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Gear Queer General IFAK guide

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Mar 25th, 2017
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  1. Gear queer general medical pastebin, revision 2.1
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  5. Introduction
  7. This pastebin is written with the intention of educating people about the IFAK, and to provide suggestions of what one should carry in them. Keep in mind however, that no amount of gear will keep you alive, if you have no knowledge of how to use it. You do not want to be stuck reading instructions while bleeding out. As such, get educated, get training, and practice. This can not be emphasized enough.
  9. An Individual First Aid Kit, or an IFAK is a medical kit with the purpose of containing most of the supplies needed to stabilize a casualty - to keep him alive until more comprehensive aid can be found. As such IFAKs tend to be very barebones. An IFAK is meant to be used to only treat the carrier of said kit - that is why every combatant has their own - if you use your own kit on someone else, that means there will be no supplies for you if you get wounded.
  11. That being said, if an incident happens for example on a shooting range, you should use your kit anyways on the casualty.
  13. This guide will also look into non-warfighting medical supplies and IFAK builds, as not everyone wants to build a barebones tactical first aid kit.
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  17. IFAK pouches
  19. There are tons of good IFAK pouches around, and this list is far from comprehensive. Like with everything else, use your own judgment when making a choice.
  21. - LBT 9022BT
  22. - BFG Trauma Kit Now!
  23. - ATS tear-off IFAK, all variants
  24. - CTOMS Slimline, all variants
  25. - FS Emergency Response Kit
  27. IFAK should be placed somewhere where it can be accessed quickly, and preferably with both of your hands. Placing it on the side of your rig/PC, as close to center as possible is a common placement, but lately a common method has been placing the IFAK on the small of the back, preferred by many legit OPERATORS.
  29. There are also people advocating for using a fanny pack as an IFAK. This allows the IFAK to be placed on the center of your body on the front, allowing for easy access with both hands, however it does come with disadvantages like flopping and more importantly, fanny packs not opening completely for easy access, nor having excellent organizational features.
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  33. Medical supplies
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  37. Tourniquets
  39. A tourniquet is a specialized very tight bandage, used to cut off blood supply to an entire limb. This prevents one from bleeding to death in a case of critical bleeding from said limb. In civilian side, they are generally shyed away from due to causing toxins to build up in the affected limb, and if held on long enough, causing the limb to develop necrosis. However, they are very commonly used in tactical applications where proper aid can take a long time to arrive and wounds are severe.
  41. On carrying your tourniquets: note that if you choose to carry them exposed allowing for faster access, dirt and debris will be able to clog your tourniquet's velcro, and being exposed to elements makes your tourniquets go bad over time.
  43. The CAT and SOF-TT tourniquets are the professional choice here. Both have been found in testing to have very efficient results, while being wide enough to not cause intense agony in the patient. On a special note, shy away from the RATS tourniquet, as it has not been clinically tested.
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  47. Pressure bandages
  49. Pressure bandages are specialized bandages used to apply pressure to the wound, thus stemming bleeding by collapsing veins. They are normally used in serious bleeding cases not critical enough to warrant a tourniquet or a hemostatic agent. A quick way to test if one is needed is by simply applying pressure to the wound by hand: if the bleeding stops with enough force, a pressure bandage will be enough.
  51. The Israeli bandage and TacMed OLAES bandages are recommended here. The TacMed BLAST is also worth consideration, being able to cover a large area if needed, which is a common need with shrapnel related wounds, and in general combat wounds, as they very rarely come alone.
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  55. Hemostatic agents
  57. Hemostats are agents used to stem bleeding on a molecular level, causing blood to clog. Hemostats come in many different forms, from gauze to pure powder to syringe injectors to sponges. However, at the end of the day they all work just fine. Hemostats are usually applied to wounds that are too severe for a pressure bandage, but cannot be treated with a tourniquet due to their location. Their drawback is that they are very difficult to remove from wounds, complicating later treatment, while also being slower to apply than tourniquets.
  59. Celox and QuikClot are the leading choices on the market. Very old, first gen QuikClot used to cause severe burns to the patient due to how it worked, but it has since been rectified. No QuikClot on the market causes burns any more.
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  63. Chest seals
  65. A chest seal is a dressing applied to chest wounds that have pierced the victim's lung. The chest seal prevents air from getting into the chest cavity and collapsing the lung, while allowing air to go out. As most bullet wounds tend to have an exit wound, chest seals should be applied in pairs - a seal for both ends.
  67. The HALO chest seal is the best chest seal on the market, and comes packaged in pairs.
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  71. Chest decompression needles
  73. "A sucking chest wound is nature's way of telling you to slow down." Sometimes, a chest wound will allow air to go inside the chest cavity while inhaling, while not allowing air to go out when exhaling. This causes air to begin building up in the chest cavity, deflating and collapsing the lung - a severe condition requiring immediate attention. Relieving it is done by the means of punching a suitable needle through the patient's chest, thus allowing the pressurized air to be relieved.
  75. The TyTek decompression needle is the recommended one here, but any suitably thick needle will do in a pinch.
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  79. Nasal and oral airways
  81. An airway is a tube inserted nasally/orally into the patient's own airways, forcing them to stay open. If the patient goes unconscious, there's a very high chance of their airways closing shut and them asphyxiating. In combat situations, the patient usually cannot be monitored forever, which is where airways come in play.
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  85. Space blankets
  87. A space blanket, a simple foil-lined blanket is useful for keeping your patient warm even when undressed, or when forced to stay still in the cold. Major bleeding also promotes heat loss, making a space blanket very useful.
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  91. Bandages
  93. A bandage, a simple roll of gauze, is surprisingly useful for covering wounds, but also has other uses. For example, with the help of some sticks and bandages, one can make a rudimentary splint. While pressure bandages are bandages too, having a normal one at hand allows you to save the specialized one, if you just need it for utility.
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  97. Splints
  99. Splints are useful for fixing broken limbs in place. While usually they can be improvised from sticks, sometimes, a purpose built splint can be useful. Plastic splints take a lot of room, so if you want to add one to your IFAK, a rolled splint (SAM splint) is recommended.
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  103. Gloves
  105. Do I really need to say more here? Surgical gloves cover your patient from being infected by your hands, and also cover you from catching whatever blood-borne diseases he might have.
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  109. Disinfectants
  111. Good for wounds that might appear on the field, due to the outdoors not being hospital clean. Also good for chugging down, if you don't mind going blind.
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  115. Shears
  117. EMT shears, tactical shears, lots of names for them. In general shears are useful for quickly undressing your patient for examination, and shredding his ultra-rare +2000$ worth Seal issued FR AOR1 Cryes. While they all work just fine, you might want to consider ripshears - shears that come with a ripper on the side, to double up.
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  121. Sharpies
  123. Writing stuff up always comes in handy, but there is an actual need related to tactical medicine too: due to the complications of tourniquets, one should whenever possible mark the time when it was applied, on it. This allows whoever later takes the patient into their care, to take appropiate action.
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  127. Tape
  129. Tape is very useful various utility purposes - taping an airway in place being a common use in medical context, but in general, it tends to see a lot of use, without taking much space. Can also be carried outside the IFAK, if you're running out of space.
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  133. IFAK builds
  135. Your IFAK should be based on need - what is the most likely use for your IFAK? In general, however, an IFAK being a small kit, mostly used for stabilizing the patient while waiting for more advanced aid, you don't need to carry an entire platoon's worth of supplies on your own. Keep in mind however - in combat, your IFAK is being carried for the sake of your treatment! This means, you don't absolutely need to know how to use everything it contains, because you carry your supplies so someone else can use them on you.
  137. That being said, seek out training regardless - being able to stabilize yourself is always a major plus, especially if it turns out that there is nobody else around to treat you, or if it turns out that you are the one that needs to help your buddy.
  139. The suggested IFAKs here are based on three different needs, however, you should use your own head and figure out what you specifically need.
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  143. Warfighting IFAK
  145. This IFAK build is from the viewpoint of warfare - be it fighting in the ranks of an insurrectionist force in the Second American Civil War, or just in a standing legit military (in which case you should know this all already). As such, said kit mostly focuses on supplies needed for saving lives from various combat-oriented critical wounds, at the expense of other supplies. What it should contain is:
  147. - Two or three tourniquets
  148. - Pressure bandage
  149. - Hemostatic agent
  150. - Pair of chest seals
  151. - Decompression needle
  152. - Nasal/oral airway
  153. - Sharpie
  154. - Shears
  155. - Tape
  157. A special note on the lack of gloves and disinfectants: all combat related wounds tend to be infected by default, and those that don't, tend to become so in a very short while due unsanitary nature of outdoors. As such, they have little use for your patient.
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  161. Shooting range IFAK
  163. This kit takes less of an SHTF attitude towards it's contents, and as such, is less geared towards fixing multiple grievous traumas with no fucks given about smaller wounds. It is mostly built from the viewpoint of possible mishaps on a shooting range, or in general, cases where you will not be intentionally shot up, and emergency services are available on call. However, it can also be applied towards combat, due to it containing many items in the combat IFAK. As such, said kit should contain at least the following:
  165. - A tourniquet or two
  166. - Pressure bandage
  167. - Pair of chest seals
  168. - Regular bandages
  169. - Gloves
  170. - Disinfectants
  171. - Saline (for cleaning wounds and eyes)
  172. - Sharpie
  173. - Shears
  174. - Tape
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  178. Innawoods IFAK
  180. The idea of this kit is to be a simple kit built for trekking away, and for injuries that might happen there. As such, focus is on equipment one should need if there is no other help available, and one has to also get out of the woods.
  182. - Pressure bandages
  183. - Regular bandages (at least three for securing a splint in place)
  184. - SAM splint
  185. - Space blanket
  186. - Gloves
  187. - Disinfectants
  188. - Saline
  189. - Over-the-counter painkillers (Ibuprofen works well without promoting bleeding, unlike Aspirin)
  190. - Diarrhea medicine (Imodium)
  191. - Activated charcoal tabs (for food poisoning)
  192. - Tape
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