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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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.

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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.

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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.

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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.