First Aid Kit

I have been involved with the preparedness movement for a long time. I grew up in the shadow of the Cold War during Reagan era. My dad was, and is, a big influence. He always had American Survivalist and Soldier of Fortune magazines around the house. He started getting big into the movement during the Carter administration, when many were convinced the nation would collapse under its own weight (similar to what we are seeing today). The Eighties were really the height of the Cold War tension. I know folks like to point to the Duck and Cover era of the 1960’s and the Cuban Missile Crisis; but by the Eighties, we had become inured to it. There was the US boycott of the 1980 Olympics in Moscow, the SDI Initiative, and Chernobyl. It was frightening to anyone paying attention. Somehow, we got through it.

Recognizing the warning signs, I chose to study nursing. Reading preparedness magazines, online articles, and books on the subject, I noticed that the two subjects most lacking from most preparedness individual’s and group knowledge pools are communications and medical knowledge and skills. I sought to rectify that by getting an amateur radio license and taking nursing school prerequisite courses. With that step completed, I applied for admission to a baccalaureate-level nursing program. My thought was that no matter what else happened, I would have the bachelor’s degree; and that I could apply for a clinical graduate program after.

The thing about nursing school is that it changes the way a person thinks, the same way that law school or engineering change the way one thinks. The process is slow; but when you’re done you look back and say, “Wow, that’s what I used to think?” It colors my preparedness and adds depth to my planning.

I also took private classes offered by local trainers outside of the college or university level. One local outfitter offered shooting classes taught by members of the 19th Special Forces Group. I came to know and befriend a few of them. Their influence in my preparations continues years later. One class offered by the now-closed FBMG outfitters was a weeklong class on emergency preparedness. It included rudiments of equipment, preparing for different types of disasters, convoy operations, selecting weapons, packing a three-day bag, and radio communications. I based the first aid kit in this article upon their recommendations and experience in Afghanistan, tempered by my own experience and education as a registered nurse. I recommend anyone carrying such a kit (as simple as it is) attend a quality first aid course; and I make no guarantees, expressly or implied, regarding the contents and present the information for educational experiences only.

First Aid Kit

Here are the contents of my patrol bag (“bug-out bag”, “get-out-of-Dodge bag”, etc.) first aid kit. I built this kit because many so-called “first aid kits” are little more than glorified boxes of Band-Aids, with little in the way of treating the kinds of injuries or ailments one might see seventy-two hours into an emergency situation. I did quite a bit of research, and put together what I consider the bare minimum for a patrol bag first aid kit. When you put together your own kit, consider the types of injuries you expect to treat. Are you preparing for evacuating from a hurricane? Are you hunkering down for a blizzard or ice storm? You have likely only built your kit to last about three days, the same as your bug-out bag. What happens on the seventy-third hour? You had better be where you were going and resupplied, or be limber enough to kiss your own ass goodbye. That’s the way it is in the survival game. The situation is unforgiving; and while willingness is a state of mind readiness is a matter of fact. There are no “do-overs” in a worst-case scenario. This is not a comic book or a video game. If you die you don’t “re-spawn” at the last checkpoint. There are the usual caveats: first, this is only my patrol bag kit. I have a much more extensive kit that at home, and in the car when I travel. Second, this kit is not to be confused with the blowout kit that I carry in a MOLLE pouch on my chest rig (Look for revisions to the blowout kit entry soon). That kit is for me if someone shoots me. It is not for anyone else.

The first aid kit, by contrast, is for treating me or other people. I do not mean it to be a catchall end of the world kit. It’s only to make life easier (or prolong it) until we can get a doc to take over. It’s still mostly a “boo boo kit” or “snivel kit” and not really appropriate for dealing with trauma or serious illness. It’s just to keep one comfortable when moving to a more suitable destination, whether rally point, bug-out location, or retreat. Finally, yes, all of these things do fit in the box, snugly, yes, but without bending or lifting the lid.

First is the box. I found it stuffed with mostly Band-Aids and other near-useless crap and sold as a first aid kit. It’s a sturdy box, with a gasket seal, and says it’s made in the States (always a plus, in my book). I don’t know how waterproof it really is, and I am not that anxious to find out. I’ve seen these advertised online, with the same contents that mine came with, for about twenty Federal Reserve Notes. I found mine for twelve at a gun show. I stripped out the contents, chucked most of it, and kept the box. I really like it. I have picked up a few more; and I will gladly take more if I can find them at that price to make duplicate kits. You don’t have to use a box like this, although I do recommend one with a gasket lid. Any appropriately sized pencil box will likely be sufficient. If the waterproof box seems like overkill it is because I think soggy, ruined first aid kits are no fun.

FAK open
Here are the kit’s contents:

1.) One pair of EMT shears.

2.) Twelve generic Benadryl (diphenhydramine) capsules

3.) Two 4 in. x 41/2 in. Tegaderm occlusive dressings

4.) One bottle Visine (Tetrahydrozoline Ophthalmic) with allergy relief

5.) Twelve Tylenol Cold tablets

6.) One bottle of ibuprofen

7.) Twelve generic bismuth subsalicylate (Pepto-Bismol) tablets

Small Items

8.) Twelve loperamide tablets (Diamode, Diar-Aid, Imodium, Imotil, K-Pek II, Kaopectate II, Imodium A-D, Maalox Anti-Diarrheal, etc.)

9.) Five packets (two tablets each) replacement tablets

10.) One pair stainless steel fine-tipped tweezers

11.) Two pair Nitrile gloves

12.) One tube Krazy Glue

13.) One tube Blistex

14.) One Mylar space blanket

15.) One roll athletic tape*

15.) One small bottle of hand sanitizer

16.) Five butterfly bandages

17.) Assorted adhesive bandages

18.) One 1 ounce tube Neosporin (get the smallest tube you can find- a little goes a long way)

19.) One 4.5 in. x 3 yard gauze roll

FAK Items 2

20.) Two eye pads

21.) Four 4 in. x 4 in. dressings

22.) Two hemostatic dressings

23.) One Swedish military surplus pressure dressing (these are the smallest I have found)

24.) One 8-inch piece of Moleskin

25.) One elastic bandage*

* Be aware of any latex allergies you or your party may have before using these. Latex-free options are an alternative.

FAK large items

There you have it, one seventy-two hour first-aid kit, for bug-out bag or patrol pack, and suitable for treating most minor injuries in the field. About the only thing I would change at this point, I think, would be if I could find a roll of duct tape the same size as the athletic tape. I would want a roll, though, and not tape rewrapped around a pencil, cardboard, etc. I think a roll of tape is easier to use with wet, dirty, or shaky hands.

I also have four medical-related preps to my BOB, but outside the already strained kit: a bar of Phisoderm soap, a four ounce bottle of Betadine, a SAM-type splint, and four more pairs of Nitrile gloves in a Ziploc freezer bag. I am much more concerned lately with taking care not only of myself, but others in a disaster situation.

Shakeout AAR

Well, as expected, the Utah Shakeout was a farce. The department with whom I was to drill, didn’t. They conducted a first aid in-service, not that the in-service was bad, but there was no drill. I checked in with the county’s EOC fifteen minutes after the “quake” (because it was during a break in the training). Dispatch wondered where we were, that is, why I didn’t check in immediately. I told her we were all dead. That concluded my involvement with the drill.

The real highlight of the day was meeting with the observer from the county. She had a long look at my 2-meter mobile rig, saying that she wanted something like that for all of the county campuses. I have no hope that it will ever happen, mostly because it should.

To summarize, after “drilling” with the county for a day, I reiterate: You’re on your own. No one is coming for you. The system can’t take care of itself. No way is it taking care of John Q. Public.

Utah shakeout

At least an honest attempt at maybe getting ready:

http://www.shakeout.org/utah/

This purported to be Utah’s largest earthquake drill EVAR. I will be involved in some small official capacity, and am anxious to see how it goes. I will definitely be monitoring Utah ARES 2-meter nets. I was on the phone this week with a representative of Utah ARES. I asked what freqs they’d be using. He told me he was unsure at this time (less than a week before).

Frankly, I’m so busy with finals that I am unsure why I try sometimes.

I will take good notes and post an AAR after.

 

Utah gov announces earthquake preparedness week

http://www.heraldextra.com/news/local/article_78ba3218-40bb-11df-865e-001cc4c03286.html?mode=comments

The Associated Press Daily Herald | Posted: Monday, April 5, 2010 7:58 am

SALT LAKE CITY — Utah Gov. Gary Herbert has designated April 4-10 as Earthquake Preparedness Week.

A Web site provides tips on what to do in preparation for an earthquake and its aftermath.

The Utah Seismic Safety Commission says about 700 earthquakes, including aftershocks, occur every year in Utah.

Roughly 80 percent of the state’s population would be affected by a magnitude 7.0 earthquake on the Salt Lake City segment of the Wasatch Fault.

___

On the Net:

http://bereadyutah.gov

Know that this is just another effort to assuage the masses’ fears from the .gov. At best it will wake some people up to preparedness. At worst, folks that make “72-hour kits” prolong their lives by three miserable days.

The website above, http://bereadyutah.gov, is mostly garbage. Still, it might have some useful ideas.

Get that “72-hour” crap right out of your head. You’ll need a lot more than three days’ worth of food, water, toiletries, medicine, cash, etc. How much is up to you; but it should be enough to land you on your feet, without winding up at the FEMA/Red Cross camp shelter.

More craptasticness from Yahoo

So, Yahoo is saying to get your “disaster kit” in order. More pablum for the masses: “Don’t worry. We’ll take care of you.”

It doesn’t work that way. What did we learn from Katrina? You take care of yourself or you get an invitation to the Murderdome.

Read their tripe here: http://shine.yahoo.com/channel/health/preparing-a-disaster-kit-2467090/

Preparing a Disaster Kit

The recent earthquake and tsunami, and the subsequent fears over nuclear radiation have prompted many to turn to the Web for advice on disaster preparedness. Online lookups for “disaster kits” and “how to make a disaster kit” have both more than tripled during the past week.

In short, folks are wondering, what they should have in their kit? Opinions vary depending on what sort of disaster you happen to be preparing for. However, most experts, like the Federal Emergency Management Agency (FEMA) and the Red Cross, agree that the following items are essential.

Water

This is the big one. You must have plenty of water. Just how much? FEMA, the disaster preparedness wing of the US Government, insists that you should have at least a three-day supply. A rule of thumb — have one gallon of water per person per day. If you happen to live in a hot climate, you’ll want to increase that amount. “Very hot temperatures can double the amount of water needed,” the site writes. Also, keep in mind that children, the elderly, nursing mothers, and people who are ill will need more water. Of course, you’ll want to store the water in non-breakable containers and keep an eye on the expiration date. Water doesn’t spoil in the traditional sense, but it can taste bad after a while.

First aid supplies

There’s no telling what you’ll be faced with in the wake of a disaster, but a few basic first aid supplies will certainly come in handy. Again, according to FEMA, you’ll want several bandages of various sizes, gauze pads, adhesive tape, scissors, tweezers, antiseptic, a thermometer, antiseptic, petroleum jelly, sunscreen, safety pins, and more. You’ll also want a good supply of non-prescription medication, including aspirin, anti-diarrhea medicine, antacid, laxative, and some poison control supplies. For a full list, check here.

Food

Like water, you’re going to want a healthy supply of non-perishable food should the unexpected happen. The American Red Cross writes that you should have a three-day supply ready in case you are forced to leave your home. And you should also have a two-week supply in the event that you stay in your home. Of course, the food should be easy to open and prepare.


Clothing and sanitation supplies

This mostly applies to people in cold-weather areas. Should disaster strike, have some warm clothes at the ready. You’ll want to have at least one complete change of clothes for each person. FEMA suggests a coat, sturdy shoes or boots, long pants, gloves, hat, scarf, thermal underwear, and rain gear. You’ll also want to have plenty of blankets, sunglasses, and various sanitation supplies like soap, toilet paper, detergent, and more.

Tools and special items

Just a few things you’ll want to have on you: battery operated radio and batteries, flashlight, cash, nonelectric can opener, pliers, compass, matches, signal flare, paper and pencil, wrench to shut off household gas and water, whistle, and map of the immediate area. Important documents like IDs, birth certificates, credit card information, prescription numbers, and extra eyeglasses are also good ideas. Again, this is just a partial list. For the full list, please visit FEMA.gov.

Learn it. Live it. Love it.

http://www.rural-revolution.com/2010/08/hoarding.html

All I can say is “Amen!” (unlike many blog entries, even the comments were golden). I’ve been thinking quite a bit about this lately. When folks call storing food “hoarding” it’s just so much sour grapes and shame. It’s simple, buy luxuries or lay up some extra needful things. Be prepared, or get caught flat-footed and hungry because you didn’t.

I read of folks in Houston in the hours before Rita’s landfall coming to a near riot because they couldn’t get plywood for their windows. Is it that hard to keep pre-cut pieces of plywood the garage, along with the bottled water and extra batteries? (ops, I guess it is).

My patience regarding the unprepared is wearing thin. Prepare for yourselves temporally and spiritually, or prepare yourself for a world of hurt at your local REMA or Red Cross shelter. One thing is certain: I won’t be there, and neither will my family.

Once more with feeling, “Carry your damned blowout kit!”

Lots of good stuff here. My advice is to not carry one blowout kit, but to carry two. Remember that your blowout kit is only for you. If you share it, what will someone use on you, when you get shot?

So yes, carry two blowout kits. One for you, and one to share. Its evidence is manifest once again. These things save lives. Yours doesn’t have to look exactly like mine; but at least read my rationales. Even if you don’t know how to use it, carry it anyway. Someone else there might just have the skills, but not the resources.

See my kit recommendations here: http://wp.me/prx0A-2i (contains both recommendations and peer-reviewed rationales)

Washington Post Staff Writers

Friday, January 21, 2011; 9:57 PM

TUCSON – Some of the first deputies to arrive at the scene of the Jan. 8 shooting rampage here described a scene of “silent chaos” on Friday, and they added that the carnage probably would have been much worse without the help of a $99 first-aid kit that recently became standard-issue.

Pima County Sheriff’s Department deputies said they were dispatched to what they believed was a routine shooting. But they arrived, they found a blood-drenched parking lot that looked more like the scene of a plane crash. Sgt. Gilberto Caudillo got on his radio and pleaded, “Send every ambulance you have out here.”

“Innocent people looked like they were just massacred,” Caudillo said Friday.

He was among about 10 sheriff’s deputies who found themselves doing the duties of paramedics rather than police. In the six minutes before paramedics flooded the site, they had to stanch chest wounds, open injured airways, apply tourniquets and try to calm down victims and the blood-covered bystanders who tried to help.

“We told them, ‘All the bad stuff is over, you’re safe. We’ll stay by your side,’ ” said Deputy Matthew Salmon.

In the end, 13 of those shot survived, while six did not. One of the injured, Rep. Gabrielle Giffords (D-Ariz.) was the last person still hospitalized until Friday morning, when she was discharged and transported to a rehabilitation facility in Texas.

Doctors and law enforcement officials told reporters here that the incident would have been much worse without a small brown kit devised by David Kleinman, a SWAT team medic who had become concerned about rising violence.

Kleinman cobbled together the Individual First Aid Kits out of simple items used by combat medics in Iraq and Afghanistan: an emergency bandage pioneered by the Israeli army; a strip of gauze that contains a substance which coagulates blood on contact; a tactical tourniquet; shears that are sturdy and sharp enough to slice off victims’ clothing; and sealing material that works especially well on chest wounds.

The items in the kit were each inexpensive; the Israeli bandage, for example, cost only $6, but deputies reached for one “over and over at the scene,” Kleinman said.

It is unusual for police officers to carry such medical equipment, but Capt. Byron Gwaltney, who coordinated the sheriff’s office’s response to the shooting, said it proved crucial in this case because the deputies were the first to arrive.

“It would have been a lot worse” without those tools, Gwaltney said. The deputies were trained to use the kit, in a program the Pima force called “First Five Minutes,” six months ago.

The deputies who initially responded said they were not the ones who arrested the suspect, Jared Lee Loughner. Instead, their focus was conducting triage through the parking lot: figuring out who was dead, who was injured and who was simply a helpful person who had jumped in to help.

They used the tourniquets and gauze to stop the bleeding. They used a chest seal, also in the kit, to close bullet wounds. They used the shears in the kit to cut off the victims’ clothes.

“When I look back, I don’t know if we drowned out the moans to focus or if it was quiet,” said Deputy Ryan Inglett, who treated several victims with combat gauze and assisted in CPR. “This is something I will never forget.”

sandhya@washpost.com horwitzs@washpost.com

Edit: Here is a picture of the kit that the PCSD is using:

It’s a simple kit. I like a little bit more; but it will work.

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