This bag is well put together and well thought out. As a paramedic I am impressed with the quality and quantity of the items included in this kit. There are a few items that are definitely advanced level, and will require proper training and licensure to use effectively and legally. The only thing I wish they would change is the blood pressure cuff and stethoscope as well as adding some smaller rolled gauze. Overall a very comprehensive kit that I wouldn’t hesitate to buy again.Oh and don’t forget to add a couple CAT tourniquets and a chest seal!