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To add a discussion point, I must admit that I'm suprised at the lack of first aid kits in most peoples responses.
Why is this the case?
As for why not a FAK... when you NEED one you NEED one, but how many have actually needed a FAK for anything serious? Granted I would never be without it, but for immediate life-threating blood loss a bit of rag is just as good, and even with proper training, you're gonna get septic and need IV antibiotics. I'm of the opinion that FAK in the wilderness are more for minor emergencies than things that will kill you in 20 mins, especially with no one to help. That said, always carry a FAK.
Chris
hey Mick, I can't speak for anyone else, but, most FAK's (as compared to comprehensive medical kits) include bandaids, some pain pills, toothache drops, etc., usually nothing that would make a difference between life and death, at least in the short term (remember I'm generalizing). OTOH, shelter, water and fire can definitely be life and death considerations both in the short term and long term, more so in some environments than in others.
Hey Mick

There are things in my FAK that would quite possibly determine a good or bad outcome (Loperamide, medicine to reduce fever, and povidone-iodine solution for wound irrigation for example), but in general first aid comes lower on the necessity hierarchy for me. Like Chris and Doc, I think most things carried in my woods FAK are first response items that will tie me over until I can get proper medical treatment (within 3 days in the typical scenario). They aren't things that will save me if I incur a life-threatening injury for which I cannot improvise a treatment (tourniquet, boiled water for wound irrigation as you let it heal out, boiled rags for improvised dressing, boil your water before you drink it to prevent waterborne illness, fashion wood splints for broken bones, etc).
On the other hand, as Cody Lundin frames it, I aim to keep my body temp at 98.6 degrees until someone finds me or I can make it out...even more so if injured. So I place protection from exposure, safe drinking water, and fire for thermoregulation and signaling all higher than first aid. Signaling would be even more important if I was seriously injured, as any serious injury would prevent me from physically making it out on my own or prevent me from retaining the presence of mind needed to get myself out.
I definitely carry a FAK in my pack though, even on short dayhikes :thumbup: I actually tend to carry too much in it I think...reminds me to start a thread on it sometime soon.
Russell
As far as my choices go, I would have like to see 4 rather than 3, but since we were limited, I based my choices on which necessary items would be the most difficult for me to reproduce.
A water proof shelter with natural materials is certainly doable, but can take a lot of time, not a good idea if you're trying to hike out and have to remake one every night, so a tarp is a god send. In some conditions, getting wet could be a death sentence. So, a tarp is my first choice (not in any order of importance).
Sanitized water, being a fairly immediate necessity, must be both available and be able to be carried. Once again, doable, but not easily, at least for me, so the Guyot is #2.
As far as the knife goes, I can find some substitutes, but nothing is going to come close to a large blade, for shelter, firewood, defense, not to mention piece of mind, and for all the smaller jobs like tool and trap building, so a machete or Khukuri, actually my Machax would be the third one.
#4 would be a monster ferro rod or a case of Bic lighters!![]()
Great post Doc :thumbup:. I like how you underlined "me". I know you are quite the expert at friction fire, so you are confident in having a Tarp, Guyot, and Knife as your top three. In my case, I haven't yet made fire by friction, and would be more willing to improvise a waterproof shelter from natural materials than a fire at this point in my life. So for me, the Knife, Guyot, and Firesteel are top three.
I'd also go with the firesteel over the lighter because although the accepted time-frame for a survival scenario is 3 days, I'd want to be able to make fires for a lot longer than that. I would guess you would be able to light more fires with a firesteel than with a lighter when the fuel runs out. Even if you manage to use the lighter flint for sparks after the fuel runs out (the sparks don't seem to be that hot, my guess is it'd take more effort or really good tinder to get a fire going).
If I were allowed a fourth, I would take my heavy duty space blanket/tarp. :thumbup: While I place the other items above it, a good tarp and cordage would really save time, Calories, and stack odds in your favor.
ETA: One more thing I forgot about the FAK discussion, I have this idea that the injured scenario happens less frequently than the lost scenario...another reason why my choices are geared towards Shelter, Water, Fire, Signaling. I believe that it is more likely you'll have to fight exposure than deal with an injury. But I realize I don't actually know if this is true statistically. Are most "survival" situations people who are lost, or people who are injured and are unable to make it back?
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