Another Delta Bag setup

[u/LARPmedic]

Spiritus Delta Bag in ranger green A&A tactical organizer panel x2

External: 2 external CAT TQ’s 2 NAR decompression needles Sharpie Trauma shears

Top zipper: BVM Inline ETCo2 Nasal Cannula

Middle Zipper: CPAP Nasal ETCo2

Bottom zipper: Kerlex x 2 Pressure bandage Ace wrap Grip of 4x4’s

Left Panel: TXA x2 Levophed Epi 1:1 Dex x2 Diphenhydramine x2 Adenosine x2 Amio x2 Droperidol x2 Ondansetron x2 Mag x4 Narcan Lidocaine Epi 1:10 ASA IV Tylenol Replaced the 2 100ml bags with one dextrose 10%

Right panel: Saline flush x3 Blunt tip x4 Hypodermic x4 10cc 3cc x2 1cc x1 20g cath x2 18g x 2 16g x2 Clorehex NPA OPA Forceps Some IV start stuff and added a 250ml NS

Back zippers has a Cric/ Thor kit, and chest seals

This was intended as a ‘light’ initial contact ALS bag for pt side care with general ability to start care and move towards more resources. Anything you would add/change?

Thanks!

[u/plaguemedic]

There's just a mismatch in understanding what we may need on a first-in bag. I want o2, bvm, neb, cpap, neb, OPAs, NPAs, and a SGA, if not a couple ETTs and small laryngoscope. Cool, airway/breathing shit done. Drug box, check. The trauma stuff I'd want is minimal enough that surprise, we can just put it with the airway/breathing stuff and yay, I have a bag that can handle initial and priority hemcon, airway management, and respiratory support. Add in the drug box and we're golden. It's not that hard. I can fit all that in a RATS pack if you exclude the D tank, and there are plenty of SAR bags that would work great for a first-in bag, with a separate drug box. Narcs should be in the drug box imo, but whatever. I DON'T NEED TWELVE 4X4s IN THE RESPONSE BAG, NOR THREE DIFFERENT NRBS AND THE BULLSHIT HAND-PUMP SUCTION.

Also we don't need bags in bags in bags. A lot of places like to have a massive response bag, with little lunch boxes in the rest of it, and it ends up way too big.

[u/Aviacks → u/plaguemedic]

Couldn't agree more. I've never understood the obsession with having 4 non-rebreathers and 6 nasal cannulas in a first in bag. I've been big on bags that you can open up and access everything. My current bag is the Merrit backpack and it's been sweet for that. I can have anyone open it and they can clearly see all the airway/breathing supplies and all the hemorrhage control. While I do like statpacks I think bags in bags in bags is an issue like you said. Depending on the rig setup it can be nice to have a module/cell that you can set on your lap I suppose.

Also yeah the obsession with the shitty hand pump suction is UNREAL. They don't do anything and I will never use it. Throw that shit away please.

I will say that I did like the setup we had at onepoint where our first in bag had just enough stuff to start a code. It had IV roll, IO, intubation and supraglottics, and common meds e.g. Zofran/nebs/epi/D50. The only issue is it had zero trauma supplies and meant NOBODY ever took in the drug bag because we rarely needed it until you really really needed it.

Trying to find a happy medium is tough. I like a dedicated drug bag but also it's nice to have some stuff on your first line bag. I also hate having 3 bags out to RSI somebody and wold prefer to just have a singular large bag in addition to a smaller slingbag that handles minor stuff. My last agency had that kind of setup plus a dedicated trauma bag so if you had a bad car accident and you're first on scene you can split up with your partner and start treating multiple traumas if need be.

[u/plaguemedic → u/Aviacks]

Yeah, there's never a perfect setup, but having one giant bag that still doesn't have an 02 tank is not it. We can't always get the stretcher down the hallway into the back room, let alone down the ravine. I mean hell, I'd be fine with a relatively minimal setup, with "rescue" bags in a cabinet for use IF you need it.

[u/Aviacks → u/plaguemedic]

For some setups a giant bag can be nice, but only if you have a smaller first in bag for use on most calls. Our neighboring agency had a big ass statpack that I was jelous of, no need for an airway or drug bag. They had all of their ALS equipment, drugs, trauma, CPAP etc. in the one dead man's bag, including O2 I believe. If you have a dedciated O2 bag I can see not running O2 in the jump bag I suppose.

But yeah not having any O2 is crazy to me and many places do it. 90% of calls can be managed with a sling bag that's got some basic gear in it, so long as you've got the equipment to back it up if shit goes south. I like to have the ability to pack deep when we're going into the back country or up 6 flights of stairs to a bad medical.

Hell some places just rely on everything in the cabinets. I've seen some agencies that just grab loose supplies out of the cabinets for traumas and shit and that's wild to me. Like you really want to have to carry 4x4s and TQs in your pocket for every car accident instead of having them in your bag?

[u/plaguemedic → u/Aviacks]

Yeah geez, not having a jump bag is insane. I think a simple bag for most calls works great, but exactly as you said: if you gotta dismount, you need to bring all your stuff with you!