Massif Rocks!

Archive for the ‘Medical’ Category

Kydex EMT Shear Sheaths

Thursday, August 13th, 2020

ER Life Apparel makes some pretty cool Kydex sheaths off EMT Shears. Their ER Life One shears aren’t bad looking either.

Pretty straight forward, you can get both shears and sheath in a variety of colors. Available with 1.5″ belt clip or PALS compatible adapter.

www.erlifeapparel.com/product-category/holsters

SCUBAPRO Sunday – Mask Squeeze

Sunday, August 9th, 2020

When you first start diving, sometimes little things will happen, which most likely will not occur as you gain more experience like forgetting to bring an extra mask.  Sometimes It can be a little most serious like you might forget to do a proper purge process, and you get to depth, and you pass out. Your dive buddy has to pull you to the surface and think he is getting kicked out because he is a new guy like you, and he believes he killed his swim buddy. Other things can happen that are a little more series. It can cause some harm if you are not careful, and it will make you look like you have to hickeys on your eye. It is a good thing if it is around Halloween, you will look like a zombie and not a cool one like the Walking Dead. It is a mask squeeze or for the corpsman in the group called facial barotrauma.

What is Mask Squeeze?

A Mask squeeze can occur with the incorrect equalization of the air pressure inside your mask, causes it to compress tighter against your face, causing the small blood vessels around the eyes to burst. If you don’t know how this feels, it’s like the covered areas of your face get sucked into the mask as the negative space between them gets smaller. While all dive briefs should t divers are usually warned about during Open Water Diver courses, many don’t pay too much attention to it after underestimating the trauma that it can cause. So unless you’re willing to surface with scary, bloodshot eyes, you’ll want to remember what not to do and what you can do to prevent it from happening during any of your dives.

How Does Mask Squeeze Happen?

Several things can cause an unfavorable change of mask pressure. The most common is failing to exhale into the mask during descent. Many divers remember to equalize their ears since ear discomfort becomes increasingly noticeable as you dive deeper. Still, they may not realize the increase in scuba mask pressure until after they surface.

Other factors that increase the likelihood of mask squeeze from diving are poor dive mask fitting (particularly if you choose a mask that’s too small for your face or too tight, to begin with) and fast descent. As you can imagine, it can be easy for a diver to forget the steps to take to prevent mask squeeze, especially for beginners who are worried about getting air into the mask.

Dangerous Effects of Mask Squeeze

Divers who suffer from mask squeeze may notice bruising around the eyes, blood spots over the white areas of their eyes, and swelling. Fortunately, it rarely causes injury inside the eyeball. Divers often get alarmed and panicky when they see blood in their eyes. Still, the condition isn’t as dangerous as it looks and usually clears away without any significant mask squeeze treatment.

In the most severe cases, the hemorrhage can last longer, or you might notice a loss of vision or pain, in which case you should visit a doctor straight away.  

Avoiding Mask Squeeze

Prevention is always better than cure, so every diver needs to remember how to use their masks properly and avoid mask squeeze.

First, never wear masks that cover only the eyes. While those may be suitable for snorkeling, you’ll need a mask that can be equalized if you’re swimming at greater depths. Fortunately, modern dive masks have nose valves that allow divers to quickly equalize the air space between their mask and face without the risk of flooding it.

Next, don’t choose a mask that feels tight, to begin with. Once you descend, the pressure automatically causes an increased suction on the mask. A scuba mask should sit comfortably on the diver’s face and stick when mild pressure is applied even without the strap being worn.

To help prevent bruising, a soft silicone skirting is also a must, so the mask will comfortably cushion and spread the pressure around your face.

Finally, don’t descend too fast and make it a habit to equalize. Instead of being worried about water getting into your mask, it helps you get comfortable taking off and putting on your dive mask underwater.

Through practice and with the presence of mind, you can easily avoid mask squeeze and enjoy much safer dives.

What is mask squeeze? 

Like the air spaces in your sinuses and ears, you must also equalize the air space in your mask as you descend. When you descend, failure to equalize, or add air to the air space in the mask, by exhaling through your nose, can create unequal pressure between the mask air space and the vascular pressure within the blood vessels of the face. This can result in various degrees of facial barotrauma, or injury to the soft tissues of your face contained within the mask. Imagine your face in a suction cup. The soft tissues beneath the mask and especially around the eye, swell (periorbital edema) and discolor, such as redness or bruising (ecchymosis).

What treatment do I need?

Unless you are experiencing eye pain or visual problems, there is no treatment for facial barotrauma except time. Because it is a bruise, your body will eventually reabsorb the effect of your mask squeeze. Your physician or an eye specialist should immediately address eye pain or visual disturbances such as blurred vision or loss of part of the visual field. These symptoms would be extremely rare in mask squeeze, however. The signs and symptoms of mask squeeze can take up to two weeks or more to resolve. Unfortunately, it is one of those conditions where you will probably look worse than you’d like before it gets better. Not only will blood and edema needs to be reabsorbed, but it tends to be gravity-dependent – which means it will spread downward on your face. Before you heal, you may look like a red-eyed black-and-blue marked creature in a B-grade horror flick or a boxer that took at least two too many punches.

Who gets mask squeeze?

Mostly new divers get squeezed – they tend to be overwhelmed by all the skills they need to remember, such as buoyancy control and equalizing their ears and sinuses, all while being mesmerized by the mysteries of the sea. More experienced divers, however, are not immune to mask squeeze. They tend to have mask squeeze when they concentrate on some new activity or focus on a task that diverts their attention from clearing their mask. Changing to a new mask or to a low-volume mask may also lead to mask squeeze, because the diver may not be accustomed to when to add air. Finally, poor-fitting masks or other issues such as facial hair may lead to problems with equalizing.

How do you prevent mask squeeze from happening again? 

The solution to preventing mask squeeze is to remember to keep your nasal passageways open during descent. By exhaling through your nose and using a properly fitted mask, you will minimize facial barotrauma risk. A mask should fit comfortably against your face, and you should be able to achieve an appropriate seal by gently placing the mask on your face and inhaling through your nose. The mask should seal to your face and not fall off even without the mask strap in place. It is not unusual for a small amount of leakage to occur while diving, especially if you have facial hair. Exhaling through your nose and tilting your face towards the surface while cracking the mask’s lower seal will generally remove any unwanted water from your mask.

Outdoor Research Achieves NIOSH Approval for US-Made N95 Flat Fold Respirator Mask

Monday, August 3rd, 2020

SEATTLE, WASH

Outdoor Research, LLC. (OR), a leading brand in the tactical and outdoor apparel industries, and the National Institute for Occupational Health and Safety (NIOSH) announced this week that the U.S.-made N95 Flat Fold Respirator Mask from Outdoor Research has achieved NIOSH approval. 

Early on in the pandemic, Outdoor Research recognized the need for U.S. manufacturing to help address the national shortage of Personal Protective Equipment (PPE) in the medical and defense communities. Because it already had significant onshore manufacturing operations in Seattle and Los Angeles, it was able to quickly adapt to address this shortage. 

Following conversions at its manufacturing facilities, Outdoor Research began producing the 100% American-made, Berry Amendment-compliant Resolute Face Mask and regulated Surgical and N95 respirator masks. It is also producing reusable, technical and functional face masks for the general public featuring integrated filters. All told, Outdoor Research has produced over 2.5 million masks to date.

Approval from NIOSH for the N95 respirator mask is a significant accomplishment. Outdoor Research is one of only 9 organizations to achieve expedited certification. While many companies have entered the mask market temporarily by creating “face coverings” for general public use, Outdoor Research has made a strategic commitment to expanding the company’s manufacturing capabilities to build advanced medical-devices, providing PPE to frontline healthcare workers during and after this current crisis. 

 “This pivot to medical PPE has required extreme dedication by an innovation team that was truly ‘purpose driven’ to help the end user,” said Jason Duncan, Head of Tactical, Innovation and CSR at Outdoor Research. “There was not a deep analysis of the business case but rather an answer to the question: what can our team do RIGHT NOW to help? You can’t motivate people to work this hard for this long without a purpose-driven goal. The NIOSH regulatory approval represents a success for a weary team that has been as obsessed with employee safety as they have with creating medical PPE. “ 

Highly respected in the outdoor industry for developing functional solutions for extreme environments, Outdoor Research has a history of successfully leveraging the best commercial market technologies to serve the needs of the armed services and first responders. Over the past two years the company has conducted a comprehensive review of the U.S. supply chain and is in active development with textile mills and materials providers to expand and elevate the capabilities of products that are 100-percent American-made.

Outdoor Research has made significant capital investments designed to improve and modernize its Seattle factory. These investments allow Outdoor Research to take advantage of the company’s global knowledge of design, materials, and innovative manufacturing techniques while producing the next generation of outdoor and tactical products at its facilities. OR has continued to accelerate its product-development cycle, allowing the latest innovations to be rapidly fielded to the end user, helping increase the mobility and protection of soldiers, sailors, airmen, marines, first responders, outdoor enthusiasts, and now the medical community.  

For more about Outdoor Research, visit www.outdoorresearch.com

New MYSTERY RANCH Medic Pack: MOLE

Tuesday, July 28th, 2020

Designed for requirements around their winning bid in the Norwegian TCCC program, the MYSTERY RANCH MOLE fills the demand for a scaled-down, feature-rich medical pack. Every square inch of this pack was designed with function in mind.

At 22L, the MOLE is similar in size, but has a slimmer profile than its popular predecessor, the RATS pack. It is built with custom spec’d 500D CORDURA® with Teflon® and PU coatings for maximum durability, UV and weather protection and finished off with IR-compliant YKK® zippers. The MOLE is highly configurable with its carrying options and internal organization, adapting to changing mission profiles.

It features removable shoulder straps and waist belt, along with a system for attaching directly to body armor, and a top handle for multiple carrying options. Also noticeable is the incorporation of the removable Stick-it pouch for stowing a helmet, jacket or other bulky object on the outside. Underneath that are a sheath for trauma shears and dual tourniquet holders. The clamshell top lid opens widely for full-viewing access to contents.

Interior removable panel for single-access items.

External shear pocket with elastic on either side for quick access items (tourniquets).

The main compartment splays open via one-handed access from its two-zip design, allowing full access to the removable internal pouches inside the pack. An additional, internal handle keeps from fighting the top lid when hanging the pack to work out of.

The internal main compartment is lined with loop fuzz which allows you to customize its five removable medical pockets. Each pocket has clear vinyl windows and internal elastic bands to keep items tidy. An extra removable panel is included for even faster access to certain materials such as tourniquets, gauze and/or gloves. Two inner sleeves along the sides provide secure slots for splints or other long items.

Here’s a quick video detailing the MOLE:

MYSTERY RANCH really stayed focused on versatility and quick access on this pack. The MOLE has already been very popular in Europe as it launches here, looks to be a consideration for your combat trauma essentials. Check out the full line of medical military packs and accessories at MYSTERY RANCH.

We are pleased to collaborate with our friends at North American Rescue for kitting out our medical packs for these photos and videos. Please contact NARescue customer service to order medical contents as shown.

*Contents not included with MR pack.

AirBoss Defense Group Awarded Contracts Valued at Over $123 Million to Support the PPE Requirements of the U.S. Strategic National Stockpile and the U.S. Department of Veterans Affairs

Monday, July 27th, 2020

LANDOVER, MD (July 27, 2020) – AirBoss Defense Group (ADG), which is focused on the design, development and manufacturing of American-made, proven, commercially available personal protective equipment (PPE) that protects front-line workers and defense personnel, announced today that it has been awarded more than $123 million in contracts to supply PPE to U.S. Government agencies.

ADG been awarded a $121 million contract by the U.S. Department of Health and Human Services (HHS) – Office of the Assistant Secretary for Preparedness and Response (ASPR), for 50,000 American-made FlexAir™ Powered Air Purifying Respirators (PAPR), 3,000,000 High Efficiency Filters and related accessories, including spare protective hoods, that will be part of the inventory for the Strategic National Stockpile (SNS). The FlexAir PAPR is designed to enable medical providers and first responders unencumbered protection over extended periods of time, while providing critical medical care. Deliveries under the contract to HHS are expected to be completed over the next nine months.

ADG further announced that the U.S. Department of Veterans Affairs (VA) has placed a sustainment order of $2.55 million with ADG for 60,000 high efficiency (HE) filters and 20,000 protective hoods to establish a contingency stockpile of equipment for the ongoing fight against COVID-19. This sustainment order supports the continued use by VA medical personnel of the over 10,000 American-made FlexAir PAPR systems that had been delivered to the agency earlier this year. Deliveries to the VA are expected to be completed over six weeks, beginning in mid-August.

Patrick Callahan, CEO of ADG, stated: “These new contracts underscore ADG’s ability to quickly respond to the COVID-19 crisis by focusing the entire company on delivering FlexAir PAPR systems to front-line workers across the United States. These orders to supply the PPE needs of the SNS and the VA will bolster U.S. capabilities to respond to public health hazards and ensure that the United States has a more robust domestic capability to support the federal response to future emergencies.”

“To this end, ADG has increased staffing to support the urgent needs of the U.S. federal government and is manufacturing PAPR systems at facilities in Landover, Maryland; Auburn Hills, Michigan; Scotland Neck, North Carolina; and Charleston, South Carolina,” Mr. Callahan noted.

The FlexAir PAPR system is a compact, lightweight respirator system powered by an onboard battery in a waist-mounted blower, designed and manufactured in the United States.  The flexible design permits the use of two high-efficiency particulate filters that are designed to provide a 99.7% protection level against particulates, aerosols and biohazards, including the COVID-19 virus.

The PAPR order for the SNS follows an earlier Federal Emergency Management Agency (FEMA) order for 100,000 PAPR systems that was placed to respond to the immediate threat posed by the COVID-19 pandemic. ADG has since successfully delivered over 90% of the initial order and remains on track to complete this original contract on time, by the end of July 2020. Additional future follow-on orders for sustainment filters, hoods and accessories are anticipated. The VA order builds upon ADG’s proven record of dependability as the PAPR system provider of choice for federal agencies.  

ADG’s PPE products have been used by various branches of the U.S. government for over 20 years. In addition to the above HHS and VA contracts, ADG has received over $15 million in non-governmental orders for PPE during the current pandemic. ADG’s emergency response equipment and PPE are utilized by the U.S. Department of State, Office of Strategic Medical Preparedness, FEMA and CDC infectious disease treatment centers.

The Company provides protective equipment to emergency first response teams and hospitals in hundreds of U.S. cities, as well as over 30 countries worldwide. ADG successfully responded during the MERS and Ebola outbreaks, by providing critical protective equipment to government and civilian first response customers.  ADG will continue to engage in the response to the COVID-19 outbreak through the rapid delivery of domestically manufactured PPE and patient isolation systems to the first-responder community.

For more information, please visit www.adg.com.  

MATBOCK Monday RAPID IFAK Deployment Pouch

Monday, July 27th, 2020

RAPID IFAK DEPLOYMENT POUCH

Good morning and Happy MATBOCK Monday!

Weighing in at 7oz The Rapid IFAK Deployment pouch was specifically designed to support post assault operations when dealing with an active shooter. The pouch is designed to hold 7 Phokus Research Group “Shield Kits” for immediate care as well as a MATBOCK J-LIFT or 5 Shield Kits and an S-LIFT). It can be worn as a stand-alone fanny pack or cross chest attachment, MOLLE or mounted to an operators belt. The versatile design allows for endless possibilities to support the operator’s needs.

Don’t forget to tune in on Monday at 4:30 PM EST as we go live to demo the the Rapid IFAK Deployment pouch.

Special Operations Aid & Rescue – Technical Austere Medical Evacuation Course

Wednesday, July 8th, 2020

The TAME course is right around the corner. It’s SOARescue’s first course since the start of things opening back up. If you’ve ever provided or will provide enroute Care in the non-standard environment this is the course for you. If critical care, flight and tactical medicine had a baby this is the course that would come of it. Seats still available. Contact us for payment plans or agency discounts. Some of what to expect:

-Basic flight physiology

-Gas laws/ effects on patients

-Operating around standard and non-standard evacuation platforms

-Unique aspects of providing care in an aircraft

-Basic hoisting and rope work related to movement of personnel and casualties

-Overview of Anatomy and Physiology

-Management of complex airways to include surgical intervention

-management of hemodynamically unstable patients to include the use of blood products and vasoactive agents

-Advanced respiratory management to include tube thoracotomy placement and management

-Ventilator fundamentals and practical application of strategy.

-Ventilator management of a complex patient.

-Pharmacology overview

-Utilization of medication pumps

-Advanced monitoring of patients and casualties.

-Obtaining and interpreting lab values

-Patient packaging and loading unloading

-Hand-off strategy and documentation

-basics of rope rescue

www.soarescue.com/events/technical-austere-medical-evacuation-tame-concord-nc-tame-nc-0720-02

Domestic N95 Mask Production Expected to Exceed 1 Billion in 2021

Sunday, June 28th, 2020

WASHINGTON — Thanks to work by the Defense Department’s COVID-19 Joint Acquisition Task Force, U.S. industry is expected to greatly increase the production of N95 masks next year, the task force’s director said.

During a House Armed Services Committee hearing yesterday, Stacy Cummings told lawmakers that nationally, the U.S. was consuming about 50 million N95 masks each year. During the COVID-19 crisis, demand for masks increased substantially to about 140 million during a 90-day peak-use period.

DOD investments to help domestic industry ramp up production of those masks and other equipment will help ensure that in the future the U.S. will better be able to meet demand for personal protective equipment with domestic production, she said.

Based on the investments made by the department, Cummings told the House panel, an increase in production of 450 million masks a year will be attained by October, with a rate of more than 800 million masks per year by January.

“Starting in 2021, we anticipate our total domestic production to be in excess of a billion per year,” Cummings said.

Ellen Lord, the undersecretary of defense for acquisition and sustainment, told lawmakers that increasing domestic production capabilities has been a focus of the department.

“In order to decrease our dependence on foreign suppliers for medical resources, DOD has focused on increasing domestic industrial capacity and capabilities,” she said. “To that end, we executed some $284 million in industrial expansion efforts during the first two weeks of May 2020. Reconstituting domestic production or creating new production that shifted offshore years ago often requires capital expenditure, capital equipment expenditures, retooling and retraining of the workforce.”

Lord also said DOD has been focused on maintaining the health of the defense industrial base during the COVID-19 pandemic. The DIB includes a wide array of businesses that produce weapons, equipment and supplies for the U.S. military.

During the COVID-19 pandemic, businesses that make up the DIB suffered as other U.S. businesses did, Lord said. Should some of those businesses fail as a result of COVID-19-related disruptions, it might result in the department not being able to procure important defense-related supplies, equipment or weapons, she added.

Lord said the department is using $688 million of CARES Act funding to address impacts to the DIB by directly offsetting financial distress and providing investments to regions most severely affected.

She also said that increased communication between the department and the DIB were key in allowing defense officials to better understand where the industry was hurting most, and where the need existed most. When first she stepped into the A&S leadership role in 2017, she said, she set up quarterly meetings with DIB representatives to better assess their needs. The COVID-19 pandemic accelerated that communication.

“When the pandemic hit and we saw how catastrophic it could be to our defense industrial base, what we did was just really amped up those engagements,” she said. “So starting on March 17, we had our first [teleconference] with industry, and we broadened beyond just the three industry associations that we worked with, to really start including nontraditionals and others.”

The number of industry representatives involved in those meetings also increased, Lord said, “For multiple weeks, we had calls three times a week. One of those calls per week was focused on small business, and we listened to what the problems were,” she said. “As a result of that, … a lot of the leadership of A&S listened to what the issues were, and we tried to start taking the first small steps.”

Lord said as a result of that communication, the department worked to simplify how to do business with the military, including raising the threshold for micropurchases and increasing the progress payment rate from 80% to 90% for large businesses, and from 90% to 95% for small businesses.

“This change will infuse an estimated $3 billion in cash to all levels of the DIB,” Lord said. “Further, the department has partnered with the major primes to ensure this increase in cash makes its way throughout the supply chain.”

By C. Todd Lopez, Defense.gov