SWAT Medic Bag ⎮2020⎮ 

[カイザー江ノ島]Kaiser Enoshima ohhhhh I’m DIEING

Ok

Aaaaaaaah

AGHHHHH I NEEED A MEDIC BAG!!

I've finally found what I was looking for!

Best feeling ever

Say goodbye to your old recommended tab

Thank you

How's it going?

Pretty good, got my emt cert in 2020 and attended a tactical medic school in Texas in 2020 as well. I have been a medic for my team since then 👍🏽

Nice.

You could also go to medical school and be an ER doctor. There are fellowships in tactical medicine for ER doctors. Johns Hopkins has one. You could also do anesthesia and work in a trauma hospital. As an anesthesiologist, you'd probably get paid 6 or 7x a paramedic. I respect paramedics. They have a tough job but they don't get paid well at all. You're young and have plenty of time. Whatever you decide to do, make sure you get the good, the bad, and the ugly from someone in the career path you are considering. There is a high rate of burn out in many roles/specialties in healthcare.

@@AJohnson0325 You right about anaesthetists i have a friend who is a specialist and he earns around £200.000 a year working freelance .He also does the air repatriations which is also very well paid

@@AJohnson0325 This here. Being a paramedic can and will break you physically. It's good to have a plan for when you're not in your 20s or 30s.

Check Air Force's Pararescuemen 😉

Mervin Leo sane!

Yeah ikr.... I need to tell you a medical fact Bloodloss is often caused by bleeding.......

LAGarn then something every day

@@mrsjfkjr yup

Okay but people panic when giving first aid so this is the correct time to say things that seem obvious.

beat me to it by a whole week

*AAAGH* *IMDYING*

MEDIC BAG (INTENSE EARRAPE)

Lol kinda like c collars. Everyone is a no neck.

PrepMedic exactly

Where tf in the Midwest is that pay available

Alex Abel Not gonna give away my exact location, but Missouri.

@@squidwardtortillini8816 Hello man, at least in Venezuela, having a paramedic attached to the SWAT team is very useful as the healthcare services may not be as close as needed or with the tools required to do specific jobs. Although if the paramedic gets shot down, the other SWAT members may have to solve the problem themselves, at least some are EMT. Check out the SWAT team I met: BAE CICPC

Yes. All of those airways have a universal connection

PrepMedic thanks a lot for the quick response, i enjoy a lot your channel, also my duty coworkers. Barcelona City Fire Department, firefighter/EMt-P.

Erik Johnson I know a lot of EMS use Nonin pulse ox. With trauma the main concern with his kit I wonder if an ear lobe clip is a good idea?

A controlled substance and a RX only medication are two different things. I couldnt have these meds if I was operating on my own, they are technically owned by my department but because we all have our own kits and periodically respond in POVs we are permitted to stock some meds.

PrepMedic That makes perfect sense, thank you Sam! Stay safe out there.

Yeah… I have tons of first aid videos up. Just did a baby CPR one not to long ago

I believe he does exactly that with a SWAT team

@@abdallahmanasrah2317 Thx for the info

Check out his earlier vids. He was a firefighter, paramedic and SWAT officer all at the same time before he moved to Colorado.

Yes. I work with one

Sure. The medics attached to SWAT teams usually come one of two ways--sourced from local fire/EMS like Sam, or an officer who goes to paramedic school. There are also cool opportunities some places, like here in Arizona, the Department of Public Safety Ranger helicopters are staffed with a paramedic who is also a DPS officer so they can perform rescues as well as law enforcement functions. The opportunities are out there.

Well nurses can’t intubate (without going to additional school) so you are good.

The use of blood products by EMS is not yet common in the United States. It is starting to gain traction, but typically it is only routinely carried by extremely "progressive" services or specialized transport teams. It's not that increasing circulating volume is bad, (we call it fluid resuscitation), it's just not the first priority for a trauma patient. Whether there is a lot of it or less of it, blood has the same oxygen carrying capacity, regardless of how much fluid is also circulating with it. So the first priority is to stop the loss of blood immediately as best you can. If you fail to do that, the patient will die no matter how much IV fluid you put in, because IV fluid does not carry any oxygen. I don't want to put words in Sam's mouth, but if you have a trauma patient whose blood pressure is low, the absolute best thing for them is blood, to replace what they've lost. But if I don't have access to blood, my first priority needs to be keeping the blood they have left inside their body no matter what. If the patient has a blood pressure that is low but still enough to keep him alive, and I stop those things to put in fluid to raise the blood pressure to closer to normal, I'm not helping in the long run. Or worse, if I can't stop all the bleeding immediately, because they have an internal injury, it just basically chases out what's left circulating into their abdomen where it can't do any good. Obviously if you cover your all your other bases you would consider it, or if someone is crashing, you do whatever you have to do to keep them alive. Keep in mind also that unless it's a mass casualty situation, if someone is hurt that bad, you're doing what you can on-scene then hauling the mail to the hospital. The only thing that can really save a person suffering from severe trauma is a surgeon.

Felix Kuhnert Absolutely everything ^ that guy said. Also, I can’t accurately say how many, but there are plenty of EMS systems in the US that still have normal saline for fluid resuscitation in their protocols. Why? Unfortunately It takes a long time to change protocols even with solid evidence.

Chris Kotterman well but assume I get the bleeding under control, the patient will still die of the shock due to the blood loss. If you then don’t carry blood or other fluids, you are kinda screwed, aren’t you?

@@nighthawk9264 Yes. EMS does carry fluid, usually normal saline, and will deliver it if necessary. Just not blood products in most places. If a patient is showing signs of hypovolemic shock, then obviously you want to do what you can to bring volume up. But hypovolemic shock is a late problem. You have to lose about 20% of your blood volume, so unless you're bleeding into your abdomen, it should be a preventable problem if you have the other tools available. But it's not unavoidable in all cases. That's why he has a bag of saline in his bag. An ambulance has plenty of fluids available. Sam is working in the time between injury and delivery to an ambulance. In that time, fluid resuscitation will likely not be a priority, so you wouldn't carry a ton of fluids with you. You don't want to stop other efforts to take the time to put in a line to deliver saline just to prevent a possible hypovolemic shock that hasn't developed yet. It's not an argument against fluid resuscitation. If you need it you need it. It's just about how much of a certain thing to carry given limited space and the difference it can make in patient outcomes during the time you're treating them.

Felix Kuhnert This varies from situation to situation. There is evidence that supports practicing permissive hypotension in trauma patients (maintaining a MAP of 40-60). This has proven benefits, but not forever. If your transport time isn’t incredibly long you could get by maintaining safe hypotension and maybe using pressors as opposed to saline.

Paramedic, PHTLS I, ACLS I, PALS I, AMLS I, BLS I, TECC, TCCC, Firefighter I & II, Hazmat Ops, and various other course credentials

You need a physician who acts as your medical control and authorizes their use. With that you also need a pharmacy agreement.

@@PrepMedic so they are regulated non-regulated?