Tony, for any loadout/gear stuff, that link up above labeled “Gear Loadout” goes from head to toe.

Yeah RATs tourniquets are dangerous, as they don’t spread out their force enough, and may cause acute nerve damage.

Most tourniquets are recommended to be at least 2” wide.

~$2,000 for a Ghost Gunner

Anyone near Mobile?

I’m gonna sell my current build and build a nicer one.

I’ve messed with a Sig ECHO

I agree.

Considering it’s $15 a pair, I would highly suggest getting Huron Vent chest seals.

They’re approved by the CoTCCC and therefore I would trust them more.

*BUT*

You can use even a ziplock bag as a chest seal.

So I suppose a cheaper chest seal would work fine.

Shears and pressure bandage shouldn’t be a big deal.

I’m assuming an Israeli style?

You should be good.

Same with the shears.

I know it’s $30 a TQ, but please get North American Rescue CATs.

They’ve been combat proven and are CoTCCC approved.

Speaking to everyone when I say this:

Use CoTCCC approved medical supplies.

Let me go find the list of approved stuff.

https://books.allogy.com/web/tenant/8/books/f94aad5b-78f3-42be-b3de-8e8d63343866/

That’s the list of approved devices and adjuncts.

And I understand it may be expensive, but here’s a question: would you rather spend less on life saving equipment and have a chance of failure, or spend a little more and have no failure?

G19 is basically the standard.

I gotcha bud.

If anyone has any medical questions feel free to ask.

10/4.

Also, if anyone has any gear questions and such, just ask. Everyone here for the most part has knowledge about gear, and firearms.

I’m in Mississippi but I’m about 15 minutes from Mobile

It’s gonna be 3-4 weeks before the true effects of all the shutdowns hit. Food shortage. Check your preps.

Ah

That’s true.

If you have access and the funds, try to get an EMT-B class under your belt.

I haven’t taken any classes if I’m honest. I just screw around with the paramedics I know and learn everything from them.

I learn from them and combat medics.

Certain things you learn in EMT and Paramedic are not applicable to combat medicine, however. Such as push dose pressors.

I talk with the medics around me pretty often.

Because I’m bored, let’s go over with push dose pressors aren’t applicable for combat medicine.

The main reason is they bust clots.

They may increase heart rate and pulse strength, but in the process, they will break blood clots and make hemorrhage worse.

And unlike typical EMS, combat doesn’t usually have blood on hand.

Which means that any blood lost is irreplaceable.

And because blood is the life force of the casualty, breaking clots and causing hemorrhage is a no-go.

IV/IO are amazing if you can do it.

The order of effectiveness for IV stuff is this:

Fresh whole blood, blood products, colloids, crystalloids.

That’s the order that you will want.

Hetastarch and Hextend are nice. TXA as well.

> epinephrine wise anyway
@ToɳTo Tuck

By all means. Works well to increase blood pressure but breaks clots.

TXA is very effective for internal bleeding, other than the ~45 minute wait for it to kick in.

Transexamic Acid

Pretty sure it’s a colloid

I haven’t went on any calls so I haven’t either. *But* talking to both combat medics and paramedics, it’s wonderful stuff.

Also, DSI > RSI

I’m not sure.

Another thing: KETAMINE IS AMAZING

I can see how it would cause respiratory depression

Especially when you’re putting someone in a whole different world

Had a medic tell me about one time having to use ketamine because of behavior

Guy was threatening the medic

He put some Ket in that guys system IM, and in like 1 minute he was in a whole different world

I’m so fucking glad there are guys here to talk medical with

None of my other servers have guys interested

Holy hell

The guy I was just referring to said “IM GONNA FIGHT IT OFF, THE MEDICINE ISNT GONNA HURT ME” and then immediately went into that different place

He came back to Earth and the medic said “I thought you were gonna fight it off?”

I’ve heard about some fucked up shit.

I don’t actually do EMS, I just know quite a bit. Combat medicine is more my stuff. I do know what MVAs and everything are though. Volunteer firefighter.

I remember being put under once and they did that.

On god

EMS can see fucked shit tho

Medic I know

Responded to a real bad one

Guy was an alcoholic, had esophageal “varrasies?” I don’t know how to spell it anymore damnit.

Essentially, he wasn’t doing so hot one night but his friend just thought he was drunk. Woke up the next morning, called, no answer. Sent police on a wellness check.

Medic got called in

He knew it was bad the second he saw the firefighters face.

A “holy fuck what do we do” kinda face

He walks in and follows a gargling sound to the guy in the bedroom

So turns out

Guy had a stroke, the esophageal shit busted, got into his stomach, and made him throw up, and he was drowning in his own blood and vomit

* After having a stroke

Medic just cleared what he could

Was gonna intubate but didn’t wanna make the esophageal varices worse.

So he bagged that bitch up till oximetry was above 90 and just went enroute to hospital.

Yeah I know what it is

Fucking oof

Can’t say I am.

A little

You a paramedic?

I don’t have any certs at all

I just know stuff

True

Was with that paramedic and he was quizzing an EMT because he was about to get on with Acadian

I knew everything that EMT did and knew it faster

I want a Benchmade.

You learn a bit talking with a Green Beret Combat Medic lol

Boog needs medics more than it does a lot of things