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 Post subject: USMC CAP contents
PostPosted: Wed Dec 15, 2010 9:31 pm 
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Location: Canada
Hi,

Earlier this fall I bought a CAP which came with most of the medical contents. Thing is, my medical knowledge is relatively basic (for those familiar with the canadian courses, I've folowed twice (to keep things fresh in my memory) the 2-days St-John's military emergency first aid course). Because of that, most of the kit like catheters, injection sets, etc are totally useless for me.

So out of what I have, I was wondering if anyone was able to give me some recommendations of what I should keep and learn to use (mainly for a BOB and week-long hikes), maybe like Quickclot? and if I could get help on putting a price on what I won't keep (that's not the kind of thing I can easily find on Google!)

Here's everything I had: (basics for my hiking & BOB are covered with a commercial first aid kit)

  • Pad Pre, Isopropyl Alcohol Impregnated, 1 x 2.5 inch - 14
  • Bandage, Elastic, 8 ''x 10'' Abdominal wound pad, Sterile (Cinch Tight) - 9
  • Bandage, Gauze Fluff 4.5 inch x 4 yrds - 6
  • Catheter & Needle Unit IV 18 ga x 1 1/4 cath - 6
  • Cannula, Needleless Access System IV w/Leur-lock inj site plastic - 5
  • Connector, Saline Lock - 5
  • IV Injection Set, Macrodrip 10 drops/ml, 12's - 5
  • Self-Grip, 6" x 4 yrds, Beige - 4
  • Sodium Chloride, Injection, USP, 500ml, 24's - 4
  • Bandage, Muslin Camouflage 37 x 37 x 52 inch - 3
  • Dressing Chest Wound Seal, Bolin, 10s - 3
  • Wound Pack, Hemostatic Agent, 5 x 7 " (Quick Clot) - 3
  • Bandage, Elastic, 16 x 12 Abdominal wound pad, Sterile (Big Cinch) - 2
  • Catheter & Needle Unit, IV 14 ga x 3 1/4 inch catheter - 2
  • Dressing , Burn, Water Gel, 4" x 16 " - 2
  • Needle, Hypodermic, 18 Ga, 1.5 inches, 100's - 2
  • Splint, Universal, Aluminum, 4" x 36", SAMS - 2
  • Syringe, Hypodermic, Gen Purpose, 10 ml, Leur tip - 2
  • Combat Medic Reinforcement Tape, Mini Roll Kit - 1
  • Crycrothrotomy set - 1
  • Intraoseous Infussion System (F.A.S.T 1) - 1
  • King-LT, Large, Size 5 - 1
  • Pack, Corpsman Assault - 1
  • Scissors, Bandage, 7.25 inch, angled handle - 1
  • Sponge, Surgical, 12-ply Gauze, 8" x 4", non-sterile - 1
  • Syringe, Toomey, 70 cc Sterile - 1
  • Tape Adhesive, Surgical, Woven, 3" x 1- yrds - 1
  • Tourniquet, Combat Application, One Handed (CAT) - 1

Everything is still good for a least 1 year before expiration date.

Thanks!
Conker

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 Post subject: Re: USMC CAP contents
PostPosted: Tue Jan 25, 2011 7:31 pm 
The New Guy

Joined: Sun Jan 31, 2010 11:54 pm
Posts: 2
Location: Wisconsin, USA
I'm not familiar with Canadian Courses, but since you said basic first aid I'll just go off the American standard of it... here's what you don't need:

* Catheter & Needle Unit IV 18 ga x 1 1/4 cath - 6
* Cannula, Needleless Access System IV w/Leur-lock inj site plastic - 5
* Connector, Saline Lock - 5
* IV Injection Set, Macrodrip 10 drops/ml, 12's - 5
* Sodium Chloride, Injection, USP, 500ml, 24's - 4
* Catheter & Needle Unit, IV 14 ga x 3 1/4 inch catheter - 2
* Needle, Hypodermic, 18 Ga, 1.5 inches, 100's - 2
* Syringe, Hypodermic, Gen Purpose, 10 ml, Leur tip - 2
* Crycrothrotomy set - 1
* Intraoseous Infussion System (F.A.S.T 1) - 1
* King-LT, Large, Size 5 - 1
* Syringe, Toomey, 70 cc Sterile - 1
* Tourniquet, Combat Application, One Handed (CAT) - 1 (only keep if you've been trained in these in your course).

Every thing else you CAN sell... but I recommend just taking it to your local hospital/EMS station and see if they want them for free or offer them up to the medic guys on these boards for nominal price. Otherwise you risk giving needles and syringes to drug-seeking people or giving equipment to people who aren't suppose to have it (though you are different from most of these people, because you in fact seeked assistance in what to do with the stuff you aren't trained for). That's why I personally only give people links to online supply stores that require proof of employment or a PAF before shipping needles and drugs.


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 Post subject: Re: USMC CAP contents
PostPosted: Wed Jan 26, 2011 3:25 am 
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So basically, everything that has needles. As for the CAT I'm hoping I'll be able to attend a formation in the near future, and considering it has no expiration date I'll probably keep it.

I'm not looking into making much money off that, just recovering a bit the cost of the CAP with which it came, although the idea of checking and local medical facilities is a good idea for what will be left.

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 Post subject: Re: USMC CAP contents
PostPosted: Thu Jan 27, 2011 3:25 pm 
The New Guy

Joined: Sun May 02, 2010 6:01 am
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Location: California, US
I concur w/ what dkruse said. Additionally -Quickclot powder is being replaced by Quickclot Combat Gauze. The powder causes to many problems ie burns, and gets in soldiers eyes in windy conditions. You can get the combat gauze on eBay. But once again, you should only use this if properly trained. It's not standard gauze to just "wrap" around a wound. This info is from what I have from being a instructor for the AF.

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 Post subject: Re: USMC CAP contents
PostPosted: Mon May 02, 2011 6:25 am 
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Joined: Wed Mar 30, 2011 11:51 pm
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Conk,

Avoid Quick Clot and Combat Gauze at all cost! When we were in Afghanistan they were recalling Combat Gauze because it wasn't working. Quick Clot is very difficult to use, messy and must be surgically remove once a higher echelon of care is rendered.

These chemical agents can only be used on arms and legs. The hardest part is getting the stuff on the source of bleed, ie vein or artery. When I went through the live tissue course, it was almost impossible to use on our casualty (a 200lb pig). Also, I would assume if you used it in the civilian world, surgeons wouldn't be as familiar as military doctors on how to remove it. It's very easy to do more harm than good with this stuff! Always use tourniquets and pressure to stop bleeding before applying a clotting agent.

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 Post subject: Re: USMC CAP contents
PostPosted: Fri Jul 08, 2011 8:12 pm 
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Not disputing it as I have no direct knowledge either way, but that's the first time I've read about any recall of Combat Gauze. Any further info on this?


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 Post subject: Re: USMC CAP contents
PostPosted: Fri Jul 08, 2011 9:02 pm 
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occamsrazor: Please take the time to complete your profile.
And no quoting of the post above.

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 Post subject: Re: USMC CAP contents
PostPosted: Tue Aug 02, 2011 6:29 pm 
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dumb Grunt wrote:
Avoid Quick Clot and Combat Gauze at all cost! When we were in Afghanistan they were recalling Combat Gauze because it wasn't working. ...
...Always use tourniquets and pressure to stop bleeding before applying a clotting agent.


Any studies to prove that? Recent one on this topis showed few percent better effectiveness of CG compared to gauze (but not very high- it's not magic powder and won't save anyone by itself, but with proper training it MAY improve the outcome...)

Yes, on extremities TQ first (faster, more effective, easier...), but when you want to stop hemorrhage in groin/ axillary area, it helps (Where you get the information on using it only on body?- IIRC loose forms may cause embolism, but when compared to exsanguination...) and the model with adapter may be able to get the agent and pressure down the wound canal where you can't stuff normal gauze.

Just for reference, my training comes from our BATLS/TCCC instructors, SOF medic I was working with recently, Journal of Royal Army Medical Corps and my military paramedic training (and Mighty Interwebz of course:D)- don't want to boast, just to let you know where my information comes from

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 Post subject: Re: USMC CAP contents
PostPosted: Tue Aug 02, 2011 6:59 pm 
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kaja I think dumb Grunt was revering to the Quick Clot granulate. This is not only hard to apply, but also not know with a lot of civilian surgeons, or at least they have not been trained on how to remove this. And as dumb Grunt correctly states, it should not be used any longer. This is mainly as there is a high probability that tissue burns may accrue when using QC granulate. However one can good results with QC gauze if trained to use it.

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 Post subject: Re: USMC CAP contents
PostPosted: Tue Aug 02, 2011 11:11 pm 
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Sine Pari: Yop, in that case I agree :)

In civilian world, it may become problem, but more and more EMS departments uses some kind of haemostatic agent, and surgeons have guidelines how to work with it. Of course not every doc, but still it's better to have problem with removal of QC, than with MODS/MOF from shock...

But as stated- you need to know HOW and WHEN to use it. Do no harm, do know harm...

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 Post subject: Re: USMC CAP contents
PostPosted: Wed Aug 03, 2011 12:19 am 
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And those are precisely the key words, WHEN and HOW, as well as WHAT to use. This can only be achieved through good training and on the job guidance/experience.

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