Absolutely, without adequate training, any first aid kit is pretty useless BUT if you've got a massive bleed on a limb, you want a tourniquet, the SOF tourniquets, specifically Gen5 are designed for one handed application. I do Get your point about thoracic wound seals, it's all about good training BUT this, I'd rather die trying than just sit there and watch myself (or someone else) bleed out or suffocate because I didn't have the gear to make a "try" have some chance of success, back in the day we were trained to seal sucking wounds with a credit card and some tape...... asked what we should do if the wound was too big to be covered by just one the answer was "use a plastic bag"
And just to clarify, I'm not advocating having a massive kit, I agree with you on keeping it simple but I'm particularly stuck on having a tourniquet (and the training) and in our training it was impressed on us "it's up to you, you can just sit there and watch someone die, or you can try your best to keep them alive....and understand that you might not be able to despite your best efforts" I'm not experienced in dealing with trauma but I've been first on scene to a few incidents and yep, training is everything
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