Pandemic Debriefing – Open discussion of lessons learned
The meeting began with a demonstration of the AMP 3 first aid kit – and a do-it-yourself version of that same kit. We then watched the AMP 3 video, which described the kit, along with how the different components are used.
The use of fish antibiotics (sold for use with aquarium fish) was discussed, along with a printed hand-out that gives details on how they are used, including dosage.
The medical kits that were detailed in the April video meeting were displayed, along with a brief overview of the kits, their purpose, and how they are used. The primary kit was purchased from Galls.
Building a medical reference library – a variety of books on first aid and medical treatment was displayed and discussed.
There are three basic categories – or reasons – for owning various types of medical reference books:
Basic and advanced first aid during “normal” times when medical infrastructure is available.
Comprehensive medical care at home in a situation in which medical infrastructure is not available.
The preservation of knowledge that civilization cannot afford to lose. In a time when knowledge is “saved” in digital format rather than in ink-and-paper, someone needs to archive this information in a form that cannot be destroyed by EMP or other electronic destruction.
One of the “books” specifically discussed was the EMS Field Guide. It is a pocket-sized (3″x5″) quick reference guide in a tough, water-resistant package. There are several versions of this, but for general preparedness purposes, the BLS Version (previously called “Basic & Intermediate Version”) is the best choice. Click on the image to be taken to the Amazon order page.
This was our first attempt at holding a “virtual meeting”. The best thing we can say is “the next one will be better” and “we’re learning.”
Some lessons learned:
Live streaming takes a lot more knowledge and effort than we have at this point. Pre-recording and uploading is the better option.
The uploaded file should be uploaded the day before so that any problems that may come up can be addressed.
We waited until the afternoon of the meeting to upload the file in an effort to include the latest COVID-19 information for this county. A better option would be to have that as a separate short video rather than making it part of the longer meeting video.
Using the on-camera microphone just isn’t sufficient. We will have two other options for the next meeting: wired lavaliere microphones and a shotgun microphone.
Audio processing through software helps, but it is no substitute for recording good sound right from the start.
It is important to have good notes and to rehearse enough that the presentations go smoothly.
First Aid and Medical Kits
Take a look at this earlier blog post for details about the “Green kit” which is a trauma kit and part of the Mass Casualty kit.
This is the Contents and Locations sheet for the ALS kit made by Dyna-Med. Note that the contents of this kit are different from what is supplied by Dyna-Med. We have added some items and removed some items to suit our specific needs. This sheet is our own creation, and not furnished by Dyna-med.
Most people have a standard, off-the-shelf first aid kit around the house. It’s what is often referred to as a “boo-boo kit” – great for typical cuts and scrapes – but it is woefully insufficient for major trauma. That’s why we strongly recommend that you have a trauma kit available. This is a special purpose kit that is aimed at stopping the bleeding and other life-threatening effects of a serious wound – especially a gunshot wound. It is compact enough to make it easily available when and where it is needed, and inexpensive enough that cost should not be a major issue.
The kit we’re using here as an example is a trauma kit used by a church security team. The kit is a component of our Mass Casualty Kit, made up of 4 of these kits, identically configured, plus a 5th one with a few more advanced items. Listed below are the kit contents, including approximate price and Amazon link (links open in a separate tab). In training and in use, these kits are simply referred to as “Green Kit” or “Red Kit”. There are also three other medical kits, including a suitcase-size ALS kit with Oxygen, that are part of our medical response program, but we will cover them at a later time. Each of these kits will be displayed and discussed in an upcoming meeting.
First, let’s see what they look like:
Pouch with EMT shears $13 – Note: The pouch comes with elastic pieces that connect the two sides so that it will not spill the contents when opened while attached to a vertical surface – we want the kit to open flat, so we cut those off. The original design is for use on a belt or MOLLE webbing, but for our use, the kit would be laying flat on the ground.
Tourniquet $12 – Note that tourniquets are a “last resort” measure, and they are very seldom needed – but when they are needed, nothing else will do. Direct pressure will stop the bleeding on the vast majority of wounds.
Israeli Bandage, 6″ $7.40 – Standard sizes are 4″ and 6″. Either will work fine, but we prefer the 6″ since that will easily fit into the pouch we use. For instructions on how to use this, see this video.
Nitrile gloves (2 pair) – Having a box of these that are sized to fit your hand is highly recommended.
Pen and/or pencil with Notepad or 3×5 cards – Use for writing down the exact time that a tourniquet was applied, along with patient name, age, and notes.
Suggested additional items, depending on available space in kit
Additional Israeli bandage
Celox Z-fold gauze
Ziplock bag of non-sterile 4×4 gauze
Sterile compress and Kling-wrap
Some often-repeated wisdom that bears saying again – Equipment is of little use if you don’t know how to use it. Get training. Don’t exceed your training – it’s easy to do more harm than good. Knowledge is king.
Review of emergency supply video and supply list – what’s needed and how much does it cost
Use of self applied tourniquet and practice
Review of Israeli bandage video and practice
An IFAK, Pocket BVM and D.O.K. will be on display
*IFAK = Individual First Aid Kit
*BVM = Bag Valve Mask
*DOK = Downed Officer Kit (a.k.a. Blow Out Kit, GSW Kit, etc.)
Medical matters you might not have thought of
Medical matters you might not have thought of
Wound debridement is not pretty no matter how it’s done. Without access to modern medicine, we may need to get creative. The use of maggots is a proven method that is used today because of some of its unique benefits.