Be Prepared With Medical Supplies


MEDICAL LIST (disinfectants)

Betadine scrub (1 pint)

Betadine solution (1 pint)

Chlorox (5.25% solution) for water purification: volume clear cloudy 1 qt 2 drops 4 drops 1 gal 8 16 5 gal 1/2 tsp (2.5 cc) 1 tsp (5 cc) for cleaning instruments and surfaces: 1:10 dilution

Dry Pool Chlorine ("burn out" or "shock treatment") 65% Calcium Hypochlorite 24.5 grams (about 10 Tbsp) in 1 gallon of water is about equivalent to commercial bleach. CAUTION: The dry material gives off small amounts of Chlorine gas. This may cause symptoms in some people. Keep the container tightly sealed. Prepare solutions in a well ventilated area.

Hypochlorite solution dissolves blood clots: do not use to irrigate wounds. (antiseptics)

Hydrogen Peroxide (1 pint) local wound cleansing mouth wash for oral ulcers

Acetic acid (5%) (equivalent to vinegar) irrigate infected wounds (especially good for Pseudomonas) irrigate ear for external otitis (use 1/2 strength)

(Dressings)

Gauze pads (4" x 4") (800) (200/pack) (4 packs) Non-sterile gauze pads are cheaper clean enough for most uses

Tape (1 inch) (12 rolls) The best tape is Durapore ("silk") tape manufactured by the 3M Company. (A similar tape manufactured by Johnson & Johnson is not nearly as good.) The second choice tape is old fashion "canvas" tape. If tape allergy is a consideration Micropore (paper) tape or Transpore (plastic) tape

Conforming roller gauze (4 inch) (12) Trade names are Conform and Kerlex.

Ace Bandage (elastic) (4 inch) (2)

Sanitary napkins (Kotex) (1 box) Besides their intended use

sanitary napkins can be useful as field dressings and bulky dressings.

Besheets (several) rip into bandage strips cut into triangular bandages can be sterilized if necessary

Safety Pins (assorted sizes) (many) The utility of the lowly safety pin extends from securing dressings to patching clothes to closing wounds to building expedient AM radios.

Sewing shears (surgical instruments for minor wounds)

Forceps (pick ups) (with teeth) (1)

Hemostat (2) Choices are "mosquito" for fine clamping regular hemostat for general work

Kelly for clamping larger vessels.

Needle holder (2) medium for general suturing small for fine suturing

Scalpel handle # 3 (general purpose) (1)

Blde # 10 (general purpose) (5) # 11 (stab blade) (5)

Scissors (3) iris Mayo (one blade tip sharp one blunt)

Paramedic Suture silk nylon

Vicryl Dexon

(Diagnostic Equipment)

flashlight (and batteries)

thermometer

stethoscope

sphygmomanometer (other clinical supplies and equipment)

cotton tip applicators

enema bag

gloves sterile (to protect the patient)

non-sterile (to protect your self)

ear syringe for irrigating wounds or ears for suctioning mouth and nose of newborn

Foley catheter set KY Jelly needles 21 gauge 25 gauge plastic bags

soap (Dial)

surgical masks protects from airborne infection offers some protection for short exposure to fallout if nothing else is available syringes (3 cc or 5 cc) plastic

(disposable and sterile) glass (reusable but require sterilization)

Writing Materials

notebook

pen pencil Sharpie (writes on anything)

(Over the counter medications)

antihistamine (useful for treatment of allergy or hives nausea

chlorpheniramine

diphenhydramine (Benadryl)

aspirin (1000)

acetaminophen (Tylenol) adult (1000) children's chewable children's

liquid antacid (Maalox Mylanta

antacid (certainly not ideal but works) decongestant

Afrin nose drops or spray pseudoephedrine (Sudafed) tablets

Kaopectate laxative

Senokot MOM (Milk of Magnesia in small amounts

tolnaftate (Tinactin) powder for fungal skin infections

POTASSIUM IODIDE (KI) To block the thyroid gland to prevent uptake of radioactive iodine from contaminated food and water take four (4) drops of a saturated solution of potassium iodide (SSKI) daily. (Ref: Nuclear War Survival Skills

NOTE: The following is not intended as a self treatment guide, but as a guide to choosing drugs for storage. Always seek medical advice before using these potent drugs, all of which have potentially serious side effects, including death. Antibiotics should not be used when they are not needed (as in viral infections) because of side effects and the risk of selecting out resistant bacteria. For guidance in determining quantities, the usual duration of treatment for an episode of illness is about 10 days. All drugs have an expiration date. This is usually determined by the time at which the preparation begins to lose potency. Toxic products may also be formed.

DO NOT TAKE OUTDATED TETRACYCLINE; KIDNEY DAMAGE MAY OCCUR. ALWAYS ASK THE PATIENT WHETHER HE IS ALLERGIC TO THE DRUG. IF HE HAS A HISTORY OF HIVES (AN ITCHY SKIN RASH) OR WHEEZING OR SWELLING IN THE MOUTH OR THROAT, DO NOT GIVE THE MEDICATION, AS A FATAL REACTION MAY OCCUR.

Abbreviations: bid = twice a day tid = three times daily qid = four times daily (antibiotics)

Penicillin V (500 mg tablets) (1000) 500 mg qid for Streptococcal or Pneumococcal infections (Although the spectrum is limited, this drug is relative cheap; also causes fewer side effects such as diarrhea and vaginitis.)

Amoxicillin (250 mg capsules) (500) 250 mg or 500 mg tid for urinary, middle ear, lower respiratory infection, some types of bacterial diarrhea (This is a broader spectrum penicillin.)

Ampicillin for oral suspension (250 mg/tsp) 1/2 to 1 tsp qid, depending on size of child (For children who cannot swallow amoxicillin capsules.)

Erythromycin (mg varies with preparation) (500) for patient allergic to penicillin if ethylsuccinate, two 400 mg tablets bid for pneumonia, some benefit in Staphylococcal skin infections

Tetracycline (250 mg) (1000) 250 mg or 500 mg qid for plague, various other insect borne infections, urinary infections, bronchitis, infected animal bites, and some venereal diseases

OxyTetracycline for injection 500 mg bid for severe life threatening infections Intramuscular injection is painful, a local anesthetic may be given simultaneously. for patients too ill to take oral medications or for illnesses like plague or anthrax which may be fatal before oral medication is absorbed

Metronidazole (Flagyl) (250 mg tablets) (500) 500 mg tid for specific infections This drug is useful for certain protozoans such as amoebae and Giardia and for anaerobic bacteria such as those that normally inhabit the bowel and the female genital tract. It can be extremely useful in intraabdominal, pelvic, and wound infections caused by such bacteria.

Chloramphenicol (500 mg) 500 mg qid for anaerobic infections, typhoid and other Salmonella infections, psittacosis, rickettsial infections This drug causes fatal aplastic anemia in about 1 in 50,000 patients treated with it. It may be difficult to obtain.

Trimethoprim-Sulfamethoxazole (500) (Bactrim DS, Septra DS) 1 double strength (DS) tablet bid for urinary infections, some types of bacterial diarrhea, back up drug for sinusitis, bronchitis, ear infections

Some excellent broader spectrum drugs, especially amoxicillin with clavulanic acid (Augmentin) and ciprofloxacin are not included solely because of expense. (other prescription drugs)

From: jim.speirs@canrem.com (Jim Speirs) Subject: Building A First-Aid Kit Article #R54. ===== Building A First-Aid Kit

You hope you won't have to use it, but it's good to know it's nearby--just in case. Whether you're at camp, on a hike or at home, your first aid kit could make the difference between further illness or complications and a speedy recovery. Anyone can go into a sports shop and buy a first aid kit, there are plenty on the market--one for campers, one for sportsmen, one for the home and the list goes on. But making your own first aid kit, not only saves money, it enables you to suit each kit to individual needs and serves as an excellent teaching aid. For example: it's spring and your group plans to go on their first backpacking trip of the year and last year's first aid kit is depleted. It is agreed that each member will make his own kit, keeping in mind that it should be light, compact and easy to get at in an emergency. Thus, when buying the materials (in bulk, to be shared among members in the group) at the local pharmacy, you can choose the brands that are less cumbersome, enabling you to pack the most into the least amount of space. Buy with the container in mind, whether you'll be using a large prescription bottle for a personal first aid kit or a small plastic case for a larger kit. Another item: the shape of the container would determine the type of antiseptic you would buy--pre-moistened towelettes, a bottle or tube.

In our example, our hikers would want to include extras that would be handy on this trip-- lip balm for dry, chapped lips on the trail;

salt for sunstroke or as an antiseptic;

talcum powder (in a plastic vial) for sore and tired feet;

and purification tablets for water they were not sure of.

And these items would take up little space. For example, the salt is put into plastic food wrap with an elastic to secure it. The same could be done with the talcum powder if space is limited-- with a label, of course.


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