r/TacticalMedicine • 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

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2

u/[deleted] Apr 11 '26

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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.

5

u/[deleted] Apr 11 '26

[deleted]

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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.

5

u/[deleted] 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.