I'd add an NPA, decompression needle, and a few more pairs of gloves. As far as the chest seals, the four sided ones are no less effective than three sided or valved ones from what I was told (in the NAR course I mention below). The difference is basically negligible, as far as I understand.
Personally I keep two or three pairs in my trauma kit behind the seat in my truck, one pair in the little cubby in the dash, and usually I'll have another set in the left cargo pocket of my shorts.
You may not know how to use the decompression needle, but the person caring for you might have the skills and knowledge to use it safely. One thing to thing about though; if a guy is absolutely going to die unless you poke that hole in his chest cavity, how much bad are you really going to do if you don't put it in exactly the right spot? If you can't breathe, you can't live. The side of the chest wall is a mofo to try to put them in because of the length of the needle, but the normal way is fairly simple... or at least it seemed that way when I was shown how to do it.
The NPA; it's not hard. If you tilt the head back a little and pig nose the person, then put the beveled side in toward the septum it should go right in. Never done it on a real person, but it was easy enough on the practice dummies the few dozen times I did it. You can use blood to help insert it if yours didn't come with a little surgical lube packet.
I took North American Rescue's Operator/First Responder course in Carthage, NC, back in May and found it extremely beneficial. I highly recommend it.
Last edited by Six Feet Under; 07-26-12 at 13:12.
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