Nice post Anne. Thanks.

On Saturday, October 18, 2014 9:20:34 AM UTC-6, Anne Paulson wrote:
>
> You shouldn't need a tourniquet for an axe wound to the knee! 
> Tourniquets are for extreme situations like amputations. If you use 
> them in non-extreme situations, you may well end up with an 
> amputation. 
>
> I just recently took a Wilderness First Aid course (highly 
> recommended). The instructor was clear. "Direct pressure works. If it 
> isn't working, you're not doing it right." So I say, direct pressure 
> for bleeding. For extreme situations (femoral artery) maybe quick 
> clot. 
>
> So I say, leave the tourniquet out of the first aid kit. It's more 
> likely to cause problems when improperly used than it is to help. 
>
> Here are some other things to consider putting in the kit, since not 
> all emergencies are wounds: 
>
> Aspirin, for suspected heart attacks. Yes, really, it makes a difference. 
>
> Benadryl, can be *lifesaving* in the case of severe allergies; 
> everyone who carries an EpiPen should also carry benadryl, because the 
> EpiPen only works for twenty minutes and you need to get control of 
> the allergic response. 
>
> Ibuprofen, I'd put it in the kit just because I use it so often. 
>
> Another funny but necessary thing we had in our practice emergency kit 
> was little packets of honey. That also can be lifesaving for diabetics 
> with hypoglycemia. Probably not necessary for urban first aid though. 
>
> In our First Aid class, we learned that the first thing to do when 
> confronted with a potential first aid situation is "Take a deep 
> breath." The second thing is "Survey the situation and make sure it's 
> safe to go in." The third thing is "Put on your gloves." 
>
> On Sat, Oct 18, 2014 at 7:52 AM, Tony DeFilippo <vpi...@gmail.com 
> <javascript:>> wrote: 
> > Since early August I've had or have been close to others with some bad 
> luck on the bike and using a hatchet... I've been over the handlebars twice 
> and then this weekend a good friend put one of my axes (fiskars x15) into 
> his knee while splitting wood.  All's well in each case thank goodness 
> though two out of the incidents involved the emergency room and the Axe 
> wound required an ambulance. 
> > 
> > Prevention of these incidents is definitely worth discussion and I've 
> given each allot of thought in that regards but the recent issue with the 
> Axe really has me thinking hard about my first aid kit for the woods and 
> while on the bike...  We were lucky to have several level headed people 
> (couple of eagle scouts!) And the materials to improvise a tourniquet and 
> compression bandage. 
> > 
> > So as I've been pouring over trauma kits for my truck and campsite I 
> also started thinking that as a nearly every day commuter I should have 
> some kit with me on the bike just as I have repair tools for the bike. 
> > 
> > The things I'm thinking of so far include; 
> > 
> > -wound cleaner, alcohol wipes? 
> > -antibiotic ointment 
> > -sterile gauze bandages (typical road rash size) 
> > -conforming wrap or athletic wrap or medical tape 
> > -triangle bandage 
> > -small assortment of band aids 
> > -rubber gloves 
> > 
> > Would the following be overkill; 
> > -CAT style tourniquet 
> > -quick clot sponge or bandage 
> > -'Israeli' style compression bandage 
> > -trauma shears 
> > 
> > The scenario for this kit is urban commuting with professional emergency 
> responce time of 10 min or less, cell service at all times and the level of 
> training I have is relatively basic. (Scout and basic military level).  Oh 
> and it needs to fit in either a large saddle wedge, frame bag or other such 
> unobtrusive, stays on bike type location. 
> > 
> > What, if anything, do you guys include in your on bike kit? 
> > 
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>
>
> -- 
> -- Anne Paulson 
>
> It isn't a contest. Enjoy the ride. 
>

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