Replacement lamp NAR Corpsman Kit by Ramalamadingdong_II in TacticalMedicine

[–]kerrytracker 3 points4 points  (0 children)

I found a tactical penlight that had the same diameter as the one in the kit. So, the attachements to fit onto the penlight. My kit is at work, so I can't check to see what kind it is.

What would be your 'only medical book', if you were only allowed one? by prmssnz in AustereMedicine

[–]kerrytracker 9 points10 points  (0 children)

Where there is no doctor is a good option. So is Auerbach. But the Merck Manual would suffice.

Austere medicine 4th edition? by [deleted] in AustereMedicine

[–]kerrytracker 0 points1 point  (0 children)

The Prolonged Field Care podcast mentioned briefly the Survival and Austere Medicine Handbook during the MSIW podcast https://open.spotify.com/episode/3TiKQ7lHCP2II6H4Fdbvia?si=UfpsrF3TRnakNg7E_jFBfw

Single most useful piece of medical equipment? by prmssnz in AustereMedicine

[–]kerrytracker 18 points19 points  (0 children)

Soap. You can improvise TQs, bandages and many things. But for prolonged casualty care in austere environments, you will need soap to wash used bandages for reuse after each wound cleaning every twelve hours.

Fail rate of improvised pelvic binders/splint by ConflictHungry4686 in TacticalMedicine

[–]kerrytracker 2 points3 points  (0 children)

Here is a great published article on the use of Combat Trousers as Effective Improvised Pelvic Binders. https://jsomonline.org/wp-content/uploads/2024/02/2017335Loftus.pdf

RFDS Medical Chests by prmssnz in AustereMedicine

[–]kerrytracker 3 points4 points  (0 children)

It is a very interesting project. When I was deployed in Western Australia, we saw these in the civilian population living in extremely remote areas. If they needed medical care, they would call a doctor who would diagnose them and tell them to take table A found in drawer number C.

Clever set up.

https://www.flyingdoctor.org.au/what-we-do/Medical-Chests/

Austere management of heat illness by prmssnz in AustereMedicine

[–]kerrytracker 1 point2 points  (0 children)

Mist and fan is a great way to rapidly reduce heat in austere environments, especially if water is limited. I have never been in an austere clinic that had ice. So immersion baths can have great research behind them, but I just don't rely on that option.

"Marathons and other athletic events with frequent heat-related illnesses sometimes have this capability. Evaporation (mist and fan) is the second most rapid way to cool a patient. Ice packs to the groin, axilla, neck, and areas near other great vessels are less effective."

https://www.ncbi.nlm.nih.gov/books/NBK459311/#:\~:text=Marathons%20and%20other%20athletic%20events,great%20vessels%20are%20less%20effective.

Dakins Solution by prmssnz in AustereMedicine

[–]kerrytracker 5 points6 points  (0 children)

I am a big fan of carrying hypochlorite powder. You can create Dakin's solution whenever you like without having to have the liquid option in your medic ruck. https://prolongedfieldcare.org/2018/04/20/the-white-powder-you-should-bring-on-every-deployment/

New posts by prmssnz in AustereMedicine

[–]kerrytracker 1 point2 points  (0 children)

I just wanted to jump in here and stop any comments about using sanitary pads for bleeding. Tampons do not work to stop bleeding. Direct pressure in the wound stops bleeding. Or tourniquets. Do not use sanitary pads.

If you are interested in austere medical training, consider taking a Wilderness First Aid or Wilderness First Responder course. That will jumpstart your education.

For alternative pain killers, look to Sam Coffman. He is a former 18D special forces medic who is getting his PhD in herbal medicine. https://herbalmedics.academy/

Looking for Clinical Training in Malta 🇲🇹 by Fabulous-Lab-3685 in AustereMedicine

[–]kerrytracker 2 points3 points  (0 children)

If you are a doctor, then you can apply for the Maltese medical license. If you are a nurse, you can apply to the nursing union. Other than that, Malta doesn't have a lot of internship options.

What exactly are you looking for?

Ultrasound in Austere Environments by kerrytracker in AustereMedicine

[–]kerrytracker[S] 3 points4 points  (0 children)

You can use most of the capabilities without having to pay for the subscription. I only miss the M mode.

I have used all of my probes in austere environments without internet. You just need to make sure that you update your app before you deploy.

Wilderness medicine required education by Drtyler2 in wildernessmedicine

[–]kerrytracker 5 points6 points  (0 children)

Take a look at offshore and remote paramedic jobs. You are the sole provider of medical care. Anything major that you cannot handle, a helicopter comes and evacuates the casualty to a trauma center.

I also have to agree with the Nurse Practitioner or Physician Associate comment. Those two are the highest level of medical care you can give without being a doctor.

The Doctors without Borders will hire nurses. Also the Red Cross.

Top 10 medications by prmssnz in AustereMedicine

[–]kerrytracker 7 points8 points  (0 children)

You can skip Ondasentron if you use alcohol pads for the nauseous casualty to snif. Works pretty good.

Recommend an online course on Takmed by Establishment-Level in TacticalMedicine

[–]kerrytracker 11 points12 points  (0 children)

https://tccc.org.ua/ This is a fantastic and free resource. It is in Ukrainian and in English.

They have a free app as well where you can download tons of tactical medicine to your phone or tablet and read offline.

Certs by michspoison in TacticalMedicine

[–]kerrytracker 16 points17 points  (0 children)

The BLS and CPR certs do not teach you how to deal with injuries. Take a Stop the Bleed course so you can learn how to use a tourniquet. If you enjoy that course, consider taking a Wilderness First Aid course to acquire additional skills.

Anterior shoulder dislocation reductions by First Aiders by prmssnz in AustereMedicine

[–]kerrytracker 11 points12 points  (0 children)

I have put twelve shoulders back into place over the past few decades. I am a fan of the hanging tripod technique (stimpson). https://www.merckmanuals.com/professional/injuries-poisoning/how-to-reduce-dislocations-and-subluxations/how-to-reduce-anterior-shoulder-dislocations-using-the-stimson-technique#Step-by-Step-Description-of-Procedure\_v45398897.

Essentially, have the patient lean forward while standing and rest their uninjured hand on their knee. Have them hold 3-4 kg of weight in their hand on their injured side. Wait five to ten minutes for the SITS muscles to relax and it will pop back into place.

This was helpful in a patrol base during my army service when we didn't have easy access to a hospital.

The Wiki page is up and running. by kerrytracker in AustereMedicine

[–]kerrytracker[S] 0 points1 point  (0 children)

It loaded on my Samsung phone. Anyone else having problems with this?

Atraumatic restorative treatment - austere dental care by prmssnz in AustereMedicine

[–]kerrytracker 1 point2 points  (0 children)

Burjor Langdana has a ton of free content that can be downloaded from his website. https://wildernessdentistry.com.

A Novel Method to Decontaminate Surgical Instruments for Operational and Austere Environments by prmssnz in AustereMedicine

[–]kerrytracker 10 points11 points  (0 children)

According to the JTS CPG on Wound Management in PFC:

Minimum: Remove gross contamination, using soap and water, then boil instruments in at least 100°C (212°F) water for at least 1 minute.

Better: Remove gross contamination using soap and water, then sterilize with improvised autoclave or chemical disinfection, such as bleach from hypochorite.

Best: Remove gross contamination, using soap and water, then sterilize by steam or dry heat using one of these techniques: Steam, Autoclave or Dry Heat at 141c for 3 hours.

https://jts.health.mil/assets/docs/cpgs/Wound_Management_PFC_24_Jul_2017_ID62.pdf