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...DIY Individual First Aid Kit (IFAK)...

Discussion in 'Preparedness & Survival' started by 7SFCW4, Oct 8, 2014.

  1. 7SFCW4

    7SFCW4 Out and About, Oregon Active Member

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    Good Morning, this is just my take on the Individual First Aid Kit. There are of course commercially available versions that vary in price and capability. There are excellent individual trauma kits by numerous vendors. Here is what has worked for me based on my military and dad experience. This includes sources for the contents. (No flaming is necessary, I freely admit that I an not a doctor).

    ULTIMATE I. F.A.K. [Individual First Aid Kit]

    Condor Brand, EMT Pouch, 7x5x2.5 inches (available in a variety of designer colors)



    10 ea, Band-Aid brand, “Tough Strips”
    These babies will take quite a beating and still stick

    1ea, QuikClot brand, Advanced Clotting Sponge, 1.75 oz
    Granulated QuikClot: you must remove EACH granule before suturing, sponges or gauze are better.

    1ea, Nasopharyngeal Airway (28 Fr., 9.3mm) with Surgilube

    10 ea, Dispensing Needle, Blunt Tip 14 ga x 1-1/2"
    After treating the sucking chest wound, insert to allow minimal air into the lung thru the front seal.

    1ea, 6in, Israeli Battle Dressing
    For those pesky non-TV bullet wounds

    1ea, (pair) First Voice TS-FSOD1 Mesh FoxSeal Chest Seal/Occlusive Dressing
    Through and through chest wound, see “dispensing needle” above

    1ea, Prestige Medical Fluoride Scissor, Black, 7 1/2 Inch
    Cutting Stuff

    1ea, Tac Medical Solutions, SOFT-T Gen II tourniquet
    Saving arms and legs

    2ea, 3-0 Black nylon STERILE suture with attached needle
    For sewing stuff back on

    2ea Pair, Black Nitrile Sterile Gloves, with 2% Lydocaine Burn Gel, Individual

    2ea Pair, Black Nitrile Sterile Gloves, with Betadine Swab, Individual

    1ea, Epinephrine, auto-injector
    Just in case

    1ea, 2oz, Alcohol gel
    Put on rubber gloves, smear with alcohol gel, and get to work


    Soda Bottle Pre-Form to hold pill items below when seal is broken

    PRILOSEC OTC (20mg each)
    DOSAGE = 1~3 day
    Long term heartburn releif

    RANITIDINE (150mg each)
    Short term heartburn relief

    IMODIUM (2mg each)
    DOSAGE = Adult, 2 followed by 2
    After first firm bowel movement
    Children, ½ to 1 capsule
    Short term diarrhea relief

    ADVIL (200mg each)
    DOSAGE = 2~6 as needed
    Pain Releif

    BENADRYL (25mg, 20ea)
    DOSAGE = 1~2 as needed
    Allergy symptoms, itching

    CLARATIN (10mg each)
    Loratadine Generic
    DOSAGE = 1~2 as needed
    Allergy Symptom Relief

    LANSOPRAZOLE (30mg each)
    DOSAGE = 1 per day
    Long term heartburn
    Proton Pump Inhibitor

    CAFFEINE (200 mg each)
    DOSAGE = 1~2 per

    # # # # # #

    Band Aids

    Dispensing Needle

    Israeli Bandage

    Chest Sealer

    Clear Airway





    Betadine Swabs

    Burn Gel

    Soda Bottle Pre-Form

    All items have been vacuum packed for longevity and to reduce size.
  2. coctailer

    coctailer Portland, OR/Hastings, MI/Vancouver,WA I run with scissors.

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    Have you tallied how much the DIY IFAC would cost?
  3. 7SFCW4

    7SFCW4 Out and About, Oregon Active Member

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    Barring the cost of items you have to buy in bulk: (1.) dispensing needles; (2.) burn gel; (3.) betading swabs... it is about $110.00 using Amazon as a pricing barometer, with free shipping...
  4. The Heretic

    The Heretic Oregon Well-Known Member

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    This is what I got to put such items in my GHB:


    You can get them in orange or other colors.

    I got an orange one for my kids and a green one for myself.

    They claim it is "water resistant" and not meant for submersion. I submersed it for about a minute in a bucket of water and nothing got inside. It has a seal where the lid closes.

    The compass is nothing to write home about, but it works.

    I know it is relatively heavier than a soft pack and bulky, but in my experience, in something that is going to be knocking about, especially in a GHB in the trunk of a car, this would protect its contents better than any kind of bag.
  5. Martini_Up

    Martini_Up NW USA Well-Known Member

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    Nice list
  6. powersbj

    powersbj Seattle Area Active Member

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    How about the mini triple antibiotic ointment packs.
  7. rick benjamin

    rick benjamin USA, Or, Damascus Secure the drama Silver Supporter 2016 Volunteer

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    Band-aid, one each (ok, maybe two)
    Mask, dust, one each
    Gloves, nitrile, one pair
    Trauma dressing, one each
    Quick-Klot gauze kit, one each
    Put them in a One gallon freezer zip-lock bag

    Put one in each car
    Keep one at work
    Have one for the home

    supply links
    Harbor Freight nitrile gloves
    Harbor freight face mask, dust.

    My experience, be prepared, nothing will happen.
    Let your guard down for one heartbeat, SHTF!
  8. decklin

    decklin WA Well-Known Member

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    I think you did a good job with this. I'd probably use the quick-klot gauze instead of sponges. The reason is I've never used the sponges so I'm not familiar with how well they work.
    I've got a set of N95 rated masks in my truck next to my ifak.
  9. Sgt Nambu

    Sgt Nambu Oregon Bronze Supporter Bronze Supporter

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    Nice list, good work/research!
  10. 7SFCW4

    7SFCW4 Out and About, Oregon Active Member

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    Just a reminder here, this is for a Tactical, easy to carry, Individual First Aid Kit, not a squad level or in the rear with rear with the beer kit. Granted, my experience is 110% US Military where I had the luxury of a dedicated medic (he carried the IV's and antibacterial cream) even so, adding antibacterial cream to this is an excellent idea. My kit also is my individual (catering to kids and indigo's) based on my experience. You are usually wearing something with pockets for your indiv must haves, load carrying equipment, pack, etc...

    So keep those great ideas coming!
  11. Medic!

    Medic! What just happened? Has eagle eyes. But cant remember what he saw. Bronze Supporter

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    I was your dedicated Army combat medic for three years.

    Now some folks may ask why you need all this medical equipment around when you have limited or no training? I would say get the stuff and keep it around. Even stuff to start IV's and meds. Somebody trained wont be any good without it. But do not exceed your medical TRAINING!

    Your gona look like Sandra Bullock in The Heat giving that guy an emergency tracheotomy.

    And don't forget epinephrine.
  12. The Heretic

    The Heretic Oregon Well-Known Member

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    I have some advanced first aid (or at least it was at the time I was in the military) but not EMT/etc. level, so I wouldn't know when or how to properly use an airway or some of the other equipment (like the dispensing needle), but it doesn't hurt to have the equipment on hand because sometimes there is someone around who does know how to use it.

    I have a doctor in my neighborhood, so I would guess he would know how to use some of the equipment.
    rick benjamin likes this.
  13. 7SFCW4

    7SFCW4 Out and About, Oregon Active Member

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    I would look to "Patriot Nurse" for how to's on all this stuff (if you haven't had the training yourself). And MEDIC! thanx! On those rare occasions that I take on some very much non PNW sun color, my wife, still comments on all the scars! At least I am alive for her to see them.
    decklin likes this.
  14. Lange22250

    Lange22250 Milwaukie Active Member

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    A couple of points.

    You need a minimum of 2 tourniquets. A lot of combat medics I have talked to carried 8 and had each person on the squad carry 4.
    Reasons - there is a good chance of injury to more than one limb, if the first placement is not effective a second TK is added, don't remove the first one.

    QuickClot should not be the go to hemostatic agent if you have a choice, and you have a choice.
    The reasons - it works by pulling water away from the cells it comes in contact with. This condenses the clotting agents in the blood but it also kills a lot of the tissue. Dead tissue need to be surgically excised complicating recovery.
    Celox is a better choice as it is just as effective but does not kill tissue. A gauze preparation has more utility over a sponge when it comes to packing

    A hemostatic agent is not that big a improvement over packing and direct pressure anyways, and they all require direct pressure to work well -

    http://www.naemt.org/Libraries/Trauma Resources/Prehospital Tobpical Hemostatic Agents.sflb
    A study from the Naval Medical Center in Portsmouth, VA compared several
    commercially available topical hemostatic agents to the application of direct pressure with
    standard gauze.14
    The authors used a swine model with a severed femoral artery and vein to
    simulate a high-velocity projectile injury with jagged surrounding muscle. Combat Gauze,
    WoundStat, Celox-A, and ChitoFlex were applied to the created injuries per the manufacturer
    recommendations. They were then compared to each other and to standard gauze applied using
    direct pressure. Manual pressure was held for 5 minutes and any bleeding occurring after this
    was considered a failure of hemostasis. Primary outcome measures were failure of initial
    hemostasis and the incidence of rebleeding. Secondary measures included total blood loss,
    amount of rebleeding, and survival. WoundStat performed more poorly than Celox-A in
    achieving initial hemostasis and in the incidence of rebleeding. Surprising to the authors,
    standard gauze and direct pressure performed equally as well as the 4 commercially available
    topical hemostatic agents. There were no significant differences in failure of initial hemostasis,
    rebleeding, or death between standard gauze and the other agents.

    The Israeli bandages are not the end all be all of dressings
    Reasons - unless you really pay attention to what you are doing when applying them, the elastic will create a venues TK. That means the blood flows into the limb but has to overcome to pressure of the tk to leave or take the path of least resistance and leave through the injury. The standard of care for bleeding in direct pressure, for longer than most people think as they are doing it, or a TK. Unless you are holding and using the Israeli as a pad it's not really doing either.
    3 or 4 ab dressings and 4 rolls of curlex have a lot more uses and cost less as well.

    2 pairs of gloves is probably not enough
    Reasons - they don't have that long a life span in the real world where there are sharp pokey things and you have to lift stuff. Next time you are doing something put some gloves on for a few minutes then fill them with water when you take them off. Try that a few times and you will be disappointed in the durability. A clinic test found exam gloves have an average life expectancy of 5 min in a hospital setting.
    You will also probably need to re glove multiple times if dealing with an injury for an period of time over 10 min. to do stuff with equipment you don't want to contaminate. Doesn't make a lot of sense to protect your hands then smear blood all over your phone then your face.
    They don't take up a lot of room so 5 or 6 pairs is more reasonable. I would always carry at least one pair that was a size too big. A lot easier to put on when your hands are wet. Alcohol under gloves is a bad idea for the health of your hands and makes an infection more likely.

    Alcohol hand cleanser is not a great product
    Reasons - it does kill 99% of germs but you don't need to worry about the vast majority of them because they don't hurt humans in the first place. It does not kill a lot of the germs we do need to worry about, e coli among them. It will kill the resident harmless and beneficial bacteria on your skin leaving you open to infection from other dangerous bacteria.
    Hibiclens will kill what you need to worry about and comes in pads.

    You don't need betadine
    Reasons - the standard of care for wound cleansing is mild soap and water or simply saline irrigation. Betadine kills tissue complicating recovery. Remember when your mom put iodine on everything? She was actually making it worse.
    The only reason to use betadine is the perp for a surgical procedure.

    Last one
    This should all be packed in a vacuum sealed bad to save space and keep it clean. Unless you are a bubblegum magnet this stuff will just sit exposed to moisture and humidity growing bugs.
    Leave the band-aids out so that you don't have to bet into the main section all the time and add a 2" roll of cordasilk tape.
  15. The Heretic

    The Heretic Oregon Well-Known Member

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    Cordasilk tape? What? Where can it be found?

    Googling turned up nothing.

    As for the gloves, I can attest to that. I got a box, and I still use them, but they rip and fall apart fairly quickly. I would imagine a heavier thickness would last longer, but they are so cheap and light you should be able to afford and carry many pairs. They are useful for working on machinery and other stuff besides humans.

    Mechanics are increasingly using them when working with greasy oily stuff - I remember when I was a mech and at the end of the day my hands were not in good shape from all the petroleum based lubes and such I handled, and it was hard to get all the dirt and grease off.
  16. Lange22250

    Lange22250 Milwaukie Active Member

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    It looks like they changed the brand name - http://www.woundcareshop.com/DuraporeTape.aspx
  17. Soldier_Citizen

    Soldier_Citizen Vancouver, Wa Member

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  18. The Heretic

    The Heretic Oregon Well-Known Member

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  19. Lange22250

    Lange22250 Milwaukie Active Member

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    It has good adhesive qualities even on wet skin. Tears both directions well. You can also but it over hot spots on your feet to stop blisters from getting worse. Finally, that's what they had in the stock room.
  20. The Heretic

    The Heretic Oregon Well-Known Member

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    K thx.

    Always good to hear from actual usage.