Tperkins' WALK Trauma Pack (Old FAK Bag)

[Tperkins]

This is an old setup, here is the link to my new bag. I will leave this up for others to see what my pack used to look like, and for those who happen to have the same pack and would like to see how it could be set up.

My new Trauma Bag thread is here

Purpose: This bag is designed to overlap my truck and personal FAK, as well as cover the bases those bags do not. It is still somewhat of a work in progress, but it's core is pretty well defined. Most of the time this bag lives (as later pictured) next to my BOB in my closet, due to the expensive and sensitive nature of it's contents. It's designed with a few needs in mind:
1) Disaster aid bag for use with my Emergency Management/Disaster Med ops position + Medical Reserve Corps
2) A comprehensive FAK/Trauma bag for use on longer trips or local severe EMA callouts
3) Any possible MVA/Rollover that I happen upon during my travels that necessitates more than my truck bag (very slim chance, but a notable example would be that 70-car pileup in Florida a few years back**)
4) In case of Zombies/SHTF (Duh)

**Crash Example linky - http://tinyurl.com/6p5eott

SOP/Credentials: I maintain my skills by many training classes with the local EMA/FD and have nothing in my kit that I would say I dont know how to use, other than possibly the Halo seals. I have heard many different SOP's about them; how you shouldn't cover a Tension Pneumo unless you decompress, that you should even if you dont decompress, not to do anything until EMS arrives, ect. Personally, I think if a person has a GSW or similar MOI to their chest with penetrating trauma, any holes should be plugged with an occulsive dressing as to keep the lung from collapsing. Correct me if I'm wrong on that position; I like the new Halo's because they come with 2 seals (most GSW have an entry and exit) but will likley add a couple BCS's in the future. I am unoffically certified at the First Responder level, with some additional unoffical BLS/TCCC knowledge I've been taught.

Base Bag: North American Rescue Products WALK bag. The main compartment is meant for a litter, but I have not the money nor need for one, so it became repurposed well.

Estimated Cost: I'm guessing I paid around $800 for everything here, but honestly I'm not sure as I bought so much on discount. Im guessing MSRP of everything is around $2000.

Now, on to the pictures and descriptions


NARP WALK Bag


Front panel opened up for treatment
In the Clear Pouches:
Leftmost
-(3) 2" Rolls of Durapore
-(1) 1" Roll of Athletic Tape
Middle
-25g Quik-Clot Sport
-50g Quik-Clot Sport
Right
-(20) 4x4's
-(10) 2x2's


-(2) 4" OLAES Bandages
-(2) NARP Combat Application Tournequiet


-(4) H&H Primed Compressed Gauze
-(2) 6" NARP Combat Dressing (Israeli)


-Sharpies
-Knife
-Penlight
-Shears
-Forceps


Top Pouch
-(5) Rolls of Kerlix
Bottom Pouch
-(1) SAM Splint
-(1) SAM Soft Splint
-(3) Coban Rolls
-(1) Rite-in-the-Rain notebook (Just happened to be the pouch it was in)


-(~15) Pairs of black talon nitrile gloves
-CPR Shield w/ valve
-(4) Foldable N95 Masks
-(4) ORS Solution packets


-(1) Halo Chest Seals (2 per package)
-(2) HemCon Hemostatic Dressing
-Bottle of Hand sanitizer
-Bottle of SpectraSan disinfectant spray (Neat stuff)
-(2) NARP Z-Packed compressed gauze


Internal Components
-C-Collar
-Red/Silver Reflective tarp
-(2) 1.5 Liter Nalgenes w/ water for whatever use (Rotated monthly)
-Minor FAK for use if not around normal FAK (just minimal bandaids, burnjel, tylenol, ect)
-Black Pelican case with 3 cold packs
-(1) Red 12hr Cyalume lightstick
-(3) Orange 30 Min Cyalume Hi-Intensity lightstick
-VS-17 Signal Panel
-30' of 1" tubular climbing webbing, for a multitude of uses
-(3) AMK Heetsheets survival wrap (Hypothermia prevention in mind)
-(1) AMK Survival Bivy (Hypothermia prevention in mind)
-Throwable Trauma Pouch (See below)


Throwable Mini-Trauma pouch on a SpecOps Large Med Pouch rig; for throwing to someone in a possible confined space, vehicle, ect.
-(2) HemCon Hemostatic Dressing
-(2) Stripped 4" Israeli Dressings
-(2) H&H Primed Compressed Gauze
-(1) Pair of Black Talon Nitrile Gloves
_____________________________________________________________________

Now, the following pictures/descriptions are the updates that have been made since the original setup


Changes To Central Loadout (Mostly the same)
Reconfigured top 'Admin' pouch
-(2) Shears
-(1) Hemostat
-(3) Sharpies (Silver, Blue, Black)
-(1) .03mg Epinepreine Autoinjector
-(1) Penlight
-(1) Benchmade Rescue Cutter
Left Top Clear Pocket
-Added 2 Small Duct Tape Rolls
-Sterile Irrigation Syringe in container (From CountyComm)
Left Middle Clear Pocket
-Moved pocketknife to this location


I'm not sure what I would call this, but I guess a self-rescue or decending module? I envision it's use for safely decending into a steep ditch or embankment if need be to aid someone, or more likley for a water rescue situation where I would want to self-rescue if need be. I threw this in when winter rolled around with iced over lakes/rivers in mind.
-Black Diamond harness w/ quick release leg straps
-Black Diamond Figure 8
-(2) Omega black oval carabiners
-(1) Omega HMS carabiner
-Black Diamond ATC
-~35' static floating line
-Spare Emergency Rappel Belt
All stored in a ~10 liter heavyweight Sea-to-Summit bag


-Plain Pedialyte to supplement the ORS packets


-Added another SAM splint


In my "Bugout Gear Closet" next to my ZXR. It's a fairly large bag. My ZXR isnt stuffed at all to capacity however.

There are certainly some improvements I have in mind, notably:
-Burn-Jel Dressings
-Kling Rolls
-One more SAM Splint
-Ace Wraps to supplement Coban
-Pocket BVM
-A few CPR microshields to replace my CPR shield


I'd love any suggestions anyone may have, along with any constructive criticism.

Release the Dogs!

[Dr Jekell]

Needs more tape.

[Tperkins]

Needs more tape.

Any kind in particular you think? I was going to add two more rolls of Durapore and two rolls of NARP gecko grip tape in a bag inside the main compartment.

[Dr Jekell]

I was just pulling your leg with the normal ZS response to a FAK.

Looks pretty good as is but I will differ to people who work with the equipment you have.

[Tperkins]

I was just pulling your leg with the normal ZS response to a FAK.

Looks pretty good as is but I will differ to people who work with the equipment you have.

Ah haha. If you would of said needs more Kerlix I would of gotcha I would of replied to that with the multiple boxes of Kerlix I have.

[VXMerlinXV]

I would try to group like items together, they are easier to use in a hurry that way. You seem to have bleeding control spread out all over the place. I would add some ACE, like you said, in a few different sizes, and some cravats (triangular bandages)

[Tperkins]

I would try to group like items together, they are easier to use in a hurry that way. You seem to have bleeding control spread out all over the place. I would add some ACE, like you said, in a few different sizes, and some cravats (triangular bandages)

Do you have a suggestion in particular? I thought I had the major hemmorage control stuff in a centralized (lower two front pockets) place, with the exception of the HemCon, and that's only in the chest wound pouch because I'm not sure if it's okay to fold and put in the pouch with the QC. I think I'm going to put the SpectraSan and sanitizer into the PPE pouch (top right in pic) as Im not sure how they migrated to the chest wound-esque pouch. Thanks on the cravats, it's something so basic I seem to forget about it a bunch.

Edit: Oh, and the Kerlix really only fits in that one pouch anyway, but I'm thinking of swapping that pouch's contents with those of the chest wound-esque one (locationwise) so then it would technically be nearer the bleeding stuff somewhat.

[VXMerlinXV]

Well, the kerlex, H+H, and Z-folded gauze are all pretty much the same thing, I'd have them together, probably where the kerlex lives now. I'd put the Oales with the Izzies, so the trauma dressings were together. I honestly don't know the effects of folding the Hemacon, but I would then try to put the QC in the Hemacon pouch.
Other additions would include ABD pads, which I would put with the 4x4 (in place if the 2x2's) and some kling, which I would weasle in where the Oales used to be.

Wait a tick, did you pack lightsticks in a paintball pod?

[Tperkins]

Well, the kerlex, H+H, and Z-folded gauze are all pretty much the same thing, I'd have them together, probably where the kerlex lives now. I'd put the Oales with the Izzies, so the trauma dressings were together. I honestly don't know the effects of folding the Hemacon, but I would then try to put the QC in the Hemacon pouch.
Other additions would include ABD pads, which I would put with the 4x4 (in place if the 2x2's) and some kling, which I would weasle in where the Oales used to be.

Wait a tick, did you pack lightsticks in a paintball pod?

1) Alright, I'll try that out later. I think the problem is that the Olaes are so big they wouldnt fit next to the Izzies, I can check again. Good suggestions

2) Haha yeah, they're in a Special Ops Paintball 100-rd pod. AWESOME lightstick storage.

[Medic Mentor]

Nice Bag, I liked the NARP walk kit and used it in Iraq.

Consider putting a pair of gloves in small little crack like bag and tape on Big bandages to remind you!!

TQ behind a bandage----that is a no no. You might be the victim adn someone is using your pack may miss that CAT that is hiding behind that Olaes.

Unfettered rapid access to all TQ's!

Def keep Hem con with Quick Clot. I like gloves and a headlamp together to remind you to get on protection and throw on your head lamp....

U got lotsa room, consider a couple N-95 masks to put on sick folks PRN, or yourself. Imagine a big earthquake situation.

I see the Rite in the Rain, I like making a little pocket with Duct tape and sliding a little pencil in there, seems you always are scrambling for something to write with....

I like a TCCC info card. Like a little card for info on that there Eppi pen. If it is for you then a info card may be good if your airway is getting tiny....ahhh ...grr....slober....IE please stick this in either thigh and hold for ten seconds....

Card with emergency info for your AO?? I would throw a few trash bags folded up small for folks clothes, in Iraq they were handy throwing a leg or arm into to go with the patient. Plus some smaller bags to collate some gear to go with a patient or another warrior who is going to go a diff direction. That there walk bag is big....


My 2.4 cents.

[Tperkins]

Consider putting a pair of gloves in small little crack like bag and tape on Big bandages to remind you!!

TQ behind a bandage----that is a no no. You might be the victim adn someone is using your pack may miss that CAT that is hiding behind that Olaes.

Unfettered rapid access to all TQ's!

Def keep Hem con with Quick Clot.

My 2.4 cents.

Thats a good idea with the gloves; will definetley do that, as with moving the TQ, because that makes perfect sense. Do you know if HemCon can be folded? I suppose that if it doesnt specifically say it should't, it should be alright, but it's never good to assume. If anyone knows if you can, i'll put it in the clear pouch with the QC.

Do any of you guys know how QC works outside it's expiration date? My pouches expire in April, and I'm going to replace it with either Celox or QC-ACS, but I'd like to know if the old stuff is still alright for a backup/extras.

[Medic Mentor]

Out of date QC is a variable question and answer, I use expired in back up bags, not any primary respoinse bags, I like taking a gallon zip lock and throw a NPE, QC, Isereali or Big Cinch or Olaes, small roll of duct tape(Can use the ziplock as the chest seal) and last but not least a few bandages--plus a little advil and aleve from the dollar store--and sometins benadryl generic from the dollar store too. These are hey you, here is an IFAK since you are on my side, or a bunch of these "ifak" zippy bags in a bigger bag as a mass casualty kit.....

Resp

PS
Dont fold the Hemacon. I like Hemacon, but it is $$$$. Love Celox and QC Guaze. Seams like guaze works better and reminds folks to continue pack the wound to apply pressure to tamponade the bleeding.

[Tperkins]

Out of date QC is a variable question and answer, I use expired in back up bags, not any primary respoinse bags, I like taking a gallon zip lock and throw a NPE, QC, Isereali or Big Cinch or Olaes, small roll of duct tape(Can use the ziplock as the chest seal) and last but not least a few bandages--plus a little advil and aleve from the dollar store--and sometins benadryl generic from the dollar store too. These are hey you, here is an IFAK since you are on my side, or a bunch of these "ifak" zippy bags in a bigger bag as a mass casualty kit.....

Resp

PS
Dont fold the Hemacon. I like Hemacon, but it is $$$$. Love Celox and QC Guaze. Seams like guaze works better and reminds folks to continue pack the wound to apply pressure to tamponade the bleeding.

NPE? The little ziplock response bags sound like a good cheaper alternative to my throwable trauma pouch. I think I have enough extra to make a few of those, thanks, good idea. As for the HemCon, yeah I thought I saw somewhere not to fold it. I got lucky and got 4 of them (IIRC 2 might be expiring soon, the other 2 are like 5/2013) for the cost of shipping. Got to love having hook-ups. Otherwise I think they're around $150 each right? Do you have a preference to Celox or QC gauze? IIRC Celox works better agaisnt PT's on anticoagulants?

[Medic Mentor]

Shoot, I meant NPA.

I have good results with QC guaze.

R/MM

[Tperkins]

Shoot, I meant NPA.

I have good results with QC guaze.

R/MM

Given all disclaimers, would learning to use an NPA without physical training be hard? I honestly have never used nor tried to use one, so I've never added one; I know a little how they work and they seem easy, but just never wanted to put something of that care level into the bag. If I did it would never be for anyone other than friends/family as at least until I get my EMT-B it's outside my scope of practice technically. (Not even then would I really intubate unknown people without a really damn good reason).

[VXMerlinXV]

Well, the kerlex, H+H, and Z-folded gauze are all pretty much the same thing, I'd have them together, probably where the kerlex lives now. I'd put the Oales with the Izzies, so the trauma dressings were together. I honestly don't know the effects of folding the Hemacon, but I would then try to put the QC in the Hemacon pouch.
Other additions would include ABD pads, which I would put with the 4x4 (in place if the 2x2's) and some kling, which I would weasle in where the Oales used to be.

Wait a tick, did you pack lightsticks in a paintball pod?

1) Alright, I'll try that out later. I think the problem is that the Olaes are so big they wouldnt fit next to the Izzies, I can check again. Good suggestions

2) Haha yeah, they're in a Special Ops Paintball 100-rd pod. AWESOME lightstick storage.

1)I swear it's not an OCD thing. My packs get organized in two different ways, either like items together, or different "pods" for different injuries (This is more of an MCI bag set up, I rarely use it.) I find these two to be the most rudimentary set ups for use under stress.
2) That's a really good use for them. I wonder if I could fit a decent GSW kit in a pod, and then use a MOLLE 100 rd pod pouch to hold it. The FAK would be crush-proof and watertight...

[VXMerlinXV]

Given the amount of room you have in the middle section, I would also look at two sturdy wool blankets. The wraps are good, but blankets are better. Or maybe a blanket and an old bath towel. Warm and dry is better than warm alone.

[Tperkins]

Given the amount of room you have in the middle section, I would also look at two sturdy wool blankets. The wraps are good, but blankets are better. Or maybe a blanket and an old bath towel. Warm and dry is better than warm alone.

good suggestion; I'll look into that. And yeah, I know what you mean, my bag is pretty much setup toward a MCI (if you mean multiple casualty) but that's the most likely use of it anyway. I'd like try try and add some flagging tape for triage use.

On the pods, I know they would certainly be water resistant, but I don't know if I would consider it watertight though. They also make 140 round pods for more room to fit a GSW kit in it. The 100 rounders fit about 5 light sticks IIRC, while the 140 rounders would possibly fit the longer 10" light sticks.

[Tommy Tran]

Good call on the rope gear man! I been slowly getting rope gear together to integrate in my larger vehicle bag and keep a small 7-8mm tech line and simple decender in my bob just in case.

[Tperkins]

Good call on the rope gear man! I been slowly getting rope gear together to integrate in my larger vehicle bag and keep a small 7-8mm tech line and simple decender in my bob just in case.

Thanks man, it takes up so little room but it's good for so many different uses. I keep a separate bundle of rope and a HMS carabiner in my truck bag that I can use with the emergency rappel belt I wear daily (I destroy belts like crazy but the riggers belts hold up) in case something happens.

[Tommy Tran]

Good call on the rope gear man! I been slowly getting rope gear together to integrate in my larger vehicle bag and keep a small 7-8mm tech line and simple decender in my bob just in case.

Thanks man, it takes up so little room but it's good for so many different uses. I keep a separate bundle of rope and a HMS carabiner in my truck bag that I can use with the emergency rappel belt I wear daily (I destroy belts like crazy but the riggers belts hold up) in case something happens.

What make and model of riggers belt do you have?

[Tperkins]

Good call on the rope gear man! I been slowly getting rope gear together to integrate in my larger vehicle bag and keep a small 7-8mm tech line and simple decender in my bob just in case.

Thanks man, it takes up so little room but it's good for so many different uses. I keep a separate bundle of rope and a HMS carabiner in my truck bag that I can use with the emergency rappel belt I wear daily (I destroy belts like crazy but the riggers belts hold up) in case something happens.

What make and model of riggers belt do you have?

Spec Ops brand. I'd like to get a new one with a Cobra buckle though.

[Tommy Tran]

Good call on the rope gear man! I been slowly getting rope gear together to integrate in my larger vehicle bag and keep a small 7-8mm tech line and simple decender in my bob just in case.

Thanks man, it takes up so little room but it's good for so many different uses. I keep a separate bundle of rope and a HMS carabiner in my truck bag that I can use with the emergency rappel belt I wear daily (I destroy belts like crazy but the riggers belts hold up) in case something happens.

What make and model of riggers belt do you have?

Spec Ops brand. I'd like to get a new one with a Cobra buckle though.

Ok cool, I been in contact with John from SOE and he is out of Cobra hardware so I gotta wait cause thats the one I want... have you seen the youtube vid of the belt test!? I can post a link here from work but check it out its pretty wild...

[Tperkins]

Def keep Hem con with Quick Clot. I like gloves and a headlamp together to remind you to get on protection and throw on your head lamp....

U got lotsa room, consider a couple N-95 masks to put on sick folks PRN, or yourself. Imagine a big earthquake situation.

I see the Rite in the Rain, I like making a little pocket with Duct tape and sliding a little pencil in there, seems you always are scrambling for something to write with....

I like a TCCC info card. Like a little card for info on that there Eppi pen. If it is for you then a info card may be good if your airway is getting tiny....ahhh ...grr....slober....IE please stick this in either thigh and hold for ten seconds....

Card with emergency info for your AO?? I would throw a few trash bags folded up small for folks clothes, in Iraq they were handy throwing a leg or arm into to go with the patient. Plus some smaller bags to collate some gear to go with a patient or another warrior who is going to go a diff direction. That there walk bag is big....


My 2.4 cents.

I didnt notice you updated this post until today, some awesome ideas, especially with making a pocket on the RITR notepad. I have a spare Fisher pen I can tape to it. Epi is for my younger (early teens) brother, so when we restocked I had the doc order a few extra spares for me to keep in case my parents arent around, as they always carry his**. I have and know how to use them, so I guess I never thought of putting a info card in them. If it was for me I would however, as that's a good point.

Ditto on the N95 masks, I've been looking around to buy a big box (20-30) of the folding style ones, and sticking maybe 10 additional in here, just havent got around to it. Wilco on the trash bags, and I think i have a half dozen 12x12 Loksack's laying around I can throw in for if I need to make a few mini-med bags.

What exactly are you thinking of with the emergency info for my AO? Not sure I catch your drift.

**Due to some motor/neurological problems he cannot self-administer or self-carry his Epi, but he's always with a guardian with an Epi (and Diastat as well for epilepsy). Just thought I would throw that out there so you dont have to waste time typing how he should learn to use it.

Also, for those who might know the answer, does Diazepam (Rectal;Diastat) have any merit for use outside of epilepsey? I'm planning to add one or two for my brother, and was just curious if it has (all disclaimers given) a secondary use? Same question pertaining to the use of Epinephrine.