Guns and First Aid Kits

[butch50]

If you watch the news from Fort Worth tonight.....


This afternoon at work our office was rocked by a series of violent explosions, four in a row about 1.5 seconds apart. Then more following. The sound came from our south and sounded very close. We went out the south door and there was a giant black plume of dense rolling black smoke about two blocks away and a huge fireball roaring up into the sky.

Quickly following there were more and more explosions and fire balls and the smoke column got bigger and blacker. Within 10 minutes, ambulances and fire trucks were sreaming down our streets. Shortly after the ambulances came the helicopters, four at least were hovering directly over us.

This went on for 45 minutes, the fire actually growing larger and getting worse and worse and more explosions and huge fireballs rolling up hundreds of feet high, and then there were electrical arcs in the fire and our electricity went out. As the fire balls rose up in the sky we could feel the heat. I looked on a map later and scaled it off, and we were 3,000 feet north of the explosion. The wind was blowing away from us so we stayed and watched in complete awe, but soon after our power went out the air began to get foul from fumes that were working up against the wind to us. At that point we all decided to go home and watch on TV instead of up so close. I got into my truck and headed home praying that no one had been seriously injured or killed in the explosions, I was really worred for the fire fighters because those explosions were seriously intense.

Within two miles of leaving the office I drove up on a traffic accident just seconds after it happened. Glass was still falling out of the windows, although I had not seen it happen. There were two pickup trucks involved, a large one and a small one. The large one was still in the road but the small one had been pushed onto the railroad tracks. A Lady had stopped at the same time I had, and she went to check on the driver of the larger truck, who was not visibly injured and seemed coherent and I heard him telling her that he was OK.

I ran over to the smaller truck, which was jammed across the railroad tracks and the drivers side door was smashed in badly. The front tires were bent around badly and were straddle of the far rail. There were two women in the car, the driver who was unconcious and bleeding badly and a younger woman who was no bleeding but was screaming and crying and obviously in shock. I looked around to see what the situation was and there was a train about 1/2 mile away and coming down the tracks right at us.

I got the passenger out of the truck and to the side of the road, ran back to the truck and tried to open the driver's door, it was cratered in and wouldn't budge. I ran around to the passenger side to see if I could drag her out that way but her legs were pinned in from the way the cab was crushed in on her. There was blood everywhere. The Lady (petite and about 60 years old) who had checked on the first driver asked what to do, I asked her to get on the cell phone and call 911 and try to get them to stop the train. It was still coming. It was either stop the train or jump back and watch because I couldn't move the truck, and couldn't get her out of the truck. Some of the bystanders also got onto the tracks and were waving their arms and rags, trying to get the engineer's attention. I was afraid that he would be focused on the large black column of smoke from the explosions at the chemical plant and not see us.

I could hear the Lady on the phone telling the 911 dispatcher that the train hadn't stopped yet and that "By God We Are Staying On These Tracks And If You Don't Somehow Stop That Train It Will Be On Your Concscience That We Were All Killed Too!" She was a Tiger! She was Magnificient! She was giving them a blow by blow account of everything. She actually did get the train stopped about 100 yards from us. All this time I was still pulling on that damned door, and prying at her legs and trying anyway to figure out how to get the woman out of the truck to safety.

Once the train stopped I went into first aid mode and got the bleeding stopped with some gauze and clean rags that someone had found (by this time there were dozens of people around) and kept her from flailing around too much until the EMTs got there. She was semi-concious by now but in very bad shape. When the fire department and ambulance showed up I went to the passenger who was still screaming and crying, and I just hugged her held her, and got her to talking until she calmed down. All of those people there and no one was even attempting to help her out. When the EMTs finally put her in the ambulance I left. I drove home in something of a daze, came in and washed the blood off. I had a beer then, and it was as good a beer as I ever had.

During this whole ordeal I was very aware that I had a pistol on me, and that I did not have a first aid kit with me anywhere, and I needed a first aid kit badly. I am going to get a first class first aid kit for each of my cars. It was absurd for me to think to have a gun, but not think to have a first aid kit. I strongly recommend that everyone have a good first aid kit in their vehicles.

I also have a renewed and genuine respect for our first responders. Those men and women are the absolute best.

I think there is a bad moon following me today. I am going to get under my bed now and hide for awhile.

[jrklaus]

God bless them, and you!

[almark]

Well done!! You acted calmly and performed well when the stress was on, which is something that not many people could do (myself probably included). Out of curiosity, any ideas on how exactly 911 got a train stopped? I wouldn't have even thought of that... do they broadcast on some special radio or something? Might be something for all of us to remember for future reference. Also, if you haven't already, may wanna consider taking a CPR course. You can get a good CPR "pocket mask" (Laerdal is the brand I like) for ~$12 online. Also, for those of you that go shooting out in the country like me, a first aid kit and snakebite kit should always go in your range bag just in case.

[butch50]

I was OK during the action phase, but the adrenaline kicked in big time while driving home. Or so it seemed. That's when I got the shakes.

I have no idea how or even truly if 911 communicated with the train. It is possible that the engineer saw the wreck and stopped on his own. But what I remember overhearing of the woman talking on the phone it sounded like she was in contact with someone who was in contact with someone - that sort of conversation. I was really not focused too much on that though, I was "feeling" that train coming up my butt and trying to get that woman out of the way.

I have had several first aid classes and I did remember all the basic things to do. Made sure she was breathing, she was, made sure no arteries were pumping out, none were, made sure she had a pulse, she did, controlled the bleeding which was bad even though not arterial, and tried to keep her from flopping around and hurting herself more. What I am embarassed about is that I haven't carried a first aid kit with me anywhere in years. I have a huge one in my house stocked with all the necessities.

Tomorrow I get a first aid kit for each car/truck in my family.

[jrklaus]

I do know that the Radio Shack scanner books (where legal) list the frequencies of various railroad lines. I'm pretty certain they do have transceivers in their cabs.

[Arizona Fusilier]

Sounds like you did well. The most important thing you did today, was learn that lesson.

Don't stop at the first aid kit. The wisest advice I heard about "bug out bags" is to have one in your vehicle; you are almost always just a few hundred yards from it.

Imagine if those chemical tanks were emitting toxins in the air, and evacuations were needed. You might not have had time to go home (if you have SOs at home, they could unass with the "home version" of the bug out bag, or the one that is kept in the other vehicle).

Food, water, something to keep warm with, signalling devices, multi-tools, etc.. And yes, a first aid kit, too. Don't overwhelm yourself, start small, and buy what you can afford, and add to it over time. A real simple kit can fit into a day pack, and be a real security blanket.

I've recently augmented my first aid kits with the quick-clot packets that are being used with such great effect in Iraq/Afghanistan. I think anyone who has the presence of mind to carry a gun ought to have a packet or two of this stuff in their car as well.

[Tylden]

Thank you for sharing your experience with us. My hat is off to you for doing what you did and I commend you for your brave actions. I will be adding a first aid kit to my car tomorrow as well.....and one with my range bag (just in case). The folks in Fort Worth will be in my prayers...I hope they are okay.

[butch50]

A bug out bag is a tremendous idea. I will start building one tomorrow, thanks! Please describe the quick clot packets, where to buy and how they work.

Thanks!

[JohnKSa]

Saw the fire on the news before I left work--bad stuff.

First thing to do when you come on a car wreck is to turn off the ignition in all the wrecked vehicles.

A standard first aid kit or even paper towels are handy. I try to have a bottle of water in the car but I've been remiss of late. Be careful about applying too much first aid unless it's clear that delay will be intolerable or when it becomes obvious that you're not going to get a quick emergency response. The quick clot packets are great for a battlefield, but you'd better be careful about medicating strangers unless it's absolutely clear that they need treatment before professional help can arrive. Try to think about what emergency responders will do when they arrive and try not to do anything that might make their job harder.

I try to carry an old coat in the car. Come to think of it, I need to get another one. Left the last one with a lady who obviously had dresssed without considering that she might end up standing by the side of the road for a long time next to a wrecked car on a very cold and rainy night.

I also carry a 4' crowbar in the trunk because I figure it's better than fingers for trying to get a jammed car door open in a hurry.

Remember that just the fact that someone is there means a lot to the victims. Tell them they'll be alright and that help is on the way. Sounds stupid, I know, but it's what they'll want to hear and if you can say it calmly and convincingly they'll believe it.

Sounds like you did good.

[alpineman]

I usually explain my gun views to my non-shooting friends as the "First Aid Kit Principle". You may never need it, but why on earth would you not have at least one for that one time that you DO? With either one, your life could be at stake...

The pistol is with me everywhere legally possible. My wife and I keep a comprehensive 1st Aid kit in each vehicle, and a big one in the house. We also have one in our SHTF emergency "go kit".

To me, the gun and the 1st Aid kit go hend-in-hand. It's all about being able to take care of yourself.

[butch50]

JohnKSa:

Good points John. Actually one of the first things I did was to shut off the ignition on her truck - the engine was still running and her foot was jammed down on the accelerator so it was revving up pretty high.

A crow bar is a good idea, but in this case the EMTs had to cut her out of the truck with a torch.

An old coat, a crow bar, a bug out bag, and a good first aid kit - that's my shopping list for this morning.

Having a first aid kit seems so obvious that not having one is embarassing.

[Arizona Fusilier]

Butch50,

I've obtained quickclot from Brigade Quartermasters http://www.actiongear.com).

They are available at Gall's (www.Galls.com (http://www.galls,com)), which also has some good, high-end first aid kits.

[buzz_knox]

Thus are heroes born: ordinary people are thrust into extraordinary situations and rise to the occasion, thus revealing the divine within.

Excellent job. And thanks for the reminder about needing first aid kits. I need one for the car and the house, along with bug out bag and more extinguishers.

[BerettaCougar]

Good idea. I'm now building a nice kit for my car.

Like in a big gym bag to keep in the trunk.
Keep it next to my MRE's (anyone else here keep MRE's in their trunk?)

[Eghad]

dont forget the protective gloves!

I notice you had blood on you too...might want to put something in the kit to help you clean up for blood borne pathogens also! some plastic squares might also be good in case of chest wounds. you could also use the iside of the bandage covers for cheat wounds also.

[almark]

As buzz_knox suggested, a fire extinguisher is also a great thing to keep in your car. My father learned to do that after two of our Fords had wiring problems and burst into flames spontaneously ('course, you know what they say about Ford...) :D

[butch50]

OK, I am now adding fire extinguishers! If her truck had been burning there wouldn't have been a thing I could have done except watch - Excellent suggestion!

Actually I was going to get a kit that contained gloves. I was careful not to rub my eyes, nose or mouth and I don't have any cuts or scratches at the moment. I had thought about gloves before bandaging but didn't have any and she didn't look she could wait until some showed up. I managed to wipe most of it off before leaving, but there was still some on me here and there and up under my nails. Thinking on it now it was plain stupid of me not to have asked the EMTs for some sterile wipes. No doubt they had a 50lb box of them.

The EMTs are true heroes, I was just an accidental tourist. no pun intended.

[Ohio Annie]

in my car i have a fire extinguisher and a first aid kit assembled from things bought at the drug store and put in a Molle bag from cheaperthandirt.com here is the list:

wound irrigation saline 7 oz. pressurized can
benzalkonium chloride solution 4 oz. can
purell hand sanitizer 2 trial size
16 4x4 surgical sponges (for wiping too)
10 3x3 pads
10 2x2 pads
1 roll gauze
small roll adhesive tape
10 butterfly closures, medium
10 bandaids 3"
5 ea. fingertip and knuckle bandaids
1 eye pad
bandage scissors
2 finger splints, metal and velcro
1 stretch bandage
eyewash and eyecup
20 alcohol prep pads
1 sheet moleskin
sliver extractor tweezers with magnifier
anti-itch/pain cream
antibiotic ointment
10 latex gloves
stackable vials of 6 Benadryl, 10 ibuprofen, 10 antacid

total cost is about 60 bux plus the cost of the bag.

[butch50]

I looked at a couple of first aid kits today, and they were not what I want. Mostly they had bandaids and little packets of aspirins, and a small roll of gauze, and minor stuff.

Given that one experience, and the fact that all I was doing was trying to keep her alive until the EMTs arrive, I think a kit that contains trauma type bandages makes more sense. So I am looking for one that has:

Large bandages, several
Large Compress type pads, several
Rolls of gauze, several
Gloves
CPR mask
and not much else.

Anyone know where I can find one ready made? Annie your kit sounds great, and I may end up buying the above components and putting my own kit together too.

[swmike]

Be sure and throw a box of extra ammo in the "bug out bag". Since you will now have a bag for all the essentials this is a good addition.

[Lawyer Daggit]

I carry a comprehensive St Johns First Aid kit in the car (most commercial kits for cars are useless.)

Make sure you have a rug or space blanket in there- for shock and incase you have to lie someone down, as well as a blaze orange vest- (you don't want to be run over while helping)

Incidentally carry a knife in the car with the kit- I once had to get someone out of a car and their seat belt had jammed on after the crash.

One final thing- please learn how to use the above and consider keeping first aid certification current- in Australia if you do, St John Ambulance provide you with free insurance incase you get sued. US residents may like to look into this and see if they do the same there.

One final thing, get a safety triangle and if you have a mag light get one of those illuminated cone things that fit on the end that cops use.

[Lawyer Daggit]

Butch 50- I also meant to say well done. You have survived one of lifes great tests and performed under pressure.

I have been in a situation of being on the scene of an accident twice and attended a heart attack once in my 50 yrs on this planet. The first experience, where I wanted to help and did not really know how led to me obtaining St Johns certification as a first aider.

You also highlighed one of the paradoxes of America and sadly the world, today- that I hope a lot of readers will ponder- a lot of guys are prepared to pack a gun to help out ( and I don't question the desirability or honourability of them doing so) but don't think about a first aid kit. Which is more important? to save or to take life?


I believe, as I think you do, we all need to prepare for both.

[JohnKSa]

Gloves are important. I forgot about mentioning them, but I have a pair in the trunk.

Fire extinguishers are a bit tricky. You may have to shop around to find one that will stand up to the heat. If you carry one, put it in the trunk. It may stay a bit cooler and if it leaks it won't be as bad. Check it often. The last one I had in the car leaked empty in no time--probably from the heat.

[delta58]

As a former EMT you can do alot with some 4x4's cling or curlex wraps, gloves and cpr mask. Sounds like you did ok and you had some good help. A friend of mine was at an industrial fire one day and he told me he thought he could have done a better job. I told him "you put the fire out, you didn't get anyone hurt and you didn't make the 6 o'clock news, sounds like a good job to me"!

[butch50]

The beginning of the bug out kit:

Surplus military back pack to hold it all:
One first aid kit that leans heavily towards large wound trauma supplies
including gloves and a locking knife with half smooth half serrated blade, and a police type whistle - still looking for a CPR mask
One bundle of Kimberly Clark Disposable Shop Towels - very strong, these will make excellent large wound bandages to control bleeding
One light weight disposable trauma blanket
One super light weight space type blanket
One bottle of water
One .22 semi-auto pistol with a box of hollow point stingers
Four road flares (make good fire starters too)
One reflective road triangle
One orange safety vest
One disposable poncho
One machete
25 feet of 1/2 inch rope and caribiners
Flashlight
Leather work gloves
One roll of toilet paper

Things to add:
Change of clothes
Food bars
Small tarp of 6 mil plastic approx 15' x 15'
Matches
Compass
Small portable radio
Candles

In the truck but not in the pack is a fire extinguisher and a crow bar. What am I forgetting?

One final thing- please learn how to use the above and consider keeping first aid certification current- in Australia if you do, St John Ambulance provide you with free insurance incase you get sued. US residents may like to look into this and see if they do the same there.

We have a "Good Samaritan Law" in Texas, and maybe in the US in general (someone knowledgeable on this please help me out) which protects Joe Citizen from law-suits if he renders aid. I do not believe it is tied in to being certified in giving first aid - and currently my certification has expired. I have had first aid/CPR training at least a dozen times, but not in the past 24 months.

[mgdavis]

I carry a First Aid kit in my truck at all times, have since I was 16. The current incarnation came from oxarc.com. It came in a steel box, I just throw it under the seat and forget about it. When I was a Boy Scout we had a fairly large and comprehensive troop first-aid kit contained in a tackle box. It is a good idea for a trunk kit. There are also several manufacturers (sp?) that make dedicated seatbelt cutters so you avoid accidently cutting your patient with a knife.

[Limeyfellow]

My wife is a nurse and she makes sure we have rather good first aid kits in the car and the house and so on. I also take one with us when we are camping and hiking out in the wilderness. Mostly its used for cuts and mosquito bites but you never know and on at least one occasion we saved a guy's life who collapsed and had stopped breathing and heart had stopped and got it restarted with cpr.

I would recommend infact everyone take a cpr course and basic first aid lessons. They are not too expensive and there are many quality organisations that will give you lessons for not too much money.

[Lawyer Daggit]

I have carried a first aid kit in the car for some years now and I have printed off the above lists and checked them against the contents.

[S.E.R.T.SGT]

There are some really good ideas in this thread. As a LEO as well as First Responder I have a leather bag that I carry with me whereever I go. Among other things in the bag, ;) , I always make sure that I have a good first aid kit to handle most of the problems I might encounter while out and about. I would recommend this to everyone. You never know when it might be needed.

[butch50]

I can tell you that it is very very bad feeling to have no first aid equipment when you need it. Definitely not a feeling I want to repeat.

[powderedonuts]

You all succeded in making me feel really stupid.

I am putting together a first aid kit as soon as posisble.

[butch50]

Well hell, I got to stupid first didn't I? :)

Just passing along what I figured out the hard way. I sure was glad when someone out of the crowd came up with that roll of guaze and those clean towels.

[mvpel]

I decided a few of years ago, when we lived in California, to be sure I had a fire extinguisher, flares, and a first-aid kit in the car. And after we moved to New Hampshire, and were driving down to New York for Passover in 2004, we had to use it - a car passing us on the freeway in CT suddenly burst out with huge plumes of white smoke.

Turned out the guy's head gasket had blown and the engine was spraying a fine mist of oil onto the exhaust manifold, further misted by the spinning belts and pulleys.

We managed to put out the fire with the extinguisher I grabbed from my trunk, and thanks to that he was able to sell the car to the place that towed it in Connecticut, from his home in Pittsburgh, without a lot of expense and hassle that would have been inevitable if the car had been seriously damaged by fire.

It's quite surprising when it happens, but it feels good to have the tools at the ready to deal with situations like these.

[LAK]

Great job Butch. :)

In addition to a first aid kit, a fire extinguisher is a good thing to keep in the car. I like the intermediate size class ABC type that stand about 2 feet high and are about 4+ inches in diameter.

Incidently, in the circumstance you described, manpower may have worked as a last resort. I was driving a taxi in the U.K. for awhile years ago, and one night came across a guy pinned under the back axle of a rather large (by euro standards) station wagon with a small crowd around it.

All he could manage was a muffled "get it off me" as he was flat on his back with the axle across his chest. I started counting heads around me - more than half a dozen.

"Pick it up!"

And with about six pairs of hands on the back bumper and wheel wells - up it went, while someone slid the guy out of the way by his feet.

We could have easily walked this car, one end at a time, a considerable distance. I recall during my military days as a prank some of the guys at one of my duty stations picked up some gal's car and moved it a considerable distance across a parking lot.

[JohnKSa]

Never EVER remove a crushing weight unless the victim is certain to die rapidly if it is not removed.

Similarly if a victim is pinched or crushed between two objects, do NOT remove the pressure if at all possible.

It is likely that there are internal injuries and the pressure is preventing massive bleeding. It is not uncommon for a person to bleed out almost immediately upon removal of the pressure. In one case, a man was pinned against a loading dock by a semi trailer. He was talking and joking with rescuers while pinned, but instantly collapsed and died when the trailer was moved. That was in spite of the best efforts of emergency responders already on the scene.

Furthermore, with crushing injuries, the spine or neck may be damaged and the victim shouldn't be moved unless there is no alternative.

Along the same lines, if a victim is impaled, do NOT remove the impaling object unless it is clear that the victim will immediately die without removal. The impaling object is probably reducing the bleeding and removing it could cause the victim to bleed to death very rapidly.

Remember, the first rule is not to make things worse. If you're the kind of person who wants to get involved, you need to get some training so that you're helping and not hurting.

[LAK]

JohnKSaNever EVER remove a crushing weight unless the victim is certain to die rapidly if it is not removed. [etc]
This depends - and you stated as much.

In this case the victim could barely breathe. Bear in mind too that this was in Britain before any of the peasants had cell phones. And in the days when ambulances - at least in the U.K. - were brightly painted taxis with flashing lights and a two-tone horn. No life support equipment and ambulance drivers were not even trained like the current EMT types.

As an aside, I arrived in the aftermath of an accident recently where the victim died under a vehicle, the first responders having waited for a succession of special units etc. He was dead in less than twenty minutes. A hospital was minutes away by car.

[KHarmon]

I might have missed it while scrolling through the posts....but Galls carries enough first aid stuff to turn your car into a small emergency room. Someone suggested a knife for seatbelts...I've been a cop for 11 years and have worked hundreds of accidents including some really gruesome fatalities, and to this day I've never found a seat belt that was stuck. What I have found were situations that I couldn't get to the seatbelt release because of damage, and in one case the console of the vehicle had smashed the release so tightly between it and the seat I couldn't get it out. I refuse to leave the house without a good knife, and in case I do lose that knife, I have another one in the glove compartment of my car, my patrol bag that rides next to me, and one in every first aid kit I have including my patrol car and my personal vehicles. For sure get a reflective vests...nothing like going to an accident scene at night and having to play "dodge the Dodge" while trying to do first aid or direct traffic around the car.

Something else I would add to the mix, either get some chem lights or road flares to put out at night just for the added visibility for night time accidents.

PS. If you ever see me standing on the side of the road nearly in tears...it's because I lost the Benchmade Auto Folder that I carry with me everywhere I go. I LOVE that knife!!!!!

[blackmind]

What am I forgetting?

It's tough to say... It's easy for us gear-hogs to wish to turn a "bug-out bag" into, well, a home! Put enough stuff into it and it's no longer practical, right?

I would say that to your list I would add a small camp hatchet, although maybe the machete covers that, sort of. If given a choice of one OR the other, I think I'd go with hatchet. I'd also add a bottle of Zippo lighter fluid, and a tough Zippo lighter. You don't always want to start a road flare to get a fire going, right? Nothing is as simple and reliable a lighter as a Zippo. Purely mechanical, sturdy, functional.

I would also add a generous length of 550 paracord. This is available, actually, in a wide variety of colors. I would recommend black, and neon yellow. (order from ubraidit.com (http://www.ubraidit.com) -- click "supplies" and then "parachute cord/paracord in 30 colors")

That stuff is extremely versatile, probably more so than 1/2" rope on a day-to-day basis. And it's cheap. That site sells 500' spools for about $30.

This is an awesome thread! :)

-blackmind

[butch50]

KHarmon

Because you have been going to wrecks to rescue people for 11 years you have my undying respect. I have been to one, and that is enough for me. I am better prepared now if I have to go to another one, but I am certainly not looking for it.

[JohnKSa]

LAK,

I don't know what your level of training is so I wasn't commenting directly on your actions, only to the forum in general. I was just using your post as a springboard, so to speak.

The "you" in my post was general, not directed specifically at you (LAK).

I also want to make it clear that I am NOT trying to discourage people from helping at a trauma scene, just pointing out that some things that seem the obvious thing to do can be really exactly the wrong thing to do. First Aid and CPR training are available at low cost and are an important asset in the "bag of tricks" of a person determined to be prepared.

[butch50]

Those are good things to point out. It is anti-intuitive not to pull that steel rod out of the victim's chest. But with training you learn that pulling the rod out is the worst thing you can do at the scene, unless there is a very good reason to.

My own idea on first aid is to do the major things to keep someone alive until an ambulance arrives - which is generally going to take no more than 30 minutes most of the places where I go. That is why I picked a first aid kit that was heavy on the large trauma wound stuff and not band aids.

I may start a separate thread on bug out bags though, that is a whole nother thing and quite interesting to me.

[LAK]

JohnKSaI don't know what your level of training is so I wasn't commenting directly on your actions, only to the forum in general. I was just using your post as a springboard, so to speak [etc]
Yep; gotcha.

And on the same lines, as you probably know - but for those who do not; same general rule applies to removing motorcycle helmets.

[Edison Carter]

Thanks butch for reminding me of stuff which needs attention.

I'll add gas masks to my bag, seems like there is often smoke,
and fumes, and noxious vapors when things go freaky.

EC

[KHarmon]

KHarmon

Because you have been going to wrecks to rescue people for 11 years you have my undying respect. I have been to one, and that is enough for me. I am better prepared now if I have to go to another one, but I am certainly not looking for it.


Thanks for the compliment....going to accident scenes, especially bad ones, is one of my least favorite ones. One of the scariest things to do is walk up to a car on a major accident and see a car seat in the back seat!!!! :eek: I've been lucky to a certain degree....I've never worked a major injury or death on an infant, the youngest fatality due to a car accident I've worked was a 5 year old and that one about killed me...my oldest son had started 1st grade that year. I hope nobody comes up on a major accident...but by the sheer number of cars on the road in todays modern society...it's almost inevitable. It's for that reason that I think everyone should at least carry some basics with them...it may be a total stranger, or you yourself may become involved in an accident. I haven't heard the statistic in a long time...but there used to be something written that on average, every licensed driver if the US will be involved in a traffic accident sometime in their life. That includes fender benders and major accident. As they always say...its much better to be safe than sorry!!!!

[shaggypiper]

Again hat's off to you Butch, what's truly mind blowing is the amount of people that would drive on by or turn around and go the other way. It's up to the few decent folk to set the standard for the rest to follow.
I came up on an Evil Kenievil impersonator back Nov and had to use my bag, here's a few things that I found useful:
6" or 8" ace bandage wraps, you can use them for pressure bandages
Isreali Field Dressing- this may be a toughy to find I got them from my unit's medic but if you find them GET EM!! They are an all inclosed hands free pressure dressing.
Heavy duty latex gloves, not the cheapy's you'll be working around broken glass
Good medic safety scissors, again not the cheapy's, the one's they advertize cutting through pennies.
3 words for you, Curlex,Curlex, Curlex- you can't have enough! I carry four 6" rolls on my flight gear in case of GSWs.
Duct tape or 100Mph tape- when hasn't this come in handy?
Small notebook and pen to take down info and pass to medics
Good flashlight-I use a Streamlight Stinger but Sure Fire or a Petzl Head lamp would be great too.
SAM's Splint- it's a rolled up piece of aluminum encased in foam that you can bend every which way to form a splint- I'll post an example pic when I get out of the sand box.
Bottled water and a wooby (poncho liner for you civi-minded folks) pic it up from the surplus store.

There are a few other ancilary items that I won't go into as they've been covered but there have been some great points brought up. Primarily, bring what you need to the fight but don't buy an SUV to accomodate your blow out bag. All the things I listed are in a Camelback Mule under the back seat of my truck. Also other things, Flares, Jumper Cables, Fire Extinguisher- my 2 bits on this if a fire does break out while you are still inside working on wounded then yeah attempt to put it out, but if the casualty is a safe distance away and upwind of the fire, let that bastard burn! You're primary consideration is the patient's [and your] safety.

Lastly on the matter of those clotting bandages a word of caution- and this may sound wierd but I watched this happen over here with one of our troops. Those bandages are impregnated with a derivative of shrimp shells- ain't mother nature great? - anyway if you're going to apply that bandage, prior to if able ask the victum if they are allergic to shellfish. DON'T LAUGH (I'm kinda chuckling about it myself) but seriously if they are and you stick that deal on them, you could possibly cause a hell of alot more complications. Our guy swole up so bad they almost had to crake him. So if it's a puncture wound I'd cram curlex into it and put a pressure bandage over it.

Sorry for the novel guys but a great topic.

[JohnKSa]

a great topicI agree. I learned some things, and I think I'll try to make some additions to my "kit".

My thanks to all who have contributed.