A medic’s bag is never big enough, but it’s always too big. There is no way for you to carry enough medical equipment in your bag to treat every possible injury. If you over pack your bag, it makes it difficult to work out of, it slows you down and it limits your ability to maneuver through the battlespace. If you under pack, you might not have the items you need to treat a serious casualty.
One way to maximize the medical supplies on the objective while minimizing the burden on the medic is to cross-load supplies. Medics carry ammunition for their weapon; operators should carry supplies for their wounds. This has been practiced for quite some time in the military, but it is just making its way into the civilian/ Law Enforcement sector. Soldiers are issued individual first-aid kits containing the essential items for initial care on the battlefield. The majority of what is needed for self-aid and/or buddy-aid is contained in these kits, and they are a great example of cross-loading on a massive scale.
When considering items for cross-loading, look at items individuals are actually trained to use and that take-up a lot of space in your bag. Bandages and tourniquets are good examples of items that are high-volume items in both use and consumption of space. Spreading these items throughout your element will be a major help in a few ways. For example:
1. It reduces the medic’s load
2. It spreads medical assets across the team reducing treatment times.
3. Increases the amount of medical supplies on the objective
Items recommended for cross-loading:
4. Snivel meds (OTC Drugs)
5. IV fluids
Specialty items that are medic-specific tools should not be cross-loaded. These are items you want to protect and have at your immediate disposal if required. Some of those items include:
1. Advanced airway management
2. Special diagnostics
3. Pain-control meds (this is unit dependent)
4. Surgical instruments
What you decide to cross-load should be based on mission requirements, level of your teams’ medical training, medical director’s guidance, and local protocols. Every organization will have different requirements based on the above factors. It’s up to you to develop your plan.