Yet Another Cycling Forum
General Category => The Knowledge => Topic started by: quixoticgeek on 10 August, 2021, 12:51:14 am
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It looks like the pack of plasters I was carrying in a zip lock bag in my bike bag has finally self destructed. And looking at the dates. It was all out of date anyway.
This means it's time to redo my bikes first aid kit. And given I'm wanting to venture a bit more of the beaten track. I think i want a bit more than a dozen plasters and some paracetamol. I'm just not sure what I want to have in my FAK.
So. Do you carry a first aid kit on your bike, and if so. What's in it ?
J
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Cass Gilbert once posted what seems an adequate one for off road. In American but easily translated.
I haven't got the link but I have a .rtf file that I can send you if you'd like.
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Yes, I do. It started as a small outdoor shop first aid kit. I keep it in the same place as the toolkit.
These days it contains: elastic bandage, elastic tube bandage (though I forget why I thought both were a good idea), some dressings, some plasters, some antiseptic wipes, micropore tape, safety pins, anti histamines, scissors, whistle. There’s usually some sting cream and some savlon too, I suspect they went out of date.
Enough to patch up minor bumps so that I can either carry on or get to civilisation. If I’m at the mercy of / providing help till a professional arrives then it’s mostly helping to stop bleeding.
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I've had first aid training and that's the most important thing I carry.
In my pack I have
- Paracetamol
- Antihistamine
- tegaderm
- compressed towels
- antibac handwash
- soap slivers
- immodium
- cocodamol
- tranexamic acid
- naproxen
- KT tape
- cystitis sachets
- ibuprofen
- emergency blanket
- blister plasters
Most of those I wouldn't offer anyone else and are carried for specific issues I know I or the other person on the bike may have. Scissors and tweezers are on the multitool.
I wouldn't bother with bandages- what are you going to need them for? It's generally as good a job to stabilise anything with the victim's clothes. Same for plasters- I only use them at home to stop the blood from kitchen cuts dripping into food/ white clothes/ sheets. Outside I don't care.
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I don't have one on the bike, though I keep thinking I should. I do have one when I'm hillwalking, which contains (from memory)
Plasters
1 larger wound plaster thing
a triangular bandage
elastic bandage
couple of antiseptic wipes
paracetamol
safety pins
Plus other emergency bits and bobs like string, a penknife, a tampon (having read someone's comment somewhere that they can also be used to absorb blood in ways other than that which it was designed for....) and a spare headtorch.
Note that when you are out on the hills you are looking at a much longer wait for assistance than if you are on a road somewhere.
For a bike kit I'd probably have just plasters, paracetamol, safety pins and maybe some bandage.
It is quite nice to cover up small scrapes just to stop yourself getting blood everywhere - I did this on Saturday, as it happens, having scraped my hand on a rock. I once skinned all 4 knuckles on the fingers of one hand by falling while holding a walking pole(!) - again it was nice to cover up the bleeding.
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I wouldn't bother with bandages- what are you going to need them for? It's generally as good a job to stabilise anything with the victim's clothes. Same for plasters- I only use them at home to stop the blood from kitchen cuts dripping into food/ white clothes/ sheets. Outside I don't care.
I think I saw the bandage as holding a dressing on, or supporting a sprain. If there's a break then either I'm getting help, or using clothes (hence safety pins).
Plasters, might be good where I'm carrying on and don't want it getting dirtier, or useful on a blister.
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Unlike fboab, I have merely thought about first aid training, then been told not to by the people organising it, so I only carry plasters and perhaps paracetamol. I suppose a bandage might come in useful potentially. Off road with a long wait in wind and rain maybe one of those foil bivvy bag things? Never thought of plasters going out of date. I suppose they lose their stickiness?
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Cuts and scrapes are fairly likely on any trip especially if you're a clumsy sod. They might not serve much medical purpose but it's always nice to be able to clean up the blood and stick something over them.
I have merely thought about first aid training, then been told not to by the people organising it
I did a half-day course and found it pretty useless. Basically multiple variations on "keep the patient safe until the ambulance arrives". You're probably better off watching some youtube videos.
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I did a week long course- though admittedly First Aid At Work is not Mountain Rescue.
What you guys are using bandages/dressings plasters for...
tegaderm does better (https://www.3m.co.uk/3M/en_GB/p/d/hcbgebm20051/)
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I did a week long course- though admittedly First Aid At Work is not Mountain Rescue.
In the UK I had (now expired) qualifications sufficient to crew ambulances. So in that regard I have the training, even if I'm out of practice. The problem is, I'm used to operating with a fully stocked ambulance to hand. So I'm a bit out of touch with my FAK provision.
On big stuff where I'm a long way from help (last case was Road To Hell), I tend to have a trauma dressing that I tape to a tube somewhere. This allows me to do something about bleeding if I have a major cut, this can happen falling on a branch, etc... I like to have some burn gel, either for sun burn, or of I burn myself on my cook pot.
J
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Many years ago ,I went on a first Aid refresher course & was asked to take in my first aid kit. The instructor went grey when he saw my craft knife & bic pen . I explained they where for cutting flesh in serious burns cases & performing a tracheotomy. ( I don't think I would have the balls to do it know ) I had been given the kit off the chief surgeon of the Reme when I attended a fast boat handling course . That was an eye opener. I once came across a bike crash on the Otterburn range . A chain wheel (I think)) had cut through the femoral artery , I manged to stem the flow with a bike pump & then dressings . The lads went off in various directions to try and get help or a signal . Luckly they bumped in to some Belgian paras & the casualty was air lifted to hospital . Some times roads are as barren as mountains , for phone signals & help. My most used item is bite & sting cream .
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My list is quite similar to fboab's. It's mostly about dealing with (in order of probability) allergic reactions, digestive woe, minor cuts and grazes, splinters, blisters and specific medical conditions.
The one thing I'll spell out is "slightly more plain water than I expect to drink". You never know when you'll need to flush something out of an eye, wash away the poo, remove dog-slobber before it turns into hives or clean a wound.
Serious injuries I tend not to worry about too much. It's only a bike ride. Possibly worth installing What3Words on your phone if you're riding in rural England... :demon:
I think there's an unscented sanitary towel lurking in my touring kit with the spare Trangia o-ring and the Ortlieb patch kit. Best dressing for road rash or insect bites scratched raw in your sleep.
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I did a week long course- though admittedly First Aid At Work is not Mountain Rescue.
I'm used to operating with a fully stocked ambulance to hand.
J
There some decent sized trailers available :)
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I always carried one on long rides, but for the tootles I do now I make do with paracetamol, a trinitrin spray, a foil blanket and bog roll. Folding scissors, a whistle and a couple of 1m20 boot-laces with spring toggles are always in the HB bag anyway. You never know when you're going to need to tie something up. I always have plain water along, too.
For a longer trip (speed the day!) I'd probably pick up a 10€ FAK from a petrolhead shop.
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Hmmmm
a tissue up my sleeve (often used)
some plain water (I don't generally drink all of it between refills)
space blanket
a sachet of sugar and a sachet of salt (for rehydration mix)
is probably it, unless you include saliva
my FAK at home is probably less comprehensive than some of those mentioned upthread (bite stuff, very old bandages, washed and re-rolled and a tube of savlon last used mumble years ago, you get the picture)
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A styptic pencil might be an idea for small nicks.
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Being
an expert fettler accident prone I have first aid kits in most rooms, all of which contain out of date crap. I also carry a few plasters in my wallet (which have come in useful at random times such as walking into a supermarket shelf). I have had "first aid at work" training in several jobs and hobbies, one course in particular had a section for gunshot wounds.
I asked for advice in here/previous here/previous previous here/or it may have been earlier and got advised not to bother carrying a first aid kit when on an audax. I still have it and for a long ride chuck it in although it is no doubt going to be of no use if I need it. I have a newer one (because it's in a smaller tobacco sized tin with Thomas the Tank engine branding) that I try to remember to drop in a pocket when I take the children out.
I've just grabbed the bike one (Lifesystems Trekker First Aid - which is a small and handy pouch with a belt loop). It contains:-
gloves
assorted plasters, with big ones seeming to be more prelavent than smaller ones, some with peppa pig logos.
foil blanket
antiseptic wipes
wound dressings
finger bandage with plastic applicator
micropore tape
scissors
three bandages
oral anesthetic paste (expiry July 2012) - I do not know why this is in there
small pot of sudocreme - dunno the expiry date but I double dipped from the main pot into the travel pot well before 2012.
I now need to re-pack all this into the bag. I am thinking that I need to re-plan, and in the main I'd just take antiseptic wipe/wound covering/bandage/plasters/sting cream and that should suffice for most injuries/anticipated injuries that myself and family have had when out and can be dealt with.
I have checked the smaller red first aid travel pack I first grabbed, but that contained a pair of snow chains for my shoes.
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I've got the waterproof version of the Lifesystems Trekker First Aid, to which I've added my epipen (rubber band to the outside), antihistamine, ibuprofen lysine, gaviscon, steristrips, a resuscitation mask, and some wound spray. I also have a small tube of hycosan night, because my artificial eye gets really dry and painful and the KY jelly recommended by my prosthetics dude stings like buggery, and some hycosan extra dry for my regular eye, which gets tired. I've got some Elastoplast Star Wars plasters, which are surprisingly good (I only wanted the BB8 tin).
I've done the full three day first aid at work course, along with first aid at sea and first aid for divers. I've maintained first aid qualifications for about 30 years now. Mostly because I'm incredibly accident prone.
Sam
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I like to have some burn gel, either for sun burn, or of I burn myself on my cook pot.
Could also come in handy after sliding down the tarmac at 63 km/h dressed in thin lycra...
After crashing two weeks ago I am also re-evaluating my FAK. I'll probably add a 12x12cm field dressing, 2-3 8x10 metalline (non-stick) compresses and some tape (using duct tape on my skin doesn't appeal much). There's already the tiniest of Leatherman tools with adequate scissors in the "bike tools" pouch.
Not exactly FAK, but getting Tetanus shots beforehand? Never came to my mind until my GP asked about it today (and then remembered it was one of the shots I got 1 1/2 year ago when I was prepping for a trip to Bali).
What's the verdict on spay-on wound cover? From the very little experience I've had lately, I would think you would need to clean / desinfect the would pretty thoroughly as the spray-on stays on and cannot be removed with water and soap.
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What's the verdict on spay-on wound cover? From the very little experience I've had lately, I would think you would need to clean / desinfect the would pretty thoroughly as the spray-on stays on and cannot be removed with water and soap.
I use it a lot. Stings like buuggery and doesn't work on an open wound (read the instructions). I mainly use it to keep cuts free from dirt after they have finished bleeding and because a plaster will fall off.
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What's the verdict on spay-on wound cover? From the very little experience I've had lately, I would think you would need to clean / desinfect the would pretty thoroughly as the spray-on stays on and cannot be removed with water and soap.
I use it a lot. Stings like buuggery and doesn't work on an open wound (read the instructions). I mainly use it to keep cuts free from dirt after they have finished bleeding and because a plaster will fall off.
I use it too, but my main reason is an irrational fear of plasters (I will not use them, ever :hand:). I've never bothered with it out and about, though, and just tend to keep it at home as the can is a bit bulky.
For my "outdoors" FAK, I have a little tube of Liquid Skin, which I have yet to put to the test.
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I've moved a lot more to micropore/similar tape than plasters. When I (nearly) cut the end of my toe off a year or so back I mainly stuck the end back on with tape and then used the finger bandage* to stop the tape being rubbed off.
*<looks at the I'm such a div thread...> The old first aid kit I have just emptied and described contains finger bandage. When I (nearly) cut the end of my toe off I went to three pharmacies trying to find finger bandage.
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I keep meaning to get some of that dressing holding on netting, so I can pretend I'm in the TdF after a crash. (One of tandem club friends has some and used it on her patrner after he went A over T on some slippery paving.)
I also fancy getting a few of those roll things the dentist puts in your mouth which the blood donor people use to put pressure onto a plaster, ever since Tiny My Newt, of Cyclechat fame, pierced her calf with a chainring when we were looking at a Cold War bunker. I improvised with I can't remember what.
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Ha! that reminds me* of last time I improvised with first aid. Garmin mount had snapped so I used a latex glove to tie it on. Cycling partner said it looked like a johnney.
*not sure why, but.
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A tick removal tool is often useful.
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... elastic bandage, elastic tube bandage (though I forget why I thought both were a good idea) ... whistle ...
QG, you mention going off-road. A whistle can help someone hear you farther than you can shout for help.
I have my inreach. Hitting the magic button is the option of last resort. A whistle is not going to be much use to me where I'm going, it's 100km between villages. But, for all that, i do carry one.
I wouldn't bother with bandages- what are you going to need them for? It's generally as good a job to stabilise anything with the victim's clothes. Same for plasters- I only use them at home to stop the blood from kitchen cuts dripping into food/ white clothes/ sheets. Outside I don't care.
Plasters are useful to stop a wound getting worse.
Bandages are useful when things go to shit. I carry a trauma dressing that can be used to control a big bleed until the whirly bird gets there.
I have ordered a Lifesystems Nano FAK. Mostly for the bag, will supplement it a bit.
J
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I like to have some burn gel, either for sun burn, or of I burn myself on my cook pot.
Could also come in handy after sliding down the tarmac at 63 km/h dressed in thin lycra...
Might smart a bit...
After crashing two weeks ago I am also re-evaluating my FAK. I'll probably add a 12x12cm field dressing, 2-3 8x10 metalline (non-stick) compresses and some tape (using duct tape on my skin doesn't appeal much). There's already the tiniest of Leatherman tools with adequate scissors in the "bike tools" pouch.
I'm thinking I may replace my UK purchased and much out of date FFD with one of these:
https://www.ehbo-centrum.nl/eerste-hulp-traumazwachtel-10-x-20-cm-p-5402.html
Not exactly FAK, but getting Tetanus shots beforehand? Never came to my mind until my GP asked about it today (and then remembered it was one of the shots I got 1 1/2 year ago when I was prepping for a trip to Bali).
Where you were going, I would have made sure to get FSME first (That's TBE for the Brits). I had tetanus many years ago. I wonder if I should investigate a booster.
What's the verdict on spay-on wound cover? From the very little experience I've had lately, I would think you would need to clean / desinfect the would pretty thoroughly as the spray-on stays on and cannot be removed with water and soap.
Would alcohol, either as IPA, or hand gel dissolve it?
J
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What's the verdict on spay-on wound cover? From the very little experience I've had lately, I would think you would need to clean / desinfect the would pretty thoroughly as the spray-on stays on and cannot be removed with water and soap.
Would alcohol, either as IPA, or hand gel dissolve it?
J
YES (based on personal experience).
I usually have to reapply at least once a day as it wears off, whether with body movement/water&soap/time expired. I usually make a point of reapplying after the daily shower in the hope it'll last until the next one - but may need to reapply in between.
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A tick removal tool is often useful.
I've got tick removal tweezers in mine. I used them the other day.
(To assist in the reapir of my 18mm-250mm zoom lens)
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The last time I got bitten by a tick, I pulled it out with tweezers. A bit of it stayed in my skin but nothing happened. The time before that, which was the first time I'd knowingly had one (and possibly the first time ever, as they're said to be increasing their range), I didn't know what to do, so went to a pharmacy, who said go to A&E(!), who took it out with funny shaped tweezers; not the things you see advertised as tick removers.
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https://www.ticktwister.co.uk/ (https://www.ticktwister.co.uk/)
No use for fixing zoom lenses.
Far better than anything else I've tried for removing ticks- even really tiny ones are dead easy to deal with.
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https://www.ticktwister.co.uk/ (https://www.ticktwister.co.uk/)
No use for fixing zoom lenses.
Far better than anything else I've tried for removing ticks- even really tiny ones are dead easy to deal with.
Agreed. Our dog picks these buggers up with scary regularity, despite the Nexxguard. The tick twisters are the ones that have worked the best out of all the ones I've tried. Which is all of them. Including the crappy credit card one and the one that looks like the business end of a fancy pyrographer.
Sam
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Arrived in the mail today:
(https://pbs.twimg.com/media/E9ASegyXoAAmlDl?format=jpg&name=large)
Have opened it up to have a look, then defeated it in single combat to get the inner bag in the outer bag. It is not easy to do. There's a little space in the top to add some burn gel, an pain killers.
The one thing I do need to work out tho, is where to mount it on the bike. Needs to be easily accessible with one hand, and not risk me getting blood on too much stuff... Also want it out the spray of the wheels. Will have a think.
Thanks everyone for suggestions so far.
J
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The one thing I do need to work out tho, is where to mount it on the bike. Needs to be easily accessible with one hand, and not risk me getting blood on too much stuff...
QG: did you find anywhere good to mount the first aid kit?
I have just re-done my paediatric first aid today for work. Which made me think a bit more about the hodge-podge kit I carry on my bike! Any other recommendations for an off-the-shelf pack?
I'm mainly thinking that the bag is the useful bit, as the contents can be changed/supplemented.
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Pending QG's answer: this would seem to be an ideal case for one of those top-tube bags usually marketed as suitable for snacks. Or for a teeny-weeny frame baglet, just strapped into either the head tube/top tube junction or the seat tube/top tube.
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Nothing to add to good suggestions here, especially checking things in date.
The British Red Cross phone app is worth having.
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Good kits are going to vary between activities. Start with the injuries with which you might most probably have to deal. So, when cycling, gravel rash, if you're unlucky a broken collarbone or upper limb injury, and so on. So wound cleaning, large and medium dressings, triangular bandages, and so on.
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Last year on KAW I fell onto a rock, and split the skin on my shin. I did a reasonable job of cleaning it with fresh water from my bottle by the side of the trail, and dressed it at my b&b that evening from my FAK. It still went manky however, and required a course of antibiotics. My FAK now includes iodine soaked gauze.
Generally the rest of the kit is for minor crap like blisters, small cuts etc, but also includes a trauma bandage just in case, perhaps even for use on others. The most useful course i ever did was a Hostile Environment Course, where the first aid part was entirely focused on major trauma, stopping somebody dying before a competent person can get to them
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QG: did you find anywhere good to mount the first aid kit?
I have just re-done my paediatric first aid today for work. Which made me think a bit more about the hodge-podge kit I carry on my bike! Any other recommendations for an off-the-shelf pack?
I'm mainly thinking that the bag is the useful bit, as the contents can be changed/supplemented.
So I have a T4 trauma dressing tapped with insulating tape to the bit of metal that joins my tailfin to the seat post. Then I have a lifeventure nano first aid kit attached to the food bag that's attached to the underside of my aero bars.
J
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I carry savlon, sun cream, deet, tissue paper.
When I did have a nasty crash, I used my merino base layer to stem the flow of blood, tying a knot with the sleeves. I dare say other injuries would be fine with a combination of the above and imaginative use of whatever's to hand, at least long enough to get proper help. Perhaps one of those tiny thermal blanket/wrap things would be a good addition.
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I carry savlon, sun cream, deet, tissue paper.
When I did have a nasty crash, I used my merino base layer to stem the flow of blood, tying a knot with the sleeves. I dare say other injuries would be fine with a combination of the above and imaginative use of whatever's to hand, at least long enough to get proper help. Perhaps one of those tiny thermal blanket/wrap things would be a good addition.
Depends a lot on what you expect "long enough to be" when I started this thread I was about to start an event where I expected to be north of the artic circle and often 100+km away from the nearest settlement. If I had to make my own way to help that could be 5+ hours. Best case for a wheeled ambulance is probably 1.5-2 hours at the furthest points from civilisation. Having the inreach device was a critical part of my safety setup. If I've opened the first aid kit for anything much more than a plaster, I'm probably pressing the magic button. In which case I am also probably gonna deploy a sleep mat, sleeping bag, and maybe a space blanket (carried in addition to first aid kit).
The approach taken if riding in most of the UK or Netherlands is very different from when in more remote parts of Scandinavia. The sort of injury where you improvised a dressing from a base layer, are exactly why I have the T4 dressing taped to the underside of my tailfin.
J
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Clingfilm and micropore tape.
A substantial amount of clingfilm takes up very little space. It is the best thing for covering burns (easy to get if you are camping), and should be applied over the burn then cold water poured on top. Means you can use not sterile water for reducing heat.
It can also cover big grazes. Cheap, compact and easy to replace if you use it. Over a big gash, you can then improvise a pressure bandage from cloth.
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The approach taken if riding in most of the UK or Netherlands is very different from when in more remote parts of Scandinavia. The sort of injury where you improvised a dressing from a base layer, are exactly why I have the T4 dressing taped to the underside of my tailfin.
I did a REC2 (remote emergency care) first aid course (https://www.remoteemergencycare.com/courses/remote-series/) for Scouts recently. I'm no expert, but that was exactly the point made repeatedly - that your kit, and decisions, are going to be different half way up a mountain and hours from help, from if you're likely to be falling off in London, never more than 30 minutes from a hospital.
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Clingfilm and micropore tape.
A substantial amount of clingfilm takes up very little space. It is the best thing for covering burns (easy to get if you are camping), and should be applied over the burn then cold water poured on top. Means you can use not sterile water for reducing heat.
It can also cover big grazes. Cheap, compact and easy to replace if you use it. Over a big gash, you can then improvise a pressure bandage from cloth.
Have you used modern PVC-free clingfilm thobut? If I've got a proper burn I don't want to be faffing about with recalcitrant clingfilm when I could be applying coolth. If you've still got some of the proper stuff, it would be worth putting aside for this purpose.
Agreed on the micropore, and it's part of my usual touring kit. While I'd be perfectly happy using insulating tape or duct tape to staunch the flow from a proper bleeder, micropore wins hands down for the sort of long-term adhesion you need to protect irritating minor injuries like insect bites and blisters.
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I did a week long course- though admittedly First Aid At Work is not Mountain Rescue.
What you guys are using bandages/dressings plasters for...
tegaderm does better (https://www.3m.co.uk/3M/en_GB/p/d/hcbgebm20051/)
Tegaderm is the bees knees.
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Tegaderm is the bees knees.
On a similar not, the Opsite equivalent are pretty good TTAW. When the Lovely Nurse™ gave us some spares for barakta's spectacular hip wound, I took great pleasure in squirrelling a couple away in case of future road-rash.
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Other than basic normal stuff (plasters, wipes etc.) my cycling related add-ons are micropore tape and some kind of non-sticky graze coverer like melolin or hydrocoloid dressings. Tegaderm looks interesting. On long stuff I'll also carry some strapping tape, having suffered from an achilles problem years ago. Not needed that in anger since 2009-ish, but it tends to get packed just in case.
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When doing any risk assessment the calculation is likelihood vs consequences.
A lot of the kit lists above are focusing on the consequences. I could not live with that level of fear of the massively unlikely in my cycling life. I suppose this is how I use statistics and probability in my daily life.
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After an mountain bicycle incident a couple of weeks ago, I've distributed a few more of those compressed disposable flannel things around my luggage and made a note to err on the side of carrying more water for off-road riding.
On the basis that minor grazes may require some sort of attention that can't safely be provided if your hand has landed in a steaming fresh source of coliforms. :hand:
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I've added a couple of plastic vials of eyewash to my kit, yes I know plain water is 99% as good but getting it to dripple from water bottle to eye isn't so easy. I had the remains of some insect lodged in an eye and it took several goes to remove it. One thing to do that to myself, I wouldn't have wanted to do it to someone else without the appropriate kit. I also considered adding a small mirror, though I could have used the phone's camera if it had occurred to me at the time.
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I also considered adding a small mirror, though I could have used the phone's camera if it had occurred to me at the time.
I carry a small mirror in my touring medical kit, which is occasionally useful for this sort of thing (most recently, in combination with my phone to photograph the roof of my mouth to inspect the damage after a third-degree burn). I wouldn't bother for normal bike rides, especially when the bike has a mirror on it.
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If you're camping, a mirror is useful for tick spotting. When riding, glasses are useful to keep bugs out of eyes. Also to keep wind out.
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When riding, glasses are useful to keep bugs out of eyes. Also to keep wind out.
But not infallible.
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Obviously not infallible (and probably quite fallible if you also need seeing-glasses for distance vision). I tend to wear these when "going for a ride" (as opposed to just riding in town) but with clear lenses (which, annoyingly, I can't now find on D4's website): https://www.decathlon.co.uk/p/st-100-mtb-sunglasses-category-3-grey/_/R-p-11798?mc=8118521&c=black
NB: This ^ is not a first aid item!
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probably quite fallible if you also need seeing-glasses for distance vision
On which basis, my touring sewing kit also contains a lightweight racing jeweller's screwdriver and an assortment of tiny screws. And the first thing I do when I get home from the optiquack with new glasses is apply Loctite to all the screws, which is the cunningest plan since it occurred to me to fill cleat bolt heads with hot glue.
Experience suggests that glasses failures are more common on bike rides than anything requiring non-allergy-related first aid.
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And the first thing I do when I get home from the optiquack with new glasses is apply Loctite to all the screws
that is next level genius! Noted...
I had a couple of years free of glasses-anxiety when my middle child (also then my stoker) had the same prescription as me. Sadly our eyes have since diverged!