Introduction: Motorcycle First Aid Kit
There is no need to speak about the risks of motorcycling. Not only is it inherently dangerous given the little protection it provides, but you're also constantly exposed to the elements with all that that entails. Nonetheless, that only makes the experience even more thrilling and rewarding.
As such, a compact First Aid Kit (FAK), and the skills to use it, should be a must-have in any rider's kit. Here I'm going to detail what I carry in my comprehensive kit as inspiration for anyone else, as well as some tips. If you have any recommendations or suggestions of your own, I'd be happy to hear about them, too!
There is no substitute for qualified medical attention. In case of the smallest doubt regarding any injuries, medications or treatments, consult your doctor. This is not professional medical advice.
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Step 1: First, the Prelude
The first step is to make a distinction between Comfort-Oriented First Aid Kits and Life-Saving First Aid Kits. Any good first aid kit should be a combination of both.
- Comfort-Oriented First Aid Kits are the type of first aid kit you'll typically find in most people's cars, or down the aisle of your supermarket. They won't save your life, but they may very well save your sanity if your child starts to feel under the weather on day one of Disneyland. While they won't take care of (almost) any life-threatening issue, they are important because they are what make a FAK (First Aid Kit) useful enough to bother carrying around routinely.
- Life-Saving First Aid Kits, better known as EPIKs (Emergency Personal Injury Kit), Blowout Kits, Trauma Kits, Tactical FAK's, and others. These are the type of FAK most people never have a need to use in their lifetime, but when needed, they are literally the difference between life and death. I think they are a worthwhile piece of gear for anybody, but for the motorcycling crowd this is even more essential.
This is why no off-the-shelf FAK is ideal for just about anyone, much less a motorcyclist. Many are either one or the other, and if you find a kit that is the combination of both, it's either huge or it's overpriced. The right balance is to decide for yourself what components you will actually be using in real life, and combine that with the life-saving items you know how to use. All in a package and with a weight you'd be willing to carry around in your backpack or bike.
I really want to emphasize this, the key is to strike a balance. There is no point in only carrying around a tourniquet that you'll never use, nor does it make sense to only carry bandaids and antiseptic wipes that will barely manage a paper-cut. When you properly equip your pack, it should be compact enough to carry around 99% of the time, accessible enough to not be so much of a hassle you'll never bother with it, and contain components you will actually use (and know how to use), including some that could save your life.These are no small demands.
You also have to ask yourself what your goal is. In my case it's taking care of most common issues on the spot, definitively and properly. If you adequately clean and prep a wound, apply some benzoin tincture and steristrips, then wrap, you can take care of many casual "deep" cuts as well as many clinics would. If all you have is 10ml of saline solution and some generic butterfly bandages, you might as well have left your FAK at home since it isn't going to save you from cutting your trip short. Sometimes it's worth it to go the extra mile just to make the first few miles justify the effort.
Also worth mentioning is that even if you trust yourself not to need it, what about your GF/BF, friend, coworker, etc? I'll be honest, I don't really recall ever using my FAK on myself, but boy does it feel good to be the hero and have the knowledge and tools to take care of the issue when a friend has an accident. And it happens pretty often.
That said, let's go on to the meat of the subject.
Step 2: Upgraded First Aid Kit Components
This is just a list of what I carry. You should feel free to add, remove, or substitute anything that better suits your needs and skill level.
The most important step when putting together a First Aid Kit is it's container. This will dictate how much you can put in it, where you can store it, and how convenient and organized everything is. I personally love the Adventure Medical Kits Ultralight & Watertight .5 First Aid Kit. It's an excellent FAK by it's own merits, even without supplementing it. Besides that it's extremely lightweight, compact, and water-resistant. There are no organization features to speak of, but that's just inherent with the footprint. This will be the starting point. As far as what it includes, you'll find:
Motorcycle First Aid Kit Components
The following components are a combination of the Adventure Medical .5 First Aid Kit and components of my own choice. Components marked with a '*' come included with the .5 kit.
- Bandage Materials:
- *4x Adhesive Fabric Bandages, 1" x 3" - Your typical "Bandaid". The FAK staple.
- 2-4x Extra-Long Finger Band-Aids: This is actually the most used item in my kit. They are extra-long and truly waterproof, so they really do stay in place when you use them.
- *1-2x Adhesive Knuckle Bandages - Shaped to adhere properly and comfortably to knuckles.
- *1x 2" Conforming Gauze Bandage - To wrap wounds.
- *2x Sterile Gauze Dressing, 2" x 2" - To dress wounds before wrapping.
- *2x Sterile Gauze Dressing, 3" x 3" - To dress wounds before wrapping.
- *1x Non-Adherent Sterile Dressing, 3" x 4" - To dress wounds before wrapping, where it is likely that the scab or wound might otherwise stick to the dressing.
- 3-6x 3M Steristrip Closures: I like replacing the closures that come with most FAKs. The 3M Steristrip stays in place much better.To keep closed lacerations (cuts) as a short term alternative to stitches.
- 1x Mini Roll of 3" Self-Adherent Cohesive Stretch Wrap Bandage: To wrap over bandages.
- 1x Cravat or Triangular Bandage: Useful for slings, immobilization, compression and plenty of other purposes.
- Blister / Burn:
- *1-2x Afterbite Wipes - Used for immediate short-term relief of insect bites, minor burns, scrapes and scratches. If swelling occurs, discontinue.
- *2-3x Diphenhydramine 25 mg - Antihistamine for allergy relief symptoms. It can also be used to treat motion sickness and insomnia.
- *2-3x Aspirin 2x325 mg - Used to treat pain, fever and inflammation. Also used to treat and prevent heart attacks, strokes and chest pain. May present blood thinning issues.
- *2-3x Ibuprofen 2x200 mg Packets - NSAID used for fever, pain or inflammation.
- 1-2x Ammonia Inhalant - Useful for fainting (syncope), but given how stimulant it is, it's great if you're feeling sleepy, or want to prank a friend (don't). You simply smell the vapor which triggers an increase in heat rate, blood pressure and brain activity.
- 1-3x Anti-Diarrheal (Diamode): It happens to the best of us in remote paradises. Hopefully it doesn't happen while riding.
- 1-2x Antacid: Once you're this committed to building a FAK, might as well toss this in too. It's used to relieve temporary heartburn, acid indigestion or upset stomach.
- Wound Care:
- *2x Antiseptic Wipes - Hand cleaning wipes. It's non-essential and can be substituted by more alcohol wipes once spent (or BZK Pads as a non-staining, PVP Iodine Pad alternative).
- *2x Alcohol Wipes - To clean utensils, hands and area around wound. Do not apply to open wound as it stings and can impede healing. Quickly evaporating and residue free. It can be used for fire starting.
- *1x Adhesive Tape Mini Roll, 1/2" x 10 Yd (Micropore) - To secure bandages.
- *2x Benzoin Tincture or Skintac - Decreases irritation and makes adhesive bandages stick longer. Extremely useful once you've tried it. While I prefer benzoin tincture, Skintac tends to be available in a more compact wipe form.
- *2-3x Triple Antibiotic Ointment Packets - Prevents infections on minor cuts, scrapes or burns. Do not use in deep wounds.
- 2-3x PVP Iodine Wipes: Antiseptic and topical antibiotic which can be applied to open wounds as it does not sting. Will leave stains.
- 2-3x WoundSeal Hemostatic Powder Packages: I love this stuff. When you need to quickly stop bleeding that a bandaid can't take care of, just pour this on top and apply pressure to stop the bleading. It congeals the blood almost instantly.
- 1x QuikClot: WoundSeal's bigger brother. This item is designed to stop severe traumatic bleeding. It's especially useful where a tourniquet isn't appropriate but mere compression isn't stopping the bleeding.
- 1x Tourniquet: Oh the tourniquet. What a misunderstood piece of gear! It's outside of the scope of this guide to explain when to use it (and when you shouldn't), but it is worth having given it's life saving potential. Just make sure you learn enough to apply it correctly. There are more compact versions, but I prefer the regular one.
- Instruments & Other:
- *2x Safety Pins - To pin bandages in place
- *1x Tweezers / Splinter Out - To remove splinters and ticks. Do not use for insect stingers without training
- 1x Duct Tape Mini Roll: Forget about carrying a whole roll, but you can make your own mini rolls (see pic above) just folding it over itself. It's a must have.
- 1x Emergency Mylar Blanket: Also known as space blankets. These are super useful! It's invaluable when trying to minimize heat loss during shock, but it's also great for waterproofing gear, fixes, shelters, emergency signaling and a myriad of other uses. However, it's a one-use only item.
- 1-2x Flashlight: Not so much a First Aid component as it is just my EDC gear, but you really should be carrying one anyway. Forget about those glow sticks you bend for light, go for a real flashlight. I always carry a Nitecore SRT3 in my pocket as EDC, a backup mini flashlight under the seat, and a Utility Flashlight clipped to my backpack strap.
- 1-2x Gloves: If you have the chance, put on gloves. It's important both for the victim and for you. 'Nuff said.
- CPR Mask: Another lifesaver, but what most people don't realize is that the purpose of a CPR mask in the real world is mainly to keep the victim from vomiting on you. Yup. That's why you need one.
- Utility Tool/Knife: Like the flashlight above, it's part of my EDC. I've been carrying a Leatherman Skeletool CX for around 5 years now. It's invaluable to me since I use it almost daily as either a knife or pliers. In an emergency it can be used to cut off gear, seat-belts, size bandages or any number of uses. A decent multi-tool is a must-have.
- Mini EMT Trauma Shears/Scissors: More appropriate than a knife for first aid, besides just plain useful, a pair of trauma shears a good to have in your pack. They cut through leather and other thick materials like butter. The flat portion of the tip helps prevent damaging skin.
The truth is that the makeup of a First Aid Kit is a pretty personal thing. What's huge for a sportbike's tail compartment is trivial for a Goldwing. Skillset also plays a factor. There are plenty of things that you could benefit from carrying if only you knew how to use them. Here are other, optional things that you might want to consider:
- Insect Repellant: Even better than having something for treating insect bites is not getting bitten in the first place. If you'r riding where you can see clouds of mosquitos (I'm looking at you, Key West), remember to pack some.
- Nasopharyngeal airway: As intimidating as it looks, it's pretty easy to use. It still brings tears to my eyes in that funny way to remember the first time I tried one on myself. Just check Youtube to see how it's done. It's advantage over other methods is that it doesn't provoke gag reflex and it can be used on conscious victims (typically). Just about any time CPR is needed, assuring an open airway is desireable.
- Occlusive Chest Seals: Mainly designed for bullet wounds to the thoracic area where wound packing isn't practical. However it can be also used for any type of perforation wound (think branches in an off-road scenario) or to to maintain pressure over bandages.
- Sam Splint: These are used for makeshift splints, and can be bent to whatever shape appropriate. I actually formed it to the bottom of my main riding backpack to give the bag some stability and protect the contents from impact, so it doesn't really take up any space to carry.
- Sharpie: Suitable for marking on skin or other materials, such as taking note of tourniquet application time. Or for phone numbers at the bar.
- Sunscreen lotion: You should be covering up while riding, but nonetheless neck-burns are any motorcyclist's trademark. If you burn easily or have the space, consider carrying some, just in case.
With this you'll have put together a kit better than anything available on the market, all while being relatively compact and actually useful. Good job!
- It's a pain, both to stock and restock your First Aid Kits. Not to mention expensive. Especially considering that for most people need multiple FAKs (one in the bike, one in the car, one in the wife's car...). The absolute biggest recommendation I can make is to buy boxes of 100 individually-sealed doeses (or more) instead of bottles. That way you can simply stash a few packets in each FAK, instead of having to buy whole bottle for each bag like you'd have to do if buying at your local supermarket. Individual packets are the only way to make a cheap, compact First Aid Kit. You can also make packages yourself, but for the cost (and considering sterility, dosing instructions and labeling), it's simply more worthwhile to buy them online. Compared to packaging them yourself, another benefit is that it can avoid a world of headache if law enforcement is ever dubious of the nature of those loose pills you have in zip lock baggies.
- Another tip, kinda related to the first, is that as long as it's in sealed sterile packaging, it tends to stay sterile. You can find plenty of discounted QuikClot packages or other such items recently expired on Ebay that are still perfectly good. After all, if you take a tumble on a curve, it's not like the pavement left you a sterile wound to begin with. If you know what to look for (and what to avoid), they can be a great way to save money.
- What about Bite-sticks for seizures? Modern practice does not recommend their use, as they can do more harm than benefit. The current practice is to leave the patient alone in a protected environment to go through seizure. It may still be used as a splint or for aiding with administration of oral glucose when placed between cheek and gums.
- What about Saline Solution? You'll typically see this recommended for motorcycle FAK's, and it makes me wonder if they actually practice what they preach. While there isn't anything better for eye or wound irrigation, there is no way you can pack a useful amount as a casual rider not expecting to get into trouble. Just use potable water, which you should be carrying anyways.
Step 3: What About Training?
Needless to say, having the tools does you no good if you don't have the knowledge to use them. That's why no one but a professional should even think about putting a decompression needle (that sharp thingy you stick in someones chest for a tension pneumothorax) in their FAK. Likewise, leave the emergency airways to the movies, you won't be poking hollow pens in anyone's throat. But that still leaves an unfathomable amount of tips and tricks that don't come on the bottle's label that you should learn about. Keep in mind that anything you put in your kit that you don't know how to use (or don't feel confident using) is just taking up wasted space.
Doing a CPR course is just a start, but an important one at that. Click here to find a CPR course from the American Red Cross near you. "Theory-only" classes are worthless (except as a refresher), so make sure to find one that includes classroom practice. I've had a friend save a life on the roadway with CPR, so it's definitely worth knowing how to do right.
Besides CPR, hands-on basic First Aid and Emergency Training is also very important. Consider taking a Community Emergency Response Team course in your area. They are free, and include both theoretical and hands-on training. It's a two day course so you will learn something new, guaranteed. Even more so because they are normally taught by firefighters or other such professionals. It's definitely a worthwhile experience, and they'll give you a free backpack and some gear for the effort.
Regarding theory, the truth is that you can find better and more diverse information via Google or Youtube than anyone could encompass in a single book, so there isn't really a need to buy information these days. Nonetheless, it can be quicker to jump start the learning process with well-organized, accredited information. A great starting point is Blood, Sweat & Gears: Ramblings on Motorcycling and Medicine by Flash Gordon (not thatFlash Gordon, regrettably). It's made for motorcyclists, by a motorcyclist, so you'll find some information there that you won't find anywhere else. Another, more exhaustive book I liked is the American Medical Association Handbook of First Aid and Emergency Care. And finally, another cool option is The Wilderness: First Aid Handbook, because it's compact and the pages are literally waterproof making it a good option to carry with you on longer trips.
The takeway is that information is easier to come by then ever before (just look at what you're reading right now!), so take advantage of it and inform yourself. Someday it could save a life.
Step 4: Motorcycle Accident Victim Checklist
So you "had to lay 'er down", did you? Uh huh. Suuure we believe you. So now what?
The honest reality is that the results of a motorbike accident are totally unpredictable. Plenty of people walk off without a scratch, and others, well, no need to be that grim. It would be nice to simply say "visit a doctor" after every accident, even if you just low-sided at slow speed on a curve with no "real damage" beside some superficial gear and ego scratches. But in the real world most won't bother with the hassle and expense of doing so unless it's blatantly necessary. You can agree or disagree all you want, but it's what us silly humans do.
The question then turns into "How do I know if I really should go to the doctor?" I'm glad you asked. Thanks again to Flash Gordon's Book, we have a one page detailed checklist to go over whenever someone falls off a bike. It's easy to skip or miss things under the adrenaline rush, and on the side of the road is not the moment to start googling things. I really recommend everyone print this out and stuff it under their bikes seat. It could be a lifesaver.
How To Print It Out
First download the attached document using the link below. The checklist is intended to be printed on cardstock (thick paper), double sided (I used an Epson WF-3640) and then cut to size. To print double sided, print pages 1-2 using Paper & Sizing Handling as "Multiple - 1 by 2", with High Quality and normal print paper (even though we're using cardstock). Then reverse page manually and print pages 3-4. Cut to size.
Step 5: Takeaway
Putting together a quality First Aid Kit, and learning how to use it, is easier and cheaper than ever. There really is no excuse! Hopefully this post serves any reader as inspiration and motivation to finally check this topic off their to-do list.
And if you already have a First Aid Kit, what do you carry? What would you change? And suggestions?
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