Preps to Consider: The Ankle IFAK

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Several years ago, I was in talks with James, owner of Preppers Broadcast Network. He said, “I really think that if somebody is going to carry a weapon on a daily basis, they really need to consider carrying medical gear as well.

I spent a lot of time thinking over what he had to say and came to the conclusion that he was right.

Why do you carry a pistol on a daily basis? To be able to protect yourself, your family, and those around you, correct?

Personally, I think now is more important of a time to carry than ever. You have people being executed in the streets by Antifa, people being dragged out of their cars and beat half to death by communist mobs, and arsonists knocking people unconscious as they loot entire neighborhoods.

America is currently under siege

The well-armed American is not only capable of defending his countrymen from these invaders, but he’s able to help clean up the aftermath of the innocents who have been injured as well. Consider the aftermath of a mass shooting event: you’ve successfully dealt with the threat, now can you provide medical help to those who were injured before you stepped in?

Can you stop a bleed? Can you perform CPR? Can you keep yourself safe in the process?

These are all valid questions to ask the concealed carry holder, and it’s because of these questions that I began looking at constructing an ankle IFAK kit. (IFAK = Individual First Aid Kit.)

Today, I’m going to show you my setup to hopefully give you some ideas. I’m not dogmatic with what others carry medical-wise, but I share this to get you thinking what may work best for you. Even if you decide that carrying an ankle IFAK isn’t for you, perhaps it will at least give you food for thought for gear to carry on a daily basis (or at the very least, to stuff inside your vehicles).

The 0verall rig

The hardest component to find was the ankle strap itself. Amazon carries a couple of versions of them, but I’ve also found that military surplus stores are good places to hunt for these items as well. The only con I’ve found with some of the military surplus stores in my area is that they want to sell you a pre-assembled kit.

If you’re looking to piece meal this kit with the gear you like to use, that can be a rather expensive chunk of change to plop down on the table at one time.

Here’s the equipment I carry:

  • Two pairs of gloves
  • An Israeli battle dressing
  • A tourniquet
  • Medical shears

The profile

That’s it. That’s all I put in this ankle IFAK. Part of that is due to my desire to keep this from developing into an ankle weight, part of it is from lack of anymore space, but the main reason is that I want to keep the profile of this rig as small as possible.

There’s really minimal signature when it’s strapped on my ankle.

I don’t want anybody to look at me and be able to easily tell there is something strapped to my ankle. The less gear I carry in this, the better I am able to do so. You have to find the happy balance that gives you extra gear without extra profile. This is my same philosophy with the general purpose MOLLE pouch. I found it worked best as an under the seat grab-bag because of the profile when inside my coat. Discretion matters.

The philosophy behind this setup

Let’s start with the gloves.


People are disgusting.

That’s all you need to know.

Okay, maybe that’s not all you need to know, but I will say that coming across somebody who is bleeding is likely to be one of the most common injuries you’ll stumble across. In my own experience, that’s one of the chief injuries I come across while out in public.

Blood-borne pathogens can be particularly nasty, and though you want to be able to provide aid to an injured person, you want to be able to do so without picking up an STD in the process. Gloves help you to do this. (These are impossible to find in my geographic region at the moment, so you may have to settle for an online purchase here.)

A compression bandage ($10)

The Israeli battle dressing (IBD) is what is known as a compression dressing. They apply and hold somewhere around 30 pounds of pressure against a wound, helping to keep it from bleeding too much. You can apply these things just about anywhere, they cost right around $10, and they work.

Let’s say you come across a mass casualty event. With an IBD, I can put pressure on a wound for one person, and then move on to the next. You can save more lives with compression bandages than you could otherwise.

Think of them as a force multiplier for the lone first responder.

Why and IBD rather than an OLAES or some other form of compression bandage? None of the other pressure bandages fit. I didn’t choose an IBD because I prefer it, but because it was actually something that was EDC capable.

A tourniquet ($20)

A tourniquet is important for the injuries that a compression bandage isn’t going to touch. I do recommend practicing applying one of these (as well as a compression bandage) every blue moon so that you’re not rusty in your skillset when it’s time for action.

North American rescue tourniquets, though immensely popular, give too big of a profile, so I chose a CAT tourniquet instead.

Medical shears ($7)

If you need to use an AED, cut through a seatbelt, remove clothing from a swollen limb, or remove clothing to treat an injury from somebody with a joint injury (e.g. abdominal impalement after tumbling down a ravine and a dislocated shoulder) medical shears can help to save the day.

The pair I included here is incredibly small, but they give almost zero profile. They fit real well snugged away in the MOLLE strapping as well.

(For more information on preparedness, make sure to check out our free QUICKSTART Guide to what to eat when the power goes out.)

Other items to consider

What I include in my kit is most certainly not the end-all of IFAKs. This is just what I choose to carry with me. I fully acknowledge that there are a number of other great options out there to consider as well. For the new prepper, here are a few other items you may want to at least consider keeping in your vehicles…

QuickClot ($15)

Personally, I like QuickClot better than Cylox, but some type of clotting agent is most certainly better than nothing. The only reason I didn’t include either of these in my ankle IFAK kit is because I couldn’t make them fit. Instead, I keep these in an EDC bag, and in my vehicles.

Could I easily throw a packet of something like this into my inner coat pocket as well? Yeah, but I don’t. So there.

Hyfin chest seals ($10/2)

I do have some Hyfin chest seals I carry around as well, but they’re too big for me to fit into the ankle holster. Instead, I just slip one into my coat pocket. These seals are great for treating sucking chest wounds such as one may experience after a gunshot wound to the lung. Is this a piece of gear with a low probability of being used compared to the rest of the IFAK gear?

Yeah, I think so, but it weighs virtually nothing, takes up little pocket space, and gives me the ability to help keep somebody alive should I come across somebody in need. If you think this is overkill, just stick it in your EDC bag, car kit, or BOB instead.


I always keep this on my person mainly to help people with heart attacks. I wrap four pills in a little sheet of aluminum foil and keep them in my EDC bag. Again, this could easily fit in my pocket, I just don’t carry them that way.


I use the same aluminum foil method as my aspirin with these. I have friends with food allergies, have witnessed them have reactions before, and I’m not going to get stuck in a situation where I watch them die because I couldn’t carry four stupid, OTC pills with me.

Overkill? I don’t think so.

This is about the limits of what an IFAK is

Anything else really starts to delve into more of a first-aid kit than a true IFAK. Really, aspirin and Benadryl probably are more “first-aidy” than “IFAKy” as well, but I digress.

I’m mainly focusing with dealing with trauma – not first aid – with this kit.

Maybe I’m splitting hairs, but the point is this: are you medically prepared to help the people around you should you end up in a situation where there is nobody else around to help? How long on average does it take for first responders to arrive at the scene in your area?

Where I live, it can often take up to half an hour for a police officer to respond. I’ve witnessed it take 15-20 minutes for an ambulance to show up. Do you have the training and the gear necessary to keep your loved ones alive that 20 minutes?

It really doesn’t take too much effort at all.

What are your thoughts? Do you carry an IFAK on a daily basis? What does it look like? What do you carry? Any other gear recommendations?

About Aden

Aden Tate is a regular contributor to and Aden runs a micro-farm where he raises dairy goats, a pig, honeybees, meat chickens, laying chickens, tomatoes, mushrooms, and greens. Aden has two published books, The Faithful Prepper and Zombie Choices. You can find his podcast The Last American on Preppers’ Broadcasting Network.

Aden Tate

Aden Tate

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  • Aden,
    I can honestly say, I have never considered a ankle IFAK.
    How would one fare running, say after a goat who does not want to be caught?
    I have a day pack I usually carry out in the fields, with a IFAK, double zip-locked. I have had to use it twice.
    I also carry water too.

  • Hmmm…Sorry I have carried and IFAK on my LBE/Battle Belt/Plate Carrier, Assault Ruck for a long time. For me I just don’t see a need for something like this. I can honestly say in all of my deployments and even around the homestead I always go “heavy.” I have been separated from my normal gear for days, but have always had my minimum kit. I know it sounds crazy to go “heavy” all the time but…that’s just me. Yes I have an assault ruck at home, in my car, at work, etc. I have outed myself…I am the one in my crowd who they come to to get bandages, quick clot, super glue, etc. Used Quickclot on my dog once when she developed a big bump on here head and popped it scratching (was waiting to take her to the Vet when she did it – it was pretty gross). My wife thought I was crazy, but decided I wasn’t when it worked like a champ. Have the picture of the dog with the Quickclot and Pink Curlex on her head. Hey she is a girl…of course I used the pink Curlex!

  • I carry the same things you do, minus the scissors, but I carry a sharp knife. I don’t put them on my ankle, but in my cargo pocket of my shorts/pants.

    The extra things I carry are an epi-pen, and Pneumothorax Decompression Needle (from Chinook Medical). A surprising number of knife, gun, and intentional or accidental impact wounds are to the lungs, and while a chest seal is good, if the wound is in the wrong place, the lung will decompress, push to the center, putting pressure on your heart, causing unconsciousness in minutes, and ultimately kill you within a very short period of time. A decompression needle is simple to administer and can save a life.

    First video is dramatization from a movie:

    Second is a simple military training video:

  • I was very interested in this idea. I’m a small and old and disabled woman. Not some young healthy hunk like the previous poster…. 😉 But ya gotta think of your older, less able loved ones too.

    As for goat chasing, which I’ve done many times LOL, I assume it would be ok with jeans covering it. I was wondering about wearing shorts tho…which I do in hot weather. Would be visible, of course, but would also catch more on brambles and brush. Still….

    We’ve got 2 of these kits with ALL of the mentioned items – even the ones that don’t fit in the ankle wrap. One in the console of our vehicle. If DH was injured in an accident, he could actually reach this location. Hopefully self-treat if necessary. Got that very good idea from someone on Daisy’s forum board some time ago.

    As for our other kit….it changed location so often I’m not sure where it is now — my bad. Something else that needs doin’. Thanks for this tip.

  • Yep, carry one every day. If you have a way to make holes, you need a way to fix them. Pressure bandage, SOFFT-W tourniquet, and Quik Clot. If you’re involved in a mass casualty event such as a mall or church shooting, you won’t have time to go back and get your med gear, just like you won’t be able to run and get your gun. It’s a come as you are affair.

  • Carried a Dark Angel kit in my cargo pocket till recently. I need a replacement.
    I’m not around people as much these days so my “need” has lessened.
    I’ve got kits in the vehicles, go bags, storm shelter, battle and duty belts, armor and house.
    Only so much I’m willing to carry daily

  • A fishing vest WORKS. If packed correctly it folds easily and fits under a car seat.
    It can be worn under heavy (carhartt jacket) outer clothing unseen.
    Lots of different and multisized pockets. It does help if you
    Live somewhere north of Anchorage. No one here would notice if you wore it over a tutu.

  • I chuckle at how this has become the “new” thing in EDc. I made my first ankle kit almost 40 years ago, and have replaced it several times as materials became available. Now that I’m retired and my physical movement is limited, I’ve gone to a belt mount that fits in the small of my back from a converted mini dump pouch. Since my shirt or coat usually covers my CCW, it easily covers my IFAK too. About an inch thick when loaded, it’s big enough for 2 chest seals, a 14ga catheter, TQ, Pressure Dressing, QC gauze,, mini shears, hemostat, epi pen, gloves, penlight and 2 metal pill containers. 1 for Benadryl and Chlor Tab, the other for ASA.
    Since I keep a jump bag in my vehicle, that’s enough on me to patch up for transport.

  • Smallish sized camera bags were easy to find in urban thrift shops 10 to 15 years ago. They were often mfg. with MOLLE straps inside and outside, zip pouches and velcro closures, and were in about the range of sizes you were describing and usually came with straps that would adjust to sling over the shoulder, across the shoulder and back, or around the waist. I carried a small one when on a ladder helping my husband assemble our storage building and cottage, and could be hands free while still supplied with a small wrench, a folding knife/screwdriver, etc. and a variety of nuts and bolts, all zipped up tight. The other one I carry is stocked with livestock emergency supplies, all of which come in handy when any of us get in a minor bang up. In addition to the basic supplies you mentioned, I carry a small spray bottle of colloidal silver as a disinfectant and aid to rapid wound healing, homeopathic homemade sprays of arnica montana to reduce inflammation, apis mellifica for insect stings (A poultice of plantain leaf is effective on spider bites. Look for instructions.) and rescue remedy to release trauma, shock and stress from emergencies. I’m going to add a tourniquet and look for other supplies discussed in this article. I got my camera bags over 10 years ago in a mid-sized city, and still spot them in small town thrift shops.

  • I don’t see much of a problem with an ankle system even while wearing walking shorts and chasing goats in their habitat. Your ankle pack is not likely to be a head turner for goats. But people, whether in crowds or not, are different. Do you really want to be the head turner on a regular basis back in “civilization”? Or does that highly unusual ankle pack rule out wearing walking shorts in hot weather around nosy people … for whom you appreciate the concept of remaining a “gray man”? And in contrast, anything that passes for a messenger bag or a mini-backpack, etc doesn’t even rate second glances.


  • There’s a popular retired infantry you fiber who recommends against items worn on the legs, which are stress ful to leg tissues, in comparison to an equivalent weight carried on the hips.

  • “You Tuber” – yikex!! Spellchx! As for tissue damage, I’d expect that would likely never be an issue to Joe basic prepper, who has more pressing matters, like any are they shooting at me?

  • Lewis….re: goats. The terrain goats love best is steep, rocky and generally not very accessible…especially if they aren’t even supposed to be there! The issue of carrying on your ankle is that it might catch on the brush and brambles you’re trying to get through…keeping in mind that I’ve never been as nimble as goats. But if they’re awol….ya gotta try. The kit would probably be for me…sliding backwards down steep embankment …in shorts to keep cool enough for such exertions. LOL

    Even with that description, I miss my rascals now.

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