as needed 6 ea
    127. Blade, tongue 5 ea
    128. Easy Suction 1 ea
    129. Eye patch kit 1 ea
    130. Field Medical Cards 1 book
    131. Gloves, exam 6 pr
    132. Kendrick Traction device 1 set
    133. Lip Light, for Kevlar chin strap 1 ea
    134. Moleskin, 20” square 1 ea
    135. Otter Box, medium, for med vials 2 ea
    136. Pen Light, White 1 ea
    137. Petzel Head Lamp 1 ea
    138. Phantom Warrior, Medic Flashlight 1 ea
    139. Safety Night Stick, various colors 2 ea
    140. Snake bite kit, Sawyer, “Extractor” 1 ea
    141. Splint, flexible, "Sam" 2 ea
    142. Surgi-lube, 5 gm packet 4 ea
    143. Swab, Benzoin Tincture 4 pk
    144. 18 ga 1-1/2in needle 4 ea
    145. 21 ga 1-1/4in needle 4 ea
    146. 22 ga 1 in needle 4 ea
    147. 27 ga 1-1/2in needle 4 ea

    **Note: This list is a general packing list for an M5 Medical Aid Bag. These suggestions should be adapted to the specific situation anticipated.
    Last edited by chuckman; 05-10-17 at 09:21.

  9. #19
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    Thanks for taking the time to post that, chuckman.

  10. #20
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    Surprised that there is no glucagon or d50. Other than that, nice list.

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