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Author Topic: Trauma kit/logger's first aid kit  (Read 561 times)

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Offline Engineer

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Trauma kit/logger's first aid kit
« on: September 21, 2017, 09:17:21 pm »
Pardon me if this has been discussed before but I am not having a lot of luck finding an answer in a search.

I want to put together a first aid kit for working out in the woods.  Basically a trauma kit or large wound kit, like you might get if you hit your leg with an axe or cut yourself with a chainsaw kickback.  I hope to never have to use it, but it might mean the difference between life and death.  I see "logger's first aid kits" being sold by the places like Bailey's or Ben Meadows, but they have limitations - either nothing is listed and you have to go by a poor photo; it's for 15-20 people and I need it for a maximum of two people; or the items included are enough to deal with a bug bite or a thorn scratch and not much else.  A tube of bactine and a Minion Band-Aid ain't gonna do much good in the woods. 

I have spoken to a couple of former Army field medics, who have to deal with gunshot wounds obviously.  They mention blood clotting agents, cotton t-shirts, large bandages, and various chemicals or meds that protect against infection.  I don't have any specifics.

Would anybody care to chime in about what they think should be in a woodsman's trauma kit?  I am going to compile a list and put one together, and hopefully post the results here so that others can put their own together.  My son will have to do a version of this for his BSA First Aid merit badge, but I don't feel like waiting any more - got wood to cut and no time to waste.

Offline Magicman

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Re: Trauma kit/logger's first aid kit
« Reply #1 on: September 21, 2017, 09:59:48 pm »
A blood clotting kit should be in every first aid kit.  I also carry one when hunting.
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Offline sawguy21

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Re: Trauma kit/logger's first aid kit
« Reply #2 on: September 21, 2017, 10:27:29 pm »
This is the contents of a Canadian Red Cross level 1 kit.
4 Sterile Abdominal Dressings (8 x 10)
12 Sterile Gauze Pads (4 x 4)
8 Pairs Latex-Free Gloves
12 Cotton Tip Applicators (6)
6 Triangular Bandages with Pins
4 Sterile Pressure Dressings (4 x 6)
1 Scissors (stainless steel, 5)
1 Splinter Forceps (4)
1 Pocket Mask
100 Hand Cleansing Towelettes
100 Assorted Adhesive Bandages
2 Adhesive Tape Rolls (1)
24 Antiseptic Wipes (Benzalkonium Chloride/BZK)
2 Elastic Bandage Roll (3)
1 Accident Record Book (10 pages)
1 Pencil
40 Non-sterile Gauze (3 x 3)
4 Conforming Gauze (3)
2 Wooden Splints (9)
1 Wooden Splint (12)
1 First Aid Pocket Guide
It comes in a soft bag, weighs about 6 lb and easily fits under the truck seat. That reminds me, I need to check mine. The antiseptic wipes have an expiry date.
old age and treachery will always overcome youth and enthusiasm

Offline Stuart Caruk

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Re: Trauma kit/logger's first aid kit
« Reply #3 on: September 22, 2017, 03:06:24 am »
I carry enough pressure dressings to stop a massive bleed, and a sealed pack of tampons. They work great for stopping blood flow from serious puncture wounds. Cut up they stop serious nose bleeds as well.

Last year when I worked in my shop with a tunnel catheter sticking out of my chest, I always had these close by. If I managed to rip the sucker out, it fed straight into my jugular and down into my heart. Ripping it out inadvertently, I figured might make a mess...
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Offline Magicman

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Re: Trauma kit/logger's first aid kit
« Reply #4 on: September 22, 2017, 08:21:17 am »
Something similar to this:  WoundSeal Powder or this:  Clotting Kit
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Offline Gary_C

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Re: Trauma kit/logger's first aid kit
« Reply #5 on: September 22, 2017, 02:17:24 pm »
Here is one that meets the OSHA requirements. Logger First Aid Kit

The one thing I see as missing in sawguy21's kit is a blanket of some kind to prevent shock. They have those reflective foil blankets that are compact and foldable.

Also in our first aid training, the EMT doing the training says to keep a box of women's menstrual pads in the kit as they are good for stopping blood flow. That and pressure are your best friend. I would not advise using any wound seal powder or clotting agent on any wound that will require further treatment. Pressure and an absorbent pad are the best remedy.

Never take life seriously. Nobody gets out alive anyway.

Offline Magicman

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Re: Trauma kit/logger's first aid kit
« Reply #6 on: September 22, 2017, 05:18:46 pm »
Quote
I would not advise using any wound seal powder or clotting agent on any wound that will require further treatment.
I'm all ears.  Whatever I need to know, I'm ready to learn.   :P
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Never allow your "need" to make money to exceed your "desire" to provide quality service.....The Magicman

Offline Gary_C

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Re: Trauma kit/logger's first aid kit
« Reply #7 on: September 22, 2017, 06:45:09 pm »
Here in MN and through the MN Logger Education Program (MLEP) we are required to take first aid training every other year with CPR the other years. The EMT lady that gives the training does NOT recommend putting anything on a wound except clean water, alcohol pads and/or sterile dressings. Burns get nothing because even gauze pads will stick and be very painful when they have to be scraped off later.

The basic rules that I know are to clean the wound with clean water or antiseptic pads. apply sterile dressing, and apply pressure till it stops bleeding. If something is still in the wound, leave it because it may be plugging the blood flow and apply pads and pressure around the foreign object. If the blood flow is pulsating, then more pressure and perhaps a tourniquet should be used. If you use a tourniquet, don't loosen it when the flow stops. Leave that for the EMT's to deal with.

When we had livestock, our vet would not even use blood stop when dehorning and castrating when the blood was spurting all over the place. If anything he would pinch off the vessel or burn it with a hot iron. He said the blood stop was worthless and a potential contaminant.

I've had countless blood draws and even when on blood thinners they just apply pressure and a tight gauze wrap and tell you to take it off after about 20 minutes. On a cardiac catherization when they make an incision in a vein in your groin, they just apply a dressing and a weight when they are done and make you lie still for two hours.
Never take life seriously. Nobody gets out alive anyway.

Offline Texas Ranger

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Re: Trauma kit/logger's first aid kit
« Reply #8 on: September 22, 2017, 07:47:28 pm »
We taught that blood clotting agents were for extreme use, remote, help not on the way, survival situation.  I never saw the need working in the woods.
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Offline Magicman

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Re: Trauma kit/logger's first aid kit
« Reply #9 on: September 22, 2017, 09:32:04 pm »
OK, but I have not been told anything that I did not already know.  I too worked in an industry that required advanced first aid, CPR, both conscious and unconscious pole extraction, manhole and trench extraction which included poisonous gas.  I know that the only time that a tourniquet is to be used is to sacrifice a limb to save a life.  I am also a many gallon blood donor and I grew up on a farm where dehorning and castrations were normal activities.  I was also so unfortunate as to witness a co-worker killed that was standing less than 10' away.

The purpose of a clotting agent is not for normal first aid, but for an extreme circumstance which I hope never happens.  I have no hesitation or reservation about having a kit in my truck and also a packet in my hunting backpack.
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Offline Gary_C

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Re: Trauma kit/logger's first aid kit
« Reply #10 on: September 22, 2017, 10:32:04 pm »
The purpose of a clotting agent is not for normal first aid, but for an extreme circumstance which I hope never happens.  I have no hesitation or reservation about having a kit in my truck and also a packet in my hunting backpack.

That's certainly OK, but for me in those extreme circumstances the chances of clotting agents doing any good are close to zero. If I were to add anything to a first aid kit other than what's recommended, the first thing would be some Forceps, Hemostats
Never take life seriously. Nobody gets out alive anyway.

Online Stephen Alford

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Re: Trauma kit/logger's first aid kit
« Reply #11 on: September 24, 2017, 01:42:55 pm »
 Over the years I have found a  mirror has been great to have for the odd time you get debris in your eye.

Offline RPowers

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Re: Trauma kit/logger's first aid kit
« Reply #12 on: September 24, 2017, 03:26:38 pm »
I am a full-time firefighter/EMT. Have some clotting agent impregnated gauze for packing non-tourniquet accessible deep wounds such as abdominal or thoracic, and have some CAT tourniquets for all extremity bleeds. If direct pressure won't stop it then tourniquet and leave it on with application time noted. A good conforming splint such as a SAM splint with some gauze rolls is great also for displaced breaks.
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Offline Bruno of NH

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Re: Trauma kit/logger's first aid kit
« Reply #13 on: September 24, 2017, 04:18:36 pm »
I worked for a Dartmouth College professor that made a special bandage for large wounds very large he told me .
Him and the college sold the idea to the military for a large amount of money.
He told me it help the wounded person to have a chance to make it to the trauma unit.
This man was very smart
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Offline codemunk3y

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Re: Trauma kit/logger's first aid kit
« Reply #14 on: October 01, 2017, 10:15:05 pm »
I'll provide my background so that the following has context. I am currently a police officer full time and a member of the Australian Army as a reservist. I have completed a number of first aid courses through work, volunteer fire brigade and have done a Combat First Aid course through army which included insertion of IV's, giving morphine and dealing with trauma.

I have two first aid kits, a trauma kit and a boo boo kit.

The trauma kit has a CAT Tourniquet, compression bandage and 3 shell dressings. It covers the immediate incident such as losing control of the saw and hitting something not protected by safety gear, as well as snake bite. It will help me until I seek medical attention from external sources. I am planning on adding an IV kit to it at some point, but have not done so yet. This kit lives on my person at all times. I have a very small chest rig similar to what you would see in the army that contains all of that. The reasoning behind that is that if I'm changing gear such as taking jackets on and off, chaps on and off, then I always have it on me as opposed to in a pocket or on a belt.

The boo boo kits sits in the car and contains everything else. Band aids, antiseptic, splinter removers and everything else. It's bulky but it covers every other situation.

The other thing to consider is how you go about seeking medical assistance. I work alone in an area of limited to no phone reception. I carry a EPIRB/PLB on me that I can use to get help if my phone doesn't work. I know that if I need to get help then it's at least 60mins by helicopter and 2 hours by road. I make sure I carry a small amount of food to keep me going while I wait and a section of panel marker if I need to attract attention to air assets.

I hope to never use any of it but I know it's there when I do and more importantly know how to use it. First aid courses give you a good idea what you need to do and what you need to carry.