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talkToTheHat
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PostPosted: 14:55 - 19 Jul 2015    Post subject: First aid kits Reply with quote

Long ago i had a reasonable first aid kit, went as far as butterfly sutures and the like. It has been plundered and not replenished in the years since i gave up adventure sports.

Assuming im touring in the uk and exploring back roads, what is reasonable to carry? The handful of plasters found in cheap travel kits can fuck right off, if it needs a little plaster it can wait until i get home. What actually makes a difference between loss of life or limb in the time between binning it and an ambulance showing up? Other than a mobike phone and duct tape? And yes, wearing all the gear.
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b422063
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PostPosted: 16:37 - 19 Jul 2015    Post subject: Reply with quote

Plasters, steristrips, 2-0 vicryl rapide, lidocaine, intramuscular and subcutanious needles, 20ml syringe, medium swabs, oramorph, some spencer wells clamps and a phone should see you through most emergencies until you can summon help.
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c_dug
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PostPosted: 17:03 - 19 Jul 2015    Post subject: Reply with quote

I'm a trained first aider and I have naff all clue what half of the stuff that b422063 listed does, which is the crux of it really, you probably have room for enough stuff to perform open surgery on the go, if it came down to it (how much does a field medic in the army carry?), but what do you actually know how to use?

The only genuinely useful thing I can think of would be eye wash, that and decent first aid training. Keeping somebody conscious and breathing would be my priorities until the Ambulance arrives. I struggle to think of many situations where a bike crash would result in openly bleeding wounds, it tends to be more broken bones or internal bleeding, you're unlikely to carry anything to deal with those sorts of issues.

Having had a seagull shit in my eye while on the bike, I really wished for eye wash.
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Llama-Farmer
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PostPosted: 18:02 - 19 Jul 2015    Post subject: Reply with quote

Depending on how much space you have and how much money you want to spend...

The following will fit into a small double-fist sized bag
- Tourniquet
- Celox gauze (other haemostatic trauma dressing)
- CPR face mask/barrier
- Gloves
- Small notebook & pen/pencil
- Large bandage
- Scissors (good ones though, that'll cut through stuff like bike leathers and thick denim)


If more space and money are available then you could consider, in no particular order,
- Asherman chest seal
- Eyewash
- Burn solution/dressing
- Chlorhexidine solution or iodine tincture (for antiseptic application)
- Portable BP monitor
- Sp02 pulse oximeter
- OPA/NPA airway (oral airway and nasal trumpet/nose hose), but only if you know how to use them and when you should/shouldn't use them




A plaster or sterile wipe never saved someones life... but Celox gauze can stop catastrophic bleeding in only a couple of minutes... it's what combat medics (and now the air ambulance docs too) carry for serious trauma injuries.

Knowing how to use what you're carrying too is as important as what you are carrying. And not just the textbook way to use them, but innovative and improvised ways too and being resourceful, such as splinting a pelvis with a ratchet strap or seatbelt cut out of a car.
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b422063
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PostPosted: 04:29 - 20 Jul 2015    Post subject: Reply with quote

Thus my point: What level is your training. The stuff I listed would mostly be used for an arterial bleed in an emergency setting.

Tell me the incident you intend to come across and I'll tell you what you need. You're touring the UK, not Afghanistan, I wouldn't bother with taking one. If you need it, you can pop to Tesco or a minor injuries unit. Do you carry one on your daily commute?

A phone with GPS and Here maps (for offline use) will be more useful as you can summon help.

(Having said that, I *do* carry two bottles of normal saline solution to wash my eyes out after flies hit them with the visor up)
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The Shaggy D.A.
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PostPosted: 05:06 - 20 Jul 2015    Post subject: Reply with quote

Duct tape and superglue.
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talkToTheHat
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PostPosted: 12:08 - 20 Jul 2015    Post subject: Reply with quote

About 60 hours training, but certificates long lapsed. Used to be designated first aider with sailing and canoeing groups I was involved in. Will be doing motorcycle specific training later in the year. My current work is low risk and my high risk hobbies have an embedded paramedic becasue stunt horses. Talking of which, have been at yet another event where there was a stunt horse related injury. Not one of my lot and emergency services were already on scene. Did I mention I dislike proximity stunt horses.

Celox looks like a plan. Have always been dubious of tourniquets but I do know how to use/improvise one. Roadside use is different to remote wilderness use though. I will see if a chest seal fits if it is what I think it it is. Have previously improvised such out of a section of MRE bag and duct tape. Eye wash might just be worthwhile.

I figure that If i can carry a litre or so of first aid kit that might make a difference, it's not a great inconvenience in between 90 and 140 litres of storage.
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c_dug
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PostPosted: 12:24 - 20 Jul 2015    Post subject: Reply with quote

We have these things stationed about the place at work:

https://www.beeswift.co.uk/Images/EWS20@.jpg

It's what I'd carry on the bike rather than one of the big half litre bottles. I'd never actually thought of it before but when I have a bike again I'll probably stash some under a seat.

I hate things in the eye!
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Omega
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PostPosted: 15:56 - 20 Jul 2015    Post subject: Re: First aid kits Reply with quote

talkToTheHat wrote:
Assuming im touring in the uk and exploring back roads, what is reasonable to carry? The handful of plasters found in cheap travel kits can fuck right off, if it needs a little plaster it can wait until i get home.


I'd say the opposite. I tend to carry plasters, tweezers, pain killers and antiseptic cream etc if I'm doing something a bit adventurous in the UK. You can treat the silly little injuries that turn a fun trip into a nightmare. You'll use them pretty regularly compared to bandages or whatever and they take up next to no space. If you have a real injury then you can just improvise until the ambulance arrives.

Touring the UK by bike though I'd feel safe carrying a phone and wallet Thumbs Up.
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pepperami
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PostPosted: 16:21 - 20 Jul 2015    Post subject: Reply with quote

The Shaggy D.A. wrote:
Duct tape and superglue.


Being a first aider at times and in the past , I can vouch for duct tape Thumbs Up
I have genuinely held a large wound together with a cut up tee-shirt and duct tape.

Seriously not a bloody big roll????? Shocked
A few plasters and some water should suffice? as someone has already stated, this is the UK, not a third world country where medical assistance is a million miles away.
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c-m
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PostPosted: 20:46 - 20 Jul 2015    Post subject: Reply with quote

Most stuff has been mentioned but I also carry an Israeli bandage which can be used multiple ways, and a Euro splint or Sam splint.

Usually for off road adventures though.
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The Shaggy D.A.
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PostPosted: 20:52 - 20 Jul 2015    Post subject: Reply with quote

pepperami wrote:
The Shaggy D.A. wrote:
Duct tape and superglue.


Being a first aider at times and in the past , I can vouch for duct tape Thumbs Up
I have genuinely held a large wound together with a cut up tee-shirt and duct tape.

Seriously not a bloody big roll????? Shocked


Needn't be that big a roll, chances are that you're carrying duct tape and superglue on a bike anyway.
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Llama-Farmer
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PostPosted: 07:46 - 21 Jul 2015    Post subject: Reply with quote

talkToTheHat wrote:
Have always been dubious of tourniquets but I do know how to use/improvise one.

I will see if a chest seal fits if it is what I think it it is. Have previously improvised such out of a section of MRE bag and duct tape. Eye wash might just be worthwhile.

I figure that If i can carry a litre or so of first aid kit that might make a difference, it's not a great inconvenience in between 90 and 140 litres of storage.


Why dubious of tourniquets?

Chest seal is a sterile plastic sheet with sticky edges that you put over a puncture wound to the chest... one way valve stops air getting in but lets it out, so allows inflation of the lung still. Often used for gunshots/stabbings, but something like a tree branch could do the same kinda damage

Sounds like you have plenty of storage, you could go for something about the size of a bag of crisps, or if you get a lot of spare space maybe something twice that size.
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Llama-Farmer
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PostPosted: 07:48 - 21 Jul 2015    Post subject: Reply with quote

c-m wrote:
Most stuff has been mentioned but I also carry an Israeli bandage which can be used multiple ways, and a Euro splint or Sam splint.

Usually for off road adventures though.


Yeah both of those would be a good shout too.

Israeli bandage is like a Buff... there's a thousand ways to use it.
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talkToTheHat
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PostPosted: 09:19 - 21 Jul 2015    Post subject: Reply with quote

Llama-Farmer wrote:
Why dubious of tourniquets?


Great for very short term use, but as they can cut off blood supply to a limb they can cause further issues if one is waiting a long time for a rescue. I recall much warnings on their use and the necessity of their use. Probably more of an issue if waiting for mountain rescue or similar.

Yes a pre-made chest seal is the right thing.
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Matt B
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PostPosted: 11:32 - 21 Jul 2015    Post subject: Reply with quote

Bearing in mind that most people don't know what they are doing in most situations, the best thing you can carry is a mobile phone. Stuff that needs sorting with a simple first aid kit can wait. Anything else phone 999 and let a professional sort it.

My entire first aid kit under the seat consists of two sterile field dressings I have left over, and a pair of blue nitrile gloves. Could probably stem a bit of bleeding with that, or apply pressure.

Example - last week while we were in Europe on the Jolly a Swiss guy on a KTM straightlined a corner, jumped a ditch and planted himself firmly in a field. None of the many bikers who stopped whipped out a first aid kit and made a sling for his busted collar bone. A speaker of the local language phoned an ambulance, we picked up his bike and went on our way.
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c_dug
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PostPosted: 13:29 - 21 Jul 2015    Post subject: Reply with quote

To be fair I was taught that people will naturally hold the arm in the most comfortable position, so there is no need to use a sling in most instances unless the person needs to move somewhere.
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Llama-Farmer
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PostPosted: 20:52 - 21 Jul 2015    Post subject: Reply with quote

Matt B wrote:
Bearing in mind that most people don't know what they are doing in most situations, the best thing you can carry is a mobile phone.



When in the UK I regularly ride with 2 or 3 other people, between us we have a mobile on EE, one on O2 and one on Vodafone. There are plenty of places where none of us has any signal.

I know for 999/112 calls it'll hop onto any signal available even if its not your network, but if none of the 3 main networks have anything at all, its not likely theres much else available.

There are places where signal is just not possible and a mobile phone is useless as a communication device then.


But yes I get your point, most people with their knowledge and training, in most situations and places in the UK, a phone would be the most useful thing to them.
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c_dug
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PostPosted: 22:02 - 21 Jul 2015    Post subject: Reply with quote

If there are two of you, one of you is injured enough to require some of the kit mentioned in this thread, and you are remote enough not to have signal, I hate to say it but I reckon next stop is the morgue for Mr McCrashy.
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Howling TerrorOutOfOffice
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PostPosted: 22:32 - 21 Jul 2015    Post subject: Reply with quote

I'd consider carrying a shot or 2 of morphine if I could be trusted.
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Llama-Farmer
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PostPosted: 09:45 - 22 Jul 2015    Post subject: Reply with quote

c_dug wrote:
If there are two of you, one of you is injured enough to require some of the kit mentioned in this thread, and you are remote enough not to have signal, I hate to say it but I reckon next stop is the morgue for Mr McCrashy.


Quite possibly.

Or you could have signal but be remote enough it takes 20 minutes for ambo to reach you...

Thats 1/3 of the "Golden Hour" and double the "Platinum Ten"
If you can control any bleeding and somewhat stabilise them it could make a big difference to outcome.


It's a formula of what ifs amongst many other variables. There's an inherent risk being on the road, and most people try to mitigate that as far as practicable. But that is different for every person... some are happy just wearing a helmet, others are ATGATT, some ride with a small but substantial first aid kit, others don't ride.

I can fit a little first aid bag of what I feel is worth taking under my seat and its good enough to be the difference between life and death, it won't save someone with no hope, and it won't make much difference to someone who's gonna walk or limp away anyway, but for those in-between the two, it could be their saving.
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nowhere.elysium
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PostPosted: 09:50 - 22 Jul 2015    Post subject: Reply with quote

The Shaggy D.A. wrote:
chances are that you're carrying duct tape and superglue on a bike anyway.
Spot the Enfield rider Laughing
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