Vehicle Based Trauma Kit: What a Trauma Surgeon Carries
What you should carry in your first aid trauma kit. Join trauma surgeon Chris, as he explains what he carries in his personal first aid trauma kit for his overland rig. Watch this! Your kit may not be ready for what you face on the trail or off the grid. Be prepared.
Join Chris at overlandbound.com He goes by "El_Solis" in our forums, and is available to answer your questions.
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Thank you all for the comments and questions, and thank you so much for watching! A few have asked specific questions, and I am going to let Chris answer them when he gets the chance. He is a very active and on-call surgeon, and will answer when he has the chance. Thanks again!
@Overland Bound - Great Training!!! I always have relied on Scout training from years ago, these are life skills. Michael it would awesome to have this posted as a list of supplies in the forums or somewhere... thanks!!
Hey guys, #14324 here. Great video! I immediately revamped my trauma/first aid bag that I keep in the 4Runner. Made separate First Aid kit and Trauma bag. I actually had most of the stuff, it was just all over the place lol. Thank you so much for the info and advice! 🙂👍
Since we are on the topic, could you help spread the word about StopTheBleed, a new nationwide effort to educate more people about bleeding control. www.bleedingcontrol.org/
Wow just amazing. So much useful information
Here's a list for everything he goes over in his Trauma Bag (MPAC Springtail - LARGE 1ST AID POUCH): *Airway:* CPR Pocket Resuscitator CPR Mask Oral Airways Nasopharyngeal Airway *Bleeding:* Tourniquet x 2 Israeli Bandage x 4 Combat Gauze from QuikClot x 4 QuikClot Trauma Pads x 2 Rolled Gauze Xeroform gauze *Other:* Gloves - 6 pairs Trauma Shears w/ Window-breaker and Seatbelt cutter Headlamp Light Protective Eyewear Towel Ace Wrap Tape Coban Dressing Space Blanket
Should also mention the cervical collar
@@horatiumoisa5254 I missed that. Timestamp?
@@SoloHiker1 2:33 on the hood of the car
It seems they don't sell the MPAC Springtail - LARGE 1ST AID POUCH anymore?
he forgot any form of splint for broken bones, very important for outdoor adventures.
Take an Advanced Wilderness First Aid course. I did some years ago, and as a result when I ran across a back country motorcyclist with a broken leg on the wrong side of Hurrah Pass, I was able to check him for hidden spinal and other injuries, splint his leg with jeep floor mats and cam straps, and do a multi-person lift into a jeep and pack him off to the hospital. There's no substitute for hands-on learning, and this vid is a great start. So far, I've patched up a glissaders broken leg with an ice axe and rope, helped the guy above, helped extricate an ATVer who drove off a big cliff (bad one, flight for life) and been able to control the scene at a rollover. (People do wild things without training in misguided frantic efforts to help.) The AWFA course started with, "What are your priorities?" And we all got it wrong. it was, "Me first. me second, me third, my partner fourth, the victim fifth." In other words, control yourself, control the scene, don't become a victim and add to the carnage. I hope you ALL get to take a course like that. Nice job - keep those videos coming!
As a former EMT/ski patroller (both Nordic and Alpine) I see that car trauma kit as very complete for my level of training. -> I'd add a SAM SPLINT that can be used as not only a long bone splint but as a decent cervical collar. Also this kit should be in a fanny pack so it can be easily carried on your waist and frees up both hands for accessing the patient before rendering aid. In my glove box I might add a flask of single malt Scotch for ME for AFTER attending a vehicular trauma situation.
As an Airborne platoon medic, I approve of this video. Your trauma kit is nearly identical to the one I carry every day in my truck. I still carry diagnostic equipment though, stethoscope/BP cuff/otoscope kit. I also have a traction splint but I find the space consideration not worth packing it. Also I'd like to say that although the Israeli bandage is great, I've always preferred just a plain 4" ACE wrap for pressure dressings because the ACE can be dual purpose that way. Also, it's much cheaper for the average Joe.
Thank You for "Incredible & Priceless Video"! The "BEST" part of this is having a real Surgeon showing us how to carry things that really matter! We've learned a very "Priceless" lesson today!
Life saver. Thank you. From another account I’ve followed OB for a while. I saw this video as part of my research quite a while ago. I’ve done a few first aid courses and mountain leader training but was not familiar with Israeli bandages before I moved to the US and saw this video and added them to my kit. Expanded the first aid kit to more trauma with hemostat clotting and the Israeli etc. never needed in my off-road adventures until last weekend. I was first on the scene to a horrific accident, 1 adult and 2 kids in a side by side in a roll over. Young kid had major injury with severe trauma; exposed bone and hand hanging off from mid forearm. After confirmation from 911, got the bleeding suppressed and tied it off as high as possible and he made it until services arrived and finally airlifted. I thought back to this video and searched for it. Thanks. Good tips. All the best from Vegas.
Nailed it!! I’m a medic. I teach EMTs, public, law enforcement, fire. Pressure, pressure, pressure!!!! If you don’t know how to use DO NOT put it in your kit. KISS, Keep It Simple Stupid. 4x4s, 5x9s, kurlex, CoBan, triangular bandages, and duct tape. Right there....$20 bucks (with a ziplock) and you’re good to go. Thank you for the video, excellent presentation, I love to see what others, especially professionals, carry and compare.
As a former paramedic in a major metropolitan area, I've even found that I can eventually get distracted by all the "fluff" on the market. Thanks for this excellent video and helping us all to keep our eye on the ball!
I would recommend getting a EMR certification you can do basic airway and even medical emergencies plus things like child delivery and you learn proper spine immobilization. Not as in dept as an emt. Can be completed in about 40 hours or 2 weekends.
Great video. Army CLS, AND AGREE 100%. Only thing I’d add is a Sam splint. Stabilizing a compound fracture is important as well. Stabilizing a major bone break limits pain and helps reduce shock. Also immobilizing a fracture prevent further damage, especially in a compound fracture.
This is awesome. Every overlander should have this kit in thier rig. Even if they aren't able to use it, the person that can might need the extra stock. Even if youre not overland and just running pavement, you never know, you might roll onto a scene of an accident. Thank you very much for this!
This is golden info, especially to those of us building our own trauma kits. It may even be worth re-posting so newer subs and more you tubies will see it. Thank you very much for this one!
thank you for your video. I'm a medical doctor, doing my residency in anesthesia and resuscitation and I think it's one of the most sincere and competent videos out here. Only one question: wouldn't you add a pair of forceps? they could really help save a life in airway management. and a couple of syringes? Side matter, which medications do you carry?
You should post a link to a PDF doc of a list for everything in that bag
Agree 100%
As do I - going to check the forums and see if it's already there :)
Here's a link. Membership required tho www.overlandbound.com/forums/attachments/ob-recommended-first-aid-equipment-pdf.51342/
Out of this I got: Tourniquets 4, isrieli bandages 4, Quickclot Gauzes 4, rolled Gauze can never have too much, space blanket, shears, chest seal.
Yes please!
As an ALS Paramedic with wilderness certification I have the same conversation about the “First Response” kit with many people! This is a great resource and I’ll be referring people back to this often I imagine, thanks.
Great Video! One comment, I wanted to put together a similar trauma kit and I bought what I thought was the same bag from Springtail but they have changed the bag. The new version doesn't open all the way, doesn't have the separate pouch attached with Velcro and doesn't have any internal organization loops and only comes in black. On their web site you can't tell they have changed the bag so just a heads up to anyone thinking of building a kit.
Excellent idea for a new series Micheal. Thanks for putting it together.
Great info! Also, always great to see docs that take time out for their own hobbies and interests.
Great video! Simple and to the point. Chris is an awsome instructor.
Much needed Series! Thanks for putting this together! Great idea!!! Cuts through all the hype with practical usable advice!
Great video! Redemption for your past few. All the info shared today was very useful and can be a great help to everybody. Well done.
What a great vid . Simplicity is the key . The guys got a great taste in vehicles as well thumbs up to this one
Fantastic advice. I never would have thought of having gloves on the OUTSIDE of the bag. Thank you.
One of the most beneficial videos on KZhead to date, especially for this community!
I like how your just simple to the point . Finally someone who isn’t filled with BS. Great video ! 👏
Excellent information! Will definitely be adding a trauma kit at home and in both vehicles to supplement the more “comfort” type fak
Definately the most practical first aid training videos I've seen. I'm looking forward to viewing the rest of the videos. Now, I need to reevaluate my kits. Thanks to Chris and OB for making this available.
Solid video - sound strategies and legit practical application. Great job!
Great video on what’s required. As a FF with EMA I couldn’t agree more with everything. This simple setup has come in handy on many occasions while out on the road.
A great topic there mate, one that often has the potential to be over looked or not given too much thought. A mate of mine found out the hard way not to rely on other people to have a med kit; he was the first on scene to a motorcycle fatality (there was no first aid that would have helped the rider, however. . .) and the first police officer on scene arrived and didn't have any form of first aid kit. I always thought that someone in a line of work that could see them potentially being the first responder to an accident that they'd be carrying a basic first aid kit at least. Now I know to carry your own and know how to use it. . .
Very good video Dr. thank for sharing!
Nice job Chris!
Excellent Video! Pragmatic and straight forward. As you noted, I've found most prepared kits are focused on the "Wow" factor and gadgets instead of the basics. As someone who deals with massive hemorrhage professionally, like you said, it's all about pressure. People often seem to misunderstand the point of gauze and bandages, mistakenly thinking they are for absorption and not pressure. Really nice video, my FAK is due for a tweak and I intend to follow your advice. I also really like your idea of compartmentalizing it into Boo Boo Pack, Trauma Bag & BaseCamp First Aid Kit. Great Work!
Great subject. I was a combat medic in the military. I need to set my kit more like this guys. Keep first aid separate from trama. Good content. Every one can learn from this. Look forward to more. Thanks!
Great video! I’d love to see this exact bag/contents available in the Overland Bound Store 😉
Seriously great advice.. thanks.
Looking forward to the video on the base camp kit, as this one was really good right from the start; first guy I’ve seen to mention glasses.
Wow, top quality video. I very much appreciate the hard work.
Thanks for sharing! This is a topic we were wondering about.
Awesome Video. My trauma kit is very similar the only additional items I carry are 2 36" SAM splints, 200 pack of 3x3's and a roll of duct tape. Looking forward to additional videos. Thank You for putting this out there.
Great point. There is a difference between a first aid kit, and a trauma kit.
Yes!
Great stuff! More people should be interested in the basics of first aid.
Thanks Doc!
Nice kit. I have 6 celox rapid and 6 quickclot. Celox makes an injector for narrow penetrating wounds also
Well done!! Thank you!
I do like a kit with just a touch more airway supplies. I like to have OPAs and NPAs as well as a couple of LMAs and ambu bags. I also like a decompression needle or two as well. Since most of what I use a IFAK for involves firearms, I do keep chest seals on hand. I did enjoy this video a lot though! Even as a RN first assist, general and robotic surgery coordinator, and trauma/emergency surgery team member, I am always learning from people like you. Thanks!
Thank you for sharing
Thanks for this video!
Outstanding points, thank you.
outstanding info, thank you!
Great Video! Thanks!
Very well done, I use the KISS principle (keep it simple stupid) , 30yrs of EMS. Get the pt. stabilized the best you can and get them to the best care . Take a first aid-cpr course.
Amazing!!! please keep these coming!! :)
thanks for this video. it has given me some great idea's. thanks
Thanks for this excellent info!
Great video! that was very informative
Thank you !
Good and rich information thank you
Some good thoughts on having a easy way to get to airway and bleeding supplies fast. Off the shelf kits tend to be too big and have to much stuff to rummage around in. You definately need a seat belt cutter, glass breaker. Not sure about those shears they look expensive . I like to carry a seatbelt cutter, glassbreaker built into an everyday carry knife with 3 1/2 inch blade. I keep EMT sheers with my vehicle kits and carried a pair while in the Army and Fire Department
Well done dude.
Excellent!
Can't wait for this series
Having a kit (trauma or first aid) that is in a waterproof container is important too. My first aid kit has been soaked and really screwed it up. Sure this particular trauma kit may have been stored primarily in the vehicle but you never know. Any kit still has to be somewhat portable right to get to the scene? I also don't spend the entirety of my trips just sitting in a vehicle and if I do some exploring or hiking my day bag goes with me with my first aid kit in it and therefore needs to be rugged enough for the elements. I plan on doing a kit specific for the vehicle that I can put in a more rugged container. Right now my hiking kit goes inside a waterproof bag. I need to label it though!
Great Video, thanks! Just a heads up to anyone building a kit, Springtail has changed the bag and you can't really tell from their web site. The bag no longer opens all the way, only comes in black, has no Velcro attached pouch and no internal organization loops.
Thanks Doc!😎
Great video
Excellent episode, very helpful and informative. Would love a detailed pack list and source for items, including the bag. Affiliated links also welcomed so we can benefit OB as we put our trauma kits together.
Awesome video. You should get these kits together and sell them
Excellent Episode. I save lives everyday, and this could help you save someones life.
A printed list of products in the trama kit? I need to rebuild my kit
thanks!
I look forward to the knock off tourniquet comparison. Im not sure thats an item id try to save a few bucks on though, after all, it may be used on me!
Yeah, an authentic CAT tourniquet is a lot cheaper than life insurance
@@sandercohen3309 also, many EMS units will give a replacement of gear, if you use yours then bill the patient. remember to ask, most carry CATs. many rural ems is non-billing, so we get replacement gear from the treating/transportation ambulance.
In his case as a trauma surgeon he has a ton of knowledge of pressure points and other ways to get bleeding under control. But for the average person I’d say yeah get an authentic cat
i find it a bit strange that a millionaire surgeon went with knock-off TQ's.
great video, love it
Hey it would be a cool idea for OB to carry these kits in the store!
Good info.
Great video with a lot of good info. One thing I wish the doc had mentioned is how important it is to access 911 early in order to get the patient transported to higher levels of care. If someone is truly a trauma patient, they need to get to a trauma center ASAP (the golden hour). This may require an air ambulance and a lot of coordinating with LE, first responders, USAR, etc. It's great to be prepared, but it's essential to get the professionals on the way. We have to consider ourselves as a link in the chain of survival. Looking forward to more from Overland doc.
Excellent point! The video was really about the kit I carry to help when help is not readily available. In the urban setting help is close but for us in the backcountry minutes matter. You need to be able to assess and treat the immediate threats to life. If there are other people around they can start to get help or plan for an evacuation. Someone asked about the SPOT/InReach systems and we will talk about those in a different video, I carry the InReach and feel that it is invaluable.
Actual “what’s in the kit” starts around 8:15. Total respect I’m just impatient.
Best video yet!
Thank you !!!!!
Nice video.. I dont know about MCI preparation though.. Once someone is injured severely enough, there is no other day after that. Trip is over.. ! I do think it should be well emphasized how important it is for Training before the kit.. When you're on the road, Cell phone, Satellite phone, know the area and the emergency response numbers for the area you are in.. I could see all the overlanding doc-in-the-boxes running out to get their Trauma kit already..lol
Very nice kit, if I may be so bold to say I would recommend you put a few chest deconpression needles for tension nemophorax and a pulse oximider. But all in all great kit better than most on the market.
I carry decompression needles on the helicopter in my FAK but in the field I would just "vent the chest" with incisions on both sides. The problem with the needles is that recent studies show that most decompression needles placed in the field in the standard 2nd intercostal space mid-clavicular line do not actually penetrate into the chest cavity. New protocols show that 5th intercostal space, mid-axillary line are better and can be placed with a high rate of success in all body types. For me, this is where a full size chest tube will go and the needles are really hard to manage and ensure they are still working in the field. I carry a pulse ox but as I don't have anything to affect change (I don't carry oxygen and can't adjust the heart rate and would be doing everything possible already, I don't think they have a lot of use for a traumatic injury. Now a basecamp medical issue yes, a lot more utility.
It may have helped to mention trauma kit vs first aid kit at the beginning. You sort of mention it about 13 min or so in and the base camp kit later.
Tazzspaz the title really misled you?
8/27/2020 New Subscriber. Best biggest trauma bag. I will watch many other videos. Don
This is great! Can you link to where you can buy these items?
When is the video of the base medical kit coming out?
Thank you for sharing this video. Where can I find that exact trauma bag?
Thank You for the info , Where can we get a bag like that .
At like 04:18 the doctor says: "Equipment you can legally use if you have training". Isn't that anything you have available if you are somewhere remote and are trying to save a life? Isn't there some kind of "good samaritan" protection for someone who is trying to save a person from succumbing to their injury? How would the average guy know if he has something he bought in his kit that he is not legal to use on someone else? I understand prescribed drugs, but if someone is having an anaphylaxis type response to a bee sting I would think my epi pen may save them even though it was prescribed to me.
Thanks for the video! I am70 and don't expect to encounter many trauma issues as an active boater, pilot and outbacker but feel I am ready if needed. Your trauma kit seems very well set up. I noticed you do not mention neck/spin stabilizing issues. What would you recommend for those instances?
Nice video. So you don't recommend IV saline?
Nice shears. A happy trauma patient is a naked trauma patient.
Excellent video. Can you please tell me the brand name of the bag you use-perfect size-where to buy? Thanks
You have very impressive credentials Chris! I have a pretty good kit I carry in my POV but need to put together a trauma bag like yours for when I go hiking. I keep gloves everywhere (a box by my front door, pockets of jackets, truck center console, etc) but not safety glasses. I like the idea of keeping the gloves and glasses outside the pack so you can gear up while approaching the patient. As a volunteer firefighter/EMT we have a whole ambulance on scene but wilderness care is a very different scenario. If you ever travel to north west NV (near Tahoe) area we'd love to have you stop by our department to give some us some tips (we'll feed you too! And we have some great off roading areas to explore). Do you carry a red bag or at least extra zip lock bags for contaminated waste? Will you be doing any CPR or BLS training videos? I think every one that is into "overlanding" should have those two cards. Also, what do you think of the IT Clamp? (www.innovativetraumacare.com/itclamp) I think a couple of them would be a good addition to a trauma bag. Thank you for doing this video.
Thanks for watching! I don't carry biohazard (red) bags in this smaller kit. In the larger kit I do. My thoughts are that after the emergency is done and it's clean up time I will just put the biohazard stuff into a baggie. I'm not planning on doing a video on CPR as there are lots of good videos on that subject already but I will be putting out the shorter "On Call With Chris" videos in which I'll be addressing BLS and other topics. I've never used the IT clamp. I wouldn't trust the design to really work for larger cuts. It looks like it might be ok for cuts smaller than it is long. Also, the concept of letting the wound bleed until it tamponades (enough pressure builds up to stop the bleeding) does work, I wouldn't rely on this in the backcountry as you can lose a lot of blood before this happens. In the hospital we will do this for certain things but that's because we have blood to transfuse and immediate access to surgical care. I'd just stick to the tourniquets and trauma bandages (the Israeli or the North American Rescue "Responder Emergency Trauma Dressing". I'm happy to head up and talk to you and your department! Let's find some dates!
Anyone have a link that would aid in purchase of the orange trauma bag?
actually it was just called camping before yupps
If the wound's bad enough that you're packing it with hemostatics, I'd think you'd turn around at day one of your camping trip.
Yes
Excellent video! I do carry most of these items already, but I really like the focus on simplicity, so I'm going to "declutter" my main bag. I also like the idea of having the separate A bag so you can easily access it or just discard it. I am curious about one thing -- up here in the north where we're freezing for half the year and getting buried in snow, is there anything you'd add to a trauma-specific bag for cold weather vs warm/hot weather? I carry a few space blankets but also some of the larger foot/hand warmer packs, but I'm wondering if there's anything you'd suggest from a cold weather / severe cold injury perspective.
Not really, hand warmers, chemical "hot packs" like ice packs, blankets, warm vehicles, that's really all that you can realistically have.
Great video, putting one together for my Jeep, Harley, truck and my wife's care.
Where can I purchase the small med bag that you are showing in the video? Also where do I find your other trauma video's at?
Thanks for the video. Interesting. I think it is high time to take at least a first aid course. I've no idea how to use a tourniquet and think it would be unwise to do so unless trained.
First off let me thank you for your repair videos! Definitely have used them to keep my beast running. Secondly, tourniquets are basic, easy to use and can be learned by watching a few videos. As they are only used in life threatening situations, something is better than nothing. I guess I should make a video about tourniquet use 🤔