VXMerlinXV
11
MD/PA/RN

Depends on the setting. Either NSS or drinking water, depending on what I’ve got available. I keep 500 ml of irrigation saline in my vehicle bag, another 2 L in my clinic kit. The vast majority of irrigation I’ve done in the remote setting in my career has been with drinking water.

I wouldn’t start down any .mil SOF path unless I wanted to be a (fill in the MOS). Those lives aren’t really placeholders. You should plan for your life after service, for sure, but if you don’t want to be a PJ, don’t waste your time trying to be a PJ. The amount you have to give those roles aren’t generally worth it if that’s not what you want.

VXMerlinXV
3
MD/PA/RN

Given the context the OP provided (an IFAK pouch) do you think that carrying an appropriate volume of saline to meet current prehospital and remote care CPG’s is a reasonable suggestion?

Also checkout Sammy’s in Harleysville and Sabrina’s in Ardmore

Third. I don’t think of them as Montco, only because it’s a bit of a drive. But they are one of my favorites for breakfast

VXMerlinXV
41
MD/PA/RN

So, in an actual IFAK, hard no. In a first aid kit in army colors… meh. First off, I would be really hesitant to put a bottle of liquid in a piece of web gear filled with other items, alcohol as a wound disinfectant isn’t a great idea. I would honestly think about swapping that out with a bottle of powdered Dakin’s, if you felt you needed a disinfectant on body.

This is where I’ve landed after 20 years of providing care. If it’s anything that actually requires medical attention, it’s not getting jel. If you essentially have a boo-boo, it’s actually pretty nice.

With a moderate amount of rain, some of those Jeep trails become f’ing quicksand.

I like Backyard Beans in Ambler, Pumpernick’s in Montgomeryville, and Bonnet lane or West Ave Grille in Abington

VXMerlinXV
12
MD/PA/RN
11hLink

The short answer is yes, but that doesn’t mean in every context and for any provider. NPA’s are on a long list of medical equipment that are useful adjuncts to interventions by skilled providers. Just yeeting in a nose hose isn’t a dummy-proof method of securing the airway.

VXMerlinXV
5
Unverified User

That’s just USMC boot camp. That’s not even the hard stuff. 😆

Pull a Dr Kyle, tell him he’s got AIDS and then bounce.

You sonofabitch. I’ve been looking at this for DAYS

VXMerlinXV
1
RN - ER 🍕

Hard pass. It’s not happening with me. Ask someone else or stop asking.

VXMerlinXV
3
Unverified User

Everyone here has given decent answers. To give you some guidance, when you say “SWAT medic”, what specifically are you looking to do?

Don’t get me wrong, I’m sorry you had that experience. And to be clear, it’s the adults who I expect to change this institution. Leading by example and living up to everything they talk about in the first 5 min of every meeting.

VXMerlinXV
1
MD/PA/RN

I forgot blankets. Good call.

VXMerlinXV
1
MD/PA/RN

A ton of gauze, a ton of splints, a ton of cravats, a ton of triage tags, and extra flashlights in a bag. Le fin. Change the batteries yearly in the flashlights.