Minimalist Medical Equipment for Everyday Carry

edc medical kit

Basic medical gear can vary in size and brand, but all should be on your person, in your vehicle, or in your range bag for when you train or practice. Photo: author

Whether civilians or armed professionals, when it comes to having gear on their person, more people have tools to take a life. Not too many people think about carrying items that might sustain their life or the lives of their loved ones or an innocent bystander.

Just because we have tools that can answer the predicament of violence doesn’t mean we should not also have the basic lifesaving skills and equipment to keep someone alive until medical professionals arrive. I will go over the most common prevention methods to keep a victim from dying, what minimalist medical equipment (MME) you should have on your person, and where to find knowledgeable tactical medicine instructors.

Why Basic Medical Care Is Vital

Many variables exist during a violent encounter and its aftermath. An impact from a blunt object, the puncture of a blade, or a penetrating bullet wound may all cause instant death. These may be due to an instant lack of functioning of the Central Nervous System (CNS) in the brain, commonly found in victims with a headshot wound. Other instantly fatal injuries can include puncture or penetration of the heart or major arteries (femoral, brachial, carotid and radial).

Even if these wounds are apparent, you should still attempt to render aid to the victim, especially if they are conscious, breathing or have a pulse. Only a small percentage of people survive a gunshot wound (GSW) to the head, but it is possible, as seen here. The human body is extremely resilient, and simple measures can give the victim a chance of survival. Applying direct pressure at the point of injury may sustain life until medical professionals arrive.

As I saw when I was deployed overseas, one of the biggest killers on the battlefield — as well as of victims of GSWs or knife punctures here at home — is blood loss. At the beginning of Operation Iraqi Freedom and America’s first experience with Improvised Explosive Devices (IEDs), many survivors of the initial explosion bled out due to lack of formal training and lack of tourniquets on the troops. Many lives may have been saved if basic pressure to the wound had been applied.

tourniquet application

Major source of expiration of the victim of a gunshot wound is blood loss. Knowing how to apply direct pressure to the wound or how to apply a tourniquet is absolutely vital. Photo: Lone Star Medics

Today a multitude of items can be utilized for a victim where applying pressure and preventing blood loss are paramount. The first is a pressure dressing, which comes in a variety of “flavors” from different manufacturers and is designed to do two things: wrap the wound and keep pressure on it. In the field, where you may not have access to a pressure dressing, using a bandana or even the victim’s own clothing can work. Basically anything you can put over the wound and apply pressure with will do the job.

The second is the infamous tourniquet, which also comes in a variety of brands and models. It was originally considered a “last option” tool if blood loss to an extremity could not be stopped by direct pressure. The thought process was that the limb the tourniquet was used on would most likely have to be amputated because the tourniquet created so much pressure and actually cut off blood flow. But during the conflicts in Iraq and Afghanistan, military doctors saw that many troops who had tourniquets applied in the field did not lose their limbs, even after having the tourniquet in place for over two hours. Therefore while deployed in the Marine Corps, I was required to have a tourniquet in my Individual First Aid Kit (IFAK). In a pinch, anything that can cinch down above the wound will work, such as the belt off your pants or the strapping used to tie down equipment in a pick-up truck.

SWAT tourniquet and Celox

SWAT tourniquet and Celox brand hemostatic agent can help you during an incident of serious medical trauma. Photo: Bill Lewitt

The last and most recent tool for the cessation of blood loss is the hemostatic agent. As stated here, “The first attempt to make a form of dry fibrin hemostatic product for use by trauma surgeons was during World War I, when Grey and Harvey produced pre-polymerized fibrin tampons and thin plaques to control bleeding in parenchymal organs.” The two most recent products that most people can buy are QuikClot and Celox. The latter is new to the medical scene and in my opinion is much more patient friendly. Unlike QuikClot, which heats to an extremely high temperature when it comes in contact with liquid and somewhat cauterizes the wound, Celox does not. Celox is made using chitosan, a natural polymer extracted from the shells of shrimps and crabs. When used on an open wound, the Celox granules swell up and turn into a gelatin-like substance. There is no heat present when this process occurs. There have been great results with the use of Celox, but QuikClot still reigns over military contracts. Whichever product you purchase, know how to use it properly and that it’s a last resort if bleeding cannot be stopped by either direct pressure or a tourniquet.

Where To Carry It

Now that more people are carrying MME, I see many bulky rigs that are unrealistic to carry unless you wear “tactical” pants with cargo pockets or a military-style war belt. Thankfully, some companies are designing methods for you to carry all your basic MME on your person. Rogue Gunfighter makes an ankle rig called the No-Vis Ankle Medical Kit that completely conceals under any standard pair of pants. In this piece of padded nylon, the user can carry a tourniquet, pressure dressing, hemostatic agent, NPA tube, trauma gloves, and trauma shears. It doesn’t require any specific type of pants and is easy to conceal as well as access. The NVAMK can be bought “stripped” so the user can put whatever after-market medical gear they want in it, or buy it with items pre-packed.

Minimalist Medical Equipment for Everyday Carry

Medical gear can be as small as the wallet you carry with you every day. Photo: author

For an even more concealable way to carry your medical equipment, the EDC kit from Tactical Development Group is about as minimalist as it gets, with a SWAT-T Tourniquet and Celox Rapid Hemostatic Gauze in a vacuum-sealed pouch. This can comfortably fit into almost any standard pants pocket and is thinner than most wallets. Some may think those two items are not enough to sustain life. On the contrary, if your lifestyle requires you to carry as minimalist as possible, you can make a pressure dressing out of the victim’s shirt or pants, and for shears, use the jackknife you have in your back pocket (If you don’t carry a knife already, I highly recommend it.). The plastic pouch can be used as a seal for a sucking chest wound as well.

Concerned that this kit does not include gloves for protection from blood-borne pathogens? Down and dirty “street medicine” is just that. If you need this piece of gear to be as minimalist as possible, that’s the chance you take. Of course, thin Nitrile gloves weigh almost nothing and take up very little room, so you may choose to stick a pair of them in your pants pocket and another in your vehicle glove box. Either way, with its unobtrusive and streamlined nature, the EDC kit is a great piece of gear to have whenever and wherever you go.

medical training for self-defense

Prior to starting class, firearms instructor should explain and implement basic medical gear to use in case of an incident on the range. Photo: author

Who Should Teach Me?

Just as there’s a lot of medical gear you can buy, there are many instructors you can seek out and learn from. But as I stated in my article Evolving as Defensive Shooters, you should look for an instructor who’s evolving with the times and is giving accurate and up-to-date information. This is vital when it comes to the ever-changing medical world, where new and more efficient methods and procedures are emerging.

Along with that, train in context to what reflects your everyday life. Paying to attend a medical course that shows you how to apply basic combat medicine while clearing out a building when you actually work in a cubicle nine to five might be a bit of a stretch. Seek out a medical professional who reflects your lifestyle needs and isn’t looking to sell you the next cure-all product. If the instructor is serious about providing you with essential information, they may point you in a direction to obtain medical products from inexpensive wholesale distributors.

Even attending a quality CPR course can’t hurt and will make you more knowledgeable about the human body, especially important if you’re a parent. People I personally recommend to my students are Bill Lewitt of Tactical Development Group, Robert Smith of the Direct Action Medical Network, and Caleb Causey of Lone Star Medics. Many other competent medical professionals exist who can instruct you on the basics of casualty care on the street, but I know and trust these three from experience.

Wrapping Up

If you take personal defense seriously as an armed professional or law-abiding concealed-carrying citizen, knowing basic casualty care and how to use MME are absolutely essential. Just because you have the lethal tools to cause harm on a violent attacker doesn’t mean you or someone near you won’t be wounded. Knowing how to apply basic pressure as well as other skills may mean the difference between life and death. A cautionary example is that if someone gets cuts only a quarter of an inch below the skin along the radial artery (which lies near your wrist), they will lose consciousness in 30 seconds, and death will occur in two minutes if left untreated. You may be the only one on scene during the aftermath of a violent attack — do you have the skills to preserve life? As the old adage states, “If you know how to make holes, you should know how to plug them too.”

Discussion
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17 Responses to “Minimalist Medical Equipment for Everyday Carry”
  1. Dropkick

    Who the hell still uses granule hemostatic agents?! Hemostatic gauze is where it’s at.

    Reply
    • Heitman

      gauze is nice for large lacs but for massive traumatic injuries such open abdomen or chest where bleeding cannot be controlled with pressure dressings or even wrapped with gauze, hemostatic agents are state of the art.

      Reply
  2. Matt

    Quikclot does not cause burns. Please stop spreading that misinformation around.

    Reply
  3. KJQ

    Since 2010 Quikclot has used kaolin which does not cause an exothermic reaction. It is also non-organic, making it less likely to cause secondary issues than Celox (e.g. anaphylaxtic reaction), and is faster acting.

    Reply
  4. Jeweled Barrel

    Does anyone know if the Celox will cause reactions in those w/shrimp, etc. allergies? Seems a shame to stop the bleeding…and accidentally the airways too.

    Reply
    • Highspeed_gardener

      According to my instructors in paramedic school it does not cause a reaction to those with allergies to shellfish.

      Reply
      • Lorena

        Apparently your instructors do not have shellfish allergies. Yes, anything made from a shellfish could cause a reaction, depending on the cells used.

        Reply
    • bdb

      shellfish has to be ingested /digested to cause an allergic reaction. putting celox on a wound does not introduce it to the bloodstream. AND granular blood clotting agents are not obsolete and have a LONGER shelf life and less expensive than Quick clot as well as are still in use by the IDF so i dont think they are “SO YESTERDAY”

      Reply
  5. robes

    All good stuff. I carry a med kit in all my vehicles. After reading this article, I will have some changes to the contents.
    Commenters. Thanx for the info regarding Quikclot. I had heard the rumor, but still carried it. Better than nothing.

    Reply
  6. Joe

    QuickClot does not cause burns. That info is way out of date and you should correct an otherwise decent article.

    Reply
  7. Robert G

    Nice article with good information. I keep a first aid kit at home as well as attached to my range bag in case of a training accident but always looking to improve my supplies and personal training.

    Reply
  8. Gary Tuckey

    Y’know, I’ve been attending refresher CPR/First Aid training as a First Responder for some years at my job (USPS) but this year I was gonna pass on it because I’m approaching 60 and felt that I was too old to be an eligible responder. After reading this article however, I will take the refresher training. Good job!

    Reply
  9. Mike Brooks

    Where can I find basic instruction in the use of these products and where can I obtain them. I don’t necessarily want extensive training but where can I get some minimal training in my area (suburb Chicago)?

    Reply
  10. Jim in Conroe

    Additional items to carry, which are on the same priority as the tourniquet and wound packing / hemostatic agents are a pair of chest seals – one for the front and one for the back of a penetrating chest wound. They are flat and take up almost no additional room in the FAK.

    Tactical Medics Group LLC has developed the BeltFAK, which is described as follows and is for sale ($130) on their facebook page:

    The BeltFAK is a true “Every Day Carry” Battle kit. It allows the user to rapidly deploy the contents in seconds ambidextrously with gross motor skills. There is not a kit on the market place today that allows you to carry so much in such a small package and to access it all this fast. It is the most comfortable belt trauma kit out there. No manufacturer has T&E’d a product so extensively. The BeltFAK is so comfortable that you will wear it every day and not want to take it off.

    Contents

    1x SWAT-T Tourniquet
    2 x Vented Chest Seals
    1x Combat Gauze
    1x Bear Claw/ Talon Gloves
    1 x NPA

    Reply