Bug Out First Aid: Buy Or Build It?

Your First Aid Kit: Buy or Build?

When adding a first aid kit to your bug out bag you are faced with two paths of how to get this done. You can either buy a premade first aid kit from a sporting goods store or online or you can purchase the items you want individually for a custom kit. Both choices have their various advantages and disadvantages and ultimately you have to decide what is best for you.

Premade First Aid Kits

Premade kits are the easier choice as they will come prepacked in a neat bag that can simply be added to your BOB. The items are picked for you and this is a plug and play option. However, as with premade bug out bags, premade first aid kits are generally costlier than DIY kits and the quality of medical supplies within them can range greatly.

If you choose to go this route be sure to get a quality kit as you generally get what you pay for and First Aid is not an area to skimp on.

A popular option is to buy a premade First Aid kit and then add a few extra items that don’t usually come with premade First Aid kits, such as a tourniquet or moleskins, which allows you take advantage of someone else doing the grunt work of finding basic items while tailoring the bag to suit your own needs and requirements.

Building your own Custom First Aid Kit

Although building your own bug out first aid kit can be time consuming, there are a few advantages to this approach:

1. Get exactly the items you want – don’t pay for useless things that don’t solve the problems you anticipate

2. You control the quality of items – no cheap medical supplies that will let you down when you need them

3. Cost is generally lower – shop around for the best price for the survival first aid items that you need

4. Get the bag that you want – select a container for your medical supplies based on your own criteria for size, features, and quality

There are a seemingly endless number of first aid items to choose from out there. Let’s take a look at some of the most important items to have in a first aid kit designed for disaster management.

Trauma First Aid Items

Blood clotting agent

This is a substance designed to encourage clotting within a wound to stop bleeding. They were designed by the military to treat shrapnel and gunshot wounds and have recently been made available for civilian purchase. A blood clotting agent, such as WoundSeal Powder, can be effective for stopping life-threatening blood loss that may occur in a bug out situation.

Burn salve

Burns can come from many threats in a bug out situation. A burn salve, such as J.R. Watkins Medicated First Aid Salve, provides relief from heat-related injuries, discourages infection, and promotes healing. Burn salves are generally small and lightweight, fitting easily in a bug out first aid kit.

Tourniquet

A tourniquet, such as the SWAT-T Tourniquet, is a last line of defense against blood loss. Using one after other first aid methods (pressure, elevation, clotting agents, etc) have been applied will usually stop bleeding but it can do so to a degree that the limb is sacrificed. Additionally, they can only be used on arms and legs and are useless for abdominal or head wounds. The blood clotting agents are a better choice but it can mean the difference between life and death in the right situation to have a tourniquet in your bug out first aid kit.

Heavy Gauze

This is used to apply pressure to wounds, absorb blood, and prevent infection. It is a basic first aid item that belongs in any trauma first aid kit. Plan on packing multiple rolls in a well-stocked bug out first aid kit. Check out Gerber’s Heavyweight Gauze Prefolds.

Skin Closure Kit

Some people recommend a suture kit to close large wounds/cuts but if you don’t have any medical training you will likely cause more harm than good. Instead, pack some 3M Steri Strip Skin Closures for an effective and safe way to close wounds.

Chest Seal

This is designed to create an airtight seal on chest wounds to prevent lung collapse. It is typically used to treat penetrating chest wounds caused by gunshots, stabbing, or shrapnel. They are sold in pairs to cover the possibility of needing to seal both an entry and exit wound in the torso. The HALO Chest Seal is a highly-praised option.

Trauma Pad

A trauma pad is a large, sterile dressing used to treat large sized wounds. They are frequently impregnated with clotting agents to minimize blood loss. This is ideal for treating trauma injuries in a pre-hospital situation.

Mobility First Aid Items

Moleskin

Taking care of your feet is one of the most important maintenance tasks involved in a bug out situation. If you have to suddenly hike for miles on end to reach your bug out destination, you are likely to develop blisters on the way. Moleskin is designed to provide cushioning around these sore spots to prevent chafing and allow you to keep moving to safety. The good choice for a First Aid kit is Dr. Scholl’s Moleskin Roll.

Triangle Bandages

The Swiss Army knife of first aid kits. Triangle bandages, such as Dynarex Triangle Bandages, can be used for many medical purposes including packing wounds, keep ice packs in place, applying pressure to lacerations, make a sling for an injured limb, and tying on splints.

Splint

Although a splint can be fashioned out of scavenged materials it is good practice to have a good one, like the SAM Splint, in your bug out first aid kit in the event that you do not have time to go looking for splinting materials.

Ace Bandage

These are good for wrapping rolled ankles or twisted knees to provide the support you need to keep moving to safety. They can also be used for wound dressing and bandage application in a pinch. Consider Ace Elastic Bandage with Clips for an easy-to-use ace bandage.

General First Aid Items

• Anti-diarrheal medicine

• Medical tape

• Pain relievers

• EMT shears

• Ammonia inhalants

• Butterfly strips

• Nitrile gloves

• Tweezers

• Antiseptic wipes

• Superglue – to close small wounds

• Antibiotics (Fish antibiotics can be used if a prescription is unavailable)

• EpiPen

Choosing a Bag for Your First Aid Kit

When picking a bag for your bug out first aid kit you will want one that meets your individual needs and has the features you require to be compact, functional, and accessible.

Another important factor to consider is size. Depending on if this is an Individual First Aid Kit (IFAK) or if you are responsible for your whole family, the amount of supplies you need will vary, therefore you need to choose an appropriately sized bag.

The Maxpedition FR-1 Pouch is a compact bag that can carry a deceptively large amount of supplies. You can’t go wrong with this bag.