Advanced First Aid Kit - Pelican 1460 EMS Case

[@Georgiancorner]

Great kit! I'm MD and I have everything you mentioned in my kit... Who knows what happens the next day?! So it's better to be prepared. I know a story of my co-worker who intubated her neighbour's child at home before the EMS arrived, so she literally saved the baby's life...

[@chaoticgoddess8259]

Sure you are >.>

[@Lonewolfpack]

As a paramedic in the province of Ontario, I carry all the stuff that you carry in your personal kit as well as some additional equipment

[@vikingsfan2123]

Nice kit! two questions: where did you buy your saline flushes, and why no tourniquet for major hemorrage control?

[@iyzy_8236]

And tourniquet for cannula

[@lifeinoregon2811]

Thanks for making this video. I appreciate the time it takes to put these together.

[@The911Medic]

LifeInOregon Your welcome. I enjoy making videos that others will watch and appreciate.

[@anthony.welch628]

This guy would make a great paramedic or nursing instructor!

[@larungoscope]

OP, are you a paramedic? I dont mean to climb on my soapbox, but airway management is INCREDIBLY dangerous. I think you need to consider if it is wise to perform ETI, particularly on a loved one, if you have never actually performed the procedure in the field. IMHO, you should pick up a full set of King LTS-D airways, and maybe a size 1, 1.5, and 2 iGel LMA. That would provide you with a supraglottic airway of every size. They are 95% as effective as ETI, and much less likely to kill your patient. Generally ETI (endotracheal intubation) really comes into its own in the traumatic or otherwise soiled airway, or in the obtunded/unresponsive patient who needs positive pressure. None of these cases are easy, and should be left to those with the experience to manage them safely. Also, im not entirely against you being prepared for a cric, but if that is your goal, perhaps study up on the literature. It has been found that needle cric is actually *more* dangerous that an open approach.

[@christianuy5791]

thats what i was thinking. Also a paramedic is never authorized to do any ALS interventions without a medical director. He could be charged with "practicing medicine without a license" . Once we leave work at our ALS agency we are no longer under protection of medical director. How can he intubate without induction drugs as well?

[@DigitalAndInnovation]

The comment comes across a little agressive... but the point made is so real. The fact there is an array of mismatched ET tubes and an unsterile king and no LMA included is kind of odd... and if you are going all in on the intubation (ET) stuff you might as well have some paralytics and sedatives to do it right. In a sense it seems like he is using this as more of a demonstration than an actual practical application. Overall it dosn't add up.

[@larungoscope]

@@DigitalAndInnovation certainly didn’t mean to be aggressive, just wanted to stress the point that attempting an RSI/DSI/whatever as your first venture into advanced airway management is unwise under the best of circumstances and lethal at worst.

[@thedakotacarter5595]

Thanks for the awesome review videos. I am an EMT student in Alabama, so seeing these videos are definitely helping me decide what to have when I start preparing my own at home kits. Any tips on what to have in a car kit??

[@james13341334]

below i have listed a few suggestions i have for your kit i would suggest getting mac #3 and mac #4 for the laryngoscope since miller blades are traditionally only used for pediatrics mac blades are better for adults because they fit into the vallecula and keep the scope out of the way more for insertion. miller blades are used for pediatrics because they have a proportionately larger floppy epiglottis and it can get in the way more without holding it down with king airways the most common size to use is yellow and red (3 and 4) so of the available sizes those would be the most useful and you have no need for an IO kit since you have no drugs in your kit to administer and they are typically only a last resort for emergency drug admin. If you were to be preparing for more critical incidents compression gauze and tourniquets would be more helpful also with your glucose meter i would suggest having some glucose gel or something with a high concentration of sugar because knowing what someones blood sugar levels are is not very helpful if you can not treat it. providing sugar to someone who needs it can be one of the most beneficial interventions that you can do for a patient. airway and IV equipment can be seen as cool stuff to have but having the fundamental equipment should be a priority. i would suggest including some of the basics of any first aid kit like cold packs, sam splints, tourniquets, pocket CPR mask, thermometer, saline for irrigation, antibiotic ointment, shears, burn gel, triangular bandages, afterbite, and an irrigation syringe, to name a few examples. advance life support is not nearly as effective without good basic life support so start with the basics and work your way up i know that this is your advance kit however if you are including band aids in this kit you should have everything in-between the band aids and advance stuff

[@DigitalAndInnovation]

Any thoughts on no paralytics or sedatives for airway... and also no LMA? very good points! Also I guess getting into meds is pandora's box- but some 1:1000 epinephrine seems like a must.

[@christianuy5791]

Nice kit but be careful in using the ALS gear. I've heard that depending on what area you are in you can only perform BLS interventions.

[@thelutheranorganistguy5722]

Not trying to bash, love the kit, especially the old school case. However its kinda a huge chance your taking, especially if you use any of these advanced supplies on someone, Your insurance might not cover you. Of course there is the good samaritian law for when you are acting outside of your medical service, but establishing intravenous access and or an advanced airway on someone even a family member would most likely not be covered by the good samaritan law, especially if any of your interventions don't work or head south. I am an EMT, the most advanced thing I have in my jump bag are oral and nasal airways. Providing good compressions and any airway will give a good chance of survival.

[@DigitalAndInnovation]

I guess ET tubes could work- but without sedatives or paralytics it is an interesting inclusion- a few kings (as you showed) or IGels seem to be the go too for non med airway managment

[@adrielrowley]

Fantastic video that sheds light on what professionals carry. B.T.W., you are left handed, aren't you? ;p Love that the stethoscope has been made more fun for children, right?

[@frozenjoe6313]

How come you dont have some basic over the counter meds like decongestants,,Benadryl for anaphylactic shock, maybe a inhaler of albuterol sulfate,smelling salts, possibly some alcohol that could also be consumed . How about no rub eye irrigation stuff , tweezers though maybe you can use hemostates for that, maybe super glue to close lacerations and pressure bandages.. Thanks for showing your kit. Thats pretty advanced, I dont have enough training.I need to stick with the basics but there might be other trained people around.so I want to get what I can . Equipt. is good to have ........

[@pilotbaxter007]

Need meds for that kit. Normal OTC's as well as parentral gravol, diphenhydramine, epiPen (unfortunately not ampules), lidocaine and possibly glucagon and nitro spray. Those last meds besides the glucagon and epi are very cheap. Add in a salbutamol MDI as well

[@Dave-ji1hv]

Quick question. What do you like more? A medical bag or a medical box. I'm in the middle. Medical bags are good because you can fit a little bit more things than you would if you had a case. However if you have a case all your equipment is protected so it wont get squashed. I want to hear you're opinion.

[@The911Medic]

I'm in the same boat. Bags are nice for that reason but I appreciate organization. I've found that I can customize and organize more with a box over a bag. For instance with the pelican case I have, I know that everything is protected. Plus I know that my small children cannot open the case because of the latches. Plus I can lock some of the compartments inside as well as the case itself. Bags could be locked as well but to me the potentially harmful equipment/over the counter medications and such would be less accessible in a hard case. That of course is just my opinion. As far as the cost, obviously bags are typically a lot cheaper than buying a case. When I was looking for what to purchase I had a couple of bags in mind. You could try looking them up, Ferno makes some good bags. Meret also makes good bags. For me I know that pelican is exceptionally durable and again because I appreciate organization and ability to customize that's what drew me to the pelican case. After I looked up those other bags and compared the prices to pelican at least on eBay I thought I was getting more with a pelican case then I would with the other bags. I hope that helps. Thank you for your comments and please continue to watch my videos!

[@wcresponder]

Cons of box unwieldy, heavy, way more expensive, storage ability. Pros protection of equipment, lifetime, organization. Pelican has a amazing warranty system and great customer service.

[@bennjarr]

thanks for the great video, could you do a video on your observations gear.

[@bennjarr]

Sorry what is meant was could you do a video on your diagnostic gear. Were I work we just call it 'obs gear' or 'observations gear'. Thanks for the awesome video.

[@The911Medic]

Benn005 No worries. As always, I've been super busy but I will definitely make a video about the diagnostic gear. Thanks for commenting on my video and for new video ideas.

[@hegamerschannel]

+The911Medic yea can you make a video on your Diagnostic gear, and how to use it maybe ???

[@ryancarr1309]

Please do a video on your diagnosis stuff i love your videos

[@The911Medic]

I will do a video soon. Check back for it. Thanks for the request.

[@ryancarr1309]

+The911Medic great video

[@Memphisfire40]

Several things: 1. my dads nickname is dmack. 2. Have you heard of the tv show EMERGENCY? I have a tackle box firtst aid kit like the one they used on the show. 3. Whats the difference between the straight blades and the curved blades used in intubation? 4. I laughed when you cut yourself. not in a rude way. I laughed because it's ironic when a first responder or emt, aemt, emr, or paramedic hurts themselves.. Anyways great outtake. 5. I've been a subscriber for a while, and i want to ask you, where would be the best place to get refills for a medical jump bag like this? My dad has to bags that he is going to turn into a jump bag. Great video. Did you know they have pocket bvms? I'd recommend getting one. Saves space and you could add more. Check out ebay to find them. thats where i found a few of them.

[@mikesmeckelen6314]

Where did you bought the NaCl?

[@docberting]

Awesome kit!

[@jcm4549]

Interesting case. Are u a licensed health care professional?

[@The911Medic]

JCM Yes I am.

[@wg99er]

so how is the case holding up? ive heard reviews about the trays wearing out and was wondering if your case is holding up well?

[@The911Medic]

Case is holding up very well. I haven't noticed any wear yet. We use this same case on our ambulances and I haven't seen trays wearing out or latches braking either. We are pretty hard on our cases where I work. Very pleased with this case!!!

[@wg99er]

+The911Medic no i take that backXD- the hinge part on the top of the case where the two screws are has cracked within two days of light use, might want to check yours.. i switched to a bag but i still think pelican makes good cases, this one a dud maybe?

[@hollyatkinson3905]

Did you have a sling And if you did where did you get it thanks I would love it if you could reply xx

[@christianuy5791]

So you have an incomplete intubation kit? How can you intubate without induction drugs likes midazolam, etomidate, etc? And how can you do any of those ALS interventions without a medical director?

[@The911Medic]

I do have a complete intubation kit. Intubation is the procedure of placing an endotracheal tube into the trachea. The procedure can be performed with a laryngoscope, an endotracheal tube and a syringe to inflate the cuff on the tube if it has one. RSI or Rapid Sequence Intubation (also called Rapid Sequence Induction) involves the use of induction agents like Midazolam, Ketamine, or Etomidate and a paralytic agent like Succinylcholine, Vecuronium, or Rocuronium. However, not every pt needs to be RSI'd to intubate them. Anyone can learn how to intubate and even buy the equipment online to do it, without or without a medical director. Obviously, the medications to perform an RSI would require a medial director to obtain and more importantly, would require advanced level supervision and monitoring and should never be used out of the professional setting. I hope you didn't get the wrong impression from my comments. As mentioned in the video, I would absolutely use my knowledge, skills and equipment to potentially safe my family. Rest assured I'm not driving around the city looking for emergencies to respond to and intervene with my kit while off duty. I would only ever use my ALS skills and equipment on family. And even then it would be a last resort not a first line response. I do not endorse anyone buying or using any ALS equipment. This is a personal choice and I thank you for your questions.

[@rockysolace123]

how do you feel about carrying O2 tanks and the respective supplies? and what about C-collars?

[@The911Medic]

rockysolace123 Great question. I think having a C-Collar is a great idea. Very useful and relatively inexpensive. O2 tanks on the other hand are heavy and costly to purchase and then maintain. Can't say I haven't considered it for my kit. I think it would depend on what the kits purpose was going to be. Meaning if you are providing BLS medical coverage for an event or you live in a rural area with limited emergency medical resources then I can see having O2. For me, I live in a large metro area and EMS and hospitals are in abundance. So for me, no O2. Instead I other means of providing better airway management in the event of severe breathing problems and or total airway collapse... BLS airways, endotracheal intubation and cric kit. Even in those situations, ventilating the pt with room air, the air we breath right now, should provide oxygenation while waiting for EMS personnel to arrive and deliver O2 in higher concentration. I hope that isn't confusing. Great question though. Again for me its about what is the MOST important. After all if I carry O2 but the pt's airway is obstructed, then no amount of O2 is going to save them. Better for me personally to have the means of providing an airway and have a kit that isn't so heavy or full so I can have other supplies readily available. Thanks for watching. Stay tuned for more videos.

[@rockysolace123]

***** Thanks for the response. I dont think I will incorporate O2 since LE in my area carry it and are on scene pretty quickly. I'm looking forward to more videos!

[@TrunkyDunks]

This is a great kit, incredibly inclusive. I love it. The only thing I don't understand is the I/O, I get why it's there, but with no meds it wouldn't be of much use. But you sound qualified beyond me so I won't question it. Great video

[@The911Medic]

That's true. I have it as a back up for giving fluids in the event I'm unable to start an iv. I appreciate your comment.

[@benmalone31]

Could you please show us how to use a penlight correctly?

[@tylersihota6987]

how do you feel on making a video on a needle or injection kit. thank you for your time

[@The911Medic]

You mean doing a video on starting an iv?

[@tylersihota6987]

+The911Medic yes

[@tylersihota6987]

and thank you for your reply

[@brandonsosa5761]

I lake to see review on the dynastic tool

[@tracimilstead7626]

Can you do videos for diagnostic tools

[@andrewdaniel7873]

What are the colored rings on the stethoscope?

[@nairnroy5020]

Andrew Daniel I

[@adrielrowley]

My understanding is to help with children so less scary.

[@Lonewolfpack]

As a paramedic in the province of Ontario I think a patient is a bit dangerous to have in your kit without the back up of an ambulance, especially doing it all family member I would look at my personal kid I carry I gels it’s a basic BLS airways and king tubes for airway management I would not consider endotracheal tubes as an option and a personal kit especially if you don’t have the training to use it and especially if I don’t have access to manual suction, or automatic suction, or a CO2 detector

[@hikesolo3565]

Going outside your 'scope of training' can or might negate the "good seymeritan law" that protects you. But most fire dept. have a volunteer program that will be glad to train you. My fire district will send you to EMT classes. But be forewarned, emergency medicine can become a passion!

[@thispersonsdad7247]

Also be careful signing up for anything before reading it. you may sign your life away and discover it's something you shouldn't be doing. Don't know from experience just a thought.

[@glennkoenig6078]

If you become a trained EMT, depending on the Tort laws in your state, you might not be protected under the Good Samaritan Laws. Becoming trained is a great and powerful thing to do, but you would be legally considered a professional, and not be judged as a lay person trying to administer basic first aid.

[@mickieyslim4305]

Did you have a trac kit?

[@The911Medic]

Mickiey Slim Yes.

[@Dave-ji1hv]

Great video! You just earned a sub! Gotta watch out for those pesky scissors!

[@kieranmcclelland1353]

Can you do some diagnostic videos please

[@The911Medic]

I will. Stay tuned. Had a lot of requests for this. Thanks for watching!!!

[@ajtactical8323]

Question ... i know O2 is a drug, but is okay to have one in a in home kit??? i recently bought a trauma kit from ' lightning x products' , its mostly BLS equipment, but it did come with the O2 tank (empty) . im a EMT student and im using the kit for my skills practice, but the BLS first aid equipment does come in handy around the house.. just wanted to know, could it be okay to have the O2 tank??

[@hi161g]

Its fine to have the tank empty, to have it filled with O2 requires a prescription.

[@ajtactical8323]

Cool deal man.. thanks for the information!

[@james13341334]

you do need a prescription for O2 however dependent on your level of training and your intended use of the tank it shouldn't be hard to find a physician that would be willing to write you a script for it. just show them that you are an EMT and tell them why you want O2 and they will probably give it to you

[@christianuy5791]

You can fill your oxygen tank at your job or welding shops have oxygen. Ive heard some emts getting their tanks filled at welding shops. But the question is if it is safe and medical grade.

[@Dave-ji1hv]

Can you reccomend an irrigation syringe?

[@The911Medic]

Dave Honestly depends on what you need it for. If for basic cuts/wounds then a 20ml syringe would work. I just use a 10ml at work for small wounds. Thats just because I have a lot of 10ml prefilled syringes on the ambulance. My preference would be a 50-60ml syringe that way you can get good pressure behind a large amount of water. Hope that helps.

[@Dave-ji1hv]

***** Awesome thanks but I ment a brand. But I will keep that in mind.

[@dadiabood5972]

thanx a lot for sharing this

[@intisarmuhtadee1117]

Keep some surgical sutures too and some pair of mayo scissors and other tissue cutting scissors.

[@blackshow5129]

What about a rescue blanket ?

[@The911Medic]

Black Show Great idea for a survival bag/bug out bag. Maybe that would be a good idea for another video?!?!

[@luxaos]

How about a sharps container?

[@The911Medic]

luxaos I bought one and returned it. Thought it would be a good idea also, but there are other things I wanted in the kit that where more important to me. Sharps container took up too much room. As mentioned in my videos I would only use my advanced equipment for family members or very close friends. So definitely not something I have to worry about on a daily basis. Not a bad idea to have one though. In fact I might be able to fit a sharps shuttle in my kit. I'll look into it. Thanks for your comment! Keep watching.

[@flskywarn]

I can't say that your decision to intubate those close to you is bad, at all. I've made the same decision. Full ALS for them if something ever happened. I think any reasonable medical professional would also do that. Also, have you looked into a BIG (Bone injection gun) or even the EZIO because those manual IOs suck to get in.

[@The911Medic]

I have thought about it. Never seen the BIG before. Just looked it up...very cool! Added to my wish list. Thx.

[@flskywarn]

***** No problem man! Nice kit overall!

[@flskywarn]

***** an IO is a great alternative in the case you cannot get an IV for example severe hypoperfusion causing vascular compromise or cardiac arrest. However since he has a manual IO needle, I was suggesting an alternative which makes it far easier to get the IO in to the patient.

[@archivo.malvinas]

cool stuff!!!!!!!!

[@anthonymccomack]

You said you would do some video requests... 16 G Solo EJ video next!

[@The911Medic]

That's really funny!!!

[@Dave-ji1hv]

***** What is a 16 G Solo EJ? And why is it so funny? Not that experienced in the medical field yet.

[@The911Medic]

16 gauge is a size of IV catheter. EJ is short for external jugular vein which is in the neck. The initial comment was for me to make a video of me performing an IV in my eternal jugular vein. Obviously that would be extremely difficult and dangerous which is why it was so funny to me. Though I'm sure my views would go up! Lol.

[@Dave-ji1hv]

OH GOD!!! THAT WOULD BE DANGEROUS!!! YOU COULDNT PAY ME A MILLION DOLLARS TO STICK MYSELF WITH A 16 GAUGE LET ALONE IN THE NECK!!!!!!!!!!!! Would get you a ton of subs and views!!!!!

[@sr71ablackbird]

***** so, they want you to do a jugular stick ? ask them how it feels to want.

[@Finlay2419]

are you trained to use them ?? do you have insurance if you get it wrong ?

[@christianuy5791]

finlay taylor I believe he is a paramedic (EMT-P).

[@eunicemartin8848]

where is the cpr

[@Jaguarjitsu]

Thank you

[@owencoulton7638]

Could you please do a video on how to use most of the basic diagnostic equipment and a OB kit?

[@joelkelm3940]

Owen Coulton go to emt school and you'll learn

[@DigitalAndInnovation]

@@joelkelm3940 very aggressive comment- it would be better to address why it might be problematic for this channel to make such a video than attack Owen.

[@ammarzia9722]

No senitizer in this kit . But you have in old one

[@cooperharvey2502]

My moms and lpn so i know how to use all of that because i took not lpn classes but rn classes because my moms friend teaches rn classes, so i can actually use all that

[@wcresponder]

Don't forget there is a difference between can do and licensed to do. Especially in the good sUeS of A.

[@Max-gb3ze]

Are you a doctor because here in the uk to incubate someone you need to be a doctor but still a great video

[@dantheman10091981]

Registered paramedics and some registered nurses (dependent on their area of practice) are also able to intubate here in the UK.

[@Max-gb3ze]

Dan H ok

[@faithkast5380]

I love it are you trand in EMS

[@The911Medic]

Faith Kast Yes I am. I’ve been a paramedic for 8 years. Started as an EMT 11 years ago. I’ve worked as a paramedic is 2 states.

[@chrisbuck2918]

Is....... is that a tackle box? 🤔 interesting.

[@brickidloveslegos]

(Pulls out et tube) Edit: holy crap he actually did

[@fgerman14]

can you please iv

[@The911Medic]

fred german Confused by your statement. Are you requesting I do a video showing how to place an IV?

[@kapkanbesuda9298]

Good vid

[@ierashachandrasiri8393]

I have spent months researching into prepping and discovered an awesome resource at Survivor Crusher System (check it out on google)

[@checkmeoutbrettyoutuber8862]

awsome

[@genius90kiesanglovemariema72]

Please give me that :( sta elena village antipolo city philipines

[@Finlay2419]

how have you learnt to do innuabation i think it is wrng that you have that to even do on friends or family as you could put them in a more worse state by you messing about and untrained

[@christianuy5791]

He is a paramedic but he is missing a lot of equipment to even do a proper intubation.

[@Finlay2419]

i cant see that ebay is reputable buyer for medical equipment

[@Jaguarjitsu]

When performing intubation don't you need to administer drugs to immobilize the muscles

[@The911Medic]

Not in every instance. Inducing paralysis for intubation is required in some situations, intact gag reflex, massive head trauma with a clenched jaw and some others. But if a person lacks a gag reflex then no need for medications. Intubation during Cardiac arrest is performed without medications. Often times when a pt become apneic they lose their gag reflex. So again, no need for the medications at that point. I hope that answers your question without confusing you. Thank you for your question.

[@cooperharvey2502]

its not safe to keep all of your supplies in a plastic bag because of the chemicals

[@wcresponder]

Why?

[@mikel9567]

You are an idiot. I would suggest you turn off CNN and actually LEARN about plastic, what chemicals are in it, and the degradation process.

[@joelkelm3940]

drop the intubation and stock king airways....you should never attempt intubation unless you've been licensed and practice regularly. I don't let me medics intubate unless the can show practice time

[@The911Medic]

Thanks for the recommendation. I am licensed and I do practice regularly. I have been averaging 4-6 intubations a month for the past 5 months for example. I completely agree that without training one should never attempt this procedure. Thanks again for commenting

[@joelkelm3940]

That's great! Keep it up and you'll out skill docs

[@The911Medic]

Adding king airways is a great idea. So simple to use and especially if something were to happen to me, anyone would be able to place one in me. Intubation...not so much. Have you seen or used an i-gel? Easy to place and no cuff to inflate. Our agency carries these SG airways exclusively. We changed over from king airways about a year ago. Thanks again for commenting. Please feel free to leave more.

[@FishinBoat119]

The911Medic My department uses I gels. I can't stand using them. all time fan of the king airway for supraglottics. We scrubbed our braslow tape and went to the Handtevy system.

[@joelkelm3940]

why the switch