This channel was started to talk about gear, he is a nerd just like the rest of us. Sadly he has to defend his country but I'm sure he would rather be making cool youtube videos@@aaron4820
@@bobandy5515 I always thought his videos were low-key training manuals for guerrillas or "just in case" civvies, defending their country. These are fun videos to watch in non-warzones, but I have a feeling they serve a purpose greater than our entertainment.
As a former civilian Medic and a former infantryman(not at the same time) it's the little things that let's me know that you do in fact know exactly what you're talking about. If you're looking for smaller trauma shears, NAR has some that are a little under 16.5cm (6.5in) long. They also have nice compact and cheap Cric supplies. I'm also a fan of the adjustable OPA(not at NAR). 3 sizes covers neonate to giant. 1 size fits 95% of average adult men. Just food for thought for your bag and IFAK.
Another home run, Val!!! As Retired CSAR, Flight Surgeon, love your content! Love the M4 cleaning rod trick on IFAC! Also can take a small straight piece of twig 3-4 mm dia (or chopstick, or Sishkabob stick) and 12-16 cm long and wrap a surgical tape skirt on it protruding 5 mm. Then you can thread through IFAC retainer slips, and push through with IFAC cords. That can stay in bottom of bag in your kit!! Where is your tape? Thanks for sharing your tricks! Three of mine... #1. All our casualty cards would be lost in the field, so we started writing through wet, oil and blood directly on casualty with Sharpie Pro Marker, cap secued to IFAC with 550 cord. We recorded injury and tourniquet times, and CCC triage on the forehead. Role 3 at Kandahar would laugh to see pt times, allergies, meds, wounds, and care/IVF in, all over casualty chest and belly with times!! But it worked!!! Can't lose the info!!! #2. Big safetypins! Daisy chain in IFAC, take off 1-3 at a time, can secure bandages, when tape won't stick, and no bandages with ties, like 4×4 and Kerlix gauze. Also can expediently close wounds, secure tissue, attach NPA to nose when they keep pulling it out -- happens... and ... pull splinters! #3. I always kept needle drivers and 000 or 0000 silk suture: after splash water or saline on big sucking chest wound to expediently clean in field and then sew down edges of large sucking chest wounds, then needle for pneumo, or put in chest tube later, worked when wounds too big for chest seals in shrapnel vs chest, and got rocks, dirt and grass out! Hope body armor helps!!! Thank you for all your amazing 👏 work. I can smell the cordite when I watch your vids!!! 😂 mmmm...mmm that shit smells good!!! Slava Ukraini !!! ⚡️ 🔥 🙌 🔥⚡️
Great setup man. Also, in a pinch and you need another chest seal, you can use tape and that plastic bag to make another chest seal and/or cut the bag for two seals. Not ideal but neither is extra holes in a body lol
hi val great as usual thumbs up! I would love to see more videos or series of videos of your full combat loadout. Plate carrier, belt assault bag etc. What to have, what not to have. Tips, tricks... I live in a neighboring country and would like to be prepared. Most of the youtube videos on this subject are from US larpers or Afghanistan vets, for whom combat meant calling in air support on peasants with ak's. I'd like to hear first hand information from someone with combat experience from a real war. Cheers
so i heard the "one israli bandage and little bottle of whisky" line and did a face palm... iv only just been trained in haemorrhage control and i already feel like a mother with twin boys
Interesting stuff as always. If I could make a small request. If viable and safe, could you document various craters made by larger ordnances and, if possible, make a guess at what could have made them?
The only thing more valuable than good training is actual combat. Those who have had experience in either are people you should listen to. Great video. You might consider adding adhesive tape into the kit. If you don’t have this elsewhere on your body. It should be good quality sticky heavy duty tape. It can help create improvised chest seals. Create improvised bandaids for small cuts and scrapes or things like a eye wound. Treat and prevent blisters on the feet. Secure IV tubing. Stuck to a casualty to provide a surface to write on that will go with the casualty. The other item that can assist with Airway and Respirations in the MARCH algorithm would be an appropriately sized large gauge needle/catheter to perform a needle chest decompression to expel accumulated fluid that pressures and collapses the lung. In the United States we trained almost 100% of the Marines to perform a needle decompression we simulated on human cadavers and cow rib meat slabs. It does require training. Additionally the Izzy dressing is great but much of what it accomplishes can be accomplished with Elastic Wrap (or the newer self adhesive wraps) and plain sterile packing gauze (with or without a hemostatic agent) and these two items are in some ways are more multifunctional and without a doubt cheaper. Next would be a sharpie permanent marker should be somewhere on your person for writing which is a essential task when treating a casualty.
@@___seb3341 yeah I missed that he had a North American Rescue ARS needle. Thank you for the time Stamp. That’s a high speed great solution but it doesn’t need to be so complex or large. Just a regular large gauge CHEAP angiocath Needle/catheter will accomplish the same task. It should be waterproofed. You can use the scissors you would be using to remove body armor or expose the wound to cut one of the fingers of your nitrile gloves off and secure it to the needle with 6-8” of tape. Commercial “Finger Cots” can also be used in a similar way. When needed, then push the needle through the tip of the finger of the glove. Kinda difficult to explain, but In this configuration the glove finger should (testing would be needed with whatever specific combination of angiocath and glove is used) form a “one way” valve. Like a Penrose Drain you (a surgeon or other practitioner) would put into a proper chest drain. This will only allow the passage of fluid (blood or puss or whatever) or air in only one direction. I’m not sure on current TCCC guidelines but I believe that with a 10 gauge or similar sized catheter you don’t necessarily HAVE to have a one way valve and if you hit the mark anatomically on the body the catheter can just be left in place and the hub secured with tape or if you have multiple needles withdrawn completely if you will be able to closely monitor the patient for further signs of a loss of respiratory ability or a failing airway.
For big burned areas, which is very common, I use just a foil that is used for covering food, just to cover it up for duration of transportation, excessive desinfection is done after in hospital, since burns are huge gate for infection
Один з найгірших аптечних підсумків, широкий займає багато місця на рпс, малий обєм, коли дістяєш все вивалюється тобі в руки. Треба брати вертикальні швидкозємні, які потім розкриваються і дають можливість брати те що треба, як зі столу і вміщають більше. Гірше цього хіба не зйомний підсумок на блискавці, типу утилітарного в якому будеш колупатись як бабка в гаманці. Єдина перевага цього це ціна 400 грн.
I don't have a statistic, but from my observation, it's quite rare for for overpressure pneumothorax to develop that quicky, of course it's possible, but bulletproof vest have the plates and kevlar to protect exactly that part of body
I'm not in this war, but I have been to war as an infantryman and I've worked in emergency medicine for a long time. Valgear is correct. But if you're asking about bullets or shrapnel or stabbing from neck to navel, needle-D is a good tool to have. I've used it on several tension pneumo's and it works as long as you know what you're doing. Step 1 seal all the holes, step 2 confirm a likely tension pneumo step 3 do an anterior decompression step 4 secure the catheter(important step) step 5 if possible sit them up at an angle so blood drains down to the bottom of the thoracic cavity/lungs and air goes to the top(either to your needle-D in the cavity or to the upper alveoli in the lungs). It's not a miracle cure, but it's good in the proper situations. I should caveat this by saying that you shouldn't just go jamming needles in people's chests if you don't know what the hell you're doing. There is a lot of crap you can hit and do more harm than good if you don't know when and how to do it properly. I don't know Val but he seems pretty damn competent to me, so there's no issues with him using it when it's called for. Just make sure you know what you're doing before you do it.
If you can get better shears do it. The shears that come with the IFAK are ass and when seconds matter I think its worth it. It's not s bad idea to know what your medic carries in the first aid bag and football (narcotics bag). I was infantry but because of my interest and competence in emergency medicine I always became cls team in addition to other jobs. I had an extra king airway kit, npas, ncd needles (honestly you can never have enough of those), iv start lines, and gauze. Oh it's not a terrible idea to have thin flexible plastic material, extra medical gloves(you will always drop one), and Vaseline (helps if you run out of bandages specifically for burns). My second deployment was different though. We responded to helicopter crashes and if the crew was still alive guaranteed they were burned. So the Vaseline might not apply but ask doc seriously.
I was waiting for that kind of video as I was in the middle of building my own IFAK. But what about chest seals? Do you know any brand that works outside HiFin because it's both expensive and hard to find in Europe.
Russell and Sentinel are very good. However the Sentinel is much larger package. Rhino rescue makes a chest seal but I haven’t tested it. Buy whatever you can find and get extra so you can test it.
@JackDevil Don’t use HiFin the U.S. army did a study and found that they only effectively seal about 60% of the time. pubmed.ncbi.nlm.nih.gov/28422911/
Holy cow!!! 70 euros for a hyfin chest seal??? That's about 10X what they are worth. From my experience, stay away from "vented" seals(I haven't tried every brand ever, just Hyfin and Halo on real patients). The vented ones don't stick for crap. I guess just because there's less sticky stuff because of the "vents". Don't know how much experience you have, but the casualty will be pouring sweat, there may or may not be a lot of blood and debris(sand/dirt/whatever), and they may or may not be hairy as hell. Non vented seems to do the best with all of the above, but nothing is perfect, and that's a lot to ask from a giant piece of tape... just remember to cover all the holes from neck to navel, and don't forget to burp it every few minutes, unless you're doing a needle decompression too. If you're trying to save money, I'd look at some kind of large, clear, industrial strength lamination sheets or something like that. I'm sure some industry somewhere uses large, clear, tough, ultra sticky sheets for something. If you can figure that out, then you can just make your own.
So, idea is not to mostly rely on stuff inside a pouch that has straps and pockets for everything but, to rely on items inside and outside the pouch equally?
@@valgear5525 Thanks! For my civilian needs I thought the same. I was just wondering if there was any inherent advantage for military use, such as one system being more reliable or durable in the field.
question about the tourniquet because I heard different timings from different sources, for how long can it stay applied? And when you loosen it, for how long?
Up to somewhere around 6 hours is the point at which point it can be dangerous to reintroduce blood flow to the limb - meaning appropriate resources should be available prior to the removal in case of complications. Loosening it yourself is not a good idea.
@@pingusbror Depends on the character of the wound. In my opinion, if you can't get to a doc in four hours its better to bandage yourself with stuff you have around and take the tourniquet off.
@@valgear5525 I see. Hmm, never heard of Nalbufin before, interesting. Ive always wondered if the brass deemed giving guys easy access to morphine was worth the risk of abuse
what about painkillers like morphine? And are sutures practical? Also do you carry 4 or more TQs? as like 1 for each limb and extra just in case I don't have a whole lot of knowledge but morphine, sutures, and extra TQs seem like a good idea in my opinion))))
An IFAK is for the first 5 min after you get hit. Not the time for pain meds(despite what you see in the movies). Pain meds also have consequences like dropping your blood pressure and lowering your respiratory rate, both bad things for a trauma patient. Pain sucks, dead sucks more. Sutures are for when you have time and a calm safe environment, not for 5 minutes after you get hit. Put a bandage, a seal, or a tourniquet on it and move on to the next casualty or the med evac plan. As for the tourniquets, that's up to you. I've seen guys pre-stage them by putting them on their arms and legs before going into combat(not my favorite method but whatever). Some carry 1 or 2 on the vest and 1 or 2 in their cargo pocket(s)(I do 1 on the vest, 1 outside on the IFAK, and 1 in each cargo pocket. Also keep in mind, if you legitimately need all 4 at once, immediatly after getting hit, you're probably screwed no matter what you do, so there's that...
honestly it doesnt matter if you use plain gauze or hemostatic gauze. I've heard that they don't increase or decrease the mortality rate, it just stops bleeding faster. But hemostatic gauze is gold standard so if u have the money you should buy it 100%
Does your team have any night vision, wouldn't it be better to assault at night? As the russians lack night vision. Also I asked a question a couple months ago about an ak105 or a cz bren 2. I ended up getting a Ak103, They changed the guns laws in the U.S, and the ammo for 5.45 is too expensive.
With such a thick drainage tube inserted into the chest cavity, it is basically incapacitated. If one of my lungs can function, I will definitely not let them do that.
For a tourniquet, you can even go cheaper and use a stick and a triangular bandage, harder to apply on self, but it's dirt cheap, and way better than nothing
@@nryn6023 pretty sure you don't have any room to talk there LARP boi... I just replied to your post where you said that you have no experience and you think it's a good idea to put morphine and a suture kit in an IFAK... maybe you should try to learn instead of running your mouth...
He is just a clown from the separatist area of Ukraine, he does the videos for long time, he have acces to this stuff because he is son of one governent official of the pupet regime, thats why he can fuck around with stuff and dont get mobilised....
