The most ideal approach when choosing an IFAK pouch, bag, sack, container, or any type of ruck or pack, is to first decide the contents, what you are going to put in it, what you intend to carry based on your needs and capabilities. Only after you have done this should you start shopping for its container.To get more news about хирурга и защитные бронежилеты, you can visit rusuntacmed.com.ru official website.

For an IFAK, which by definition will be a compact "individual" pack, you need to choose which wounds or emergencies you are anticipating overseeing and which you are definitely not.

Our thought process behind packing an IFAK is to have readily available that type of equipment that is quickly accessible and properly designed for the management of perilous wounds or a small number of manageable conditions that could if left untreated, be fatal. As such, we have identified several categories of items that will allow you to perform life-saving interventions (LSI). When preparing an IFAK, you should ask yourself, “does this item help me conduct an LSI?” A tourniquet is an obvious choice since that will address massive extremity hemorrhage, a Band-Aid, not so much, and those are best relegated to an adequate “boo-boo kit”. When faced with having to perform an LSI, you definitely do not want to waste time digging around your pouch or bag looking for the right item.

First, let us begin with some introductory academically historical and relevant data, data that serves as the justification for what it is we are trying to accomplish with the IFAK. The Wound Data and Munitions Effectiveness Team (WDMET) study completed in the early 1970s was the first dataset that clearly demonstrated the unique timing of battlefield deaths and emphasized the need for forward medical care. In the examination of a cohort of Vietnam era battlefield deaths, conclusions from WDMET showed that the greatest opportunity for lifesaving intervention on the battlefield is early on, at the point of injury. The study showed that 90% of the studied deaths on the battlefield occurred before designated medical care (field hospital or even from the combat medic) was able to be given to the injured: 42% immediately, 26% within five minutes and 16% within five to 20 minutes.

That means 84% of the fatalities on the battlefield died quickly, within 30 minutes of their injury. Let us be clear, 84% of all soldiers injured did not die in this period, but out of those who did in fact die, 84% died within those first 30 minutes.

Additionally, only 10% of the fatalities that were recorded in the registry were found to have received some type of medical care. Ninety % of the fatalities did not receive any medical care, so the natural assumption then is that those who received care were less likely to die. The summary results from the WDMET study echoed common sense conclusions, “The greatest benefit is achieved through a tactical configuration that puts the caregiver at the patient’s side within a few seconds to minutes of wounding.” This is where you and your IFAK come into play!

If you are a first responder, mainly police and fire, this conclusion does not endorse the outdated paradigm of “stage and wait until everything is safe.” Instead, the operational response must be adapted and configured to get the caregiver to the patient’s side within a few seconds to minutes of wounding.

All causes of battlefield deaths were reported to the registry, included devastating injuries such as surgically uncorrectable torso trauma, injury to the central nervous system, and blast/mutilating trauma. These injuries cause battlefield fatalities even immediate advanced medical care could not prevent.

However, included in the epidemiology of combat deaths were the 9% caused by exsanguination from an extremity wound. Also included were 1% from airway obstruction and another 5% from tension pneumothorax, both being relatively easy to diagnose and simple to manage in the acute setting. So, 15% of the combat fatalities from three etiologies (exsanguination from an extremity wound, tension pneumothorax and airway obstruction) were readily preventable with simple interventions if applied soon after wounding.