Why Every Concealed Carrier Should Carry Medical Gear Too

Student applying pressure to a wound on a training dummy in a Stop the Bleed class

If you carry a firearm for personal protection, there’s another piece of gear that probably deserves a lot more attention than it gets: medical equipment. And honestly, there’s a decent chance you’ll end up needing it before you ever need a gun (with a caveat!).

I’m not talking about everyday first aid. I’m talking about serious injuries, car wrecks, violent encounters, and situations where somebody is hurt badly enough that waiting several minutes for an ambulance feels like a long time.

Once people start carrying firearms and taking training seriously, they usually start mentally running scenarios. But many of us are more likely to encounter the aftermath of an emergency than become the center of one. At that point, your priorities change. You’re not trying to solve a tactical problem anymore. You’re trying to keep someone alive.

Building Your Trauma Kit

Just to reiterate, a trauma kit or individual first aid kit (IFAK for short) is not a boo boo kit.  Could it include some basic first aid supplies like bandages?  Yes, but an IFAK typically contains items needed in a serious emergency when seconds count.  Let’s explore what should be in your IFAK.

Tourniquets

Picture of a North American Rescue Combat Application Tourniquet

If I could only carry one serious medical item, I wouldn’t even have to think about it: a tourniquet. Severe bleeding kills people fast. Tourniquets are quick and easy to apply to yourself or another person and contrary to popular myths, can be left on without permanent damage for longer than you think.  Recommended: North American Rescue CAT (Combat Action Tourniquet) or SOFTT-W (Special Operations Forces Tactical Tourniquet - Wide). Carry two because reality rarely goes according to plan.

Pressure Dressings

Picture of a pressure bandage being applied to an arm

Tourniquets get all the attention, but pressure dressings fill a different role. They help secure gauze, maintain pressure, and stabilize injuries until EMS arrives. (If we don't have a tourniquet, or it's a non-limb bleeding wound, apply lots of pressure and don't stop!)


Chest Seals

Picture of HyFin Vent Chest Seals

Chest injuries create a completely different set of problems. Carry two chest seals. Bullets have a habit of making more than one hole. What we are trying to accomplish with these is to equalize pressure in the chest cavity to allow the patient to breathe!

Nasopharyngeal Airways

Picture of nasopharyngeal airway devices

NPAs can be useful, but buying equipment and knowing equipment are not the same thing. Get training first. (While this is a somewhat specialized piece of equipment, it bears mention since it comes in almost every IFAK in the market.)


The not-so-cool but necessary stuff

Trauma shears, markers (these are vital in entering notes such as the time tourniquet was applied), standard gauze, and gloves all matter. Clothing hides wounds. Hidden wounds get missed.

Medical shears with black handlePicture of a sharpie, used to note tourniquet application timePerson putting light blue medical gloves on

Know Your Limits

There’s a major difference between carrying emergency gear and trying to become a field medic overnight.

Remember, I said there was a caveat before?  Well, here it is…

Unless you are a certified first responder or medical professional, a lot of the more invasive procedures (i.e., needle decompression, also known as needle thoracostomy, an emergency medical procedure used to treat a tension pneumothorax) can get us in a bit of a legal bind.  I am not a legal expert, so I will not even attempt to go into detail on this, but it has been one of the biggest shifts when applying my military training in civilian life. Suffice it to say, some things we cannot do.

At the end of the day, the priority is to control bleeding.  This is the number one cause of death.  If we can keep the victim from losing their fluids, they will have a chance, and we will be buying time for the real professionals to work their magic.

Final Thoughts

Gear is easy to buy. Training takes effort. I’d rather see somebody carry a small kit they completely understand than a giant bag of equipment they’ve never used. Carry what you know. Train with what you carry.  Consider taking a Stop The Bleed course.  Many are hosted by medical professionals locally, but there are online options as well.  There are also other online course options hosted by medical professionals in the firearms industry available remotely.

Consider purchasing trauma kit items from reputable sites like North American Rescue, Dark Angel Medical, Mountain Man Medical, and others - do your research. These companies will offer bundle deals and will generally carry good-quality items.  Do not go cheap when someone's life is on the line!



Reinaldo Villa
Reinaldo Villa

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