Lose the light sticks; 5x9's ain't bad. get rid of the cook kit, has issues. mox nix the quickclot powder blows all over the place, granules in a bandage form gives you better bleeding control. Cat's eye? 1 multi trauma dressing? 7, 8, and 9 ET tubes are a fair standard for Intubation. mox nix the fast track IO, splinters bone way to easily. black colored (tactical) leatherman wave has multiple uses. Promed hip trauma pouch for hot fast running. dental supplies (caps, fillings). Ginger gum, PO meds? Otherwise pack not bad, lite and easy. Stay safe!