EMT-B exam in 2 wks, need advice on field kit ...

Snakum

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Feb 21, 2010
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Background: In the late 80s I attended what was then called the Advanced Combat Lifesaver Course as an Infantry NCO, and got to use some of it later on while contracting - cuts, burns, assisted on GSWs including one sucking chest. Been taking the EMT-B for a career change/augmentation and today I knocked the finals out of the park and passed all my scenarios. Taking the state B cert exam in two weeks and begin EMT-P classes August 10th.

The places where I shoot are often 1 to 2 miles in the woods and out of cell range, so I've been putting together a simple kit to take with us, hoping I'll never have to use it - we are very safety conscious and don't shoot with idiots (more than once, anyway).

I don't think much of the kits I've seen and a lot of them seem expensive and rather gimicky, so I've been adding my own stuff to my little MaxP bag. Here's what I have put together so far or are planning to add, with questions for you medic pros:

- Iodine sponge, anti-bacterial gel, alcohol wipes, burn ointment.
- Motrin, Tylenol, and baby aspirin.
- Tweezers, pins, scissors, hemostats, knife, and LED light.
- New issue tourniquet and simple hose.
- Assorted small to medium bandages from various bandaids to 4x4s and a couple of tampons.
- Two self adhesive 8x8s.
- Asherman chest seal
- Cravats, wraps, and tape.
- (2) QuickClot sponges (civilian EMT-P who carries it on his truck is teaching me correct usage).
- Adult OPA airway kit (yep .. oro rather than naso).
- CPR barrier mask.
- BP kit

It's relatively simple, relatively light, I know how to use every single piece of it, and seems to have everything I might need while waiting on an ALS unit.

1. Is there anything I should add?
2. Anything I should throw out?
3. Is there a better/safer/more easily removed clotting agent than the latest QC sponge? Celox pros and cons?
4. Is there any reason to take my BP kit w/ scope, considering the kinds of emergencies I'd likely encounter? Didn't seem like it would be a big benefit, till I started considering cardiac or resp emergencies from over-exertion, AMIs, anaphylaxis, watching shock go to decompensated, etc.
5. All the kits I saw included only the NPA, however it seems I could run into head trauma from falls, GSW, etc. where the NPA is contraindicated, so I chose OPA. Should I take both or only one? Which one?

Any suggestions appreciated.
 
Re: EMT-B exam in 2 wks, need advice on field kit ...

Cling, trauma pad, sterile 4x4s, Celox, Saline, Alcohol/disinfectant...


That's all you need, if they need anything more than that, they prolly ain't gonna make it without ALS procedures....
 
Re: EMT-B exam in 2 wks, need advice on field kit ...

Scott E White the Epi is by prescription only. And Bendryl orally is useless for anaphlaxis. The IV Bendryl is also by prescription only. Also as an EMT-B all the medications listed above are outside the scope of practice as is any medication administration via injection (IV, IM, SQ, etc....). Also these practices opens one up for A METRIC BUTT TON on liability unless he/she is preforming these skills under some sort of medical dirction, ie working for an agency. You have to understand that as a long time practicing paramedic I still don't offer up ALS skills unless I'm working under my medical director license. If I do it is a crime called <span style="font-style: italic">practicing medicine without a license</span>. And I can be held both criminally and civilly liable for this.

All a EMT-B needs for a kit is:

Stethoscope
BP cuff
Trauma Shears
Sterile 4x4s
Celox dressing
Occlusive dressing
1 and 2 inch tape
ABD pads
Some form of CPR mask
Triangle Bandage
SAM splint
Cling
Oral fever reducer/anti-inflammatory

If anything other then this is needed you need ALS skills and equipment. Also further treatment.
 
Re: EMT-B exam in 2 wks, need advice on field kit ...

<div class="ubbcode-block"><div class="ubbcode-header">Originally Posted By: Scott E White</div><div class="ubbcode-body">Looks real good as-is, but I would also add an antihistamine for anaphylaxis: benedryl, epi-pen, epinephren, et al.</div></div>

Can't give epi unless on duty and working under med control. Meds are very limited as EMTB. That's generally ALS stuff, so I don't pack compression needles, prescription meds, etc.

Lots of good info. Danke schon.
 
Re: EMT-B exam in 2 wks, need advice on field kit ...

For anyone searching later, here's the final kit. It is carried by a licensed/certified EMT-B when shooting in remote locations:

(1) 12"x12" abdominal/stump pad
(10) 4" gauze pads
(10) 2" gauze pads
(10) Band-Aids, medium
(10) Band-Aids, small
(1) Bolin chest seal
(4 yds) 3" packing gauze
(1) QwikClot sponge

(2 rolls) cling bandage, 3"
(1) cravat w/ safety pins
(1) self-adhesive compression wrap, 3.5"
(2) finger splints
(1 roll) 1" tape
(1 pk) Moleskin

(2pr) nitrile gloves
(1) electronic thermometer
(1) holster w/ shears, scissors, hemostats, scalpel, and LED penlight
(1) CAT tourniquet
(1) CPR pocket mask
(1) stethoscope
(1) BP cuff
(1) NPA, 28F w/ lube
(1) disposable lighter
(1 sm roll) duct tape

(1 pk) sticky notes w/ pen
(1 sm) magnifying glass

(4 packets) hydrocortisone
(4 packets) alcohol prep
(4 packets) triple antibiotic ointment
(4 packets) burn ointment
(1 sm bottle) distilled water
(10) water purification tablets
(2 packets) Motrin
(2 packets) Benadryl
(2 packets) antidiarheal tablets
(2 packets) aspirin

I put in only what I need and what I feel comfortable using, and with the MaxP Proteus and attached MaxP M5 that everything fits into I have about $250 in the whole thing including refills for much of it. The nearest ready-made kit I found was closer to $350.
 
Re: EMT-B exam in 2 wks, need advice on field kit ...

Electric thermometers sometimes suck, go with manual. Add a black Sharpie marker. The sticky pads glue will not hold up in higher temps, try some pages of write in the rain paper. Spare cheapo wind up watch. Roll of heavy dental floss, very useful. Add a a large BP cuff to your standard hookup. Add a couple of standard tampons. Tweezers and a couple of sewing needles for picking splinters and stuff that is sticky. Small spare penlight or cyalume sticks. Some folks can't tolerate aspirin, might want to add some Ibuprofin or Tylenol.

JMHO
 
Re: EMT-B exam in 2 wks, need advice on field kit ...

The OPAs/NPAs are small enough that you can pack both. And if you're going to be managing an airway, then you should also have a BVM of some sort.