The Partisan’s First-Aid Kit

Whether you consider yourself to be a prepper, patriot or partisan, there is no argument to made against having a robust emergency medical kit and the training and knowledge to put it to use. I’m going to show you my own medical kit that I keep nearby at all times. Before I proceed, first I want to make sure that you understand how important it is to acquire some level of medical training. Getting trained in the latest standards and techniques for Basic Life Support for adults, children and infants is easy and valuable. The American Heart Association is the gold standard for this training in the US, and can be completed in one day. Opportunities for additional medical skills training are available all over your local community as well. I recommend that anyone with a little spare time and money enroll in the EMT course at your local community college. Most EMT courses can be completed in one semester. I don’t necessarily expect everyone to go and get employed as a full-time EMT or paramedic, but going through the EMT course and occasionally practicing those skills may end up saving the life of someone in your family or in your survival group. I’m going to assume that I’m talking to an audience that has some medical knowledge or intends to acquire some at a later time.

To start off, let me first say that you need to be able to take a full set of vital signs on someone. You need to be able to assess blood pressure, heart rate (and assess for perfusion to the extremities), respiration rate, temperature and oxygen saturation. Here is a pretty good video instructing on the basic technique for manually checking blood pressure.

Next, you’re going to need to be able to respond to an immediate emergency involving the ABC (The AHA has rearranged these letters, but my kit still applies). Airway, breathing and circulation. Here, you see a naso-pharyngeal airway, a CPR mask with valve and a trauma tourniquet. These things address ABC. Also in the photo, you see an emergency blanket, some scissors and other tools, and a seat belt cutter. If you’ve got additional space in your bag, fill it with something that you can use in a situation you don’t have another tool for. That’s where my seat belt cutter came to find a place in the bag.

You need to ensure that you’ve got some ability to protect yourself and the person you’re treating from infection. Iodine and alcohol are used to clean wounds and skin. Saline can be used as a rinse for wounds and eyes. Hydrogen peroxide should not really be used anymore as a straight antiseptic if you can avoid it, because it has the tendency to destroy healthy tissue as well as infectious organisms. With that said, it can be used as a stand-in chemical debridement tool if you’ve got the assessment skills and training to create such a wound dressing as necessary. If possible, don gloves before responding to an emergency. Stash several pairs in your kit so anyone who is assisting you can wear them. Size large is good enough for most people in a pinch.

If you’ve got the training, the assessment skills and are not able to move the patient to a professional medical facility, they may require IV fluids. In the photo below you see a bag of 0.9% normal saline and a bag of lactated ringer’s IV fluids. These are isotonic crystalloids and can be used as volume expanders when a patient’s blood pressure is too low or for re-hydrating a dehydrated patient. Again, I want to stress that you need to have the requisite training and assessment skills before administering IV fluids to a patient. However, looking around at the website you’re reading this on, can you imagine that you may be in a situation where giving someone these fluids may save their life? Imagine having these supplies in war-torn Africa, Sarajevo in 1996 or even Venezuela today.

Being in such a situation would undoubtedly require you to tend to wounds. Some of the supplies for wound treatment can be seen here. Keep various sizes of gauze and “cling” wraps. The Bulkee gauze is great for wrapping and giving a protective cushion over wounded areas. ABD pads are absorbent and great for covering open wounds to protect them from the environment. Those Tegaderms in the top left corner of the photo below are great for making a pressure dressing. Take one or two of those 4×4 gauze pads and fold them into a wad, place onto a small bleeding wound and place the Tegaderm tightly over it.

It’s important to have a few eye pads and a bottle of saline eye wash. Also below you’ll see a few things that I managed to find additional space for. Non-adhesive pads can be placed on a wound site that you don’t want to cause further trauma to when removing the bandages.

Xeroform petroleum dressing is made to placed over wounds that need to maintain a degree of moisture for healing. Maintaining a moist environment has been shown to increase the movement of new skin cells to the surface. This is especially helpful in burns. The bottle contains Iodoform dressing strips which are meant to pack inside small wounds. The strips help prevent infection and assist healing from the inside out.

Below I have some methods to stop bleeding and seal cuts. You’ve all probably seen war movies where the medic dumps a pack of powder onto a wound? Yeah, we still use that stuff. Pack it into bleeding cuts, don’t just pour it all over the place. The Skin Affix is basically skin glue.

In a post-SHTF event, I expect to need a lot of bandages, so I’ve made sure to include several different types of bandages. The triangular bandage is great for making a sling for an injury to someone’s arm.

If you’ve got the skills and need, you may have to stitch up a wound on a buddy or on yourself. It’s very important to have the tools to do it right and the supplies to ensure the wound stays clean and doesn’t get infected. If you can get some 2% lidocaine, a syringe and small gauge needle, you can greatly reduce the pain associated with the suturing procedure, which means less movement while you’re doing the work. You’ll also need a pair of short nosed clamps, sometimes called a “needle driver” to grip the needle without slipping.

Post-SHTF, there is likely going to be a great lack of hygiene and cleanliness. This can result in abscesses and other types of wounds that may require lancing and draining. The theme once again is possessing the training and assessment skills to conduct such a procedure and do it using aseptic techniques. Syringes, needles and sometimes a sharp blade is needed for this, and it’s better to have something like a scalpel (below you see a #10 blade) than your everyday carry pocketknife for this job. Lidocaine is handy for this as well, if you’ve got it.

Don’t overlook the importance of medication. Tylenol is great for reducing fevers (but NOT for use in reducing high temps resulting from heat related injuries), ibuprofen for injuries and aches (can also reduce fevers), benadryl for allergic reactions, loperamide for diarrhea, which can cause rapid dehydration (in case of suspected food poisoning, allow for permissive diarrhea so the body can rid itself of the toxins). Odansetron, aka Zofran, is great for treating nausea and vomiting (reread the point above on food poisoning and apply it to temporary vomiting). Also make every effort to obtain children’s versions of these medications if you feel you’re going to be possibly treating children. Aspirin should never be given to children under 12 years old.

Tongue depressors and long-stem Q-tips are handy if you’ve got the space.

A wealth of knowledge can be found on the shelves of your local bookstore. Even those with extensive training prefer to keep reference material at arm’s length.

Here is what my finished product looks like. Everything pictured above fits inside this 20” medical bag, even with some of the supplies doubled up. Your kit is likely to look different and I encourage you to take stock of your own abilities and needs. This is by no means and final solution to all medical situations, but is always a work-in-progress. I try to tell anyone who will listen that one of my top eight priorities as a prepper/survivalist is MEDICAL capabilities (the other seven being shelter, water, food, security, commo, intelligence and transport). Your group needs someone (or multiple someones) with training, assessment skills and supplies. I urge you to fill this important gap in your preparations before the big test. There will be no do-overs.

Spread the love
                

Share This Story, Choose Your Platform!

About the Author: admin

10 Comments

  1. Anonymous June 23, 2019 at 08:09

    4.5

  2. Anonymous June 23, 2019 at 10:04

    5

  3. 15Fixer June 23, 2019 at 14:23

    Most excellently presented!!! Thanks for the pictures, they help alot.

  4. James June 24, 2019 at 12:50

    Nice article,compact little bag.I would say you good on supplies you are comfortable using get some you are not experienced with,just may have someone at accident/what have you who is experienced but either has none of their own or run out.There was a very serious motorcycle accident involving a truck/trailer and many bikes recently my neck of the woods,many came out to help till paramedics ect. got there,every extra kit would have been useful along with every extra skill med wise you can learn.

    Sadly,in this case 7 folks died but is incidents like this why I carry stuff in vehicle med related along with being perhaps needed on me personally.

  5. MW PREPPER June 25, 2019 at 11:24

    Great article! I’ve been trained in first aid since the mid 1960’s. It’s always good to see updated & comprehensive information on what to have in a first aid kit. Many thanks & keep cranking out more survival tips.

  6. Matt in Oklahoma June 26, 2019 at 07:39

    I drove up on the scene of a real bad head on highway speed collision 2 thanksgivings ago. One was already deceased and the other critical in one vehicle and the 2nd had one critical. I grabbed the IFAK from the wife’s car trunk and started to work. An off duty firefighter came up and started assisting. He stated that I didn’t have much with me. Yeah your right but I’m well trained in what I do have. He was yelling at everyone in the crowd for supplies and then yelling at them for not having any. I asked him where his personal kit was. He stated that he had a fire truck and didn’t need one. I snapped back at him that I didn’t see any truck and he needed to calm down.
    As well stated in the article get trained, get geared up and have it ready. It doesn’t have to be the end of the world.
    BTW mine didn’t make it as she was just too far gone but as a man I rest better knowing I did what needed done and she didn’t die alone or uncared for.

    • Gray Man October 12, 2019 at 10:04

      Good on you for stopping and rendering aid, and hopefully the adrenaline junkie you had yelling at everyone will reassess his attitude.

  7. MechMedic July 30, 2019 at 16:46

    Just a slight update on the hemostatic powders, they haven’t been recommended since 2008. They are a pain to pack into wounds and rarely get to the source of major bleeding. Any of the impregnated gauzes are good though. I would say to stay away from the sponges simply because they’re a gimmick.
    Other than that, damn good info!

    • Gray Man October 12, 2019 at 10:03

      Powders are not “recommended” for major bleeding, certainly. But my bag is made for a situation where I have little to no help coming for quite some time, and I have used those powders effectively in my ER enough times to know that I’d prefer to have them as opposed to not having them. Basically, the benefit I can gain is worth the grams of weight added to my bag. I would not use them for major bleeds, though.

      In ref to the “sponges”, which sponges do you mean? I don’t have any kind of sponges in my bag.

  8. Anonymous December 29, 2019 at 00:14

    0.5

Comments are closed.

GUNS N GEAR

Categories

Archives

Spread the love