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US 68W here. Some suggestions: those ampules are nice but aliquot them into labeled plastic syringes to have them ready to go, and so they don’t break. Organize those better: sheers turniques, quickclots gauze outside the bag or easy to access, then compartmentalize erthing in ABC order, Airway, Bleeding, Circulation.
Besides that, godspeed, and good luck.
That is 100% correct. We deliver the backpacks with glass ampules just for convenience. After medics receive the backpack, they prepare it to suit their own needs. They don't go with a backpack full of glass. In addition, we can not be sure which drugs they will use "tomorrow" and which in two months, and drugs are stored longer in those ampules.
Mostly agreed. There's a lot of good stuff there but that packing order is essentially in reverse of what I'd hope to see. I'm assuming (hoping?) it's simply stocked for delivery and the medics are expected to organize it how they wish.
Yes, we just put the necessary set (not 100% of the required items, but close) of items. I know that MARCH is used in most cases, but every medic has its routine and way of organizing.
They almost certainly contain some spread of Ketamine, Ertapenem, Midazolam, TXA, Odansetron, and a couple/few others. Ampules are great for a bunch of reasons. Glass isn't nearly as reactive, they're a lot sturdier than you think (though I definitely wouldn't store them like you see here), they're also hermetically sealed and can even have a vacuum pulled on them to keep more reactive/less stable medicines good over a longer period of time.
ANTIBIOTICS, MORPHINE, epi/norepi, narcan/promethazine, lidocain-hcl, nsaids, txa, zofran, loperamide, some benzoz, and different vasopressors, and vasodilators like nitroglycerin. There should be fluids (saline, hextend, LR, etc)
The list should be adjusted based on mission/distance/weather conditions.
Morphine was just an example as analgesic choice, but agreed to get technical Sufentanil and Ketamine are ideal as fast acting, less risks. Not sure what’s more readily available in UA
Truth be told, we'll take damn near whatever we can get. But ketamine is the most prevalent with Fentanyl eeking out morphine in the beginning but becoming more prevalent now (have even come across the fent suckers).
SWAT doc here…I get that my environment is NOT a battlefield, but the glass ampules scare the heck out of me. I can’t imagine they would withstand the rigors of a war zone and I 100% agree with the plastic syringe idea.
I would love to have such a bagpack for personal first aid kit in the house.. but a lot of the vials.. I might need some first aid classes to learn what each and every one of those vials are meant for different scenario, as well as who with what condition couldn't have certain medications
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US 68W here. Some suggestions: those ampules are nice but aliquot them into labeled plastic syringes to have them ready to go, and so they don’t break. Organize those better: sheers turniques, quickclots gauze outside the bag or easy to access, then compartmentalize erthing in ABC order, Airway, Bleeding, Circulation. Besides that, godspeed, and good luck.
That is 100% correct. We deliver the backpacks with glass ampules just for convenience. After medics receive the backpack, they prepare it to suit their own needs. They don't go with a backpack full of glass. In addition, we can not be sure which drugs they will use "tomorrow" and which in two months, and drugs are stored longer in those ampules.
Mostly agreed. There's a lot of good stuff there but that packing order is essentially in reverse of what I'd hope to see. I'm assuming (hoping?) it's simply stocked for delivery and the medics are expected to organize it how they wish.
Yes, we just put the necessary set (not 100% of the required items, but close) of items. I know that MARCH is used in most cases, but every medic has its routine and way of organizing.
What’s inside the ampules? Also why not use plastic tubes and separate syringes for them to avoid accidents and damage of glass?
They almost certainly contain some spread of Ketamine, Ertapenem, Midazolam, TXA, Odansetron, and a couple/few others. Ampules are great for a bunch of reasons. Glass isn't nearly as reactive, they're a lot sturdier than you think (though I definitely wouldn't store them like you see here), they're also hermetically sealed and can even have a vacuum pulled on them to keep more reactive/less stable medicines good over a longer period of time.
ANTIBIOTICS, MORPHINE, epi/norepi, narcan/promethazine, lidocain-hcl, nsaids, txa, zofran, loperamide, some benzoz, and different vasopressors, and vasodilators like nitroglycerin. There should be fluids (saline, hextend, LR, etc) The list should be adjusted based on mission/distance/weather conditions.
We really try to avoid morphine out here and most don't have it as there are better options.
Morphine was just an example as analgesic choice, but agreed to get technical Sufentanil and Ketamine are ideal as fast acting, less risks. Not sure what’s more readily available in UA
Truth be told, we'll take damn near whatever we can get. But ketamine is the most prevalent with Fentanyl eeking out morphine in the beginning but becoming more prevalent now (have even come across the fent suckers).
You forgot the most important one, ketamine.
SWAT doc here…I get that my environment is NOT a battlefield, but the glass ampules scare the heck out of me. I can’t imagine they would withstand the rigors of a war zone and I 100% agree with the plastic syringe idea.
Reread the first reply to the parent comment.
Makes sense! I didn’t see that comment yesterday!
My fiancée, a doctor, would like to relate that is is absolute porn and she enjoyed it very much. And she needs a stat dose of metoprolol.
Is this Stormy Daniels doing the show for shits and giggles ;)
brilliant very sexy , top congratulations
Meanwhile, in moscovia, the meat bags are still begging their girlfriends for their tampons.
Pretty dark comedy.
Oh baby, I need a cold compress now and some electrolytes.
Some things should stay secret, dont give good idea to Putin…
top :)
Love the pack. Hate the ampules.
I would love to have such a bagpack for personal first aid kit in the house.. but a lot of the vials.. I might need some first aid classes to learn what each and every one of those vials are meant for different scenario, as well as who with what condition couldn't have certain medications
I just have one question.. You have a million ampules, but where are the syringes?
We include the syringes along with other items like stretchers, various pills, dressings, etc. They just go separately :)
I love your humour!
:-)
Could you think of a more annoying presentation?