It Could Happen Here - What To Put In Your IFAK
Episode Date: June 27, 2023James and Danl talk about what to put in a first aid kit, what not to rely on, and where to get stop the bleed training. We will share IFAK details and links below and in a Twitter thread. 1. Reliable... suppliers Chinook Medical (https://www.chinookmed.com/) North American Rescue (https://www.narescue.com/0 Rescue Essentials (www.rescue-essentials.com) 2. Supplies Tourniquet: (https://www.rescue-essentials.com/combat-application-tourniquet-cat-gen-7/) Pressure dressing ( https://www.rescue-essentials.com/olaes-modular-bandage/) Chest Seal (  https://www.rescue-essentials.com/hyfin-vent-chest-seal-twin-pack/) Hemostatic gauze (https://www.rescue-essentials.com/quikclot-combat-gauze-z-folded-military/) Packed Gauze (https://www.rescue-essentials.com/nar-responder-rolled-compressed-gauze/) Lil’ sharpie (https://www.rescue-essentials.com/sharpie-mini-marker-black/) Emergency Blanket (https://www.rescue-essentials.com/rescue-essentials-emergency-blanket/) Gloves (https://www.rescue-essentials.com/ten-pairs-bear-claw-tan-nitrile-gloves/) Shears (https://www.rescue-essentials.com/stainless-steel-5-5-emt-shears/) Pouch (you can also use a fanny pack) (https://lbxtactical.com/collections/medp/products/65?variant=31255204036706) 3. Some pre-made options https://www.narescue.com/all-products/medical-kits/uscg-mini-ifak.html (you will want to add a second chest seal) https://www.rescue-essentials.com/nar-eagle-ifak-combat-gauze/ https://www.rescue-essentials.com/fletc-ifak-with-components-module/ (If you don’t know how to use the NPA, don’t try!) 4. Training Stop The Bleed https://www.stopthebleed.org/training/ NOLS https://www.nols.edu/en/coursefinder/session_search/wilderness-medicine/ REI Wilderness Medicine (https://www.rei.com/events/a/outdoor-skills-wilderness-medicine) Red Cross First Aid For Severe Trauma (https://www.redcross.org/take-a-class/first-aid/first-aid-training/first-aid-classes/fast-training) See omnystudio.com/listener for privacy information.
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Hello, everyone. Welcome to the podcast podcast It Could Happen Here.
It's me, James, today and I am joined for a rare example of Daniel being on the podcast.
Yes.
Welcome, Daniel.
James, thank you for having me.
I'm thrilled to be here to talk with you on the podcast that I edit every single day.
Yeah, yeah.
Normally you just hear me, but this time you get like the Dan,
it's like the Sir Bolton speaks, but it's Danil. I couldn't fucking, I couldn't really go anywhere
with that. So I just, I just left the two halves of the joke out there. Neither of them with a
partner. I'm very sad. Yeah. So Danil, we're here today to talk about first aid kits and the reason we're talking about
first aid kits is because it is pride month at the time of recording that of course in the united
states means that people are worried about being murdered by homophobic psychopaths unfortunately
so that is uh that is the world that we live in and it shouldn't be it's fucked up uh and it
hopefully won't be this way forever
because you know all these people are wrong and will die eventually and uh that will make the
world better but fingers crossed yeah yeah yeah we can uh we can hope i guess uh maybe they're
raising a new generation of turfs or whatever i don't think yeah yeah we yeah hopefully not let's not hopefully not indeed yeah so i just
wanted to talk because i've seen a bunch of people online like a lot of people who are in the like
lgbtqia community or who are going to pride uh just being like oh fuck like and it genuinely i
can see why people are very afraid right because violence against queer people is at least seemingly
increasing um i'm not going to give you training because this is a podcast and you can't learn
first aid on a podcast and right you can't learn it on youtube either really um i wanted to talk
briefly about like supplies and then places to get training because um that is very important uh i have bought my first aid
kit that i use for work i have quite a few that i use for work actually i don't like to repack them
and i know that you you have bought one that jeffrey bezos kindly sent you yes exactly yeah
at the uh the height of uh the you know the george floyd protests etc i was out there in the streets
and kind of after observing what was happening in portland and after you know, the George Floyd protests, et cetera, I was out there in the streets and kind of after
observing what was happening in Portland and after, you know, listening to and editing,
it could happen to your episodes and, you know, what, what, what Gare and Robert were covering,
it felt, if not necessary, but very prudent to invest in something like this. So that should
there be a need to help people in the
streets i was there unable to do so um and whether or not this was a good first aid kit i think we're
gonna find out today yeah that's the aim of the game um i should point out that like my medical
training is pretty basic right i'm not that kind of doctor um but uh i do have a wilderness first
responder and a wilderness first aid and it's unstop the bleed training and I've done CPR training and I've done hostile environment first aid training uh so a
bunch of stuff which is focused around very very very basic first aid right in all of those cases
it's like uh make sure the person doesn't die immediately and then get them to someone who is
better trained than you so that they can help them more amen which is like listen if you are
learning about medical
stuff on a podcast hosted by a guy who has a PhD in modern European history, then that is what you
are doing too, right? Like, and we're going to talk about that because you can for sure fuck
someone up if you go sort of outside of your scope of knowledge. And that is, I understand
the desire to help, but we have to help in the way that is most
helpful i guess uh not do any harm so um yeah let's go over let's let's go over i guess my
first aid kit and then we can we can open yours and see what's the same and what's different right
so this is one i like it because it's small and it fits in the small of my back and if i really
needed to i could just like wear a kind of baggy shirt and it wouldn't be too obvious.
I also have one that fits around my ankle
for times when I really don't want people to know I have it,
but a bit I'm also want to have it.
And then you can wear some sick flare jeans or something
and people just think you're a trendy kind of guy.
Exactly.
Yeah, they'll know.
So yeah, in mine,
it sort of goes in the small of your back
and then you can pull it away, right?
It has a big old red handle.
You just pull it like that and it comes away.
That's smart.
Yeah, it's nice.
That's one thing I will say right off the bat.
It's like, I've seen a number of people get hurt
in a number of different situations.
I've seen a number of people rent a first aid,
including myself, sometimes successfully,
sometimes sadly not successfully.
And if you have
a big bag of shit and then you open your bag of shit and you're just throwing stuff everywhere
stuff's falling on the ground right it you're that's not helpful right like the things that
will kill people that are preventable um for the most part in and like trauma injuries right like
the stuff that we might see if we're going to a pride,
if we're attending a protest,
if we fucking work in a school in America, right?
It's largely like attention pneumothorax,
a whole sucking chest wound and losing blood.
And losing blood is, I believe,
the sort of most common preventable cause of death in
trauma injuries so most of this is going to focus around losing blood and that's where type of
training called stop the bleed comes in right i believe it's stop the bleed.org you can google
free stop the bleed classes near me i have previously posted a link to where you can put
in your postcode zip code and find free stop the bleed training
near you nice uh and again that will cost you no money at all cost you about half a day of your
time oh great yeah yeah it's uh it's a great thing actually like it's one of the few things that
that uh you know the municipal governments of various things put on well if there isn't one
near you i've heard of people hitting up fire departments and i'm getting them to put one on if they can demonstrate some interest cool um because it is
very basic and most fire departments will have paramedics right which is a sort of step up from
an emt so those those folks can help teach those things very well um very cool so what is in here
for stopping the bleed and i'm not going to teach you how to use it because that's what someone else does someone else's job yeah so before i open it up this is a tourniquet
um some people will pronounce it incorrectly they will say
that those people are wrong that hard tea little tourniquet yeah yeah yeah the american way um
yeah so it's what this guy is is is it it's for uh like bleeding
your limbs arterial bleeding your limbs right just goes around cinch it down and i'm not telling you
how to fucking use it and then you tighten it up right great the things i want to emphasize about
this are one the type of tourniquet that is so this is um called a combat application tourniquet it's made by a company called north american rescue um there are a few other ones that i would use um the other one i have i think
is the softy wide um and i have some of the rev x med ratcheting tourniquets as well um they use
like a boa if people have used ski boots or cycling shoes they'll be familiar with a boa. If people have used ski boots or cycling shoes, they'll be familiar with a boa. Cool. The one to buy is the one that you use
when you do your training, right?
And it's going to be a SAM as another one.
These are all the totals you want to buy
if you're confused about which one you used.
The ones that are approved by the TCCC,
it's a Committee on Tacticalty care uh cool tactical casualty
something like that um those guys have tested them extensively right to see which ones work
which ones don't it it is this is not somewhere to save money that they're about 23 25 bucks you
find them on sale it's it's not yeah i mean if if that's a big expense for you, then I understand. And it's okay not to have one,
if that's a big expense,
or to save up and wait.
Like, that's okay.
It's better than using an improvised tourniquet, right?
So there are not very many very good studies,
at least that I could find,
on improvised tourniquets.
Some places still teach an improvised tourniquet.
Like I've taken a wilderness first responder
where they taught it.
I've also seen one not work.
And I will tell you that's not an experience
that I want to ever have again in my life.
And I don't think it's one I'd like you all to share with me.
So I would suggest if you're going to be using
a 20k then buying a cat is kind of the standard i wouldn't buy it from jeffrey bezos because um
it's amazon.com is a website that he owns um believe it yeah uh space cowboy jeffrey um yeah
so the reason why is that all of these different there there are knockoffs right there are fakes
of this sure um they go in different they go in the same bin from what I'm told.
And then the person who's the picker just maybe grabs one.
And sometimes you can end up with a fake.
What can happen with a fake is the strap can break or the windlass.
So the windlass is the guy that tightens it can break.
Ah, okay.
Either of those things is going to lead to the tourniquet failing, right?
It's not going to apply enough pressure.
And that's going to, it could do a number of things right it could just fail to stop
the bleeding uh depending on if you've misidentified the bleeding you could give someone a compartment
syndrome or something um it's it's going to be very painful it's going to be very painful anyway
right and you'll learn that in your course which you're going to take you're not gonna not going
to just listen to me on the podcast um no i will not thank you uh and and so you do
want a real one and so the easiest way to obtain a real one is to buy one from a reliable source
rescue essentials chinook medical and north american rescue are all people who i've worked
with um i'll say that rescue essential sent me a bunch of shit before i went on a work trip
uh and they it was lots of it was outdated or the open box or
something and i was able to donate that to uh fixers and journalists i was working with i thought
that was very cool of them cool um they offer a stop the bleed month discount i think stop the
bleed month is may so we might be out of that now but um those are all places where you can buy these
tourniquets and know that you're not getting a fake one right um so we'll provide links to that
in the description of the episode.
We will.
Yeah, yeah, yeah.
I'll make sure that those are there for you to click.
So there are different generations.
Like I think Generation 7 is what I have.
Generation 6 is also fine.
You probably won't find one sold before that.
On the off chance you do, I would just stick to a Generation 7 or 6.
It does have a little timestamp, so you'll want a little sharpie as well to write the time on that's more important
it's possible that like you might put this on somebody say you're at a pride event and there
is something terrible happening like a mass shooter and you might be there for a while uh
let's say you're in texas and all your cops are fucking cowards and then unfortunately uh if you're
able to render aid to someone and then you
both of you were able to not get hurt any further you could be there for a while and then it would
be relevant what time the tourniquet is applied normally you know in the u.s we would hope that
you would have medical attention pretty quickly um because you know that threat would have been
stopped and then ems would be able to provide um help but so that that's where the time thing comes
in right and so you want to have a tiny sharpie when you have a tourniquet and you can get north american rescue actually sell little
tiny half-size sharpies and i shove them in the pouch with the tourniquet and then there they are
and then you always have a sharpie um so we go inside there it is look at that okay hey um the
little guy oh that's a cute yeah isn't it gorgeous yeah we love a little guy here yeah credit card size sharpie it's perfect yeah yeah for those who are not uh danil exactly so it's a pinky sharpie i
will do i will do the part of contextualizing for the uh for the non-video audience thank you
daniel yeah of course paint paint a picture with words if you will um so we're going through this
now if we get if we focus on bleeding again right um there's a couple of different dressings
that you have so again i'm not going to tell you what to use for where but you would use like the
tourniquet on one part of your body um the other things you're going to use would be a pressure
dressing um so you can get a ton of different pressure dressings i like the olays ones o-l-a-e-s
um it doesn't hugely matter that those ones just have a little bit of
gauze you can pull out so you can pack a wound too and sometimes if you do a if you get like
a nice training they might let you practice packing some wounds they might have like a little
fake wound that you can pack oh wow yeah so that you'll learn a lot about like how to do that there
um and so those allow you to pack
the wound some of the other ones don't but honestly like sometimes they're called israeli bandages
um they will not uh like colonize palestine if you you know put them in your first gate kit um
but that that's what this guy is right and sometimes they have a lot of packaging on
okay so you want to take them down to kind of the last layer of packaging none of this guy is, right? And sometimes they have a lot of packaging on. Okay. So you want to take them down
to kind of the last layer of packaging.
None of this shit is sterile, right?
None of this stuff is, again,
it's not supposed to be in for a long time.
Right.
So it's okay to have that,
like either just bare or in its first layer of packaging.
I want to contextualize one thing from a video perspective,
just for everybody listening.
As James is showing me his first aid kit, it looks like every item that he's talking about, other than the tourniquet, is individually wrapped and also strapped down.
It looks like I would say about seven or eight individual items within there, and they all have their own pocket and they're all strapped down. And that's something that immediately looking at mine i basically have
you know small plastic baggies that i will hold up to james right now small plastic baggies of
just like a lot of loose shits and it's just way too much stuff in here i would say of what i see
in james's bag versus mine i think i mean first of all there's stuff missing like there's no
tourniquet in here there's a lot of different gauze things and there's but there's you know in mine i have like 700 different bandages and like
there's aspirin in here and like some things that feel like they're more for like a camping trip
than they are really like handling a first aid scenario in which you need to save someone's life
so one piece of advice that i'm getting from James as he shares this is that,
you know, what's important to carry around is the stuff that is going to give you immediate
access to the ability to save someone's life. So think about that as you are like packing your bag.
What I have here that I bought online that I'm still glad that I have is basically a collection
of a bunch of different miscellaneous first aid stuff rather than a very stripped down specific list of items
that I can use to save someone's life in an emergency scenario.
Yes, I think that's an excellent point.
And you can see them all, right?
When you open this guy, this guy is also like size such that I can pull it off,
pop it on the floor, open it up, have my workspace in front of me.
If there's anything
i'm not confident doing if like when horrible things happen and people are bleeding you you do
not in that time gain skills right at that moment speaking from like more experience than i would
like to have um if people are in a really bad way in front of you it's not a fun time and you get scared and
you might panic that's okay that happens to everyone you know people aren't supposed to
see that shit and if it's certainly if it's your first time seeing it's not unreasonable at all
to freak out and not know what to do you can just hold any of this shit up say hey i have a tourniquet
hey i have a pressure dressing and someone who who's at that time is able to help can take that
i know what they're doing if they can help and so it's totally fine just to have this shit and and and if you don't know how
to use it you know don't go beyond your scope of knowledge but just you have that shit and you can
provide it someone else that's fine welcome i'm danny thrill Won't you join me at the fire and dare enter
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So yeah, everything's in little elastic bands i've got this stuff which is called quick clot and we've talked a lot on the podcast recently about indigenous medical
technologies this is an example of one right nice so it's using i think kaolin there's some that use
kaolin some that use something that came from crab shells but this is this is an indigenous medical technology that now is um sort of it's been refined over time this just contains a thing
that stops um it helps blood to clot it's a hemostatic agent right so when you're packing a
wound uh you could use this first this this would help with blood clotting right um it's also the
type i have is detectable on x-rays, which helps a lot.
There are some older types, which are powders.
Those are probably best avoided.
And you want the gauze that is impregnated
with the hemostatic agent if you can.
This stuff got really pricey recently.
Like I think the best price I've seen for this is 35 bucks.
Oh, wow.
So yeah, this guy is going to cost you the most.
Do you have any idea why that is? I think a lot of people probably bought it in 2020 might be part of it got it
maybe it's some kind of supply chain thing i don't know where they get the ingredients from
um but but um they just went up in price a lot uh link like a lot of people were sort of reaching
out about hey why is this shit so expensive sure
i don't know but uh it's not like 100 necessary but it is a very helpful thing and and it can
make a difference in some cases right um so that's your hemostatic gauze um what else i've got in here
is a pair of trauma shears and that's just if you need to remove someone's clothing to access a wound that is kind of important so um
for instance i was doing a training once uh and i prefer to like speak about those things
so like uh where a guy was presented to us with gunshot wound uh and like if you don't
rip off his trousers like this you know if someone's been shot and you're there helping them
again like if you're not comfortable doing this you haven't someone's been shot and you're there helping them again like if
you're not comfortable doing this you haven't done the training and don't be just ripping off
strangers clothes that's weird um in general don't be ripping off strangers yeah yeah there comes a
time area yes yeah um so like and they had this cool kind of thing around his leg that bled like
he had like two wounds that were pumping out blood it's like a cool kind of bleeding simulator so um but like yeah bullets will do crazy shit um they'll go in one part of
your leg and hit the bone and bounce around and go out and fight the other but they don't always
travel in straight lines they're not laser beams um so by exposing that wound you can sometimes
see the exit wound um and so you'll know that there are two wounds right yeah depending on how
you're going to treat it you know if you're going to pack it you're going to put a tourniquet on it but um
that that will that's what these are for you can also get things which are called like i think
it's called a clothing knife um i actually keep one uh here we are i tuck it into the belt of my
um my plate carrier that i use for work just so that it's like right here and it's the same place i keep my diving knife so then i know it's there um and what it does is
these are handy things to have in your truck too uh it's a content yes you've yeah you've seen it
so it's a contained blade right um i like this little chap because um in addition to the contained
blade it has a little um glass
breaker yes i was gonna say we have one in the car so it's like a seat some people might know
it as a seat belt cutter yes yeah yeah cutter and and usually on the other side like you said
they have a glass breaker so but that is a much more contained one and that looks nice the one
in my car is like the size of a small hammer because it's like meant to be like you know
give you the force to hold it in the smack of window but, but also to cut a thing. That is super useful.
I think everybody should have one in their car.
Yeah, you can put it on your key ring even, right?
This is the size of like a matchbox.
Or like a key fob.
It's like the size of a key fob.
Yeah, yeah, yeah.
If you have a newer vehicle than I do,
then you will have to put an electric key fob.
Sorry, I didn't mean to be a car classist here.
Yeah, yeah.
It's okay.
Mine's approaching classic status.
But yeah, we'll put a link on the on the website for this little chap as well um great we're not like we're
not fucking uh getting affiliate revenue from no we're not guys we're just trying to help you out
um yeah the nice thing about this is like it's quite hard to stab someone with trauma shears
because they've got this little nub on the bottom but like it can be quite a lot of chopping and things
right this guy it's every you can like um so these are probably also cheaper um and you won't end up
using them as scissors and getting them blunt um so that is that is my little getting people's
clothes off and then the last one um i have a couple of burn dressings in here. That's just because so many people got burned in 2020.
Pro tip from me there.
Yeah.
Yeah.
If someone shoots something at you,
don't pick that shit up.
Don't pick it up.
Just don't.
In my prepping,
I got fire resistant gloves.
I got like,
I got gloves that were treated for like,
I don't remember,
it's like 500 degrees or something like that.
In the event that I needed to throw back a gas canister.
But I think I was thinking,
I mean, I was way too Rambo about the whole thing
because I still have not encountered
a gas grenade once yet.
So, you know.
Yeah.
I shouldn't say fingers crossed,
but I mean, I don't know.
I'm down.
Yeah, maybe.
I'm ready.
Let's get them.
Yeah, yeah, yeah.
I love that for you.
It's great.
Yeah, so you you can instead of having
the gloves right just avoid picking it up but people do get burned from that from from other
stuff right so a burn dressing not really necessary and because like it's unlikely if
someone is burned to the extent that it's threatening to their life you aren't helping
them with your little box of stuff um so that's fine uh and then these guys are vented chest seals. Ideally you do want
vented chest seals. I was reading a study the other day, it suggested this sort of greater
survivability and what you are doing with those is that this is for a sucking chest
wound. It's not named that because it sucks, but it does.
But it does.
Yeah, but it is, this is for like, like yeah i guess penetrating chest trauma um and what
these these guys i bought in a pack of two um hyphen are a good brand i think halo or another
brand there are some knockoffs on on amazon.com they wouldn't buy just like again it's probably
worth spending a little bit extra these are these are the ones that um have gone through extensive
testing that are issued to lots of militaries around the world.
They're very flat, right?
If you wanted to, you could distribute the shit about your person.
It's just going to be harder to get at it.
You're not going to remember which back pocket maybe you shoved what in.
These are very flat and very easy.
They are giant stickers.
Again, when you do your training, training will learn how to use them but um
yeah i would avoid like the rhino i think rhino is one of the brands i've seen on amazon and stuff
just like get a hyphen is kind of the standard um there's an older type as well um but if these
hyphens are more compact and they're preferred um cool and when you're searching hyphen if you
happen to be searching
it's h-y-f-i-n we're going to put it in the chat but just you know for a word that is phonetically
very similar to another common word hyphen is h-y-f-i-n ah yes yeah yeah so well said dental
that is a um that is a that's a a chest seal right so um here is the other type just for uh your view that's an asherman
chest seal so that not preferred so stick with the hyphen these are kind of bigger and um don't
pack as well and uh yeah i would stick with the hyphens the other thing i have in here um is a uh
is a like a space blanket.
Oh, cool.
Oh, survival wrap.
Interesting.
Yeah.
So when you are losing
a lot of blood,
you get very cold.
And so you do want to
keep that
you do want to keep
that casualty warm.
And this isn't going to
really be enough
on its own,
quite honestly.
Like you need to
probably actively heat
someone,
but it's better than nothing.
And again,
it's very small.
Again, I've given tons of these out in various different situations that weren't um like a casualty
situation so that they've been a nice thing to have you don't generally want to be packing shit
just because it's a nice thing to have and we'll get on to that um but this again is very small
there's almost always space for it so i include that um i also have a little source of light like a little torch um flashlight
for american listeners nice um ash um and that is there for um being able to see things uh which is
very handy actually um when you when you're trying to help somebody who is bleeding uh totally uh
another thing to include would be gloves um i have my gloves somewhere else on this belt so
they're not here but um medical gloves right um and uh again you'll probably learn this in your
course but like a lot of people like to buy black ones i don't know why um cops wear black ones all
the time right um just makes it a little more difficult if you're doing a blood sweep which
is a thing you'll learn about in your class uh so that it's actually quite hard to see like blood on black especially in perfect lighting
conditions yeah yeah so blue tan yeah uh something like that is kind of preferable um i do have those
in the first aid kit thank goodness nice yeah if you want to have those somewhere ready to go i
think they're on the front of this bag. You can slap those on. Nice.
Just, you know, you don't know where other people have been,
what they've been up to, and it doesn't matter, right? You just don't want to help them.
So you just want to take care of yourself there.
So those are honestly the main things I have in there.
What I don't have in here is equally important, right?
I do not have tampons in here.
The reason I do not have tampons in here is, well, it's too far.
I'm not a person who menstruates. And even if i was i wouldn't have my first aid kit uh and secondly
because they are not very good at but they're terrible at dealing with like massive bleeding
right massive hemorrhage that's not what they're for um if people are familiar with uh what they
are designed for like the volume of blood is is not the same as the volume
of blood you will see from arterial bleed yeah it's not even close yeah uh yeah believe me again
like i've had the misfortune to see people die from blood loss and like right that is a lot of
blood um yeah more and it's coming out fast and you ain't stopping it with a tampon right it just
kind of stopping someone who is better equipped from helping um so if you
want to carry tampons and you want to have them available in case someone needs them that is great
that's very kind of you put them in your car put them in your in your bag that you go around with
please but not not don't confuse them with a trauma dressing no because they are different
things um don't plan to improvise anything more broadly right like it
it's just it when we have excellent tools available the design for this job just use them
and it's fine not to be able to get all this stuff at once right you could spring for the
chest seals first and then save a bit of money get the tourniquet that's fine um but like yes can you can you improvise a chest
seal with some duct tape and a credit card or a crisp packet in theory sure but like these are
like 12 bucks right so let's just let's just let's just get them if we can and have people
improvised tourniquet successfully with cravats yes have those failed and resulted in loss of
life you know yes like in some cases um
your belt isn't a tourniquet right it doesn't have a windlass it's not going to get tight enough
um right it might snap have people use successfully yes is there a 23 dollar thing which works much
more effectively yes um and and it's a serious thing it's it's it's fucking it's very real like again speaking from experience like this
shit will uh affect you deeply and you want to know that you did the best you could so and if
you can't afford any of this stuff that's totally fine like just take your time and acquire it
i think an important thing to add at this point is to you know know, listeners of our show are, I think, overly familiar with the way
that we have kind of introduced the idea of mutual aid, like the point of mutual aid. And what I mean
by that is that you are not a one person revolutionary. Like the whole idea is community
effort. And so especially with something like this, this is like a kind of a two part point, especially with something like this, consider that you are part of a community
that can help people overall. Maybe it is not you, the individual listening to this episode right
now that is like, I'm going to go invest in all of these things because I will be the first aid
person. Maybe there's someone, you know, who's already interested in this. And this is information
that you can pass on to them. Should they be wanting to invest in equipment like this. And another thing to think
about in terms of why James is offering specific items is because think about a hobby that you like
doing. Think about anything that you like doing a lot. You know, you don't usually buy the cheapest
version of the thing. And now this is not me, you know,
necessarily advocating for overspending or buying expensive things. You just want to buy stuff that
lasts and that works well. And that does the job because, uh, you know, overall that stuff will
last longer than anything that is cheaper in the immediate moment. I think people can say the same thing about things like work boots, about tools,
about anything that to you is worth investing your time in.
So if this is something that you value,
if being a first responder
or being that person who's there,
if taking a stop the bleed course
is something that's important to you,
consider that these things are more than just like,
you know, good things to have on hand
they're an investment on your future and your interests so just just something to consider that
like while some of these things may i mean nothing sounds outrageously expensive that you've said so
far i think the most expensive thing that you talked about was 35 something yeah something in
that range yeah you can spend a lot on the pouch but i mean sure you you shouldn't sure uh
like don't buy some fancy hypebeast instagram gun guy pouch and right exactly fine um yeah i think
yeah the sea lock scores is probably the most expensive thing i've spoken about um on the point
of durability i do want to say i've seen people practicing with their tourniquets and i would
suggest getting another one to practice with and totally makes sense so north american rescue breaks a blue one it's exactly the same it works
just the same if you need to use it you can but over time those things fatigue and they're not
designed for multiple uses um have they been used multiple times yes do people wash them and wash
the blood off them and use them again yes it's again like we shouldn't plan for a suboptimal setting
and what's already going to be a pretty fucking suboptimal moment and talking of suboptimal stuff
daniel uh we have to stop yeah to uh to talk about ronald reagan so that's my bad i should
have been the one being like james when you take an ad break yeah but here i am a seasoned professional.
Welcome. I'm Danny Trejo. Won't you join me
at the fire and dare enter
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Hi, I'm Ed Zitron, host of the Better Offline podcast,
and we're kicking off our second season digging into how tech's elite
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Get your podcasts. Check out betteroffline.com.
On Thanksgiving Day, 1999, a five-year-old boy floated alone in the ocean.
He had lost his mother trying to reach Florida from Cuba.
He looked like a little angel. I mean, he looked so fresh.
And his name, Elian Gonzalez, will make headlines everywhere.
Elian Gonzalez.
Elian Gonzalez. Elian. Elian. Elian Gonzalez, will make headlines everywhere. At the heart of the story is a young boy and the question of who he belongs with. His father in Cuba. Mr. Gonzalez wanted to go home
and he wanted to take his son with him. Or his relatives in Miami. Imagine that your mother died trying to get you to freedom.
At the heart of it all is still this painful family separation.
Something that as a Cuban, I know all too well.
Listen to Chess Peace, the Elian Gonzalez story,
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We're back. We've returned from our ad break. So I wanted to talk about resources for training,
because I think those are very important, right? And that is where you're going to learn stuff.
I am not telling you how to do this um i would suggest
hitting up stop the bleed i think it's stop the bleed.org um stop the training in my area there's
a website that will link in the description there's part of that website where you can put
in your zip code and find trainings um and then if i think about where i've got my training uh
it's through an organization called knollS, National Outdoor Leadership School.
So once you get past Stop the Bleed, you got a couple of like, most community colleges will have
an EMTB course, EMT basic. That's quite a commitment of your time, but you can learn a lot
of very important things. It can be a career for you if you want it to be. Certainly, it can be an
adjunct to other careers you want to do. If you want to work in the outdoors if you can do an emtb and then do a wilderness emt
that opens up a whole range of expeditions to you um so a community college should be free
most of those courses are free or very affordable depending on where you are
noel's courses are not, nor are they very affordable.
They're very expensive, but they are very good. Your local REI probably puts them on.
Knowles does have scholarships for people who are more marginalized from the outdoors,
or they did last time I spoke to them. So those might be worth checking out. And then
there are apps which will give you resources. Resources are not the same as training, right?
Like training is knowing what to do.
It's not, sometimes it's knowing where to look,
but in situations like this,
like you don't want to be on your phone.
For more advanced stuff,
for stuff where, you know,
you're doing care in the field, right?
If you're doing, or, you know,
wilderness first responder,
if you're trying to think times
that I've done stuff with that.
One time I was climbing up a mountain and the big old rock fell on me i had to um split my leg and oh my god
what i was bleeding a lot yeah yeah it's good times uh yeah don't um yeah don't don't uh watch
out for rockfall audience i just want to throw something out there. Every single time James tells us any story about his life,
it is just this, this wonderfully vivid, like colorful story about something that has happened
to him or an experience that he's had or a profession that he's had that just adds to the
tome of interesting facts about James. So if you, I don't know.
I highly recommend you listen to every single episode
that James is on because you have lived a fascinating life
and that is merely a split second of it.
That's wild.
I'm glad you're okay.
Yeah, I'm fine.
But yeah, you know.
Clearly, here we are.
With that, right?
Like, especially in Wilderness Mediathan,
there's an emphasis on using what you already have
and because you can't bring everything into the wilderness. Right. So that's where I'm saying
knowledge doesn't wear anything. It doesn't take up any space in your pack. Um, so you can use an
air mattress pretty well to splint a leg injury. Uh, you can use one of those foam. So air mattress
is the guy that you sleep on. Yeah. Um, yeah, yeah. So you can kind of want a fan to angle
those up around a leg. Uh, use a Therm-a-Rest
or similar other products are available.
Foam sleeping mattress.
You can use a hiking pole, right?
A tent pole.
Tent poles are kind of nice
because you can break them down
into sections to get the right length.
And then all you're using
from your first aid kit
is your tape, right?
Or if I like ski straps straps i attach everything in my life
it's important to me with ski straps um so i love the ski strap and i had some ski straps and you
can just split that bad boy with a couple of ski straps a couple of tent poles back of the net
you're not having a great day at that point like it's not this is not the kind of medical care
you'd hope for in a professional setting but uh you know if you've got that and you've got a crutch you can you can get yourself to a higher
degree of care um so when we're doing stuff like that i believe knolls has a wilderness medicine
app there's deployed medicine which is a u.s military resource for field care which can help
to remind you of stuff that you've already trained on it's not going to teach you to do stuff you
shouldn't just read about it on there and use it and there's a new one called
goes g-o-e-s which literally launched like this week um goes health which uh it's offline so it
gives an offline database of wilderness medicine um and it helps you kind of with diagnostic cues
of stuff um so when you do your wilderness first responder at least when i did it someone must have
had an ectopic pregnancy
and had a very bad outcome
because they'll ask you with all these questions,
like, what could this be?
What could this be?
And like, they want you to be able to know
what an ectopic pregnancy is.
So like, but there's like a sort of flow chart
that you can follow, right?
To help you be like, what is this?
Is it appendicitis?
What's going on here?
So when, because you probably won't remember everything every certainly if you take a woofer course and
then two years later you know you have before you're recertified like something happens a lot
could happen in two years you won't have remembered everything that you learned in your course right
so right some of those apps are useful um but the most important thing this thing where you will
learn to use all of the items in this ifat it stopped the bleed and it is free
and and that is where everyone should start and they're not going to teach you how to use all
the things so if we bust open the the bag that you got daniel quickly sure it's overstuffed
it there's a lot of things in there yeah a lot of items. Way too many things. I mean, literally, like, aspirin. There is a pouch of emergency drinking water.
Oh, yeah.
Wow.
There is a, whatchamacallit, a bright stick, like a little light stick.
Mm-hmm.
There is about a hundred different kinds of, whatchamacallit,
like, look at this literal just, like, pile of Band-Aids.
Just, like, hundreds of Band-Aids and alcohol wipes.
And oh, there's a whistle.
A whistle should you get lost in the wilderness.
This is a very handy in urban or rural disasters,
but not for first aid.
Not for this.
I don't think any of this stuff is necessarily bad.
It's just, there's just way too much.
There's gauze pads. There is this AB abd pad sterile extra absorbent pad yep that you know i don't think is going to do
what it needs to do but there's a shit ton of gauze in here and there are look at and you want
to talk about things to cut open you're talking about um clothing scissors yeah these little guys
are i don't think are going to do that. No,
they're for trimming your tape and stuff.
Exactly.
Trimming tape.
There's also tweezers in here.
Really?
This feels like for people who are in the wilderness and they get a splinter.
Yeah.
Yeah.
And that stuff's super handy to have in your truck or your car or your bike.
Motorcycle guys are normally pretty good at having effects.
This is a kind of first aid kit.
Yes.
Yeah.
It's not not gonna immediately stop
you uh from dying from loss of blood which is what we're concerned with now if you do ride a
motorcycle you really want to fucking have one like uh i ride a bicycle and i have seen some
motor vehicle accidents and i'm just gonna say motorcycle folks ought to have that someone else
can grab it off your motorbike and use it if you've hurt yourself but sure um nick i've seen that happen before um so yeah that stuff is all very handy it's all
very nice it can make you feel better right like there's i imagine there's a ton of ibuprofen and
paracetamol and benadryl uh all that stuff is great that stuff's super handy right and
another thing i would add is some of that stuff can be life-saving um if you have
an allergy right and you need sure to to take something for that yeah put that in your first
aid kit because that's particular to you right and if that's gonna if you need an epi pen then
have your epi pen uh of course right you know i'm sure you do anyway if you have diabetes have your
glucagon and some sugar um all of that stuff is, of course, important. But in terms of dealing with what
we perceive to be an increased risk of homophobic violence, which normally manifests itself as
people getting shot in this country, then the little scissors and the ABD pad, the band-aids
aren't what we need, and they're just going to get in the way. So even if you have those,
band-aids aren't what we need and they're just going to get in the way so even if you have those great keep them in the car um i gave tons of people band-aids because they got blisters in
2020 right because the people are not familiar with walking that far their boots sucked people
decided to wear heavy boots because they were worried all understandable things it's a lot of
band-aids a lot of horseshoe plasters sort of you know like second skin great happy to give you one of those things um i'll keep it in a different pocket though right
so i so i'm not you know sorting past the blister plasters if someone's been shot and that's
a good tip uh regardless of what you're doing what you even if you're doing you know you're
bringing more stuff for more people that's great aspirin i bet people need that sometimes or
ibuprofen if their knees hurting from walking a lot great uh pound that shit but like don't um that's not what we want
we don't want to be administering medicines really certainly if we're not trained to do so
after a trauma thing because some of the pain medicines we might be taking might might inhibit
blood clotting right so we don't want to be doing that before that person goes onto a higher standard of care it's going to fucking suck for them but like you're the best
you can do is stop that person dying or help someone else who's qualified to do that by just
saying hey i have this stuff and and it's all pretty compact you know like it's it's um it's
it's you know the size of a paperback book, decent-sized paperback book, something like that. And having it may or may not be...
Hopefully, right, you just buy this thing
and it sits around for a while.
And eventually, if you've been having the tourniquet in the sun
for years and years, you want to replace it,
the UV can cause them to decay.
You can just put them inside a pouch.
I've made all kinds of pouches for them.
You can buy an expensive one on the internet
or you can just use a piece,
sew a piece of nylon,
which is what I do.
Two rubber bands
and put it inside your waistband of your thing.
Many, many such solutions exist.
But yeah, I would encourage everyone,
and I think I've said this about 28 times,
to get training
and not to just go and do this.
If you can't access that training straight away and you want to get the stuff where you look for training that's fine
just don't be doing stuff you don't know how to do uh because you know someone might confuse that
for someone who is qualified and is helping and then if you don't know what you're doing and you
make a mistake and that that could be worse than someone's if someone comes in and they're doing
triage right they're saying who do we need're saying, who do we need to treat now?
Who do we need to treat later?
Who can't we help then?
And they see you doing that.
Okay, that person's covered.
Then you want to be sure that you're covering
what you're doing.
So yeah, just make sure you get the training.
We're not trying to scare you into not going to things.
Please don't feel afraid.
I know it's very easy
to feel afraid that's of course the goal of you know most of these people uh their ass is welded
to their gaming chair and they will never actually come into the streets and hurt you they just say
stuff stay stuff on twitter.com and like you're fine um but it's very reasonable to be prudent
and certainly this is stuff I have in my truck.
I have it in my bag.
I have it in most places I go and you know,
you get used to it.
It's fine.
And take it across.
And I'm on work trips and I try and leave lots of it with my colleagues who
can't access it so easily in,
in other countries.
So,
yeah,
I hope that's helpful for people.
It's peace of mind.
Yeah.
Yeah,
it is.
It's,
it's, and and look i guess
just to wrap up like you are not uh i don't watch television really uh hugh laurie what's
hugh laurie's deal uh house oh house yeah or like some other super doctor right like you can't heal
everyone uh bad things happen but there's just peace of mind and trying to do your best to help everyone um and and that's relatively accessible and and not too
expensive i think there's an ifac fund which gives these away for free as well so cool that's worth
looking into um if that's if someone can find that they can send it to me and i will post it
but yeah it's peace of mind and and it's it's not too hard to get that training so go out
there and do that wonderful do it with someone you love do it do it for fun do it with your friend
make it do it go on a date yeah find someone on tinder yeah yeah do it let us know how that goes
hey what's your favorite color so what are you doing this weekend want to do a stop the bleed course i think that's very sexy i'd 100 be into that exactly
yeah please don't dm me with potential stuff no do not do no do not dm james no no don't do it
um but yeah hopefully that helps people wonderful uh well james thank you so much for this awesome
information it's been an absolute pleasure being on the show with you.
Yeah, that was lovely.
And we'll post links in the chat.
Sorry, post links.
The chat that we have with all of our listeners.
Oh my gosh, exactly.
That's my Twitch shit coming through.
We'll post links in the description of the episode.
And yeah, I look forward to doing this again with you.
Yeah, Daniel, talking of your Twitch shit,
where can people find your Twitch shit?
They don't need to find me anywhere.
But if you want to find me,
you can find me at twitch.tv slash dj underscore Danil,
D-A-N-L.
And if you want to come ask me what Robert smells like,
I will not ban you,
but I will time you out for 10 minutes. So just know that i'm happy to have whoever wants to come watch the uh watch the twitch stream but um i'm not going to answer
any weird questions about my co-workers as you should be thank you daniel thank you james
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Hi, I'm Ed Zitron, host of the Better Offline podcast,
and we're kicking off our second season digging into Tex Elite and how they've turned Silicon Valley into a playground for billionaires.
From the chaotic world of generative AI to the destruction of Google search,
Better Offline is your unvarnished and at times unhinged look at the underbelly of tech brought to you by an industry veteran with nothing to lose.
Listen to Better Offline on the iHeartRadio app,
Apple Podcasts,
wherever else you get
your podcasts from.