Range Blowout Kit

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PPGMD

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Recently I switched shooting ranges from a supervised indoor shooting range, to a semi-supervised range (aka you rarely see anyone else if you come during the week).

And I am concerned that if something happened that there would be no one but myself to deal with any injuries. I already have a kit for cuts and scrapes, but I am looking for a kit to deal with major trauma, like be accidental shooting myself, or getting hit by a ricochet that doesn't slow down enough.

So I am looking for guidance on what kit to buy, or how to setup a kit, and any sources of training on how to apply it.
 
Galls has different medical kits. I know that some kits have a powder like substance you could poor onto a wound that causes it to clot. All our protcols will allow us to use is bandages. I would say just buy gaze and 4x4s this would control any major bleeding with the proper amount of pressure. IMO
 
Quick Clot ACS+ is the newest type of anti-coagulant. It's in a sponge form and generates less heat than the previous powder type ACS products. That and a tourniquet, large gauze pads, trauma dressings, and you'll be set. This is the bare minimum for a blowout kit.
 
I was looking at this:
http://www.narescue.com/Maritime-Assault-Kit--P31C4.aspx

It contains:
1 x Bag (CCRK–Maritime)
4 x Gloves (Trauma, Nitrile, Black Talon® (2 pr)
1 x Airway (Nasopharyngeal 28F with Lubricant)
1 x Gauze (Petrolatum 3” x 18”)
1 x Needle Decompression Kit (14G x 3.25”)
1 x Tourniquet (Combat Application (C-A-T®)
1 x Dressing (Emergency Trauma (ETD™ 6”)
1 x QuikClot® (Hemostatic Agent)
2 x Gauze (S-Rolled, 4.5” x 4.1 yd)
1 x Card (Reference, Combat Casualty)
1 x Card (NARP T2™ Individual Kit)
 
In addition to all the regular first aid/trauma stuff, you might look into an Asherman Chest Seal http://www.firstrespondersupplies.com/acs.htm Great tool for sucking chest wounds. Beats a cigarette pack wrapper hands down and its easier to use.

Also give "Vet Wrap" a gander. http://www.kk.org/cooltools/archives/000283.php
Tape just doesn't get the job done on bloody wounds. Vet Wrap doesn't rely on adhesive to stick to itself and is dirt cheap compared to Coban (the people version of the same thing).
 
I'm not very experienced, but I would think that you would want to have a buddy practice with you. Going it alone seems foolish.

Paul
 
My blowout kit is a big package of new cotton diapers and several rolls of vetrap. Cheap & effective & I hope I never have to find out. :eek:
 
I have a first aid kit in the car, and another in the rangebag that always goes with me. I also have a cell phone, as our range is unsupervised, completely. Nice public maintained, but nobody there running things, so
I go on weekday mornings, early, to avoid idiots and gangbanger wannabes, nice to have 5 shooting bays to myself.
 
Also, I forgot to mention... maxipads and an ace bandage or two. Cheap, non-stick, sterile, absorbant, compact and light. Fits well in a range bag or backpack. Easy way to maintain direct compression while you get yourself to help.
 
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Get basic first aid training. Most of the time the basic
1. direct pressure
2. elevation
3. pressure points
4. and lastly tourniquet(be prepared to lose the limb below the tourniquet)
will stop most bleeding. The quick clot is a good idea but be aware that some of the older stuff can cause pretty severe thermal burns. Quick clot will also sometimes cause people who are allergic to shell fish have an allergic reaction. Tampons shoved into a bullets entrance wound will pretty much seal the wound.
 
tacmedicp94 wrote
Quick clot will also sometimes cause people who are allergic to shell fish have an allergic reaction.
Actually Quikclot is not made from shellfish, that's HemCon it contains chitosan-a shellfish derivative. Quikclot is derived from lava rocks.
 
QuikClot ACS is the way to go. Get one of the trauma packs, complete with pressure bandage. The $40 you spend will be the furthest thing from your mind if you ever have to use it.

Stay away from the old (non-ACS) formulation powder. You wouldn't want to cook yourself medium-rare. ; )

-Sans Authoritas
 
Have you guys ever tried Quick Clot ACS?

Our medics have it and are VERY reluctant to use it. Even quick clot ACS gets very hot, very quickly, and the odds of an individual being able to shove a searing hot bag full of gravel (what the sponges feel like) into his own gunshot wound are slim to none. If you don't believe me break open a package and toss it in a little water.

Hemcon is a good alternative, and I carry some in my kit. It works well, does not generate heat, and unlike a powder can be self applied.

In addition to Hemcon, you should have a one-handed tourniquet, and an Israeli dressing.

Curlex and other items would be helpful, but you are not likely to be in any shape to pack your own gunshot wound.
 
The whole exothermic quickclot issue has been discussed plenty of places. Tossing an ACS+ into a pot of water is not like pressing it into a wound.

Blow out bags are commercially available. They contain pressure dressings and one of the hemostatic agents. Sometimes they'll contain an Asherman. Sometimes a tourniquet.

This isn't the sort of thing I'd want to improvise.
 
to those that talk about it, if you havent used it or seen it used first hand save the talk. and yes i have used the stuff quick clot and tramaudex

here is the most recent study
http://www.traumacure.com/pdf/TraumaCure-ISR-Report.pdf

Take away msg: Woundstat comes out first, non-thermogenic and repairable if post-application bleeding occurs. Celox is next, but inconsistent according to this study and not useful for arterial bleeds. QC ACS+ didn't do so well at all, and the test cites it actually decreasing clotting activity when tested with free blood. Hemcon also didn't test very well, and it's current issue.

I haven't used or carried the stuff and frankly this is the first I've heard of it but at least they don't tell you to remove excess fluid before applying ( ). There's also a youtube video from the mfg...the cartoons are funny, the demo footage is intriguing.

note diapers and maxi pads should not be used. unles last resort maxi pads have a anti clotting agent in some or most makers.
 
I am a medic in a nasty suburb of Chicago and I am going to be the big rain drop on this parade. One if you have to ask what you do not have the how and why. Second. Because you are not going to be using this you have to think about how long the materials will last. Even tape becomes useless after a while as do gloves. A good cell phone and letting people know where is a start. Knowing how to id the place to a 911 operator is a real plus. As far as kit goes when I go to a outdoor range or hunting I carry very low tech items. I steal some of tampons from my wife, they plug holes and are sealed you can put them back unused. Maxi pads make good trauma dressings. Saran wrap and aluminum foil for the odd sucking chest wound and you are good to go. A couple ace wraps are good to help with pressure on extremities and they do not go bad. One of the perks of being a medic is supplies. But aside from tape and gauze You see what I carry. Duct tape will work but I prefer ace wraps and a bandana that you can tie it off instead of tape. But most of all TAKE A ADVANCED FIRST AID class

Len
 
Len S said:
But most of all TAKE A ADVANCED FIRST AID class

True words spoken. A good first aid class (which you can often get free or comped by work for) will be far more useful than whatever hi-tech wrappings you can purchase over the internet.
 
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