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How to Build Your Own Individual First Aid Kit (iFAK) – PART 2

How-to-Build Your Own Level 1 First AId Kit – Part 2 All right there you have it level 1 mod 2 personal first aid kit 7.6. Ounces just under half a pound ok we’re down to the wound management Kit This is the 10 cc syringe that you use for irrigating the wound again That’s the best management for taking care of a wound is copious irrigation under pressure with clean water This is the wound closure kit, so This is the stuff you’re going to use when band-aids don’t work Let’s go into this kit So we’ve got two packs of suture material there for oh and three O with a large cutting needle and monofilament line Again, if you’re going to carry this stuff in your kit, and there’s nothing wrong with that at least learn how to use it And also carry the right material I see a lot of people with silk or Chromic guttin that’s not what you want for managing wounds out in the field you want a monofilament line you want something That’s fairly stout so 300 and 400 Want a large sweep cutting needle those are going to be the easiest things to manage out in the field If you can find these and I found this at a major Medical Supply house But I think you can also get them at REI where they have all their Refills for their first-aid kits. This is an ampule of Tincture of benzoin and again, that’s going to help with making tape and butterfly dressing stick to skin These are the two packs of steri-strips quarter inch and half inch Two safety pins These are good for helping remove splinters as well as putting together a sling if you need to from a large bandana 18 gauge needle you can get this at a major Medical Supply house, or at a veterinary supply or a farm supply that carries veterinary Supplies this needle is not used to inject anything you’re going to use this as a narrow bore to do pressure irrigation with the syringe you’re not going to go into the wound you’re just going to use it as a Fire hydrant if you will and also the tip of these is also very good to remove Splinters Single edge razor blade this has a lot of use. I don’t recommend Removing devitalized skin unless it’s pretty obvious that that’s what you need to do you could do this with single edge razor blade you can quickly clean it with alcohol prep or heated over a Butane lighter if you needed to make sure that it was sterile before using it again I don’t anticipate you’ll need to use that for that particular procedure very often, but this is great for cutting moleskin if you’re going to need to make a Dressing for a blister if you don’t have a pair of scissors, and one of your multi tools this will get the job done and Speaking of moleskin that’s in this Kit as well and Small piece, but enough to get the job done And if everybody carries one of these kits you have a multiplier effect And so you’ve got a lot of capability and depth piece of moleskin And this is something new, but I’ve decided to add this four small butterfly dressings And we can talk about this in another video if anybody’s interested, but this is a small One-time use crazy glue and you can use this for small Wounds that? The wound edges are closely Approximating each other and it’s not on a stretched surface where the wound is going to pop open If you clean it and irrigate it really well. This is not a bad option for closure, and it’s pretty quick Okay, that’s the wound closure kit Okay that leaves us with the medication pack let’s go through the contents of that I Like to keep this all in one little ziplock bag that makes it easy to pull out if I need it This might be the thing you go to the second most after your band-aids so in here are 200 milligram motrin tablets 500 milligram Tylenol tablets 2 milligram lomotil tablets 25 milligram benadryl tablets 10 milligram pepcid tablets Two triple antibiotic ointment packs To betadine swabs And Last but not least to after bite fast relief insect bite swabs that all fits in this small medication pack a couple of quick points about the medication pack I Think these betadine swabs are going to be a good option. They’re small they’re lightweight They have a small footprint in your kit I used to carry these three quarter rounds betadine packs, and I would use that to mix up an irrigating solution if I needed it I Now I’m thinking about and actually it committed myself to carrying these now again. You don’t need to put this in a wound I wouldn’t recommend doing that but you can take these two swabs out put them in the bottom of a Camp cup fill it with water and that’ll give you a dilute betadine solution that you can use to irrigate out The inside of a wound again, that’s the rare situation when that wound is Contaminated with organic debris, and then you follow that with flushing with water using your syringe Good copious irrigation is the best management? One last thing I’ve seen people talk about what is the legality of carrying loose medications in a Bag like this to be honest guys, there’s no rules here. This is for out in the field if you’re trying to manage Medical situations out in a remote environment, so this is the best way to do this this takes up little space just label it, so you know what you’re using and There should be no problem, but there’s no rules or laws pertaining to any of this Let’s quickly just go over what these medications are for Tylenol or acetaminophen is used for pain and fever Advil motrin are the names for ibuprofen that also is used for pain and fever Benadryl or diphenhydramine is used for itching. It’s also a great sleep aid I usually take 25 milligram? Benadryl before going to bed at night put earplugs in and I’m sound asleep until morning L’m Odle, or loperamide is used for diarrhea Pepcid or famotidine is used for acid reflux The sting relief pad is self-explanatory as well as the betadine and antibiotic ointment seven point six ounces six by nine by one-inch lightweight compact Waterproof easy to carry with a lot of depth and capability Thanks for watching


    USNERDOC December 7, 2009

    Always cool to be the first to post a comment! Thanks for the support.

  2. MadBadVoodo
    MadBadVoodo December 7, 2009

    Keep up the good work man!

    Five Stars!!

  3. Franofphl
    Franofphl December 7, 2009

    Got it all down. Now I have to go buy all this stuff. Thanks Doc!

    USNERDOC December 7, 2009

    Thinking and modification is the fuel of preparedness!

    The forceps are a good idea . . . I am assuming you mean for driving the suture needle? If and when I need to do this in the field, I am going to rely on my Leatherman Squirt P4 (see my suture video series). If you are thinking of forceps to manipulate tissue when suturing, I would recommend against that. Forceps result in micro crush trauma resulting in increased risk of infection. I was trained not to use forceps when suturing.

    USNERDOC December 7, 2009

    In my residency we rotated with the plastic surgery service where I got the bulk of my initial wound management and suture training. The surgical fellow I trained with insisted on using cotton tipped applicators to manipulate tissue . . . ultimately a very useful skill. It is exceptionally rare that I find a need to pick up tissue forceps.

    Needle drivers (hemostats) and forceps (tweezers) are different tools with specific applications.

    My apologies for a complicated reply.

    USNERDOC December 7, 2009

    Ultimately suturing is going to be not employed very often. Certainly an important skill to learn if you are the one in a group that most often responds to medical problems. It does have a certain romantic appeal if you will that seems to draw a lot of attention. It is also a bit difficult to actually do in the field. I was hoping on taking a short jaunt on this trip and make a field video showing suturing outdoors. I just couldn't lay hands on a pigs foot!

    USNERDOC December 7, 2009

    Perhaps I will have to put that on my agenda when I return home.

    More importantly, I would stress good cleansing with pressure irrigation using fresh clean water and a 10cc irrigating syringe and irrigating tip. I also wanted to dispel the thought of using hydrogen peroxide or betadine INSIDE a wound . . . not a good idea.

    Hope that LONG answer helps!

  8. cornflake71
    cornflake71 December 7, 2009

    Great Kit, and video. I have downloaded the list and will be building a few.
    I would also like to see a vid. on the glue. There is a lot of different thoughts on using super glue on a wound and I would like to get your oppinion on how an when to use it safely.

    Thanks again for the informative and useful videos.- David

    USNERDOC December 7, 2009

    4 inch hemostat would do the trick . . . inexpensive alternative to the Squirt. I did not include a hemostat in the current version of the kit do to weight and anticipated frequency of use given an alternative that I always carry (Leatherman Squirt P4). In the past I always had a "tool kit" in my first-aid kit which included a hemostat, tweezers and min bandage scissors. They always seemed to damage the bag in the long run. Additionally they are a rigid item that changes the kit profile.

    USNERDOC December 7, 2009

    Glue and steri-strip videos in the works . . .

    Thanks for watching!

    USNERDOC December 7, 2009

    Exactly! These things always evolve as we learn more and new materials become available.

  12. DAV19800
    DAV19800 December 7, 2009

    your videos are getting really slick, but are just as informative as ever! 5*

  13. Sam Ferguson
    Sam Ferguson December 7, 2009

    These videos are outstanding! Keep up the great work.

    USNERDOC December 7, 2009

    I've had a lot of requests for a glue video. Consider it done . . . its on my short list.

    Thanks for watching!

  15. usframe
    usframe December 7, 2009

    This is really great stuff! lol, in our house this is dinnertime viewing pleasure.
    Hope to talk to you when you get home.
    Be safe.

  16. soundlzrd
    soundlzrd December 8, 2009

    Did you get the little zip lock bags at a craft store or did you make those also with your heat sealer.

    USNERDOC December 8, 2009

    Small ziplock bags = Craft Store (i.e. Michael's or Craft Warehouse . . . in my area).

    USNERDOC December 8, 2009

    A big thanks to the usframe crew!

  19. Reflect Studios
    Reflect Studios December 8, 2009

    Thanks for the videos man – I am actually looking to attend a EMT course to get certificate in this – just to know it …

    USNERDOC December 9, 2009

    It's in the works . . . thanks for watching!

    USNERDOC December 9, 2009

    I was a firefighter / EMT in California. I absolutely loved EMT training. Like all training, it gives you a sense of confidence that you will know where to start and take care of problems when they present.

    USNERDOC December 9, 2009

    Thank you!

  23. tabre
    tabre December 9, 2009

    Great series, Doc. I must encourage you to keep going. Thank you!

    USNERDOC December 9, 2009

    tabre – Thank you for your support!

  25. Navyguy0023
    Navyguy0023 December 10, 2009

    Awesome!!! You can always count on a navy "Doc" to keep it real and set you straight!

    USNERDOC December 17, 2009

    Go Navy!

    Thank you sir . . . I appreciate the comments and support.

  27. mariolopresto
    mariolopresto December 23, 2009

    Great video! My kit is pretty similar to this one, but without a few of the drugs and no suturing kits. I think I will be adding some Quickclot to mine, as well.

    Question: Do you carry anything for tourniquets? Or does Quickclot take care of that role?

  28. S Bouch919
    S Bouch919 January 9, 2010

    Thanks to Nutnfancy for directing me to your channel! Am I the only one that wants a roll of kling and a triangular bandage in my lev 1? what in your kit would you use for a pressure dressing with the quick clot? looking forward to viewing the rest of your vids!

    USNERDOC January 9, 2010

    I'm behind on answering comments, my apologies!

    Stay tuned as I have plans on answering these particular questions in an up coming video! Thanks for watching.

    USNERDOC January 9, 2010

    You bring up some important points and I share a similar thought. In fact as my kit as grown and matured over time a roll of kling gauze has been included at various times. It is not included in the current iteration. Ultimately it all boils down to size, space and weight for the given application. These "Level 1" kits are aimed at filling as much as possible given the size constraints of a MIL SPEC MAF envelope which is approximately 6×9. I do have . . .

    USNERDOC January 9, 2010

    . . . some ideas that I will be sharing in a future vid that addresses the issue of kling gauze, triangular bandage and pressure dressing. Hope that helps and thanks for watching!

  32. Stephen H
    Stephen H January 15, 2010

    Excellent video. There is some really good information in here that I will definately be replicating in my own emergency pack. However, I did notice a small discrepancy. Loperamide and Lomotil are not the same medication. Loperamide is mostly known as Immodium. Lomotil is actually a combo drug (diphenoxylate & atropine) and is a Schedule V Controlled Substance. While some pharmacies will dispense Lomotil withouth a prescription, most will not due to the amount of paperwork involved.

    USNERDOC January 15, 2010

    You are absolutely correct and I appreciate you pointing out the discrepancy. A typing error at this end making the list reflect OTC meds vs what I have on hand at home. Much appreciated!

  34. zoodidwa
    zoodidwa January 24, 2010

    Thank you thank you! I have been experimenting with different lightweight self made medical kits and your series of videos has solidified my ideas. I have just subscribed and will continue to follow your efforts. I am largely self taught as far as proper treatment goes…if I were to invest in some schooling for wilderness/urban first responder training what would you suggest for someone with limited time? Thanks again.

  35. soloban81
    soloban81 January 24, 2010

    Here's a hint, you can pick up a 5 pack of 8 gauge needles and 12cc syringes from Tractor Supply for under $5. They also have packs of sterile disposable #10 scalpels.

  36. soloban81
    soloban81 January 24, 2010

    @getnick77 I've personally used super glue to close a deep finger lac from a serrated pocket knife blade that would have required 2-3 sutures. My recommendation is to hold the wound together tightly, clean the skin around the wound and apply the superglue and hold till it sets. It will sting like hell for a minute but works great.

    USNERDOC January 24, 2010

    soloban81 – Great tip for everyone. Thanks!

  38. soloban81
    soloban81 January 24, 2010

    When I used it on my finger tip, it was permanent. It held long enough for the wound to heal and the glue eventually peeled off like a scab. For small lacs it works good. I don't think it would work well for large lacs in areas where the skin flexes alot.

  39. soloban81
    soloban81 January 24, 2010

    Correction…18ga needles. They had other sizes as well.

  40. Pawoodsman
    Pawoodsman January 26, 2010

    I am actually trying to downsize my kit as I am trying to go lightweight when backpacking short hikes when I am base camping I don't worry. about weight I just hate not having the tools I need while I am deep in bush backpacking

  41. wpick
    wpick March 25, 2010


    Great kit. Where did you get the small zip lock bags at?

  42. GlueFactoryBJJ
    GlueFactoryBJJ April 1, 2010

    Great vid! Really like the Level I kit and I'm planning on preparing one for our cars! Thanks!

  43. Daren James
    Daren James April 10, 2010

    I agree with everything except that Motrin is more of a pain and anti-inflamitory rather than fever.

    USNERDOC April 12, 2010

    @pensword5 – I think you did over react on a bit of misinformation. I can address this better in a follow up vid or PM as the length on a YT comment is too short.

    USNERDOC April 12, 2010

    @pensword5 – No worries. I have a few projects on my plate and I shooting a few new videos for the channel. If this slips my attention give me a gentle reminder!

  46. ihoppy
    ihoppy April 12, 2010

    How did you print words on your plastic bags?

  47. GudNat
    GudNat April 12, 2010

    @pensword5 no disrespect my friend there is a difference between here and hear. So you want to hear from him not here from him. You're not only a new subscriber brother man you new all the way. No HARD feeling take it as a youtube comaraderie.

  48. Curtis Jepersol
    Curtis Jepersol April 12, 2010

    Great information.

    USNERDOC April 12, 2010

    @ihoppy – I just used a "Brother Labeler" that I got at Office Depot.

  50. GudNat
    GudNat April 13, 2010

    @pensword5 It's not a tip, I'm correcting your confusion for words that sound a like but have different meaning aswell spelling. Be thanks full for me not being your teacher. Dum student like you need more than a ruler. I would have tazed your azz. Hahahahaahha. relax man like I said no disrespect it's all love towards my fresh of the boat fellows. Welcome to United States you have arrived. HAHAHAHA

  51. GudNat
    GudNat April 14, 2010


  52. GudNat
    GudNat April 15, 2010

    @pensword5 Ohh very good that was the test for you to see if you can tell I have my caps lock off and you have identified the error. Come on man dont ignore me we are friends I just wanna blow your foreign covers off of you, thats all I mean no harm.

  53. David L.
    David L. April 24, 2010

    Great design, I'm modding mine to match. Have you thought about your ointment bursting under pressure? If your kit were to get stacked underneath something or if somebody were to sit on it, do you think it would bust open? In my kit, I have a small hardshelled case (sort of like your Pocket FAK) that I use for liquids and ointments. Thanks again!

    USNERDOC May 3, 2010

    @mrmonkeyman50 – You make some excellent suggestions! That is the beauty of these kits is that we can customize to our own individual needs. I use the County Comm razor knifes quite a bit and have included them in my Level II kit. Thanks for watching and for your input!

    USNERDOC May 3, 2010

    @mrmonkeyman50 – Love it! ". . . a bag of bags, just because!" That is me for sure.

  56. marpetjon
    marpetjon May 4, 2010

    Great Vid some of the item you have are hard to find in the UK and some of the name are different. but still a great vid.

  57. tglassburner
    tglassburner May 17, 2010

    USNERDOC you should sell these kits on ebay just exclude the medications.

    I'd buy a few!

  58. ByteMeDammit
    ByteMeDammit June 19, 2010

    Great vid and excellent review! As far as the legality of drugs is concerned don't have any controlled medications in your possession without the original bottle or proof of prescription. Sad how many times I've seen videos of the police arresting people carrying loose prescription meds. They are controlled for a reason. Of course, out in the field where this kit is nec you're unlikely to be stopped by cops after a drug bust. That said, standard stuff like USNERDOC listed is good to go.

    USNERDOC July 6, 2010

    @cromeister777 – Many thanks for the message and due respect taken and given back. I hope you realize I am a physician and have a very good understanding of over the counter and prescription medications.
    1. Ibuprofen is a non-steroidal anti-inflammatory (NSAID) which is used for pain, it is also anti-pyritic and can be used for fever.
    2. Benadryl (diphenhydramine) is an antihistamine with a number of indications for use including decongestant, allergy and a gentle sleep aid to name a few.

    USNERDOC July 6, 2010

    @cromeister777 –
    3. Phenergan (promethazine) also has a number of indications which includes antiemetic (nausea/vomiting), sedation, motion sickness and allergies. It is an inexpensive medication. However, in the U.S. it requires a prescription and is not available over the counter.

    As with all things, these medications represent "tools in the toolbox" and one needs to known the indications, side effects and potential complications before using them. Even the meds we discussed have problems.

    USNERDOC July 6, 2010

    @cromeister777 – Thanks for watching and for the input.

  62. Roger1379
    Roger1379 July 25, 2010

    @cromeister777 I'm in Australia too, and the first ibuprofen pack(Advil) I found in my house says that it can be used for pain relief and reducing fever lol.

  63. TheUnivers101
    TheUnivers101 July 28, 2010

    Quick question for the razor blade.
    How to you cover the cutting edge? In the video it looks like a piece of brown tape, but it might be something else.

  64. hagerwarrior
    hagerwarrior August 2, 2010

    Should you date and rotate the medication

  65. Marina Krijgsman
    Marina Krijgsman August 11, 2010

    Great video. When do you should use butterfly tape and when Steristrips?

  66. lzsdfd55
    lzsdfd55 August 20, 2010

    I put together 3 of your level 1 mod 2 P-FAK and she and I think they are excellent! We even added a Epi Pen, Leatherman S2, 1 hemostat (for a needle driver), 2 sizes of nitrile gloves, Aleve and a few extra band-aids and it all fit nice and secure in the same Lok Sak you suggested.We even took the FAK with us on a 2 week trip to Kauai HI and used it a dozen or more times on hikes, kayaking and daily first aid. We both carry one in our cars and home. Thank you for your time and effort! Steven

  67. dmacken11
    dmacken11 September 4, 2010

    Fantastic Videos. Thanks to Fixedbydoc for pointing me this way. I am gathering these items now. What are your suggestions for where to find these items. I'm wondering where to get the suture kits needles and thread? I also haven't seen Betadine towelettes either. Anyway any help finding these items would be great.
    Thanks much for the videos!

  68. TheWozWizard
    TheWozWizard October 6, 2010

    Doc, Having trouble locating a source that will sell me the suture material. I know you suggested a medical supply house but the ones in my area will not sell to individuals. And the one I found online and have checked with also don't sell to individuals. Do you or any of your viewers have an online source for these items? Great kit!

    USNERDOC December 21, 2010

    @CRAZYgunslinger6 – The needle in this kit would not be appropriate for a Needle Thoracostomy, needle decompression for tension pneumothoarax. This procedure requires a large bore angiocath (14ga -16ga) or a proprietary thoracostomy needle. There are training courses available. Interestingly, a colleague and I have been tossing around the idea of starting an austere medical course . . .

  70. David Hage
    David Hage December 27, 2010

    Thanks Doc. I have my kit, my wife's kit, and her mother's about 90% there. I started with Nutnfancy's and found your channel. Love his reviews, but will be coming here for medical (loving the austere medical vids)/ fak info. Also, if you develop an "austere medical course", I would love to get a copy of the info if you have an accompanying .pdf file. Downloaded the tick and road rash .pdf's. I am also adding a streamlight nano to my kit (10 lumens of light with very small size and weight).

  71. David Hage
    David Hage January 12, 2011

    @TheWozWizard Amazon has been a good supply source for me. I found the tincture of benzoin, sutures ("for veterinary use"-looks like the same monofiliment sutures he uses), betadine, 18gauge needle, etc.

  72. TheGrayman1234
    TheGrayman1234 February 1, 2011

    Looks like a GOOD kit. Going to have to order a few of those items that I have forgotten.Would add a few other things to it. One is a disposable CPR mask of course that would add to the price, but it would be needed.

    USNERDOC February 1, 2011

    @TheGrayman1234 – Disposable CPR mask is a must . . . mine travels in my Emergency Management Kit and in my Level II kit. Of course it odes add to the cost but well worth the addition.

  74. TheGrayman1234
    TheGrayman1234 February 1, 2011

    @USNERDOC Sorry, might have know you would not forget that. I consider my level 1 kit a kit I keep with me the MOST (like an EDC) so I was thinking that a CPR mask would need to be in there. Again thank you for your information.

  75. Eric Draven
    Eric Draven February 27, 2011

    Great info. Thank you.

    USNERDOC April 14, 2011

    @untouchblz – not all outdoor cuts will have organic debris . . . for example a simple cut from a clean knife blade. The best management is direct pressure irrigation with clean water. With that said, any method of copious irrigation would be better than none. If you have our kit you are good to go with appropriate irrigation tools in the field. Alcohol swabs have no role in wound management and should never be applied to a laceration. Hope that helps!

  77. Maya Libretti
    Maya Libretti April 9, 2012

    Regarding the otc medications, I would suggest writing the expiration dates on the outside of those little bags, on the matte surface of the baggies or on the labels. I'm confident that a medication a year past expiration is still fine, but what if it gets to 10 yrs past…. For Benedryl in particular it could mean the difference between life and death, if for example someone gets a bee sting but the pills in the bag are old and impotent.

  78. MEROST
    MEROST April 23, 2012

    I noticed your medicines pack has changed since you made this video, in comparison to the medicine pack you currently offer on AMP website. Newer and better medicines? It doesn't appear you offer this specific kit anymore?

    USNERDOC April 23, 2012

    This kit was never offered for sale via AMP-3. The medication module in the AMP-3 iFAK is a bit more inclusive and all the meds are packaged in individual packets or pouches. I could never sell a kit with unlabeled meds in a ziplock bag. Hope that helps!

    By the way, the medication module in the Outfitter is even more expansive which reflects its intended use for large groups.

  80. Anthony Glaser
    Anthony Glaser March 10, 2013

    Thanks for taking the time to do these videos. What is the difference between silk sutures vs monofilament or gut ?

    thanks again

    USNERDOC November 1, 2013

    This kit was made . . . that is why you can see it on the video. The list is available as a PDF download from the "About" tab on the front page of this channel. Hope that helps!

    As an aside, I have made many, many kits of different types during my life. Not every kit I have made is available on AMP-3.

    USNERDOC November 1, 2013

    No worries. There is no specific reason, just two different builds of a kit. It seems over time I have accumulated a number of different kits. For AMP-3, I have tried to build a set of kits that have stabilized contents. In other words, kits that should not need to be changed over time unless something new and interesting hits the market.

    The kit shown in this video has nothing to do with AMP-3.

    USNERDOC November 1, 2013

    It is there now. I have a bunch of PDF documents on that server. I have made documents for a number of different reasons and applications over time. Sometimes it is hard to keep track of them!

  84. spike jones
    spike jones November 12, 2013

    I watched 1 & 2 of build your own FAK they where very helpful to me. Thank You

  85. AceXprt
    AceXprt November 18, 2013

    QUESTION: I see you have the 10CC syringe for irrigation, But what would you use to irrigate? Whats the best thing to use?

  86. AceXprt
    AceXprt November 18, 2013

    NO ASPRIN?!?

  87. algoneby
    algoneby June 21, 2016

    Good Video ! Nice size, and well thought out kit.

    USNERDOC January 18, 2018

    How-to-Build Your Own Level 1 Individual First Aid Kit (iFAK)
    Want a pre-built iFAK? Check out AMP-3, LLC!
    AMP-3 Store:

    PART 1

    iFAK = Individual First Aid Kit

    Size: 6x9x1
    Weight: 7.6 oz
    Lightweight, watertight, easy to carry
    Rapid access side zip-lock mylar bag
    Deep capabilities for a small personal kit

    AMP-3, LLC

    AMP-3 BLOG

    Download PDF File

  89. oldfmfcorpman
    oldfmfcorpman November 19, 2019

    No needle driver?

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