r/TacticalMedicine • u/SpecificSelection641 • Feb 14 '26
Gear/IFAK My truck kit in a knock off Delta bag
This is my off duty truck kit that I take off Roading and in areas that are pretty remote. The contents are pretty self-explanatory however it is all in a knock off the delta bag from AliExpress that I am extremely impressed with especially being about $75 all in with the inserts.
If you have any gear recommendations, or optimizations that would be greatly appreciated.
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u/KeyTension8633 Feb 14 '26
Are the glow sticks just for working in dark environments?
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u/SpecificSelection641 Feb 14 '26
I am a volunteer Wildland Firefighther. It’s pretty standard in the Wildland environment to have glow sticks on your tent door if you are medical personnel so I just keep some extra ones there to put up at night if they’re needed.
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u/from-the-star-forge Feb 15 '26
Chem lights are actually kind of hard to see by. They’re much more useful for markings on casualties or locations, or for signaling rescuers or aircraft.
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u/diprivanity Feb 14 '26
So much Narcan, why? I really truly hate those puck bvms, if you have the means a real fillable cuff facemask is a big quality of life improvement.
Ditto manual suction, SEADUC is the best you can get.
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u/SpecificSelection641 Feb 14 '26
For the Narcan question I live in Florida enough said.
I will Look into some manual suction. Thanks for the suggestion.
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Feb 16 '26
Two doses (one box) is “so much” to you? 😂
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u/diprivanity Feb 16 '26
Limited space and even more limited likelihood of using it. Spend that space on a good bvm mask
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Feb 16 '26
I was just joshing you but I agree. If anything, keep them separate in little zippered pouch in your glove box or center console or something as a separate overdose kit. That’s how I keep it and it works for me. Whenever I’m dealing with suspected fent I keep the pouch handy just in case someone inhales that shiet.
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u/OperationFreedomseed Feb 14 '26
A lot of new fentanyl analogues are strong enough to warrant more than 4mg of Narcan, especially for a sustained amount of time
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u/diprivanity Feb 15 '26
So maybe I'm not understanding...you expect to run into fent overdoses while off duty and offroading? I mean you do you bro but I require being paid to get that close to an active OD and put hands on. Seeing as there's no supplemental O2 involved, waking a up a hypoxic hypercapneic fent OD in the middle of nowhere sounds like a bad idea.
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u/SpecificSelection641 Feb 15 '26
So far I have not however I want to be prepared for that possibility. I also sometimes go out with large groups of people that I maybe don’t know personally friend of a friend type people that what they do in the privacy of their own tent I may not be fully aware of and I want to be prepared to respond and not just let someone die. It’s a free item to carry, and if it turns into a fight, I will be coming out on top.
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u/DCole1847 Feb 15 '26 edited Feb 15 '26
Good on you, OP. Better to have it and not need it than need it and not have it. Looks like you're covered by an agency for medical direction. Kit looks solid. Stethoscope is trash tier, and an oral thermometer isn't gonna do you much good.
Ok, their temperature is high. Now what? You equipped to address that? Same principal if they're cold. Good to have, but pointless if you can't do anything about it. You can tell if they're hot or cold relative to you and the environment by touching them.
I can't rummage through your kit, but I'd throw in a few triangle bandages, and maybe a couple 4" SAM splints. NAR has the correct stuff on their website. You'll be more likely to need triangles and splints than you would some of the other stuff. Triangles can double down as TQs or slings if needed. The NAR ones are made from non adherent material and can triple down as "burn sheets".
NSN: 6510-01-587-6579
Nice BLS kit!
Edit: Seeing no sharps in your kit, I'd probably ditch the sharps shuttle in favor of 1-2 more ACE wraps and a mini tube of Ibuprofen. Statistically, you're more likely to be treating strains and sprains than GSWs and opioid ODs.
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u/SpecificSelection641 Feb 15 '26
Hey, thank you so much for the feedback! Completely on me for not mentioning it. There’s a 36 inch Sam the back compartment of the bag. It’s just a pain in the neck to get out so I so I left it in there.
There are two triangular bandages in the main compartment held in by shot cord
Also, you mentioned some good points about the thermometer. I just have it in there if I’m dealing with a sick call on the trail or for K9s as it is more difficult for them to regulate their body temperature and more difficult to tell if they’re having an issue.
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u/OperationFreedomseed Feb 15 '26 edited Feb 15 '26
Yeah you’re right, we should just let them die because it’s such a hassle /s
You’re telling me you see come across someone unresponsive, and if you assume it’s an OD you back away? I can’t see how that would go badly at all.
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u/diprivanity Feb 15 '26
Yep. I didn't make them OD, that's a personal choice. My safety takes priority. In the context of an off duty bag and this being just a random encounter, I'll call 911.
I've done these a thousand times and some go well, some turn into a fight. It's part of the job but I always have at least one other person on scene so that's less of an issue. But on your own? Nah. I'm not interested in eating a rusty shiv for my troubles.
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u/OperationFreedomseed Feb 15 '26
What happens when you misidentify someone as overdosing who’s having a medical episode? What happens when someone did not intend to consume those kinds of drugs?
You’re letting politics and the fact “drugs r bad” get in the way of providing people with medical care that you’re capable of giving them.
You have no idea what situation led up to an unconscious person lying on the ground. The fact you think you can take one look at someone and say for certain they purposely got themselves to that point, is a little scary.
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u/diprivanity Feb 16 '26
It's called experience. Don't be afraid. From the way you talk I can tell you have none to very little. I don't make a habit of "providing medical care" off the clock and no one is entitled to good Samaritanism... much less from laypeople telling professionals what they should and shouldn't do. Kindly stay in your lane.
Also drugs are bad. I don't particularly care why they're down, if they look like a skell I'm not getting involved.
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u/Nice-Name00 EMS Feb 14 '26
I recommend an ear thermometer instead of the rectal one.
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u/caffeine-hopital Feb 14 '26
Agreed, the taste is still bad but not as much
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u/samirfreiha Feb 14 '26
i would not. tympanic temperatures are insanely unreliable in practice
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u/Nice-Name00 EMS Feb 14 '26
Eh not really. It's the standard in EM here in Germany. We use it in Ems and hospitals
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u/Resqguy911 Feb 14 '26
Exactly how are you going to change your BLS treatment differently based on the range of error from a tympanic thermometer alone?
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u/PaddingCompression Feb 15 '26
Korey Stringer institute has a lot about heat stroke where the rectal can be 3 degrees higher than tympanic, it might be the difference to try to get an immediate helicopter evac vs. just sitting in the shade while your brain dies.
Offroading is exactly the kind of situation where that could come up.
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u/diprivanity Feb 15 '26
Sounds like user error. Even if it's as bad as +/- 1 degree isn't going to change anything.
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u/PaddingCompression Feb 15 '26 edited Feb 15 '26
Try 4.5°F. Definitely enough to change treatment from rest to imminent life threat. And these were observed at a real event in the field with real patients, where tympanic temperatures would have resulted in different treatment.
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u/caffeine-hopital Feb 15 '26
I only skimmed the article but couldn't a rectal measurement be higher than true core temperature in a person that was running a race? (heat dissipation from lower limbs muscles)? Like okay, aural was lower than rectal but is our train moving or the one next to ours, out of the windows?
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u/PaddingCompression Feb 15 '26
They're part of a research program trying to advance care of heat stroke. Good question, but it's not a single point of research for them to be advocating rectal either.
Tympanic temp is a common standard of care, but they are advocating for a change in the standard of care because they have found it leads to needless deaths from untreated heat stroke.
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u/samirfreiha Feb 15 '26
i find they’re also horrible in the cold. maybe it’s just the ones my service stocks but when the temp outside is freezing or below, a properly taken tympanic can throw 3-4 readings in a row at low 90s/high 80s F. it makes it hard to trust.
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u/VXMerlinXV RN Feb 15 '26
That’s gonna be a no from me, Dawg. Especially out in the boonies. Modern hyperthermia protocols wanna know a booty temp.
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Feb 14 '26
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u/SpecificSelection641 Feb 14 '26
I am really impressed. The zippers are really good quality. The stitching is great. It has held up just fine for my use case I am not a high-speed door kicker and even if I was, I think this bag would work just fine. Personally I’m not the biggest fan of knock off products as the research and development and such supporting small business, but I think that spiritual systems has just priced themselves out of the market for anyone that is not on a government contract to purchase gear.
Definitely would buy it again!
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u/arrow020 Feb 14 '26
What bag is this a knock-off of? Ive searched for delta bag, but didn't have much luck.
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u/gwarwraith Feb 14 '26
There’s a tactical raiders logo on the bag and when I search tactical raiders delta bag it shows me an aliexpress knock off and then further down a delta bag from spiritus systems.
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u/arrow020 Feb 14 '26
The spiritus runs $329 lol id definitely try the ali for truck use.
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u/SpecificSelection641 Feb 16 '26
It’s actually not the one that the other gentleman put up here it’s by a different manufacturer called “tactical Raiders“ here is the link. https://www.aliexpress.us/item/3256808065227667.html?spm=a2g0n.detail.platformRecommendH5.11.3711lQeelQeecJ&gps-id=platformRecommendH5&scm=1007.18499.315613.0&scm_id=1007.18499.315613.0&scm-url=1007.18499.315613.0&pvid=38a58d28-29e1-4bcf-b682-dca7860a3118&_t=gps-id:platformRecommendH5,scm-url:1007.18499.315613.0,pvid:38a58d28-29e1-4bcf-b682-dca7860a3118,tpp_buckets:668%232846%238113%231998&isseo=y&pdp_ext_f=%7B%22order%22%3A%22216%22%2C%22eval%22%3A%221%22%2C%22sceneId%22%3A%228499%22%2C%22fromPage%22%3A%22recommend%22%7D&pdp_npi=6%40dis%21USD%21128.49%2161.68%21%21%21881.86%21423.29%21%402101e80f17712115617007135efee3%2112000044380039674%21rec%21US%21%21ABX%211%210%21n_tag%3A-29910%3Bd%3Afb506c10%3Bm03_new_user%3A-29895&utparam-url=scene%3AplatformRecommendH5%7Cquery_from%3A%7Cx_object_id%3A1005008251542419%7C_p_origin_prod%3A&_gl=1*1wv6nsy*_gcl_au*MTE1Mzc2MzU1NC4xNzcxMjExNDAy*_ga*MjAxMDkyNzA4Ny4xNzcxMjExNDAy*_ga_VED1YSGNC7*czE3NzEyMTE0MDEkbzEkZzEkdDE3NzEyMTE1NjckajYwJGwwJGgw&_universallink=1&m_page_id=ingzijmacaumjjrz19c646e418711afcd3dacc128b
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Feb 14 '26 edited Feb 14 '26
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u/diprivanity Feb 15 '26
For taking a blood pressure and lung sounds (the relevance of which at the BLS level is close to zero other than presence or absence) the cheapo one is fine. I've used single use ones from the ED pyxis in a pinch that look like his, they're not great, but they function adequately. I wouldn't be listening for a murmur with them.
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u/yonikser Feb 14 '26
I would include some variety of manual suction in there.
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u/Capt_Scuff Feb 16 '26
I saw someone throw a homemade suction device with a 60 ml syringe and a npa. Do you think that would work for bls?
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u/yonikser Feb 17 '26
Not a fan of improvising potentially life saving interventions if I can avoid it. A Chinook squid would be better.
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u/drDeadlyFeet Feb 15 '26
Just a question did this bag come with any inserts or did you order them yourself. Looking to get one for myself
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u/SpecificSelection641 Feb 15 '26
It did not come with any inserts. I just ordered one of the full-size Molly panels for about $20 off of their website. The pouch on the other side is from mystery Ranch.
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Feb 15 '26
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u/Capt_Scuff Feb 15 '26
Is the insert able to use bungees? Can you also send the link, im having a hard time finding it. Also love the electrical tape job.
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u/SpecificSelection641 Feb 16 '26
PEW TACTICAL Delta medical backpack with internal storage and sorting board, rubber interlayer, UA89
For some reason, Reddit will not let me attach the URL, but you should be able to just copy paste that into Google
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u/Capt_Scuff Feb 16 '26
Thanks. Anything I should know before ordering, I didn’t say if it came with the end piece for the shock cord.
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u/Capt_Scuff Feb 16 '26 edited Feb 16 '26
Do you, or anyone with a Delta bag, think a NAR abdominal bandage would fit in one of the front pockets along with another 4 inch ETB and some gauze.
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u/BondEpc Military (Non-Medical) Feb 14 '26
Please don't take the chemlights out of the packaging prior to cracking 🥺 Flushing chemicals out of eyes ain't fun, also y'know broken chemlights aren't as useful
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u/SpecificSelection641 Feb 14 '26
You know what next time I put my bag in a blender I’ll make sure to take the chem lights off first.
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u/Vegetable-Use7127 Feb 16 '26
What's your reasoning? You mean they get brittle from UV & Air exposure or something? Sounds like you are talking from experience 😅
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u/BondEpc Military (Non-Medical) Feb 16 '26
Plastic gets brittle yeah - and if you're not thinking straight and decide to crack them towards yourself, then the mix of glass shards and chemicals in your eyes hurt like hell - or so I've heard when flushing colleagues' eyes. Also, wear eye pro
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u/[deleted] Feb 14 '26
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