What's in your First In Bag(s)?

[NannieKane]

Right now our first in bag contains everything - O2, trauma stuff, BLS stuff, etc. (ALS/drugs and peds are in separate bags already.) We are looking to split it into 2 bags - an O2 duffel and another bag (or 2) since the one bag weighs a ton and we don't always need EVERYTHING. What's in your O2 duffel? Do you have separate trauma/medical bags? What's in that (those)? I've got to come up with a recommendation in about 2 weeks. Thanks in advance.

-Nancy

[Bieber]

This thread's already been done before. I bumped it up, it's in this same subforum titled "What does your department carry in your ALS or BLS bag."

Enjoy.

[NYCEMS9115]

In your drug bag should be all the drugs, IV caths, ET, sharps container, IO, syringes, macro/micro sets, fluids (50, 100, 250, 1000ml IV Bags, D5W (50 & 100ml), tegraderms or band-aide & papertape, alcohol & providine preps. Oxygen bag should have all the diff software, short splint or SAM, irrigation, Adjustable Collar w/ Headbed, handpowered suction, all the O2 delivery devices (Adult & Peds), & D Oxygen Tank.

I don't believe in first or second line drug bags. When you do that; you assume the bare minimum is all you need. When we all know patients are dynamic and never textbook.

Fortune Cookie Proverb: Its better to have & not need; than to need & not have.

[Medic One]

We have a 1st in ALS bag, a second ALS bag for more serious calls, and a PLano box for restock and full arrests.

1st in has:

O2

2 each, NRB, NC, Pedi NRB, Nebs

Adult / Pedi BMV

Adult / Pedi Cuff

One collar (select a neck)

Basic bandaging

1 oral glucose

Tiny sharps container

1 500cc NS

1 10 drip

1 60 drip

2 of each IV caths

IO Drill kit

2 epi

1 atropine

1 lido

1 glucagon

1 Narcan

1 D50

then some little odds and ends

ALS in bag (more serious calls)

Regular ALS setup with to be brought in with 1st in for more serious calls

Plano case (restock and back-up for Serious ALS calls such as Cardiac Arrests - stay in the bus)

This is our 1st in bag.

http://www.toughtraveler.com/remed/megad.asp

Edited February 1, 2011 by Medic One

[stcommodore]

Using the statpack BBP reaistant bag

Top pouch:4x4, kling wrap, MAT tournequet

Pen light, samm splint

Narcs&syringe, 1in 2in tape

Front small section:airway roll

Front large section:

Adult bvm, peds bvm

Large and reg bp cuff

2 50mg benadryl

1 30ml 1,1000 epi

4 narcan

4 lasix

2 D50

1 bicarb

In seperate pouch-3 epi,3atrop,3lido,3 6mg adenosine

Glucometer&glucagon

Side 1:nrb, nc,neb,neb mask, albuterol, small sharps, lg abd pad

Side 2:iv kit, calcium,d25,mag sulfate,asa,nitro

[Kiwiology]

Outer Front Pocket (Upper)

1 x Stethoscope

1 x Blood glucose meter & test strips

1 x B/P cuff Adult

1 x B/P cuff Child

1 x Pupil torch

1 x Clothing shears

Outer Front Pocket (Lower)

1 x Suction c/w Adult & Child fittings

(optional)

1 x Safety glasses

1 x Sharps container

2 ea N95 & surgical masks

Outer Large Side Pocket

1 x Glucose 10% / 500ml

1 x 50ml syringe & drawing-up needle

1 x Carrero oral glucose

1 min Glucagon

2 x Emesis containers

Outer Small Pocket (Lower)

1 x CAT (combat action tourniquet)

3 x Combine dressings (20cm x 30cm)

6 x Sterile gauze squares (75mm x 75mm)

6 x 30ml saline (irrigation)

Outer Small Pocket (Upper)

1 x Environmental blanket

2 x Crepe bandage

1 x 5cm tape Durapore (or similar)

1 x 2.5cm tape Durapore (or similar)

2 x Steristrips

3 x Triangular bandages

Inside Pocket (Upper)

1 x Cricothyroidotomy kit

1 x Intraosseus device

1 x Turkel Chest drain device & Betadine wipes

1 x Disposable scalpel & blade

Inside Pocket (Middle)

1 ea Oropharyngeal Airways sizes 000– 4

1 ea Nasopharyngeal Airways sizes 6.5, 7.5, 8.5

1 x Lubricant

Base - LMA Kit

1 ea Laryngeal mask airways sizes 1,2,3,4,5

1 x Paediatric Thomas tube holder

1 x Adult Thomas tube holder

1 x 50 ml syringe

1 x Lubricant (optional)

1 x Cobb connector (optional)

Inside Pocket (Lower Left)

10 x Salbutamol 2.5mg / 2.5ml

1 x Nebuliser

1 x Nebuliser mask Adult

1 x Nebuliser mask Child

1 x Oxygen tubing (optional)

Inside Pocket (Lower Right)

1 x Paracetamol tabs (sheet)

6 min Ondansetron wafers (4mg)

1 x Methoxyflurane kit

1 x Methoxyflurane 3ml ampoule

Base - Manual Bag Ventilator Kit - Adult

1 x Manual bag ventilator & filter

1 ea Resus masks Adult sizes 3, 5

1 x Non rebreather mask Adult

1 x PEEP valve

Base - Manual Bag Ventilator Kit - Child

1 x Manual bag ventilator & filter

1 ea Resus masks Child sizes 00, 0, 1

1 x Non rebreather mask Child

Intensive Care Paramedic IV Drug Roll

15 x Adrenaline (1:1000) 1mg / 1ml

4 x Amiodarone 150mg Inj.

6 x Atropine Sulphate 0.6mg / 1ml

8 x Frusemide 20mg / 2ml

1 x Lignocaine 1%

3 x Ondansetron 4mg / 2ml

2 x Midazolam 15mg / 3ml

3 x Midazolam 5mg / ml

8 x Naloxone 0.4mg / 1ml

2 min Suxamethonium 100mg / 2ml

2 min Vecuronium 10mg powder

5 ea Medication added stickers

2 ea Syringes (1ml, 3ml, 5ml)

4 min Syringe 10ml

1 x Syringe 30ml

6 x Drawing-up needles

2 ea Needles 23g & 25g (sharp)

6 x Saline 10ml ampoules (for injection)

2 ea IV catheter Short 14g, 16g, 18g, 20g, 22g, 24g

4 min IV dressing

3 x Sterile gauze squares (75mm x 75mm)

4 x Luers

1 x Tourniquet

10 min Alcohol swabs

2 x Mucosal atomiser device (MAD)

Intubation Roll

1 x Laryngoscope c/w 5 x blades

1 x Lubricant e.g. KY jelly

1 x ET Cobbs connector

1 x Magill forceps Adult

1 x Magill forceps Paediatric

1 min ET introducer Adult & Child

1 min ET holder Adult & Child

1 min ET tubes sizes 3, 4, 5 (non-cuffed)

1 min ET tubes sizes 6, 7, 8, 9 (cuffed)

1 x 2.5cm gauze bandage

1 x 2.5cm tape e.g. Durapore

1 x Syringe 10ml

1 x Safety glasses

1 x Portex bougie

1 x Oesophageal Intubation Detector

Quantities of morphine, fentanyl, midazolam and ketamine are also kept on each individual Officer.

[tniuqs]

You talk funny kiwi ..

Why 15 amps of epi 1:1000 ? No prelaods ? Ever think a 30 in 30 would be easier ?

Where do the keep narcs on their person ?

[Kiwiology]

You talk funny kiwi ..

Why 15 amps of epi 1:1000 ? No prelaods ? Ever think a 30 in 30 would be easier ?

Where do the keep narcs on their person ?

We carry no preloaded drugs, if you are not competent enough to manually draw up a medicine you are not competent to be allowed to use it.

Ketamine, morphine and fentanyl and kept in a hip pouch

[Bieber]

We use the Plano 747.

-calcium

-epinephrine (for cardiac arrest)

-lidocaine

-dextrose

-aspirin

-nitroglycerin

-atropine

-adenosine

-magnesium

-ketorolac

-epinephrine (for allergic reactions)

-diphenhydramine

-metoclopramide

-solu-medrol

-glucagon

-albuterol

-thiamine

-labetolol

-4 way stopcock

-narcan

-meconium aspirator

-umbilical cord clamps

-lancets + bandaids

-needles

-syringes

-saline bullets

-alcohol preps

-tourniquets

-IV needles

-tape

-laryngoscope blades + handle

-syringe for ET tube

-volutrol

-sodium bicarb

-dopamine (premixed)

-lidocaine (premixed)

-1 L NS bag

-10 gtts admin set + 2 extension sets

-adult and pediatric thomas tube holder

-nebulizer mask

-adult and peds ET styletts

-surgilube

-ET tubes (2.5-8.0 x2 each)

-250 cc NS bag

-60 gtts admin set

-emesis bag

-short and long arm boards

-sharps container

-biohazard bag

-occlusive dressing

-4x4's

-BP cuff

-Glucometer

-Magills

As a general rule, I bring the box and the monitor in with me on all medical calls. For traumas I just bring the collar and board. Fire brings in their O2 and we have a D cylinder and some masks on the cot, so I don't usually bring in our airway bag unless it's a respiratory call and we're on scene first.

We carry no preloaded drugs, if you are not competent enough to manually draw up a medicine you are not competent to be allowed to use it.

Ketamine, morphine and fentanyl and kept in a hip pouch

And by hip pouch, do really mean to say fanny pack?

Edited February 3, 2011 by Bieber

[Kiwiology]

And by hip pouch, do really mean to say fanny pack?

Nope, I mean a small pouch that is secured to the Officers belt