I am new to this forum. I have been looking around a little and notice a lot of questions and concerns regarding various medical gear topics. I am an operational medic that specializes in HAZMAT/CBRN medicine. I work with a very specific group of professionals in a brach of the US State Department. I travel OCONUS often, and often work in remote/austere environments for short durations. This requires me to adapt conventional ideals for unconventional environments. Blow-Out Vs. Boo-Boo: The OPMED paradox 1: If you do not have the gear on your person, you do not have it at all. 2: Blow-out gear is meant to mitigate problems that will kill you in 5 minutes or less 3: Boo-Boo gear is meant for everything else 4: They should never mingle; keep the bandaids separate from the trauma dressings, you do not want to have to dig through a metric ton of aspirin and ointment when you have vital fluids leaking from a new hole at an alarming rate 5: You DO get what you pay for, RATS TQs have been proven inferior to windlass-style TQs. Spend the money and get a SOF-T Wide, your limb will thank you. 6: Under Critical Stress, fingers become flippers, and blood is really slippery. Keep that in mind when you place your kit. Tape all your fingers together, cover them with mineral oil and try to access your gear, that is a realistic exercise. 7: Do NOT attach your blowout pouch to your back, or anywhere else that it is not immediately accessible by BOTH hands. If you get your dominant arm blown off, good luck reaching your kit with your off-hand. Place the gear front-and-center. I personally carry 2-3 blow out kits on my tactical gear; 1 right in the middle of my chest, 1 at 11o'clock on my belt and another somewhere in my pants. 8: DO NOT rely on ANYONE else being there when you receive holes. Self-aid BEFORE buddy aid. 9: Two is one, one is none. Examine wound patterns from active shooter incidents/IED attacks; bi-lateral (both sides) leg injuries are very common. If you only carry 1 TQ, have the hard conversation with your legs as to which one you love more. 10: Use YOUR gear on YOU. Use THEIR gear on THEM. If they do not have gear, consider being a nice guy and carrying enough for them, but SEGREGATE YOURS from EVERYONE ELSES. When it comes to boo-boo gear, be creative. Do you really need 17 different sized bandaids and 4 different size dressings? If you are mending an injury that requires this gear, you are not (or definitely should not be) in a time or operational constraint, IE you have all the time in the world. Carry 4x4s, roll gauze, steri-strips, 2" tape and a rubber chicken. You can fix pretty much anything short of a life-threatening laceration with those items. You can omit the rubber chicken if you wish. If you are fixing holes anywhere other than an OR, you are not in a sterile environment and therefor do not require sterile method treatment. Take the 4x4s out of the wrappers and seal them in a ziplock bag, you can fit about 14 thousand in the same space as 5 in their factory wrappers. Just make sure the wound is relatively clean, risk of infection is very minimal in the time and theater most of us are working in. If you want to get fancy carry betadine pads, drop a few in a water bottle, shake, poke a hole in the cap and use it to irrigate the wound. Tincture of benzoin is a godsend when things dont stick to skin. They come in tiny little crush vials, put a few in the space of the 2" tape to keep them from being crushed by accident, if you want to use steri-strips, you will need benzoin. Thats all I have for now, this was really just a time filler for me while sitting at my desk staring at the wall. Questions, comments and concerns welcome. I know there are a lot of other medical dudes on here, CONSTRUCTIVE criticism is always welcome, just remember there is more than 1 way to suture a wound.