Feb 27 2012
BUILDING YOUR RANGE TRAUMA KIT
I’m not a survivalist, I don’t have six months of canned food in my basement, heck I don’t even have a week’s worth of canned food in the pantry (that is probably something I should work on). But I do understand and appreciate the spirit of preparedness. As a very active firearms instructor, heck, just as an avid shooter, there is one area I can’t afford not to prepared in: that area is first aid.
Every shooter should have a first aid/trauma pack readily available. And there is absolutely NO excuse for a firearms instructor NOT to have one. As the Assistant Director of the CRPC Firearms Training Department, it falls on me and the head Director to make sure that our instructors and range safety officers not only have access to a trauma kit; but that they are trained at a minimum in First Aid and CPR.
All of our instructors carry a small trauma pack in the cargo pocket of our 5.11s for an instant response until the big trauma kit has been opened and right tools retrieved. These small packs include the most basic of trauma materials: trauma pads, sterile gauze, wraps and duct tape to secure dressings or improvise a seal for a sucking chest wound, non-latex gloves and bio-hazard disposal bag, and an instructional sheet with information on how to quickly diagnose and treat wounds and quick clot. Of course, we also have a full-blown trauma kit on the bench behind us as well.
DISCLAIMER: I’m not a medical professional and I’m most definitely not an expert in the area of first aid and trauma. This is why I did extensive research as well as talked to my local Division Chief of Fire Operations, Firefighter/Paramedic BFSA on the matter of trauma kits before writing this post.
LEVELS OF TRAUMA KITS:
- Basic Life Support
- Advanced Life Support
- Trauma Surgeon’s Field Kit
The Basic Life Support kit is the solid choice for the application of range use, and should be able to get you by until the ambulance arrives. Unless you have training and certification in the Advanced Life Support and the Trauma Surgeon’s Field kits, I would steer clear of them. Too many tools can overwhelm and become confusing.
BASIC LIFE SUPPORT KIT:
It is important to have the right tools in your kit, here is a basic list of the essentials:
- Triangle Bandages (2-3)
- Small assortment of bandaids
- Sterile 2X2 and 4X4 bandages
- A few 8X7 bandages if you’re not worried about being too portable
- One occlusive dressing for open chest wounds
- CPR pocket mask
- Nitrile gloves large or assorted sizes
- SAM splint
- Emergency blanket
- Bee sting swabs
- Coban (2 rolls of 2 inch, 2 rolls of 4 inch)*
- Military grade commercial tourniquet
- Cold compresses.
* “I would always suggest a local feed store to get coban or vet wrap over gauze roll bandages. It is relatively inexpensive, comes in a variety of colors, sterile, and sticks to itself. You could also use it as flagging tape and marking individuals who are triaged into categories.” – Division Chief of Fire Operations, Firefighter/Paramedic BFSA
WHAT ABOUT QUICK CLOT?
Quick Clot is an inorganic material with the active ingredient of Kaolin that works as a sponge of selective molecules. It coagulates and causes a blood clot to form in a wound. Quick Clot is usually in a sponge or gauze form and is sold in vacuum sealed, easy to open foil pouch. If used properly Quick Clot can save lives.
The problem with Quick Clot is that it tends to put off a heat that causes unnecessary tissue damage. It is important to note that the newer generations of Quick Clot do not have the same heat problems associated with the original Quick Clot. However, I have been advised by professionals in the medical field to only use Quick Clot when a tourniquet is not working to effectively stop or slow the bleeding or when emergency services are not readily available. Most bleeding should be able to be taken care of with a tourniquet. So while it’s great to have on hand, Quick Clot should not be your first choice in treating bleeding, especially of minor cuts and wounds.
Personally, I carry the newer generations of Quick Clot and think it’s an important tool to have. I am just careful to use it only when absolutely necessary.
A FEW OTHER ITEMS
A few other items I would throw in my trauma kit are:
- Duct Tape – proven method to stop bleeding of minor wounds and always good to have on hand.
- caution tape – so you can quarantine any blood puddles, etc.
- extra nitrile gloves – you can never have enough
- and a blood born pathogen kit - for obvious reasons
- a smal sharp knife (such as the CRKT minimalist neck knives) , sterilized
I hope you found this article helpful. I know that there are always MORE safety tools that are great to add to a kit. However, the tools described here should get the job done with the minimal amount of training necessary.
P.S. While you’re putting in an order for your kit, might I suggest you go ahead and order one for Fido too?









Feb 27, 2012 @ 20:53:12
“The problem with Quick Clot is that it tends to put off a heat that causes unnecessary tissue damage”
The old QuickClot (with the granules that you pour into the wound) do produce a large amount of heat. I have had to use it before and while applying manual pressure after using that version of QuickClot I could clearly feel the heat in my hands, I can only imagine what it feels like to have it in your wound. But, my patient did survive.
The newer version that we are being issued overseas now is the QuickClot Combat Gauze that does not generate heat. Just pack it into the wound.
One thing I would recommend is plenty of gauze and ace wrap bandages. You can pack the wound if needed and the ace wrap allows you to adjust the amount of pressure on the wound. I carry extra gauze and ace wraps here in Afghanistan.
Feb 28, 2012 @ 10:49:15
Eric,
Thanks for reading Packing Pretty and taking the time to comment. Your input is very useful and appreciated!
-Gracie
Editor-in-chief of Packing Pretty
Apr 21, 2012 @ 02:41:06
Why call us to help if you are going to question our iiecsdons and drive yourself? geeze dude waste time and resources why don’t you.
Mar 07, 2012 @ 15:28:16
I have visited your blog before. The more I learn, the more I keep coming back! ;-P
Mar 12, 2012 @ 18:27:28
Just know that if you ever have to apply a tourniquet you have to get it very tight, painfully tight.
I know.
I had to apply one to my leg last summer in the Boundary Waters, after an incident with a machete…and watching your own self with an arterial bleed is no fun.
It took some twisting and it was uncomfortable…but it worked..
Mar 14, 2012 @ 11:57:34
Thanks for the info, here is a post of what I carry all the time. Three things; tourniquet, QuickClot, and old-school military dressing (it’s a 4×4 with cloth ends to tie). If I carry anything else I start with gloves and add from there.
Thanks for the Blog.
SayUncle » News you can use
Mar 19, 2012 @ 07:31:02
[...] Building your range trauma kit. [...]
Mar 19, 2012 @ 08:58:04
I would also add a halo chest seal and a decompression needle. I have a cauterization pen in mine as well.
Mar 19, 2012 @ 09:53:58
“I would also add a halo chest seal and a decompression needle.”
The chest seal is a good idea, but unless you’re properly trained to perform the procedure you should leave the needle out. Most EMS systems these days won’t even do that on a patient that’s not in or near cardiac arrest, because of the potential complications (including complications that can cause death).
Mar 19, 2012 @ 10:07:09
Celox instead of quick clot
Mar 19, 2012 @ 19:57:24
+1
Definitely Celox granules over QuickClot. Apart from the heat issue, you’re not pouring into the wound what is essentially dirt, which will need to be cleaned up. Any Celox that is left behind will (eventually) be broken down and flushed by the body.
I’m just getting the last pieces my FAK stuff (tactical, car and range) together, I recommend two sources:
http://shop.thetacticalmedic.com/main.sc
http://www.chinookmed.com/
They have everything you need at reasonable prices. The only bits I got elsewhere were some unitized ANSI bits for the car FAK.
Mar 19, 2012 @ 19:05:55
Enjoyed your post… I did some research a while back for a post on this topic and, kind of like a bad penny, the QuikClot formula concern keeps turning up even though the actual formula was changed back in 2006… here’s a link if you’re interested…
http://godgalsgunsgrub.blogspot.com/2011/07/first-aid-and-thinking-ahead-with-guns.html
Unless folks have some old QuikClot or a similar product stored away that is over five years old, it shouldn’t have the heat and tissue damage concerns even though it still gets warm… as do many chemical reactions…
Dann in Ohio
Mar 20, 2012 @ 10:01:40
My only suggested addition would be to add a second occlusive dressing (thoracic entry wounds tend to have exit wounds to go with them) and a small waterjel burn dressing or two. Those things are like magic for burns.
Mar 20, 2012 @ 19:45:39
“Just pack it into the wound” is an understatement. Pack it ALL in the wound. Check the Youtube videos for examples.
May 05, 2012 @ 03:55:41
Nice to see the Pro Active attitude here.. its the met important aspect of this, however if I may make a few obvious comments; Only provide the level of First Aid that you are trained to preform as the Good Samaritan law only goes so far. (KISS) Keep It Simple, Short.. as mentioned the more toys the more potential for confusion. (ALS) Advanced Life Support should only be provided by Certified ACLS /Medic/ Corpsman etc.. and then if your not on the clock your Cert. might not cover you so just be careful!! Each state and Local REMSCO laws can mess with you..
and a final add on to your great blog here.. ALong with training each of our SO’s in AHA Basic Life Support and First Aid we have added an AED (Automatic External Defibrillator ) to our bags. I can’t tell you how many ranges we ‘ve been to that don’t see the enormous advantage of this single piece of equipment!! Great site love the info!!
JD Duval, TPU Medic, AHA RF, MD@ADK-IDPA
Apr 17, 2013 @ 22:19:48
Using Disposal plates, cups, and utensils will minimize clean-up and water use.
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