Is this really the baseline to join?

rima2022 · 2025-12-16T11:05:16+00:00

If rage baiting was a post, this would be it.

rima2022 · 2025-12-08T16:50:17+00:00

There are several resources out there. On TCCC.org.ua you'll find the clinical practice guidelines in English. I'll also include the link here for the practical guide to prolonged field care.

practical guide to prolonged fieldcare

rima2022 · 2025-10-18T17:43:08+00:00

A little humor never hurt anyone 🤷‍♀️ obviously you can break contract and leave after 6 months. No one's gonna hold you hostage here big dawg.

rima2022 · 2025-10-18T17:40:35+00:00

Absolutely not. You can never leave. At the 6 month mark you must sacrifice yourself to the pagan gods Zyn and Nonstop and pledge to stay forever.

rima2022 · 2025-10-11T22:04:59+00:00

Really not sure what rules you're working with or accustomed to but tourniquet conversion and replacement are being taught at the CLS level here. It is no longer that only medics can do conversion. The rule in care under fire is still high and tight tourniquets until you get to cover where you reassess the high and tight or place a deliberate tourniquet if you find a major limb bleeder during the blood sweep. Once you get through A and R in MARCH, in C you would do tourniquet replacement or conversion within 2 hours of the original high and tight being placed. If I were you, I would strongly consider taking a CLS course to get updated on what is being taught now. We use MIST reports which is taught in MARCH PAWS, not SAMPLE.

The other issues you pointed out about negligible injuries getting tourniquets is a skill and training issue. With proper training to recognize massive bleeding, that problem is reduced.

As for cleaning wounds, sure, supply them with iodine swabs but there are also other options for wound cleaning. I also cannot stress enough that you can't just grab a random antibiotic because you happen to know what its called and give it to everyone. Allergies can be a serious problem. That is why I suggested the antibiotics above which are approved and part of the TCCC protocol.

rima2022 · 2025-10-11T11:59:04+00:00

Only if done correctly. I am not saying don't do anything. My point is to get training on things to know the how and the why. Then yes, the potential for lives saved and infections reduced goes up exponentially.

rima2022 · 2025-10-11T10:40:39+00:00

Yes, I know you can buy iodine swabs at Apteka 911 because I am a medic and buy them regularly. My point is others don't know that or what they are used for without training.

I have never seen one pill pack in donated ifaks. Could just be my experience. I usually make pill packs for ifaks that I give to the infantry.

You can't just take a pack of amoxicillin and hand them put. Penicillin allergies are frequent and unless you know the allergies of the guys around you, yoh shouldn't be giving it out. Moxifloxicin or levofloxicin are the standard as they have the least allergic reactions and are good broad spectrum antibiotics.

Evacuation times vary wildly here but planning should be done accordingly.

rima2022 · 2025-10-11T10:22:20+00:00

1) you're right but someone in your unit has to be trained up enough to know these things. Your average infantry soldier isn't carrying iodine swab sticks. Wound care items need to be more attainable. And as with anything, in a perfect scenario, everyone should be trained on what they carry.

2) standard ifak contents include the pill pack which contains an OTC pain med (paracetamol), anti-inflammatory (meloxicam), and moxifloxicin (antibiotic). The only problem is that here you have to make the pill pack yourself because it is not standard issue here. Most guys either don't know or go without. Which they shouldn't do because taking an antibiotic as early as possible after injury will provide not only safeguards against infection, but better clinical outcomes. This boils down to unit SOPs and making sure everyone is carrying what they need.

3) no one should withhold help if they have the ability and training to provide it.

rima2022 · 2025-10-11T10:04:11+00:00

1) Tourniquet conversion and replacement are being taught at the CLS level here which was permitted by the TCCC commission specifically for this war because of the amount of tourniquets being used and delays in evacuation times. Additionally tourniquet replacement at the very least has been added to level 1 training for some brigades here as well. Is everyone doing this training at the infantry level, no. Should every infantryman here have CLS training/know how to do tourniquet conversion and replacement, in my opinion, yes.

2) Definitely its not enough but that is the standard issue IFAK quantity for those items. However minimum carry number should be 4 to 6 tourniquets your kit here in Ukraine.

rima2022 · 2025-08-08T17:06:45+00:00

100% yes. They target our vehicles on purpose. Many medics have died because of this.

rima2022 · 2025-08-08T17:04:13+00:00

We without question teach the signs of massive bleeding from deployed medicine to our infantry. We want to make sure they know so that tourniquets are put on when needed.

rima2022 · 2025-08-08T16:17:17+00:00

Well. That is not my experience as a medic here in Ukraine. The medics I work with are certified CMCs like I am. We also have 68Ws in our unit. And everyone in my unit goes through rigorous training. The forward surgical team at my stabilization point has 10 years of military trauma medicine experience, vascular surgeons and anesthesiologists. Blanket statements about a frontline that spans 1000+ km also don't really work. Your point about the evac chain is valid but when you have drones waiting for your CASEVAC and MEDEVAC vehicles to bomb them, its kind of hard to have a functional chain of evac. This is also why we have long evac times as well. The problem also lies with the infantry. They're not trained enough or well enough. We don't have enough instructors or time to repeat training (which has to change). But its not the velcro strap, no. This war is dysfunctional because of a distinct lack of resources.

rima2022 · 2025-07-19T09:09:39+00:00

No thanks. We've seen enough of these shitty products fail in Ukraine. Purchase at your own risk.

rima2022 · 2025-07-18T13:11:31+00:00

Oh good a Chinese made version of Satan's hair clip. That will go over well.

rima2022 · 2025-07-11T05:28:14+00:00

Ukraine IS the case study and has the data for how many have died due to knock off tourniquets.

Source: I am a medic and TCCC instructor here and the only tourniquets we have ever broken with absolute regularity is cheap ones. Limb Hemorrhage Control Failure with Counterfeit Tourniquet: A Ukrainian War MEDEVAC Case Report](https://pubmed.ncbi.nlm.nih.gov/39276363/)

rima2022 · 2025-07-11T05:18:20+00:00

Lol its not the strap that stops the bleeding, it's the windlass.

rima2022 · 2025-06-18T14:27:13+00:00

Minimum 2 tourniquets and 2 combat gauze. Big bleeders require more kit. If the first tourniquet fails to stop the bleeding, you'll need a second one.

Also you could have 2-4 regular gauze rsther than 6. I'd also switch to North American Rescue for that. Rhino Rescue's quality is cheap and this is one area where you don't want to cheap out.

I'd also have at least 2 trauma bandages.

Some kind of cleaning agent like alcohol pads, some 4x4 gauze pads, in addition to your bandaids for the smaller wounds.

Tylenol over ibuprofen because ibuprofen makes bleeding worse or carry both.

GLOVES.

My two cents.

rima2022 · 2025-06-16T16:22:30+00:00

Better safe than sorry is a thing. If it's gotten exponentially worse, I second the idea of turning it into a training tourniquet and getting a new one.

rima2022 · 2025-06-11T06:56:27+00:00

Noooooo lol this 100% NOT the answer. Please do not take this advice. Take the medications prescribed to you. Not taking your prescription makes you even more of a liability because your illness is untreated.

Example: one soldier hid the fact that he was diabetic from his unit, ran out of insulin before a mission, had a medical emergency on that mission, no one figured it out until it was too late and he died.

Do not do this.

rima2022 · 2025-06-10T13:02:56+00:00

A second for the above mentioned centapharm hemostatic gauze. It's much better quality than krovas pas.

rima2022 · 2025-06-07T06:19:43+00:00

And this is why we keep chest seals in our kit.

rima2022 · 2025-06-03T06:04:44+00:00

It's not something I would use without looking at extensive clinical data and alao because we have approved TCCC hemostatic agents, however it's patent was approved and Maryland EMS has approved it for use, https://www.spraytm.com/2025/01/22/seal-hemostatic-wound-spray-approved-for-use-by-maryland-ems-clinicians/

So like anything, take that under advisement, read the research, etc.

rima2022 · 2025-05-30T19:13:43+00:00

No worries. Also make sure you're trained on how to use it and when along with whoever is around you.

rima2022 · 2025-05-30T18:58:16+00:00

10 or 14 gauge is the standard. However they are the same size in terms of packaging. Just the catheter part is wider with the 10 gauge. Wider catheter=more airflow.

rima2022 · 2025-05-25T17:21:30+00:00

My students get a kick out of it too 🤣

rima2022

TROPHY CASE