@@killdizzle Absolutely. Improvising is fine when you run out of purpose built equipment. Planning to improvise from the start will lead to failure. Much love.
@@killdizzle yeah I think what he was referring to was the kind of people who try to improvise from the beginning in order to save money or cut corners, which when done in the medical field will never end well for anyone involved.
I always put a small boo boo kit in my medkits. Anti diarrheals, ibuprofen, Tylenol, assorted bandages, and alcohol wipes. You’ll never know when they come in handy.
Wanted to do one in Germany, 700 Euro and only on request with a minimum amount of attendants. Yeah fuck off, our Department doesnt think its necessary.
High and tight is a good general suggestion, but remember for headshot wounds the only effective place to put the tourniquet is around the neck (below the wound). It's okay, I struggle with directions too sometimes
Best advice I've heard about applying a TQ to someone is that if they are still awake/aware/not in shock, then the TQ is tight enough when their protestations are louder than when they received the injury. From my grandfather, who served as a corpsman in Korea.
Ive heard stories that soldiers getting put on a TQ is actually, genuinely asking their mates to shoot them dead instead of letting them experience the pain
@@Vildhjerta As someone who had a TQ (CAT) properly put on me multiple times a week for 2 months straight, I can tell you it doesn't hurt that much, especially if you don't try and move the limb it is on. An improvised tourniquet however, hurts a lot, but still, not really enough to make a grown ass man (or woman) scream.
@@king-of-memes6712 yeah from what i hear the "cat" tq are effect but made to help keep patient calmer, of corce stop bleed first deal with screaming fool later
He forgot to include about NOT putting a tourniquet on your lower arm below your elbow. If so you could break 2 bones in your arm. However from the upper region from your shoulder down to your elbow, it is a single piece of bone. Same thing for the leg. Part of the leg above the knee is a single bone. Part of the leg below the knee is made up of 2 bones.
Out of the hundreds of medical trauma tutorials I've watched on the internet (prepmedic, mountain man medical, etc.) this guy gives you as much useful information per second than any other video I've seen to this date. Also, you don't fall asleep while you're watching it.
Took a class on this in highschool. Really should be a mandatory class. Learned so much shit in there that I can know use to help people. Probably one of my favorite classes too. Got certified in the class and I’m now looking into taking a class again and refreshing what I know
It’s a shame but I probably would elect to not use that training on just some good Samaritan type shit because of the legal liability. The thing is when shit like that happens I just react I don’t really have a freeze or flight in may just fight which always means protect. I was at a concert and this girl collapsed I waited two beats to see if the dude she was with was gonna do any fucking thing he didn’t so I immediately went over there started situating her body so that it wasn’t on top of her limbs, I saw some dude just looking and I said hey go get help, tell me why this motherfucker comes back a minute and a half later with two bottles of water, I cussed him out and then as I was doing that I was looking at her pupils absolutely no shrinkage completely dilated I kind of looked around and assess the situation for a bit then flush the light back in her eyes no dilation I was one second away from starting chest compressions when she came back. I couldn’t feel her pulse but that’s probably because I was freaking the fuck out to degree it was hot as fuck A literal rap concert was going on in the background so it was kind of a lot but had I started this chest compressions and injured her unnecessarily not only what I feel bad about doing so I would be liable for her medical costs
Love the musical reference to All Quiet on the Western Front. Brilliant! These videos never cease to entertain and inform. Well mostly entertain....mostly.
Grizzly to stop the bleed, CMS to fix the blacked out limb, Grizzly again to bring the health back up. Its that simple. Oh, and make sure you always have it up your butt too.
@@chandlerm2571 AFAK/IFAK in the ass. 4 is bandage, 5 is TQ, 6 is found salewa, IFAK, or AFAK, and 7 is compass when with buddies. Order of severity left to right my dude. 4, 5, 6.
A few notes for those that read the comments: - TRAINING SCARS - TQ application can be uncomfortable. In training dudes don't like to hurt their buddies so they finger drill TQ applications and don't tighten them down all the way. To fix this training scar, have the first responder apply the TQ to the casualty role player tight and someone who is watching/grading the lane can confirm the TQ is effective (absent distal pulse) and then loosen the TQ for the rest of the training. What this does is reinforces the trainee to always tighten TQ down all the way. - Finger Drilling - Have your real world medical supplies and then buy additional supplies to train with. Don't finger drill your training. Dont cheat your training. You cant cheat real life. - The IFAK and first responder are simply the first steps of medical preparedness. In the field all were doing is trying to stop the dying process and get them to a higher level of care. Dont get shot, prevention is key. I want to hit on getting the first steps knocked out, I think your average stop the bleed class and BLS/CPR classes are great ways to begin your journey in being an asset to your team and your community. - Medical interventions will always be REASSESSED and REINFORCED. You place a H&T TQ on your buddy, you need to check that the bleeding is actually controlled. Your barrel chested freedom fighter legs may require two TQ's. To reassess, you can check for a distal pulse or you can "milk" the wound. To milk the wound you squeeze the tissue above the injury and pull down. Watching for a constant flow of blood coming from the wound. Your team medic then places a large bore IV in your buddy's arm, it should probably be as secure as possible, you could tape it down, use coban etc. But it needs to be secured. After long movements you need to get eyes onto the injuries and treatments and ensure that they are still effective and didn't get messed with enroute. If you got this far, thanks for taking a look at my unsolicited opinions. God Bless.
I am a student an learn with the ABCDE or C-ABCDE protocol, which is basically the same a MARCH. MARCH teaches to reassess TQ's and other means of stopping bleading in the C(irculation) part of the protocol. Also, if there's time, you could do a blood sweep at C, but that wouldn't be very useful if the patient is already laying in a pool of blood.
@@dennyrulos7370 which is why for combat casualty care they encourage individuals to follow the MARCH treatment algorithm. ABCDE is probably fine for a civilian EMS provider responding to a 72 yo male with COPD but makes little sense when the only patients you see have been blown up or shot. Remember Denny, Massive Hemorrhage does not just mean extremity tourniquets, you could pack n' wrap a bad axilla pocket bleed, or apply a sam junctional TQ to a high leg amputation. Bottom line if its spraying bright red, its should be addressed sooner rather than later. Treating massive hemorrhage might mean that you drop a sternal IO and hang a unit of blood. But that is something you develop over time.
I appreciate that even though Admin mostly wants to have fun and show off cool guns, he still realizes that there are important things that also need to be learned, and so he puts up practical vids like this along with the goofy stuff
Another piece of advice: If you're really looking for what supplies to get but you just don't know, go talk to your local fire department or EMS agency and ask them. Tell them you want to put together a personal first aid kit and you'd like some help. Another thing too is to talk to your doctor about going back country hiking and getting prescriptions for travel antibiotics and ibuprofen to pack in your stuff. In a bad situation in the wild or with no help, antibiotics can help hold off lethal infections from developing.
A word of caution; take their advice with a grain of salt and verify it with 30 minutes of internet research. As someone who comes from an EMS background and now teaches this kind of Tac Med stuff, not everyone in EMS is that in-tune with this kind of stuff. In a lot places, the EMS is a volunteer organization that may not have the experience or availability for this kind of training.
7th time watching this video. As a Civilian only EMS worker, I use this as a teaching aid to SO many students and even long time Medical Professionals that haven't adapted to modern ideas. The humorous delivery holds the attention of many various backgrounds and the seriousness of what is good and what should be avoided makes them think: "If I short change equipment, I'm short changing survivability and patient death is my fault." Mentalities. TCCC is provided but not required for my gov based service but I attend 2 of the 4 times a year. It keeps my CERT up to date for those periods sure, BUT it also keeps me fresh on my Critical Thinking aspects. I've worked several intentional and unintentional GSW's and stabbings, and many accidental injuries involving immediate Airway, Breathing, or Circulation based situations and the repeated training has kept me calm, cool, and collected in stopping the issue and aiding a patient in surviving the problem. A common phrase for us and many others is "Their Emergency is not YOUR emergency." The patient may die but you won't; so don't panic and focus on the task at hand. Your casual treatment will save a life, but your frantic panic will cost lives...
I swear almost every army medic has the exact same speech pattern/ cadence. Very straight to the point, concise, and dry sense of humor. Much love Doc!
Active Duty TCCC instructor here. We are teaching the same info, all good stuff ! Bleeding is still the #1 killer when bullets and shrapnel are involved
hey, im in ukraine...lived here 16 years. I shuttle doctors and 18d guys around to help. from what i am hearing..crushing injuries and blunt trauma injuries are a good majority also. Would love to see someone go over crushing injuries and head trauma. A combat medic i know, (alisa)near Kramatorsk, has had 3 concussions in 4 months. Its starting to get to her. anyway...cool vid. no one ever covers those which i mentioned....anyone know a good series to watch?
Good stuffs. I agree with pretty much everything Matt said. I took a Wilderness Medical class, quite a few years ago. Fun class, learned a lot, and the TEST at the end was fenominal!!! Hands on with 3 different scenarios to accomplish!!!
I remember learning about torniquets in scouts and hearing "if you have to use one, you'll probably lose the limb". Maybe things changed since I was in Boy scouts, but the amputation rate caused by the torniquet itself is surprisingly low. From what i read people who lost limbs would have lost them without the torniquet (assuming they didnt die from blood loss)
Yea from my understanding unless the tourniquet is one for 5-6+ hours your chances of loosing the limb because of it is low, but you still leave it on for the hospital/ professional medical personnel to remove
That’s antiquated thinking, and it caused a lot of deaths in the past because guys were afraid of using tourniquets. They would only use them as a last resort, and by that time, your buddy has already bled out. Tourniquets typically need to be your first response to massive hemorrhage from a limb. -TCCC instructor
Research from Afghanistan has shown pretty much what you said unless the tourniquet has been on for 5-6 hours there’s no real risk of them losing the limb and let’s be real here if you have to have a tourniquet in place for 5-6 hours you have far larger problems to deal with
The new military method is put tourniquet first and if you can not MEDEVAC make a conversation from tourniquet to bandage so you can keep the guy alive for a day or two. I say new because in a full war like Ukraine it's almost impossible to bring a MEDEVAC helo in a hour to lift the casualty to hospital and you need to keep your wounded personal in trenches until the artillery stops and you can carry him by hand to the rear
I feel like trauma first aid is pretty overlooked and I'm also guilty of this. I've been just recently thinking about how to upgrade my kit medically and this is some nice short and simple straight forward information to get me started and I really appreciate it!
I'm adding the ACE wraps. That over an Israeli bandage for non-arterial bleeding would be perfect instead of messing around with the tie wraps for pressure. ACE gives you nice, even pressure all around. Obviously he can't go much more in depth without giving actual medical advice but I'd like to see this guy back on the channel. Mega based.
My team all had their tourniquet strapped to them using a light weight ziptie. I guess I don't see the issue. The ziptie we used is light enough grade that any man worth his salt could easily rip it off. We trained with this setup day in and day out without issue. I have the usual certs and a few other special ones ie TCCC, CLS, Live tissue lab etc. Will Willis actually taught our TCCC, guy is a hoot. Great educational video btw
Interesting! I think from what I heard zip ties and other retaining methods were giving issues to guys trying to render self aid that had a bunch of blood loss.
@@AdministrativeResults There is that plus damaged/missing limbs. This is theory of course as I've never been with anyone who has suffered that much blood loss that they couldn't pull a tourny. That is why all team members had the same med training, to provide buddy aid. Obviously situation dependent. I think for most the info provided in the video was good to go!
It's my choice to not include an IFAK in my kit consisting of a M1913 bayonet, a Ruger 380, and four pounds of Columbian booger sugar. I will die with honor. Edit: On a serious note, always ALWAYS rake for entry/exit on any wound. For tourniquets on a casualty you are not immediately getting to the next level of care, reassess your treatments after any movement. Finally, as a Combat Life Saver, your first step in rendering aid is RETURNING FIRE.
wrong. the first step in rendering aid is opening up the first aid kit. you have a SAW gunner in your squad. return fire is his job and he is better at it. however if you are alone then you will either have to find really good cover or return fire yourself.
true. When I first enlisted, the "IFAK" consisted of the OD green dressing pack and a packet of sodium bicarbonate=Both worn on the non firing shoulder......
Loved this vid. When I started working EMS I was much more of a rescue Ricky, once I moved to working in a LVL1Trauma, I really understood enough shit to allow me to streamline my kit. Only thing I would have added is means to stabilize orthopedic injuries. SAM splints are a no-brainer if you have enough room to pack em. This content is kewl ❤️
While training for a marathon, and on a 18 mile run..... someone switched on the coffee pot. The percolations, cold sweats, and stomach cramps hit hard and fast, and I was MILES in the woods away from anything. A quick detour off the trail was my only move, and after I had exhausted my supply of baby wipes (this has happened before)... all I had left was the compressed gauze in my IFAK and a pair of small trauma shears. That gauze is definitely a lifesaver.
I was a combat medic for 12 years. For the people who are curious: He gave you the cliff notes on a Combat Lifesaver Course. Save this shit for further education. With that said, I do want to add... the trauma card? That piece of paper where you fill in the patient's info, including what the fuck happened and what you did to help? Yeah, learn how to do that, please. Don't underestimate how helpful it is to write down what you did for the next level of care. Yes, that includes something as simple as writing down when you slapped on that tourniquet.
Good to see info like this being pushed out. Lots of guys get so caught up in "Shoot" that they forget about moving, communicating, medicating, and sustaining. Stuff like this is a good way of introducing the basics, keep it up.
I remember seeing a debate about how tampons would've saved a character's life in Cyberpunk 2077 and the dude who said that was rightfully laughed at for thinking so. Mr. Medic is on the ball.
Thing that wasn't mentioned about tampons is that most tampons have an anticoagulant to help them absorb period blood better (period blood tends to coagulate and come out chunky with out it). Sooooo It isn't the fact they can't absorb a lot, it's the fact they actively hinder your body from even naturally coagulating the wound. Source I'm a NREMT-P.
I did buy a RATs a while back because it looked neat and I wish I had done more research beforehand. I have, however, heard that they can work as a "better-than-nothing" solution for dogs as their limbs are too thin to get a CAT or SOF-T on. Not that I'm saying to go buy a RATs (please don't) or that I would ever use it on a human.
My dept sent me to North American rescue for training in Spartanburg SC. It was easily the best med course I’ve ever been to. I can’t recommend it enough.
Re 5:24 - I am not a medical doctor; but I am however a lawyer. Albeit not in your jurisdiction. BUT. Most jurisdictions have a good Samaritan law to protect first aiders. Be aware, you can be sued for anything, you can sue Santa if you please, whether it'll be laughed out of court is another story. So those legends of someone suing after reviving someone? They lost. Perform first aid to the best of your ability. Tthere are no legal reasons not to. On the contrary, you WILL be found liable for a breach of duty of care if you don't, and possibly cop criminal charges. Shoot down these lies that there's any legal requirements involved in saving someones life where ever you see it please, it's utter bollocks that costs people their lives.
Crazy to see someone with a similar background reinforcing what I have been trying to smash into people's brains for years now. I was TCCC qualified in the military, not a medic though, after getting out I also became a firefighter. Also work as a SAR medic now, but that's whatever. People with less training, and less experience always try to tell me I am wrong about equipment, procedures, or "how they would do it" and man that shit is fuckin frustrating. One thing that surprised me in this video is the general disapproval of the SWAT-T.
The Russian camo Adidas made me spit out my coffee and almost pissed my pants laughing 🤣 it made me wonder how come Americans never thought of this genius combo for our troops. It's straight up Russian geto fabulous 😍
Speaking of a medic role, in russian army there are no medics or they are simply rare like 1 in 500. Tampons, 50 years old bandages and a rope - russian IFAK.
I have always carried a small MyMedic IFAK in my backpack as well as a Tourniquet and a plastic baggie of “boo-boo” stuff such as ibuprofen and band-aids. I have never had to use it (and hope that I never have to) but also having it and the ability to use to help others is honestly a big motivator as well. Prepare for the inevitable, people.
Admin, this is one of your best videos so far, thanks quite a bit for taking the time to properly adress this. Still keeps it funny as hell too! Awesome guest!
Think i have a new favorite episode, seeing one of my favorite gun tubers and favorite first responder pages together dropping hot medical knowledge? Beautiful
I remember the Consciousness, Breathing, Bleeding, fractures, burns, concussions that the Army used to make us memorize. I like the MARCH, acronym too. Would you guys be pro beveled airway or no?
0:48 THIS HAPPENED IRL! A Russian soldier filmed his dead buddy, explaining how he bled to death because he tied his tourniquet in such a way that in a panic he couldn’t get it off his vest and apply it to the leg (artery was hit); ended up bleeding to death.
FYI, fun fact. North American Rescue says that you can only use their CAT Tourniquets once, one and done. If you legitimately use it in the field or in a real life situation you tighten it down to the point that it will stretch the material that your tourniquet is made out of, deteriorating the integrity of the tourniquet. Also if you get blood on it then if someone else starts bleeding on a slightly pre-used tourniquet then you could have cross contamination. NAR says that if you use one to train with then again it stretches out the tourniquet and it looses integrity, if you use one to train with then mark it and only use it for training unless it's absolutely necessary.
I'm grateful for how far medical technology has come. Could you imagine seeing the "medic" rushing towards you with a bloody saw, a belt, and a half empty bottle of whiskey? Also, mad props to Molly Pitcher and Clara Barton. ✌️😎
It’s hard to take him serious due to the fact I’ve been following his Instagram for over a year 🤣 But for real. He’s doing great and speaking the facts.
My dad's buddy, uncles, brother, sisters husband, dog trainer, grandpa, moms step dads, cousin. was hit by a mortar while pooping in the battle of 3 kings, lead by george w bush in 14BC
