TL/DR: It works, It's effective, a couple of tweaks and it'd be great. I want to be clear: I bought the bag only. I've been an EMT for 29 years, FF for 9, DMAT for 3, EMS educator for 20. I'm old, grumpy and picky about the equipment I use. I want to load the bag the way, and with what, I want. When the MyFak arrived I played with it some. Overall my initial impression was that it was gimmicky. Molle straps lots of fuzzy Velcro and pull off Velcro seat attachments. Just another FAK... So here goes: Dislikes: the interior sleeves are sewn to the back of the case. It's more of an envelope shape than a box: this minimizes useable space. Id like to see the the sleeves sewn to the side of the pack making storage and customization of equipment more user friendly. Interior back elastic: a bit higher to hold things more securely. The bottom of the pack to help better secure things down there. Higher straps help to keep CAT or NPA's from twisting or getting caught when removing other things behind them. Velcro on the front seems a bit excessive. Likes: zipper placement is spot on. The Velcro seat attachments actually works really well. I though it was gimmicky, but after needing the MyFak at an impromptu physics test between a big hill, helmetless bike rider and a school bus; It was really nice to grab it and go. Good size: I can fit what I need for people and the dogs in there. Overall: a decent IFAK. -Mark