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Old 05-21-2012, 03:57 PM   #1
Mike at Tank Vest OP
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First aid kit supplies

Went on a ride on Sunday where a rider went down. Had to utilize my first aid kit to tend to some of the injuries. Given the nature of our hobby here, and I haven't seen this information posted before, I thought I'd share my insights on what should be included in a first aid kit/first responder kit for bikers. We're limited on room compared to a cager so I did some thinking on this as having supplies there on hand when a spill does happen may make a difference.

1. non latex rubber gloves
2. sterile gauze pads 2x2, 4x4 and 6x6.
3. medical tape
4. vet wrap (see below)
5. compression wrap
6. compression bandage
7. splint
8. alcohol wipes
9. Neosporin
10. scissors/shears
11. quick clot
12. band aids
13. tweezers
14. instant ice pack
15. Tylenol/aspirin/alieve/advil
16. Iodine tabs
17. Moleskin
18. saline solution
19. Benadryl
20. Glucose/candy



My first aid kit was lacking and I wished I'd had some of the stuff I listed above. Thankfully, the injuries of the rider were non-life threatening. The rider went down and received abrasions on his knees and lower legs. He took a hit on his helmet and his side. I put vet wrap on the list as it would serve very well to maintain pressure and bandages on areas such as knees where joints make standard medical tape worthless. Vet wrap is a very flexible material that holds bandages well and is impervious to water.

The rider also cracked two ribs though he didn't feel it or show any signs of it at the scene.

Given how potentially dangerous our hobby is, we should all carry a first aid kit on our motorcycles. The above is my list of what is in mine now. Any suggestions for things I've missed or should consider would be appreciated.

What really got me was that out of all of us only a couple of us had first aid kits.
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Old 05-21-2012, 05:43 PM   #2
AlanCT
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Some of that Quik Clot stuff might be a good idea, as well as those clear membrane sheets used for large abrasions, whatever those are called.
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Old 02-23-2013, 03:51 PM   #3
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Quote:
Originally Posted by AlanCT View Post
...those clear membrane sheets used for large abrasions, whatever those are called.
Tegaderm.
http://www.amazon.com/Nexcare-Tegade...words=tegaderm

Apologies if this data was already provided somewhere in the previous 4+ pages of posts.
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Old 05-12-2013, 07:13 AM   #4
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Im back.

Hey Gents and Gals,
I am back around so I can answer more questions if you have any.
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Old 05-21-2012, 05:58 PM   #5
blake716
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You know, this is a great topic...and strangely enough, something I completely overlooked.

Odd. Especially since I have a tendency to crash....hard.

Great post. I know what I'm adding before my next ride.
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Old 05-21-2012, 07:10 PM   #6
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Small thread with a bit of this in it.
My Post
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Old 05-21-2012, 09:55 PM   #7
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Other half of the coin is knowing how to use what you have.

Take a first aid class. They're cheap.

When I took it, the instructor gave us access to download the manuals. Wilderness First Responder was among those listed... while I didn't take the class, the information in the other manuals had a lot more to do with the situations I'd be in than the basic first aid class did. Kinda need one for the other though.

Also had bloodborne pathogens, babysitter's guide, first aid cheat-sheet, pediatric first aid, and CPR/AED.
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Old 05-22-2012, 01:04 PM   #8
John E
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Quote:
Originally Posted by Mike at Tank Vest View Post
Went on a ride on Sunday where a rider went down. Had to utilize my first aid kit to tend to some of the injuries. Given the nature of our hobby here, and I haven't seen this information posted before, I thought I'd share my insights on what should be included in a first aid kit/first responder kit for bikers. We're limited on room compared to a cager so I did some thinking on this as having supplies there on hand when a spill does happen may make a difference.

1. non latex rubber gloves
2. sterile gauze pads 2x2, 4x4 and 6x6.
3. medical tape
4. vet wrap (see below)
5. compression wrap
6. compression bandage
7. splint
8. alcohol wipes
9. Neosporin
10. scissors/shears
11. quick clot
12. band aids
13. tweezers
14. instant ice pack
15. Tylenol/aspirin/alieve/advil
16. Iodine tabs
17. Moleskin
18. saline solution
19. Benadryl
20. Glucose/candy



My first aid kit was lacking and I wished I'd had some of the stuff I listed above. Thankfully, the injuries of the rider were non-life threatening. The rider went down and received abrasions on his knees and lower legs. He took a hit on his helmet and his side. I put vet wrap on the list as it would serve very well to maintain pressure and bandages on areas such as knees where joints make standard medical tape worthless. Vet wrap is a very flexible material that holds bandages well and is impervious to water.

The rider also cracked two ribs though he didn't feel it or show any signs of it at the scene.

Given how potentially dangerous our hobby is, we should all carry a first aid kit on our motorcycles. The above is my list of what is in mine now. Any suggestions for things I've missed or should consider would be appreciated.

What really got me was that out of all of us only a couple of us had first aid kits.

Good on you for stepping up to help out a fellow rider. Just a couple of things about your suggestions that I'd change.

Get rid of the 2x2's and the 6x6's. Use 4x4's and a couple of abdominal bandages, they'll absorb more fluid and the 4x4's can always be folded or cut down. Individually wrapped, sterile 4x4's can be found at any drugstore, they're cheap and pack flat, get as many plies/thickness as possible for maximum absorption.

Antiseptic wipes are far better than alcohol wipes for cleaning any sort of broken skin, alcohol will burn and it is cytotoxic, kills the good cells as well as the bad ones. BZK (benzalkonium chloride) wipes are bigger, work better and don't sting. They're also cheap if you buy a box of 100. I do keep a couple of alcohol wipes in my tool kit in case I ever need to apply Loctite or epoxy to something, they work well for cleaning plastic and metal.

More gloves is better. Like at least 6 pairs. Nitrile is probably best as they're hypoallergenic, good for you, good for the patient.

I'd skip the vet wrap, In my experience it's not all it's cracked up to be. Once it's been stretched out it loses it's elasticity very quickly and falls off. I'd use a couple of 6" elastic bandages and tape. The elastic bandages can also be used with your splint, to hold a cold pack in place, to immobilize a dislocated or broken extremity even if you don't have a splint.

For a compression bandage, pick up an "Izzy", an Israeli combat bandage. They're great, they can be self applied as well as used on others. Come in a sterile package, available in 4"and 6" widths. One should suffice for the average kit.

For a splint, pick up a SAM or one of the many no-name copies. Aluminum bonded with some thin foam padding they can be cut, folded, modded into just about anything. I've used them to make finger splints, just cut off a slice and make sure the edges aren't sharp. They come rolled up, very handy.

If the recommended use for the Benadryl is for treatment of insect stings, get a small bottle of the children's liquid. It's much faster acting. They also make Benadryl in a gel form, great for topical applications but not for internal usage. If you or anyone you're traveling with is known to be susceptible to anaphylaxis from insect stings, make sure you or they are carrying an up to date Epi pen. Same thing for known diabetics and asthma sufferers, don't be like a lot of my patients and tell me that you left your Epi pen, inhaler, and insulin at home. Something to remember about Benadryl, it will make you drowsy, not recommended if you or the patient is going to be continuing to ride.

Saline can be found in small 20-30 ml individually sterilized squeeze bottles, very handy for flushing out wounds and debris from the eyes as well.

I'd also think about getting some sort of tourniquet, a CAT or something equivalent and make sure it's not a Chinese ripoff design. The protocols for treating arterial bleeding in extremities is pressure bandages followed by use of a tourniquet in many areas now. If you should come across or be involved in an incident in which a person has suffered from a traumatic injury to an extremity, you'll never stop the bleeding by trying to find a pressure point, particularly if they're wearing a riding suit. A properly applied tourniquet will save a limb as well as life in an extreme injury situation. In addition to actually stopping the bleeding, a tourniquet allows a single caregiver to deal with multiple patients once it's been applied correctly.

I'd also toss a small headlamp in with the first aid kit, it sucks to not be able to see what you're doing and you can't do much with one hand holding a flashlight.

I'd also consider separating the true "first aid" stuff from the "booboo" stuff. If you come across an accident, you need to be able to access that tourniquet or Izzy right now, the pain relievers and bandaids can go into a separate bag or box to be used as needed. I keep a couple of bandaid, some Advil, Tums and a small bottle of eye drops in a little zippered case inside my tankbag for easy, non-emergent use. The real stuff is in a separate trauma bag. All I'm really concerned with in an emergent situation is trying to ensure the patient is breathing and trying to stop traumatic blood loss. The road rash etc. can be fixed later when you've got everyone off to the side of the road or trail. Same thing with medications.

For reference, I am a licensed, working EMT in the state of California but I'm not a doctor, in particular I'm not your doctor so take everything I've written with a grain of salt and don't rely on it to save yours or anyone else's life without further training.
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Old 05-22-2012, 01:50 PM   #9
Mike at Tank Vest OP
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Quote:
Originally Posted by John E View Post
Good on you for stepping up to help out a fellow rider. Just a couple of things about your suggestions that I'd change.

Get rid of the 2x2's and the 6x6's. Use 4x4's and a couple of abdominal bandages, they'll absorb more fluid and the 4x4's can always be folded or cut down. Individually wrapped, sterile 4x4's can be found at any drugstore, they're cheap and pack flat, get as many plies/thickness as possible for maximum absorption.

Antiseptic wipes are far better than alcohol wipes for cleaning any sort of broken skin, alcohol will burn and it is cytotoxic, kills the good cells as well as the bad ones. BZK (benzalkonium chloride) wipes are bigger, work better and don't sting. They're also cheap if you buy a box of 100. I do keep a couple of alcohol wipes in my tool kit in case I ever need to apply Loctite or epoxy to something, they work well for cleaning plastic and metal.

More gloves is better. Like at least 6 pairs. Nitrile is probably best as they're hypoallergenic, good for you, good for the patient.

I'd skip the vet wrap, In my experience it's not all it's cracked up to be. Once it's been stretched out it loses it's elasticity very quickly and falls off. I'd use a couple of 6" elastic bandages and tape. The elastic bandages can also be used with your splint, to hold a cold pack in place, to immobilize a dislocated or broken extremity even if you don't have a splint.

For a compression bandage, pick up an "Izzy", an Israeli combat bandage. They're great, they can be self applied as well as used on others. Come in a sterile package, available in 4"and 6" widths. One should suffice for the average kit.

For a splint, pick up a SAM or one of the many no-name copies. Aluminum bonded with some thin foam padding they can be cut, folded, modded into just about anything. I've used them to make finger splints, just cut off a slice and make sure the edges aren't sharp. They come rolled up, very handy.

If the recommended use for the Benadryl is for treatment of insect stings, get a small bottle of the children's liquid. It's much faster acting. They also make Benadryl in a gel form, great for topical applications but not for internal usage. If you or anyone you're traveling with is known to be susceptible to anaphylaxis from insect stings, make sure you or they are carrying an up to date Epi pen. Same thing for known diabetics and asthma sufferers, don't be like a lot of my patients and tell me that you left your Epi pen, inhaler, and insulin at home. Something to remember about Benadryl, it will make you drowsy, not recommended if you or the patient is going to be continuing to ride.

Saline can be found in small 20-30 ml individually sterilized squeeze bottles, very handy for flushing out wounds and debris from the eyes as well.

I'd also think about getting some sort of tourniquet, a CAT or something equivalent and make sure it's not a Chinese ripoff design. The protocols for treating arterial bleeding in extremities is pressure bandages followed by use of a tourniquet in many areas now. If you should come across or be involved in an incident in which a person has suffered from a traumatic injury to an extremity, you'll never stop the bleeding by trying to find a pressure point, particularly if they're wearing a riding suit. A properly applied tourniquet will save a limb as well as life in an extreme injury situation. In addition to actually stopping the bleeding, a tourniquet allows a single caregiver to deal with multiple patients once it's been applied correctly.

I'd also toss a small headlamp in with the first aid kit, it sucks to not be able to see what you're doing and you can't do much with one hand holding a flashlight.

I'd also consider separating the true "first aid" stuff from the "booboo" stuff. If you come across an accident, you need to be able to access that tourniquet or Izzy right now, the pain relievers and bandaids can go into a separate bag or box to be used as needed. I keep a couple of bandaid, some Advil, Tums and a small bottle of eye drops in a little zippered case inside my tankbag for easy, non-emergent use. The real stuff is in a separate trauma bag. All I'm really concerned with in an emergent situation is trying to ensure the patient is breathing and trying to stop traumatic blood loss. The road rash etc. can be fixed later when you've got everyone off to the side of the road or trail. Same thing with medications.

For reference, I am a licensed, working EMT in the state of California but I'm not a doctor, in particular I'm not your doctor so take everything I've written with a grain of salt and don't rely on it to save yours or anyone else's life without further training.

Awesome post!!!! Thanks!
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Impossible is a word for the weak. I like to think the word impossible is just another way of saying, "Interesting Challenge".

2006 KLR 650, 1988 Harley Davidson Sportster 1200, 1980 KLX 250
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Old 02-19-2013, 11:37 AM   #10
rdcamp
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+1

Quote:
Originally Posted by john e View Post
good on you for stepping up to help out a fellow rider. Just a couple of things about your suggestions that i'd change.

Get rid of the 2x2's and the 6x6's. Use 4x4's and a couple of abdominal bandages, they'll absorb more fluid and the 4x4's can always be folded or cut down. Individually wrapped, sterile 4x4's can be found at any drugstore, they're cheap and pack flat, get as many plies/thickness as possible for maximum absorption.

Antiseptic wipes are far better than alcohol wipes for cleaning any sort of broken skin, alcohol will burn and it is cytotoxic, kills the good cells as well as the bad ones. Bzk (benzalkonium chloride) wipes are bigger, work better and don't sting. They're also cheap if you buy a box of 100. I do keep a couple of alcohol wipes in my tool kit in case i ever need to apply loctite or epoxy to something, they work well for cleaning plastic and metal.

More gloves is better. Like at least 6 pairs. Nitrile is probably best as they're hypoallergenic, good for you, good for the patient.

I'd skip the vet wrap, in my experience it's not all it's cracked up to be. Once it's been stretched out it loses it's elasticity very quickly and falls off. I'd use a couple of 6" elastic bandages and tape. The elastic bandages can also be used with your splint, to hold a cold pack in place, to immobilize a dislocated or broken extremity even if you don't have a splint.

For a compression bandage, pick up an "izzy", an israeli combat bandage. They're great, they can be self applied as well as used on others. Come in a sterile package, available in 4"and 6" widths. One should suffice for the average kit.

For a splint, pick up a sam or one of the many no-name copies. Aluminum bonded with some thin foam padding they can be cut, folded, modded into just about anything. I've used them to make finger splints, just cut off a slice and make sure the edges aren't sharp. They come rolled up, very handy.

If the recommended use for the benadryl is for treatment of insect stings, get a small bottle of the children's liquid. It's much faster acting. They also make benadryl in a gel form, great for topical applications but not for internal usage. If you or anyone you're traveling with is known to be susceptible to anaphylaxis from insect stings, make sure you or they are carrying an up to date epi pen. Same thing for known diabetics and asthma sufferers, don't be like a lot of my patients and tell me that you left your epi pen, inhaler, and insulin at home. Something to remember about benadryl, it will make you drowsy, not recommended if you or the patient is going to be continuing to ride.

Saline can be found in small 20-30 ml individually sterilized squeeze bottles, very handy for flushing out wounds and debris from the eyes as well.

I'd also think about getting some sort of tourniquet, a cat or something equivalent and make sure it's not a chinese ripoff design. The protocols for treating arterial bleeding in extremities is pressure bandages followed by use of a tourniquet in many areas now. If you should come across or be involved in an incident in which a person has suffered from a traumatic injury to an extremity, you'll never stop the bleeding by trying to find a pressure point, particularly if they're wearing a riding suit. A properly applied tourniquet will save a limb as well as life in an extreme injury situation. In addition to actually stopping the bleeding, a tourniquet allows a single caregiver to deal with multiple patients once it's been applied correctly.

I'd also toss a small headlamp in with the first aid kit, it sucks to not be able to see what you're doing and you can't do much with one hand holding a flashlight.

I'd also consider separating the true "first aid" stuff from the "booboo" stuff. If you come across an accident, you need to be able to access that tourniquet or izzy right now, the pain relievers and bandaids can go into a separate bag or box to be used as needed. I keep a couple of bandaid, some advil, tums and a small bottle of eye drops in a little zippered case inside my tankbag for easy, non-emergent use. The real stuff is in a separate trauma bag. All i'm really concerned with in an emergent situation is trying to ensure the patient is breathing and trying to stop traumatic blood loss. The road rash etc. Can be fixed later when you've got everyone off to the side of the road or trail. Same thing with medications.

For reference, i am a licensed, working emt in the state of california but i'm not a doctor, in particular i'm not your doctor so take everything i've written with a grain of salt and don't rely on it to save yours or anyone else's life without further training.
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Old 02-22-2013, 11:10 PM   #11
Sundog
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I'll make a few comments also from my way of looking at it. I'd add/change a few other things.

One thing to keep in mind is what are you trying to address.
  • Keep them alive till...You wll probably NEVER use this stuff, but you may want it because if you do need it, you better have it.
  • Try to prevent permanent damage. While grinding bone ends together riding out without a splint won't kill them (or you remember!), it will make for a shorter leg eventually and much longer heal time, which would suck
  • Last is ease pain, remove splinters...But a pill or two does not take up much room.

My kit changes according to my ride, and who is along - as well as what they have and what else I may be carrying. For example, while I have a SAM splint and carry it, I could see using tire irons or tent poles and getting by pretty well. What you need riding for 2 weeks, a long way from a road is quite different from a sport ride for the day, even though the injuries expected may be exactly the same.

Flashlight/Headlight is a MUST for many reasons. One with a strobe function is good. And even though you think you are carrying one anyway in your backpack, it really does pay to have a small one in the kit, just in case it got left on in your pack or..... Because "Just in Case" happens very frequently.
One other thing that I need now is reading glasses...
I'd bring duct tape rather than the usual lame medical tape of one kind or another. If you really need to tape somebody up, you are going to want it to stick till they get out. Can double for your bike first aid kit needs also.

I have a model of having multiple kits that "stack". I won't list all the contents, but you'll get the idea.
  • Mother kit sits in a small Pelican case with reflective tape on it so that when in use, it can sit on the road. This goes with me in the car. Lot's of extras go in here.
  • Inside that is more of a Trauma kit with flashlight, glasses, bandages, splint, quick clot, Duct tape, gloves, etc., This kit is in a separate bag so it can come out when needed and when I don't carry the larger kit. This is usually what I carry on the bike, sometimes losing the splint and such for short trips.
  • Then the "first aid" kit with tweezers, neosporin, aspirin, sort of items. Most of the stuff here can usually wait till you get somewhere, but if I have space. I mean you are not going to die from a cactus spine in your leg.
  • There is also another group of items that I sometimes carry that is really more rescue/survival oriented. Very small space blanket, whistle, reflector, more water tablets, etc.

I can pull things from the rescue oriented kit and put it in the Trauma kit which goes on the bike if I want to carry it.

Sundog
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Old 02-22-2013, 11:33 PM   #12
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Didn't read the whole thread so if this is a repeat comment sorry. Carry a bar of soap. You can clean a wound well with simple soap and water. Especially road/gravel rash. A stream is usually easily found as your water source. Also carry dental floss and a sewing needle. You can use to stitch a wound if needed, also sew a rip in your tube before you throw on the patch.
Ride safe YFF's
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Old 02-23-2013, 10:41 AM   #13
Sundog
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Quote:
Originally Posted by Nacho911 View Post
Didn't read the whole thread so if this is a repeat comment sorry. Carry a bar of soap. You can clean a wound well with simple soap and water. Especially road/gravel rash. A stream is usually easily found as your water source. Also carry dental floss and a sewing needle. You can use to stitch a wound if needed, also sew a rip in your tube before you throw on the patch.
Ride safe YFF's
I used to carry something to stitch people together with (they have small sterile self-contained packs with needle and thread), but actually have found that the magic of duct tape works almost as well and is MUCH less traumatic on them and me. I really don't like needles Faster and multi use also.

While not wanting to be paranoid about it, I would think twice before washing out a large open wound in a nearby stream. You may well be putting in some of exactly what you are trying to wash out. Road rash is probably already dirty though.
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Old 05-22-2012, 02:03 PM   #14
NCK
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Quote:
Originally Posted by Mike at Tank Vest View Post
My first aid kit was lacking and I wished I'd had some of the stuff I listed above.
Thank you! I'm going to model my kit after this.
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Old 05-22-2012, 03:18 PM   #15
kevinj
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I've bookmarked this thread; excellent info in several of the above posts.

Newbie question: are any of you aware of a commercially available kit (i.e. something I can buy online with a few clicks, or at REI, ...) that comes close to the above? It'd be great for me to buy a starter kit and then make a few additions as necessary.

Thanks very much,


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