Advanced Wilderness Medical Gear

[@oomerimunni]

In the next weeks episode: "How to pack an ambulance inside a backpack"

[@lukizaracodin241]

*how to pack an entire hospital into a purse

[@visamedic]

I can’t find a purse that compliments my body armor.

[@1234KeithB]

@@lukizaracodin241 I’m still waiting to find out how to tie the hospital around my ankle

[@manuelschmidt1081]

I'm missing a pelvic sling. Pelvic trauma will nearly always lead to a C-issue and to a lot of pain on transport. Both can be reduced with a pelvic sling. You can improvise one, but, as tourniquets, I would prefer a commercial one.

[@zacprodehl8823]

Look into the RISE Splint

[@AGNU5D3I]

I havent made a vid in a long time, but maybe i will do a walkthrough of how I set up my RATS as an Army Combat Medic. Would anyone be interested?

[@themedic1548]

Yea that sounds cool mate

[@AGNU5D3I]

I am working on putting one together in the next month or so.

[@logans296]

Would definitely appreciate it

[@EricWhiteTheGamer]

Yes

[@tyman4106]

Yes. Did you make it?

[@robertearly7285]

Looks like a pretty good load out. Can’t make a one size fits all but this is definitely a one size fits most. Would love to see updates as you use it more! Great pack! Great load out!

[@realgriffin7569]

Corona Virus: *spreads* Sam: "I have a little bit of a cold" His fans: 😳

[@chuba1]

you stupid or stupid?

[@lukizaracodin241]

r/woosh, I guess?

[@ewhays]

Colds can be caused by an endemic coronavirus. There are possibly millions of different coronavirus strains. I am guessing you are referring to SARS-Cov2.

[@BASE5NYC]

I’m not a medic so.... just curious, who pays for all this stuff, do you get a budget from the service you work for or is there some awesome closet full of stuff to pick through?

[@ssaladino1998]

Usually companies have there set gear. If you choose to make your own bags your pretty much paying out of your own pocket. However my company allows me to take items from stock to make my bag within reason. Expensive items your going to be on your own. Also the bag itself.

[@rescue00751]

The RATS is a cool pack, but I prefer my Chinook. The RATS is empty already as heavy as my TMK is kitted. It’s the heaviest medical pack I‘ve seen so far. Thanks for your vids. Enjoy the much. Regards from a German medic.

[@alexanderweaver8650]

Great comprehensive set up, Sam. I like that tear away pouch on the side of the RATS pack. That would be nice to set up a backpacker's minimal IFAK and not have to go into a pocket to access it. I wish many years ago I had one of those traction splints. Using tree saplings, a triangular bandage for tension and duct tape to secure the leg was rather primitive however it worked, saving the man's leg. Watching your videos has been very helpful in my gathering supplies for an overland camping first aid/trauma kit. I noted a couple items not in your kit: an oral or rectal thermometer and disposable masks. So, many thanks, Sam, for your help.

[@jhosk]

Love that kit, perfect! Brought back a lot of memories, thank you

[@rileybiro3039]

From your videos I’ve gather that you’ve been in ems, law enforcement, fire, ski patrol, and wild land SAR.

[@PrepMedic]

Yes.

[@brendaleetv]

Nice set up! I am an EMT with the U.S. Border Patrol and what I have done in my pack is add an outside molly pouch, where I have my vitals assesment tools all in one. In the past I would be digging for stuff, now its all in one place. I also carry a glucometer, and headlight.

[@10--50]

Im an EMT in boulder. and certified WEMT. I've never heard of AHRT it sounds awesome! I really like that you carry a traction splint and a warming blanket. That hangable IV bag is pretty sweet, although i'm a little surprised your not running any IO's

[@mayshack]

With no ability to get IOs, I would be screwed. I guess they would do an EJ? Every time they need IV access in the ER they need the ultrasound for me. Hopefully they could get away with giving me whatever IM instead at least until I got to the hospital.

[@mtsuth6370]

Watch those Bearclaws. They're so nice paired & compressed, but if you haven't worked with them-- time yourself trying to get a pair on; in that state they are vacuum compressed, and when PPE comes first, the extra seconds can be the weak link in your whole kit. Takes up a liitle more room, but I separate mine in advance.

[@mervs-verves]

Great walkthrough of the contents in your RATS pack, interesting to see yours! Looking to improve mine, I use mine for marathons/community events/camps and keep a mini O2 tank in place, while local certification and licensure limits me to LMAs and OPAs and basic drugs. The RATS has served me well for about a year now, and has been that sweet spot that’s larger than an M9 but smaller (and more comfortable) than a STOMP/SCOTT. Let us know again after one year of use?

[@hugo511]

You should make a video on hemostatic agents!

[@SwissArmyDud]

Just remembered when my aunt thought i was talking about homeopathy when i was mentioning hemostasis lol

[@captainrex3492]

He mentioned it in his wound packing video

[@tysenp8193]

*pulls out a hatchet* “And here we’ve got the can opener” I know it’s a rescue term but that honestly made me chuckle

[@sraa1952]

Thats one awesome backpack. I was very interested in your pharmacy pouch 👍👍

[@MrHtrnsc]

Love the use of the split screen!!

[@erehweslefox]

It is interesting to see what an ALS group carries. I carry the same BVM. I mainly carry a Berman set, as I am not trained to use the degree of nasopharangel airways. Just a WFR not a EMT-WR. Cool review.

[@vikingsfan2123]

Sam, you should make a video of how the jump bags are set up at your new job in CO!

[@simplemanduke7128]

Awesome load out. Thank you for going over it in such depth.

[@chancetorres9457]

This is the vid I have been waiting for 🤘🤘🤘

[@seanwilliams4975]

Very comprehensive bag. If i could take the blood and death i would love to be trained in how to properly use all the equipment and carry it every day off body in a great bag settup. Thx for the video, well explained and informative

[@sgtcrabfat]

I would consider a MacCoy larngoscope over a mac 3/4, the moveable flap on the end is good for lifting the epiglottis out of the way,bougee and a MacCoy , got us out of a few difficult intubations, but have to say, good kit, a couple of Roberts would take up very little space, All the Best from the UK.

[@georg.pl_]

I have made the experience of regularly having providers over-pressurizing cuffs, especially on the King LTs. Maybe you can throw in a small cuff pressure-meter which may also come in handy with blocked tubes and descending mountains quickly (shift in air pressure). Just my 0.02$ there, a lot of small cuff pressure meters might fit in the pouch with the ETs just fine. And please throw in a PEEP valve for lung protective ventilation. 🤓 Thanks again for that awesome video! 💪🏼 I was really waiting for it since you did the review of the pack itself. And again you have a very nice mancave in the back 😉😎

[@manuelschmidt1081]

LTs are are very fine supraglottic Airways for Prehospital Settings. There werde some negative Points in the Paste, but most of them weren because the LT was not proberly used. Use some device to measure the cuff pressure. Its very important not only for LT. Use LTs with a oesophagus suction channel. The oesophagus cuff can only block very low pressure from the stomach. This is regularly a problem if the stomach is full of food or he has been mask ventilated before or you need more than about 20 mbar ventilation pressure. The algorithm in my department ist: Set the LT, start ventilation and set a tube in the stomach through the suction channel as soon as possible.

[@davidblack9071]

The rusch brand NPA can fit over that 25ml syringe and be used as a suction device. When your get rid of your OPA kit you might want to consider waterjel burn dressings and telfa non stick gauze.

[@KaylynnStrain]

Very nice setup !!! Loojs like ut will do you well in these missions in the wild

[@skm9420]

Thank you

[@Mrkeats5487]

Wow great load out ,

[@russ8059]

Advanced wilderness is different from basic wilderness because the trees are taller

[@Quadrille763]

Awesome kit you are very knowledgeable

[@EBMisKing]

Loved the video Sam!

[@DiegoAstorga]

Axes are great in case of zombie bites. AKA Hershel Greene situations.

[@mordecai7820]

Out of curiosity, it sounds like you guys are out in the boonies for relatively extended periods of time (more than a few hours)... where do you keep personal supplies? (Water, etc)

[@JoeDurobot]

*Great kit!* *You could add a few light options (not sure if you work at night).* *I keep a strobe light on the outside of my med bag to bee seen by others, find my bag etc...* *Also a headlamp and small keychain flashlights clipped to zippers to find stuff at night inside the bag.*

[@sanjuan4942]

Suggestion- a few more space blankets for multi patient outdoor instances. Definitely a headlamp in that pack even if it’s a backup to one u carry elsewhere for your SAR/ austere mission. Can’t remember if u had shears? Anyway stay safe.

[@malachaibyrne4981]

love these vids

[@DiegoAstorga]

+1. Even when I don't an idea of what he is talkin about!

[@mannyvazquez8171]

Do a review of the SOG parashears!

[@Leo-pi2qp]

So I have a question, it seems like you almost buy all of your equipment yourself, but arent you issued something? Or do you have to pay for everything yourself?

[@jessiewright1053]

You'll notice he didn't reply to that particular question. All Taxpayer funded. In other words, YOU

[@Leo-pi2qp]

@@jessiewright1053 Inother word no, I don't live in the US.

[@seanwilliams4975]

I'd imagine there is a standard/approved peice of equipment and if there is a better alternative the individual can buy it and get it approved for his/her loadout.

[@ThatGuy-sc5rx]

People who take their job serious will invest in their own gear. Most issued gear is usually going to be mediocre at best to complete garbage at worst. So its wise to buy things that are going to aid you in doing your job better and easier. It pays off in the field when you need it. Often you can put it as a tax write off if its work related

[@Leo-pi2qp]

@@ThatGuy-sc5rx But he still has guns in tje background that he had while being on the swat team and I don't think he had to buy them himself.

[@derealovesurvival7549]

Thanks ATB

[@shawnlarson966]

That hatchet scares me if I would actually have to use it for survival, that blade shape let alone that giant weakpoint in the middle of the steel

[@ethansomerville35]

Really enjoy your videos :)

[@ludovic7344]

finally!!! i have two of them,really like your set.

[@drtbennett3747]

Good pack 5.11 rush 72 is Far bigger and half the price

[@bokeshow]

Nice set up, but why no glucometer?

[@gsresener]

that was my question too. light, cheap and really useful

[@sirkopl]

great bag! Just one thing is missing, a normal emergency blanket

[@kyleessex6301]

I'm surprised all the doubling within med classifications with limited space (I.e. Benzo's, Paralytics etc.). Interesting kit though... thanks for going through it!

[@jennyw9656]

I just want to tell you I absolutely love this channel. I’m glad you have chosen a life giving topic to be passionate about and educate people about…. KZbin likes to flood my channel with a bunch of hateful toxic machismo men who have nothing to offer the world except how to use women 🤔 no matter how I tell them I’m not interested in it lol

[@cantstartafire]

Maybe keep an OPA for a bite block on intubated patients or to assist in ventilating a patient you can't intubate.

[@bodyno3158]

Okay now I know how to became a one-man ambulance.

[@DecentRecruit]

Heard Atropine and I immediately thought of chemical agents in the mountains.

[@maxM38383]

Where/how do you carry water, snacks and other supplies for yourself? Especially if you have to hike out into the wilderness to get to the patient

[@sharidesrosiers8019]

i love you SAM YOU HAVE GOOD SESEN OF HORMOR AN ALL HAZRAD RESPONSE TEAM / AHRT

[@bananabarge]

13:55 Ive just finished my "EMT" training in Germany and we were also trained with these Larygeal Tubes, but we were told that a larygoscope would be way to Overkill. We just use the chin lift with our thumb and it slides in easily. I can also confirm this personally, because I had the "fortunate" opportunity to use this in hospital, and would prefer them over IGEL, because once they're blocked, they are tight, no need for correcting the fit. What do you think? (Pardon any mistakes, English isnt my first language :D)

[@heinrichchristiansson1908]

Congarts man! I'm a 'Rettungssanitäter' too... Where where you trained? I don't have any problems with the Laryngeal Tubes without a laryngoscopd as well, they work like a charm. The main problem with the laryngeals however is, that you should technically (and legally) check the cuff pressure right afterwards, because you could damage the patient airway system in case of an over-blockage.. Also we don't have any IGEL yet, and i couldn't try any, but a few other emt's told me that they too, work fairly well

[@operationbrokenarrow6964]

That’s funny. I prefer IGELs over the King-Lt

[@DawidKellerman]

Hi Sam, have you seen this? www.emox.co.za . I am not affiliated with the company but it is a practical solution for oxygen on demand, the mines use it. It is a plastic "tank" where you put powder and water in, with some water in a builtin humidifier tank. The price is roughly a US$ 100 with 3 x 15 minute loads a 4 pack refill is around US$ 15 .I see the got FDA approval as well.

[@charlesguerra1625]

Nice setup. .. Semper Fi!!!

[@kentmonapco6130]

Nice sir actually im starting to complete the EDC bag or kit

[@visamedic]

I used a stacked/staggered mag case and just stick my TQ in a zip lock. It’s already staged for use, just need to rip the bag off of it.

[@markcannito1561]

It's a nice bag but I can't see spending $500 on just the bag

[@e4mafia578]

Mark Cannito for real Lol

[@-Zevin-]

Get A military surplus medic molle bag, I got one and it's 90% as good as this bag, full zip open, very thick wide backpack straps with nice padding on the backpack. flip pockets and organizers. Molle attached bags on the exterior, Mesh organized pouches on the interior with IV bag pockets. I Then i filled the entire bag with gear, entire setup came in under $300 including the bag which i found on Ebay for $40 (which is admittedly very lucky.) They tend to be closer to $80-150 used but still very worth it at that price. That's one of the nice things about Ebay though, never know what will come up for sale, and the Used bag i got is like new condition wise.

[@tyman4106]

Neither can I, that's why I bought the 5.11 ALS Operator bag

[@WoodyXRay]

How do you have room for your cold weather gear? Don’t you get called out to higher elevations and in the winter since you are In Colorado? You can’t wear it all while you are hiking in. You would over heat,even in conditions well below freezing. Space for crampons and/or microspikes would be good as well.

[@NoahKuzel]

So I know that you are a paramedic, so you are allowed to kit to that level of care. Can you do a video that breaks down what an EMR would be expected to carry, then EMT-B, and then what an EMT-A? Because I work in the wilderness as an EMR. I have goals to become an EMT-B by the end of the year, and I kinda want to see what you would recommend for the different levels of kit. Right now, I work out of a my-medix largemyFAK that I added some chest seals, some adult NPA's, a combat tourniquet, and some wound packing gause

[@Whiskey_Actual]

That Blue Force mini IFAK is dope, isn't it? Told ya. No headlamp or you wear one helmet-mounted?

[@youngmedic144]

Sam, have you ever had to provide medical help to someone when you were off duty?

[@Lucas98445]

Do you ever carry suture materials for minor wounds? Or does it make more sense to simply pack the wound and await transfer to a healthcare facility?

[@micahhowell4432]

Do you have any recommendations for first aid / trauma / field medicine training programs, beyond a standard first aid course, for those that may be in the medical field but not in EMS or similar services?? Asking for myself of course lol. Thank you for any help you may have! I love your channel and videos!

[@Greatgadgetsgear]

Micah Howell REI has a wilderness training course that runs over a weekend. You can also search the web. Good luck. Don’t forget CPR do healthcare worker more extensive and a real eye opener.

[@micahhowell4432]

@@Greatgadgetsgear thanks for the tip! I'll look into that! Shortly after I commented I was able to talk to someone at North American Rescue and they have a course. Now if I can just get the money for travel 🤔 lol

[@Greatgadgetsgear]

Micah Howell That’s great enjoy fun classes.

[@ArtyMcfly001]

Hydration?

[@alphagrendel]

Question from a fellow paramedic that was an intermediate for a long time: why not just a King Airway instead of all the ET stuff? That's a lot of extra gear, and honestly I don't feel like they are as secure n as a King when jostling a posting about. Just a thought.

[@gsresener]

there's a lot of talk about this, but mostly it's believed that SGAs do not protect from aspiration as well as OT tubes, specially on patients where you are using high pressures to ventilate. Personal opinoin now: probably less prone to dislodging when extracting from an austere place

[@IncredibleChief]

Quick question.....I saw that about the only thing you can do for an evisceration is wet an ab pad and wrap it to keep it from drying out and dying. Is this still recommended in freezing temps or does the risk of it freezing to the organs negate that? Thanks. Awesome video. Can't wait to get out to CO and do some hiking/camping. I'll just hope I'm in your AO. Lol. Take Care and Be Aware

[@robertearly7285]

ChiefPrepper for cooler temps it would be highly dependent on what you have on you. The heating blanket he had in this video + and emergency blanket would prevent freezing as long as evac times are minimal. For extended evac times you would have to use your best judgement. One thing I have done in the past is taken the plastic cover from a roll of kerlix and placed it over the exposed intestine and tapped it down on all four sides then wrapped with a loose 6” etd for insulation. That plus the emergency blanket stopped any freezing from occurring. This was in about 12 degree weather in the mountains. Took us an hour and a half to get them on to an open location and on a bird.

[@WhenHeroesNeedSaving]

ChiefPrepper a better option would be to cover the evisceration with a non-adhesive occlusive dressing, like a trash bag, and then place a bulky dressing over. This removes the need to keep wetting the area and the need to carry additional sterile fluids in austere environments. But an evisceration still requires a surgical fix.

[@msgottaneedtoknow]

Your saline IV set up may not be so helpful in major trauma but if I remember correctly, it’s vital for shock patients. Am I right?

[@thecosmickid545]

Aw man I wanna be on an AHRT team that sounds fucking awesome

[@learnshareevolve1842]

Pretty advanced care you are prepared for (gear & skills); that’s awesome! Do you take food hydration for yourself?

[@vbsteam]

Good video, I noticed you are missing a sharps container and stuff for IOs. Also, any 2 cents on the i-gel vs king tube debate?

[@rmac8878]

7:08 "So Yo!" LOL

[@ryannadernejad2814]

Can you make a video about wound packing?

[@PrepMedic]

Already did.

[@lisaball1701]

kzbin.info/www/bejne/jprIg3-krtOknqM

[@johnbordwine3343]

And in my other backpack I carry my defibrillator and my ventilator...and what pocket did you put your IV pump? Half that stuff could be left in the truck. You are carrying WAY more than you should into the "wilderness". And what do you expect to do alone?? Where's your folding helicopter? 25 years in the field, in the military, and in the trauma room tells me you don't need half that stuff on your back.

[@PrepMedic]

So it probably wasn’t made clear in the video but our team utilizes a 4X4 ambulance and SUVs that are fully equipped and this bag is the “first in” bag with hiking capabilities. I am guessing you are referring to the medications more then anything but the meds are the lightest and most scalable item in the pack. It is pretty easy to just pull a couple med cases out.

[@PrepMedic]

Other then that what exactly do you think should be removed?

[@emtcrystal]

kerlex man, need kerlex

[@brettlaw920]

What sort of gear would you recommend to individuals that could reduce the amount of medical treatment you have to provide? (Preventative medicine - example: eye glasses, some climbing gear) What gear could people carry as a standard that could reduce the amount of gear you have to carry, allow you to treat more patients or allow you to carry more specialized gear? (Proactive medicine - example: the nasopharyngeal tube that fits them, a traction splint, a tourniquet)

[@mettahuttravels3183]

No thermometer

[@MitchellAndrewForbes]

QUESTION: How much does the complete kit weigh?

[@hzwanepol6947]

Hey Sam: can I offer the suggestions of a sharps shuttle and a biohazard bag for waste; convenience bag for vomitus; a length of tubing attached to a wide bore 100cc syringe will give you suction (or a V-Vac); plus some hot-pockets to keep your meds from freezing.

[@bradalan7188]

No glucometer or thermometer?

[@777Zubi]

Question : If your patient has a massive hemorrhage -> hypovolemia, Bp goes down etc ... but you don't have blood to transfuse, why not using saline instead (I know it does not transport 02 and also interfere in different ways with coag.) ?? Thanks for the answer and the vid !

[@baron.7284]

Was actually surprised you're still carrying Etomidate and not Propofol (or just work with Midazolam) for sedation as Etomidate has been proven to severe harm trauma patients by weakening the adrenal glands and thus lowering CA output. THis isn't an attack on how you work, just a question from a fellow Paramedic from across the big pond on if there's a particular reason to still run eto.

[@gsresener]

mind sharing the source? here we avoid midazolan and propofol due the hypotensive effect, specially on critical patients. also, only recently we got propofol that doenst need to be refrigerated

[@madeucedancinclub2452]

I AM EX FIRE RESCUE , YOU SHOULD BE ALLOWED CARRY WHAT IS AUTHORIZED IN YOUR DEPARTMENTS PROTOCOL , YOU CAN ALWAYS GET A BASIC OR FIREMEN OR EVEN BY-STANDERS TO CARRY O2 AND A REGULATOR AND DEFIB EQUIPTMENT . FOR PAITENT ASSESSMENT I WOULD KEEP MY PEN LIGHT AND EMT SHEARS TOGETHER WITH GLOVES FOR RAPID ACCESS . I OPTED TO CARRY NON-STICK BANDAGES , COTTON GAUZE BANDAGES HAVE A TENDENCY TO DRY OUT AND STICK TO THE WOUND AND MAY REQUIRE SALINE TO KEEP THEM MOIST . I KNOW VERY WELL THE CHALLENGES YOU FACE , BEEN THERE DONE THAT , KEEP UP THE GOOD WORK , KEEP UP WITH ALL OR YOUR TRAINING , STUDY , DRILL DRILL DRILL , SALUTE FROM AN EX VET EX AFPD , EX FIRE RESCUE , I'M RETIRED, IT MIGHT BE YOU ONE DAY THAT COMES TO MY RESCUE , GOOD INFO VIDEO , THANKS AGAIN FOR YOUR SERVICE , HAND SALUTE

[@SalyLuz-hc6he]

🫡 FYI, it’s very hard to read your message in all capital letters. I have to keep starting over and trying again, but it’s hard on my eyes, and the words all run together. I will try reading it again after I write this, because you seem to know what you’re talking about. Also, when you write online in all capital letters it is considered that you are shouting at the person, or screaming. Just something to consider. ✌🏼 & I just had this thought; if you are writing in capital letters because they are easier for you to see, I apologize. 🙏🏽🫡🌅

[@madeucedancinclub2452]

@@SalyLuz-hc6he ef your eyes

[@riceperfect]

Do you do SAR

[@masonodenwald4833]

Could you make a video on the care and assessment of eye trauma

[@DEFIANCE_24]

Pop up serious inquiry: what color is that on your walls? Perfect Scenery.

[@starburst2203]

FALKOR-TACTICAL Alpha black

[@DEFIANCE_24]

🥩👽

[@tylernewcomb6465]

Do you carry a monitor with you in the Wilderness? Most of those cardiac meds you couldn't even give without a monitor, and those are damn heavy.

[@PrepMedic]

Well it depends. We have a 4x4 ambulance and some SUVs that carry the bag and the monitor but we don’t always carry the monitor with us. That being said a lot of those meds can be given without a monitor based off of history and palpated pulses (not all of them though)

[@DylanT18]

I just passed my NREMT for my basic. Im really interested in working as an EMT for wild land. If anyone knows how to do this please let me know

[@Nathan-H]

Great Video, Things are different her in the UK, I noticed you said you purchased a lot of gear yourself, in the USA do you have to purchase you own gear (whether refunded or not) or do you purchase your own gear to suppliment / upgrade issued equipment.

[@mayshack]

It depends on your employer. Some places will give you a pack and supplies, but you buy your own pack if you want a better one, and simply replenish supplies from a stock room. Other employers just give you money to get whatever pack you want and let you outfit it as you like, following their guidelines.

[@galaxcsy]

Hey Sam! Can you do a review of the G3 Advanced Safety Vest from Statpacks?

[@francisbenko4104]

How much do you get paid???

[@jaredsilverman1027]

How much does this full kit weigh?

[@notreallyme425]

Does anybody know at what temp does the saline bottles freeze? I take mine out on really cold days so they don’t burst in my bag but I don’t know if that is really necessary.

[@landen2934]

Nice pfp, It’s new right? EDIT: wth, just noticed youtube decided to unsub me and I sure as hell wouldn’t unsub.

[@elpincherik2462]

What is the REI medicin called

[@antdx316]

A lot of this can only cover 1 person. If there were more than 2 people with serious injuries, most of the people would be screwed if only 1 pack showed up.

[@keywalker8916]

What is the callsign system for AHRT? I noticed the A799 on your pack, is that a callsign format for the unit or for something else?

[@EBMisKing]

Where did you get the airway roll from? Medic here looking for that roll to put in my event bag

[@curt6488]

Hey Sam awesome video man Question for you, what's your opinion on the IGEl vs king LTE? Not much experience with the IGEL other than 1 demo

[@rescue00751]

IGel are safer and more comfortable as far as I can say. Difficult to use wrong, no danger of blocking the trachea accidentally with the cuff of the King