Trauma medical

1. By "real world scenarios" I'm going to take a wild guess and say that's your euphemism for training.
2. Elaborate on why you need a stack of Needle Ds

the needles block up over time so depending on how long you've got a guy sitting there you might need to jab him with more than one needle. I once saw a dude with 4 needles all poking out of his chest in a line with 2 more below the 7th rib under his arm

Old photo but some of us actually use this shit and dont larp.

Couple reasons, they are too short for the vast majority of civilians (we have a nutritionally enhanced population), they also get occluded with clots and are pretty flimsy. It's not uncommon to throw a few. I start at the 2nd intercostal and then move to the 5th (various texts will say 3 to 5) it's just a more time consuming site as you need to identify landmarks and be cautious not to hit the heart, liver, spleen.

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Whats a good bag/pouch to put all my medical shit in? I ended up with an amazon gift card and i never shop on their unless I get them. Not all my innawoods packs have MOLLE on them so something that I can strap to the bags or with a carabiner. But MOLLE is fine too. I think its time to get something a little bigger than what I have currently

Knowledge received. Thank you.

K thanks

what is a good resource for learning trauma medicine?

>Perfect size from training exercises I've done,

How much do you weight?

160lbs. Gotta stay under 200lbs fully kitted with helmet to keep my day job on the rotor. Tactical training is for my side gig with . Local Gov agencies/task forces.

There are a shit ton of courses in California as well and the south west. It's a small community and I train with a program in that region. I dont want to give up too much info, but if you look hard enough you'll find it.

Just be careful, as there are a shit ton of these programs that have popped up. Some are good, some are bad, some look like shit from the outside but you get there and realize the drunk retired tier 1 operator who cant form full sentences is a fucking master instructor while the polished looking product is larp central with some 25 year old instructor who has more experience put into his haircut than his actual medicine.

I was fortunate enough to be given free reign to travel the country for a few years trying out programs and courses as it was/is my job to set up training both me as the instructor and to recommend external programs for my guys at the regional level.

There are classes fucking everywhere. Somewhat in order.

>go to your community college or local fire department and take a first aid course.
>If you so feel Inclined to put the work into it, get your EMT basic. Its 3 months and to maintain it at the national registry level it is fairly easy. If I recall 24 or 48 hours ongoing training every 2 years, I dont know if it requires employment or use of skills currently.
>There are programs that also tag on a wilderness EMT, although that is more custom to the course and buyer beware, there is no real national standard or industry standard.
Having your basic opens a few more doors, somewhat. The cool shit comes as a working Paramedic at a minimum. I cannot say these organizations allow or offer courses for EMT or below, but you can do your own research.

>Remote Medicine is well known for their wilderness courses at the basic level. They have an advanced provider (paramedic to physician) level austere that is taught outside seattle. It's on my list of courses to attend.
>SOAR-rescue has a variety of courses that are academy style and a week + long.
>Academi is wham bam thank you mam certification collection these days and more for the guys doing the job who need the paper credentials. When I need my TCCC refreshed I'll probably use them.
>Valkyrie Austere Medicine is mom and pop but they are a wealth of knowledge. Nothing states a civilian or non professional cant attend the upper end classes.
>International School of Tac Med is good, I am just waiting for the task force I work with to approve a request for me to go there, that requires law enforcement credentials and or military and is time intensive 3+ weeks.
>national parks runs a course, requires .gov, I cant remember details but it's been pushed my way as it's free to attend if you qualify. Still need to look into it.
>there is shit out of Minnesota as well but I have not attended nor can I remember that program. It should be easy to find.

I send my thoughts and prayers telepathically into their body and mind, rejuvenating them.

Here are some links.

remotemedicaltraining.com/

soarescue.com/

tacticalmedicine.com/

valkyriesaustere.com/

academi.com/

not mentioned are the DHS programs or DOD programs which would require you be working for an agency to gain access to.

Then there are thousands of emergency preparedness based programs with first aid, tons of individual TCCC/TECC instructors who offer courses for various levels.

NAEMT.org has a list

The biggest thing is without any medical credentials you are not going to be able to attend the more interesting and fun classes, nor is it going to be applicable to you or worth the time. This stuff is a use it or lose it skill set. Its why I take as many classes as I can, as my career being critical care based right now is less blood and guts basics and more packaged, advanced patient management and my basic skill sets are suffering as a result.

If you're not a paramedic or higher, you have absolutely no business doing a needle decompression in a civilian setting. I'm not even convinced paramedics should be allowed to do them because you get dipshits like in sticking needles under the 7th rib.

I don't think that poster stated he was doing them. I think he was making an observation. I was not here, nor were you.

Hahaha oh boy, do I have news for you. Wait until we finally get to the point where our nutritionally enhanced population makes needle decompression a legacy skillset and we are forced to go to finger thoracostomy and or pigtails.

It can be done by Paramedics and has been done by Paramedics. The term "paramedics" as profession globally and nationally makes for a huge wide range of skill sets based on a primary rather low base competency level.

I have worked for flight services where chest tubes were done by Paramedics with great success. With the right training and medical oversight there is no reason a life saving skill cannot be performed. The issue is that it requires a high level of dedicated training.

The other thing is, while I don't believe nor do I take serious 99.9% of the things you read online, to include Jow Forums, reddit, various medical and EMS forums, Law Enforcement forums, etc.

The best you can do is provide real world information and promote training and education. In the end, with all larping aside, I am a firm believer in that once the dust settles and these folks are off the internet they will know what is right and wrong and no one is attempting open heart surgery on the side of the road because they are probably shiting bricks. If they can apply pressure to a wound and make a 911 call and help an injured motorist because of their interest in these topics its a win.

Also I forgot because I went into the big gun folder, make sure to check your local fire department, hospital, public health department, school for a stop the bleed class. They are literally everywhere right now and aimed at the general public with knowledge and information gained from the military world.

>The issue is that it requires a high level of dedicated training.
I don't see finger thoracostomy becoming a part of the average paramedic's scope. Flight medics and advanced practice medics perhaps, but not your average street medic.

But paramedics aren't the issue here. The problem is encouraging civilians with little to no training to attempt a genuinely dangerous procedure. There was a paper recently that found civilians can't even reliably apply tourniquets after taking a stop the bleed course. If they can't figure out how to use a tourniquet right after being trained to use a tourniquet, they sure as hell can't be trusted to properly identify a tension pneumothorax, adequately weigh the need for immediate intervention against the benefits of waiting for someone with higher training, understand the anatomy, correctly identify landmarks, and then get the needle in the right place without making the situation worse. Remember, this is the same general public that got pulses removed from the basic CPR algorithm because they couldn't reliably check them. And, as you've already noted, needle decompressions aren't very effective even when done correctly. So you'll have a bunch of people doing a minimally effective high-risk procedure maximally ineffectively on patients who may not even need it, in a setting where EMS is usually not more than a few minutes away. It's idiocy.

I'm all for providing information and training, but part of that is making sure they understand the limitations of their training. We shouldn't be telling people to carry equipment they shouldn't be using because some of them will use it. Just because the military carries needles in their IFAKs doesn't mean every jackass with a CWP needs to be carrying them on their trip to the mall.

Are the packs of hemostatic powder any good in conjunction with normal gauze or does it all just wash out if not combined with the gauze?

There is a reason ordering an IFAK with those components from most companies that will sell them require you state you have approval and the credentials to use them. While it makes the process easier for me to purchase that stuff without getting a formal letter presented (some vendors require I do so) people are taking liability by purchasing that equipment.

I take this approach to it, because at the end of the day I don't want a stress ulcer as a result of something I won't be able to change. When I instruct law enforcement the need decompression has often come up. My approach is a show them very very very vaguely how it is done just as I run them through intubation, chest tubes, clamping, pressure points, certain medications as a matter of familiarization so they know what it is I am doing and what it is I may ask for out of the kit if they should be my helper. I do not instruct them on advanced procedures and I explain the ramifications, risks, and also benefits as to why I am doing it. I advise everyone not to perform outside of their skill level and training/education.

The question is always asked, "well we have Joe who is an EMT on the team and he cannot do this, but if its life or death and I am a cop, I am going to do it." I notify them of the risks, and the low reward of an unskilled provider (they are first aid) attempting it and leave it at that.

In the end I cannot tell people what to do and I don't lose sleep over it at night. Should I come across someone with botched neuro surgery I will have to do what I can at my level, report what I've seen and move on, it isn't my fight.

I agree 100% with you, but I have found the guys that talk tough are always the ones running around with their heads up their ass when you get called out for a splinter.

Knowledge is power and I am very against hiding this knowledge from someone that may be witness to something like this, or may be tasked with helping.

I have a vet medic as a partner and a blowout bag. I have no worries

A prime example is another system I worked in. Where prior to explaining ALS level care, cops would often just throw people in their car who were shot and drive the 20 minutes to a level 5 hospital, when we were 5 minutes away, had a helicopter on standby with a 15 minute ETA (helo also had TXA and blood product) and a level 2, 20 minutes via air.

I ran them through some make shift classes showing them, letting them try the skills, explaining the skills and their use. I ran them through a circulation exercise, an airway exercise, a breathing exercise. We went over MARCHE and using a sim man ran a GSW to the head which included placing the patient on a vent.

Guess what? None of them went out and bought Kings or LMAs (we didn't have I-gels or even LMAs back then), no one performed needle decompression, or even purchased hemostatic agent (it was harder to get back then and it was the nasty hypothermic gen 1 shit).

They did wait for us and allowed us to utilize the helicopter instead of high tailing to a poorly equipped facility.

Now before you question my story, I know it was fucking weird. I have never worked anywhere else nor do I ever expect PD to throw bloody people in their cars, but it happened with this agency. It was weird.

why do you work with drunks and homeless people who shit themselves for 15 bucks an hour

Also, now that I recall I think we used something other than MARCHE. I don't know when that came out for TCCC, but it was delayed in the civilian world. It may have been the CAB when that got popular at PHTLS instruction a few editions back.

Nit picking, but I want to make sure I use accurate info.

Well I work for a tiered system where I only go on high acuity for my ground job and a fly critical care. I still see people of all types, but climbing the ladder I have drastically reduced the so called "shit calls".

Both jobs are salaried, but breaking it down to hours, the ground service pays $40 an hour, the Air service $29.

You can make not wealthy, but comfortable money in EMS.

no I've heard it before. I recognize your posts. 15 bucks an hour, but you get to take naps behind walmart in your AMR amberlamps

I will refrain from telling you my true feelings about AMR. I did my time over a decade ago. Never again.

I did almost apply with them again, I think rural metro is owned by them now, considered an ARFF contract at an airport that rural metro cover. Would have been a fucking snooze job to do on the side.

I'd never let a private company "amnerlamps" driver touch me. I'll wait for the FD

Probably not a bad idea. Having worked private, hospital based, third service and fire service I can tell you I'd agree.

I've done it. got smacked by a jeep on my motorcycle. 2 amberlamps show up, I told AMR to fuck off
the Fd guy was funny, he starts with the IV so I asked why. he says" you're losing blood". I'd been strapped on the board the second FD showed up so I have no idea.
I said "will it nee stiches?" he laughed and said "it's pretty gnarly dude" and starts with the saline push

>using a CAT when a SOFT-T is so much better

Fucking plebs

Add to the Need:
2x TQ
Gauze w/ Hemo (Large and Small)
ACE Wrap (Large and Small)
1 x Israeli Bandage
2x Chest Seal (Vented isn't a must; theory continues to change on what is better year to year) *** LEARN HOW TO FUCKING BURP THEM***

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Because as things progress you will have clots/and a need to reapply or apply a new needle D if you're traveling the casualty to an aid station/hospital

if I get hit in a limb TQ it. if holed, stuff a tampon in it

>stuff a tampon in it

please don't. tampons aren't sterile.

Do those things work if you are 200lb overweight like most Amerimutts that post here?

I've been to all 3 ACE hardware locations near my those, and can't find any small ACE wraps. The big ones are fuckhueg, and designed for protecting houses during construction. Don't be an ass.

>Horrible dad joke
Pls no

>what is immune system
>what is antibiotics
I'm not worried
routinely carried tampons. losing blood is the bigger concern

T R A U M A

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keep a bandaid in your pocket

All those closed packages. No tape tabs.

You've never had to use that.

Advanced odg belt mount out of stock. Rip me.

Have fun with that pneumothorax

>Packing a first aid kit
All a real man needs is one of these, filled with Whiskey.

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