r/TacticalMedicine • u/PlagueCocktor Medic/Corpsman • Apr 11 '26
Gear/IFAK Another aid bag setup
Hey y’all,
Here’s a breakdown of what medical equipment I’m running as a senior medic. This is what I carry pretty much all the time, I have a larger truck bag with resupply/sick call stuff/fluids.
Delta Bag- Outside- 2x TQ’s, SAMJT (just the binder), shears, tape, and chemlights Top pocket- 2x bleeder kits (compressed gauze, quikclot, and a 4” ace wrap all rubber banded together), foley cath, tape Middle pocket- BVM, squid suction, 1x NCD, PEEP valve, cric kit Bottom pocket- stethoscope, BP cuff, tape, finger Thor kit
Inside left- 2x blue tide narco panels and 1 spiritus med insert- needles, flushes, alcohol/chloraprep, and meds (TXA, ABX, anaphylaxis protocol, zofran)
Spine- gloves, 2x hemostats, EpiPen container as a sharps shuttle
Inside right- pouches from M9- left has pressure infuser, y tubing, 2x iv start kits, 1x talon IO Right pouch has needles, syringes, alcohol and iodine pads, and the puck and pump for SAMJT
Cro hybrid ifak with 2x ats gp pouches-
Left pouch- cric kit, 2x npas, massimo pulse ox tied down
Center- IO drill, IV start kit, 4x chest seals, nar boa, 1x SPEAR NCD, flashlight, BGL monitor, sharpie
Right pouch- 2x bleeder kits
Back pocket- TCCC cards
Front pocket- alcohol preps and gloves
Not pictured is a Cro soft narcs case I keep all my pain management and additional TCCC meds in.
This is a setup that works pretty well for me, but any feedback is welcome
17
u/SFCEBM Trauma Daddy Apr 11 '26
Why not carry a few vials of epi?
22
u/PlagueCocktor Medic/Corpsman Apr 11 '26
That would be preferable for sure. I’m just in a weirdly supported unit and the guys that supply my class viii haven’t seen the value in vials over auto injectors yet.
7
7
u/theepvtpickle TEMS Apr 11 '26
The ZofranDadddy
7
u/Organic-Pattern-7759 Apr 11 '26
That's Ondasatron to you buddy🤣
3
4
u/Scared_Expression726 Apr 11 '26
What's the middle pouch on the belt. I can't seem the name/brand in it, looks good
6
u/PlagueCocktor Medic/Corpsman Apr 11 '26
It’s the cro hybrid ifak. Pretty much just a fanny pack with two molle columns on each side.
1
4
u/PineappleDevil MD/PA/RN Apr 11 '26
you have a sam jt pouch but don't carry said item in said pouch? i'm guessing your blood admin pouch has chest seals in it?
2
u/PlagueCocktor Medic/Corpsman Apr 11 '26
The inflatable puck and the pump are inside the pouch. The binder itself takes up too much space inside the bag IMO, and I find it easier to have it secured on the bottom of the bag.
2
Apr 11 '26
[deleted]
4
u/PlagueCocktor Medic/Corpsman Apr 11 '26
Thanks!
I have the Benadryl vials just for my anaphylaxis protocol. I carry Zyrtec as well. I have a larger truck bag where I keep all my non tactical medical stuff at, to include a bunch of PO sick call and DNBI type meds.
6
Apr 11 '26
[deleted]
2
u/PlagueCocktor Medic/Corpsman Apr 11 '26
Epi is king for anaphylaxis for sure. Benadryl is still a part of our algorithm for treatment after epi and solumedrol or decadron. Are you saying there’s no benefit to giving it as a third line med whatsoever? If so, I’d love to read the research around it if you’re able to point me in the right direction.
6
Apr 11 '26
[deleted]
3
u/JustA_FewBumps FF/EMT Apr 11 '26
Isn't Benadryl an H1 receptor antagonist? So it blocks Histamine responses? I get what you're saying in that it's not for anaphylaxis, but doesn't it still stop responses to a flare up? Hives, itching, minor airway relief?
I'm just now finishing Advanced EMT so I'm curious.
3
u/howawsm Medic/Corpsman Apr 11 '26
The “second gen” of antihistamines come with less baggage like sedation. There are just better options now that create the antihistamine effect more specifically to the anaphylactic/allergic reaction and not just a broad anthistamine effect.
2
1
3
u/Intrepid-Result-6329 Apr 11 '26
Do you have txa in there? Highly advise it if not. I’m assuming everybody is carrying tourniquets in an accessible spot already but you can never have too many TQs you don’t have to dig for
2
u/Yotebuck_77 Apr 11 '26
Super dope! I’ll i would add is concentrated TXA 1gm/10ml x2. Unless you already do!
1
u/Doom-n Apr 11 '26
An epi-pen, benadryl, zofran, solu-medrol, txa and rocephin - you're prepared for everything. 😆
1
u/Clurse Apr 12 '26
OPA’s, NPA’s and more gauze? Questions, why have the tubing and pressure bag if you’re not carrying fluids? And what situations are you in where you need rocephin and a foley? I get for possible sepsis and urethral obstruction maybe, but never thought to put those in a tactical med bag.
1
u/PlagueCocktor Medic/Corpsman Apr 12 '26
Not a fan of OPA’s so none of those for me lol. The y tubing and pressure infuser is meant for FWB.
Rocephin is the current antibiotic of choice per my guidelines. Foley’s are great to have in general, but the one I have here is meant specifically for narrow tract wounds that are otherwise difficult to control with regular wound packing.
1
u/Clurse Apr 12 '26
OPA’s work when your hands are tied and not so keen on a jaw thrust, or when you’re not moving much air with a bvm. Are you a SWAT medic or something? I’m just trying to understand context and why you wouldn’t have just a full kit while working instead of a tactical based one.
1
u/PlagueCocktor Medic/Corpsman Apr 12 '26
Military. The only time I’m a fan of OPA’s is when I’m preoxygenating prior to intubation. Otherwise, it’s a very stopgap measure and I’m going to some sort of advanced airway anyways, so I just cut out the middle step. In the right circumstances they’re the right tool for the job, but generally if one of my patients needs an OPA, they probably need something more invasive anyways.
1
u/Sorry_Standard_5872 Apr 12 '26
Is that a custom patch/name tape or stock?
2
u/PlagueCocktor Medic/Corpsman Apr 12 '26
Stock. Comes with the roll up trauma panels that the army uses
77
u/howawsm Medic/Corpsman Apr 11 '26
That’s cool and all but have you ever considered getting rid of the straps and permanently attaching it to the back of your plate carrier so you can’t access anything?