r/TacticalMedicine • u/Dad_a_Monk • 27d ago

Gear/IFAK Anyone heard of these guys?

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Had anyone heard of Medresq? A friend just asked me about them, and I had no clue. Never seen their stuff before. They're on Amazon, but it gives off rebranded Rhino Rescue vibes...

Apparently they have a site.

https://medresqstore.com

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u/windoto 27d ago edited 27d ago

TLDR; I lightly disagree.

While I agree that they are used more than needed. (I’ve done this myself.) Rarely I’ve heard of lasting trauma or injury to the patient. Discomfort and pain yes. Lasting no. I have heard of under treating with high risk more than once.

I have earned my parachute wings. And one of the holy rules the school taught was: “Thou shall not criticise any person pulling the backup-chute. “ You can question the circumstances and reasons why to learn but never criticise. This because the action is your last reserve for a possible life treating situation. The question: “What does anyone think of my action” has no place in that situation.

In Iraq and Afghanistan troops died because the fear of overuse of tourniquets. Death dropped dramatically after issuing and widely using cats.

Edit: two rules that still apply (obviously). 1 only cat when bleeding doesn’t stop or is pulsating. 2 cat stretches time to preform life treating care. So break speeding laws and go to care

I live and work in territory where paramedics are no more than 30 min away and when needed mobile trauma churgens are no more than 45min away (if needed by helicopter). So this colours my opinion.

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u/DangerBrewin Firefighter 27d ago

Overuse of tourniquets isn’t a problem when access to trauma centers are within an hour or two. In the US, and in our recent wars in Iraq and Afghanistan, casevac is/was generally readily available and advanced medical care is within those timeframes. Unfortunately, we’ve been training the Ukrainians our old TQ habits. In a war where neither side has air superiority and most medical evacuations are done on the ground, the Ukrainians have seen the number of amputations from unnecessary TQ applications skyrocket.

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u/windoto 27d ago

On my latest refresher I was told 6-9hours. BUT then it needs to be handed down to a specialist churgin not a regular trauma group. *

Could be if there is no specialist facility or a mass casualty event this is not applicable. And maybe they do partial recovery like not the whole limb is lost but some muscles are removed because of degradation. **

*reference material said that < 2H has great chance of recovery of limb . > 2H muscle and nerve damage increases rapidly.

**Hearsay + my best undereducated guess.

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u/DangerBrewin Firefighter 26d ago

You also have to take into account that the longer the TQ is applied the more toxic the blood in the limb becomes, so at some point even if the limb is savable, removing the TQ with the limb intact will kill the patient.