Mass Casualty Response Bag

Discussion in 'Bush Medicine' started by Medic17, Jun 7, 2019.

  1. Medic17

    Medic17 Guide Bushclass I

    Blog Posts:
    0
    Joined:
    Jan 18, 2014
    Messages:
    2,688
    Likes Received:
    9,281
    Location:
    Northeastern USA
    Here is a kit I put together for my department.
    16 Identical Bags in Total- One Kit on Each Routinely Operated Crew Served Vehicle.
    It is a kit specifically geared for mass casualties.
    IE Active Shooter, Vehicle into Crowd, and other traumatic MCI events.


    [​IMG]

    StatPacks Medslinger Bag
    [​IMG]

    Outside Pocket
    [​IMG]
    4 CAT Tqts

    Middle Zippered Compartment

    [​IMG]


    4 Decompression Needles
    2 NPA's 28F & 26F with Lube

    1 Set Oral Airways
    8 HyFin Chest Seals (With 4x4 taped to Package for Decon)
    1 Pair Quality Shears

    Main (Bottom) Zippered Compartment
    [​IMG]
    [​IMG]
    2 SWAT Tqts
    3 Self Aid Throw Kits
    -H&H Primed Gauze
    -H&H Mini Compression Bandage

    Mega Mover Tactical Litter
    https://www.emsworld.com/node/1221408

    4 Olaes Modular Bandages
    3 Packages of QuikClot

    NOT PICTURED
    - Headlamp
    -Triage Marking Tags (RED ONLY)
    APALS Brite Strike



    To get the following out of the way...

    Why No Gloves or BSI?
    Boxes of gloves are in the vehicle and carried on person.
    Ever try to change your gloves on a high stress situation?
    Its not happening.

    Why No BVM or Pocket Mask?
    Its triage.
    Absent Respirations are Black Tagged

    Why only a RED Triage Tag?
    Greens can move on their own. Direct them.

    Blacks No need to worry about at present time.

    Yellows and Blues You can worry about them after you get the REDS out of the way.

    Why is there no ALS gear?
    BLS before ALS.
    In trauma good BLS makes the greatest difference.

    Cost vs. Effectiveness was a consideration with these kits. I believe both aspects are evenly addressed.

    Just throwing this out there if you are thinking of building one for your needs.
    This kit does not have to be just for first responders, sad to say any place of mass gathering could benefit from something like this.
     
    Last edited: Jun 8, 2019
  2. Myr1ad

    Myr1ad Scout

    Blog Posts:
    0
    Joined:
    Apr 26, 2014
    Messages:
    961
    Likes Received:
    2,169
    Location:
    NE Massachusetts
    If it is specifically an active shooter bag. Following the first rule, “you can’t help anyone if you become part of the problem” why not add a ballistic backpack insert?
     
    Medic17 and GoodPhotos like this.
  3. Medic17

    Medic17 Guide Bushclass I

    Blog Posts:
    0
    Joined:
    Jan 18, 2014
    Messages:
    2,688
    Likes Received:
    9,281
    Location:
    Northeastern USA
    Many reasons.

    Not just active shooter
    Vehicle into a crowd
    Explosion
    Any sort of MCI due to trauma.

    You are operating in the warm zone not hot zone.

    You do not go in to warm zone without PD escorts.

    First wave of PD is usually there 2-3 minutes before medical.
    Statistically in which point the shooter has been taken down by PD or killed themselves.

    Cause you have a ballistic vest...

    In all reality though the bag is roughly the size of a 10x12 plate. That is only about 10% of your BSA. So if you are going to be shot it’s a 10% chance they will hit the armor and not you.

    There was no space in the pack for Kevlar and it was cost prohibitive considering.
     
    Last edited: Jun 7, 2019
    JeffG, Huey, Sandcut and 3 others like this.
  4. MAD Punty

    MAD Punty Supporter Supporter

    Blog Posts:
    1
    Joined:
    Aug 7, 2018
    Messages:
    949
    Likes Received:
    5,557
    Location:
    Massachusetts
    Curious why you have both CAT and SWAT tourniquets?

    EDIT: I think I just found the reason in one of your previous posts...

    Swat-T Tourniquet
     
    Medic17 likes this.
  5. Oni

    Oni Guide

    Blog Posts:
    0
    Joined:
    Mar 6, 2012
    Messages:
    1,035
    Likes Received:
    2,094
    Location:
    So Cal
    Nice load out Medic17!! I think I will be updating my kits. I have been considering chest seals. Now just have tape and Vaseline impregnated 4x4s.

    I keep a few of these in my EDC bag. Come in various sizes and are level 3a standalone rated. Very light and thin.

    Meant to replace trauma plates in soft armor, figure it’s better than nothing when you’re not wearing a vest. At least have some protection center mass...

     
    Last edited: Jun 7, 2019
  6. Medic17

    Medic17 Guide Bushclass I

    Blog Posts:
    0
    Joined:
    Jan 18, 2014
    Messages:
    2,688
    Likes Received:
    9,281
    Location:
    Northeastern USA
    Reasonable question.

    As a recap for others.

    I can stick 3 SWATs in there for the price of one CAT.
    SWATS tend to be better on small kids.
    You can use SWATS for other applications like bandaging.

    Its a tool for the tool box.
     
    JOttum and MAD Punty like this.
  7. Sandcut

    Sandcut Sed ego sum homo indomitus Vendor

    Blog Posts:
    0
    Joined:
    Dec 30, 2010
    Messages:
    7,468
    Likes Received:
    17,375
    Location:
    Gouldsboro, PA
    Nice! All the basic stuff you'll need in a small, dedicated package. I like the modular nature of it.

    About a year to a year and a half ago I put together a few small kits that I started to carry with me when we go to public events or if I'm doing trail work with cutting tools. Not totally dedicated to active shooter, but would pull double duty moderately well. Any place that has a likelihood of possible sever bleeding. The kits don't take up much space and don't add much weight, so they aren't incovenient to carry enough to be left behind.

    I haven't been certified to use airways for almost 20 years and I've never formally learned/certified to use a decompression needle, so I don't carry any of those. Sadly, PA's Good Samaritan Law only provides civil immunity if you are certified and operating under your level of training. So, it's a judgement call as to whether to carry them. I just currently don't. The rest of the kit includes

    1-2 CAT Tqs
    1 SWAT Tq
    1-2 Quickclot Z-guaze
    Perhaps an Israeli bandage, depending on the kit
    8-10 3x3" or 4x4" guaze pads
    2 -3" roller guaze

    I don't currently have chest seals, but do have tape and something to improvise an occlusive dressing (e.g., zip lock baggie, etc.). But that may change in the near future.

    Thanks for bringing this up. You got me thinking about it again.
     
    Medic17, Oni and Harper like this.
  8. Burncycle

    Burncycle Scout

    Blog Posts:
    0
    Joined:
    Dec 5, 2010
    Messages:
    230
    Likes Received:
    355
    Location:
    Middle TN
    Nice setup! Are these going to other medics or does your medical director allow first responders and EMTs to dart?
     
    Medic17 likes this.
  9. Medic17

    Medic17 Guide Bushclass I

    Blog Posts:
    0
    Joined:
    Jan 18, 2014
    Messages:
    2,688
    Likes Received:
    9,281
    Location:
    Northeastern USA
    It is a ALS skill, however our department is medic heavy so all bags are equipped.
     
    Burncycle likes this.
  10. MAD Punty

    MAD Punty Supporter Supporter

    Blog Posts:
    1
    Joined:
    Aug 7, 2018
    Messages:
    949
    Likes Received:
    5,557
    Location:
    Massachusetts
    I like SWATS for another reason. I have no real medical training, nor do my friends. If something happened that required a tourniquet, the SWAT is sort of the common man's tourniquet, anyone can figure out how to use it instinctively.

    If I had to tourniquet someone using the others, even though they are superior, I'm not sure how well that would go if I were freaked out and panicked. I might be fumbling and get more freaked out trying to figure it out in a hurry. A simple piece of rubber I get.

    I have basically one philosophy...stop the bleeding. I know that much. I think most people can get that far, so I like items that the average, totally untrained person can use.
     
    Medic17 likes this.
  11. JOttum

    JOttum Nights Watch Supporter Bushcraft Friend

    Blog Posts:
    0
    Joined:
    Sep 19, 2011
    Messages:
    1,030
    Likes Received:
    1,190
    Location:
    Minnesota
    Nice stuff, @Medic17, as usual. I've got an old tri-fold medic bag I use as my "big bag", need to tweak it a bit and this post helps!
     
    Medic17 likes this.
  12. LongChinJon

    LongChinJon Supporter Supporter

    Blog Posts:
    0
    Joined:
    Aug 12, 2013
    Messages:
    1,372
    Likes Received:
    4,381
    Location:
    TX
    I dig it.
     
    JOttum and Medic17 like this.
  13. woodsranger

    woodsranger Solitude Seeker

    Blog Posts:
    0
    Joined:
    Oct 21, 2011
    Messages:
    1,625
    Likes Received:
    6,745
    Location:
    Michigan
    So the H&H Primed Gauze, Mini Compression bandages and Olaes bandages negate the need for any ABD pads?
     
  14. Medic17

    Medic17 Guide Bushclass I

    Blog Posts:
    0
    Joined:
    Jan 18, 2014
    Messages:
    2,688
    Likes Received:
    9,281
    Location:
    Northeastern USA
    Yes.
    The only exception would be for a real bad evisceration.
    In which case a ABD pad will be pretty much useless.
    That is trauma pad territory for sure.
     
    woodsranger likes this.

Share This Page