September 16, 2023 • 22 mins
With a wealth of experience under his belt, Anthony Horton, Director of Public Safety Programs at North American Rescue, joins us to shed light on a critical yet often overlooked issue: bleeding control in emergency situations. Ever wondered about the science and strategy behind bleeding control kits? Anthony takes us on a deep exploration, sharing his unique insights from his journey as an EMT, paramedic, firefighter, and SWAT team member, underscoring the significance of bleeding control in both civilian and public safety contexts.
Make sure to check out Jason on IG @drjasonpiccolo
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Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:11):
Welcome to Protective Podcast.
We're joined by Anthony Horton,north American Rescue.
Speaker 2 (00:19):
I'm excited to be here man, this is great doing
this in person.
Nice to meet you.
Speaker 1 (00:24):
Now I just took a tour of this facility and it
kind of reminds me of likeheading into the warehouse is
like the end scene of Raiders ata Lost Ark.
That warehouse is amazing.
And one thing that was reallyamazing is like so many Made in
America signs.
I mean it's really cool.
Now, how long have you beenhere?
Speaker 2 (00:39):
Been here for 14 years.
The company's a little over 20years old and I've been here for
14.
Speaker 1 (00:43):
What do you do here?
Speaker 2 (00:44):
My title is Director of Public Safety Programs, and
so I sell into the public safetyspace really anything that's
not military, so police, fire,ems, any non-conventional
markets, you know, churches,schools, anything like that.
Speaker 1 (00:59):
They were pretty interesting background, a lot of
EMT experience, a lot of techmed type stuff.
You belong to the SWAT team,all sorts of stuff like that.
Where did that passion come?
Speaker 2 (01:08):
from that is just a desire to help people.
I've been an EMT and paramedicfor the longest time in a
firefighter and so the way thatI got here is I just started
volunteering here.
The North American Rescuesponsored a SWAT competition
once a year and so annually Iwould just come here and help
set up that training and justkind of help run that event.
And they were like, hey, youknow, what do you do on your
(01:30):
days off as a firefighter?
You know, do you cut grass orlandscape?
Like most of them I said no, Ireally don't do anything.
And they said, would you beinterested in part-time work,
just kind of helping.
And so I started here inproduct development.
That lasted about six monthsand they were like, hey, we want
you full-time.
And I was like, well, hey, I'm23 years into retirement, I
can't stop.
So you know I got to talk tothe fire chief and so we just
kind of flip flopped it and Iwent to part-time there and came
(01:52):
here full-time and been herefor 14 years and love it, moved
out of product development intosales and that's what I do now.
Speaker 1 (01:58):
And when you talk about product development too,
is we took a tour of thefacility and the one thing that
really kind of picked me up likereally was not just a stop to
bleed kits and everything elsethat you develop there, but the
litters.
The litters is really cool.
Like you know, all I rememberthe 19, when I was in the army
in the 90s.
The litters were like okay, ifwe weren't using a real litter.
We're using cots.
Speaker 2 (02:19):
It's kind of a long way since then, it really has,
you know, because ultimately,when someone is injured to that
degree, they ultimately need tobe to a hospital, like to
definitive care, not laying on abattlefield or laying in the
street from on the civilian side, and so the casualty evacuation
and movement is just asimportant as stop the bleeding.
Yes, we need to stop the bleedas quick as we can, but
ultimately they need to be in asurgical suite somewhere or a
(02:41):
hospital, and so the litterplatforms and evacuation
platforms are pretty importantpart of that process.
Speaker 1 (02:47):
Each pound is.
It's worth it, Because I mean,you're thinking about someone
fully kidded up, Absolutely.
Even if you get rid of some ofit, they're still going to have
a lot on our body.
You know, average soldier what165, the two something, Right,
yeah?
So you don't know what you'regoing to get into.
Then you got to carry them andyou got to be able to carry them
for distance, Whether it's 50yards, 10 yards or miles.
Speaker 2 (03:05):
Absolutely.
Speaker 1 (03:06):
So getting that, you know that litter out there.
That's some interestingdevelopment, and it's compact
too, it's not like what you said, like you, know, the old days
are just going to roll them up.
Speaker 2 (03:15):
Right yeah, we have, you know, non-rigid litters that
fold up real small, and then wehave the rigid litters, like
the ones we saw, that you knowthat have the metal poles in
them, and so it really justdepends on area of operation and
the mission profile of whichone works for that, for that,
for that problem, and we justtry to have a solution for each
one of those situations.
Speaker 1 (03:32):
Now you mentioned one word that I really want to.
Really, the big reason for mytrip here today was civilian.
Now, coming from you knowyou're coming from the empty
world.
I'm coming from the lawenforcement world.
It's in the military world, butthe civilian market, the
civilians need to know thisstuff, absolutely.
They do.
Like we were talking before theshow.
(03:53):
It's like I have a million.
I have tourniquets everywhere.
I got two teenagers at home.
Do they know how to use atourniquet?
So you guys, you have thetourniquets and everything, but
the big thing is stopping thebleed.
So let's talk about where didthis came from and how did North
American rescue get into thatmarket.
Speaker 2 (04:09):
Okay, so obviously the tourniquets in our iFACs,
our individual first aid kitsthat you used in the military
and that we've been selling foryears, existed before.
There were active shooterevents every day throughout the
world.
But as a result of the SandyHooks school shooting, a group
of surgeons and doctors gottogether in Hartford,
connecticut, and said, hey, wecan't stop the threat, right,
(04:30):
the active shooter stuff isgoing to happen, but let's come
up with a solution that we canput into public venues to
provide a solution to stopbleeding, much like we did with
AEDs years ago.
And so this group of surgeonsand doctors it was called the
Hartford Consensus because theywere in Hartford, connecticut,
they just happened to be wherethey met and they started the
Stop the Bleed program or Stopthe Bleed initiative.
(04:51):
Really an unfunded mandate,really just a set of objectives.
Hey, we think that everybodyneeds to be trained in this, or
as many people as we can.
We need the private sector,north American rescue and others
to come up with a kit solutionthat has a tourniquet, a bandage
, wound packing gauze, chestseals, and so through that
initiative because we had itkind of got everybody's
(05:11):
attention.
The doctors and surgeons areway smarter than we are.
But it got everybody'sattention to go, hey, this is
important.
And so we got on board, startedbuilding the kits and the other
part of that.
Yes, we build kits and yes,there are other competing
companies that build kits.
But the other part of thesolution is the training, the
Stop the Bleed training.
So many of our folks here, manyof our instructors, are
(05:34):
certified Stop the Bleedinstructors and we're constantly
teaching anybody that wants aclass.
For Stop the Bleed month in May, we offer free classes here
almost every day for the wholemonth.
Anybody in the general publiccan come.
I've had people from as faraway as Tennessee drive all the
way here.
They probably passed 15 Stopthe Bleed classes, but they
wanted to come to North AmericanRescue to take the class and
(05:56):
it's on their own dime.
I mean, yeah, the class is free, but they had to drive five and
a half hours and so it'simportant.
And so we try to provide goodtraining, because the kits
without the training is not realas useless, and the training
without the kits is really atwo-part solution.
So we try to.
That's our goal, that's ourpartnership with the American
College of Surgeons is toprovide the kits and the
training, and we're doing thatall over the place.
Speaker 1 (06:18):
It's very easy to do.
I signed up for a course.
I wasn't able to make it, butjust going online you can sign
up.
There's so many local courses.
Speaker 2 (06:23):
Yes, we do have an online version on our learning
management system under ourtraining.
Yeah, you can do the wholecourse online, absolutely.
Speaker 1 (06:30):
The cool thing is you mentioned up AEDs.
Now we both kind of similarages and stuff you know.
I'm 50.
Speaker 2 (06:37):
I'm with you.
Speaker 1 (06:38):
But the thing is, too , is like you know, back in the
day, an AED was like aspecialized piece of equipment.
You know where you find it Ahospital.
Speaker 2 (06:45):
A doctor's office.
Now you find them everywhere, Imean everywhere.
Speaker 1 (06:48):
Yeah, now I'm taking a look at a bleeding control kit
here and I'm thinking aboutwhen you're talking about active
shooters and stop the bleed.
It's not just active shootersanymore.
Speaker 2 (06:57):
It's anything Bleeding is bleeding, I'm sure.
Speaker 1 (07:00):
I mean, I have myself .
You know you cut yourself.
You have literally seconds andminutes.
So let's take a look at thisbleeding control.
What we're doing I meanobviously this is audio, but I
want everybody to kind of we'relooking at it like it's almost
like a kit that you could bringeither with on your person or
you can have it on a wall, whichis kind of cool, because we,
during a tour today, you havethese, the AEDs, on a wall, but
(07:21):
then you also have areas whereyou have to stop the bleeding
kit.
So let's say, can you kind ofexplain what comes in one of
these kits?
Yep absolutely.
Speaker 2 (07:28):
I talk about the location because you kind of
alluded to that.
The kits are usually mountednear the AEDs or at least near a
fire extinguisher, Just kind ofa general place in a hallway,
not in a closet.
It's out, visible, where peoplecan see it.
So some people are sensitive tothat, especially churches, that
they don't want a bleeding kiton the wall.
So they want to try to hide itor not make it as visible.
But the problem is is whensomebody is bleeding you've got
(07:49):
to kind of know where that kitis and so, just like today, as
you're walking through publicvenues and airports and malls,
you'll start to notice it.
Now that we're talking about it, You'll notice it on the wall.
But in the bleeding control kit, as I mentioned, the American
College of Surgeons kind of setthe standard of what should be
in a kit.
There's probably 40 commerciallyavailable tourniquets on the
(08:09):
market now.
We obviously sell and promotethe cat tourniquet.
It's the only one we sell.
So all of our kits are going tohave a cat tourniquet.
There are other competingcompanies that will have their
version of a tourniquet, but thekits should have a tourniquet
in it.
One-handed use is ideal in caseyou're the one putting it on
yourself.
Israeli-style pressure dressing.
Our version is called theemergency trauma dressing, but
(08:29):
it's just our version of theIsraeli dressing.
The Israeli dressing by namehas been around a while and
through the military it is areal dressing.
It was made in IsraelOriginally.
It's made in the States now,but just a pressure dressing for
direct pressure.
The kits should have woundpacking gauze, whether it be
non-hemostatic gauze or someform of hemostatic gauze,
(08:50):
whether it be quick clot orcellox gauze or chirogaz.
There's probably a half a dozenof those on the market of
blood-stopping type managers.
A pair of gloves.
We can't put all sizes small,medium, large and extra large.
Our default size is large, butif you grab one of our kits, at
least you're going to havesomething on your hands for
personal protection.
They won't fit perfect, butyou'll have something.
(09:12):
One thing that we do a littlebit different in our kits is we
give you the option for a chestseal.
We put trauma shears in ourkits as well so that you can
expose the patient.
All of our kits also have anindividual pictorial instruction
card, much like an airplanesafety card that's in the back
of an airplane seat.
(09:33):
It'll show you how to get out.
Our pictures are just verybasic.
This is how you put thetourniquet on.
This is how you use thepressure dressing.
This is how you put on a chestseal.
Again, the kit.
Without some basic knowledge ofhow to use this stuff is kind
of useless.
We provide the instructions inthe kit.
We provide the online training,Like I said.
Like you mentioned, there arestop-the-bleed courses offered
all over the United States, justabout everywhere.
(09:55):
A two-part solution.
We just want to be one of theproviders of the kits and the
training.
Speaker 1 (10:01):
A lot of times when you have a bleed, the mergers or
responders, whether it's copsor whether it's EMTs or anything
.
They're really the second onethat's going to respond to the
pain.
Speaker 2 (10:11):
They are.
The person that's there firstis the first responder, whether
that's yourself or whethersomeone else that's there.
Speaker 1 (10:18):
It's not only imperative that you have the
training, but if you're bleeding, you might have to explain this
to someone else Absolutely, tobe able to talk somebody through
how to do it.
Speaker 2 (10:26):
Hand them, hey, my kit's right here, we can grab it
, or in my trunk or wherever, itis For sure.
The more people we can gettrained, the better off it is
for everybody Because, again,it's not just for active shooter
.
As long as there's the religionand politics, we're going to
have that.
So.
But aside from active shooterbleeding it can be an industrial
accident, it could be a caraccident, it could be a honey
accident.
(10:46):
We have a lot of secondamendment gun owners.
That's a huge market for usbecause accidental discharge,
negligent discharge on the rangeor in a competition is a real
thing.
They're not planned, it'snegligence or it's an accident,
but you bleed the same way.
That's a big market for ourstop the bleed kits and
tourniquets is to have thoserange safety officers and those
(11:08):
folks that are exercising theirsecond amendment right to be a
gun owner to have at least atourniquet but hopefully an
entire stop the bleed kit withthem.
Speaker 1 (11:15):
And you know where you're finding with this.
Competition shooting iseverybody and anybody's doing it
?
Oh yeah, a lot of times thepeople are doing competition
shootings.
I'm doing it for about a yearnow and I've noticed that you
have a very small percentilethat are law enforcement and
that are military there.
Speaker 2 (11:29):
It's usually the general public, yeah, just
picking up the sport or thehobby, however you want to look
at it.
Speaker 1 (11:34):
And when you roll to a range you know you're going to
see maybe one stop the bleedkit, maybe two, and the ranges
are allowed Right.
So if you do have an issue,that's going to happen, if you
don't have proper comms,someone's going to be scrambling
to try to find that and that's.
That's literally minutes, right.
Speaker 2 (11:49):
Yeah, and and since you just said minutes, that's
really what it boils down.
When we're talking about amajor arterial bleed, you bleed
out in two to three minutes,regardless of what it whether
it's an active shooter or a coreextent bleeding is bleeding,
and if you transect that vesseland artery, it's two to three
minutes is all you saw.
You've got, we've got five tosix leaders in our body as an
adult, and once it's on theground, it's.
(12:11):
It's not we can put it back in.
A paramedic can't put it backin.
We're not magic magicians,we're paramedics.
And so the sooner we can stopthat bleed with direct pressure
and application but turn it,regardless of who puts it on,
gives that person a chance.
Speaker 1 (12:26):
Right, let's, let's.
I'm not going to ask aboutprice, but let me.
Let me get my little soapboxhere for a second.
But let's say you have a matchand you have me and a 30 80
people, sean, depending on thetype of match, maybe one month,
you add like five bucks to thematch fee and every kit.
So for everybody who doesn'tknow about what I believe me, I
love talking about competition.
Shooting is.
(12:46):
So every every lane let's sayyou have seven or eight
different lanes you know squads,everything.
Each squad will have a box andin that box will have like Pacey
so you could pace up thetargets, and you know timers and
stuff like that.
How about?
Every box has a stop to bleedkit?
Speaker 2 (13:01):
Yeah.
Speaker 1 (13:03):
You know I mean tourniquets and quick clot.
Speaker 2 (13:05):
Right, absolutely Just something Right,
something's better than whatthey probably have now, which is
nothing.
Speaker 1 (13:10):
Yeah.
Speaker 2 (13:11):
A lot of your law enforcement officers now you'll
notice on their duty belt as yougo about your daily life.
A lot of them will have atourniquet on their duty belt.
It's either personal purchaseor, hopefully, agency purchased
and issued.
They're trained at least justto have the tourniquet.
You know they already carry alot of stuff so they don't
really have room for a full kitlike a SWAT vest does.
But a normal patrol officer,all of our normal officers, our
(13:34):
patrol officers around here,have it on their belt.
It's agency issued and they'retrained on it annually.
Speaker 1 (13:39):
And there's an incredible video.
I guarantee you've seen it.
It's out of Las Vegas.
There is a thinking officerinvolved shooting and he pulls
the tourniquet out of his ankleholster.
Speaker 2 (13:48):
Yeah.
Speaker 1 (13:49):
I mean ankle holsters , I mean, there's ways.
I mean, when it comes totourniquets, you could really
pretty much sash many.
Speaker 2 (13:54):
That's actually how our the county we're in right
now, greenville County, southCarolina that's how our agency
here decided to get tourniquets.
One of their deputies was in analtercation with a suspect.
The suspect was able to get hisfinger on the trigger in the
holster and pulled the triggerwhile the gun was holstered and
the projectile went through thedeputy's thigh and so he had an
(14:16):
ankle tourniquet holster that hepurchased with his own money
from us.
He pulled the tourniquet outand instructed a fellow deputy
that was coming to his aid howto put it on.
Well, that night one of ourtrauma surgeons here at Prisma
Health went on the news and saidhad Brandon, that officer not
had his own tourniquet, he wouldhave bled to death.
And so, you know, the next fewdays the agency, greenville
(14:37):
County Sheriff's Office, boughttourniquets for all of their
officers, and then GreenvilleCity Police Department followed
suit.
Because they're in the county,they bought tourniquets for all
of their officers andunfortunately, unlike the
military, the civilian world isa little bit more reactive than
proactive because it is tied tofunding, and so when bad things
happen like that or accidentshappen like that, it's really a
reactive response to go, hey, weshould probably be better
(14:59):
prepared or we should probablybe better trained.
We see an uptick in businesswhenever an active shooter event
happens in the United States orwe have an officer involved
event like that.
We get calls the next day goinghey, you know, we messed up.
We really need to be betterprepared, and so it's
unfortunate that we're reactivethat way.
It's just the way society'sgeared right now.
(15:20):
It's good for business, for us,but that's really not what we
want.
We would rather everybody justbe prepared.
I would rather sell you a kitand you never use it.
I just rather it right on thewall and go out of date and you
just never use it.
Speaker 1 (15:31):
You know, I really see the market in the civilian
world and you know the reason Isay market.
It's really just kind of howcivilians could help protect
themselves and I think about aconstruction site and I think
about like I'm just thinkingabout my own bleeds over the
years and, like you know, Ibroke a toilet and I sliced my
finger.
Speaker 2 (15:48):
It's like you think about now?
Speaker 1 (15:51):
you have construction sites you have everywhere and
you might have, you know,language barriers and just how
did nobody I mean yeah, we knowtourniquets because we come from
that community I mean, you'veseen them in the movies and
still, there's still that thatbleeding, or if you put a
tourniquet on, you're going tolose a limb, and I think it's a.
It's a lawsuit, so let's getinto.
You know what is the reality ofusing it?
Speaker 2 (16:13):
Okay, all right, the our tourniquet in.
In many of the the commerce,other commercially available
tourniquets are designed in sucha way to not only be effective
at controlling hemorrhage butthey're safe and effective,
meaning they don't generate.
They generate enough pressureto control hemorrhage, but not
so much pressure that they'regoing to damage nerves.
Now, obviously, even with ourtourniquet, if you put this
tourniquet on and leave it onfor 24 hours, yes, you could
(16:36):
potentially have some nervedamage or paralysis or have to
have the limb amputated.
But in the civilian world,unlike being having to be
evacuated off the battlefield,we're in the street or we're in
the woods.
How long does it really take toget to a trauma center?
Now, are there extremeincidences where maybe you're
out deer hunting and nobodyfinds you for hours?
Yes, of course those are goingto happen, but normally you're
(16:56):
going to be in the trauma centerat least for the couple of
hours.
Well, the tourniquet is designedto be safe for that, for that
short amount of time.
So it really comes down to thescience behind the tourniquet
and how it's designed and howmuch pressure it generates.
That's the problem withimprovised tourniquets.
You know, at the BostonMarathon bombing there were
plenty of photos and newsreports of people using belts or
ratchet straps or shoe stringsto to to make an improvised
(17:18):
tourniquet and while again,while those are effective in
controlling hemorrhage, a lot ofthem are too tight, especially
a ratchet.
If you think about a cargostrap, a ratchet strap, is it
tight enough?
Are you going to get it tightenough?
Absolutely.
But you're going to getAmputation is better than losing
your life altogether.
But our tourniquet is designedand there are several other
commercial, not all, but severalother commercially available
(17:40):
tourniquets have been tested.
They're evidence based, they'retested by the military and just
proven to be safe and effectivewhere you're not going to cause
any more damage.
You're going to control thehemorrhage and buy some time for
that casualty, for that patientto get to definitive care, to a
surgical suite, because thoseinjuries require a surgical
repair.
There's no other way around.
It's not going to go backtogether.
You have to go to a hospitalfor surgical repair.
(18:03):
It's really a safe andeffective tourniquet.
Not just effective.
We could be effective with justabout anything with enough
training.
Speaker 1 (18:11):
Well, and you talk about training that's the next
thing I want to talk about waslike your facility.
You have the resources here todo practical and applicable
training.
So you're taking your own gearand you're going out there and
you're like, hey, let's see ifthis actually works.
Speaker 2 (18:24):
Yeah, absolutely.
And all of our sales staffwhether we're talking about the
international sales guys, themilitary sales guys or the
public safety sales guys we allcome from some kind of
background within that area ofoperation and so we all have
basic knowledge of medicine,some more advanced than others,
but everybody knows.
Everybody here in our companyknows how to use a tourniquet
(18:45):
and knows how to teach how to dothat.
Even our new employeeorientation the girls in
customer service or the guys inaccounting if you're a new
employee here because there arestop the bleep kits on every
wall in this building we teacheverybody how to use the kits.
It just makes sense.
It makes it easier for thecustomer service folks who may
not have the depth of medicalbackground to talk about a
tourniquet to a potentialcustomer if they've already been
(19:07):
trained on it.
And so it's twofold we teachthem how to help themselves when
they're not in this building,how to use the kits that are in
this building when they're here,and also how to address
questions from our customersthat may call in with those
questions.
So the training is a big deal.
It's just as important as theproduct.
Again, having a kit with nobody, that nobody knows how to use.
It is just useless.
Speaker 1 (19:26):
How long does it?
Let's say you, let's jump rightback to the civilian.
If you're going to take a Southto Bleed course, how long does
it take?
Speaker 2 (19:31):
An hour and a half.
Speaker 1 (19:32):
An hour and a half An hour and a half.
Speaker 2 (19:34):
Yep, the one on our online learning management
system is even quicker than that.
You could click through that inprobably a half an hour, but an
in-person course, like you andI have both taken and probably
taught, is about an hour and ahalf.
Speaker 1 (19:46):
What's this?
You know I'm looking at thisbig bleeding control kit.
Speaker 2 (19:49):
There's like a whole bunch of the eight-pack vacuum
seal components that is aneight-pack kit up until your big
outlier, active shooter events,like the Las Vegas shooting at
the Jason Audine concert, theaverage cash decal and active
shooter event was 6.5 casualties, based on FBI data.
We can't make half a kit and soif we took 6.5 and go to seven,
(20:09):
it's an odd number.
So we did one greater than theaverage, which is eight.
And so our largest stop the bigkit that we currently market
and sell as an eight-pack kitbased on that FBI data of 6.5
casualties, and it's really justeight individual throw kits
that could be mounted on a wallbeside an AED.
A lot of churches and schoolsuse this kit because, as they're
(20:29):
responding to an incident,whether it's a natural disaster,
maybe it's a tornado at aschool, not necessarily an
active shooter event but if youhave multiple casualties, just
by grabbing this one bag youhave eight identical kits.
You're not having to digthrough a bunch of different
pouches to go oh, mytourniquet's here, my pressure
dressing's here, every kit'sidentical, regardless of which
one of those eight you pull out.
They're all the same.
(20:50):
And then in this kit we talkedabout evacuation platform.
In this pouch right here is anon-rigid litter to actually
move that casually, because,again.
I told you that was important.
Stopping the bleeding isimportant.
But now we got to move thatcasually to an ambulance or
whatever the evacuation vehicleis to get to the hospital.
At the Aurora Movie Theatershooting, all of the victims
from that active shooter eventwere transported in police cars
(21:12):
and so I just responded to aSWAT call last week and the
protocol here when GreenvilleCounty SWAT goes out they have a
full-time SWAT team.
The casualty is always put on anon-rigid litter so we can
rapidly move them to an EMSstretcher, just an ESA
transmission.
We're not a transition.
We're not having to hold anklesand arms and legs.
They're already on a softlitter in the back of a patrol
(21:33):
car and we move them from thepatrol car to the ambulance, to
the hospital stretcher all onthe same soft litter.
And so it just makes themovement of that casualty who
can't help themselves, maybeheavy, maybe they're heavy and
they're bleeding just makesmoving the casualty so much
easier and we're not causingharm to the casualty but it's an
ease of transition all the wayto surgery.
(21:53):
So it works out well.
Speaker 1 (21:55):
We got tourniquets, we got litters.
What else does North AmericanRescue do with it?
Speaker 2 (21:59):
Man, we do a lot of stuff.
Speaker 1 (22:00):
I know I looked in a factory.
That's like oh my gosh.
Speaker 2 (22:02):
Lots of diagnostic equipment as far as diagnosing
patients.
We have surgical lights, wehave field hospital beds, tons
of kits.
A lot of the stuff that you sawin the warehouse is different
form factors of how to pack thisstuff together, depending on
the air vibration.
Some kits are made to bemounted to a tactical vest or a
(22:23):
military style vest.
This particular kit doesn'thave those straps on it.
It's made to go in an eightpack kit.
Same thing with a tourniquetTourniquet holders that fit on a
belt versus tourniquet holdersthat go on a vest or tourniquet
holders that go on your anklethat we mentioned A lot of parts
and pieces.
We want to provide a solutionto give all of our customers and
(22:44):
all of our product users of ourproducts a way to carry the
tourniquet relative to the areathey work in.
Speaker 1 (22:50):
Well, Anthony, I really appreciate you coming on
a show and I look forward tohaving you back on again.
Speaker 2 (22:53):
Yeah, absolutely no-transcript.
Welcome to Protective Podcast.
We're joined by Anthony Horton,north American Rescue.
Speaker 2 (00:19):
I'm excited to be here man, this is great doing
this in person.
Nice to meet you.
Speaker 1 (00:24):
Now I just took a tour of this facility and it
kind of reminds me of likeheading into the warehouse is
like the end scene of Raiders ata Lost Ark.
That warehouse is amazing.
And one thing that was reallyamazing is like so many Made in
America signs.
I mean it's really cool.
Now, how long have you beenhere?
Speaker 2 (00:39):
Been here for 14 years.
The company's a little over 20years old and I've been here for
14.
Speaker 1 (00:43):
What do you do here?
Speaker 2 (00:44):
My title is Director of Public Safety Programs, and
so I sell into the public safetyspace really anything that's
not military, so police, fire,ems, any non-conventional
markets, you know, churches,schools, anything like that.
Speaker 1 (00:59):
They were pretty interesting background, a lot of
EMT experience, a lot of techmed type stuff.
You belong to the SWAT team,all sorts of stuff like that.
Where did that passion come?
Speaker 2 (01:08):
from that is just a desire to help people.
I've been an EMT and paramedicfor the longest time in a
firefighter and so the way thatI got here is I just started
volunteering here.
The North American Rescuesponsored a SWAT competition
once a year and so annually Iwould just come here and help
set up that training and justkind of help run that event.
And they were like, hey, youknow, what do you do on your
(01:30):
days off as a firefighter?
You know, do you cut grass orlandscape?
Like most of them I said no, Ireally don't do anything.
And they said, would you beinterested in part-time work,
just kind of helping.
And so I started here inproduct development.
That lasted about six monthsand they were like, hey, we want
you full-time.
And I was like, well, hey, I'm23 years into retirement, I
can't stop.
So you know I got to talk tothe fire chief and so we just
kind of flip flopped it and Iwent to part-time there and came
(01:52):
here full-time and been herefor 14 years and love it, moved
out of product development intosales and that's what I do now.
Speaker 1 (01:58):
And when you talk about product development too,
is we took a tour of thefacility and the one thing that
really kind of picked me up likereally was not just a stop to
bleed kits and everything elsethat you develop there, but the
litters.
The litters is really cool.
Like you know, all I rememberthe 19, when I was in the army
in the 90s.
The litters were like okay, ifwe weren't using a real litter.
We're using cots.
Speaker 2 (02:19):
It's kind of a long way since then, it really has,
you know, because ultimately,when someone is injured to that
degree, they ultimately need tobe to a hospital, like to
definitive care, not laying on abattlefield or laying in the
street from on the civilian side, and so the casualty evacuation
and movement is just asimportant as stop the bleeding.
Yes, we need to stop the bleedas quick as we can, but
ultimately they need to be in asurgical suite somewhere or a
(02:41):
hospital, and so the litterplatforms and evacuation
platforms are pretty importantpart of that process.
Speaker 1 (02:47):
Each pound is.
It's worth it, Because I mean,you're thinking about someone
fully kidded up, Absolutely.
Even if you get rid of some ofit, they're still going to have
a lot on our body.
You know, average soldier what165, the two something, Right,
yeah?
So you don't know what you'regoing to get into.
Then you got to carry them andyou got to be able to carry them
for distance, Whether it's 50yards, 10 yards or miles.
Speaker 2 (03:05):
Absolutely.
Speaker 1 (03:06):
So getting that, you know that litter out there.
That's some interestingdevelopment, and it's compact
too, it's not like what you said, like you, know, the old days
are just going to roll them up.
Speaker 2 (03:15):
Right yeah, we have, you know, non-rigid litters that
fold up real small, and then wehave the rigid litters, like
the ones we saw, that you knowthat have the metal poles in
them, and so it really justdepends on area of operation and
the mission profile of whichone works for that, for that,
for that problem, and we justtry to have a solution for each
one of those situations.
Speaker 1 (03:32):
Now you mentioned one word that I really want to.
Really, the big reason for mytrip here today was civilian.
Now, coming from you knowyou're coming from the empty
world.
I'm coming from the lawenforcement world.
It's in the military world, butthe civilian market, the
civilians need to know thisstuff, absolutely.
They do.
Like we were talking before theshow.
(03:53):
It's like I have a million.
I have tourniquets everywhere.
I got two teenagers at home.
Do they know how to use atourniquet?
So you guys, you have thetourniquets and everything, but
the big thing is stopping thebleed.
So let's talk about where didthis came from and how did North
American rescue get into thatmarket.
Speaker 2 (04:09):
Okay, so obviously the tourniquets in our iFACs,
our individual first aid kitsthat you used in the military
and that we've been selling foryears, existed before.
There were active shooterevents every day throughout the
world.
But as a result of the SandyHooks school shooting, a group
of surgeons and doctors gottogether in Hartford,
connecticut, and said, hey, wecan't stop the threat, right,
(04:30):
the active shooter stuff isgoing to happen, but let's come
up with a solution that we canput into public venues to
provide a solution to stopbleeding, much like we did with
AEDs years ago.
And so this group of surgeonsand doctors it was called the
Hartford Consensus because theywere in Hartford, connecticut,
they just happened to be wherethey met and they started the
Stop the Bleed program or Stopthe Bleed initiative.
(04:51):
Really an unfunded mandate,really just a set of objectives.
Hey, we think that everybodyneeds to be trained in this, or
as many people as we can.
We need the private sector,north American rescue and others
to come up with a kit solutionthat has a tourniquet, a bandage
, wound packing gauze, chestseals, and so through that
initiative because we had itkind of got everybody's
(05:11):
attention.
The doctors and surgeons areway smarter than we are.
But it got everybody'sattention to go, hey, this is
important.
And so we got on board, startedbuilding the kits and the other
part of that.
Yes, we build kits and yes,there are other competing
companies that build kits.
But the other part of thesolution is the training, the
Stop the Bleed training.
So many of our folks here, manyof our instructors, are
(05:34):
certified Stop the Bleedinstructors and we're constantly
teaching anybody that wants aclass.
For Stop the Bleed month in May, we offer free classes here
almost every day for the wholemonth.
Anybody in the general publiccan come.
I've had people from as faraway as Tennessee drive all the
way here.
They probably passed 15 Stopthe Bleed classes, but they
wanted to come to North AmericanRescue to take the class and
(05:56):
it's on their own dime.
I mean, yeah, the class is free, but they had to drive five and
a half hours and so it'simportant.
And so we try to provide goodtraining, because the kits
without the training is not realas useless, and the training
without the kits is really atwo-part solution.
So we try to.
That's our goal, that's ourpartnership with the American
College of Surgeons is toprovide the kits and the
training, and we're doing thatall over the place.
Speaker 1 (06:18):
It's very easy to do.
I signed up for a course.
I wasn't able to make it, butjust going online you can sign
up.
There's so many local courses.
Speaker 2 (06:23):
Yes, we do have an online version on our learning
management system under ourtraining.
Yeah, you can do the wholecourse online, absolutely.
Speaker 1 (06:30):
The cool thing is you mentioned up AEDs.
Now we both kind of similarages and stuff you know.
I'm 50.
Speaker 2 (06:37):
I'm with you.
Speaker 1 (06:38):
But the thing is, too , is like you know, back in the
day, an AED was like aspecialized piece of equipment.
You know where you find it Ahospital.
Speaker 2 (06:45):
A doctor's office.
Now you find them everywhere, Imean everywhere.
Speaker 1 (06:48):
Yeah, now I'm taking a look at a bleeding control kit
here and I'm thinking aboutwhen you're talking about active
shooters and stop the bleed.
It's not just active shootersanymore.
Speaker 2 (06:57):
It's anything Bleeding is bleeding, I'm sure.
Speaker 1 (07:00):
I mean, I have myself .
You know you cut yourself.
You have literally seconds andminutes.
So let's take a look at thisbleeding control.
What we're doing I meanobviously this is audio, but I
want everybody to kind of we'relooking at it like it's almost
like a kit that you could bringeither with on your person or
you can have it on a wall, whichis kind of cool, because we,
during a tour today, you havethese, the AEDs, on a wall, but
(07:21):
then you also have areas whereyou have to stop the bleeding
kit.
So let's say, can you kind ofexplain what comes in one of
these kits?
Yep absolutely.
Speaker 2 (07:28):
I talk about the location because you kind of
alluded to that.
The kits are usually mountednear the AEDs or at least near a
fire extinguisher, Just kind ofa general place in a hallway,
not in a closet.
It's out, visible, where peoplecan see it.
So some people are sensitive tothat, especially churches, that
they don't want a bleeding kiton the wall.
So they want to try to hide itor not make it as visible.
But the problem is is whensomebody is bleeding you've got
(07:49):
to kind of know where that kitis and so, just like today, as
you're walking through publicvenues and airports and malls,
you'll start to notice it.
Now that we're talking about it, You'll notice it on the wall.
But in the bleeding control kit, as I mentioned, the American
College of Surgeons kind of setthe standard of what should be
in a kit.
There's probably 40 commerciallyavailable tourniquets on the
(08:09):
market now.
We obviously sell and promotethe cat tourniquet.
It's the only one we sell.
So all of our kits are going tohave a cat tourniquet.
There are other competingcompanies that will have their
version of a tourniquet, but thekits should have a tourniquet
in it.
One-handed use is ideal in caseyou're the one putting it on
yourself.
Israeli-style pressure dressing.
Our version is called theemergency trauma dressing, but
(08:29):
it's just our version of theIsraeli dressing.
The Israeli dressing by namehas been around a while and
through the military it is areal dressing.
It was made in IsraelOriginally.
It's made in the States now,but just a pressure dressing for
direct pressure.
The kits should have woundpacking gauze, whether it be
non-hemostatic gauze or someform of hemostatic gauze,
(08:50):
whether it be quick clot orcellox gauze or chirogaz.
There's probably a half a dozenof those on the market of
blood-stopping type managers.
A pair of gloves.
We can't put all sizes small,medium, large and extra large.
Our default size is large, butif you grab one of our kits, at
least you're going to havesomething on your hands for
personal protection.
They won't fit perfect, butyou'll have something.
(09:12):
One thing that we do a littlebit different in our kits is we
give you the option for a chestseal.
We put trauma shears in ourkits as well so that you can
expose the patient.
All of our kits also have anindividual pictorial instruction
card, much like an airplanesafety card that's in the back
of an airplane seat.
(09:33):
It'll show you how to get out.
Our pictures are just verybasic.
This is how you put thetourniquet on.
This is how you use thepressure dressing.
This is how you put on a chestseal.
Again, the kit.
Without some basic knowledge ofhow to use this stuff is kind
of useless.
We provide the instructions inthe kit.
We provide the online training,Like I said.
Like you mentioned, there arestop-the-bleed courses offered
all over the United States, justabout everywhere.
(09:55):
A two-part solution.
We just want to be one of theproviders of the kits and the
training.
Speaker 1 (10:01):
A lot of times when you have a bleed, the mergers or
responders, whether it's copsor whether it's EMTs or anything
.
They're really the second onethat's going to respond to the
pain.
Speaker 2 (10:11):
They are.
The person that's there firstis the first responder, whether
that's yourself or whethersomeone else that's there.
Speaker 1 (10:18):
It's not only imperative that you have the
training, but if you're bleeding, you might have to explain this
to someone else Absolutely, tobe able to talk somebody through
how to do it.
Speaker 2 (10:26):
Hand them, hey, my kit's right here, we can grab it
, or in my trunk or wherever, itis For sure.
The more people we can gettrained, the better off it is
for everybody Because, again,it's not just for active shooter
.
As long as there's the religionand politics, we're going to
have that.
So.
But aside from active shooterbleeding it can be an industrial
accident, it could be a caraccident, it could be a honey
accident.
(10:46):
We have a lot of secondamendment gun owners.
That's a huge market for usbecause accidental discharge,
negligent discharge on the rangeor in a competition is a real
thing.
They're not planned, it'snegligence or it's an accident,
but you bleed the same way.
That's a big market for ourstop the bleed kits and
tourniquets is to have thoserange safety officers and those
(11:08):
folks that are exercising theirsecond amendment right to be a
gun owner to have at least atourniquet but hopefully an
entire stop the bleed kit withthem.
Speaker 1 (11:15):
And you know where you're finding with this.
Competition shooting iseverybody and anybody's doing it
?
Oh yeah, a lot of times thepeople are doing competition
shootings.
I'm doing it for about a yearnow and I've noticed that you
have a very small percentilethat are law enforcement and
that are military there.
Speaker 2 (11:29):
It's usually the general public, yeah, just
picking up the sport or thehobby, however you want to look
at it.
Speaker 1 (11:34):
And when you roll to a range you know you're going to
see maybe one stop the bleedkit, maybe two, and the ranges
are allowed Right.
So if you do have an issue,that's going to happen, if you
don't have proper comms,someone's going to be scrambling
to try to find that and that's.
That's literally minutes, right.
Speaker 2 (11:49):
Yeah, and and since you just said minutes, that's
really what it boils down.
When we're talking about amajor arterial bleed, you bleed
out in two to three minutes,regardless of what it whether
it's an active shooter or a coreextent bleeding is bleeding,
and if you transect that vesseland artery, it's two to three
minutes is all you saw.
You've got, we've got five tosix leaders in our body as an
adult, and once it's on theground, it's.
(12:11):
It's not we can put it back in.
A paramedic can't put it backin.
We're not magic magicians,we're paramedics.
And so the sooner we can stopthat bleed with direct pressure
and application but turn it,regardless of who puts it on,
gives that person a chance.
Speaker 1 (12:26):
Right, let's, let's.
I'm not going to ask aboutprice, but let me.
Let me get my little soapboxhere for a second.
But let's say you have a matchand you have me and a 30 80
people, sean, depending on thetype of match, maybe one month,
you add like five bucks to thematch fee and every kit.
So for everybody who doesn'tknow about what I believe me, I
love talking about competition.
Shooting is.
(12:46):
So every every lane let's sayyou have seven or eight
different lanes you know squads,everything.
Each squad will have a box andin that box will have like Pacey
so you could pace up thetargets, and you know timers and
stuff like that.
How about?
Every box has a stop to bleedkit?
Speaker 2 (13:01):
Yeah.
Speaker 1 (13:03):
You know I mean tourniquets and quick clot.
Speaker 2 (13:05):
Right, absolutely Just something Right,
something's better than whatthey probably have now, which is
nothing.
Speaker 1 (13:10):
Yeah.
Speaker 2 (13:11):
A lot of your law enforcement officers now you'll
notice on their duty belt as yougo about your daily life.
A lot of them will have atourniquet on their duty belt.
It's either personal purchaseor, hopefully, agency purchased
and issued.
They're trained at least justto have the tourniquet.
You know they already carry alot of stuff so they don't
really have room for a full kitlike a SWAT vest does.
But a normal patrol officer,all of our normal officers, our
(13:34):
patrol officers around here,have it on their belt.
It's agency issued and they'retrained on it annually.
Speaker 1 (13:39):
And there's an incredible video.
I guarantee you've seen it.
It's out of Las Vegas.
There is a thinking officerinvolved shooting and he pulls
the tourniquet out of his ankleholster.
Speaker 2 (13:48):
Yeah.
Speaker 1 (13:49):
I mean ankle holsters , I mean, there's ways.
I mean, when it comes totourniquets, you could really
pretty much sash many.
Speaker 2 (13:54):
That's actually how our the county we're in right
now, greenville County, southCarolina that's how our agency
here decided to get tourniquets.
One of their deputies was in analtercation with a suspect.
The suspect was able to get hisfinger on the trigger in the
holster and pulled the triggerwhile the gun was holstered and
the projectile went through thedeputy's thigh and so he had an
(14:16):
ankle tourniquet holster that hepurchased with his own money
from us.
He pulled the tourniquet outand instructed a fellow deputy
that was coming to his aid howto put it on.
Well, that night one of ourtrauma surgeons here at Prisma
Health went on the news and saidhad Brandon, that officer not
had his own tourniquet, he wouldhave bled to death.
And so, you know, the next fewdays the agency, greenville
(14:37):
County Sheriff's Office, boughttourniquets for all of their
officers, and then GreenvilleCity Police Department followed
suit.
Because they're in the county,they bought tourniquets for all
of their officers andunfortunately, unlike the
military, the civilian world isa little bit more reactive than
proactive because it is tied tofunding, and so when bad things
happen like that or accidentshappen like that, it's really a
reactive response to go, hey, weshould probably be better
(14:59):
prepared or we should probablybe better trained.
We see an uptick in businesswhenever an active shooter event
happens in the United States orwe have an officer involved
event like that.
We get calls the next day goinghey, you know, we messed up.
We really need to be betterprepared, and so it's
unfortunate that we're reactivethat way.
It's just the way society'sgeared right now.
(15:20):
It's good for business, for us,but that's really not what we
want.
We would rather everybody justbe prepared.
I would rather sell you a kitand you never use it.
I just rather it right on thewall and go out of date and you
just never use it.
Speaker 1 (15:31):
You know, I really see the market in the civilian
world and you know the reason Isay market.
It's really just kind of howcivilians could help protect
themselves and I think about aconstruction site and I think
about like I'm just thinkingabout my own bleeds over the
years and, like you know, Ibroke a toilet and I sliced my
finger.
Speaker 2 (15:48):
It's like you think about now?
Speaker 1 (15:51):
you have construction sites you have everywhere and
you might have, you know,language barriers and just how
did nobody I mean yeah, we knowtourniquets because we come from
that community I mean, you'veseen them in the movies and
still, there's still that thatbleeding, or if you put a
tourniquet on, you're going tolose a limb, and I think it's a.
It's a lawsuit, so let's getinto.
You know what is the reality ofusing it?
Speaker 2 (16:13):
Okay, all right, the our tourniquet in.
In many of the the commerce,other commercially available
tourniquets are designed in sucha way to not only be effective
at controlling hemorrhage butthey're safe and effective,
meaning they don't generate.
They generate enough pressureto control hemorrhage, but not
so much pressure that they'regoing to damage nerves.
Now, obviously, even with ourtourniquet, if you put this
tourniquet on and leave it onfor 24 hours, yes, you could
(16:36):
potentially have some nervedamage or paralysis or have to
have the limb amputated.
But in the civilian world,unlike being having to be
evacuated off the battlefield,we're in the street or we're in
the woods.
How long does it really take toget to a trauma center?
Now, are there extremeincidences where maybe you're
out deer hunting and nobodyfinds you for hours?
Yes, of course those are goingto happen, but normally you're
(16:56):
going to be in the trauma centerat least for the couple of
hours.
Well, the tourniquet is designedto be safe for that, for that
short amount of time.
So it really comes down to thescience behind the tourniquet
and how it's designed and howmuch pressure it generates.
That's the problem withimprovised tourniquets.
You know, at the BostonMarathon bombing there were
plenty of photos and newsreports of people using belts or
ratchet straps or shoe stringsto to to make an improvised
(17:18):
tourniquet and while again,while those are effective in
controlling hemorrhage, a lot ofthem are too tight, especially
a ratchet.
If you think about a cargostrap, a ratchet strap, is it
tight enough?
Are you going to get it tightenough?
Absolutely.
But you're going to getAmputation is better than losing
your life altogether.
But our tourniquet is designedand there are several other
commercial, not all, but severalother commercially available
(17:40):
tourniquets have been tested.
They're evidence based, they'retested by the military and just
proven to be safe and effectivewhere you're not going to cause
any more damage.
You're going to control thehemorrhage and buy some time for
that casualty, for that patientto get to definitive care, to a
surgical suite, because thoseinjuries require a surgical
repair.
There's no other way around.
It's not going to go backtogether.
You have to go to a hospitalfor surgical repair.
(18:03):
It's really a safe andeffective tourniquet.
Not just effective.
We could be effective with justabout anything with enough
training.
Speaker 1 (18:11):
Well, and you talk about training that's the next
thing I want to talk about waslike your facility.
You have the resources here todo practical and applicable
training.
So you're taking your own gearand you're going out there and
you're like, hey, let's see ifthis actually works.
Speaker 2 (18:24):
Yeah, absolutely.
And all of our sales staffwhether we're talking about the
international sales guys, themilitary sales guys or the
public safety sales guys we allcome from some kind of
background within that area ofoperation and so we all have
basic knowledge of medicine,some more advanced than others,
but everybody knows.
Everybody here in our companyknows how to use a tourniquet
(18:45):
and knows how to teach how to dothat.
Even our new employeeorientation the girls in
customer service or the guys inaccounting if you're a new
employee here because there arestop the bleep kits on every
wall in this building we teacheverybody how to use the kits.
It just makes sense.
It makes it easier for thecustomer service folks who may
not have the depth of medicalbackground to talk about a
tourniquet to a potentialcustomer if they've already been
(19:07):
trained on it.
And so it's twofold we teachthem how to help themselves when
they're not in this building,how to use the kits that are in
this building when they're here,and also how to address
questions from our customersthat may call in with those
questions.
So the training is a big deal.
It's just as important as theproduct.
Again, having a kit with nobody, that nobody knows how to use.
It is just useless.
Speaker 1 (19:26):
How long does it?
Let's say you, let's jump rightback to the civilian.
If you're going to take a Southto Bleed course, how long does
it take?
Speaker 2 (19:31):
An hour and a half.
Speaker 1 (19:32):
An hour and a half An hour and a half.
Speaker 2 (19:34):
Yep, the one on our online learning management
system is even quicker than that.
You could click through that inprobably a half an hour, but an
in-person course, like you andI have both taken and probably
taught, is about an hour and ahalf.
Speaker 1 (19:46):
What's this?
You know I'm looking at thisbig bleeding control kit.
Speaker 2 (19:49):
There's like a whole bunch of the eight-pack vacuum
seal components that is aneight-pack kit up until your big
outlier, active shooter events,like the Las Vegas shooting at
the Jason Audine concert, theaverage cash decal and active
shooter event was 6.5 casualties, based on FBI data.
We can't make half a kit and soif we took 6.5 and go to seven,
(20:09):
it's an odd number.
So we did one greater than theaverage, which is eight.
And so our largest stop the bigkit that we currently market
and sell as an eight-pack kitbased on that FBI data of 6.5
casualties, and it's really justeight individual throw kits
that could be mounted on a wallbeside an AED.
A lot of churches and schoolsuse this kit because, as they're
(20:29):
responding to an incident,whether it's a natural disaster,
maybe it's a tornado at aschool, not necessarily an
active shooter event but if youhave multiple casualties, just
by grabbing this one bag youhave eight identical kits.
You're not having to digthrough a bunch of different
pouches to go oh, mytourniquet's here, my pressure
dressing's here, every kit'sidentical, regardless of which
one of those eight you pull out.
They're all the same.
(20:50):
And then in this kit we talkedabout evacuation platform.
In this pouch right here is anon-rigid litter to actually
move that casually, because,again.
I told you that was important.
Stopping the bleeding isimportant.
But now we got to move thatcasually to an ambulance or
whatever the evacuation vehicleis to get to the hospital.
At the Aurora Movie Theatershooting, all of the victims
from that active shooter eventwere transported in police cars
(21:12):
and so I just responded to aSWAT call last week and the
protocol here when GreenvilleCounty SWAT goes out they have a
full-time SWAT team.
The casualty is always put on anon-rigid litter so we can
rapidly move them to an EMSstretcher, just an ESA
transmission.
We're not a transition.
We're not having to hold anklesand arms and legs.
They're already on a softlitter in the back of a patrol
(21:33):
car and we move them from thepatrol car to the ambulance, to
the hospital stretcher all onthe same soft litter.
And so it just makes themovement of that casualty who
can't help themselves, maybeheavy, maybe they're heavy and
they're bleeding just makesmoving the casualty so much
easier and we're not causingharm to the casualty but it's an
ease of transition all the wayto surgery.
(21:53):
So it works out well.
Speaker 1 (21:55):
We got tourniquets, we got litters.
What else does North AmericanRescue do with it?
Speaker 2 (21:59):
Man, we do a lot of stuff.
Speaker 1 (22:00):
I know I looked in a factory.
That's like oh my gosh.
Speaker 2 (22:02):
Lots of diagnostic equipment as far as diagnosing
patients.
We have surgical lights, wehave field hospital beds, tons
of kits.
A lot of the stuff that you sawin the warehouse is different
form factors of how to pack thisstuff together, depending on
the air vibration.
Some kits are made to bemounted to a tactical vest or a
(22:23):
military style vest.
This particular kit doesn'thave those straps on it.
It's made to go in an eightpack kit.
Same thing with a tourniquetTourniquet holders that fit on a
belt versus tourniquet holdersthat go on a vest or tourniquet
holders that go on your anklethat we mentioned A lot of parts
and pieces.
We want to provide a solutionto give all of our customers and
(22:44):
all of our product users of ourproducts a way to carry the
tourniquet relative to the areathey work in.
Speaker 1 (22:50):
Well, Anthony, I really appreciate you coming on
a show and I look forward tohaving you back on again.
Speaker 2 (22:53):
Yeah, absolutely no-transcript.
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