Critique my first aid kits

[Holger]

I am well aware of the studies.
Worked as paramedic for 13 years and 6 years air ambulances.
I am also aware that in Europe may ambulances do not have tq's and that in Austrailia they get get them back on board as last resort.
The reason they get restocked is the studies after the gulf war which proofed the feared nerve damage was less likely and less severe as previously thought.

I don't question their usefulness.

I just wonder because we speak about someone who is not trained, far away from help, and the likely scenario. Now maybe a car accident? I wonder how likely it is that someone can actually rescue and evacuate a unconscious trauma victim with a amputated limb?
I think even with a lot of training but without all the daily pro tools it will be very,very difficult.
Without airway management it is simply mot going to happen.
And that is my point I made earlier. Most seem to pack a super extensive trauma kit, but neglect airway management.

[SOFME]

I am well aware of the studies.
Worked as paramedic for 13 years and 6 years air ambulances.
I am also aware that in Europe may ambulances do not have tq's and that in Austrailia they get get them back on board as last resort.
The reason they get restocked is the studies after the gulf war which proofed the feared nerve damage was less likely and less severe as previously thought.

I don't question their usefulness.

I just wonder because we speak about someone who is not trained, far away from help, and the likely scenario. Now maybe a car accident? I wonder how likely it is that someone can actually rescue and evacuate a unconscious trauma victim with a amputated limb?
I think even with a lot of training but without all the daily pro tools it will be very,very difficult.
Without airway management it is simply mot going to happen.
And that is my point I made earlier. Most seem to pack a super extensive trauma kit, but neglect airway management.

/edit: I also meant to address the tactical reasons why civilians tend to not carry Tq's. usualy have 2 people at least, per rig, giving the ability to multi-task, one guy gets airway, other guy gets everything else. However when your alone and have 10 guys counting on you. You get what you carry in, and you better be able to manage all 10 guys by yourself while still putting preventative medicine down range.
I think the solo guy working in the middle of BFE with an aid bag in the back of his 80 series has more in common with a battlefield medic than a civilian paramedic.
edit\

you’re defiantly not going to be able to evac an unconscious patient with an amputated limb and patent airway if they bleed to death first. however i venture to say we are on the same track regarding patient care and we are what-if’ing in our heads to justify our thought process. I say that because I am a staunch believer in airway management, I just put it second after catastrophic hemorrhage. But a lot of that is based on experience/training.

Training is paramount no matter what interventions you’re performing. We are definitely on the same page in that regaurd... give a guy a nasal trumpet with a facial fracture and it very well could be game over. That being said a guy having Tq’s or ETT’s in their kit worries me less than the guy who has quik-clot, and there are several guys I’ve seem who claim they carry it here on this board.

I'm about to post up a few threads on patient care the dirt med way. I encourage you to review them; it seems we can maturely play devil’s advocate for each other to better the knowledge base here.

[Holger]

I actually do agree with you that catastrophic bleeding has to be treated immediately. No question.
I know I wrote 'no ifs and but', and you got me on the only exception to the rule.

Otherwise airway management is top priorety.

[SOFME]

Nail on the head