What a wonderfully useful post, fireman15! Thank you!
Thank you for the positive feedback!
My wife is a nurse and we always stop at car accidents. We keep one in each of our vehicles and they have come in handy on more than one occasion. A spring loaded hole punch will work also. They cost about the same and are a little smaller.

https://www.amazon.com/Automatic-Center-Punch-Crushing-Cushion/dp/B0C38RBZJQ