Plug The Holes, Save A Life

There’s no soundtrack when a room erupts—just noise, panic, and seconds that matter. We brought in Christopher, a paramedic with 30 years of experience, to walk us through what actually saves lives before an ambulance arrives. This is a clear, no-drama guide to the tools and decisions that work under pressure.

We start with tourniquets: which ones to buy (CAT, SOFT-T, etc), how to spot counterfeits, and why the initial strap pull matters more than endless windlass turns. We cover when to apply a TQ (think bright, pulsing arterial bleeds), why legs often need two, and how to improvise using wide cloth and a rigid windlass if you’ve run out of commercial gear. Then we shift to the “box”—chest and torso—where pressure isn’t enough. You’ll learn to find every hole, use chest seals (and their packaging) to manage sucking chest wounds, and “burp” a seal if breathing worsens. For non‑tourniquet bleeds (groin, shoulder, neck), we get hands-on with wound packing and explain why hemostatic gauze beats powder.

The small details save lives. Hypothermia ruins clotting, so we talk warming casualties even in summer with space blankets and layers. We unpack a lean IFAK you’ll actually carry: real tourniquets, compressed gauze, chest seals, serious tape, shears, and an elastic wrap. On the meds front, we keep it simple and strong: Tylenol for pain and fever, ibuprofen for inflammation, and diphenhydramine for nausea, anxiety, and spasm—plus how to dose when someone can’t swallow. We also get practical about triage: move people out of danger first, then treat. The OODA loop gives you a mental map to make a decision fast when your hands shake and your heart pounds.

This isn’t theory. It’s the stuff a parent, usher, or bystander can do in a church, a parking lot, or on a road shoulder and feel confident they made the right call. You’ll use a med kit before a gun; and if you ever use a gun, you’ll need the med kit. Build yours, train your hands, and be ready to act. If this episode helped, share it with someone you’d want next to you on a bad day, and subscribe so you never miss a life-ready conversation.

Chapters

• 0:00 Cold Open, Weekend Recap, Baptism
• 4:20 Sponsor Read: Catholic Winery Sale
• 6:20 Meet Christopher: 30 Years on Ambulances
• 10:15 Why EMS, Military Path, Lessons Learned
• 16:30 Volunteers, Fire vs EMS, Culture Realities
• 21:10 IFAC Focus: You’ll Use This Before a Gun
• 22:50 Tourniquet Mechanics and Myths
• 28:00 Building Your Kit: What To Carry
• 33:15 Improvised Tourniquets That Work
• 36:30 When To TQ: Arterial vs Venous Bleeding
• 41:20 OODA Loop: Decide Under Stress
• 47:30 Counterfeit Tourniquets Failures
• 51:10 Chest Seals, Sucking Chest Wounds
• 56:40 Wound Packing: Gauze vs Powders
• 1:01:20 Non-Extremity Bleeds and Neck Wounds
• 1:07:30 Kit Walkthrough: Essentials and Nice-to-Haves
• 1:12:30 Hypothermia, Blankets, Keep Them Warm
• 1:17:40 Pain Meds, Benadryl, Shelf Life
• 1:24:30 Admin Tips: Pills, Liquids, Safety
• 1:30:00 Training, Parish Security, Real Scenarios
• 1:36:40 Snake Bites, Myths, Limits
• 1:40:30 Triage, Dirty Drags, Move to Safety
• 1:45:40 What To Expect: Sounds, Panic, Focus
• 1:51:30 Teaching Kids: Obedience and Why
• 1:57:00 CPR Realities: When and How Long
• 2:11:00 Community, Telegram, Closing Thanks

Transcript

SPEAKER_06: 0:00

Oh, I really screwed this one up, guys. I somehow, okay, hold on. How did I do this? Oh my beautiful bean footage. Okay, everyone forget that, and here we go. The middle children of history, man. No purpose to play. No break to war. No breaks to pressure. I'm with Anthony for two days in person, and his boomeress rubs off on me, and I can't work tacosis. Oh, I mean, I forgot to set up the local stream, so this isn't streaming the locals tonight either. Somebody specifically asked about that earlier. I suck tonight, everyone. I'm sorry. Man, it was a very busy and hectic, but very good weekend. So uh yeah, awesome. Oh, I apologize if I'm a little out of it tonight. Yeah, we have a new faithful. We do. How was the uh how was the baptism? It was awesome, it was really awesome. It um it so it's a parish I grew up in, so it's awesome to see my kids baptized there. And the priest who did the baptism was the same priest who did my dad's funeral there a few years ago. Uh, and he's just uh uh an awesome priest and gives amazing homilies. Um, his name's Father Altier, and he um I forget where who posts his homilies, but his homilies do get posted somewhere weekly if anyone wants to Google them. But yeah, baptism was good. Hanging out with with Anthony was good, seeing everyone at the um the little lunch we had after was awesome. So we had a lot of people we had a couple fly in from Chicago from the telegram. A lot of um a lot of people drew drove a few hours, so it was awesome.

SPEAKER_01: 2:15

Wow. Did you did anybody uh from the telegram you meet that you didn't expect?

SPEAKER_06: 2:21

Um, I forgot that uh Anthony um he's on the the Lads and Slavs podcast. I forgot that he was gonna drive in for it. So oh wow, it was and he he lives probably four hours away, so it was awesome to see him. Wow.

SPEAKER_01: 2:37

Uh good. That you're saying something like 40 people showed up. Yeah, I don't even have 40, I don't even have like 40 friends. Everyone in the telegram, yeah, yeah. That's about that's about it. I will not be having any more baptisms.

SPEAKER_06: 2:53

Y'all can show up to the the one person I was hoping to see, but who didn't get to come was Alex, because he was having his uh well, I know he just had a baby, and then so someone yeah, someone else had a baptism too, so yeah, that's awesome. Anthony is my height, a little bit shorter, so so I've I'm not I don't know which one of them was taller. I didn't look. Um, so did Anthony just take over all the social situations? No, he was actually pretty laid back for like the launch after baptism. Yeah, wow, yeah. But uh yeah, we went to dinner the the night before um at a at a Russian restaurant. He had never had Russian food before, so he uh he thought that was interesting. He mostly liked the vodka for the most part. I'm sure that's that's that's pretty on character for him, yeah, yep. Um, so yeah, so oh Catholic parents online post fatherl tier sermons. I highly recommend them. But so today we're doing medical. We have Christopher waiting in the green room. He is he's been he's he just told me right before the episode that he's been uh on an ambulance for 30 years as either an emt or paramedic, so he is extremely knowledgeable. So we're gonna get to him in a minute, but before that, guys, we do have an actual ad read, an actual sponsor, not the not the AI six hour video, though that was hilarious. But we have um we have Requisant Sellers back as a sponsor just in time for a Christ the King sale they have going on, and because we were a little off the rails too much last time, they gave me a script to read, so we're gonna give that a try here. Um, but I'm gonna put up a QR code on screen. You can scan that with your phone to go right to their website. But uh oh, thank you, Adrian. Wow, someone that actually can use the the platform besides me. So the political tide is changing, hopefully, and that's a good thing, but there's still a lot of work to do. Many brands still support abortion, transgenderism, and a hundred other things that erode the pillars of healthy society. What can we do about that? Well, as customers, we can start by rejecting large, soulless corporate monopolies who want to tear down society and start supporting small Catholic built businesses who build society up. One Catholic company that you should know about is Requisant Sellers, which I'm invariably probably mispronouncing. Requisant sellers is a truly Catholic winery. Right now they are having a sale in honor of Christ the King. So whether you enjoy a glass of wine yourself or are looking for a classic way to spend time with for family and friends, or maybe looking for a nice gift for uh for a priest, you need to check them out. Go to RequisantSellars.com. That's r-u-c usant sellers.com and use the code Rex Chalorum, R-E-X, C A E L O R U M for 20% off all their red wines now through October 26th. And you'll never regret buying from a small Catholic company. And Adrian disappeared. He didn't put me on screen, he just disappeared. Oh, okay. Well, hopefully he comes back, everyone. I hear I thought he put me on screen all by myself. In the meantime, until he comes back, let's pull up Christopher here. So I'm not all by myself because I hate being by myself. Hey, Christopher. Your sound working? Yeah. Yeah, I can hear you. Uh let me see if I got a message from Adrian here. No, I don't. Okay. Is internet in a shed is probably crapping out again. But uh, so you told me before we came on that uh you've been doing emergency medicine for 30 plus years, right? Yes, sir. How how did you get into that?

SPEAKER_05: 7:08

Short story or long story?

SPEAKER_06: 7:11

Uh let's start with the long story in case it takes a while for Adrian to come back.

SPEAKER_05: 7:16

Um I don't know. I I always wanted to kind of do something that I could, you know. I know it it's so cheese, but like I really wanted to like help people, right? I wanted to actually affect people's lives, right? Like it's maybe a prideful thing or whatever, but I remember like wondering what I was gonna do. I always knew I was gonna go in the military, but uh um I didn't know what to do other than that. And I remember seeing an ambulance drive by, and I was like, Oh, maybe I'll do that. And then I started asking my buddies and stuff, and they were like, Oh no, you gotta be oh, you're gonna be a firefighter. And I'm like, No, I don't really want to be a firefighter. Sorry, Adrian.

SPEAKER_01: 7:57

Um I was the same thing, man. So I was like, I want to be a firefighter.

SPEAKER_05: 8:03

Yeah, so I kind of gave that up and kind of had a little fun time and then started college and realized that sucked, so I dropped out and joined the Marine Corps. And a couple years in, I got uh really bad uh I had to get surgery for something, and um I remember sitting there while they're start starting IV on me and just staring at it and going, That's freaking easy, I can do that. And I was talking to my mom, and she was like, and she uh had didn't tell me, but she had looked up and found out how to get EMT, so it was a semester course, and I was like, Cool, so you can still take school while you're in the military, you know. And and I went in there and there was like a hundred people in the class. It was uh because um at the college they do um all the marine tech stuff because it's right on the coast in California, and so they do all the like deep sea divers and stuff like that, and the welders, and they have to have EMT and they always wait to the end of their degree to get it, right? So, but I mean it was a lot, dude. I it was I had a blast, man. I was like, I aced it, and I'm like, I'm doing medicine now, and ever since then, every freaking college class I took, I just I loved it, man. Took a little probably growing up afterward, you know, to do it, but and then it's just kind of just started working my way up, started out as an EMT, started working for a hospital, doing non-emergent stuff, and then went to paramedic school, did all that, got to be a flight medic for a few years, doing a search and rescue helicopter, which was one of the coolest things I've ever done. Um and then we moved to Texas because Austin EMS is known as one of the best in the country, if not the world. I don't know if I'd it's good for a lot of things. I don't know if I'd put it as the best, but you know, but you get to be a paramedic, they teach you a lot of more stuff, large scope of practice, and you literally get to uh actually do things for people, which I really like to do. So and I've loved it ever since. Man, I'm gonna miss it.

SPEAKER_01: 10:14

Yeah, but I was getting out of the Marines. Um, I just wanted to do 911 medicine. I didn't want to, you know, and then everywhere I looked, it's like, man, if you're not a firefighter, like you're not on a med unit at all. So that I had to go through met through fire school, uh, and it fire school's fun. Like, I just never had a dream to be a firefighter. I didn't ever grow up like me. I won't be a firefighter one day. Yeah, I mean neither. But you know, one of the things I did recognize is being a firefighter is one of the only jobs where people will literally do it for free. The volunteer fire departments, they will do it for free all the time, and it's their identity, too.

SPEAKER_05: 10:47

Um, but it's an inherent thing they want to like help. Honestly, those guys, I mean, I love the volley firefighters, man. Like, we work with them a lot. I actually my neighbor got me on as a medical responder of our local one, and I mean, I love their path, their their willingness to help, man. It's the you know, some of the sometimes the the professional firefighters get a little deserving, I guess you call uh I don't know how you'd say it.

SPEAKER_01: 11:13

Yeah, they get but I mean that's also the difference between you know your reserve and your active duty, right? There's guys who do it all day, every day, and they're prepared to do it at any moment. Another guy's doing it basically when he has free time when he's not providing for his family, and so you're not gonna be as sharp on the skills as the guy who's prepared all day.

SPEAKER_05: 11:31

I mean, I'm gonna well honestly, I did a lot of reserves, man. Like, because you know how the Marine Corps has to do eight years, you know, and you know, you can either do active or not active reserve. And I actually really enjoyed my act, my reserve unit because like I don't know how it is now, but back then, dude, especially because I was like I was in calm, so that's a needed skill in a lot of different units, and so I got attached to a lot of different units, like third marine regiment, or like for LAR, fourth LAR. Like, we had a bunch of guys I missed out on the Panama thing, and and uh we got to send guys down to like Chile and stuff. So, I mean you got to a guy like if you even though you were reserved, you technically were active because you could be gone the whole year doing attachments to other units. But I mean I understand what you're saying, like from it's it like anything, right? Some people do it half-assed, and some people do it, but yeah, I loved it, man. Like, I think there's good and bad of both, right? Like, because like you were with the same dudes because my reserve unit ended up being the go-to-war battalion, and they were the ones that pushed into um Baghdad. I lost a few buddies in that, so um, I think I was out before then, but um, but yeah, like we got to be a really kick-ass team because we were always working together, you know. Um, whereas, like, you know, when you're on inactive, you get every two years you get into a different unit or something, and but again, like there's good stuff with that too. There's like it's like a almost like a vision quest for a man, right? Like, but uh in some ways, yeah, a lot of deviancy too.

SPEAKER_01: 13:00

Yes, that's the biggest thing about the Marines. Like, I really that's the biggest reason I don't really push a lot of guys to join, or I don't really encourage it as much because you're gonna be around some degenerate debauch activities, right? And like if you don't have a good faith foundation before you go in, like you're gonna be in some serious mortal stuff. Uh yeah and I was I mean, sorry, sorry. I was just saying, like, I was like, I did I had no foundation to my faith at the time, you know, because I left for so long, and I can and it wasn't until I got out that I came back, and I was in some stuff that like I try and warn my kids about it now. Like that was not always a good guy, yeah. Like that, like that I had to have it's basically meeting your mother turned me around. Um, you know, and just but yeah, so if y'all uh I I know I was out because my wi-fi decided to it, wasn't even Wi-Fi, first of all, it was my fiber, right? So I don't know what that was about. So I had to go reset the router. I know I almost I almost threw it on my phone. Um just you know, started doing my uh yeah, but um, so that we did we introduce Chris? Did we introduce him? He is the resident uh medical advice in the telegram.

SPEAKER_06: 14:17

Yeah, we uh we we pick his brain all the time for medical stuff in the telegram.

SPEAKER_01: 14:22

We we got a couple of good guys with some good medical advice, Ryan and a bunch of guys, good guys. We we always defer to Chris because he's on the front line of a lot of stuff now. Like my my knowledge is a little old, right? Because I haven't I haven't been a paramedic in seven years. Um so I can stop the lead, but I'm not throwing any king tubes or anything in anytime soon. Um those are freaking easy. Yeah, you really just shove it down to the stops and then inflate it. Um, but so tonight the uh the goal we're we want to go over a reason we brought in our resident expert. Um, is Chris is gonna go over um IFACs and needed training and kind of hit some wave tops on some things. We might get a little into the weeds on some stuff um that we need, but as y'all have seen lately with the Michigan attack, and then you know, going back a few shows ago with enunciation, um, you know, like that you're going to much more likely use this than you will use any firearm. Yeah, you are much more likely to be going down the road and coming across a car accident or a motorcycle accident, and you need to help be able to use these things to save someone's life more than you will ever need to fire a firearm at somebody. And if you ever do need to fire the firearm, you probably need this too.

SPEAKER_07: 15:40

Yeah.

SPEAKER_01: 15:41

So if you're gonna make holes, you need to be able to plug holes. Um, so and we let's go ahead and I want to play the first video. Okay, and then we'll get into things.

SPEAKER_06: 15:52

The tourniquet pain experiment. Yes. Okay. Okay. Let's see if I can make it any bigger. Probably not.

SPEAKER_02: 16:19

Prepared myself mentally for this. That sung worse. That sung worse. Oh my god, what the turning weird colors. Take it off, take it, take it off, you were tightening it, take it off. Oh the button looks black. Your artists messed up, dude. Ah God, well, I can tell you one thing, it doesn't help with the pain at all. It it hurts. It all hurts. That was an intrusive thought. I'm sorry. Prepared myself, man. Okay. That was interesting.

SPEAKER_01: 16:58

I had another video where it was the army and they threw tourniquets on on ever both of everybody's legs, like four or five guys, and to where they, you know, uh lost the pulse, and then they made them run 100 meters. And you could tell who actually put theirs on and who didn't. Because the guys who actually put theirs on and tightened it down correctly, he couldn't even stand. He was like having to drag himself with his arms. Um, so let's get into let's let's first, Chris, if you don't mind, um, because I know you've built your own, right? Um because you have the knowledge to be able to do that. And a lot of a lot of people may not, uh, or they may, or they may know somebody who can do it for them. But let's let's first let's go over what you have in yours, and then we'll go over some things like why you would need this, you know. In my first aid kit, your blowout kit, where you go. Yeah, I mean so let's let me ask you this what do you think everyone should have on them, or at least within arm's reach?

SPEAKER_05: 18:02

Um tourniquets, obviously.

SPEAKER_06: 18:06

Um what kind of tourniquet?

SPEAKER_05: 18:11

Oh, you need to have a uh it has to be confirmed that's works. Um you can't just, you know, there's a lot of on like Amazon that are um what do you call it? Counterfeit, yeah. Um the biggest thing is I'd have at least like two to three cravats, which are triangle bandages, I'd have a couple of bulky dressings, um, uh gauze roll. Um, I'd have some tape, I'd have some um uh trauma shears, uh I'd have some um chest seals if I mean if we're considering a blowout bag. Yeah, um like I set up my blowout bag different than I'd set up my my first aid kit. Like I keep, I mean honestly, man, the biggest thing you're gonna use is band-aids and tyan on ibuprofen, you know. Like, so you should definitely have those things in there. I would I would definitely have Tylenol ibuprofen people because I mean people don't realize if you're putting on a tourniquet properly, it's gonna frip and hurt.

SPEAKER_06: 19:09

Like really you might need to up that autism with the Tylenol.

SPEAKER_05: 19:14

Right, yeah, that's so bullshit. Oh, this is not all right.

SPEAKER_01: 19:21

So on the on the tourniquets, like the two I've got here. I got this one in today. This was by Snake Snaff. Um, this is new on the scene, pretty much, but it's been TCCC approved. Um, and then you've got cat, right? Uh, you've got soft tea, you got SWAT. Um, you know, anything with a windless is what I've always advised to be. So, yeah, and that's I'm sorry, go ahead. And I was gonna say the one I would advise to stay away from is the rats.

SPEAKER_05: 19:48

Yeah, don't the rat, no, do not use the rat. That I don't know why that took on.

SPEAKER_01: 19:54

I mean, I understand why it took on, but I don't the argument is well, the rats is good for kids.

SPEAKER_05: 20:00

No, it's bullshit. Oh, we've actually proven there's actually studies out that even the the soft tea, the the cat will all fit on a a child.

SPEAKER_01: 20:11

So um are you using some type of spacer or something to to help press in?

SPEAKER_05: 20:16

Like a yeah, you can like so like that guy that got hit with that whatever that wire thing was, he he didn't put it on right because he would not he'd be screaming, and um yeah, one thing we found, and um I actually learned this. Uh the guy that originally taught our class was um he was a PJ during the Battle of Mogadishu. Um, and they're the ones that kind of they developed like the junctional tourniquets and stuff like that. Um and they find like with um if you're putting on a tourniquet on like a bicep, oftentimes you're gonna need to put in like a like a curlex, like a like a bulky in between. Because what happens is when you put it on, your bicep will roll over, and you're not gonna get the actual pressure. Because what we're trying, you're trying to do is right, like you're trying to kick crimp a hose against something hard, right? So that's also why when you do extremities, you're doing it as high up as you can because you want to get to that solid single bone. If you do it down on the on the forearm, the radial ulna, there's tons of space you can still fill and bleed out into. There's still artery arteries right in there. You're not gonna maybe cut it. So, but this is more of a guarantee that you're gonna have a have a um yeah, an actual blockage.

SPEAKER_01: 21:38

As I used to explain to guys when I used to teach this stuff, was imagine you've got a hose, right? It's circular, right? And you're putting it up against the bone, right? And your muscle is pushing it up and flattening it on against the bone, right? Right. And that's what's causing the occlusion because the the goal is to stop the bleeding. You want the red stuff to stay in, you don't want the red stuff to go out, right? Um, and so by crimping that hose, you're using muscle to press down on that whole hose. You're you're pressing all kinds of material down on that hose to crimp it down because it's not the actual tourniquet itself that's crimping it down, it's the tourniquet pushing meat and muscle and fascia and everything down onto that tube to crimp it. Yeah, I mean it's like shoving a fat guy on top of a hose, right? He's gonna stop it from being able to spray.

SPEAKER_05: 22:30

No offense to any fat guys, and so one thing that I when I teach this, it's I try to stress because I put a lot of these on, and I've also taken and had to fix a lot of them on people that have put them on. Now, I would prefer you still put it on because it has still has some it can slow down the bleed, if that makes sense. But people need to understand the mechanism of how these tourniquets work. Like when we were all kids, we probably learned like if you guys in the Boy Scouts at all or anything like that. I mean, we learn how to like actually use like make a tourniquet, right? So yeah, with like a stage, yeah, not everybody, and I actually got brought some stuff to actually show people because if you're in a true multi-casualty incident and or you're at a place, like you're gonna run out of tourniquets oftentimes, and you're gonna have or you might not have it. So you need to know how to make a tourniquet because a belt around is that's just a constricting band that does not stop the bleeding, right? And so you cannot get it tight enough to stop the especially around a thigh. So, really quick. So, like, let's break down what a tourniquet is, especially you know, I want to gauge this also to a lot of like the mothers that are watching or whatever, because they can do a ton of stuff, right? Especially if the dads got hit or something like that. So, I'm gonna try to break it down so they can understand a little bit more. So, you have the actual band on most of these, right? That's it's gonna be about two to three inches wide. And the reason why you want that is because you're gonna try you want to limit, you want to increase the surface area, but you want to limit tissue damage, right? Now, you can keep these on. Uh, studies showed over eight hours, it's probably can be even longer than that. But in the end, even if you lose your leg, you're not bleeding to death, you know. So I would rather keep, like you said, like Adrian. You're still alive, right? So the significant thing with the what was the one you called snake bit or something? Snake staff, stay staff, and the soft tee and the cannon. Is you have the band, and these are able to be put on by the person, right? So you have the main, this is the main constricting band, and you can either put it in and prep it ready and slide it on, which I don't think you should do, but people do that. Um, and then this is what's actually gonna, you need to pull this. I've actually had to put my leg up on a wall or just like yank it until they scream, right? So unfortunately, that's just how it is, and because I've come up where this is not the main constrictor, the windless, it's a very thin amount of material, it doesn't have a lot of room. I've if you have to twist this more than five times, it should be more like three, but more than five times, it's too loose. You haven't put it on tight enough because after about five times, it's not gonna do any more constriction, yeah. And especially if this is soaked in blood and all that kind of thing. So you need to get your main tension on this, and then you want to do one, two, three, make sure there's no pulse. If there's still a pulse, two more, or until you get no more pulse, or if it did, you got to release it, tighten it back up again.

SPEAKER_06: 25:47

So and you're doing this above the injury, of course, right?

SPEAKER_05: 25:50

Correct, right? Yeah, it used to be like they wanted you to do it three to four inches above the injury, but I know things go back and forth. Yeah, people are constantly, but I would recommend to always put it on the highest the proxical proximal long bone, right? So you want to do it up here, and even if you do it up here, you're gonna you're gonna bypass that bicep, right? So it's gonna be a little bit easier. You want to do it on here, and you want to do it up on the thigh as high up as you can inside the groin and crank the heck out of it. And they're gonna scream. I mean, we give pain medicine after it just because you have to, but you you really need to do that. Um another thing is uh I recommend carrying at least six tourniquets. Six tourniquets. It's a lot of tourniquets now. Like in my blot kit, I only have two, but because I also have a bunch more other places, right? On the ambulance, but the reason is is because how many extremities do you have?

SPEAKER_01: 26:49

Yeah, you got four, and you might need to double up, right?

SPEAKER_05: 26:51

And honestly, yeah, and oftentimes in the on the thaw the lower extremity, you need multiple tourniquets, right? So you need two two back to back right close to each other. So that's just what I recommend. You can carry, you can carry two to three and have some stash somewhere else, but just have six at least, right? Also, there you might have more patience, right? Like, so yeah, you just never know. I mean, that's just my recommendation. You could do whatever the heck you want, but yeah.

SPEAKER_06: 27:19

What what about in like a small IFAC? You still think two to three and something like that?

SPEAKER_05: 27:23

Um, like if you're doing a small IFAC, man, I would do two. Um, and then you maybe like I've got two on this one.

SPEAKER_01: 27:30

Yeah, I mean I just throw this in my backpack.

SPEAKER_05: 27:32

I mean, it comes down to like reality, right? Like, you can't carry you're not carrying a frickin' med med bag everywhere you're going. Like, I mean, unless you're my me or my son, or I mean, we just happen to have it because we put them in our car, we bring them everywhere.

SPEAKER_01: 27:46

And but yeah, and if you've got if you've got two and you got some bandages you can make into some, right? Because bandages are a lot easierly storable than some of these items. So here. Oh, yeah, gotta dig in. So it when I was learning and becoming a paramedic, it was high and you know, high and tight, basically. Uh have it as almost into the shoulder, right? Or as deep into the you know, up into the thigh, you know, in the almost into the groin. And then I was looking like a year ago, and they're like, they're back to the two to three inches above the wound, right? And I'm like, Well, it's it's like eggs, right? You remember when we were growing up, you weren't supposed to eat eggs that are too high cholesterol, and then it was all now eggs are great for you, it's good cholesterol. And then it was all but they've got a lot of fat too now, and they can't even know. Oh, no, they're it's good fat, though, it's good fat.

SPEAKER_05: 28:40

Yeah, like a lot of that stuff's coming out from people that don't do the freaking job, you know.

SPEAKER_01: 28:43

So, yeah, I mean, I don't know, but the reason we know everything we know about these is from the global war on terror because there have been times where guys have had tourniquets on for eight hours. I had a guy in Marshall who had it on for 28 hours before we were able to get him out, and he's walking around fine today, he was on his leg, right?

SPEAKER_05: 29:02

So I didn't want to say it, but because it pissed off the chat. But it actually originally the study came from the Israeli defense force. Yeah, it's always the Jews, man. What's up with that? It's always the Jews. So, really quick, this is if you want to do you can tear a shirt, probably wanted to have something more like a jeans or something a little more rigid. These are triangle bandages, they're literally they're pennies, man. Like, I would carry if you didn't have couldn't carry tourniquets, and uh again, tourniquets are flipping expensive, man. Like, I not everybody can have them. I would have a bunch of these and a bunch of these sticking around, a little dowel that's rigid enough that could do it, right? So, so what you do is is you take it out of the package, right? And this is a perfect width for it. You don't even have to unroll it. What you do is, and so with these, though. So the primary constrictor is actually the windless. All right. That's different than what this what the other commercial is. Okay. So you're going to do is you're going to tie it around the arm. I mean, tie it tight as you can. Is this making sense? Is this coming out? I don't know. Yeah, yeah, yeah. Tie it around the arm. And then you're going to want to do another loose tie. So then you put the stick in, right?

SPEAKER_06: 30:31

Tie that.

SPEAKER_05: 30:32

Now before you start twisting it, open the other one. You should probably have them both open anyways, for and you want to have this set up down just lower to where it'll be able to catch the windless. Then what you do is you use this, make sure it's tight.

SPEAKER_01: 30:57

You're just using two overhand knots.

SPEAKER_05: 30:59

Right, just two overhand knots. Doesn't need to be any kind of crazy uh and you're just gonna start twisting, and you're gonna and you don't you do it until you feel no longer a distal pulse, right?

SPEAKER_06: 31:10

What do you mean by distal pulse?

SPEAKER_05: 31:12

Oh, I'm sorry. So distal means a wave, a pulse as far away from where the injury is. So like distal means away from the body, like distance away from the body, right? I'm sorry, I'm sorry, I shouldn't be using those. Don't worry, I'll translate. I'll translate. And then once you get it to that tension, right? So you have it to that tension, then that's where this comes in because this has to hold that in place because you do not want that. Does that make sense? And honestly, these this could this tourniquet right here will cost you less than a dollar, yeah. You know, so you're just gonna have to do that, or at least know how to do it. I mean, you can get as long you can get sticks from trees, you could get what as long as they're like oak or something like that.

SPEAKER_01: 31:50

Well, that's why like I always recommend like metal pins. I just found this in my drawer. I'm surprised.

SPEAKER_05: 31:55

Well, be careful, yeah. Metal pins good, but be careful.

SPEAKER_01: 31:57

Some of them are yeah, can break, but or you know, like uh, you know, just something that's hard and rigid, like freezing.

SPEAKER_05: 32:06

Are we doing that again?

SPEAKER_01: 32:07

You know, but so that so you know, with putting on a tourniquet, Chris. Um why what would indicate a tourniquet needs to be put on? Like what are what are people looking for? They're just looking for like a like a little small scratch, or are they looking for any type of puncture wound? What kind of bleeding?

SPEAKER_05: 32:28

Right. So initial thing, like so you want to be looking for if you cannot. I'm trying to get past the like experience. Like I can just see one, I know and it's certainly you just know, right? But um, yeah, so when you come up, if honestly, if you do if you have a question, just do it, put it on, right? Like uh it's because I don't I don't need you sitting there for 10-15 minutes trying to hold pressure because you didn't know for sure, put the dang tourniquet on because I can always take it off later, or you can take it off later, right? Like, um, but mainly it seems like if there's a lot of blood, which that's relative because most people think things are a lot of blood, and yeah, let me let's let you know it's not a lot, but uh um, but yeah, so honestly, I'd rather people just put it on. Um, if it is you're you're mainly doing it for arterial bleeds, if you want to get down to like textbook, and that's usually like bright red blood. Um, you'll see it spurting out like a heartbeat stream. I mean, it's pretty significant. Um, but even but even like a venous, like a if you get a large uh venous rupture, you know, you may still need that for that too. So, yeah, in my opinion, it's better just to throw it on quick because even because in that case, if you don't put it on correctly, it it actually will work even with a venous bleed because you're doing a constricting band, and that's all really most venous bleeds need, right? So, yeah, um, so yeah, I would rather I'd for the layman, and that's kind of what I'm trying to throw at you. I want people not to have to think in these situations because they're not going to be able to think, right? Like, no one's ever gonna be ready for this, no matter how much training, unless you're we're doing it like Adrian and I were, and like you learn to suppress adrenaline, and it's not the greatest thing for your body, but you just do, but you have that's also context, right? Like, even though I did it for this long, if I stop doing my job, I'll have an adrenaline dump like you guys, right? When you you start losing and when an adrenaline dump happens, you lose fine motor skills. You I mean, I I actually brought out the OODA loop if people want to think about it. Um, but that's the biggest thing. I I think people need to learn about the OOTO loop just because these things happen fast, they happen when you're not ready. Yeah, the the attacker is already two steps into actually three steps into the Oda loop, so you're already from behind, right? Like, yeah, so but that doesn't mean you're you can't still affect things and you still can't protect yourself, you still can't take care of yourself. The biggest thing you need to do is you're gonna have that freeze moment, and you need to make a decision. It's like what I tell all my students, what I tell my don't worry if it's a wrong decision, just make a wrong decision can still be fixed. Yeah, no decision people die or you die. Yeah, it's like it's like a car, right? Like you can turn the steering wheel better even in reverse because you're still moving. Yeah, so the Oda loop is for people that don't know, is fine. Can you see it? I don't know. Yeah, yeah. I don't know if it came out of a so the first step is you observe something, right? This came out from a I think it was a 1950s, a fighter pilot put together for showing decision making the human process, and it's it's really dumbed down. There's other ones that they go into more stuff, which to me is stupid because in a high sensitive digit, high sensitive adrenaline situation, you don't need complicated, right? Yeah, so the first thing is you're gonna observe, right? So all of a sudden something's gonna happen, you're gonna be like, oh crap, what it whatever you also known as orient, right? You're orienting, like, what's going on with all this? You know, it's oh no, actually, that's the step the second. So you observe something happens, right? Then you go to the orient, you're like, okay, is this a danger to me? Is this um can I do something? Do I need to move? What do I need to do? You that's kind of these are the two freezing areas where people are like they get they get stuck, they never move on, right? But if you can get past that, literally take a deep breath, it actually helps you quite a bit. Then you're gonna move to the decide, yeah, decide. You're gonna say, Okay, I'm gonna make that decision. Get out of your mind if it's a wrong decision or a bad a good decision, just make a freaking decision, and then you need to act and do it, just start doing because you'd be surprised in anything in life. You start moving along and you put your faith in God. As long as you're moving, God will do something with it, you know. So was that was that too much? Did I go overboard? No, that was good.

SPEAKER_01: 37:16

No, that and that's it that's a good refresher. We went over it a little bit uh back after what the enunciation, yeah. Um, but yeah, I mean, like what people what what you need to keep in mind is the orient portion of the oodle loop is where your biases come in, right? And your biases are good, right? Like your your gut instinct kicks in, like when you look at somebody, you're like, something about this guy gives it makes me uneasy. And most people are gonna be like, Oh, he's racist. I'm like, no, like there's a reason your gut's telling you something, right? And you need to listen to that, like your your your instincts are kicking in, and that's the orient position of it. You're deciding is this a threat? Is this not a threat? Uh, if it is a threat, how much of a threat it is, right? If it's not a threat, is he gonna get in the way if I need to do something? There's a lot of things that you're kind of uh you know, gauging around you before you get to that decide portion, and you're saying, okay, what do I do? Do I run? Do I fight back? Do I shove a midget my way? Like whatever, you know, figure something out, and then you act on it, right? Um, so yeah, no, I I agree completely because making making a decision, even if it's wrong, make a decision because it can like you say, it can always be fixed. And that was the biggest thing I had with my lieutenants, man, especially if I got a boot new second lieutenant, like they've got no life experience. They basically went to college and went to OCS and TBS, and that's it. Right. And a lot of times when we're on patrol, like, sir, just make a decision and we'll figure it out. Right. Um, and you know, once you start getting used to making decisions, it makes it easier to make decisions. Um, it's the it's the issue where you have your wife and she never knows where to go out to eat. Right. And you always ask, Well, where you want to go? And I'm just I just pray someone finally opens up a restaurant called I don't know whatever you want. Right. So we just go there all the time. It'll be fries, you know, like two baskets of fries, and that's it. Right. But um, once you get used to making those decisions, it's a lot easier to make more.

SPEAKER_05: 39:15

I was actually just talking to one of my friends, I get I'm definitely a lot older than most of the people I work with now, so I get a lot of these young, you know, 20 20 somethings, and like we were just talking about this, and and a lot of them have said, I'm like, man, like you just gotta make it in life, like you offer it to God and make a decision, and you'll be surprised where God takes you, you know. Cause like but that's the thing, we've we're in a we're in a malaise now where no one's just even they're too afraid to even make that decision. You know, oh, I don't want to do this, I don't want to do that. Okay, well, maybe you don't, but you have to do that, and maybe God will that that thing that you don't want to do is God's ability to say, okay, you were willing to do what I asked you, and now I'm gonna take you to where I want you, you know. Yeah, and that trust in God is huge. And I'm not don't get me wrong, I've I've been I've messed up a bunch of that, you know. I have life as but honestly, like I mean, I would I I've never not been a faithful Catholic, unfortunately. I mean, I know kind of dwee with that, but I've like I I would say by rosary on our humps and stuff, I would constantly like don't get me wrong, I was I wasn't always the greatest Catholic, right? But I kept trying, right? I fell. I still and to this day I fall down, right? Like, you're gonna freaking fall down, man. This world is a test, dude. Like, but if you're too afraid and paralyzed to fall down and don't act, then then what are you gonna do? Like, who what is that good for you? What is that? You know, you're constantly hearing all these things from people. Oh, do it this way, do it this way. What okay, take that knowledge and screw it, but just do it and you'll figure it out. Like, that's honestly one of the reasons why I joined the military. Like, I counsel people on that all the time. It's like, yeah, like man, I was in with Durham Clinton, right? And I would honestly have to say it's probably a lot worse than even Obama because they stole all the money. Like, we had we would go to things and we wouldn't we'd have to like literally go poo-poo poo-poo because we were they don't have any ammo, or they didn't have any money for ammo in the Marine Corps, you know, like it was just like, yeah, like it it it's I'm up, excuse me. I'm down, yeah. But I didn't I didn't go I didn't go into the military. One, I didn't go in the military to hurt to kill people, but I went into the military for an adventure so that I could learn stuff, yeah, so I could have that experience, have that life experience, find it where it went. And I prayed all the time. If God didn't want me to go, I wouldn't have gone. I mean, I wanted to stay in, I wanted to go to war. God had plans, other plans for me, you know. Like, but and I'm I I cannot regret it because I wouldn't have my family have now, wouldn't have you know a lot of things, but you know, it's just that odolu can work in real life too, man. Like, yeah, just freaking act. You might not be you don't know all the parameters for everything, but as long as you put it in God's hands and trust in Him to say, Thy will be done and take that step forward, right?

SPEAKER_01: 42:19

Yeah, well, it's like uh with Hickman on X, right?

SPEAKER_06: 42:23

He just does things, crazy things, but he does crazy things, but he's I don't know that I don't have X, and he's fine.

SPEAKER_01: 42:30

So he's he basically he bought like a twenty thousand dollar house up in upstate New York, right? And he has no, I mean Bill's pretty much he has you know heats his house with a wood stove, and like if you know he's farming his own food and everything. He doesn't really I don't even think he has a vehicle, but he's married and has a kid, you know. Like he just like he's not afraid to do things that are shunned by secular society, right? Like you need to have that job and you need to have that you know eighty thousand dollar car, and you know, you have that college degree, and like he's like, No, he's like, I'm just gonna have this house that is good and it has good bones to it, and we're gonna fix it up. Um, and it's in a yeah, it's in a downtrodden town, but if everybody moves back to these downtrodden towns, it won't be downtrodden anymore. All right, right. And so, but what does that do, right?

SPEAKER_05: 43:20

Like, I've always loved to lay a fixer upper because it forces you to you learn, you teach it teaches you like like you've seen my like we've been building, we've been literally homesteading, right? And yeah, that romantic side of homesteading, just let you know if you're not ready and have the Tesla fortitude, it flipping sucks, guys. It's not the TV, like it's hard, and the hardest part is watching your wife having to suffer for things, but thank god I yeah, she's a small one. But but like, yeah, I mean, like like my wife and I got to a point in California, like we knew we would never have a home or have more kids because we just couldn't afford it. And my we I remember I remember my wife was like, Oh, I can't leave my family, I can't leave this, I can't leave that. And and I I mean I I I was the first one out of my house, even though I was the second oldest, and I didn't really put off, you know, I just did what I needed to do, you know. I wanted to do stuff, right? You can't just sit around for things, and so then I remember this one day they were telling us about the you know the job in Texas and put me in contact with another buddy, and that night we got you know, we went on a call, came, you know, my wife was calling to say goodnight, and I was like, Hey, I know you don't want to move, but they're telling me about this, blah blah blah blah. And she immediately goes, When can we go? Yeah, and like I'm like, What? Like, for the last how many years you've been saying like you won't go, like we're stuck here. And I was like, Well, you know, and then we set up a thing, and I actually we actually moved. We got it, we went out and visited, saw this. I moved my wife and kids out three months before, but I didn't even have a job yet. But we prayed about it. We you know, I had the money, I was making good money, and I commuted for three months. I'd stay in Texas and then fly back for three weeks in California, and but we did it, right? Like, so many people like, oh, I don't want to do this too hard, or I don't want it's like, yeah, life sucks, life's hard, man. Like, I can tell you all the things that I don't want to do, but I have to do it, right? Like, but you just gotta trust God, man.

SPEAKER_01: 45:18

Yeah, no one's gonna remember you for the job that you have, no one's going to remember you for the car that you own or the school you went to. They're gonna remember you because you're that guy that you know decided that to go to the rodeo and do the the crowd uh jump on the bull event, right? He wrote it for three and a half seconds, got thrown off into the fence, got up anyway, right? They're gonna remember you as the guy who who built uh every structure on his land with the with the wood off of his land. They're gonna remember you as the guy who constantly you know gave himself at the parish. That's what people are gonna remember you for, for the things that you do, whether you do them well or not, right? And just do them right and you'll get better, especially when you're younger and your body is much more forgiving. Make mistakes then. Because now you know I'm almost 45, I'll be 45 in less than six months. Um, I can't I I just don't have the ability to take some of those risks like I did when I was younger, because I do not bounce back. And I've got young kids that I've got to like chase around the house and everything. Uh, so I don't I don't have time to get injured anymore. But when you're young, man, make all the bad decisions you can because that's how you learn. No one learns from doing it right the first time. No one, that's not how life works, right?

SPEAKER_05: 46:35

So uh I don't really want to be remembered though. I just I just want my kids to do. I won't be remembered my by my kids. I won't be remembered. I don't want anyone, I want to remember, I want my grandkids to remember me. That's what I want to remember. Yeah, exactly. I still haven't figured out the not get injured part though.

SPEAKER_01: 46:50

Yeah, especially on a homestead. I had a cow, an 800-pound cow, stab himself on my foot the other day. Uh that was and thankfully I got my foot out in time before I did any damage. But my wife has not been so fortunate. She had a bruise on her foot for like a year and a half.

SPEAKER_05: 47:06

Oh, dang, it was bad.

SPEAKER_01: 47:08

Um, so let's play that video about the counterfeit tourniquets real quick, and then we'll answer the questions, and then we'll move on to the next item or whatever.

SPEAKER_00: 47:22

This is a counterfeit Chinese tourniquet test. This is the Amazon special, and we're gonna try it out to make sure of whether or not it fails, because a lot of people have these in their prepper inventory for first aid and don't realize how dangerous they can actually be. Now, this one has not been tampered with or modified in any way. All they did was stage it so it could be used for immediate use. We're gonna go ahead and tighten it down and see if there's any failure point here. But they're having reports of these failing in Ukraine right now, and they're requesting American-made tourniquets because these ones, the Chinese-made ones, are not reliable. Oh my gosh, it feels so good. Give yourself a tourniquet. You should just do it every so often to make sure you feel oh, and there we have it. The strap is broken. Look, ready? See that complete catastrophic failure right there. These are dangerous. Make sure you get rid of these if you have them because they will fail you. I have a bunch of them because early on they seem like a good deal. They're not a good deal, you'll die from them. So get rid of these unless you want to die. Exactly.

SPEAKER_01: 48:23

Your life is not worth saving a couple dollars for at all. Where where do we where do you get good turn goods on? There's a North American uh yeah, go ahead. Sorry, North American Rescue is a good place. Um, and as long as it's North American Rescue supplied, or you get a you know, a soft tea or a SWAT, right? But cats are the easiest. You're gonna pay like 25 bucks for one, right? If you have two, that's 50 bucks. Um and they'll last for a long time. Uh I but uh you want to stay away from anything off of really off of Amazon unless it's sold by North America Rescue. Uh now Amazon has for the cat, right? For the cat, yeah, for the cat. But um there Amazon has uh shut down a lot of these Chinese tourniquets because of that reason, because they're failing on people and people are dying because of it. Uh so they've really clamped down on it. Uh I mean being able to find those. But there are some companies who still sell them and you'll see them for like five to ten bucks, and you're gonna think, oh, that's it's the same thing. No, it's not. It's not as like he just demonstrated I've never seen one fail that fast, right? That was that was pretty quick, but I have seen them uh fail. Um, and it's just that's not a situation you want to be in where you have a piece of equipment that you're you're depending your life on and it fails on you. Um so do y'all have anything else on that? And we'll just answer some questions real quick. No, all right. Let's get to these questions. You want to pull them up, Rob?

SPEAKER_06: 49:56

Yeah. Um we kind of went over it already, but uh, what would what things would be good to improvise a tourniquet with? I know we did the triangular bandage with the the wooden doll. What else can people use?

SPEAKER_05: 50:10

Like, so anything that I like the canvas, like jeans was great. Like if you want to tear off some of your jeans, which is another reason why I'd have uh some scissors, you just want to have it at least like probably three inches thick, um for a width, you know, make sure it's long enough. Um that's really what it is. You just need a cloth, a cloth, two pieces, right? Because you need to have the one that locks the windlass in. Um, I've I've honestly like I've been out in like in Boy Scouts and stuff. We've used like if we found a rigid oak stick or something like that, you know, or you know, it doesn't even have to be straight as long as it can apply that. Um, like Adrian was saying, if you get a good metal pin, the biggest thing is the metal pin is it it might be just too small for whatever you're using to be able to like tie it down right and tie, and then like once you twist it, can you lock it in, right? So just consider those kind of things. Um, I know a lot of people have those like what's those like those tactical pins or whatever, yeah. Those are those are kind of long enough. I mean, they're still metal, which also goes to worry about if it's a cheap aluminum, it might crimp, you know. Yeah, yeah, yeah. Yeah, exactly. Um, but mainly you'd really want it long enough. Like this is probably this one's probably a little bit too long, but I mean it's per I mean but something within that size, or even just a little bit shorter, you probably want at least what it this is six inches, right?

SPEAKER_06: 51:30

Hey, that looks huge. That's probably eight to ten.

SPEAKER_05: 51:34

So you want it probably close to cocktail. That's what I said too.

SPEAKER_06: 51:36

Yeah, so close close to what?

SPEAKER_05: 51:39

Nothing.

SPEAKER_01: 51:43

Uh some things I would stay away from to make tourniquets out of any type of surgical tubing, any type of stretchy material. Right belts, not do belts.

SPEAKER_05: 51:54

Um, no, you can well actually cabin, you can use a belt as long as it and I have used belts, as long as you can um again, as long as it's at least two finger widths, two to three finger widths, and you can actually twist it. Don't don't use like the ratchet on it, like you were saying, right? Like, yeah, you can use the belt, don't use the ratchet on it, and you can use a secondary belt to tie it down. I've done that too.

SPEAKER_01: 52:17

So I think the issue with a lot of belts, especially guys in our space who have like EDC belts, right? They're kind of rigid, um, you're not gonna be able to get a windless in those. Right now, if you have like one of the old like canvas belts, you know, uh maybe I got a rigid, yeah, I'll take it off.

SPEAKER_05: 52:35

Um it's not it's semi-rigid, right? But I mean, as long as you can keep that main constricting around it, right? So it's instead of like bunching up into like because you like especially with the surgical tube and all that kind of stuff. One the smaller diameter, it's gonna cause it literally will cause tissue, you know, cause even more stuff, and it's gonna be really hard to like confirm whether or not you're actually cutting out blood or stuff.

SPEAKER_01: 53:01

So yeah, absolutely. All right, let's see what else we have.

SPEAKER_06: 53:06

Um what what are the differences between a constricting band and a tourniquet?

SPEAKER_05: 53:12

A const oh uh a constricting band basically is like you know when they put a tourniquet, uh, they put they call a tourniquet around your arm when you draw your blood. All that's doing is restricting venous bleeding, right? And what that's also doing is it's building up the blood, so you still have arterial flow going through, and that allows the vessel to pop up for you so they can get the stick, you know. Um, a tourniquet actually goes and cuts off arterial bleeding. Okay, now also as a caveat, you have to also consider, like with a femur and a humerus, they have artery, they have a cavity that flows blood. So if it has a if you have a severed femur or a severed, and you can't tourniquet that. Does that make sense? Yeah, or you have to try to find some way to go up higher, like you might have to go to the subclavian, and you can do like a um you can get like a like a monster can or something. I say monster, you can do a coke can too. A full white monster, it has to be a full white monster, it can't be a and and like basically try to do it that way, kind of like with the uh yeah, in the pelvic region for a junctional. I mean, also like if it's open, I would just shove my fingers in there and try to restrict the bleeding. I had a stabbing that did I do that, you know. You just you brush, you go in there, you find the I mean you just gotta you don't save your life, right? Like so you go in there and just like kind of hold in and just press it because your subclavian is right, you know, right below your clavicle, and you can actually press it up into the into the clavicle.

SPEAKER_01: 54:38

So um, did you ever see the uh the guy from the Kentucky Ballistics show? Yeah, had the BNG blow up on him, and he basically had to shove his thumb into his neck.

SPEAKER_05: 54:48

Yeah. Like it was some trick, some weird freak thing where he the guy hit hit the um got the goal and his skate came up and lacerated his his uh carotid. And their doctor ran and you just see it like spurting, right? Like, and and the doctor ran from the sideline or this the box and immediately went in and shoved his fingers in there and saved his life. And he said he and he the guy was had been a uh either a corpsman or or a um combat medic in Vietnam and had done that multiple times. And they're like, if he hadn't been their doctor, the dude would have died, you know. So, like, yeah, yeah.

SPEAKER_01: 55:34

Well that and we talked about that with the uh the Charlie Kurt shooting, right? Once you saw that shot and you saw that initial like gallon of blood getting like he's yeah, he's gone.

SPEAKER_05: 55:44

Like, there's no way that was and I was like looking back, I was thinking that that was I think he this is all my opinion, but I think they I think it hit the jugular, it didn't hit the carotid because it was yeah, it did not spurt like I mean trust me, you you know an RTO-break, that thing would have shot out like a spray, like like a hose, like a hose line. And yeah, it was just like it was just a gush, so he had immediate deeper fusion of the carenal cavity, but it was a venous butt, so it could have like it would have just nicked the EJ or the IJ, probably the EJ, and it just dumped because it was it was dark, it was dark blood, it wasn't it, you know, darker blood, it wasn't red. I mean, you could definitely could tell the difference even from that distance, you know. Yeah, definitely.

SPEAKER_06: 56:25

Um, as a windless, can empty or full mags do the trick as a windless?

SPEAKER_05: 56:33

I mean, I I don't see why not. The only thing is, is like it's pretty big.

SPEAKER_01: 56:39

You're gonna need a lot more extra claw.

SPEAKER_05: 56:42

It's just gonna suck. Yeah, you're gonna have extra claw, correct? Yeah, so I mean, I if that's what you got, uh, but honestly, like, come on, man, there's gotta be a stick somewhere or something, you know. Like, yeah, I mean, get a hammer, get a friggin' uh a pliers or something. You gotta have oh, here you go. Get a how many of you guys carry like e tool or uh uh leatherman's, yeah, you know, like something rigid that won't be, or even uh even a pocket knife, right?

SPEAKER_01: 57:09

Yeah, technically, or like uh looking around something like this as a as a windows, yeah, yeah, absolutely.

SPEAKER_05: 57:15

I got trauma shears, you could use trauma shears, yeah, absolutely. Yeah, yeah. Just anything rigid, as long as you know the basic mechanics of what's required, like yeah, anything. I mean, that's the thing is like just figure out um you really need to know the like figure out how to find pulses and stuff, but um, I want to like stress it. Um, one thing also you guys can people can know is the cap refill thing, you know. Um if you squeeze the bed of your nail as long as the it turns back to pink within under two seconds, you got good blood. I mean, it can kind of work when you're putting a tourniquet. Unfortunately, you're doing it so far away, and you're even if a constriction ban, it'll slow that down. So, like even a blood pressure cuff can slow that down. So, yeah, yes, a buck knife would work. Somebody said that.

SPEAKER_06: 58:03

Um, a lot of other questions are kind of about other items in a first aid kit. So maybe we want to move on. Um, after this one, are we talking about Tappy?

SPEAKER_01: 58:13

Are we talking about the one inch or one and a half inch on a um tourniquet? Because you want it why you want about two inches, you want as wide as you can get if that's what you're talking about. Let us know in the chat.

SPEAKER_06: 58:27

Because, like, most belt size, like your average belt size is one and a half inch.

SPEAKER_05: 58:30

Yeah, this is one and a half inch, so yeah, you the wider you get the better. Yeah, I mean, the one the having it one and a half inch is also it can be beneficial, especially on the arm, because in case you have to put two on, but you don't normally have to put two on. Normally, when people are having to put two on on an upper extremity, it's because they didn't put the first one on right, yeah. You know what I'm saying? So the but you but the thigh that that can be a thing, um, just because there's so much mass in your thigh, and in the United States, more people have more mass in those thighs than others, right? Hey, sorry.

SPEAKER_01: 59:07

So, Chris, let's let's move on a little bit. What about uh thing that's not an extremity? So we've got you know a puncture wound or some type of laceration in in the box, right?

SPEAKER_05: 59:17

So non-compressible kind of things, yeah.

SPEAKER_01: 59:23

Or so I mean your first goal always is to put pressure on, right? And see if it stops with that. Um, unless it's a puncture wound, not in the chest, though, right?

SPEAKER_05: 59:33

Yeah, right. So so you we differentiate bleeds from compressible, meaning you could press on them and it could potentially stop it, excuse me, or you have non compressible, right, which is in the torso, the thoracic cavity, right? So belly wounds, right? Chest cavity. If you have anything above the rib cage, I would, I would I would immediately if you got a hole, you plug it with a chest seal, and that's yeah, it's basically. I don't want to open mine, but these are the ones, these are the ones we use, these are the ones that most people use. Hyphen. There you go. Oh well, actually, this one's already open. I'm gonna have to go talk to my son about that. Um, so a chest seal is basically it's all you know, I guess someone messed with it. It's basically a plastic seal with a bunch of gel uh adhesive that's gonna stick over that over the wound, right? Because let me see. So first thing is if you have someone shot, right? You need to find the wounds, right? So we call it stripping and flipping. Um so like when your mom always said we're clean anywhere you go outside, doesn't really matter because we're gonna take it all off. So um you wanna you literally have to cut off all their clothes because and look at their back, look at their, you know, all extra because bullets do weird things, man. Like, um, and so uh you want to find those holes because if you plug the one out here, but then they're leaking out the back or from or out of the side of the neck or something, it there's no point, right? So you want to make sure you have it, put the chest seals on it. That'll keep that'll at least plug it in so it'll be bleeding on the internally, right? Um, something like upwards um in the like lung lung region. Um, just be aware if they start developing things like uh having real trouble breathing, what you want to do is kind of release take off that chest seal for a bit so that air can be released in case of the potential collapsed lung, and that can re reinflate it, hopefully, and then put it back right now. That's secondary, just just keep it there, right? Like, you know, yeah, don't cut my scapula. Um, but uh yeah, you'll do that. Um, abdominal wounds, there's not really much you can do for those. Just make sure if there's stuff sticking out, make sure you just push it back in or or make sure it's wet, you know, you want to keep that wet.

SPEAKER_01: 1:02:10

Um yeah, I mean and you can make them out of things, right? If you've got a ziploc bag and some tape, right? You can make a chest seal out of it. One of the big things if you if you run out of chest seals, you can use the packaging, the chest seal comes in with some tape.

SPEAKER_05: 1:02:25

Right, right. Yeah, what what is it? What we used to be taught in the Marine Corps, like we uh we get the um the compression bandage plastic for the like sucking chest wounds, and like because it was supposed to be sterile on the inside, but honestly, who gives a crap about sterility when you're trying to save someone's life? And then you'd put that down and then you tape that on top with a bulky dressing, right? Like, so like you can use the plastic. Um, you can use the this plastic and this these wraps, you know, if you want to. Yeah, you're just trying to make sure stuff stays inside.

SPEAKER_01: 1:02:53

Um anything that's non-permeable, you can use in an MRE packaging, like this, right? The whole anything that you just can't get through a lunch triple's cover.

SPEAKER_05: 1:03:04

Um, what else? Uh oh, we used that's another thing. We before we got a lot of uh we got our supply, um, we would often use um AED pads. So you just just tear off the the wires. Unfortunately, in a mass casualty, you may need, but we need an AD, but but unfortunately, you we usually don't resuscitate in a mass casualty. If you're dead, you're dead, you stay dead.

SPEAKER_01: 1:03:30

So um so let me let me ask your opinion on this because this is good this it's been when I was in it, you know, when I was still doing this, it was kind of uh argument. Was you got in the neck a wound in the neck, because you can't put a tourniquet on a neck. I mean you can, but you know people I want to put a tourniquet on, but yeah. Are you putting an inclusive dressing on the neck too?

SPEAKER_05: 1:03:51

I mean, you can. Uh I honestly in the neck, I'd be packing the wound. Or I first I'd reach in and make sure to see if I can catch the artery and then occlude it, or I'd put in some um hemostats in there and clamp it off. Um, but yeah, normally I'd pack it. That's kind of uh actually that's what we were talking about. Um what are your thoughts on uh the quick clot stuff?

SPEAKER_01: 1:04:17

I like the gauze, I don't like the powder. Yeah, because you know, especially in in civilian medicine, as we are both in. You talk about like this, this sort of stuff powder, they have to go in and certainly remove.

SPEAKER_06: 1:04:29

Yeah, Cheeto gauze.

SPEAKER_05: 1:04:31

Yeah, yeah. So the gau. So right, like so the gauze I can see definitely a benefit too because you're still putting it into the wound, right? Yeah, yeah. Um the powder, it what you're trying to do is you're just trying to make a clot, right? So you can't get confirm you got a clot just by dumping that stuff in. Plus, if you've ever put that on somebody, it flipping hurts, man. Yeah, it actually burns tissue, it actually damages tissue. Um, surgeons hate it, it's just very hard to get all that out. Um, whereas if you have the gauze, it has that impregnated, so it's assisting the packing, right? And so by you packing it, you confirming your fingers are in there, you're confirming, you're putting it in. Um uh, and you're getting you're basically turning that big old thing into a clot and having those extra factors in there, um just it increases your chances, you know. So, and when they go to surgery, all they literally do is grab it and just start pulling it out, you know.

SPEAKER_01: 1:05:31

So it's like and I know we we didn't use it at the department I was at because you never know if somebody's gonna have a shellfish allergy, right? Because you can't use that on somebody with a fish. Yeah, it depends.

SPEAKER_05: 1:05:42

Well, it depends. Some of them have like they're like, I don't know if they've gone away from the potato starch. Um, there's some other stuff, but yeah, honestly, I mean we we have like our SWAT medics have it, but even they even they would use wound packing. Um we we did a we did a um we would we race on cadavers and see how fast because we can you can you can uh they put in uh bloodlines that so that we have fluid going. We try to pack the uh and you can actually pack really fast. Like you can get as good as like you can probably pack a wound as fast as like someone put a tourniquet on.

SPEAKER_01: 1:06:17

So yeah, um do you did you ever do the do you never did the pig sticking course? No. Man, that was invaluable. Yeah, so let me let me kind of just like break down what the pig sticking course was in the Marines for those that are maybe not familiar. So in the Marines, before we went uh overseas and you know went to Afghanistan or Iraq, when you especially you knew you were gonna be going outside the wire, you were required to take a course where basically they put a uh pig and kept it uh under anesthesia, basically, keeping it a spot. A vet that's there. Um and I think I guess they I think they had it on like propofol and something else. But anyway, um and they would shoot it, stab it, all kinds of stuff, and you'd have to go in and fix it, right? And you would do it throughout the day. Like this thing, this one pig would get you know shot, stabbed, uh blown up, whatever, and you'd have to fix it. And I remember we we got a lot of flack for it because it was you know animals, but that saved so many lives in Afghanistan because we knew what to actually do. Yeah, because what they would do is like you would turn away from the pig and then you'd hear the gunshot go off, or you'd hear nothing, which means he got stabbed, and then you got to find where it was stabbed because fighting stab moves can be really hard sometimes. I forgot that would and you and they're like, All right, turn around, you gotta fix it. Right? So you're you're doing whatever you can, you're throwing tourniquets on, you're packing wounds, whatever, put inclusive dressings on. But I tell you the one thing that I remember from that the most is when we had the pig opened up, and all they did was put a little nick on the aorta or on the uh on the um the aorta, right? I'm my blanking on it. Probably, yeah, and it would it filled up the cavity.

SPEAKER_05: 1:08:00

They put on the I mean he probably would he would still bled out on the aorta. You mean maybe like the vena cava? He probably did the vena cava.

SPEAKER_01: 1:08:06

It filled up that cavity in like five seconds.

SPEAKER_05: 1:08:08

Yeah, the vena cava will still do it. It's just I mean, if you do an artery, I mean that's that's under such high pressure. That I mean, you hit the aorta, you're you're you're bled out in like less than 30 seconds.

SPEAKER_01: 1:08:16

So it's like yeah, it was insane how quickly it it bled out.

SPEAKER_05: 1:08:21

Yeah, but um that commander tell you that uh taught us the tourniquets and was in Mogad. He was he was in all he was a PJs and all that stuff. Um he now does that's that's he works for that the company that goes around and does all that stuff. So I always thought it's I mean it's a perfect thing if you've never seen those things, right? Um as of now, I don't really need a pig class because I've seen enough. But but yeah, I remember I don't know, should I tell an or story? I don't know.

SPEAKER_01: 1:08:50

Go for it, man. I will say the one thing that I still find funny is when I still see guys like Navy SEALs telling you you should carry a tampon on you to plug gunwinds with.

SPEAKER_05: 1:09:02

Yeah, well, I uh I kind of argue for that in some if that's all you have, because the problem, the biggest problem with a tampon though, is it's meant to soak up blood, right? And so yeah, but eventually it gets saturated and that will clot, so it still will work like a packing. Um unfortunately I know right. I just uh I think I think it's uh if there if that's all you have, I don't think it's as bad as everyone goes out to be. I I still think you should pack a wound with this and stuff, you know. Um what was what was that? Okay, I'm sorry. This is we call it Curlex, it's it's it's basically a big bulky dressing. Um, I like these, I carry these around. Um, you can use it for bandaging, you know, holding a dressing in place. Um, use it for wound packing. What I like a lot of is if I have a major bleed or something on trauma, I'll actually take it out and use the whole roll, shove it on the wound, and then wrap it to it. Because now I have I already have a bulky dressing, there's no point of unraveling it when I can get some sort of coban elastic uh tape to go around it, you know. Because that and that'll be a that's a perfect bulky dressing and one big old thing. So I'll like I'll immediately just like if I have a wound here or something or a wound on the R'll just do it like that, wrap it in, and I don't even have to I'll take it out of the package first, obviously. But yeah, um, but yeah, these are really good for a lot of things, you can do a lot of things with this.

SPEAKER_06: 1:10:30

So when you when you say wound bagging, what exactly do you mean and what's what what's the point of it? What are you trying to accomplish with it?

SPEAKER_05: 1:10:38

So I kind of made up something. This is some pig skin or whatever. Um, so say you have a laceration and it's constantly bleeding out here. You have depending on where you have a lot of tissue in there, it can get in, like you can bleed out three liters, I think, or more of blood just into your thigh. Um, so what you're trying to do is you're trying to get a clot made. So by packing it, you're decreasing the the volume of that whole, whatever hydrostatic pressure is made, whatever anything has been going on, and you're giving it like a matrix, you're giving it an ability for the clotting factors to go and and clot, right? So you're basically you're initially gonna like sorry, it's kind of hard to do on this screen. You want to get in there and you want to take take your gauze, keep your feet one finger in there, and you're just gonna start pushing it in there. Take this gauze, push it in there, get as deep as you can, just keep going, just keep and you can do it.

SPEAKER_06: 1:11:40

You're just shoving as well.

SPEAKER_05: 1:11:42

And you're just shovering and shovering, shovering until you cannot get any more on, and then take this and wrap it around and advise, and then yeah, so and then constantly be checking pulses, constantly checking all that kind of stuff.

SPEAKER_06: 1:11:54

So and you're you're doing that for wounds you can't tourniquet, right?

SPEAKER_05: 1:11:58

Correct, correct. Or even a really good. I mean, I do it for a really heavy uh venous bleed, but yeah, for things you can't tourniquet. So like a lot of pelvic cavity kind of things, or pelvic pelvic girdle kind of stuff. So yeah, we we would do it in like the we where we practice it was mainly the thigh. The thigh is really the biggest place because like especially like a stab wound, you don't you might be able to just block it off without with just packing it, you know.

SPEAKER_06: 1:12:24

Okay. And you recommend that that um that bulky dressing for that?

SPEAKER_05: 1:12:32

Oh, a hundred percent. That's what they use in the hospitals and what we use, yeah. Sorry, I'm kind of going fast, aren't I?

SPEAKER_06: 1:12:40

No, it's okay.

SPEAKER_01: 1:12:43

Listen, I'm just looking through my iPad. What else will we want to go through?

SPEAKER_06: 1:12:47

Um, I mean, so I the I have one that I I I just bought as what as is right. So I don't know if how much of this stuff is worth it or not. So I have I have the the tourniquet, um, I have the hyphen vent chess seals. Um, how many at least two chest seals do you recommend?

SPEAKER_05: 1:13:07

I would at least have two, right? Because in case you have because you're not you're not always gonna have an you're not always gonna have to entrance and act exit win, right? So make sure Joe Joey Diodati knows that. So just kidding, he he commented on that.

SPEAKER_01: 1:13:20

And remember, like one chest seal or two chest seals can actually be four because you can use the packaging. Okay.

SPEAKER_05: 1:13:29

Um so have uh also have tape. I keep so yeah, mine came with a little more expensive, but I use transport tape, it's like IV tape, but this will stick through blood and everything, and it's got little holes in it. Um, it's a lot more stickier. Um, they do have other type, like a lot of the cloth tape isn't the best unless you get like a at least a two-inch, a two-inch thickness, so you can get more surface area for contact for the adhesive.

SPEAKER_06: 1:14:00

Mine came with NAR flat tape two inches wide.

SPEAKER_05: 1:14:03

Oh, perfect. That's actually really good. I have that it's like surgical uh surgical tape, so it's kind of like a cloth, extra adhesive, almost like a stereo strip. Um I have I have a bunch of rolls of that from when I worked in the OR.

SPEAKER_06: 1:14:17

Um, I know we had talked a little about about like um like uh so I have that that Cheeto Cheeto gauze, but then it also came with uh hemostat gauze dressing.

SPEAKER_05: 1:14:32

Yeah, so the and that's fine. That's that just means you're covering it up and any leakage out, it'll it'll get the um the material that causes the clot for you.

SPEAKER_06: 1:14:43

Um let's see here, what else I got? Uh some compressed gauze. I I mean uh that's just normal gauze, I would imagine. Just the compressed gauze can be used for balloon packing. That's perfect for that's what we're doing. Okay. Four-inch emergency trauma dressing.

SPEAKER_05: 1:14:59

Yep, that's a that's like a pressure dressing. Okay, and then kind of like an Israeli dressing. Sorry guys.

SPEAKER_06: 1:15:06

What is an Esmark bandage?

SPEAKER_05: 1:15:09

Let me see.

SPEAKER_07: 1:15:11

Can you open it?

SPEAKER_06: 1:15:19

It it feels like silicone rubber.

SPEAKER_05: 1:15:22

Almost oh okay. It's it's basically you're using that as a pressure, like so. You'll use the um the uh the bulky uh trauma dressing, yeah. You'll slap that on and you'll use that. You can use that like around the around the chest. Remember like those old Vietnam uh pictures of the guys with the big pressure dressing on and they have that the straps? You can use that for that. Um, you can like I actually use I don't tell people to carry this because but um where did I put it? I I keep uh six, seven-inch uh um elastic bandage. Elastic bandage is great for so many things, um holding and dressing. So that's basically what that is. Unfortunately, I think it looks like you might have to tie that one. It doesn't have any kind of like clip retainers or anything. No, nothing like that. So you just have to tie it like a knot, which is actually good because then you can get a significant pressure on it. Does that make sense? Yeah, the big thing I also like doing with the um elastic bandages is I'll I'll bandage up my wounds and then I'll put the elastic bandage on with an ice pack or something like that, which helps decrease bleeding and stuff like that.

SPEAKER_06: 1:16:31

So that's everything that was in that kit. What else would you recommend? Um I would get uh more tourniquets, obviously. You said two. This one only came with one.

SPEAKER_05: 1:16:46

And you and you what what do you what are you wanting to use this for?

SPEAKER_06: 1:16:51

Well, so this was it basically an IFAC that I had put in the front pocket of my fanny pack. So yeah, just something like that.

SPEAKER_05: 1:17:01

So like an everyday use, maybe thing, or yeah, in case so or you want because that's specific, a lot of that stuff can be basically specific for like a blowout or any kind of like major trauma, but you don't use that every day, right? So what you normally want to be having is like I said, I throw it, I get a little ziploc, those little little small bags and put some like Tylenol and ibuprofen in there. Um, if you're gonna use any kind of like ointment or um um triple antibiotic, I would get make sure you have the ointment. Don't use the cream. Um, the ointment is actually for like a lot of wounds, they'll actually just let the wound be open after they've flushed it, and they'll actually have you put lanolin gel after you after trusting dressing changes every couple days because the the um ointment actually keeps dirt from coming in, keeps it almost sterile. Um, so I maybe keep that around. That's really good for like little small cuts. Um, the biggest thing is cleaning out, cleaning out wounds, soap and water, flushing them with a lot of water, and then putting some, you know, drying it a little bit. Um, but you want to keep the wound actually a little bit of moist, a little moist for a while because that helps helps the circulation, helps the growth regrowth of the um of the tissue. Um, I know back old days to be, oh, you know, you want it to get a uh you wanted to get a um a scab. It's like, well, yeah, eventually you do, but the longer you have not have a scab and pro especially like deeper injuries, the the better. That makes sense. Um, I'd also throw in actually some super glue. Okay. Which is super easy to get, right? Um, I know I know they have I know they have uh medical uh super glue. It's a little bit different, it's a little they made it because supposedly it it super glue can like heat up and cause other damage, but honestly, like I've fixed tons of lacerations on myself and family, and the one that the medical safe one just doesn't always stick if that makes sense. Like, so actually I like liquid band-aid, yeah.

SPEAKER_01: 1:19:15

Liquid band so bad, but you know it's burning because it's working, yeah.

SPEAKER_05: 1:19:20

Um but yeah, I just I literally just get go to like Harbor Frott and or Walmart and just get a bunch of and I keep a bunch of those in all my first aid kits, they work great. Um maybe get some stereo. Did they have stere strips? They had that the cloth tape that would kind of work because that can kind of that's kind of like a a butterfly bandage to pull like a laceration together. Um so I'm thinking, did you have scissors in there? No, yeah, get some scissors.

SPEAKER_06: 1:19:49

I I do have I do have some some surgical sheets, they're literally like those trauma shears.

SPEAKER_05: 1:19:54

You can get like a pair of them for like nine bucks on Amazon or eBay or something like that. It's pretty easy to get, and they work you you can cut a penny with them, even the cheap ones. So I mean they work good.

SPEAKER_06: 1:20:06

Um what what what would you need those for in uh in such like what what would that likely be used for?

SPEAKER_05: 1:20:14

I mean expose exposing wounds, cutting material to make more turn. Cutting clothes off, yeah, all that kind of stuff. Like you you have to you have to expose the wounds, you have to cut the clothes.

SPEAKER_01: 1:20:24

I like I like these, these are called rip shears because the thing I hated the most when I was a paramedic was actually cutting up someone's so I would make a small slit and then I would turn it around and it's got a blade here, and I would just run it across and just cut it all. It's kind of like you know, um wrapping paper cutter, right? You just run it and then just cut it up, they're closed off real fast.

SPEAKER_05: 1:20:46

That's funny. Like literally, like three days ago, I just had to I had a I have a I had a really young medic, and he's just like sitting. I'm like, dude, we need to strip and flip them, we gotta get them up, go, you know, and um he started like literally with clothes, most especially the way they make clothes now. You just have to do one snip and you just tear it, right? You gotta cut where the cut where the neck is like the this part and maybe this, and then you just tear the whole clothes, but then you also have to cut through the like you're wearing jeans, right? You gotta cut through those, you gotta cut the shoes off, you gotta cut everything off, cut belts off is a big thing, you know. Um yeah, you'd be surprised how often you would use those scissors, Rob. So that that's definitely a need, I think, in any kind of thing. So um I've had to use knives, it's not always the safest, you know, when you're no.

SPEAKER_01: 1:21:28

So if you think about it, say you say you go into a uh a situation where there's been an active shooter and you see somebody in the ground, right? And you don't see an immediate bleeding on somebody, but they're down, they're not getting up, right? First thing you're gonna do is you want to one. We used to call it the blood sweep, right? Or or the blood hug, right? You you want to kind of put your arms underneath them, see if there's any blood come out the backside, too. You're looking and you're looking at your hands, see if you've got any blood on your hands, right? Or just roll them over. Yeah, roll them over, right? You can take that way too. Um, but you first thing you want to look for is like any type of massive bleeding because nothing else matters at all. It doesn't matter if they're breathing or anything else. If they're massively bleeding and you don't stop that, they're not gonna live, no matter what. Right. So the first thing you always want to stop is a massive bleed. Now, how much we want to get into the nitty-gritty of checking airways, right? You can always do the head tilt chain lift method or or whatever.

SPEAKER_05: 1:22:20

I think for this, like the march is just kind of you can go that later. I mean, that's you just need to stop in these situations. Like, imagine like a church shooting, right? Like, and I'm talking to the moms, right? Like, just free, just do what you can, you know. Grab your kids around. Anybody's injured, just start having start telling them start doing stuff. Let's start taking care of this, keep yourself protected, get into a safe position, and just start fixing stuff. Don't worry, and the other stuff's gonna come and go, don't worry about CPR stuff. Like, yeah, we can go over chest compression only CPR because that's really all you're gonna need to do. Um, but yeah, just you need unfortunately, you're just gonna you're gonna have to cut them out. Now, I need a caveat this because yes, we strip and flip the people, right? So there's a thing called a trauma triad. Do you know about this, Adrian? The trauma triad. Yeah, so um so what's gonna kill people is they can't clot their blood, right? So one of the the the things are is hypothermia, hypoxia, and uh hyper hype higher pH, right? So you can't fix the pH. The hypoxia you can fix with oxygen, but that's only happening because they're bleeding out. And what happens is when they get hypothermic, they stop clotting. When they get hypoxic, they stop clotting when their pH gets too stop clothing. So once you strip and flip them, the next thing as soon as you found it, don't worry about it till you found and stopped the bleeding, but you need to start warming them up because, like, they I mean, ever almost everybody like in the combat zones, all that stuff, they would be like they'd be in the middle of the desert, it'd be 110, 20 degrees, and they'd be hypothermic because they're losing blood, right? So but you need to strip and flip them because you it's that none of that matters if you haven't plugged the hole.

SPEAKER_06: 1:24:14

So, do you recommend having like some of those emergency space blankets in your kit?

SPEAKER_05: 1:24:19

100%. Yeah, we that's we we use uh the yellow space blankets. Um, we turn the heaters on, even even a hundred degree temperature outside, we will have the back of the ambulance blowing hot heater.

SPEAKER_06: 1:24:31

So because I have you know three, four of those and like uh a backpack anytime I go out, you know, hunting or hiking in the woods or something, but I've never thought about putting those into specifically into a first aid kit.

SPEAKER_05: 1:24:43

Yeah, and and honestly, like and fluorate for uh a blowout kit, it's probably important now. But also understand like those those blankets rely on your own body heat, yeah, and they're already having issues. So I would still do it, and then I would maybe put another blanket over top of them. Does that make sense? Or or maybe put a blanket over them and then that so they don't lose that heat. Does that make sense? Right, but even like give them a sweatshirt, give them your clothes, give them, you know, like I mean, I know you live in the winter place, like I'm sure you have tons of other stuff, you know.

SPEAKER_06: 1:25:13

Like I live in frozen, yes, you're right.

SPEAKER_05: 1:25:18

You guys have antelope and uh or uh reindeer and stuff, right? So yeah, I mean I I know we're throwing a lot of this stuff out there, and and I know it scares people, and they don't want they want to learn, they don't want to be, but they're not gonna be ready. Like, take take what we're giving you. That it's it's basic, just stop the bleeding, find the bleed, find the injury and stop the bleeding and get to safety. Actually, probably get to safety first, but you know. Um I don't want to I don't want to freeze people with the knowledge because they can still do amazing things by getting to safety and stopping the bleeding.

SPEAKER_01: 1:25:59

It's not there's a lot of there's a lot of good resources if y'all want to take classes. Um, you know, Dark Angel Medical out of Texas is really good. Um, you've got refuge medical, which does some really good training. Um, or if you could just find somebody at your parish, maybe who is a paramedic, right? And they could put on a quick T triple C course, right?

SPEAKER_05: 1:26:20

Uh or a cop a lot of cops have it now, you know.

SPEAKER_01: 1:26:23

Yeah, so there's no reason that if you're really interested in this stuff not learning about it, right? Uh, but if you just know how, like Chris was saying, if you just know how to stop any type of bleeding first, um, you know, that you're already well ahead of the game and being able to operate under stress uh is is a good test if you can do some type of training with your security team that's being established, uh, because I'm seeing it all over the place right now where security teams are being put up everywhere. Um I've got a parish just north of me. This is what I never thought this priest would do it, but he's establishing one.

SPEAKER_05: 1:26:58

Um Samantha wanted to know about wound closures. Just get threaded or needle. Yeah, it should it should hits the fan.

SPEAKER_06: 1:27:07

You got a stapler in the car?

SPEAKER_05: 1:27:09

Yeah, yeah. I mean, honestly, those staplers are they're like 10 bucks a piece. I mean, but they're one-time use. But I mean, I but if you can sew, you can suture it's it's not hard. Like, are you gonna be doing plastic surgery and doing deep wound? No, like, but just you can stitch it up, you can keep it clean. I mean, but the biggest thing with that is you must clean the crap out of that wound. You need to make sure all as much dirt as you can gets out of there, and even that probably put in the the petroleum jelly or the on the you know the the lanolin uh jelly in there, and then and then once you suture it up, you know, because that'll all absorb in and stuff.

SPEAKER_06: 1:27:50

So you'd realistically only be doing that in in a scenario where you're not likely to have other medical attention forces.

SPEAKER_05: 1:27:58

Right, she said for when shit hits the fan. Okay, we can have a whole nother story on that. Yeah, I got a lot of stuff on that. Sorry.

SPEAKER_06: 1:28:14

Um, let's see what other questions we have here. Um so you you talked about having Tylenol and ibuprofen. Um, I guess for those who don't know, what are the differences? What what what would each be used for? And then someone asks, how long do those type of painkillers last? And are they still viable after the expiration date?

SPEAKER_05: 1:28:36

Um, yes, they're completely viable after the expiration dates for a long, long time. I was working in a pharmacy when FDA made the two-year, and that's just basically for drug companies to make more money. Um, so anything that's in a pill form is gonna last for a long time. It there might be a minor decrease in ability. Um, so I usually get we get on the ambulance, and and that's because of a 20-year study that tylenide profane are are better than any kind of narcotic pain reliever. Um, especially since like all those pain like hydrocodin, bicidin, oxycontin, they all have tylenol in them, right? So tylenol is the actual analgesic pain killer. That's the one that goes to the actual nerve ending and blocks the pain. The the opiates that go in there involve is it's just so you don't care, right? Basically, you can handle the pain because about 40% of pain is is fear, anxiety. And you know, the because they think of oh, what is it? What's happening? Am I gonna get worried? It starts precipitating and you're in hurting, right? Yeah, if you can knock that out, then the pain isn't as hard, right?

SPEAKER_06: 1:29:44

So um my wife's first C section. Um, so she has a crushed disc in her back, and she was gonna do um uh a vaginal birth originally. So they did uh the epidural, but then when they decided.

SPEAKER_05: 1:30:00

to do an emergency section they had to do the the spinal block and they decided to push the spinal block in right at this right with the epidural where they had done that well i guess that was right where she had the crush discs and that extra pressure on those discs caused it she felt like she was being bisected you know right right where that was happening and it threw her into a a a panic attack because of all the pain um so they gave her versed you know and and she was still in pain she doesn't remember it at all anymore at yeah because it has an am it has an amnesic effect and that's one of the things like so we would like when you go to a surgery they'll give you like a benzo um versed is a big one Valium um propofol do it um they call it the milk of amnesia because they cause amnesia right so when you go through a an injury or a surgery your body has a normal response right so if you can block that with amnesia it actually increase it decreases healing time it actually improves your outcome and because you don't have those your body's being shocked believing it's not having these other traumas to it does that make sense so back to the Tylenol and ibuprofen tylenol is a true analgesic meaning a pain killer um it also does things like it's an antipyretic which um lowers your temperature for fevers and it does that through um it slows your metabolism down which is can be good for a lot of different things um I often take it just to kind of help myself sleep because it can bring myself down to sleep temperature quicker. I tend to not sleep very well and or ever um so that helps um um and ibuprofen is uh an an a non a non-steroidal anti-inflammatory which saying it's a non-steroidal it's just not a derivative of steroid but it does almost the exact same thing stopping plasticlandin release stopping you know so that is an anti-inflammatory meaning that so it goes at your pain a different way so whereas the analgesic goes directly to the nerve ending blocking that pain response acetylcholine and all that stuff to causing the the nerve the nerve action to go ibuprofen will decrease the swelling stop block the inflammatory response so that that swelling that would normally be causing you the pain isn't there so we give it we give both those together because you don't know what's causing the pain and it still can help right because a lot of those prostaglandins with I mean pretty much everything's inflammatory response right any kind of issue any kind of illness it's an inflammatory response so um just like you can take ioprofen for allergies it's actually great for allergies because it stops yeah it stops a lot of things like that so um so yeah so I would take from those another thing I'd also add and I don't know why I didn't say it for because I use it a lot is um is diphenhydramine which is um vinadry venidry right so venid is amazing for it when it's given with like tyanol or ibuprofen because back to the anxiety the fear response it stops that on top of that it's an antiametic meaning it stops vomiting nausea it's also it can actually if you have any kind of a GI uh gastrointestinal pain like stomach pain rectal pain it'll stop that because it stops the spasms and that's what's causing the pain so having those three pills or those three medicines is probably one of the bigger things you can do if that makes sense. And I mean a Benadryl maybe give liquid because you can give it for um because oftentimes when people you know they can't swallow pills but you can put it in the gum line and it'll absorb or it'll leak down through the throat. So it'll you can actually put it just on the tongue and you can absorb almost as fast as an IV so or an IM injection. So as far as the Tylenol and ibuprofen if someone's unable to swallow those pills how do you administer them I don't know if I can say I'll never I'm t you let they actually you can actually crush them up and put them in like a like maybe bring up keep around like a um like a syringe or something an empty syringe and then you can put like crush it up throw it in there put some water or some juice in there shake it up and then just cut and make sure if you do it you do on the side of the gums kind of like when you're giving medicine to a kid so it'll kind of like absorb still and just like you don't want to make them gag and throw up but yeah but you can't do it the other way that I can't say no in pill form right just yeah you can do it the college frat way I guess oh my gosh sorry I can get really bad I'm sorry it's the whiskey it's drinking it through the mask I don't think all are noticing this daddy why does my Shrek mask smell like whiskey I'm not too complicated am I I no you're fine this is a lot of this is just introduction because you know I I want people to just be able to have a cursory knowledge what they need to have the things that they're most worried about right especially in these situations that keep popping off.

SPEAKER_01: 1:35:30

But you're not worried about you know uh an anaphylactic shock that's shooting right like we're not worried about that right we're worried about hey we need to stop this this blood from coming out of the body and we need to keep them warm uh that way they're able to stay alive because you're not dead until you're warm and dead right yeah uh so this is really the the biggest thing I wanted to go over and kind of go over some things that we keep in here you know because you can make these you can make an IFAC out of anything this is a a pouch I just bought and stuffed it with a bunch of stuff that I like and I just keep it in my backpack. And when it's not in my backpack it's in the back seat or it's behind my driver's seat right because I don't always keep it in my backpack but I'm always near my car.

SPEAKER_06: 1:36:13

You can find perfect cheap pouches at like any military surplus too.

SPEAKER_05: 1:36:17

Yeah on and and like uh fishing tackle a little small tackle boxes those are great for things especially like holding pills and stuff I mean I I know we're doing it all this to try to save like the trauma but I mean I think it I mean do you guys still have that video I did like what five years ago and I actually broke out my whole first aid kit and tried to explain stuff. I mean I could do it again probably and send it to you and I'm sure it's but I mean the telegram we'll we'll look for it. All right because because I mean honestly like moms and dad like we get we get called for things that they should have never called an ambulance for people just don't don't like the the joke the joke in school is always oh you're gonna go in that 3 a.m toe pain and I'm like yeah you will because I just did one like I've done more they literally oh my toe's been hurting how many days three days what did you do about it oh nothing called you 3 a.m like it's like and I don't I'm not trying to like I still take care of my well but it's like I know moms and dads just want to be able to take care of their kids right like I don't take care of their family like and honestly like I I I've always been kind of a cynical or prepper kind of guy like I think that time's coming faster than people realize that we need to start learning how to take care of each other and take care of our our our own you know like yeah so I mean having a first aid having medical stuff like which is honestly what most people used to know like I I was telling somebody on the telegram the other day like I remember sitting in my emt class the first basic class or whatever and they're teaching like they're teaching splinting and bandaging and and people were just like oh like asking these questions and I was just looking around going you guys don't know how to do this you know like I learned that when I was like five and six years old like Ghost you know like and that's what people used to do right like when they were they lived in the that they were self you know but now everyone's so scared they want someone else to make that decision for them and but that's not that's not their fault in a way like it's just the way society is these phones we have like constantly keeps people in constant fear all the time you know and I just I honestly just want to take on people to take care of you know like I like taking care of people I like educating them and it's out there you know they they can do it they just have to get the info you know yeah have you ever thought about putting on training classes um I used to actually have a business like I used to teach first aid CPR uh ACLS and yeah I mean I I'd love to I mean I would do it for people I'd love to do I even go to your I mean if like I told um I put together a whole action plan security action plan for um Alex for his church and school and sent it to him so I guess they're still reviewing it but um yeah I mean I'd love to do I dude if you can give me a give me a cot in a closet somewhere I'd go teach some stuff so and some whiskey and some whiskey should I should have had you teach a class after the baptism yesterday yeah right I should have I should have flown you'd have been awesome this is how we deliver a baby for those of you that are gonna baptize in the future yeah you catch that's really all I do is catch oh you delivered a baby I caught it like the mom does love delivering with help as we live from the the hospital that is a a very real possibility for me in the future yeah no yeah that we had a our last child we went in early and like my wife was induced it was the only one we ever did because we just lived so far away but you know but it's a thing I mean do we do we keep concussion victims awake because you see that you see that in every TV show I get that all the time no we do not it doesn't matter that so it and honestly that's it's a so one sleep helps you repair that's when your body repairs um the the fear was is because it which and what you're not looking for like you let them sleep but um what they're we tell them like what you're worried about is if you can't wake them up like and I'm not talking about like hey hey hey and it like within like a few seconds or a minute they wake oh wait well what's going on like because they're really tired they got an injury or whatever I'm talking about you can't wake them up you know and so no you let them sleep they need to sleep um just be aware like and we talk about if they're vomiting um and we're talking about like exorcist vomiting we're not talking about just like I'm throwing up you know and those are things and honestly like you're not gonna really see a lot of that with concussion because a concussion isn't really is a bruise on the brain TV's really overblown a lot of that stuff I mean it's still concerned but what we're worried about is the bleed like right TBIs like for real. Right right I mean yeah I mean we yeah I mean I've been hit in the head so many times I don't know what I got but still like um but yeah like it it it's definitely a concern but you're just trying to yeah let them sleep please let them sleep yeah for your sake and for theirs yeah um let's see what else here um I don't know how relative or I don't know if this one well I'll just read it someone has low press blood pressure or heart condition and they are bleeding out in order to keep the heart pumping would you recommend artificial adrenaline you're carrying artificial adrenaline on you I was wondering that's what I was wondering I'm like what what do you mean by artificial adrenaline we're talking like epine like epipins like an epi pen maybe pin um no um because you're gonna make them bleed faster yeah the heart condition and all that stuff it's now low blood pressure they're gonna have low blood pressure right especially after a bleed they're bleeding you're gonna have even lower blood pressure i the blood pressure part possibly we do give we wait to a very significant amount of time uh but we do give pressors and trauma when I first started we didn't give pressors and trauma meaning squeezing the medicine like epinephrine which it works but there's better ones that don't do as much damage for other stuff but um yeah I mean honestly like I kind of come from a different way like you guys are gonna laugh at me I would maybe give it to them but I mean but again are you why are you wasting time on getting a blood pressure while you're trying to fix these right so um as a last effort I would um I talk about this to a lot of my guys I've talked to our doctors it's like I think we maybe need to give a little like in some cases with patients um give them some stuff to kind of give them a will to live if that makes sense. I got really sick during COVID I had bioletal pneumonia and because I'm a dumbass I didn't want to go to the hospital and so my wife made me um this is because you're a man yeah yeah I used to go into the I'd start coughing and I'd pass out so I started going to the bathroom and I started coughing laying the floor so my wife could see and then one day she saw me do it and she forced me to go to the hospital. Anyway so I got I was in the hospital for like and honestly my my oxygen saturation was like low 80s right and when you're that low like your your brain just doesn't work right you know like and I I had this apathy like I honestly just didn't care like I'm like I'll just die I remember the doctor coming in and that was back when like they're sending people home when they shouldn't have and they were like oh yeah well you know you you're you're over 80% like you're doing pretty good and I just kind of looked at him like if you're gonna I just looked at my eyes like you're gonna give me send me home just F and send me home dude okay and he kind of took a step back and I think maybe they saw my insurance and it was good because all of a sudden I got a bunch of people in my room and started doing things for me and um anyways they gave me uh they hit me with a steroid man which is what really people needed during that time and um and within five minutes like I had the energy to fight if that makes sense right and even though your body's shutting down yeah maybe give them a hit of Epi you know to give them that will to live you heard it all here folks Chris said give them the this is medical advice no I would like to let them know I am not a doctor. I am not a sir you look like a method you have meth I could use some meth for him right now oh bro man you know what stuff I can have done around the house on meth just a little bump just a little bump just keep it going no I mean because like it goes back to I don't know if you heard about that story uh last week um at the Kentucky Zoo State Zoo or something um the guy got bit by some really deadly snake and he was the handler and he's like hey the the uh the medics got there and I guess two years prior they were like they could have given the anti-venom but then the new doctor decided to take it away from them but he the the snake handler had the anti-venom but he's like hey just give this to me because in the next like 60 seconds I'm gonna go into the paralysis stage and I'm done die and so they had called their doctor their doctor didn't pick up they called the ER and the ER is like yeah just freaking give it to him and honestly if the guy could have and but then so they're getting written up though for giving it without their doctor telling them and they're going through a whole licensing board review and all this stuff and luckily like they're getting some pushback from state representatives and stuff but if the layman snake handler he could have given it to himself or a bystander could have under a good Samaritan Act. Right but the medical professionals once we get our license we can't fall under the Good Samaritan Act anymore. So you so like yeah so you know what if you want to give a bump of 0.3 of epi sub Q I didn't see shit.

SPEAKER_01: 1:46:32

That's um the anti-venom is like tens of thousands of dollars isn't it yeah and it and it's and it's 5050 chances you get an anaphylaxis attack yeah and there were when I was in Okinawa if you got bit by the Habu snake which is on Okinawa like you they had to PCS they had to take you off with Okinawa you couldn't stay there anymore. Like we had guys like they were there for a week because Okinawa like nobody wanted to go very few people went to Okinawa because they wanted to I wanted to you know and so I I I loved every bit of it but some guys went there because they had to so they always volunteer to go on these working parties to go out in the jungle hoping to so they'd have to go back to the states because the anti venom with Haboosnakes only works once yes yeah so like there's anti venom there there's like a uh a catch all anti venom and then there's like specific other ones right so but unfortunately like look in your town like I guarantee you Rob there's no anti venom in your state no maybe maybe one hospital now Arizona like Phoenix like yeah they got but even in our area it's so expensive and it and it expires so quickly that's one of the ones that actually do expire because it's got a it's got a the timed uh potency um yeah most hospital the trauma centers maybe have one dose or like our main main trauma center attached to UTE has like maybe a couple doses but that's still not enough you got to have it over a period of time so right whenever someone gets gets a blood bite they let up start calling all the hospitals and having them ship it to them you know so yeah we we just have the timber rattlesnake which which I would mess you up too it it will it probably won't kill you you know but even that that's that's down in one little corner of the state so up by me which we don't have venomous snakes but if you were to get bit by someone's pet or something like that yeah you're screwed yeah and if it's snowing and no helicopters are flying yeah you're even more screwed you know yeah very true so um let's see we got a couple other questions here um you we kind of talked about stereo strips but for any small things besides stitches or stereo strips what are some good options for small wound closures tape this is this is the best thing um tell Samantha I can send her pictures of my laceration I didn't know myself and you can barely even see a scar I had a guy I ran a call one time and he was doing some uh work on his roof well he was we're on our roof he wasn't his roof and he fell through the roof and his leg got caught in a lag bolt that and it ripped from his knee up to his hip and uh we and for the the ends of it we had to use super glue to keep it from continuing to rip even more because he kept like he was you know in a lot of pain you know verse said you know you yeah you don't remember it but you're still in a lot of pain still sucks yeah no the fentanyl sometimes like you know if you especially if you're like really active you have to give them a lot more than you your you know your scope might be allowed without calling your medical director or something right but man it it thankfully it didn't bleed a lot there was not a lot of blood gotta be but it looked like I was about to like you know start you know making some I was cleaning him like I was gonna cook him that's what it looked like you know and uh but it was horrible yeah super we had to put super glue on the ends you know we had like a very commercial grade super glue to keep it from continuing to rip because that skin was in Vietnam it kept running a rip there's documented cases where they used that's what they initially they used it in Vietnam and in actually combat so it works I mean I've used it hundreds of times so it's not the greatest for like um joints and stuff because it can constantly yeah you know but uh but for like like any other like cut you know it it works great so are there any places or any types of wounds you shouldn't pack the mouth not the maybe unless you're into that kind of thing then maybe well yeah a brain cavity if you have brain cavity but then again if you're seeing brain tissue uh don't pack anything just yeah no wait for the meat wagon no um should we leave casualties in place or drag them to safety in the drag them to safety okay well it depends yeah right if it's a mass casualty drag right and if they can't walk and you you've got too many right you might have to leave them in place.

SPEAKER_05: 1:51:18

Well what are we talking about?

SPEAKER_01: 1:51:20

Are we or triage are they a black tag or are they a a red or yellow who knows who knows like if you walk into if they're black tag there's lady in place but if they're a red or yellow they're going to the if you walked in on Sunday on that incident they had at that Mormon church right you've got where it's actively on fire. Yeah like you pull them out you're yelling at people one to get up and run to you if they can right and if they can't then if you got enough people there then you're dragging them out. But if it's just you and you're the only person able to do anything you gotta start getting who you can and some people you might have to leave until you can get back to them right so it's that that's a decision each one of us to make yeah I mean it it yeah it depends on what it literally depends right like but yeah I would just start pulling as many people out as I can and then deal with it afterwards because yeah you can't help them if they're burned to death.

SPEAKER_06: 1:52:07

Yep you know so well like you said either way make a decision and and just do it.

SPEAKER_05: 1:52:12

I mean because like when I started with like car accidents right like they'd be oh you know you gotta you know hold c spine you gotta keep them in the it's like but now it's like if they're in a dangerous era you just pull them out. I mean yeah a C-spine okay now if they're paralyzed but they'd be alive you know so like that's kind of the same situation pull them the hell out man like just we used to call it a dirty drag sometimes you just gotta rip them out of there and deal with the consequences later because yeah it doesn't matter if they're they're paralyzed now if they're dead it's a triage of symptoms a triage of conditions right like yeah dead is dead right but paralyzed and alive is different you know that's right so um what kind of sounds and trauma are we likely to see in an active shooter event screams yeah the screaming's the hardest thing they get they get past you just kind of kind of like so I'm trying to express this um you you you're gonna hear a lot of screaming you're gonna have a lot like but it goes back to the OOTO loop you're gonna be in a position where you're like gonna try to orient but if you take too long to orient with all that you you you'll eventually get tunnel vision maybe like something I might consider someone doing is if they start something happens like that immediately look towards your family and at least that can focus your attention rather than paying attention to other stuff and then once that focuses your attention then go look at okay how are we gonna get out of here what's going on because as long as your family's safe then you can go take care of others but don't take care of others until you've saved your family does that make sense so you again like even even guys like like Adrian and I who've been through things like this like we're not gonna be ready we're still gonna like I've suppressed my adrenaline I I but that's because I do it like all the time but once I leave but even when I'm out and about like if something comes up I'm still behind the oota loop on that guy or that person right so you just have to really just try to find a way to focus to your family and understand what's going on and then and just auditory exclude until you can get your family safe and then take care of stuff right like you know what I mean like does that make sense I don't do you guys have other opinions on that I don't know when when you when you sub suppress that adrenal response does it hit you later like do you still get that adrenaline dump after everything um yeah you guys might I don't really anymore unfortunately no I mean I will like I it takes me days to recover after shifts but like I I've it's I've been doing it for so long like like don't get me wrong I still get like let's do like I don't I don't get that excitement I mean I get excited but I don't have my heart rate stays in a really low I mean just because of how I've done it but when I get home it's and like I think I've I've thought like when I get home like that's when like the miners thing gets like stresses me out and it's like why am I getting stressed out by this stuff but it's just because like you your body's ready for that but then the low key stuff you come back and it's just something you you deal with after a while so so yeah the the adrenaline of the situation one is is designed to help you right is designed to give you the strength you need and the focus you need to do what you need to do um you know the the hard thing is not having tunnel vision and like focusing on one thing that's not important just because you've locked in but you're gonna have it right I mean if you're not experienced everyone's gonna have to that's what I'm trying to say you're gonna have the channel tunnel vision so have that tunnel vision on your family and then that can give you at least some time take a deep breath and then start looking at ways to get out and don't like don't look at anything else like serious like don't look at like there's times when I'm just like this stuff doesn't matter I got this person take care of I'll figure that out later right now don't grim I also have to worry about someone's gonna jump you or something like that can happen to you but but yeah like when you're in that situation I'm talking about a lay person right yeah like you hear crack crack crack and screaming and row look to your wife and kids and just stare until you can get situated and then go okay there's an exit that's clear or that's not clear there's an exit that's clear as clear and start moving and grab your family take care of your family I can't stress that enough because as soon as they're gone that saves the resources for the ones that aren't does that make sense so and you know so like I don't know it's hard to explain I don't make any sense sorry I can see it all my head but I know people don't see what I see so and that having that conversation with your family like hey if this ever happens first thing I'm gonna do is get y'all out right like it and I I I bring it up with my kids like I took it was just me and my son and my daughter this Sunday for mass because the other ones were sick um you know and with everything that's going on in the world you know I just make sure to prep my kids all the time like hey if something happens and some you know somebody comes in want to do some harm I want you to get down under the pew right and daddy will do what he has to do or I want you to get out right that's that and just constantly talking to them about these things.

SPEAKER_01: 1:57:52

The older ones who can understand it. Like my younger ones like my seven year old my five year old it's a lot of in the what the way I train them is like you do what daddy tells you to do when I tell you to do it no matter what. Because one day and and and you just got to build that foundation right you know it's always even with stupid things like hey pick up your toys and they're not doing it and then I get on to them look I told you to pick up your toys now right because if you get them trained to that and get an understanding that when dad says something right you do it now. Right because one day you may need to do it because it's life and death right you don't need to tell them that yet right but just get them used to know when I tell you to do something you have to do it now. You don't ask questions you do it and then once it's done you can ask questions right but you do what I tell you to do now. You know because it's building up that that foundation for them so now my 13 year old is she does what I tell her to do right when I tell her to do it but then she always asks me like why do we do that?

SPEAKER_05: 1:58:53

What was the reason and then I explain it to her this is why you know we're always poor evil people right and and dah dah dah dah, whatever it is right I mean kids aren't stupid man right like right if you explain it to them that and that's one thing like like when I try to teach these things I'm glad Rob reminded me of a bunch of like and you Adrian like because I really try to explain to people why you're giving it even like the pharmacodynamics of a met because it tends to stick in someone's brain a little bit better why when you tell them why they're doing it. I mean I know we have to train massive groups of people like and so you can only do a certain way and you want them to do that muscle memory but it it really really helps and enforces it when you tell them why they're doing something you know especially especially kids man like yeah they're not stupid I don't care what like yeah they'll they'll see the reasoning right behind it and and they'll learn to trust you that much more they'll they'll know I can do what what what dad says because I know he's thought through this and he's he's got my best interest and I'll do it because I can trust him right so I feel protected with them, right? Helpful. You know. And that's another thing. Oh, sorry, God.

SPEAKER_01: 2:00:06

I was just gonna say that especially comes to the faith, right? There's at a certain age, just the just because I told you so is no longer works. That's usually around seven years old, right? After that, you need to explain them why. Hey, why do we do the side of the cross? Why? Why? Why? Yeah, it why you know, and so I always explain things, right? Because what I didn't have growing up was the capability to ask why. I would just I did because I was told, right? And that's probably what I well, I left the faith at 18, and it took me 18 years to come back. Um, you know, but my kids, any if I don't know the answer, I'm gonna find out for them.

SPEAKER_07: 2:00:40

Yeah, right.

SPEAKER_01: 2:00:40

And so you you need to be able to explain these things to the kids because once they know why, they are one, they respect it a whole lot more, um, and two, uh, they are much more willing to follow it the next time when you just say, just do it, right? Because you're always explaining it to them. So they know, okay, I'll give an explanation explanation later. I'll just go ahead and do it now.

SPEAKER_05: 2:01:01

You mind if I give a quick example? How of course um, so I really teach into my kids situational awareness, right? Like the the best preventatives and not being that situation. Unfortunately, that's not life, right? Like you can do everything right, and then someone hits you in the rear ends you, or you're just in the wrong place at the wrong time, right? Um, so um, my daughter, when she was in college, she went to lunch with lunch with her boyfriend, and um she went into the the subway restaurant, and they're sitting there in line, a bunch of people in line, as that, you know, and these two men came in and she immediately, because I always told her always watch the door, always, you know, like and these two men came in and immediately, and women we all know have that intuition that's that we don't always have, right? Because we're big big dumb animals, right? Um, so she said she turned to her boyfriend and was like, Hey, it was now my son-in-law, but um uh you know, like, hey, let's let's go to the Chinese food. I feel like Chinese food. And of course he didn't argue because you know, women like they anyways, sorry, sorry, Samantha and all the other people. Um and so he was like, Okay, cool. So, like they went over to the um Chinese restaurant and um and had a great lunch and everything, and they came out and there was like 10 cop cars in front of the subway and crime scene tape. And I guess shortly after they had left, those two guys held up everybody in line and took all their wallets and purses and the cash register and and took off, you know. So it's like it's not gonna work every time, but yeah, like teaching your kids these things, they do remember these things, you know, like and it it's important to do it, you know. So um, I'm real quick back to the whole like multi-shooting, multi-cat, and like with to moms and dads, like just the tunnel vision, like we were saying, on your family and how to get out. You're gonna have you're gonna have to worry about that stuff. You're gonna have probably cycle trauma later. It's like but that's survivable, you know. Just take care of your this care of your family first, you know. So but I mean it's damage, it's a traumatic event, you know.

SPEAKER_06: 2:03:26

So anyways, another question just came in. Taffy wants to know how would one treat a snake bite in a crap at the fan situation? Rattlesnake to be spin's. I think he's asking, do you suck out the venom or not?

SPEAKER_05: 2:03:48

Okay, Taffy. What I want you to do is is when that happens, you need to reach down really quick, scrap, grab really, really tightly around the ankle or wherever it's the injury just above the injury, and then kiss your ass goodbye. Sorry. I'll just tease it. Um there are there don't tourniquet it. Um there are um not great, but um better um little kits that have a suction on it. That you can it's like a syringe and it has little suction cups. You can try to do that. Um and uh one of the old ways was like you guys remember the old military snake bite kits, little rubber tubes, and it had a scapel in it. It used to be like you cut either side of it and you let it bleed out. I don't know how well that works. Honestly, it's just it's gonna be kind of I mean, they are survivable.

SPEAKER_07: 2:04:54

I mean, but yeah, not so much, huh?

SPEAKER_05: 2:05:01

There's just not a lot to do after that, like in the shit hits the fan scenario, you know.

SPEAKER_06: 2:05:04

So just don't get bit.

SPEAKER_05: 2:05:06

Yeah, yeah. Wear snake boots, yeah, yeah. So unless you know anything else, I don't know. I've tried I've looked stuff up, I've been through all that. I didn't have been able to find anything.

SPEAKER_01: 2:05:21

I mean, there's I'm sure there's somebody at my parish who's like, just put some uh lavender oil on it and some oregano essential oils, and yeah, what the Indians do?

SPEAKER_05: 2:05:30

I've got to figure that out.

SPEAKER_01: 2:05:32

That why do you think there weren't that many Indians when we got here?

SPEAKER_06: 2:05:34

Yeah, well, smallpox and dab probably, but 45 long colt.

SPEAKER_01: 2:05:49

Well, guys, I think uh I think that's about all I got and everything I wanted to go over. Did you is there anything y'all wanted to finish up with? Um I noticed uh I noticed Hope's uh fanny pack in the pictures.

SPEAKER_06: 2:06:05

That was the downside of talking about all that stuff on air is now everyone knows basically when my wife or I are armed. Yeah, yeah, she she was wearing that at the baptism yesterday. Nice, but I need to get a first aid kit in the front pop poach of that, so yeah.

SPEAKER_01: 2:06:23

That's all I got. I'm looking at mine now, and I've got to see if there's anything else in here I keep because mine is just mine mine is designed to go through the march algorithm, right? Because I one I know how to do it, you know, because of training, but um like that's what I'm just I've designed too because like I know how to check for airway and respirations and circulation and and all that, right? So um, but train the best thing I could say, guys, is get some training. Um go out there and find people that will train you, paramedics, maybe even some cops, we have some T Triple C at your parish, or pay for it, right? Uh, because it's always worth paying for from a good reputable company. Um that's why that's why I stress good reputable. Right, yeah. Uh you gotta watch what we gotta watch for those flyby night companies, you know, some guy who's like an emtb who's trying to teach you some stuff. He I don't know when I when I as much as he does.

SPEAKER_05: 2:07:14

When I started my um CPR uh or my CPR A sales business, I used to go to like to a lot of like nursing homes and other like care facilities, and like the first like three or four classes, uh they were all like shocked that I was making them actually do chest compressions and work on mannequins and stuff. They're like, I haven't had to do that in 10-15 years, and I'm like, they just gave me the card, and I'm like, Yeah, I know I go on those calls at your facility. Compressions will wear you out. Well, yeah, so like so. That's why it's that's an i i guess I can comment a little bit on that. Like just do check for people, like if you feel like you need to do CPR and you have time and there's not other people dying from need holes plugged. If you want to do chest compressions, or you want to do CPR, do only chest compressions because one, like just because they got shot doesn't mean there's still oxygen in your blood, that's why your veins are blue and not black, you know, there's oxygen going back, so you still have a little a little bit more oxygen to be able to transfer through. Um also, like um what I was gonna say. Oh, so and then like with CPR, like so that uh uh in early 2000s, AHA did the study on how beneficial how long you could go and still have good compression, um, cranial perfusion and stuff when you're doing compressions, and they basically came out to like two minutes, yeah. And that and they they did a broad spectrum, they did like the 110-pound lady to like the 250, 300 pound, you know, linebacker guy or like marathon runner, and literally it was everybody was not doing proper enough compression after two minutes. So if you're gonna do it, you better have somebody that give you a break in two minutes, otherwise, you're not doing anything for them. Um, and understand like as long as if you're gonna start, don't stop because it takes about five to six compressions to get the pressure up enough to per get blood to the brain, and that's what you're trying to do is keep that alive until something else benefits. And as soon as you stop, that pressure immediately goes to drops and you start from scratch again. So, um, if you're gonna do it, and and again, like you are gonna break ribs, if you're gonna do it on grandma, your first compression, you're gonna hear cracks and pops. Yeah, a young person or 20-year-old, it's gonna take a few rounds before you start breaking ribs. Um, but don't worry about it. That's that's not gonna kill them, you know. Yeah, broken ribs a lot. I've had rubbed off the skin off my hand from a broken compression.

SPEAKER_01: 2:10:00

Yeah, but yeah, I mean you got you gotta be able to suppress any gag reflex you may have from seeing some horrible stuff in order to save people's lives.

SPEAKER_05: 2:10:10

I find the adrenaline does that pretty well for most people, but it's after the fact that start puking up.

SPEAKER_01: 2:10:15

I've seen plenty of uh paramedic trainees pass out the first time they see more than uh five cc's of blood.

SPEAKER_05: 2:10:22

Oh, yeah, that's a little different. Yeah. Sorry, I hope I was informative.

SPEAKER_06: 2:10:29

Oh, for sure, man. This was awesome.

SPEAKER_01: 2:10:32

Yeah, well, guys, we're gonna wrap it up here. Uh, if anybody has any other questions, put them in the comments. We do check them afterwards, and we do a lot of uh we'll answer a lot of questions afterwards.

SPEAKER_06: 2:10:45

I'm gonna put the link to the telegram here in the chat. Yeah, put it in the yeah.

SPEAKER_01: 2:10:50

So if you're not in the telegram for the Guns and Rosaries show, join it. We got guys with like Christopher in here. Uh, we got a lot of good guys that are in there, offer a lot of good insight and advice and things that they're aware of. Um, we do a lot of uh I share a lot of intel that comes up, things that come up. Um, other guys share some things that they see that comes up as well. The best thing we can do is provide each other with the resources that we need for this community because you can't do everything, right? And even if you start to build your little you know, four-man team, as you know, I stressed the first time we did this. Um, you can't do everything. You need other guys to take specialties that they can take care of. Young guy knows how to do radio. Well, it can't all be CRISPR. Christopher does everything, he does radios, he does, he does leather working, he does shooting, he does everything. I don't do any of it good though. Uh I do just enough to get me killed. Uh but we have a we have a good group of folks there uh in order to help share information and knowledge. Uh so join it, uh, get in there, say hi to everybody, um, and be courteous. Um, I will kick you real quick if you're causing any type of conflict. Um but uh you know guys, uh we're gonna lie, we're gonna wrap it up here. Thanks, Chris, for coming on. Oh appreciate providing I know I know it's at a premium. Um, yeah, congratulations, Rob.

unknown: 2:12:17

Thanks.

SPEAKER_01: 2:12:19

Chris made me a pipe stand a while ago with a Marine Corps, and my wife is like, Who, where'd you get that? Did you buy that somewhere? I was like, I know a dude who knows how to do stuff. He just does things, man.

SPEAKER_05: 2:12:32

I know a dude that looks like a dude that's like another dude.

SPEAKER_01: 2:12:37

They could never make that movie today.

SPEAKER_05: 2:12:39

I know.

SPEAKER_01: 2:12:42

All right, guys. Well, it's good talking to y'all, and we'll see y'all next time. Thanks a lot. Good night.

SPEAKER_06: 2:12:48

Have a good night, everyone.