HSGI Bleeder/Blowout Pouch - Build Your Compact Blowout Kit

If you are a shooter, it stands to reason that you should be able to treat a gun shot wound (on yourself or others). This is especially true if you attend training classes where drills can become a little more dynamic than your typical range activities. In order to treat a gun shot wound you need training on how to treat the wound and the gear to treat it. If you haven't sought training yet, I suggest you do it. All of the gear in the world won't save you if you don't have at least some basic knowledge of how to use it. If you are hear to get an idea for a gear solution, I may be able to help.

I took a point of wounding care class recently and it did much to bolster my knowledge and confidence. I am certainly far from being an EMT or Combat Medic, but I now have some basic knowledge that could save a life someday. I also came out of the course with the resolve to build a kit that fit my needs as a Regular Guy.

For my needs this kit must be:

1. Compact -  If it isn't, it will be easier to justify leaving it in the truck.
2. Affordable - This is very subjective. I do not mean cheap. I am willing to spend some money on such important gear.
3. Modular - I need to be able to move it between pieces of gear relatively easily since I can't afford to put a blowout kit on every pack, chest rig, and belt rig that I own.
4. Effective - This is the most important requirement. This kit needs to be able to effectively treat the situations that I am most likely to encounter.

 Let's Deal with my requirements one by one:

Compact
HSGI makes a small pouch called the Bleeder/Blowout Pouch. The manufacturers description is as follows:

The HSGI Improved Bleeder/Blowout Pouch is designed to hold medical gear along with immediate access to medical shears. Medical shears are held securely by strap and snap. There is also a 2" wide QUICK-PULL strap along the inside of the pocket to aid in one handed removal of contents of the pouch. Pouch measures 3" x 3" x 7" , MOLLE/PALS webbing on sides for additional modular pouches or the attachment of a Tourniquet via rubber bands. Has both hook and loop w/silencer strip and side release closure . MALICE clips supplied . Constructed of 1000 Denier Cordura nylon , sewn with 135/138 bonded nylon threads . Constructed and made totally with products from in the USA . Has HSGI Lifetime Warranty *MEDICAL ITEMS NOT INCLUDED*

With dimensions of only 3" x 3" x 7", this pouch is not designed to carry a full IFAK, but it will allow you to carry the basic wound treatment items that you will need to tend to yourself (or others) until more suitable care can be given. When determining the items to carry with your limited space, look to the lessons learned in Iraq and Afghanistan.


The HSGI Bleeder/Blowout Pouch has some unique features that help is stay some compact. The most noticeable is the sleeve behind that pouch that retains your EMT shears. Shears can be a great tool for quickly removing clothing from the wound site. This sleeve has a retention strap that snaps into the handles of the shears so that they can not be lost. It also has webbing on both sides that allow you to attach a tourniquet (See this earlier post for ideas on how to attach your tourniquet to the pouch). When dealing with extremity hemorrhaging a tourniquet is your first and best line of defense. Since these two bulky items are attached to the outside of the pouch, you are free to use the space inside the pouch for other life saving items.

Affordable
The HSGI bleeder pouch costs roughly $25 shipped from many great retailers. My favorites are OpTactical and SKD Tactical. The cost of the contents will vary greatly depending on what you choose to put in but they typically won't be prohibitively expensive. I like to shop for my blowout kit supplies at Chinook Medical.

Modular
Most items that use MOLLE webbing to attach to your gear are somewhat modular already. You simple weave the webbing to attach and undo the weaving to remove the pouch. The HSGI Bleeder/Blowout Pouch is no different. However, I wanted a compact solution that took less time since dealing with webbing can be frustrating and time consuming. I decided to try Blade-Tech Molle-Loks. Molle-Loks are more rigid than typical MOLLE straps or even MALICE clips. They are hinged at the top and lock together tightly when closed. Because of this, they do not need to be threaded. Simple slide them into the webbing on the back of the pouch, then slide the other side of the MOLLE-Lok into the webbing of the item that you are attaching the pouch to, and lock them. The MOLLE-Loks come with instructions on their use. They are much quicker and easier to deal with than regular MOLLE straps for this application.

Effective
The leading cause of preventable death from gunshot wounds on the battle field today is extremity hemorrhaging. Even in the civilian world, most gun shot wounds are to the extremities. Perhaps, we as shooters should learn something from those stats and begin to carry items to deal with extremity hemorrhaging. When building a compact blowout kit, I suggest that you would be well served to concentrate on hemorrhage control items.

I have chosen the following items for my kit.

1. 4" Emergency Bandage - These are also know as the Israeli Bandage. The OLAES Bandage from Tactical Medical Solutions would also be an excellent choice. Both of these bandages allow you to treat yourself with some practice. The OLAES has some extra features explained in the video that I linked to that make it very versatile. I may consider changing to one of those soon.
2. Small package of Kerlix - Kerlix is just a guaze bandage roll.
3. Celox - Celox or Quikclot are used to promote clotting quickly and stop bleeding. They will even clot arterial bleeding quickly, though your tourniquet may be a better choice. I suggest that you get training or at least research the downsides to products like this.
4. Tourniquet - This is a must. I use the SOF-T and Cavarms tourniquets. I am hoping to be able to try the SWAT soon. I have generally avoided the CAT due to reports of breakage but it still well liked for it's compact size and light weight.
5. Small roll of tape
6. Latex-free gloves - Infection is bad. Wear gloves!
7. A glow stick - You may not be shot during the daytime. Have a light source.
8. EMT Shears

All of the above items fit relatively tightly but there would be more room for other small items. You can really pack the pouch tightly thanks to the ripcord design. You simple lay the webbing strap down inside the pouch so that the D-ring is at the top forward part of the pouch. Now you can pack everything in on top of the strap. When you need to access the items in your pouch you simply pull the D-ring. This forces everything up and out of the pouch for easy access.

No Excuses
This kit only takes up 2 columns of MOLLE space and can also fit in a cargo pocket or utility pouch in a pinch. There is no excuse to be without a life saving blowout kit when it is this compact, affordable, modular, effective. Start building your kit yesterday!