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We did slow pull tests with the Quickie Ascender™ on different micro ropes (New England and Sterling).  This test simulates hauling or raising a load. We’ve had so much interest in the DPL for the 2ndLine™ Main Pack that we are now going to offer it for the 2ndLine™ Assault Pack.
Any medic that operates in a marine or rainy environment knows how important it is to keep their medical equipment dry.
We have done two separate posts here on Private Bloggins on the benefits of “Kits of Convenience” and before I introduce the Surgical Airway Set (SAS™), please take a moment to review them both so that you will understand why these types of kits have been created and the benefits of having prepackaged kits of convenience. I have not included any confirmation devices such as End Tidal CO2 Detector, Auscultation, Capnography, etc.
The Product Optimization Guide for the SAS™ and demonstration video are included in this post. I’ll preface this by saying I’m not a camouflage expert, and I’m sure the PhD’s are going to rip this apart.
When I think of TCCC, I think of how the military critically looked at the way it was teaching its medics to treat casualties. Note how the red catches your eye, even when the image resolution has been reduced to fit on this page. This image is not enhanced and you can see just how bright a colored sling can be when hit by the right light. Here your eyes are immediately drawn to unnatural orange and blue, highlighted in the next image. Though the shape of this climber is part of the compromise, you’ll notice the orange sling on his shoulder, and though maybe not immediately noticeable, the yellow sling hanging off his harness. Hopefully that adequately demonstrated the importance of color in selecting equipment for use in a tactical environment.
One of the premier tactical light companies promotes the concept of the “The Tactical Trinity”. When it comes to casualty care in adverse lighting conditions, additional lighting resources are required.  First of all, and it may seem self-evident, weapon lights should never be used for casualty care.
I thought I’d talk a little bit about my experience with tourniquets so that you can learn from my mistakes, finishing with a summary of some of the most current data. There are three places your primary weapon doesn’t belong: on the ground, on the ground and, finally, ON THE GROUND!!! As a tactical medic or when tasked as a first responder, primary weapon sling selection becomes very important. Slings within the military have been traditionally woefully lacking in tactical effectiveness.
The other reason this is important is because it means that not only have public agencies procured these, but now that they are here!  And the potential exists for the market to flood with them.  And the ill informed will be taken advantage of and more lives put at risk. Pay attention to ALL your medical equipment as there are counterfeit bandages and hemostatic dressings out there as well, and who knows what else is in the works.  It has already been proven that some brands of  bandages manufactured in China potentially contain dangerous bacteria.
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A lot of people are of the opinion that a big knife is the “best” survival tool one can have. I’ve used many different knives over the years, some quite expensive, some not so expensive, and that collection of knives has covered a few different styles as well. For those who don’t know, the Spec plus line from Ontario Knife Company has a large selection of styles and sizes, one of which will almost assuredly fill most people’s needs.
The MK I has the metal pommel, Kraton grip and crossguards, and has a stainless steel blade. With the blade type chosen, after suitable reflection, it’s time to ponder just what constitutes the best items to fill out your kit. The envelope pouch I placed over the sheath’s belt loop, on the back side of the sheath itself. Since this meant that the belt loop was no longer able to be used in the normal manner, I needed another way to attach the knife to my belt. Now that all the “hardware” was out of the way, it was time to think about just what was needed to fill out these pouches.
On the back of the sheath, held in place by the elastic strap that stabilizes the M-14 pouch, is a folding Allway saw. Also on the back side of the sheath, inside the envelope pouch on the belt loop, I have a Photon II red LED light.
The Diveable Pack Liner (DPL) is a completely waterproof Velcro®-in liner for the 2ndLine™ Assault Pack. The point of this post is to demonstrate how color is a contributing factor in detection, within the context of Tactical Assault Climbing. What they realized was that they were teaching them to be civilian paramedics but then expecting them to treat very different casualty types in very different environments than that of civilian paramedics.
You’ll see that your eye is immediately drawn to the contrasting color, no matter how small. Good use of camouflage for the belay with not apparent color contrasts other than the rope itself.
You can see how when bright colored objects are grounded together, they look even brighter. While they provide a bright light source, their use would require the muzzle to laser the casualty and the medic.
Tactical versions of these lamps are usually available in a black or camo colour version of the outdoor light.
Under stress, most people forget to turn their lights off when making movement or after use. Fast forward to 2001 during preparations for my Afghanistan deployment, trickles of TCCC would infiltrate our training in the form of a general overview briefing on the topic.

Now understand that in 2002, a CF IFAK was two small pillows called Field Dressings circa 1952! Winter 2012 edition has a published retrospective study called Forward Assessment of 79 Prehospital Battlefield Tourniquets Used in the Current War.
Through multiple training venues, as both student and instructor, I learned this lesson before the crucible of combat. The reality of combat and tactical operations is that weapons are carried more than they are fired. Please check your spam box for the email if it does not appear in your main inbox as it can be filtered to spam depending on your filter settings. Are you trying to edit someone else's post, access administrative features or some other privileged system? While I have made many knife-based kits, they have often been built around knives that were larger and heavier than truly necessary.
And while one can, indeed, do a lot of work with a large knife, with proper technique a smaller knife will suffice. The latest knife I’ve been using is by far the least expensive, yet is quite likely the best of them all. For some reason the MK I is listed as being made of 1095, but it definitely is a stainless of some type, though I don’t know which.
It’s held in place simply by virtue of its position; the knife handle presses against it, keeping it from bouncing around, and the retention strap on the knife’s handle keeps it from sliding off. I also wanted the attachment to allow me to easily slip it on and off my belt, without needing to remove the belt from my pants, or move pouches off a web belt. There are a few basic items that all kits have in common, and these usually revolve around (in order of importance) shelter, water and food procurement, fire, and tools. What this kit gives you are the tools and bare essentials that, along with natural or man-made materials scrounged by the survivor, will increase the odds of survival.
Once installed, you won’t even notice it is there except for the additional zipper to close if you plan on using it in a wet environment. Contact CTOMS™ for training and products, but don’t just take our word for it, try one of our kits of convenience for yourself.
The images in this post are not touched up, Photoshopped or altered in any way other than being cropped and zoomed.
The change was desperately needed and has since proven very effective, customizing medical treatment to combat injury patterns and battlefield environment. Red’s and blues are the most unnatural in the demonstrated environment and therefore should catch your eye first. This is a great concept for gunfighters and I highly recommend it for frontline medics and armed LEO medics.
Military-use vest lights usually have multiple intensity settings; some include a strobe feature.
One is back-up for the other.  Head mounted lights are very useful in advanced airway techniques and interventions of fine motor function. A tactical medical operator must be prepared to treat casualties under all possible conditions.  Control the chaos. This is what it says: 79 tourniquets applied to 65 limbs on 54 combat casualties were studied. Under stressful conditions, weapons and gear that are not attached to your body WILL be walked away from. So your sling must allow for reasonable comfort when carrying in an employable position for long periods. This supports different load-outs, varied shooting positions and engaging from the opposite shoulder. A lighter, more compact kit is the kind that’s easiest to carry, and therefore most likely to be on your person when it’s truly needed. Also, a smaller knife is lighter and doesn’t flop around on the belt as much as a big one, meaning it’s less likely to be left behind when “just going to the stream to fill the canteen”.
Ontario has been a supplier of military issue knives for decades and most of the Spec Plus line is, indeed, updates of their older, issue, blades.
The blade is basically a drop point, with an unsharpened swedge and very stout tip; an interesting blade shape that should be more often emulated.
Another choice that may need to be made is the type of sheath to be used to house the knife. But it lacked the ability to easily attach pouches, so instead I chose to use a Kydex sheath originally made for the Kabar “Shorty”. To this end I made a secondary attachment system out of some 1-inch nylon webbing and a Fastex buckle.
It consists of an orange plastic handle, with locking screw, that holds 2 three inch segments of hacksaw blade. This is a very bright light, and the red tint it gives to objects is of little consequence, so long as you aren’t in EOD. That tourniquet didn’t have a hope in hell of ever stopping arterial flow in his muscular thigh. Many people will argue that THEY will never walk away from their weapon or gear, but at the end of most TCCC training scenarios I have a collection of gear and rifles to return to the students.
When actively engaged, your sling must complement accurate shooting, weapon transitions, immediate actions, remedial actions and tactical movement.
When committed to casualty care, the weapon can be shifted to the medic’s back and secured by tightened the sling. As a knife is one of the most useful tools a person can have in a wilderness survival situation, as well as being the single heaviest item in such a kit, that’s the most logical place to start building a lighter, more compact, kit. After all, most survival situations unfold when least expected; that’s why it’s imperative to keep your kit on your person at all times. Some sheaths, as they come form the manufacturer, are less adequate than others, especially for we of the left-handed persuasion.

Both knives are of very similar size and shape, so the sheath fits quite well (this sheath also fits the issue Pilot‘s Survival Knife, made by both Camillus and Kabar).
The sheath came from the factory with a plastic attachment point made for an optional belt loop, similar to what I made.
No set of tools, no matter how vast or well thought out, can replace the simple desire to persevere, no matter the odds. In combat it is better to apply a tourniquet when in doubt than to risk missing a life threatening bleed.
Finally, when treating casualties, your sling must secure your weapon so you can have use of both hands, can move patients and not cause further  injury to casualties or those around you.
This frees up the use of both hands and allows the medic to make movement with or around patients not causing injury to casualties or your mates. With the full flat grind, given the blade’s width and thickness, this knife is an exceptional cutter, slicer and whittler.
Also, the new line of Kydex sheaths available from aftermarket sources make it easy to attach pouches. Along with the light and battery there is an SAS wire saw, mini-Bic lighter, and a 4 inch piece of harness leather for use as a strop to help maintain the edge on my knife.
Blue and green lenses are available for most high quality headlamps but usually in separate kits. An accidental muzzle strike from an unsecured weapon flailing about can leave a rather nasty laceration. Some of the line have steel pommels, suitable as field-improvised hammers (or skull crushers, for those in need of such), while the majority have the Kraton rubber extend to cover the pommel in a sort of bird’s beak shape.
Of course, it’s too light and short for any but the most minor of chopping, but it is quite a good blade for use with a baton to handle larger wood. While one can't saw down a tree with such a small tool, it’s more than worth its negligible weight and bulk. The pack can be dived with the DPL installed and the addition of weights to make it neutrally buoyant. The latest addition to the Spec Plus line is the Freedom Fighter Series, which takes the blades and Kraton handle shape from the basic line and upgrades the “new” knives with steel crossguards and pommels.
While a knife this size and of suitably robust construction is perfect for baton work, it’s real niche is as utility blade, capable of doing all the myriad chores necessary while in the woods, for whatever reason. It comes in handy for shelter building, as well as trap parts, or any time it would be necessary to cut a smooth notch in wood. A well trained operator can put a tourniquet on in the dark relying only on tactile senses. With the variety of handles, pommels, crossguards and blade shapes, one would be hard pressed to not find a knife suitable for his purpose. The mag pouch is attached by two short lengths of nylon webbing with simple buckles attached.
There are many uses for a saw in the woods; as with any tool, once you begin carrying a saw, it will come in handy more often than one might think.
I passed the straps through the lash-down points of the sheath, and through the pouch’s belt loop. To further anchor the mag pouch I used a wide elastic strap with a snap, also passed through the pouch’s belt loop. Much too much hassle, your modular approach is the way forward.I’ve carried a UK military wound dressing since it was the only compulsory item to carry on the Outward Bound course I was on in 1980. I’ve added a small roll of duct tape, some zip-ties and a Thermarest repair kit to mine for running-repairs. Only comment is that even with a fire steel fire making can be really difficult so, as always with any skill that you may actually be relying upon to save your bacon…. I have two fire steels, one that I use and practise with and one in the kit to be there in perfect condition should I ever need it. Knowing that you can use everything (legal) effectively will add to your confidence and positive attitude which could be the difference between success and failure.Reply Paul KirtleyHi BernieAbsolutely. I remember you showing me a little ‘green box’ with a sealable lid in which you carried some sharpening stones ??
I try to spend as much time in the woods as humanly possible and you just never know what can happen.Reply PierreI have been struggling for a few days on the matter of matches.
I understand the need for a backup to the firesteel for convenience lighting some kindling. But if you already have a firesteel and a lighter, why bother with matches?Then it finally occured to me.
Even if you keep it warm close to your body, once you get it out to use it you might only have a few seconds of pressure. That’s where, in my rationale, matches have a role to play.Do you see other distinctive advantages of matches? I never tested greased cotton wool in very cold and wet environment.Reply Paul KirtleyHi PierreGood questions!
I travel a lot for work and I am interested to know what you would leave or replace had you wanted to carry a kit on an aircraft, obviously a knife is out etc regards DanoReply Paul KirtleyHi Dano Thanks for the comment and positive feedback on my blog. People underestimate the difference made to survival rates by taking full notice of this information. The terrain and mode of travel or situation where such a kit might be of use is a pretty rare event.Any how nice work on the blog.

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