This is a great kit. When I'm not ADV riding, I run an expedition based study program in Thailand. I got 3 kits -- one for my bike and 2 empty ones to fill up and for our instructors to carry into the field. A couple comments on the basic kit, then on to the contents.
I've been involved in expeditions and wilderness medicine for 20+ years, and have been WFR trained for a long time. There is no perfect first aid kit, but this one ticks a lot of boxes for me personally and for our organization (ISDSI.org).
THE BAGS
1. The dry bag LOOKS like a first aid kit. This is key if someone else is involved in helping with an accident or medical incident. Especially if you tell someone to "go get the first aid kit" -- it isn't just a random dry bag in a pile of gear or lashed to a bike or sea kayak.
2. The inner bag opens up FLAT. If you're in an emergency and you pull out a kit that doesn't lie flat where you can see all your stuff, you're going to end up with stuff scattered in the dirt. This way it opens up, and you can access everything without tossing other stuff aside (into the dirt).
3. The dry bag is BURLY. As expected from Mosko! We are going to use this as a stand alone bag (with a sling strap through the MOLLE webbing), attached to our backpacks, and lashed to the top of our sea kayaks.
THE CONTENTS
Before worrying about contents, go take a WFR course somewhere. Only carry stuff you're trained to use, and a Wilderness First Responder course will help you learn how to use the contents, and how to improvise for stuff you don't have.
The contents are generally really high quality. The trauma dressing is good, and the tourniquet is great. The dressings, bandages, etc. are all good. If you know what you're doing, you can use the contents as delivered and deal with a lot of heavy stuff. Well done Mosko!
A few of suggestions for changing up the contents. And you might have to take something out to make it all fit -- what you remove is up to you.
1. The trauma shears are too small. Get a big burly pair. When you really need to cut, you don't want it to snap on you or bend.
2. Add in CPR mask -- not a full face one like the use with EMS, but a compact one with a one-way valve.
3. The flexible splint is rolled and very bulky. I'd suggest unrolling it and cutting it down to use maybe 1/3 of it. Splints are easy to improvise BUT it is a nice thing for splinting your wrist since it bends.
4. Get a full roll (or more) of white athletic tape. Useful in taping up an ankle or wrist, etc. There's not enough tape in the kit.
5. Add in an irrigation syringe. The is REALLY important if you go for a slide and have a lot of dirt and gravel in the wound. Probably 10 CCs is big enough. You cannot clean a wound very well without it.
6. Speaking of abrasions, add in some Fixomull wound dressing -- it is amazing and can be use for blisters, abrasions, etc.
Add in the meds of your choice for pain, etc. are you're good to go!