The Mick & Pat Show

The Mick & Pat Show - Med Kit Break Down

Mick and Pat Season 3 Episode 12

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What's really worth carrying in your emergency medical kit? We've gathered a firefighter paramedic and police officer to cut through the marketing hype and break down what actually saves lives.

From tourniquets and wound packing to chest seals and specialized equipment, our guests provide candid assessments based on years of real-world emergency experience. You'll discover which items deserve space in your kit, which popular "tactical" products are mostly marketing gimmicks, and how to prioritize your purchases based on likely scenarios you'll encounter.

The conversations get refreshingly blunt as our experts share strong opinions about everything from knockoff tourniquets ("they always snap") to specialty gauze ("two feet doesn't do sh!#"). Beyond product recommendations, they emphasize that equipment means nothing without proper training and the ability to function under stress.

Whether you're building a vehicle emergency kit, an outdoor adventure pack, or equipping yourself for everyday preparedness, this episode provides actionable guidance for all experience levels. Most importantly, you'll learn that the most effective preparation isn't just about having the right gear—it's about having the right skills and mindset when seconds count.

Subscribe to our podcast for more practical discussions on preparedness, personal development, and navigating life's challenges with resilience and purpose.

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Introducing Emergency Responder Guests

Speaker 2

Sometimes it crashes but it always crashes before two minutes.

Speaker 1

So do I.

Speaker 3

Yeah, dude, just ask my wife. That's funny.

Speaker 2

Like a strike team. He's in and out Projective gene.

Speaker 1

Dude, did you get to go to the training?

Speaker 3

Yesterday yeah, all of it Was it sick. I mean it was low-key from what I'm used to, but it was good to act like run scenarios in the building that I've been wanting to run scenarios in for a while all right, but what you gotta help me understand, like what all was there, because I was under the impression like it could be cqb could be more single task hostage rescue yeah, so.

Speaker 3

So patrol level hostage rescue, as opposed to, like SWAT team, designated floor plans laid out. Hostage rescue like you get one to four patrollers. You got a one man, two man, four man team and by man I mean all people, since it's the 21st god dang century. Um, running in like hey, you here, you're here for a noise complaint or you're here for this level of thing, and all of a sudden you hear a disturbance in the other room and hey, I've got a hostage have gun. If you walk in without a warrant, I'm killing this person. Do you now have use of deadly force authorized? Can you cross the threshold? All those things? Can you pull the trigger on that person? Target threat identification, all that crap. And it was nice because they actually had Sims and people masked up to where they could. Actually, me and Pat and other people could pull the trigger on someone.

Speaker 1

So did you guys fire Sims on people? Yeah, was it chalk rounds?

Speaker 3

I've been hit by plenty of Sims. Dude it was the paint rounds.

Speaker 1

Paint rounds.

Speaker 2

Yeah, the new ones, the SimX, they fucking suck.

Speaker 1

Get used to talking. Lean forward or pull your mic closer to you. There you go. You can also lower your chair too, if you want. If you can't hear yourself, you're not close enough to the mic should I? Oh, there it is how bad did the paint rounds hurt? I didn't get hit this time the last time I did it.

Speaker 3

They drew blood on me, yeah, but they were embedding themselves in the drywall yeah, just think of like an airsoft round, like with a little bit more beef behind it, because there's actually a charge behind it.

Speaker 2

It's launched by the primer of a nine. Yeah, so yeah, you stick it here's.

Speaker 3

Here's my opinion, though, having after being hit by multiple sim rounds of various calibers, I'm under the opinion that nine mil hurts more than five. Five, six, just based on size, yeah, you would expect five, five56. 5.56 goes through you so fast, you're probably not going to feel it for a moment, but it's a sim round and it's also charged with a 9 mil primer. Oh, you're talking about the?

Speaker 1

5.56 sims hurt less.

Speaker 5

It's the same amount of power just with more velocity or more energy.

Speaker 1

It's a larger round and you're getting hit with like a larger paint ball, essentially you mean to tell me that there's that if we had 45 sim rounds they'd hurt the most? Fuck that that hurt speaking of sim rounds yeah, no, they're.

Speaker 2

Uh, they suck to get hit by, but they're really good because you get. You get the muzzle flash off of them. They sting really bad and you can hear them going by. So it's good practice, it's dope it's.

Speaker 3

It's better than like a blank firing adapter where you don't know if your target lands or yeah, it's better than like bang, bang, bang, like I hate friggin training.

Speaker 1

So I say bang, bang, bang. Well, that's what we had to do for cqb yeah, it definitely.

Speaker 2

It leaves a training score sometimes because, like after doing a bunch of bang, bang bang, I was doing a Sims day and I drew down on the guy and I said bang bang bang while holding the Sim gun on him and he just turned around and went bang bang bang for real, he hit me. I was like you, son of a bitch, he didn't kill me.

Speaker 1

Yeah that's hilarious. Alright, I think we are going. Oh, actually wait, hit the red button, hit the record button. Now it's recording. Great good thing, we double checked. I'm not doing this twice, we've only had to do that once, I think, where we had to record an episode.

Speaker 3

It was a very unfortunate episode to have to re-record so was it like old school church where, when they were recording the pastor, be like hey, I like first service more, I like second service more.

Speaker 1

And they would tell you no, it was we were recording the episode and we realized the drive died and then pat was like shit, none of that saved we were like 45 minutes in yeah to like, uh, like I guess probably like the most intense I've talked about like stuff about it was just like we weren't.

Speaker 5

We were yeah, we weren't just like bs and we were like getting into like real stuff, and it's like, oh no, oh, this sucks can't fake it again exactly. I just got through a part where I'd really just express stuff and it's like, well, I guess we just have to do it over guess I'm fake crying on this one, one of the few times I've heard Pat, not true.

Speaker 4

Actually, it's one of the few times I've heard him say the F word In front of a mic In anger, not in comedy.

Speaker 1

Anyways, ken, if you're watching everybody, put your hands in. Put your hands in. We have two guests with us. There's four of us here in the Make it Past studio tonight. We are joined by two of our good longtime friends, guys who we have served in volunteer efforts and on our church security team with for a long time, guys who I've had the pleasure of going through Bible study in college with, um, and homies that I don't know what about what, I don't know what we've done, done, but we've just been with each other for a long time, um, but joined, uh, join us tonight is rice aroni. Rice aroni I'm gonna give a brief intro and you could correct me, right, sweet, uh, but uh, rice aroni here started his uh first responder career as like an emt on a bus and is now working fire down in denver I'm I'm in the uh greater denver metro area as a firefighter paramedic great.

Speaker 1

And then we have mac. Mac, uh, and I met in college. He was a freshman in a Bible study I was leading, and we've just been buddies ever since. And Mac followed me in some suit to misery at the sheriff department when I was a jail deputy and Mac was, like you know, this sucks and he got out right around the same time I did, and that he found an opportunity, uh, to be a police officer as well. And, uh, now he's on patrol as a police officer.

Speaker 2

Um, told me the jail sucked and I came right back in behind you and I learned I don't like it yeah, I learned from trying to convince you not to work as a jail deputy uh, that I didn't.

Speaker 1

I didn't do enough, and so now I've been way more brutal with a lot of other guys who are like, yeah, I'll do that for a little bit. I'm like no you won't, you'll do it for a long time the pendulum swung the other way.

Speaker 2

Yeah, yeah it's a good job, though I mean, some people do actually like it some people it is. You get paid well to be a babysitter and hand toilet paper to.

Speaker 1

Yeah, you do get to be a glorified babysitter. It is crazy because I remember talking to a buddy of mine who's a teacher locally and he was concerned about how some of his students were going to be doing after they graduated. Because they were pretty, they were on a fast track to ruin their lives with their behavior and thoughts of the world and their actions and then, sure enough, I think, quite a few of them ended up in the jail and it was one of those things I'm like wow, they went straight from being in a classroom in high school to six months later being in a classroom in jail and the only thing that changed is the teacher. But anyways, with that, thanks for joining us guys.

Speaker 1

Also in the studio is my dog, takani, and Takani loves Rice-A-Roni because Rice-A-Roni probably smells like other dogs. But also, since Takani's here, I brought some dog treats, because they're they're dried duck jerky and beef liver and I just kind of think they smell really good and I thought, man, I really want to try these and see how they taste. I think they smell good. I think they smell a lot like Mac's cooking. Mac used to cook up ducks and pheasants and rabbits.

Testing Dog Treats & Beginning Med Kit Review

Speaker 1

So I figure we just kind of each take a nibble of a treat and then we'll give to Connie the rest of it.

Speaker 3

Nibbles are for cowards, first off.

Speaker 5

Also, what's what in here? Are we eating the little cubes or the strips?

Speaker 2

The strips have to be the duck and the cubes are definitely liver. Is that what the deal is. I guarantee it.

Speaker 1

I'm sorry. I'm trying to free my dog. My dog is freaking, tangled herself up in her leash. Yeah, so the duck is the long strips of jerky and the liver is the cubes, and with the cubes, I think, the oh man Rice-A-Roni just freaking.

Speaker 3

He's ready to do that, all right. It's honestly better than an MRE, not kidding.

Speaker 1

Dude, that kind of tastes exactly like, all right, mac and Mig. This is going to be confusing Mixed thoughts, my thoughts. Tastes just like, honestly, the shredded beef jerky in a can yep, yep to be like a fake dipper, yeah this is unreal. I can't believe my dog gets to eat like four of these a day was that jack links that had the like?

Speaker 3

you got it at home depot, the little big chew beef jerky.

Speaker 1

Yeah that's exactly what that that doesn't taste like duck one bit. It does, it, does, it does yeah it absolutely tastes like duck.

Speaker 2

It tastes like the pieces of the duck that when I cook it sat too close on the grill and kind of fell off, got a little overcooked. Yep, that's exactly what it is, okay okay, all right now with the cubes. Don't eat the whole thing oh, I'm not planning to take a take a nibble of the cube because it's.

Speaker 1

They're dense and they're dehydrated and I actually don't want them to make you nauseous. This duck is stuck in my feet.

Speaker 2

And then Rice-A-Roni once again takes the entire chunk.

Speaker 1

Hand me the bag and I'll take a sip. That's explaining that you shouldn't do that.

Speaker 2

Shit my bad, I mean it wasn't like it's low in supply. He just didn't think you'd like it. There's also some duck in that. I mean it has been marinating in the same bag.

Speaker 3

But there's much more of like a duck breast in there, you know. Oh yeah, there's a duck fat. I taste it.

Speaker 1

Oh wow, I like the fatty taste of it. It doesn't. It's, of course, dry, yeah, but it tastes beefy to me this smells like a hermit crab cage.

Speaker 5

I don't think so.

Speaker 2

Valid. I absolutely can see that and I wish I didn't, because still, mmm it's in, the palate, sticks around anyways, okay, all right, well, pat do you think it tastes bad?

Speaker 5

it's the hermit crab remark that's really sticking it. Yeah, I'm a brain. It's that stale, that olfactory, mmm, mmm. Well, yeah, why'd you have to do that? Because I'm giving an honest review of these dog treats were munching on here's my thing.

Speaker 1

I mostly just want to try this and know like if I was in a situation, could I actually stomach some dog food? And I think I could. I don't think I'd get dog food kibbles, but if I went to Petco and there was a bunch of dog treats. I'd grab them and these things are like pretty shelf-stable.

Speaker 1

You know it's stuck in my fake tooth. Yeah, I've got some pieces. I like it. I kind of like it. I'm honestly just like using my tongue to dislodge it and it's kind of yummy. Rice. Aroni's looking over here like he wants seconds the way he's looking at the street back the way I'm packing this call dude I've.

Speaker 3

I've eaten some weird food in some weird country, so whatever that's true, rice aroni.

Speaker 1

While I'm packing this kong to occupy sweet to Connie, how about you give us a background, because you're also National Guardsman, right, or something like that, airman.

Speaker 3

Close enough. I'm an Air Force Reservist for over a decade now, nice, with some cool experiences in there. United States Air Force United States yes.

Speaker 5

Not the Iraqi United Emirates.

Speaker 3

Yeah, I've been over there and I don't want to fly with those guys.

Speaker 5

Ooh, this is holding. The aftertaste is holding on.

Speaker 1

Really, I just had a delicious large sandwich from Firehouse Subs and I thought this would ruin that taste, that palate, but I think it tasted fine.

Speaker 5

It's all stuck in my molars real bad.

Speaker 3

Oh, speaking of molars, I found out that, uh, I gotta go to the endontist tomorrow because yesterday I've been having tooth pain for like a decade or something and the previous dentists have, uh, not been doing a good job keeping up with it. There's like yeah, here's some meds, it'll get better. Yeah, no, I fractured my jaw and my tooth back in my rugby days in high school oh my gosh just now getting diagnosed jaw and tooth yeah, so they're either pulling it or root canal, or they don't know yet.

Speaker 3

But uh, I'll find out tomorrow, wow dang yeah well hopefully it resolved.

Speaker 1

That's rowdy I'm gonna go ahead and grab our first things, but resolve, that's rowdy. I'm gonna go ahead and grab our first things, but ideally people know what they're here for because of the title of the video. Uh, or the podcast episode on spotify. If you're not watching, on youtube, there will be video for this where we're going through all the products and breakdowns of the various kits. But, uh, pat, how about you go over what we're here to do tonight while I grab our first roll out of uh equipment?

Speaker 5

no for sure. Yeah and uh, it's uh, I'm excited to have you guys in here. This is this is the first mick and pat show where we've got four, four people in the room, so that's kind of fun. You know, we've got, uh, we're maxing out the guest list where our sound equipment's kind of that's all I can handle. And it's fun too because, uh, for you listeners uh, rice Roney is our longest time listener because we sent him the pilot episodes to listen through and give us feedback on what was going on. We go back to high school, so we're close and we've got all sorts of lots of fun memories and stuff. So glad to have both you guys here and the tonight.

Speaker 5

What we've been talking about for a while is, you know, wanting to do first aid, ifac breakdowns, kind of what do you put in your kit? Why do you put it in your kit? And, and for different applications as well. Because there's obviously, if you're just driving around in your truck and you're civilian, like what do you need in your car? Like what do you need in your car, versus if you're a medic on an ambulance or on a fire truck? Or if you're a cop rolling around, what do you have on you to take care of yourself or you know, or your other officers around you, and so kind of some different applications, different uses, uses. It's.

Speaker 5

It's going to be a lot of the same pieces of gear for the most part of the key things, because, um, really, uh, there's only so much you can do before you gotta just get to the hospital and have, yeah, surgeons take over, you know right, and so the and we'll get into some of that as well.

Speaker 5

As far as the um thought process behind why you do what you do, and you can prepare as much as you want your med kits to be, but at the same time, like lots of people get interested in preparing like apocalypse med kits, but like some of those things aren't even going to help you because even if you can depressurize your collapsed lung, like then what are you going to do? There's no antibiotics, there's no surgeons, whatever it's like really like in a realistic fashion, like what should you have with you? What's the things to not skimp out on? What are the things that you maybe can go a little more budget on? And, yeah, definitely one of the things to not go budget on at all, because you want something that's not going to fail in that situation.

Speaker 1

Yeah, so that's kind of what we're going to break down with each other tonight and learn some stuff, yeah, and I got our kind of first set of stuff, but I figured we'd go through a lot of these med kits. When I buy them, they come, of course, pre-packed, and so one of them, I feel like, covers a lot of bases, bases, bases, base eye, if you will.

Speaker 1

Yeah, and we kind of brought uh both you know mac and rice around here. Rice around, he has a lot more uh specialty knowledge for medical products and stuff and has seen it used a lot more and used a lot more. But also mac, as you know, got what he carries on him daily and has also seen quite a bit of you know who you know. I think you've probably seen a good amount of the philosophy of the condom right. Better having it and not need it than to need it and not have it. And you've probably seen a lot of people who don't have it and have to wait for EMS to get there, right. So, anyways, all that said, first up, this is going to be a bag coming out of a basically like tactical med kit that I got off of GovX. It comes in a really nice excuse me like molly nylon pouch that zippers up with quick pull away tab. But there's a lot of stuff in here and I imagine a lot of it.

Speaker 1

Rice-a-roni is going to be cool. You don't need that Cool. That doesn't need to be in your IFAC every single day, let alone a unit that you're going to be using on someone else. And we'll get into the various types of med kits. Ifac, for people who don't know, stands for Individual First Aid Kit, and the reason you have that is not so much to use it on others, it's so that way, if you become injured, you can use it on yourself or direct someone on how to use those materials on yourself, whereas you know a med kit or a triage bag is more designed around you using it to aid others. So this is an ifac kit, right?

Tourniquets: Critical Life-Saving Equipment

Speaker 1

The? The pouch isn't over here right now because we'll get into the pouches and all that later and organizing is set out. But uh, rice, aroni and mac, it's all yours to open this up. Feel free to go through. Please take the time to explain. You know each thing, as you see it, what it is, because you know a lot of people watching this have no idea what any of this stuff is. They've never seen it outside of, possibly, an ambulance.

Speaker 3

And he goes for the staple first. I do have one thing I want to say on top of that. Like I have a couple of disclaimers, not like legally, but first and foremost I've been running calls. I've been on ambulances, fire trucks, I've been in bear cats, I've been in multiple countries doing shit for over 10 years now. What I say as the token paramedic in this situation is not gospel truth.

Speaker 3

You know, there's a lot of opinions out there. There's a lot of knowledge, a lot of internet warriors out there that have an opinion. What I'm coming to you with today, ken, did I did I do that well? Did I say ken right?

Speaker 3

yes, oh, yeah, yeah ken what I'm coming with you at ken is my perspective, my uh, my studies, my experiences, um, and, and nothing more. You know, a lot of this is opinionated too. So if I say this is bullshit, don't buy it. Maybe Maybe buy it. That's on you, you know. And another thing as well is that your gear does not matter if you don't train with it and if you're not fucking fit like bottom line I was talking to, I was talking to with Mick and Pat a few months ago, like one of the first things I do with my gear, like learning how to cut with trauma shears, right, I go and either run a five carry, do a hundred burpees before I use it, because when the stress hits, when the adrenaline's high, when you're out of breath, that's when you're going to want to train with this stuff. Because if you're using this in real life, I promise you you're going to be all elevated and worked up.

Speaker 5

Oh, yeah, for sure, and I think one thing for you too is, as you're speaking to Steph, we're also acknowledging, like we might talk about performing medical procedures on other people that you may not be allowed to do yes right and so we are going to like and different states have different rules. We have the what's the what's the law?

Speaker 1

Good Samaritan law here.

Speaker 5

Some protections. But anyways, all that to say what we say here it's on you to go figure out if you're allowed to do that or not and then choose for yourself in a situation if you're going to do it or not.

Speaker 3

Example A I'm the only one in this room allowed to use this. I know for a fact.

Speaker 4

Yeah, we'll talk about that later fact, yeah, we'll talk about the only one certified to use it.

Speaker 3

Yeah, I'm sure. Yeah, any, any monkey can use that if I show you how. But hey, legally, yeah, as we go over that.

Speaker 1

We have we. You know we'll take time to answer all those questions and stuff, but uh, rice around a good good. Um, what would I say?

Speaker 1

that is acknowledgement disclaimer yeah good, disclaimer, um, and I hope people are looking at this through the lens of, like you know, this is just an opportunity to learn, um, and have these things explained to you and kind of hopefully save you some money, um, from buying things that you don't really need. Uh, cause I know there's. I purposely brought things that are going to be what will grab someone's eyes and attention of like, oh, I should probably get that good, just so that way we can hear from people with experience and certifications and such that late as Joe Schmo, if you need this, like you, you definitely might want to wait till someone who's qualified and knows what they're doing is there to use it, because if you need it, you don't want to fuck it up. Um, so, anyways, all that said, bryce aroni, mac, please dig in yeah, uh, one of the things that that really brings.

Speaker 2

I mean, he is an emt, so he's got a much higher level of care that he can provide than your average patrol officer. I'm a freshly minted instructor on tactical casualty care, so I'm my first class but, it all comes down to just stop the killing and then stop the dying. You run in there and you make holes and then you start plugging holes and that's really all the base level and that's one level above. Base is the tactical casualty care. It comes down to what most people die from.

Speaker 1

It's blood loss.

Speaker 2

That's all we do. We just stop the bleeding. But then the EMTs get there and they get a little bit more advanced. They'll move them to the hospital where they'll actually fix them.

Speaker 1

Sure.

Speaker 2

We're just trying to stop the dying.

Speaker 1

Well and I think that's a good point, though, a lot of people, when you say stop the bleed, bro, you got to keep in mind majority of people have no idea. There is a lot of rumors, a lot of myths around medical treatment right, and a lot of stuff that's wrong when they learned it when they were in fifth grade 40 years ago. That's now different today, or it was wrong when they learned it a year ago and now there's new stuff coming out right. So, anyways all that, how about you guys go piece at a time, set it aside, give your thoughts on it whatever it is, but just start going one at a time and then, as you set things aside and go through it, we'll put them back in the bag. We got plenty more to go into, so don't spend too much time here, right?

Speaker 2

but uh, take it away, mick I'll start with the most important part is the gloves.

Speaker 1

You cheated to the camera. Cheated to the camera. Absolutely Raise it up. Gloves, yeah.

Speaker 2

Always have gloves and have a ton of them, because AIDS, exactly.

Speaker 2

Hepatitis has been plenty of times where we've gone there, dealt with people and halfway through treating them, they're like oh, by the way, I'm HIV positive, so it would really suck if, uh, you saved someone but then you have a lifelong disease. It really suck even more if they died and then you got a lifelong disease for nothing. So that is I I fill a little pouch on my belt with nitrite gloves and then I keep a whole bunch more in my pockets. The one thing you can disagree if you want. We don't use the black ones, we use the blue ones the blood sweep.

Speaker 3

I know that's kind of a myth, dude. If you get blood on your gloves, you're gonna fucking know. We run black gloves where I'm at and, like the last shooting we had where six people got shot, it was very clear and evident and it was at 1am.

Speaker 1

I will say this I have not had enough experience with black or blue gloves to tell the difference of blood on it, but I have heard the blue stuff as well, which is also you know, I think that's a tech myth as well. I hear about the blood light.

Speaker 3

Now there's a special flashlight that has like a blue LED that helps you pick up blood easier than if it was like a white led.

Speaker 1

This isn't csi, this is pre-hospital care. No, I'm, that's what I'm saying. That's what I'm saying, though, like if people were like oh, you need this 300 flashlight so that way you can tell where the bleeding's at.

Speaker 3

I'm like bruh, like if a homie's bleeding I think any color light is gonna be able to tell you like where he's bleeding. They need an ultrasound and a surgeon before they need that light.

Speaker 1

Anyways, cool Alright. Next piece of gear. We're going to keep running through it.

Speaker 5

I carry red gloves.

Speaker 1

You just never know Exactly.

Speaker 2

Whenever they are bleeding. In these types of situations, it's enough that you can hear it, you don't even have to see it.

Speaker 3

This right here is an NPA, nasal pharyngeal airway. So what this is right here it's this little trumpet, and when someone has either overdosed or had a seizure or is having any sort of breathing problems and they got that low, slow, like snoring respirations, you can put this in their nose preferably the right nair actually, which is anatomically bigger, and you can help passively oxygenate. This bypasses the mouth and helps them breathe when they're in that like kind of position yeah, I got you.

Speaker 1

Okay. What about, like, if they're like coughing bubble blood, will that help at all to kind of keep the airway open?

Speaker 3

well, the first complication there's going to be asphyxiation from blood into the lungs, right like choking on your own blood. Um, so rolling them on their side is a really good maneuver there. Um, I wouldn't necessarily think that this is needed for most people, because this is used in conjunction with positive pressure ventilation or that bag valve mask you see on the shitty tv shows.

Speaker 3

Yeah, this allows passive movement of air through this little hole right here, so I wouldn't necessarily say this is an essential what if we say let me, let me give you guys three tiers of classifying things gloves are a must. That's baseline okay.

Speaker 1

Yeah, that's what I'm saying is like have these available in any medical first aid kit are? We starting a tier list here no, not a tier list, but just like what should be in which bag right so like basic medical kit all the way up to you know, whatever like must have should have, you really not.

Speaker 5

No, no, let me finish.

Speaker 1

Let me finish put this in all your med kits. Right, put the gloves in all your med kits. Done this one, put it in just the ifac. Put it in like the like. Don't even bother carrying it. This is something that professionals should have, or in every med kit. You know what I mean. That's kind of what I'm thinking when it comes to like levels of like skill and like use case.

Speaker 3

Pros only is my vote on this, and I personally have this at our church security bag. I have a few of these, but that's also because I have that bag valve mask with us at the church and there's a handful of us that are trying to use it cool, I will say I did put my own in.

Speaker 1

I did it to myself with some lube and I will say, if I'm bleeding and shaking, I'm gonna let someone else do it the gag reflex is strong.

Speaker 2

Yes, I've seen people overdosing, slapping at it. Yeah, you've already run three Narcan doses and they're it gets back in there, quit killing my vibe and for unique use case.

Speaker 5

Now, you really shouldn't have this maybe on hand for kids, but in a case where I had a kid who had potential for their tongue basically falling to the back of their throat or for other things being collapsed and not being able to breathe, and so this is actually something we had on hand for her as well. He has a little tiny baby, which the doctors had for us too, which is like in case we needed to get air into her, into her lungs, and so there could be, but it wasn't this size, it was baby size.

Speaker 3

No, that's like small to medium adult size. Yeah, so 28 French.

Speaker 5

Yeah. So there are, like there's super unique use cases as well where, like we just had that on hand, like at the house you know, or whatever. So and then I'll say too, it for it doesn't take up that much room either. So like in your IFAC, like it's not that it doesn't take up that much room either, so in your IFAC it's not that it doesn't take up much space, right.

Speaker 3

And there's always this consideration too, your IFAC right. It's meant to be used on you hypothetically If you want a professional to use it on you go ahead and bring it. Although they're going to have a bunch of them.

Speaker 1

Next one. We got so much to get through.

Speaker 3

We know what this is, everybody should them. Next one we got, we got to get. We got so much to get through. We know what this is. Everybody should know what this is.

Speaker 1

Hold it up to the camera so they get they know and take it out of the goddamn wrapper. Well, okay, all right. Hey, my, my, my, just so you know my actual med kits. I have them stocked in them.

Chest Decompression & Airway Management

Speaker 3

This is a pre-packaged thing, right very high stress situation would suck to have to work through this yeah, imagine you got bloody black gloves right now and you're trying to open up this wrapper and you got someone losing like several hundred ml of blood per minute.

Speaker 2

That is uh, it is extremely time sensitive when it comes to doing tourniquet drills. Make sure you can do it fast, make sure you do it right, first of all, but do it fast.

Speaker 3

That might have to be a separate thing, like going over actually applying it properly.

Speaker 1

We're not yeah, we're not gonna go through like like how to apply or anything like that tonight, just over what the gear is and if it should be considered do not buy tourniquets on amazon.

Speaker 3

Buy through a reputable source.

Speaker 1

Yeah, I'm gonna say these are, uh, north american rescue, um, which, for anyone who's like North American Rescue, just got taken to court, yada yada. That lawsuit was thrown out just so everyone knows, because they did prove that everything is very compliant and made in the USA in quality gear and to verify how they're made in legit tourniquets, please tell us.

Speaker 3

So we have this red tab right here. Gen 7 is the most recent G7 right there. So that's showing us that we have this red tab right here. Gen 7 is the most recent g7 right there. So that's showing us that we're um accurate. There's a few other things as well I'm not going to get into.

Speaker 1

Um, just make sure you secure the win list when you're done twisting the biggest thing I've heard is, if you flip it over to the plastic on the back side, that the chinese knockoffs will be mostly slick. Yes, and they won't have this printing. This is actually raised.

Speaker 3

Yes, so this is raised. Text right here Hold up. You can see there's a tactile thing going on there the Chinese ones, since there's like a little tension system in here, it's like a bungee cord. Essentially they'll actually fail, the Chinese crap ones.

Speaker 1

I actually just had that on the last IFAC training I did. We had the Chinese one snap when we were putting them on and you said they every time, oh yeah, every time they snapped. Well before we got to like real force, I had a buddy of mine named Cake and he threw a real tourniquet on my leg when we were doing a scenario and, dude, I yelped to the freaking moon when he set that thing secure and the Chinese ones always broke before they got to that pressure.

Speaker 3

Also, color doesn't matter. If you see orange ones, go for it, it doesn't matter.

Speaker 1

I have orange and black, just for different needs, sure, but yeah Cool.

Speaker 3

Next. Thing.

Speaker 2

Very simple, very easy.

Speaker 5

Just turn off the blood valves and for our tiering.

Speaker 2

that'd be like every kit the blood valves and for our tearing. That'd be like every kit. Yeah, you gotta have it in everything yeah, okay, have that in your car have that at four in your car, yeah, or else you'll be using a belt and it won't be nearly as tight, because that thing.

Speaker 3

You're not improvised tourniquets do not work over 90 of the time yeah, that's data. That's not me spewing out my mouth. Yeah, that's what I'm saying.

Speaker 2

It's like that is absolutely. Use that, because or else you are just barely slowing down, you're not turning the faucet off yeah you're turning it down, yeah, and you're still gonna die, like a lot of times they teach us, on legs especially, you will be applying two tourniquets yeah yes, because it is a massive artery in there. There's a lot of it and a lot of flesh and other stuff in the way and you have to apply pressure from the tourniquet to the artery.

Speaker 3

I wish I had a diagram, but if this is the tourniquet, this is the artery and this is bone, you have to pinch those all together against a bony structure. So don't do it across the joint and don't do it across the abdomen or the neck and be dumb.

Speaker 1

But we can go over that another time yeah, we got, we got plenty of medical things, yeah that you'll see that you can then kind of come back to be like hey, remember when we said don't put a tourniquet on the knee or elbow? Here's maybe what you'd stuff in there instead yeah it's.

Speaker 2

You're kind of trying to like strangle someone with two pillows around your hand, like you're not gonna get a very good steal unless you got a really tight yeah all.

Speaker 3

Did you purchase this or did I give this to you?

Speaker 1

No, this came in the two med packs that I purchased for, like you know, the tactical rip away and zipped up molly packs.

Speaker 3

Can I open this up and get you a new one? Yeah, for sure, yeah.

Speaker 1

If you will get me a new one. I'd love that, because I know the only way I can get them is by getting another one of those med packs.

Speaker 3

Sure, so this is also a North American rescue product. I really like these guys a lot. However, I dislike this one in particular because it's a smaller one. This is a 14 gauge needle, decompression needle. This is a pre-hospital solution for a chest tube. So if you have a collapsed lung from a gunshot or chest trauma in a car accident or even spontaneously like these things happen, to our lung yeah.

Speaker 5

Happened to me once, really.

Speaker 1

Yeah.

Speaker 5

Decompress lung just randomly Straight random Spontaneous pneumothorax 17 years old If you're blonde, blue-eyed, tall, and skinny.

Speaker 3

You're Aryan.

Speaker 5

There's a. Whoa and for whatever reason, they see that happen, and it can happen. Yeah, your lung can just deflate on you.

Speaker 3

Yep. So this is what we use to reinflate the lung, like we're talking paramedics and some EMTs on the Army combat medic side as well. So we'll take it, we'll put it in a particular space, draw this out and this will actually change the pressure, um, in your chest and compared to the pressure in the atmosphere. So there's a negative pressure inside your chest and this helps, uh, reinflate the lung to an extent. Now, why I don't like this one in particular is because it's 14 gauge. It's really thin and getting air in and out of this it's really like a small amount of air. The ones that I like are 10 gauge or bigger. Um, they're finding that 14 gauges have to. I'm getting way into the weeds on this, but no, you're fine, you're fine the 14 gauge ones.

Speaker 3

You need to reinflate the lung. You have to use multiple of these, and so in the combat medic setting which I'm not a combat medic they will decompress the lung and then tape another one right at the site where they just decompressed, because they know they're gonna have to do another. Switch it out. Well, they're gonna have to do another one. Oh okay, think about it. You have your open mouth that's taking in atmospheric pressure, yeah, and you have this guy trying to compensate and reinflate the lung. The mouth is least resistance. It's like if you have a fireplace and the door to it is approximately one foot by one foot and then you put a carb in there, that's about the size of a golf ball. Path of least resistance is out that one foot by one foot and you're going to smoke out that one foot by one foot.

Speaker 1

But if you have a bigger hole, you're going to be able to have a more laminar flow of gases. And just help me with making sure I'm going over like a lot of the preconceived myths and notions. Right, but the idea is is the concept that you are piercing the cavity around the lung to take the pressure from the cavity away from the collapsed lung, or are you piercing the lung itself?

Speaker 3

to re-inflate. You're not piercing the lung. However, there's a lot of cases where people are sending these nice and deep and they're actually hitting the lung right here. Yeah, and that's actually not that bad of a thing, because this little tiny pinhole like if I were to poke a hole in my finger right now I'd bleed a little bit, but it's not doing like big, large damage- it's not more damage than like your lung can handle and heal from.

Speaker 3

Yeah, If your lungs already collapsed and you sink this all the way to the lung and you go bink.

Speaker 1

I'm pretty sure if your lung has a rib in it, it's going to be okay if that's poking it. But anyways, that is one thing that I've heard from a lot of people where their misconception is. They think that this is to pierce the lung and inflate the lung.

Speaker 3

No, you're trying to restore the negative pressure back into the intrathoracic cavity, where the lung is housed.

Speaker 5

That's something that I didn't know until it happened to me, just as a kid. Inside your body, it's a vacuum. Essentially, there's all this, and so I didn't realize that myself, and all of a sudden, one of the ones, my lung collapsed. I learned a lot about it. You know, but but the the fact that, yes, you're, you're getting, you're trying to basically restore that vacuum as best you can, you know to, to, to allow, allow the air out.

Speaker 1

I'm going to transform. This is now, thanks Rice-A-Roni. This is now a training one and I'm just going to use it for training, to show people what. It is All right, but Rice-A-Roni and Mac, any other comments on that?

Speaker 2

I've never even seen that. That's well beyond my dumb cop.

Speaker 1

Okay, so then where do we put it? In regards to which equipment does it fall into? Is this your everyday medical bag that's available in your car or in your house? Does this go in your IFAC? Does this go in? Leave it to the professionals.

Speaker 2

I would exchange that for another tourniquet.

Speaker 3

See, that's where I disagree, actually, because they come in standard med kits and those shits are expensive. Um, if, as a cop man, if you have that in your ifac and I show up on scene, I'm gonna be able to use it on you, but I also have one in my bag, so, like there's that especially if it's one of those things you want more than one of to effectively use. Sure, so there's all considerations right one is none.

Speaker 1

Two is one, right, cool, all right. So what would you say, rice-a-roni, for the people who are out there and like, ooh, I didn't buy that because I didn't think I needed it. And then the dude who has six in his med bag? What do you think the rule of thumb is?

Speaker 3

There's no right or wrong answer on this. That's where it's tough. All right, that's fine.

Speaker 1

I know I would lead on the side of don't.

Speaker 3

okay, don't carry it leave it to the professionals to apply and have on them, but it's commercially readily available.

Speaker 1

It's not a regulated product but it's a very controlled procedure I will say it is a rather controlled product from what I saw for like the like consumer medical purchase like.

Speaker 5

I only saw them in pre-packaged kits, right, I never saw them sale individually on like govx and stuff yes, if you go, if you decide to go full cowboy and use this, you can stick it in someone's heart, yeah or liver.

Speaker 1

It's very common to stick it in the liver which is highly vascular, lots of blood, I mean now that we got to that one too, my question for you how many people do you see have the tattoo in the right place of like poke here with the little x?

Speaker 3

never seen that tattoo in my life.

Speaker 1

Oh really yeah I'm debating getting it just so, that way, in worst case scenario, I can tell someone like don't fuck it up, I'll show you right there, I'll mark it for you with the sharpie, then you'll get it.

Speaker 2

Yeah, funny until the cartel captures you, and then they just stab you well, if they stab me right there it'll be all right.

Speaker 1

No, I'm just kidding um, but it was funny. I was talking to billy jean about it and I was like, yeah, what if we get like matching tattoos? That is just like the x with the circle, same in case of you know like cavity collapse and deflate along, poke here. And billy jean was like I'm not getting that. Like I, I wear a bikini on the beach, like that's not the tattoo I want. Like on my body and she's like I might do something where it's like you know a butterfly with like a you know that dash, dashed line going to it and it's like poke in the you know between the butterfly's wings or something. I'm like okay, all right, whatever, like that's fine, um, anyways, all right. Next product you're up.

Speaker 2

We're doing pretty good on the tit for tat, I'll keep letting you take all the fancy stuff, and I'm going to keep taking the most basic stuff, because that's kind of where our expertise lies.

Speaker 3

Here's the thing, though, man, we're an eclectic group with an eclectic audience. I think that's fine.

Speaker 5

The stuff that you use or have been trained on is fine to grab onto, yeah, and that's.

Speaker 2

I mean, we've been trained on this since kindergarten. Kindergarten it was just, uh, you know, kind of rounded at the edges. But trauma shears are absolute must. It is super important for getting stuff out of the way. Um, I've used them for I mean, especially like if you're going to use a ed for cutting jewelry off. Um, confirmed these will go through, especially most people wearing soft metals like gold or sterling silver. They're also just nifty. They're nifty for a lot of other little tasks.

Wound Packing: Gauze & Hemostatic Products

Speaker 1

I remember when they used them on me I was in like three layers as a kid had like the you know, your undergarment insulating layer, your long under layer your long johns, and then the like like relax, not snow pants, pants, comfort pants, and then your snow pants over it, and when I broke my femur and my leg was, you know, upside down, like all right, we got to see this kid's bleeding and like just hemorrhaging, and so I remember watching them and I was scared because I was like, oh, scissors, and I knew where my leg was broken towards my lean yeah, I was, I had unwrapped my leg from the tree and I knew the fracture was up towards my wiener and I

Speaker 2

was like you ain't getting that close with those ready for your second circumcision? Yeah, exactly and uh.

Speaker 1

But I was shocked man, they, they grabbed one pair and went through like all three layers, like it was nothing, they're awesome.

Speaker 2

You just kind of have that little bit on the bottom to glide along stuff. Keep it off the bottom and they're, they're sharp, they're, I don't know what. Do you know what they make these out of? Like what kind?

Speaker 3

of steel. It is stainless chinese steel. Yeah well, it's honestly just like the bevel and the thickness of it. It's nothing too fancy, like my bench made knife will go through things, but it's meant to go through things with precision.

Speaker 1

This is meant to go through things grossly and like broadly and I guess, uh, for people who are going to look online after this and they're going to see a pair of trauma shears for 399 and they're going to see a pair for 60, 60.

Speaker 3

Yeah, if you're looking at x sheer, which is the brand I use, I freaking love them. Do you recommend them? Not sponsored?

Speaker 1

well, okay, but you know you can recommend them. But then I would say like, where's that line go of? Like hey, that's actually probably not worth it because it might cut through one pair of jeans but you're not getting through other stuff. Versus like yeah, how like? Because because I, when I remember when I first looked at it, messaged you a few years ago and I was like dude, what do I buy? And you were like that's trash you're gonna have to throw away after one garment. Those are great. You can cut through like a hundred things without having to sharpen them again yeah, it's up to you.

Speaker 3

You know, north american rescue makes a pair of like 10 or 15 dollar shears that can be used for multiple rounds. Those are the ones I have. Yeah, the black north american rescues are awesome and they look incredibly similar to this a little bit longer. Just a quick little like eagle stamp on it. Sorry, I'm moving on the mic a lot um the x shears I have. I've cut off hundreds of clothes with, haven't sharpened or touched them nice, cool.

Speaker 5

So if you're in the business of cutting, get them yeah and if it's gonna, if you're not you can use these.

Speaker 3

I would say one to three uses and you'll get away with it, which is what an ifax?

Speaker 1

design for so yeah, that's fine. Cool Actually. You just grab the package. Will you put them back in, so I can put them then back in the big bag? Yep, thanks, man.

Speaker 5

See, I'm left-handed and the scissors don't work as well. Dude, I'm telling you.

Speaker 3

No, that's just your ape hands.

Speaker 5

No, I in general. Have you guys ever tried to cut any scissors using your left hand?

Speaker 1

No, God didn't mess up when he made me.

Speaker 5

It is horrible because just the way that your fingers push across the apply pressure with your left hand, they actually take the blades apart. It's a nightmare. So I want to find some lefty shears what I'm saying is I wonder if they make left-handed scissors. I wonder if they make lefty shears.

Speaker 3

Let me talk to my buddies at XShear, which I'm not sponsored by. I've just happened to do some work with them. Why can't you be?

Speaker 1

sponsored. You're not on the podcast, but you could say you're sponsored by them because, it's your career.

Speaker 3

I'm not sponsored by Exure. I have done some work with them and have some relationships there.

Speaker 5

Great, Because it is like I don't know if that's a super niche issue, right, but I wonder if any left-handed paramedics have run into that being like I just cut with my right hand Because it doesn't cut when I use my left hand.

Speaker 3

You're in the back of an F-450 moving 60 miles an hour down the road. Man, there's going to be complications, no matter what.

Speaker 5

No for sure. But if you can't even cut a piece of paper, not moving, you know.

Speaker 1

We got to keep going, we got to keep going we got lots to get through. I got to keep you guys on track.

Speaker 3

I'm going to go with this one because I recommended this one. I'm taking this out of the package for you because it's worth it. So what this is is a Sam splint. It's 36 inches long. Unlike me, there's also a 48 inch long option, so three to four feet and this unrolls into a four inch strip. It's actually aluminum in here, so it's malleable. With some styrofoam on the top, you can concave it. You can fold it on itself. It's very, very cool like it'll hold its shape.

Speaker 1

It's really good for fractures. Do your thing. I was just gonna flatten it again and hold it up so people can kind of see how it self-guides you like you don't need to be an emt to know how to shape this. No, this is like it holds your hand the whole way.

Speaker 3

This is soccer mom medicine, right. Like we have tactical paramedic, we've got surgeon. All that stuff at the very bottom is soccer mom medicine, right. Like we have tactical paramedic, we've got surgeon all that stuff At the very bottom is soccer mom stuff. I've used this on my own brother-in-law when he broke his arm. Like this stuff is amazing. I've actually eaten a bowl of cereal in the wilderness out of this. I turned it into a little bowl. I was backpacking. I had this. You can take the trauma shears actually and cut down this super easy and make small, little compact things. Sam splints, I think you're 10 ish bucks. I'd have to look.

Speaker 1

I think that I think I got him Like a group discount of like eight bucks a piece.

Speaker 3

Yeah, sounds right. I like this for multitude of use Because it's reusable. Ish, obviously, you bend the crap out of aluminum enough times, it's gonna, like lose its tensile strength. Um, it's great for orthopedic injuries. It's great for rigging something up, um, whether you're like, particularly in the backcountry. So my like, wilderness, wilderness hunting all those things.

Speaker 3

This is an absolute must for me. If I'm on the streets or if I'm just running around in daily life, this is not a necessity. If I'm going, my gray man me. If I'm on the streets or if I'm just running around in daily life, this is not a necessity if I'm going, my gray man ifac, I'm probably not bringing it yeah, I have one of these at our church because, uh, there have been some orthopedic injuries at the church.

Speaker 3

I don't know if we've used one, but for eight dollars to have such a useful thing, I'm on board oh yeah, 100.

Speaker 1

Yeah, I've actually seen quite a few uh firsthand stories. I don't know if they were by sam, that was like sponsoring it but they uh of just people who use them while they were like mountain biking or hiking and were like yeah, so like I put the splint on and I splinted a stick to my leg right and I was able to like hobble back to my car six miles downhill or whatever it's super lightweight too.

Speaker 3

That thing must weigh like I wanted to measure it, not even a pound.

Speaker 2

I was going to measure it in grams, yeah but and the other good thing to point out about that a lot of people that are buying these med kits are probably expecting to use it for an active shooter or something crazy, super intense. But for every active shooter there are 20 hikers that fall and break their leg, yeah, and another 50 car accidents where people get mangled yeah, that's the stuff that you're going to run into.

Speaker 2

So stuff like that is super useful, because that's we're going to come across and you're just as dead if you can't walk out of your hike as you are if you get shot cool.

Speaker 3

You will end up dehydrated, with altitude sickness or whatever the crap, depending on where you're at right. Medical emergencies exist much more than trauma emergencies all right next one, next.

Speaker 2

Thing oh, let's uh go with. I'm gonna do the quick clot oh um pretty much.

Speaker 2

I mean, you don't even need it to be quick clot brand or even a combat stop bleeding gauze. The amount of blood that I mean. I don't know if you have a different opinion on this. I say just some sort of something to pack wounds with um, because the way it works is if you are losing blood from a limb, you tourniquet it. If you lose blood from somewhere on the torso not the chest you pack it and then if it's something else, you might seal it. We'll get to that stuff later, but you definitely want something to pack into it because You're gonna be losing blood from places. This is great to just fill it. Did you race roni? Do you believe that quick clot is worth buying over other gauzes to stop?

Speaker 3

the bleeding. I actually brought the sinks. I actually brought this in because I knew this was coming up. This has been sitting in my pocket. I'll take that shit any day.

Speaker 5

Yep that's crazy that's crazy. I know you got a bunch in that box, but and what is that?

Speaker 3

that's just standard ass gauze right. This right here is there any medical compound.

Speaker 5

so also did we say what was in this medical compound?

Speaker 1

No, Mac, you might want to adjust your mic so that way it's tilted up towards you.

Speaker 2

It's a clotting agent. It's rubbed into the gauze there, so it's supposed to cause Impregnated. Is the word Impregnated which?

Speaker 3

is gross.

Speaker 2

It's been impregnated by something that's supposed to make your blood get goopy quicker.

Speaker 1

Yeah, now let me say this I'm going to, in my non-expert opinion, I'm going to tell both of you to chuck rocks, because this right here, and the EMS version of it that has the quick, quick, uh, you know goopiness powder in it or whatever, is cheaper than your pre-packed gauze.

Speaker 3

Yes.

Speaker 1

What ends up being expensive is when people buy the green, uh radio, uh, active strip ones, because that is like for the military. So that way if you pack someone full and they're going to throw them into like a MRI, it shows up on the MRI and they're like oh, he's still got shit in him, let's pull it out. So one I'll say is everything I read online and that I've seen and what I've seen when people rip this open with the other one, the only difference is this doesn't have an X-ray blue stripe on it.

Speaker 3

Here's where. So this is what like four bucks or something like that.

Speaker 1

Not even. I think it was a dollar Sure.

Speaker 3

This is $3. How much is?

Speaker 1

on this one.

Speaker 3

I'm trying to cheat to you the camera's wall.

Speaker 1

Oh, two feet. Let me put my spectacles on Four and a half yards.

Speaker 3

Yes, have you ever packed a wound? Two feet doesn't do shit.

Speaker 1

I've had quite a few noodles in my time.

Speaker 3

I've pushed rope as well. But two feet if you're packing a wound, that's got major hemorrhage. I don't give a fuck about the kaolin and all the clotting factors. Like I've done a plenty of research on that. I've got an undergrad in this shit too. Like I'm not just talking from experience.

Speaker 1

Only two feet, ain't gonna do dick um, but what if it's like packed in your ifac in conjunction with also it? Doesn't matter, it's you say like don't even bother getting anything with quick clot I, I. So what I carry first, stuff it in and then stuff everything behind me personally, I have 12 feet of quick clot with the kaolin impregnation.

Speaker 3

yeah, with the blue strip in my truck right now, outside this place. Yeah, I like it because I'd rather have kaolin. And the studies are out on kaolin right now, like north american rescue is the one that said that Kaolin was the best, and they tested on pigs like live perfusion tissue all this jazz I can get way into it. At the end of the day, the average Joe individual can spend $3 on this. It's compact, it's light, it's 12 feet. Learning how to wound pack and doing it effectively is more important than one chemical.

Speaker 1

I agree. I've still heard just bring both. Sure, why not Stuff that quick, clot shit as deep in the hole as you can and then continue packing the other stuff behind?

Speaker 2

it. Imagine trying to fix a leak on a pipe with cornstarch. The amount of bleeding that's going on. It does work, but it's going to like the quick clot. I mean it does work, but it's gonna be diluted by so much blood that.

Speaker 1

How about we find out right now, mac I'm just kidding let's get it protective over a quick clot

Speaker 3

you can spend extra money you can spend extra money on quick clot, but if you want to get 12 feet of gauze, which? Is about what you need, yeah because if you have extra of this, you know what you can do. Like, let's say, I'm bleeding out right here at the radial artery, there's no tourniquet you can pack that shit in. Pack that shit in and then with the extra, you can wrap around it and make a pressure bandage, which is another product.

Speaker 1

We'll see here soon the olays which is not in this tip but this is, this is your generic yeah yeah, um, but yeah all right, cool Great.

Speaker 2

I carry three of those little packages.

Speaker 1

Did you bring this with you, or is?

Speaker 3

this out of my box. You can have it, though I don't care.

Speaker 1

No, I got plenty.

Speaker 3

Okay, cool, anyone want this? I don't care.

Speaker 1

Give me my needle, all right. So I will say this from what I'm hearing you guys are saying but it's better to have quantity, quantity over over this. So if you have it, that's great. It's not throw it out of your kit. If you don't have it, you don't need it. You can just get you know something that is far more in quality and not in quality more, far more in quantity. You know yardage footage, wise, yes, and that's going to be just as effective and helpful if all you have is that one little package of quick clot.

Speaker 2

You're essentially you're carrying a couple band-aids to fix a hemorrhaging wound savage yeah, if that's all the god, combat god. You need a bunch more you got.

Speaker 1

This is the same thing. Uh, not quick clot, but this is the same thing. That rice around I just threw down probably what?

Speaker 3

eight, twelve, ten feet?

Speaker 1

it's the same yardage, yeah four and a half yards, uh, six ply cotton great and so and so, and getting back to where would you put this?

Speaker 5

where would you? Have absolute essential, like just blow a turn, oh yeah, so but meaning right, meaning every joe schmo, but every, every single kit you have. Yes is in there.

Speaker 2

Yeah, every I carry that in my pockets at work.

Speaker 3

Yeah, I have three of those a little blankie I could, I can make a little quilt. Yeah, I mean, the amount of, like neck wounds, armpit wounds that you guys encounter on the law enforcement side is pretty substantial, right, and I, I think I I've put a lot of gauze in a lot of bodies and I thought combat gauze if you want to call it combat gauze, le any of that stuff like it's good stuff. Generic ask whatever ply cotton gauze is is simple enough. So, yes, it's a stuff. Generic ask whatever ply cotton gauze is is simple enough.

Speaker 2

So yes, it's a reminder for the. Uh, there's some things that the brand matter and some that they don't, for when it's it's literally just fabric, Generic is fine.

Speaker 1

Yeah, and it's literally just fabric.

Speaker 2

Would we fabric.

Speaker 1

All right, move on to the next item.

Speaker 3

I love how passionate we're all getting over this like fuck you man, that's my goss.

Speaker 1

I just I. I just like that. I found that they're pretty cheap. I like the feeling that I got a good deal on it.

Non-Essential vs Essential Medical Items

Speaker 5

Can we address this and then and then rule it out, you don't need that. Okay, yeah, so what is this? You know? It's, uh, I mean what's? It's basically a bunch of neos born on addressing, right? Is that what this is? Yes, do you know? It's basically a bunch of Neosporin on a dressing, right? Is that?

Speaker 3

what this is. Yes, do you know what they're going to do the moment that person's at the ER? When you finally get them there, scrub it out. Take a look at the wound. Yeah, and now it's just full of goo.

Speaker 5

Right Now, what about? From a super basic first aid, like I'm not going to go to the hospital. First aid like I'm not going to go to the hospital, put on your sporn in a band-aid, right, okay, so, yeah, so, same, same difference. That's basically what we have here. So if you have this in a kit that comes with like a I think I see this in a lot of things where you're searching for a first aid kit and you always want to what we always want is to find the thing that says, okay, I want to spend a hundred dollars and have everything I need in this kit, or whatever, or twenty dollars in this kit, and so you end up with a bunch of extras, you end up with a bunch of little other things.

Speaker 1

So this isn't like the worst thing to I will say this if I burn myself out in the woods, I want that you want this until I get to where I'm gonna get more help yeah, and then that's that's it.

Speaker 5

We valid and yeah, and so that's one thing where we are. We we are having a necessary talking about like austere environments, like long term backpacking, these sorts of things, and but that's at the same time I'd say that'd be more of a comfort thing than a life saving thing.

Speaker 5

Right yeah absolutely Right In this case, and so this would be. My kid burned his hand on the stove or his arm, whatever, and I can wrap this around it and he can be comfortable, and I just so happen to have gotten this in one of my kits, like you wouldn't individually. Until your wife gets home and you have to go to the urgent care anyways, right, but meaning, like you wouldn't individually buy this item, Like you might get it bonus, Bonus in your first aid pack.

Speaker 5

Like it was here, Put it in your you know the same place where you keep all your other crap in your house. You know your. Your your thermometer and your you know that sort of like homemade. You know that this, this really isn't life-saving equipment, but we're not.

Speaker 1

That's the thing, though. We're not just talking about just life-saving equipment, you know we're putting things into tiers of is it good to have in your wilderness for a sake, in your home for a kit? Is it IFAC like save my life in?

Speaker 5

case of an emergency, right, right, and that's what I'm saying. It's like you get this in a first aid kit, put it in the like, don't throw it out, put it in your closet, but you know you don't go buy it for just what it is right.

Speaker 1

Burn shield for people if you want to know what again If you put it on before you burn yourself.

Speaker 5

Will it help? I bet it will to some degree.

Speaker 1

I mean it's moisturized Before you burn yourself. No, that's what I'm saying. I bet it'll keep you from getting burned, it's petroleum-based.

Speaker 3

It's flammable.

Speaker 1

Oh, no Wait, Neosporin is flammable. If it's petroleum-based, it's more than likely flammable.

Speaker 5

I don't think it's petroleum All that stuff is all.

Speaker 1

We'll see. Let's try it out Again on Mac. Let's try.

Speaker 5

Which is actually why you should actually just carry Neosporin instead of that and then, as a fire starter slash, stick it in your wounds for backpacking application. But I was just getting at the fact that they call it a shield. You know, it's like Sure Shields for like Arrows. Or say arrow shields.

Speaker 3

Okay, now that I've been shot by an arrow, I'm going to now use my shield.

Speaker 2

Anyways, next thing this is for fishing, yeah, for pulling hooks out of and surgeons.

Speaker 1

Whoa, whoa, whoa Rice-a-roni, are you telling me not to jam that in the wound and try to pinch the artery with?

Speaker 3

my bearings. No black hawk downing no.

Speaker 5

I've seen black hawk down. I've seen black hawk down and you've got, you got to get that thing pinched.

Speaker 3

It comes up every time.

Speaker 5

No, have you ever used this? Do you carry? These Would be the first question. Two have you ever used it?

Speaker 3

I have used these in the ICU to pinch off multiple drips of like vasopressors and some other bullshit, so not body parts. No yeah, if you need to pull out a fish hook or something like that, you probably have your fishing kit with you anyways, I would not put these in an ifac in particular. Um, these are really good for like popping zits and uh what about?

Speaker 1

what about? Hear me out with this. This is the one like instance. I've seen in a video, you know someone referencing using them again. They're like yeah, don't. What are these called technically?

Speaker 5

this is called forceps. Yeah, I was gonna get, because we all are, also we're. We need to keep a.

Speaker 1

Not everybody's watching the video, so yeah, we're describing, we're getting people out there that are fucked like I don't know.

Speaker 3

They're talking about next episode, yeah forceps.

Speaker 1

So what I saw was like someone was going over, essentially like with the same splint. If you tie it around or something like that, you can essentially lock down quarter knots or something with it to essentially maintain the tension on something, not a tourniquet, because ideally you should just have a good tourniquet that does tension, like that but to, yeah, using it on gauze or whatever like that, you could pinch and leave it there and wrap the rest of the gauze around it to pin it in place, to kind of keep that tension.

Speaker 3

Now, there's a million other tools that do that. Anyways, right, all right. So what are you fingers?

Speaker 1

what I'm saying is like if you can't, because you're walking right and you're you know, on your own or something?

Speaker 3

tape clothespin. Hopefully you got carabiner. Hey, all I'm saying, man, is that was the explanation um, all right, what do you?

Speaker 1

what do you? What do you guys uh say here our emergency responders, leave it at home, let the people in the ambulance just have it. It's just taking up useless space we don't even carry it on.

Speaker 3

The ambulance got you all right, so no need. No need in the pre-hospital setting. There might be an obscure particular circumstance where it's worked out as a useful tool for someone, but it's not going to change any outcomes, almost certainly.

Speaker 1

All right, everybody get in the comments and tell Rice-A-Roni how wrong he is and how you use this to like stop your leaking bladder or whatever it is.

Speaker 5

Is that what's called a hemostat?

Speaker 1

Yeah, okay, all right, cool. Next thing, we got three products left on the table.

Speaker 2

Let's go what is uh? What is this here?

Speaker 1

flip it over a straight elusive bag abdominal combined dressing okay, this is just.

Speaker 3

This is just thicker gauze that's non-plied in the way that, uh, the other gauze is just to tuck your guts back in.

Speaker 5

I've got a million of these I've got a million of these.

Speaker 3

I'm getting you one okay, right so it's just like a thick pad of gauze with like this overlay right here, so it all stays contained. Um, there's a particular side that you want down. There's like this blue line here. It's a really, really good to absorb moderate bleeding.

Speaker 3

Now we're not talking about um like blurting this is really good for, like forehead lacerations and for um ears, missing ears, mature dude, uh. But what you can do is you can take trauma shears and cut off a section of this and it'll kind of stay together and you can just patch it on a forehead or something like that. This is like a really upgraded form of your rolled gauze and it's meant to like isolate on to a body part in particular would you use this for like big cups and scrapes that aren't, you know, like, like, like.

Speaker 5

Yeah, like, like, like, like.

Speaker 3

I don't like a road rash, yeah, I think road rash put that on there, so you can take like a saline flush I don't know if we have any of these here or like take sterile water, put it on here, keep it moist, slap that on a wound, wrap that shit around and you're good to go. Like you're keeping it um, nice and moist. You're keeping it from risk of infection. It's a simple thing.

Speaker 5

This thing costs like less than a dollar yeah, how important is the sterile water versus just slapping it on?

Speaker 3

depends on your circumstance, right? I just want to yeah, it's just gonna be more gnarly later when they have to take it off, I mean the moment you, moment you take this out of the package, you're out in the open environment and then you slap it on like there's going to be risk of microorganisms getting on there, right?

Speaker 5

Okay, so it's a. The sterile water is that's more of a sterilization thing, not like a moisture on the wound.

Speaker 3

I believe sterile water is also distilled, meaning it doesn't have the fluoride. It doesn't. Other chemicals involved as well turn them gay. That's good. Yeah, exactly, it's just. Uh, it's like it's true. I think it's distilled water that has been controlled for all microorganisms, as opposed to like a bottle of water which has fluoride content, a little bit more magnesium, other things, and I nerd out about this stuff moderately. But yeah, I think this is a great product. The only problem is that I see this is beefy. This takes up up, just about the size of your eye.

Speaker 3

Fact from tip to butt. If we want to go grand thumb reference there. We are not sponsored by him and do not want to get sued by him.

Speaker 1

Genghis thumb. Genghis thumb.

Speaker 3

Daddy thumb yeah, I don't care he could be bad about it.

Speaker 1

He hurt me first. I'm still hurt, I don't care. He could be bad about it, he hurt me first.

Speaker 3

I'm still yeah. But yeah, that's different. This is something I would keep in my truck and out of my IFAC.

Speaker 1

Yeah, okay, so like a car med kit.

Speaker 3

Yes.

Speaker 1

What about not IFAC? But what about I'm going on a campy trip with some people who are likely minded? Oh hell yeah.

Speaker 3

Any disagreements there? Nope, oh hell, yeah. Any disagreements there? Nope, all right, great, awesome. You probably recognize this now, yeah, and now it's out of the package. It's out of the package. Yeah, I'm pretty sure I'll get you a new one pretty sure.

Speaker 1

Wait, wait, don't throw it away. Don't throw it because we do have a medical training coming up for our church care team, and so I am gonna save some of this stuff that's already been indisposed to give to the guy teaching it, so that way he doesn't have to use his own shit. Anyways, uh, last two products on the table two, I'm going over this real quick.

Speaker 3

I'm sorry that I've been talking so much mac, no, this is much more in your wheelhouse.

Speaker 2

I've mac.

Speaker 1

Mac was invited here, one because I love mac and two, I kind of want to watch you and him interact. So that way, because there is an audience that listens to this podcast that is primarily like in the law enforcement field, and I think a lot of those guys probably haven't had a good teardown of what they're medically carrying in a long time. So it's good to have someone who brought his own actual medical equipment, what he carries for our you know firefighter emt, to nitpick right. So anyways, uh, what's this next thing?

Speaker 3

this is a suture. Let's not get into this. I think we're gonna burn on time. This is a if.

Speaker 5

If you know you need this, you probably know you need this like this is dumb right, I'd say like in your backpacking gear would be the only spot maybe like to like have that otherwise. Otherwise go to the er. Okay, would that be?

Speaker 1

the for sure, and if you, if you need a suture kit, it's non-life-threatening right yeah, probably it's dumb bleeding at that point usually because and are you gonna suture it up all dirty out in the woods?

Speaker 3

if you really need to like, if you need to. If I'm out where I'm hunting, fuck yeah, I'm in sure, but most of the time, no. I have never purchased one of these. Don't plan on it. Want to move on?

Speaker 1

Yeah, sure, I mean, I will say it came in my equipment and it is one of those things where I was like, hmm, this is interesting, never heard anyone talk about it. But here you guys go, in case you don't know what it's called or what it is when it arrives in your kit, known as stitches, if you're wondering.

Speaker 5

Yeah, I mean nylon monofilament.

Speaker 1

You got fishing line and a needle in here.

Speaker 3

Like I trust Pat and like me personally, I trust Pat to figure it out if I'm injured and I need redneck sutures. Well, and I'll say this we're going to figure it out.

Speaker 1

I know how to stitch only because I was taught by other people who have been trained in stitching and all that. But, like, for people who don't know, nurses don't even get trained on stitching, medics don't either, unless they're a very particular nurse. Yeah, um. So just so everyone knows, like stitching is not as easy as like, oh, tie a knot at the end like fishing line, and just start running it through that's redneck stuff. But good luck keeping the wound closed and good luck actually doing it right and not going too deep.

Speaker 2

Just buy super glue, just do gunpowder.

Speaker 1

Just do gunpowder like you know, Rambo, All right. What's this last thing here?

Speaker 2

All you, brother, all right, this one is a hemorrhage control bandage. It's pretty much just a bandage that's going to wrap it up really tight, kind of like a cross between a tourniquet and a bandage. Um, it's nice because it stays in place. Um, there's really not much to it. It's. It adds a little bit of pressure and it keeps the bandage right on the wound would you wrap that over after you use this?

Speaker 5

a wound pack and pack something. Yeah, it's the perfect and then you take this and you get that pressure.

Speaker 4

That's just to dream my guy, that's what you combo, and then you take this and you get that pressure.

Speaker 3

That's the dream, my guy. That's what you have there.

Speaker 1

And here you guys. People might be wondering like why is it so crinkly and stuff? Well, a lot of these you can buy like they come pre-vacuum sealed so they fit a little bit better in a pack and an IFAC right.

Speaker 2

Well, they're also sealed, because they usually sterilize them.

Speaker 1

Sorry, well, sorry, there's non-vacuumed ones as well. That's what I'm saying is like why people might be wondering why it's so crunched up, but yeah, that's how I've always seen it used is. This is the pressure wrapping that goes around the packed wound.

Speaker 5

Would you also use this in conjunction with the SAM?

Speaker 2

The.

Speaker 3

SAM splint yeah.

Speaker 2

Absolutely so.

Speaker 5

this is where you get that SAM put around. This is where you use that to then I've used this personally. It's you.

Speaker 2

It's to hold something in place you're already using exactly right I've never seen it used solo to cover anything up, because if anything's enough that it's actually hemorrhaging, uh, you're using something with a lot more mess, so would that also?

Speaker 5

would that be an ifac item or like a more general?

Speaker 3

or bigger, bigger pack that particular product? I don't know it.

Speaker 3

Like that purple bag is my brand, just a hemorrhage wrapper, sticky wrapper, emergency trauma dressing is what North American Rescue has it. As there's multiple sizes of it, it comes in a green pack. You can get it about this big by this big, so like four by two inches or so. Vacuum, sealed, ready to go fits in an IFAC. Well, that's an essential, at least in my opinion, because you can do mommy soccer, first aid stuff with it and you can do some massive combat bleeding stuff with it. All right.

Speaker 1

That purple branding wrap is Lightning Medical, I think is what it's called. It's like a. You probably use it. You just don't know because it's not coming in the purple wrapping or something like that I have no idea they're.

Vehicle Medical Kits & Everyday Carry

Speaker 1

They're pretty big, so if you see them, I I did a look into it because I was like, oh, I don't want to get knockoff shit. They make a lot of pre-packaged stuff with cat tourniquets and other like north american rescue products. They're some kind of partnered manufacturer, but anyways, all right. So here's some more stuff for us to roll through real quick. That was in the box EMS rolled gauze, quick clot. This is three feet by four feet.

Speaker 3

Fun fact quick clot is not the actual element or component kaolin that is impregnated into it, so that right, there is just rolled gauze it doesn't have the stuff in it yes, that does not have kaolin in it good to know and it's only four feet long and it's larger than the 12 foot vacuum sealed. So that's four feet as opposed to 12 feet. Look at the size difference. It says quick clot, so everyone thinks it's cool. Doesn't have kaolin?

Speaker 1

yep, fuck that shit kaolin also is a plant seaweed right seaweed gel so kaolin is actually an inorganic product made out of clay, essentially oh, okay that helps on clotting factor 12 and do this shit and blah, blah.

Speaker 3

Someone's gonna yell at me for things, but it it's a really interesting component. I don't think it's. A seaweed might have it maybe it's an alternative.

Speaker 1

I know there was talks of like, if you're allergic to something, there's the seaweed, hemoglobin, whatever, uh, all right, these, these are interesting. People are going to see these all the time and they're going to want to get them because they say swat on them, you know swat, hey guys I that both of you have worked with SWAT teams. Do SWAT teams carry SWAT-T tourniquets?

Speaker 3

No.

Speaker 1

Why not, though it says SWAT-T, tourniquet on it.

Speaker 3

TCCC is not recommending that particular tourniquet. It's more complicated and it doesn't need to be vacuum sealed. It's just the wrong product. I get what they're trying to do, but no For people who don't know, it's just the wrong product.

Speaker 1

Um, I get what they're, what they're trying to do, but no, let me let me so for people who don't know. You can look it up very easily, but these are elastic, like giant stretch elastic bands that you like kind of wrap and stick to themselves under tension. It's essentially like a uh workout resistance bike tire no, I don't think so.

Speaker 1

26.1 and a half, but it's rubber yeah, it's rubber and it's like, it's like stretch, elastic, that, like you know it's it's a workout band, um, and you wrap it around and the tightness of it, you know, is supposed to be, uh, it's not stopping the bleeding, but it's not gonna get as tight as like a real leveraged uh tourniquet. But I will say this, since now neither of you said it as a medical use case this is what you want for your doggy.

Speaker 1

This is like the number one use is having this as like if it's in your car or your hike med kit. It's because your dog has an injury. Your dog's got to stick through its foot, whatever, and these are great for the dog because you're not getting a tourniquet to seal on your dog's leg so there's only a few places on a dog like I've been to.

Speaker 3

I've been to canine um combat medicine training on this. This does work for that. However, in the state of colorado you're allowed to give your dog any acls medication that you would give a human being, with different doses, but if your dog has an allergic reaction, you can give them 50 milligrams of Benadryl Veterinary.

Speaker 1

I give Takani Benadryl all the time. Yeah, sure.

Speaker 3

But you can give your dog Epi, you can give your dog Benadryl, you can put gauze on your dog Like there's all these different things. This will work well for canine bleeds because of how it secures to their different anatomical structure, but it's not going to stop massive arterial. It just does not have that pressure. It can't get 200 millimeters of mercury for pressure.

Speaker 5

What about question being my three-year-old, that cat tourniquet's not going to do anything for him. Yes, it will. It'll get all the way down on something this big.

Speaker 3

So you're going to have to bend the shit out of the plastic. Essentially Okay, but you can also just hold manual pressure dude, All right, Like give him the E minor chord on his frickin' arm or whatever. It is Right.

Speaker 5

Okay, so that's what you but so it? Would this be an application for that, or it's just not getting tight enough?

Speaker 3

It's not gonna get tight enough.

Speaker 2

All right, then never mind cool reason that those tourniquet that can't turn the kids work so well. As I mean when, if you ever put one on, when you start getting that leverage from that win list and you're twisting it. Oh yeah, I mean you were taking something that was two inches long and shrinking it to half that and then a quarter of it. Yeah, it's exponential.

Speaker 1

And, man, I tell you what you know when someone's putting it on right, it is. I had a unreal ring the most recent time. Someone threw it on it didn't hold back and I I love the guy, uh, but he definitely made me know when someone's doing it right and when it's not. Uh, because it's way past the point of uncomfortable uncomfortable, it's like so much.

Speaker 2

It's way past the point of uncomfortable, uncomfortable, it's like so much, further past that, that most people expect yeah, if you're applying a lot of this stuff, be ready for people to not look like it's helping and they will not be happy all right, these are uh north american.

Speaker 1

Actually, I don't know. Yeah, this one is north american. These are hyphens are so there's a lot of uh stuff in the the media about these, but these are hyphen vent chest seals. Oh, careful with vent.

Speaker 3

Twin pack.

Speaker 1

Well, it says vent on them.

Speaker 3

It does say vent Hyphen vent, chest seal, twin pack.

Speaker 1

I'm just reading the label. Sure, sure, these are not. Well, I'll let you explain, rice-aroni. But there's a lot of contention because there's recently some medical personnel on the X saying these are useless, they don't do anything better to just stuff the wound packet whatever. And it's, you know, it's quote unquote, controversial and all the medical autists are like up in arms and arguing about it. Now, from what I've seen, these are used primarily to. You got an entry exit wound from a I don't know rebar stick through your windshield. You have bullet wound antlers, whatever arrow you put one and they say twin pack. A lot of people are like, oh sick, twin pack. So there's two in here. No, these are two. You, these are two. If you rip them apart and you only put one in your ifact, you only have one chest seal and you're gonna die and you're gonna still be bleeded out the back hole.

Speaker 1

So these are twin packs.

Speaker 3

It's not meant for blood, though. That's the thing, sure I understand, yeah, yeah, I get it, yeah but, um, you're, you're still gonna have a hole in your back.

Speaker 1

Um, so if you're gonna use them and if you want them and you believe in them, you're gonna keep them together. Uh, you're not gonna separate them, but, uh, right, certainly, what's the difference between the two of these? A lot of people see the white and the gray and they're like what's the difference?

Speaker 3

uh tactical versus non yeah, well, also I think, I think one's called compact.

Speaker 1

That's the biggest thing, but people fail to read.

Speaker 3

I in all honesty, I don't know. I mean, I'm guessing that's the case.

Speaker 1

I think it's only a size thing. That's my like, because they and I think they look a different color.

Speaker 3

There's nothing wrong with the smaller whiter product. The smaller one's okay.

Speaker 1

If you really need this one, because the small white one is it doing it. Yeah, your hole's really big.

Speaker 3

And that's one point I did want to bring up. I personally keep these North American Rescue hyphen vented chest seals in my kits both IFAC, truck, whatever it might be because they're vented. If you get a non-vented chest seal, all it's going to do is just stop the wound, like basically plug the hole. But when you have that inspiration-expiration phase, when you're breathing, it's not going to vent out the bad air that's creating that positive pressure that you don't want Back to the decompression needle right. Same. Thing.

Speaker 1

So, this is essentially the same as that decompression needle it's in conjunction, it's supposed to let air out, not let air in.

Speaker 3

Well, it's not air, it's pressure. You have a pressure problem. You want a negative pressure in the interthoracic cavity, like right now when I take a deep breath in, that's actually my diaphragm Expanding. No, well, it is expanding.

Speaker 3

Negatively pressurizing so your lungs can expand. It's going and changing and it's allowing the amount of volume to increase. It's allowing the negative pressure to do what it wants to do and bring air in. If you don't have that negative pressure when you get shot, you have a problem. So you want to change and close up the system with a vent and you want to decompress if their lung truly is collapsed and they got signs of tension pneumothorax, which is a totally different podcast and you want to create the appropriate pressure. And it's this thing that, like, we can't get into tonight. This is great for entry and exit wounds. However, entry wounds and sometimes exit wounds are very tough to identify. There's been like I had a dude. Uh, halloween last year, there was a bunch of people that got shot at a house party in an undisclosed location in the denver metro area and we thought the dude had gotten shot five times. Turns out it was nine. Damn.

Speaker 3

He had a bunch of chest seals placed by law enforcement prior to our arrival. We were on scene within five minutes.

Speaker 3

We always mess it up. No, it was good. There was a bunch of chest seals. The dude lived and had been like shot a bunch of times and we couldn't find him. It turns out 5.56 millimeters, small, going um 2,900 feet. Per second through someone is quick and it just goes right through. It doesn't create a bunch of external injuries. It's the internal injuries we're worried about. So, um, identifying where your wounds are is definitely tougher than just slapping this on. So when in doubt, slap that on somewhere if you feel like there's oh, we're getting all sorts of psilocybin distorted here.

Speaker 1

I just freaking, smacked my head on the pole so, uh, um, okay.

Speaker 5

so I guess for the people who so we're talking about chest seals, yes, and chest seals are like there's three things you put in your stop the bleed kit. In my tiny little training you get tourniquet gauze, chest seal, right, sure. So then is this to stop bleeding? No, so if it's not vented, is it doing anything at all to help?

Speaker 3

It is doing something, it's closing the system, but it's not allowing for the as fast of restoration of the negative pressure that you want.

Speaker 3

okay because if it's not vented, you have to burp it right yes, but you burp it once and it only does so much like it's going to take a while to essentially reinflate that lung. And you can go look at videos. People like everything I'm talking about. Go look up gastric insufflation to see like what your abdominal cavity looks like. Go look up uh chest tube placement. Go look up intra thoracic pressure um, there's so many videos, there's plenty of youtube guys that that we know that put out information on these products too that are well above our heads check out prep medic.

Speaker 3

We like him um, he's a dick it's funny, they're friends um all right I need to text him back, actually these do these go in?

Speaker 1

which med kit, which bag do you think you recommend them to go in?

Speaker 3

any and all any at all just get training. Please get training honestly, they're really fun to apply.

Speaker 1

You get to put them on a homie's chest if he's brave and he doesn't know what's about to happen, and then you get to rip all this chest waxing if Free, waxing If they're hairy.

Speaker 5

it's funny.

Speaker 1

All right, last one here from this box.

Speaker 3

Tactical tampon. What is that?

Speaker 1

No they're just battle wrap, but again, they're. Well, you'll see, they're included with a lot of stuff and I'm pretty sure they're cheaper, but they still have the same amount of yardage. No, they're actually bigger. These are six feet. Oh, no, sorry, not that bigger, they're six feet by four inches, uh, inches, yeah, and so these are more narrow and like would be better suited for like you could use them for stuffing, but they're better used for like wrapping.

Speaker 3

Tension on is there any gauze on this?

Speaker 1

no gauze from what I understand tactical a strap.

Speaker 3

Who cares? Okay, well, they came in the packs, my man just Just buy an Ace Wrap at Walgreens and then last one.

Speaker 1

Here's what you'll see. This is like a essentially topicals and you can see oh, actually, no, it doesn't have the list, but there's a QR code to scan to see the list for people who care.

Speaker 3

But if you I wonder if your phone's trying to scan it right now? It might be. But if you I wonder if your phone's trying to scan it right now, it might be.

Speaker 1

But this is like all of your usual kind of like not emergency stuff, but good to have Hemorrhoid dreams. Yeah, dude, I have a story for you guys, but anyways, I'm just going to pull it out and then we can put it all back in.

Speaker 1

But I just wanted to give you guys an opportunity to look through this, because some of this, I think, is actually like have it in everything, have it in your eye pack, because a lot of people think first aid kit has to be an emergency Dude. There's stuff in here that I'm like if I'm out there on my own and I start having the diarrhea like I don't want that to take me out from getting back home to help with dehydration. There's anti-diarrheal stuff in here, anything Rice-A-Roni or Mac, or you know Pat as well because Pat's an avid hunter. You guys want to look through these at all and see like there's aspirin, right.

Speaker 1

Poison ivy stuff.

Speaker 3

I'm guessing there's Benadryl in there but the number one life-saving medication for allergic reactions, especially severe severe is epinephrine. I'm not going to say use an epi pen because they're so expensive and it's like morally wrong, but consider getting a source of intramuscular epinephrine, um, and learn how to use it, because a lot of people, whether it be snake bite, whether it it be food poisoning, something like not food poisoning but like an anaphylactic reaction.

Speaker 3

bee stings right. Benadryl is cool and it helps out one component of an allergic reaction. Epinephrine's killer Like it is a fantastic med. I keep one in my wife's backpack for when she's at the gym and all the kids are running around with all the hot moms Like she knows how to administer intramuscular epinephrine to a kid if there's an anaphylactic reaction. That's cool. I think that's way more important than aspirin, because there's a lot of other things that aspirin can do.

Speaker 1

You're saying these words. I don't think people know how to acquire that Intramuscular epinephrine. How does one acquire that for an emergency scenario? So they have it on them to treat others or themselves make friends with a emt and or paramedic um get in or a vet.

Speaker 3

Yeah, it's the same drug weird.

Speaker 1

Are you saying that we're not friends because you've not given me any intramuscular epinephrine?

Speaker 2

do you want expired?

Speaker 1

if it's expired it's still good, right, but I mean an epi pen.

Speaker 3

Like I know, a lot of people will get a prescription for an epi pen, whether or not there's allergies. Yeah, if your insurance can help you, that's cool. I get it. Not everyone can afford a 600 pen that expires 18 months later. Um, I've never bought an epi pen, so so I'm kind of talking against myself here?

Speaker 5

No for sure. And I think that, uh, because, like things like Benadryl, they're not fast acting enough to save a life in the moment of extreme anaphylactic shock. And so, especially with small people, small children, you know, when their airways are closing up, things are going on, um, but to like lots of meds you just dumped on the table, um made me think of. Actually, when I'm traveling abroad, I have a first aid kit that I bring abroad with me, and that is like that's where I and I think this would apply to the hiking as well where you're going, ok, like hiking, backpacking and also like foreign travel, I do, I keep a tourniquet and I keep gauze in the bottom of that thing, cause I, you know, anything could happen anywhere. In that case, I do keep gauze, tourniquet, chest seal and that first aid kit, but then, for I keep a lot of other little just goodies with me that are there mostly for comfort, but also they will help you on a 14 day trip.

Speaker 3

And like talking like Dramamine for Dramamine.

Speaker 5

Yeah, so, yeah, so, and also I'm usually taking people with me on these trips, you know, and so it's like to be able to put Dramamine and then also, you know, whatever band-aids, little things, I carry tampons and pads in there.

Speaker 3

Tampons are great for nosebleeds dude, not bullet wounds Right.

Speaker 5

but also for like or just like if you're traveling in a group of people.

Emergency Medications & Environmental Protection

Speaker 5

For sure, and you're able to sit and there's a you know someone with you and we're moving past for a second from you know life-saving first aid into like other areas. But you know, I'm traveling with a bunch of college girls on this trip, right, sure and dudes, but girl doesn't have what she needs. I got the thing for her, but then biggest thing, like yeah, stomach issues, antidiarrheal, all that stuff, if you're going to be gone for another 20 days, that's going to make a big big difference. On for another 20 days, yeah, that's gonna make a big big difference. And so, as far as you know, an ifac to me is really like immediate life-saving equipment. And then and then I carry other stuff in other areas that are more comfy things, you know. So in my truck, yeah, I've got the tourniquets, the, you know, the stop, the bleed stuff, and then, if I'm traveling, that's what. That's where I start sprinkling in the other things that aren't going to be readily accessible to me. So I make sure to bring things that and that's actually part of this whole conversation would actually be while you're building out your kits, put the things in there that one are going to save a life but two aren't accessible to you If I'm driving down the road and I'm pooping my pants, I can go to Walgreens right.

Speaker 5

Sure, if I'm in the middle of a sandy place, I don't have that. Yeah, I'm not taking Middle Eastern vets Exactly, and so and so, and that's where like also same thing, even like with EpiPens and and that sort of stuff. We, when, we, when we, if you're in America, for the most part, and if you're in a city, you can get medical attention very quickly by dialing three numbers on your phone and they're going to come stick you with that pen. Now you might need it a little faster, but they're going to come help you out. If you're in the middle of nowhere and you got a big group of people with you you're responsible for, have epinephrine, have those sorts of things that are not accessible to you. So when you're building out your kits, think about what is accessible to you, what's not and what you need to use immediately.

Speaker 3

Yes, and then train under stress. Please, dear God.

Speaker 1

Pat, will you do me a favor and just make sure we're still recording? Yeah, and then I'm going to just have you guys take a look at these. So these are Olays olays I became a big believer of them after I just did an ifac class with a guy who's um emergency, uh, search and rescue, and also attached to a SWAT team as their medic um, and olays seem to me like for either uh, six bucks or eight bucks. These seem to me like the best of both worlds for wound packing and then also pressurizing around a wound as well as getting leverage. And we went through some things of how Olays are great for head wound injury and wrapping around an eye, especially if there's a broken orbital, as well as using one of these if needed to be an extra pressure point. This like ball here, if you guys can see on camera right, there's like this divot here, this cup it's a nice hard plastic cup Putting that under a tourniquet to apply more pressure to those.

Speaker 3

Over a smaller surface area.

Speaker 1

Yeah, especially like the groin wounds, Like if it's kind of upper closer to the groin.

Speaker 5

If you have really tiny pee-pee. Yeah, exactly right.

Speaker 3

I got one of those.

Speaker 1

So just curious what you guys' thoughts are on these. I had never seen them until I just did my last IFAC class. Is this an acronym? No, I don't know. It's just called OLEs O-L-A-E-S is how you find them. Oles modular bandage, and they have a good amount of wrap, a little bit of laceration, something probably.

Speaker 3

That'd be my guess. Truth be told, dude, never seen that, however, off.

Speaker 1

You want to open it Neither. I'll let you open it and keep it. If you want, you can use it for training or whatever.

Speaker 3

Is the particular person we're doing this off camera? Is the particular person you were working with, this individual?

Speaker 1

I don't know.

Speaker 3

Not by that name. Is it in the county we currently reside in? No, okay, different county. Yeah, okay, never mind then.

Speaker 1

But anyways, all right, I'm going to sacrifice one because they're so expensive For the boys. What was the price point on these Six bucks? Eight bucks but that was from like. I will say, that is from my resources. They may be more expensive if you don't have like cat card discount stuff, but here take it out, play around with it. So this is and the yellow one's the same thing, just a little bit bigger.

Speaker 3

It's more rigid than I thought. I will say. The first thing I did was see what the pressure is on this, because we talked about like femoral artery bleeds or like orbital stuff that's pretty resilient. I'm putting I don't know 10, 15 pounds of pressure on that and it's not bending at all.

Speaker 1

This kind of just looks like an Israeli bandage or a, it is a lot, and then in here is more packing that you can pull out and it's like I don't know how many foot footage that is. Oh yeah. You stuff that stuff in there and then you wrap it.

Speaker 3

It's more than your two feet that you have in your dumbass.

Speaker 1

Quick clot, Savage bro there and then you wrap it.

Speaker 3

It's more than your two feet that you have in your dumb ass quick clock. Just do me like that we probably should have put a disclaimer out here that, um, mick, pat and I as well as mac like pat and I go back to like pre-pubescent days and mick and I go back a decade, so I was talking shit's all out of love.

Speaker 1

Yeah, it is. I really do love you so much I love you guys.

Speaker 3

Yeah, our, our, uh, our text thread that we had today was a lot of like f you man, like you little bitch. So no, it's all out of love. Um, this looks like a pretty cool product. I don't know like if I'm needing this, this little plastic thing. I'm in a pretty weird circumstance, but this looks like an Israeli bandage with extra materials that could be useful, and it kind of comes packaged just like an Israeli bandage or like that emergency trauma dressing or, um, can you pull up the lightning purple thing?

Speaker 1

real quick. It's in a different box, it's too late.

Speaker 3

Okay, this looks like a cool product, especially for six to eight bucks, but I have to mess around with it.

Speaker 1

Yeah, I mean like I said, the way I saw it best used was, you know, in the need, packing a wound and wrapping it around. What the hell is that? Is that Takani with a water bottle?

Speaker 3

of Zin. Yeah, that's my just dog chewing on my discharge.

Speaker 1

But the other thing was it was specifically like a head wound. Wrap it around and if you have that fractured orbital in your face, like you know, put this over the eye socket to kind of help keep that from getting pressurized and jamming your cheekbone deeper.

Speaker 5

What about you know testicles, know spots where you'd be wound packing and you can't put a tourniquet?

Speaker 3

on. Sure, that's going to increase the pressure you're applying on that gauze.

Speaker 5

That's inside the wound cavity right, you pull that gauze, stuff it and then use this place, that little you know, place the little cone or whatever on the wound and wrap it up I.

Speaker 3

I don't see a disadvantage, but that's like purely a spontaneous reaction. Um so I don't know.

Speaker 1

I don't have evidence, I don't have data I was gonna save this for training, but do you want to take it home before, uh, we do our next medical training and play with it in the mirror.

Speaker 3

I'll let you take this home no because, because I leave for a You're gone for a few weeks for training. I'm gone for a month for a training Starting this week. Why?

Speaker 1

was that so?

Speaker 3

sketchy. I don't want to say shit on a podcast. I don't care how many viewers you have, whether it's two or two million, you don't have to say it. It's alright. I don't care how many viewers you have, whether it's two or two million, you don't have to say it, it's all right, I don't want you to feel pressured. I don't even know when this is airing, but I feel weird being like hey guys, I am this person and I'm leaving my wife alone at home.

Speaker 1

Oh yeah, for this time. Hey, don't worry, you don't have to justify it, you don't have to justify it if you want to play around with it more. No, it's cool, I'll probably just buy one, honestly Will you just throw that back in that packaging and we'll just save it as another training one Is it too late to talk about the med stuff Because we had that little bag of all the topicals. Yeah, please do Talk about it. Glee and Free Boy, Just a callback to it. Allergy Boy.

Speaker 2

Exactly.

Speaker 3

I'm very needy as far as all my if you guys want to know how to take down a syrian police officer.

Speaker 2

Just throw bread, some rye bread just straight to the grave toast while you're in pueblo county. I mean a fate worse than death being in pueblo, county really, but uh go ahead it's not so much for like a emergency kit, but, uh, you can buy cases out there that will come with like a bunch of antibiotics and anti-nausea. Um, you have to, you know, apply it.

Speaker 1

You don't have to get a prescription, but you have to provide some of your information so they make sure you're not I, I was looking into those and they send you like essentially like the basic antibiotic like use and a lot of them are, you know, uh equipping the uh more like missionary type work right. Like we're going to be in a third world country and very far from hospitals.

Speaker 3

You had me at missionary.

Speaker 1

Uh, I bet I did Um anyways, but yeah, I've seen that. I can't remember the company's name. But there's a company that does it where all you do is like speak to a doctor after applying and then let them know your use case.

Speaker 2

And then they send you a box full of those Jace case.

Speaker 1

We're not sponsored by them, but would recommend that.

Speaker 2

Not in the first aid area, necessarily, but it's really good to have. There's a lot of good stuff in there, like that anti-nausea has saved me before because there's been times where I'm getting super dehydrated on a camping trip and I'm getting very ill and it brings me back from the brink. So I would really recommend that for a lot of use cases.

Speaker 1

Yeah, and one thing for people to know, because I know there's a lot of prepper people who are like antibiotics, like real antibiotics. Yeah, they still expire.

Speaker 3

Topical antibiotics? No, they're not topical, they're legit.

Speaker 1

They're oral. Yeah, they're real.

Speaker 5

Yeah, but they do go bad.

Speaker 3

Are they? Oh, never mind, I'm going to get way too in the weeds.

Speaker 1

I was going to ask if Ask whichever one you want. Like, are they?

Speaker 3

broad spectrum like gram negative, gram positive, stuff.

Speaker 2

You can the base kit. You get like three different kinds of antibiotics um and they're all like oral yeah huh, like, one of them is like penicillin.

Speaker 1

Yeah, this is standard, yeah, okay stuff, amoxicillin probably yeah, it's like penicillin, which is amoxicillin and I saw jace case and I was like do I need to pay this money for it, or can my boy rice around? He just hooked me up with these so that way I don't need to pay for it. No, all right. Yeah, yeah, yeah, that's weird.

Speaker 2

Would recommend those, though. They're great. I mean, there's a whole bunch. I think the base kit comes with like 10 meds and each one of them could be potentially life-saving, at least vacation-saving.

Speaker 1

Yeah, true, true, especially if you're like oh man, that looks gnarly and we don't want to go to the doctor's office in Guatemala. Yes, precisely.

Speaker 3

I'm going to say this, too, as a caveat Do not go and take medications that you have not researched and you are not familiar with. From a pharmacological standpoint, the amount of contraindications, like the amount of bad things that can happen to your body if you take the wrong medications, is substantial. So please be diligent, talk to a doctor.

Building Your Own Kit & Final Recommendations

Speaker 1

we're not advising you to do dumb things um, you know, last thing I have on the table here is this emergency blanket. It's pretty dense. People are like, damn, that's a brick dude. That's a lot thicker than the tiny little fold-up mylar emergency blanket I have. These are, uh, from, I believe, england is where these are made, but blizzard ems blanket and these have a legit like soft gram fleece, insulated or polyester, you know, uh, and underside and then that like typical mylar exterior. So these are actually like quite a bit of step up from like just your usual one and done disposable ones. Um, and you can find these online. They are under the brand uh, oh no, their brand's literally called blizzard ems and uh, they're pretty great. But, um, this was recommended to me specifically from guys who do search and rescue and they're like I can't tell you how many times someone would have made it had they just had something like this that was, you know, a little bit denser material than their emergency mylar blankets, because those little emergency blankets are caca.

Speaker 5

I mean, there's a couple applications you can use them for, but really you actually have to use them with other stuff, like you wrap them in that and then wrap them in a sleeping bag. So this, how large is this?

Speaker 1

Oh, dude, it's huge man. Does it have dimensions on there? No, because it's freaking the Brits, bro. I don't think the Brits put their dimensions on stuff yeah cubits.

Speaker 5

Yeah.

Speaker 2

But I mean, I think I thought it's 250 grams, which means you know 250 grams divided by 2.2 and you can do all that shit this guy yeah, but I think a blanket is a really important part for a lot of kits like where you're at, yeah, yeah, in particular well, and then also, when you lose a lot of blood, you lose a shit ton of heat. Yes, like a lot of times and we've seen it before where people have some hemorrhaging and they start experiencing hypothermia, when it's only like it's not super cold out it might be like 40 degrees.

Speaker 3

That's the thing. Like ideal body temperature is 37 degrees Celsius or 98.6, right, like we know that the human body wants to be at that and blood does a lot of the heating and cooling and hvac of your um, of your system, and so having this to help preserve what body heat you do have and decrease the exposure from the elements is fantastic.

Speaker 2

so I'm not familiar with this product I'm not either, but I'd be super interested in carrying that because I have some crappy little red cross blankets that do squat.

Speaker 5

They're terrible. Yeah, I think this application is for if you live in the mountains, keep it in your car, otherwise, you know, bring this in your backpacking stuff. Or if you're a search and rescue guy, you know It'd be good for first responders in general. That's true, yeah, and there is something too about like just bedside manner for perspective for first responders, whether this thing's actually doing anything to save somebody's life like you're talking comfort care and like patient relationship.

Speaker 5

Yeah exactly if it's cold out and someone's kind of shivering but they're going to be freaking, fine, well, that's okay, but open this up and put around them. It's going to help. You know, like this is a fairly versatile, you know, not very big piece of gear for your bigger med kits.

Speaker 3

Yeah, not an IFAC piece, but I'd be interested to mess around with it.

Speaker 2

I'll definitely put it in the car. I had a dude that died right in front of me from hypothermia, so that definitely put it in the car. I had a dude that died right in front of me from hypothermia, so that I mean, may have it was, was he? Drunk?

Speaker 2

no, he was not, oh very elderly um just wandered out into the street. Um cut up his feet really bad and fell down and then just stayed there for who knows how long. But by the time we got there I was putting my crappy little blankets on him and he was already very deep in the hypothermia.

Speaker 3

So who's to say if?

Speaker 2

maybe it could end up being.

Speaker 3

Was he shivering?

Speaker 5

No Ah he's dead, he's too far, yep, but still, this would be better than what you had.

Speaker 1

Yeah, yeah, so Well, and I think too, a lot of it Like this would probably be overkill, but I do still think there's a purpose for those mylar ones, especially when someone's just got blood loss and just like wrapping them up while you're moving them. If you need to move them, so you can get them to where they're going to get the emergency services, uh, to save their life, um, but all right, we went through a lot of good stuff. Mac, how about you bring it to the table? Because all my med kits are pretty much got the contents that we've just gone over and rated already. So, mac, if you, if you're ready and we can, we can blur out stuff too in video, if there's any badges on your gear, uh. But if you want to take anything off or just bring over your med contents, you could do that there is not any badging on mine, however.

Speaker 2

My car got sent to the fleet because it had its check engine light come on, and my med kit sits right next to my.

Speaker 1

Oh, so I don't have my main thing with me, but all right, I'll save the show and I'll get, I'll grab one of my med kits.

Speaker 2

They're pretty standard. I mean, a lot of the stuff we've gone over is what's already in there. Um, on top of that, just on my, I carry a couple extra tourniquets, a bunch of that compact packing gauze, a pair of trauma shears that isn't in my IFAT kit, in case I leave it in the car, and then a bunch of gloves.

Speaker 3

Quick aside before I go pee. For those of you that want to carry a window breaker on your knife, which is moderately standard on a decent knife nowadays have you ever tried opening the door or opening the passenger door?

Speaker 1

consider that alright, well, while we take a quick break, we'll be back here in a moment. Alright, great, good job, mac Mac. Will you pass me? Pass me a nice? I haven't had any yet, and now my hands are free to drink one. All right, great, good job, mac Mac. Will you pass me a nice? I haven't had any yet. Yes.

Speaker 1

And now my hands are free to drink one. Which flavor do you want? Oh, I don't care. Mac Grab whichever here on the table. Give him the one you don't like.

Speaker 1

Is the Sherber Response or a Sherber Emergency Response Car Kit, right, and so this is pretty cool, I think in a bag setup response car kit, right, and so this is pretty cool, I think in a bag setup um it velcros onto a double buckle um headrest attachment so you buckle around your headrest, keep it in place and then you just velcro down there. If you need to rip it off, you rip it off and it's got some nice little molly panels on the front. The interior construction is not great, the seams are not good, but they're all right, um, so anyways, since good old mac doesn't have his med kit, I just figured we'd have, and this is exactly as it comes. I haven't done anything. So again, just a real quick med kit teardown from rice aroni here rice, go ahead, open it and then let's just go through what like comes in it, so that way people can see like pre-stocked med kit already packaged. The only thing I've done is take things out of their plastic contents and put them in good zippers you know what?

Speaker 1

I mean, and we're breaking down a car kit this is a car, all right, med kit. This is not listed as a ifac, I believe.

Speaker 3

I believe it's listed as oh, no, a car med kit all right, so I I wanted to to point this at mick just because, uh, I thought it was funny. This is just a four by four dressing. This costs like 19 cents, but it's quick, quick clot, ah, quick clot branded.

Speaker 1

So it's probably two bucks. Uh, I don't, I mean all of it came together, I have no idea.

Speaker 3

It is one four-ply, four-inch by four-inch hemostatic dressing. So this may actually have a hemostatic in it. So maybe I'm wrong on the other things, if you need a hemostatic four by four, I'm not sure what you're using it.

Speaker 1

My hemorrhoids. I had a serious hemorrhoid flare-up and I legit almost like called the hospital because I was like this is too much blood sure we're discussing this on next week's podcast. That's a teaser.

Speaker 3

I'm trying to see how centered I am on the tape triangular bandage. This is good for dislocated shoulders, various injured upper arm things. Like you fracture your humerus or something. It just holds it in place. We're talking Boy Scout stuff, so we're gonna move on.

Speaker 5

If I tie it around my head, will I look like I'm in Nam? That's what the O-Lase is for oh right, right, no, I mean before getting injured Over here is various forms of gauze as well.

Speaker 3

Huge fan Oval iPads mean before getting injured over. Here is various forms of gauze as well. Huge fan, uh, oval ipads. They can go to hell. All you have to do is take trauma shears, cut this in half and you have an oval ipad. So I'm I'm not knocking mix no, I don't.

Speaker 1

I don't feel like you are, I don't I. I like, I did like I. This was about 150 dollars, with keep in mind as it comes with like it's headrest setup.

Speaker 3

Yeah, there's some stuff over here um it comes with those high vent.

Speaker 1

Yeah, and these are probably the reason it was 150.

Speaker 3

Yeah, because this pack right here is what 30, 40 bucks or something I think they're 60 now.

Speaker 5

Jeez louise, yeah thanks obama, and part and part of what we're talking about, too, is unlike where you, where we're shitting on gauze sizes or whatever, the main thing being have the mindset to go. I can cut this because I have shears in my stuff. Right. To be like okay, I don't need 48 types of gauze, I need one good type of gauze and then I can cut it, I can use it Right. So that's kind of like to the application you need it to be in.

Speaker 3

We have the barbecue joint antiseptic towelettes for when you have a good rack of ribs or something. Honestly, these are good for whether you're camping or whatever, just cleaning off your hands of whether it's blood, dirt, barbecue sauce, doesn't matter, it's good Tape. We haven't really talked about this but, um, I don't know if you've ever tried to like do this with tape when your adrenaline's high. What I do a little pro tip you'll find this on all fire trucks and ambulances that I come across is flag it right here. Take a quarter inch or so. Put it like this whether you got ski gloves on, whether you got your nitrile gloves on, you always have the ability to pull.

Speaker 1

I will say I didn't pre-stage this, but what I usually do too, for, like my actual.

Speaker 3

Do you do the triangle?

Speaker 1

Yep, I do the yeah, just fold over and back like that, which is also how I stage my TQs with that Velcro tab, so that way I can get them out quick.

Speaker 3

I saw Mac do that as well with his like, just instinctually.

Speaker 5

That's how the house cleaners prep my toilet paper.

Speaker 1

Yeah, the hotel waiting stuff House cleaners.

Speaker 4

I was going to say yeah bro, this is the booming.

Speaker 3

This just looks like Curlix, also known as rolled gauze. I think it's less ply than your regular gauze, but it's good for wrapping up like you hurt a finger or something. Yeah, it doesn't matter. It could be a minor head wound which fun fact. Everyone head wounds bleed a lot, even if they're very superficial. Just have children, they'll show you that right here. Purified water this is an ophthalmic solution, meaning it goes in your eyes. So, um, this is good for washing out eyes, whether it's shrapnel, whether it's dirt, whether it's pepper spray Pepper spray, good point.

Speaker 1

I will say this I got a trick for you, though I didn't know that. When I proposed to Billie Jean that I was marrying the woman with the biggest eyes in the world that have magnets behind them, because stuff like beelines to go in her eyeballs and so this right here was like one of the things I was like, oh, why have I not just been carrying that in my car anyways?

Speaker 5

and is this the if? If you can put it in your eyes is this it could use this in the same application you were talking about earlier with the the flushing wounds, no, the big pressure band. Oh, the abdominal pad, abdominal pad, right so like right, you could take this out and squirt it on there.

Speaker 3

I can't tell you like you should do that. Would I feel comfortable doing it personally Right, not operating under a doctor's license as a paramedic Right Different ballgame.

Speaker 5

Right, yeah, but if I'm going to squirt it in my eyes, I could squirt it on my blood wound. Yeah, right, so this is multiple use.

Speaker 3

So there's going to be a lot more salinity to that potentially than standard sterile water and saline, I believe, but I could be wrong. I hope someone lights me up in the comments.

Speaker 5

Wouldn't that that in my basic understanding wouldn't?

Speaker 1

that be better for killing bad stuff if there's more saline more salinity no, salt doesn't kill the bad stuff all right, okay, a lot

Speaker 3

of salt will okay you're talking like.

Speaker 3

So the ocean is five percent salinity plus or minus the pacific ocean at least, right, and the your, your natural isotonic solution that you have of sodium chloride in your bloodstream is 0.9. So there's this entire range. Like if you just boil pasta water, it's going to be a varying salinity and I can't tell you at what um salinity wounds do well, or where there's an actual like let's get to lord of the rings like salted pork, right, I don't know what the salinity is there for preservation and what's gonna be good. All right, all right. Next stuff yeah, sorry. Hey, look at this. That's a nice product right there.

Speaker 1

Look at all those blue gloves, dude, aren't those pretty nifty? Yeah, here's the thing, though they don't need to be individually wrapped.

Speaker 3

I would probably throw throw it in a Ziploc like the Ziploc snack bag and just have like 12 of them in there.

Speaker 1

You know what, like I said, I literally just staged it so it would be here for you to tear apart.

Speaker 3

I'm not making fun of you, I'm just thinking out loud.

Speaker 2

If you're going to have like a universal kit, get the large gloves. Your hands are wet and sweaty from the stress of you going to or? Dealing with some of this Always get larger gloves I carry. I've got average probably medium-sized hands, yeah, and I only carry the Put them in, put those puppies in.

Speaker 1

Ooh yeah, all the people who want it. There'll be more of that later on the Patreon.

Speaker 3

The only fans.

Speaker 1

No, you're Only flan-gees yeah uh, no, you're only full. And geez, yeah, uh, mac, you're 100. Right, because I remember at the jail I always went for the double xl gloves. Yes, because I'm like dude, I can't waste time trying to put these puppies on, and it's always quick.

Speaker 2

You gotta put them on quick, so always I don't even carry anything but extra large gloves. Yeah, size up yep, uh I.

Speaker 3

I'm a tiny dude to begin with and I rock larges when stress hits the fan. That's my like go-to um. Normally I can wear mediums, like in the surgical suite. I'm a small to medium, but in the field I'm about a large um when I'm sweating and I just got off a fire or something like that, right?

Speaker 1

so roni this little black mat here this. Wait, flip it over so people can see. All right, what does that look like to you guys?

Speaker 5

Is that a Sam splint for your finger? Well, it is, I think Is that pretty. I'm pretty sure it's a splint-free finger.

Speaker 4

I thought this was to keep someone from breaking their teeth.

Speaker 2

I think, it looks delicious. Well, I did bite into it.

Speaker 5

I did bite into it. It's a neck. I did bite it too. It looks like an airhead. Or if you break your pecker after visiting a woman of the night and you got to get in your truck.

Speaker 1

Don't joke about that.

Speaker 5

Sorry, what is it?

Speaker 1

It's a finger splint. Okay, that's right.

Speaker 3

I will say this If you're afraid of breaking your teeth from pain, you could also bite on it, and I think you'd be okay, you're just gonna sink your teeth into aluminum, though, dude, not gonna break them, the aluminum's gonna scrape the shit out of your teeth.

Speaker 1

I'd rather have scraped teeth than shattered. No teeth, that's true.

Speaker 3

Valid. I just don't know what application I'd use this in.

Speaker 1

Finger splint. I broke my fingy and I gotta drive without it hurting more.

Speaker 3

I'm going to go back to soccer mom. I'm going to go to soccer mom. Medicine and buddy tape, that shit.

Speaker 1

Yeah, okay, whatever bro. Thank you Whoever made this bag.

Speaker 5

Well, and it is our. Anytime you buy a prebuilt kit, the main way they're marketing to you is by like the number of items in it. They're like 148 items, but it with 100 band-aids.

Speaker 3

Right, we have a fucking sharpie and we have this right.

Speaker 1

I will say I will say the sharpie, I think literally actually edged out a couple other kits, because a lot of kits would come in with shit with no way of marking anything, and the fact that I got a fresh squeaky sharpie with this one, I was like I was like because here's the thing too what a lot of people don't know and what I'm about to review here, is that everything you've seen, even the emergency blanket, you can use your hsa health savings account or flex savings account to buy yes, tax free.

Speaker 1

If you you buy Sharpies or you buy the not splints but the shears or things like that, or the eye wash outside of these kits, you cannot buy them with your HSA tax-free. So that's what I'm saying is like there are certain things like this, when you're thinking about in the way of saving money, and if you have those accounts and you want to leverage them, especially a flex savings that goes away at the end of the year and you're like shit, I got three grand in my flex savings that needs to be spent. These are great ways to do it, and some of them come with stuff that you wouldn't be able to buy otherwise.

Speaker 1

So, I hope that kind of clears up why there's a Sharpie and why I really wanted a Sharpie.

Speaker 4

Sharpies aren't breaking the bank, Like I don't care about the tax on the sharpie, but when you're looking mac, what I'm saying is when you're looking at these pre-made kits, yeah, and one's coming with something already in it that is just like put it in and forget it.

Speaker 1

And it's coming with, you know, an extra couple pairs of gloves and it's things that you will buy separately to complete the kit. That is not going to be, you know, tax deductible from your hsa and stuff. Then it's like, okay, that ekes out why you might get one product over another outside of the one I have at work.

Speaker 2

I've built all my own kits, because there's always the little. Did you spend your own money?

Speaker 1

I just I'm curious, oh yeah because I know this guy hasn't bought a medical product in like 30 years. They.

Speaker 3

They were gifted to me.

Speaker 1

Is that the acronym you're using now gifted?

Speaker 3

They were gifted, acquired.

Speaker 2

It's acquired when you're in the military.

Speaker 3

Tactically acquired in the military. I would never do that. None of these products were liberated from a warehouse that was collecting dust.

Speaker 1

Anyways. Okay, all right, ricearoni, as we come to a close here, help me understand your thoughts and kind of the closing arguments on this. Is there anything you'd really do to tear like one scale of one to 10? I'm not a super highly medical trained person, metaphorically and I see this available for like 130, 150 bucks somewhere in there and I just buy it, install it in my car in my headrest. It's big, it's red and it's there in my car for me or my family to use. How do you feel about that price point and what's coming in it?

Speaker 3

I can't talk to price at all because I I feel like that's a disservice. Um sure, overall it's. It's good contents. Right, we didn't even get into this, but I think people have an understanding of what this emergency trauma dressing is overall. You've got everything from boo-boos to big bleeds and it's big, bright and red, which I know a lot of tactical people want coyote, brown or olive, drab, green or black to be tactical, but this is a car kit for you and your family.

Speaker 1

Red's a good thing, like yeah, hey, this is what you need in case of emergency and especially like I'm thinking in the practice, like this goes in billy jean's car, this one does for sure. And I'm thinking like if car rolls over, I want to be able to fucking see this if there's no light yeah, I'd give it an eight out of ten just for that.

Speaker 3

Um, it's nothing too fancy. I haven't bought a medical supplies in over 30 years according to mix.

Speaker 4

So I don't, I can't put a price point on it.

Speaker 3

But quality wise, you know, I'd get rid of some things, substitute them for some others that I have laying around, but overall, yeah, it's good stuff, man.

Speaker 1

Cool, cool, all right. Well, and I would say, like just about every other kit other than the ones that came with the decompression needles, pretty much came with the same stuff. Um, for the most part some of them were more expensive because you pay the tactical tax, right, you pay the tax for the molly and the the webbing on it to go on to your plate carrier and chest rig, but overall that's kind of what we're looking at here, so cool. Well, hey, I appreciate your guys's opinions and thoughts. I got. I do want to hand it over to you guys for kind of, like you know, final closing statements and just kind of thoughts and stuff. We don't it doesn't have to be one sentence, right, like we can, we could talk a little bit here with whatever you guys would like to, um, but that's pretty much covering everything I wanted to address and get on the table for people to see and hear from. You know firsthand emergency responders, like what we use and what we don't use.

Speaker 2

So I would say. I mean, if you have the time, I'd like to talk real quick just about if we were building our own kit, if we weren't going out and buying a pre-put-together thing. What are the items that we're going to buy to build that kit up?

Speaker 1

That's a good point.

Speaker 2

Start with the gauze.

Speaker 1

Buy gauze.

Speaker 3

I showed it to you.

Speaker 1

Don't even buy gauze according. Showed it to you.

Speaker 3

Don't even buy gauze according to rice aroni, just like have a friend who has unlimited gauze access. Yeah, my answer is different to to mac than it is to your average. Um, civilian, right like this is coming from a dude that's been shot at in a few different countries and a dude that's been on SWAT calls. Um has been inside burning buildings and has seen a bunch of medical emergencies. Right like it really varies. Um, I have an end of. Sorry, I'm getting emails. Um, go look up prep medic. He's got an exact video on that question of how do I build my own ifac. You'll hear people refer to it as JFAC, which is just the same thing, but the military changed the name a little bit. Go do some research yourself. Bleeding control is definitely necessary. Go look up. Stop the bleed kits. Consider your family, your environment. You know if you got a kid with allergies, consider epinephrine, benadryl, et cetera. If you are exposed to respiratory illnesses in your family, look at albuterol and inhalers, like inhalers are.

Speaker 5

A great thing that we didn't get into that a lot of people can utilize, Because one of my questions to you would be what are the things, what sort of things? If people had had them, they'd still be alive. Or if their family had them, you know that sort of like if people had had them, they'd still be alive. Or if their family had them.

Speaker 5

You know that sort of like, common sense and there's obviously like mindset, common sense, ability to use what you have, but then like and I think probably things like albuterol, epinephrine, those are probably the things that like training and fitness for sure a lot of times it's just if someone put their loved one or friend or whatever into the recovery position what's the recovery position?

Speaker 3

left lateral position. Just google that shit.

Speaker 2

Um like laying in the fetal position on your left or right side, you know you can kind of tuck the legs in a way to where it self-balances, where, like, the body doesn't rotate and fall over, especially if you're overdosing Like Matt is kind of alluding to so they can breathe.

Speaker 5

Why would you do that? It's so they breathe in.

Speaker 3

If they vomit, they vomit on the side and they don't pull a breaking bad.

Speaker 5

Right, yeah, yep, so, yeah. So to help them clear their airway and breathe, yeah, clear their airway and breathe.

Speaker 3

Yeah, I mean, the first week of EMT school is airway, breathing, circulation, right, ABCs, and it goes way in-depth into that as you get into, like the undergrads and the paramedics and critical care and all that. So yeah, I can't really advise for particular products besides what I've mentioned. And even then, like I'm wrong and I'm probably arrogant and so I'm stuck in my ways a bit and I've got to learn from other people too.

Speaker 1

I think it's one. I think you could say what you want to say in regarding to products like what you like and stuff. No one's going to be like, oh wait, a fucking med guy that is anonymous. You know what I mean. Like you can recommend what you want, no one's going to care here. I mean like you can recommend what you want, no one's going to care here. But I will say to like to your point about, like you know, having the humility to be like, hey, this is what works for me and it might not be what works for everyone.

Speaker 1

I had my IFAC, not super squared away before my most recent IFAC class, but there was a couple of things in there, like the same splint, and it was in my chess rig, recce IFAC. When the guy who's running the course he tore down everybody's ifac, it's like, hey, man, you just don't need this in here. I was like, well, I have it in there for, like you know, it's a, it's a recce chess rig, so it's what I'm gonna be wearing. If I'm like out in the mountains or connoisseur, he's like, okay, all right, fine.

Speaker 1

But like you know, from his perspective of like plate most people were wearing plate carriers and stuff. He he's like you don't need this on here. If you're wearing a plate carrier, you're in a direct action environment or something. You probably don't need a SAM splint. And I was like, interesting, cool, didn't know that. But it was something where I was like, okay, these are two different perspectives of experience that I've gotten information on. Both are probably valid. Right, it's about a time and place and making your kit prepared for that time and place.

Speaker 3

I got a perfect example. I was training with Pat earlier this week doing some active shooter and hostage rescue situations and I showed him a Mega Mover, which is just this giant sheet that weighs about a pound and a half or so that folds up nice and easy and fits in most SWAT guys their entry vest. So we're not talking a recce rig, we're not talking like chest plate carrier stuff, we're talking an entry vest which is big, bulkier, bulkier, heavier, harder to move your shoulders in that's like.

Speaker 1

That looks a lot like the uh full collared cry precision stuff right yeah, yeah.

Speaker 2

So it looks like the type of armor from a video game yeah, you look like the juggernaut from modern warfare medium, medium juggernauts, yeah yeah, but this thing I can.

Speaker 3

I can roll pat onto it. If he's like down, he's out, he's, he's down for the count like he's been shot or whatever. I can deploy that thing, flap it out, roll him onto it and drag his ass out in a matter of seconds. I'm not carrying that on a recce rig, but if I'm on a SWAT mission, we all carry that, because if we have officer down or whatever.

Speaker 3

We're running that and it's a cool product. I don't recommend it for civilians, but it is a really, really useful thing that I've used on a lot of calls, whether it's just a medical call, whether it's a SWAT call I.

Speaker 5

I think, for in that case too, like if you're a backpacking guide, put that in your bag right.

Speaker 5

Like you, you're under the volume problem if you're backpacking right, but meaning, but right, I'm not talking about a lot of time was like, if you're the, if you're the person responsible for other people, then yeah, have that in your like. Just first get like, like, like, like, whatever, like, like. That's the type of thing like. Or a outfitter guide, whatever, like. If you're back out where you got to get somebody out and, um, you know, yeah, you can get out your saw and cut down two lodgepole pines and lash them together with some P cord and then fold the blanket in thirds, but this thing's like this thing's small enough that, like, uh, be worth it to.

Speaker 5

You know that sort of application where, okay, you're, I'm responsible for people in the back country, or that. In that sort of application I thought, I thought it was something that could be um used. Well, in that case too, I mean, it's, it's, it's so, it's. It was so small and so light yeah, what's it called?

Speaker 1

what's like the even smaller or like more lightweight ones?

Speaker 3

Talking to sked the plastic ones.

Speaker 1

Yeah, yeah, exactly, yeah, halfback sked yeah.

Speaker 3

We use that for trench rescue and collapse rescue all the time.

Speaker 1

Yeah, and that's just like something I've seen that a lot of people start integrating into their like recce rigs, right Of just like. Hey, it's pretty much a one time use thing, but it is going to let you get a dude on it and if you need to, you can drag him through stuff and tie it off to the year back, or if you got enough guys, you can carry him pretty quick. But I have seen those kind of growing to more popularity. Cool, well, hey, I think that was a great episode. Boys, appreciate you coming in and joining us. Uh, some some of our kin to come on the podcast and speak to the rest of y'all. Um, I will say, if there's any kind of final statements, you know well, like, just advice doesn't have to be medical, uh, cause this is usually where we kind of leave with our final signed off.

Speaker 1

Uh, what do you got for them? Rice-a-roni.

Speaker 3

Get fit. Learn how to operate under stress.

Speaker 1

Cool.

Speaker 2

Mac when dealing with anything medical. Keep the blood in, keep the heat in, get them to a higher level of care.

Speaker 1

Move quick.

Speaker 2

Move quick.

Speaker 1

Excellent. Well, I don't have anything to say to that. You guys both are the experts here in speaking, taking the words right out of my mouth. Pat, you got anything for us?

Speaker 5

No, yeah, I think that it's what you guys are saying. You can buy every piece of gear, piece of equipment on the map, but if you don't know how to use it, it doesn't matter. I've talked about this before on the podcast too, but it's just like your mindset matters so much because we want to talk about the cool stuff. Like I just got into a room and 48 people have just been shot and I killed a bad guy myself and now I've got to do everything.

Speaker 3

I have one thing to talk about once you're done. I killed a bad guy myself and now I've got to. You know, do everything and whatever, like, whatever, like, you know, like, whatever.

Speaker 5

I have one thing to talk about once you're done, you know it's like, it's like with, like, you think about like all that stuff, and then it goes all the way down to like, what about when just a car wrecks and you got to react to help somebody, right, like, and like, like it could, because you play out all the, all the extreme scenarios and, um, you, you have to be able to manage yourself under those situations of stress. And then, yeah, you should have the stuff with you to help and you don't want to regret not having those things with you either. And so it's a balance and it's a training thing. It's also, um, don't like mentally masturbate all your crazy, you know, you know, uh, scenarios just go. Hey, a guy might punch his arm through a window and now his arm is bleeding so bad he's going to die. Yeah.

Speaker 5

And I got to do something about it, right Cause those are all the things that we're all going to encounter so much more often, and even those things are rare, but that's are all the things that we're all going to encounter so much more often. Even those things are rare, but that's the more likely cases.

Speaker 2

And that's even the difference between a patrol level and a SWAT level. It's not what you're doing is complicated. It is just doing the same simple thing over and, over and over again. It's mastering the simple task.

Speaker 3

The first thing dispatch asks for when you call 911 is your address the end.

Speaker 1

Good point. Well, kid, know where you are With that. Thanks for joining us, until next time, Thank you.