All the same petals, bells, gingerbread cookies, markers, etc., etc. In short:
Kevlar insoles are slag.
A tourniquet/tourniquet should be applied immediately - if there is no blood, it doesn't mean it won't flow (remember about vasospasm which can disappear in a few minutes).
When approaching a wounded person, we look at our feet - such things rarely lie under our feet in a single copy, especially since the autumn leaves continue to fall. Napopam, even if there are two of them, may not be able to achieve this - here you need group A drugs or multimodal analgesia; nefopam can not cope alone.
Tamponade, pressure bandage, immobilization and prevention of hypothermia are already in the shelter.
If the time, the situation and the availability of everything necessary allow, then the metro tandem 2g CefZ + 500 mg will help for preventive treatment A/b, drips are given according to the indications. all good TakMed in Russian.