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SAR Medical Kits Will Smith, MD, EMT-P Jackson, WY www.wildmedconsulting.com

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Page 1: SAR Medical Kits - 1.wildernessdoc.com · SAR Medical Kits Will Smith, MD, EMT-P ... Personal SAR gear Radio, GPS, Survival Gear ... Toradol Morphine Epinephrine Vial (30mg)

SAR Medical Kits

Will Smith, MD, EMT-PJackson, WY

www.wildmedconsulting.com

Page 2: SAR Medical Kits - 1.wildernessdoc.com · SAR Medical Kits Will Smith, MD, EMT-P ... Personal SAR gear Radio, GPS, Survival Gear ... Toradol Morphine Epinephrine Vial (30mg)

Disclaimer

I have no financial relationships with anycompanies or items presented.

I’m just sharing my experiences of whatworks for me!!

Research and make your own judgments!

Page 3: SAR Medical Kits - 1.wildernessdoc.com · SAR Medical Kits Will Smith, MD, EMT-P ... Personal SAR gear Radio, GPS, Survival Gear ... Toradol Morphine Epinephrine Vial (30mg)

Objectives

Discuss medical kits forSearch and Rescue (SAR)

Role of medical care in SAR

What’s in my kit?

Page 4: SAR Medical Kits - 1.wildernessdoc.com · SAR Medical Kits Will Smith, MD, EMT-P ... Personal SAR gear Radio, GPS, Survival Gear ... Toradol Morphine Epinephrine Vial (30mg)

What to bring? What is the mission?

Urban vs. Wilderness vs. Technical

Page 5: SAR Medical Kits - 1.wildernessdoc.com · SAR Medical Kits Will Smith, MD, EMT-P ... Personal SAR gear Radio, GPS, Survival Gear ... Toradol Morphine Epinephrine Vial (30mg)

What to bring? Known vs. Unknown Location

Page 6: SAR Medical Kits - 1.wildernessdoc.com · SAR Medical Kits Will Smith, MD, EMT-P ... Personal SAR gear Radio, GPS, Survival Gear ... Toradol Morphine Epinephrine Vial (30mg)

What to bring? What is the known number of

patients and their conditions?

Page 7: SAR Medical Kits - 1.wildernessdoc.com · SAR Medical Kits Will Smith, MD, EMT-P ... Personal SAR gear Radio, GPS, Survival Gear ... Toradol Morphine Epinephrine Vial (30mg)

What to bring?

Evacuation options? Helicopter vs. Ground vs. other

Page 8: SAR Medical Kits - 1.wildernessdoc.com · SAR Medical Kits Will Smith, MD, EMT-P ... Personal SAR gear Radio, GPS, Survival Gear ... Toradol Morphine Epinephrine Vial (30mg)

What to bring?

Level of Rescuers WFR, EMT-B/I/P, RN, PA, MD

BLS ALS

What ALS skills will help in SARsettings?Airway Pain Management

Page 9: SAR Medical Kits - 1.wildernessdoc.com · SAR Medical Kits Will Smith, MD, EMT-P ... Personal SAR gear Radio, GPS, Survival Gear ... Toradol Morphine Epinephrine Vial (30mg)
Page 10: SAR Medical Kits - 1.wildernessdoc.com · SAR Medical Kits Will Smith, MD, EMT-P ... Personal SAR gear Radio, GPS, Survival Gear ... Toradol Morphine Epinephrine Vial (30mg)

My SAR Medical Kit

A work in progress…

Compartmentalization is the key

Be ready to improvise

Page 11: SAR Medical Kits - 1.wildernessdoc.com · SAR Medical Kits Will Smith, MD, EMT-P ... Personal SAR gear Radio, GPS, Survival Gear ... Toradol Morphine Epinephrine Vial (30mg)

SAR Medical Kit

Spare backpack Key pieces of medical equipment

Airway Bag (Oxygen) IV BagMed Bag

Personal SAR gearRadio, GPS, Survival Gear Food, Water

Page 12: SAR Medical Kits - 1.wildernessdoc.com · SAR Medical Kits Will Smith, MD, EMT-P ... Personal SAR gear Radio, GPS, Survival Gear ... Toradol Morphine Epinephrine Vial (30mg)

Helicopter Rescue

Bring the kitchen sink

Page 13: SAR Medical Kits - 1.wildernessdoc.com · SAR Medical Kits Will Smith, MD, EMT-P ... Personal SAR gear Radio, GPS, Survival Gear ... Toradol Morphine Epinephrine Vial (30mg)

‘Ground Pound’ Rescue

Bring just what you need.

Page 14: SAR Medical Kits - 1.wildernessdoc.com · SAR Medical Kits Will Smith, MD, EMT-P ... Personal SAR gear Radio, GPS, Survival Gear ... Toradol Morphine Epinephrine Vial (30mg)

Compartmentalization

Ferno ProfessionalALS Kit - $300www.allmed.net

Page 15: SAR Medical Kits - 1.wildernessdoc.com · SAR Medical Kits Will Smith, MD, EMT-P ... Personal SAR gear Radio, GPS, Survival Gear ... Toradol Morphine Epinephrine Vial (30mg)

AirwayBag

NG

6.0

7.0

8.07.5

Page 16: SAR Medical Kits - 1.wildernessdoc.com · SAR Medical Kits Will Smith, MD, EMT-P ... Personal SAR gear Radio, GPS, Survival Gear ... Toradol Morphine Epinephrine Vial (30mg)

IV BagEZ-IO

NS

IVTubing

Page 17: SAR Medical Kits - 1.wildernessdoc.com · SAR Medical Kits Will Smith, MD, EMT-P ... Personal SAR gear Radio, GPS, Survival Gear ... Toradol Morphine Epinephrine Vial (30mg)

Misc. Bag

Page 18: SAR Medical Kits - 1.wildernessdoc.com · SAR Medical Kits Will Smith, MD, EMT-P ... Personal SAR gear Radio, GPS, Survival Gear ... Toradol Morphine Epinephrine Vial (30mg)

Med Bag

Page 19: SAR Medical Kits - 1.wildernessdoc.com · SAR Medical Kits Will Smith, MD, EMT-P ... Personal SAR gear Radio, GPS, Survival Gear ... Toradol Morphine Epinephrine Vial (30mg)

Vecuronium Narcan

Ancef Dex BenadrylVersedEtomidate

SuccinylcholineRocuronium

Page 20: SAR Medical Kits - 1.wildernessdoc.com · SAR Medical Kits Will Smith, MD, EMT-P ... Personal SAR gear Radio, GPS, Survival Gear ... Toradol Morphine Epinephrine Vial (30mg)

Prednisone20 mg tab

NTG

Pepcid 10mg tab

Toradol Morphine

Epinephrine Vial (30mg) Ampule (1mg)

Albuterol/Atrovent Neb

Phenergan

Compazine

Page 21: SAR Medical Kits - 1.wildernessdoc.com · SAR Medical Kits Will Smith, MD, EMT-P ... Personal SAR gear Radio, GPS, Survival Gear ... Toradol Morphine Epinephrine Vial (30mg)

Main Compartment

Foley& BagEZ-IO

BVM

NSCombitube

DependsTexasCath

ChestSeal

VomitBag

Page 22: SAR Medical Kits - 1.wildernessdoc.com · SAR Medical Kits Will Smith, MD, EMT-P ... Personal SAR gear Radio, GPS, Survival Gear ... Toradol Morphine Epinephrine Vial (30mg)

Other Bag Compartments

Head Bed

Pressure Bags

HeadLamp

PaperPen

Page 23: SAR Medical Kits - 1.wildernessdoc.com · SAR Medical Kits Will Smith, MD, EMT-P ... Personal SAR gear Radio, GPS, Survival Gear ... Toradol Morphine Epinephrine Vial (30mg)
Page 24: SAR Medical Kits - 1.wildernessdoc.com · SAR Medical Kits Will Smith, MD, EMT-P ... Personal SAR gear Radio, GPS, Survival Gear ... Toradol Morphine Epinephrine Vial (30mg)

Oxygen/BLS BagCarbon fiber (3,000psi) tank$590 (w/regulator)www.spiracle.com

$710 backpack w/ tank and regulator

Page 25: SAR Medical Kits - 1.wildernessdoc.com · SAR Medical Kits Will Smith, MD, EMT-P ... Personal SAR gear Radio, GPS, Survival Gear ... Toradol Morphine Epinephrine Vial (30mg)

Pocket Blue BVM $34www.conterra-inc.com

Tubing and Valve$39www.wildmed.com

www.cybertechmedical.com

TPOD $ 98

N/C

NRFM

Neb

Page 26: SAR Medical Kits - 1.wildernessdoc.com · SAR Medical Kits Will Smith, MD, EMT-P ... Personal SAR gear Radio, GPS, Survival Gear ... Toradol Morphine Epinephrine Vial (30mg)

AED

Page 27: SAR Medical Kits - 1.wildernessdoc.com · SAR Medical Kits Will Smith, MD, EMT-P ... Personal SAR gear Radio, GPS, Survival Gear ... Toradol Morphine Epinephrine Vial (30mg)

3 Bears Principle

Not too much! Not too little! Just right!!!

Per: David Johnson, MDWilderness Medical Associates

Page 28: SAR Medical Kits - 1.wildernessdoc.com · SAR Medical Kits Will Smith, MD, EMT-P ... Personal SAR gear Radio, GPS, Survival Gear ... Toradol Morphine Epinephrine Vial (30mg)

Summay

Bring what you have to in order tosave yourself first!

Just do what matters for the patient,not what you can!

Page 29: SAR Medical Kits - 1.wildernessdoc.com · SAR Medical Kits Will Smith, MD, EMT-P ... Personal SAR gear Radio, GPS, Survival Gear ... Toradol Morphine Epinephrine Vial (30mg)

Questions??? Lecture Notes: www.wildmedconsulting.com