Image description

Survival Medic Products, Books and Training

Bookmark and Share


Chapter 31 Medical Kits & Supplies

 

What you stock up on should be related
to what you know how to use and what you can obtain. There are potentially
thousands of drugs, and different pieces of medical equipment, and you cannot
stock everything. Fortunately it is possible to manage 90% of medical problems
with only a moderate amount of basic equipment and drugs. In this chapter we
explore we explore some of the various options. While clearly the basics are
relatively universal, specific packing lists can be very variable and
individual, in this chapter we cover ours. While you will never be able to
provide the level of care found in a modern hospital, the care provided with
basic equipment is surprisingly high. Obviously the treatment may not be as
high quality as that provided by a proper hospital but it may be life saving
and reduce long term problems. For example; a general anaesthetic, an operation
for an internal tibial nail, followed by pain management, and physiotherapy
usually manages a broken tibia in a hospital setting. In a remote austere
situation it can be managed by manipulation with analgesia, and immobilization
with an external splint for 6-8 weeks, and as a result the patient may be in
pain for a few weeks, and have a limp for life but still have a functioning
leg. Also as discussed elsewhere appendicitis has been treated with high-dose
antibiotics when surgery has been unavailable such as on a submarine or in the
Antarctic. Removal of an appendix has been done successfully many times under
local anaesthesia. Although in each case management maybe sub-optimal and may
have some risk in a survival situation it can be done and may be successful
with limited medication and equipment.



Obtaining medical supplies: Medications:

Obtaining medications can be difficult.

The problem is two-fold. First is access and second is cost. Below are some
suggestions for legally obtaining medicines for use in an expedition or
survival medicine situation. i. Talk to your doctor. Be honest explain exactly
why and what you want, that you want to be prepared for any disaster and have
some important basic medications available, for if medical care is not freely
available. Demonstrate an understanding of what each drug is for and that you
know how to safely use it. This approach depends on your relationship with your
doctor, and how comfortably you are discussing these issues. Although, I would
suggest that you do not request narcotics the first time. Then return the meds
when they have expired, this will confirm that you are not using them
inappropriately. ii. Discuss with your doctor your plans for a trekking
holiday. Most doctor s recognise the importance of an adequate medical kit if
you are travelling in the 3rd world or doing isolated backpacking. Most would
prescribe antibiotics, rehydration fluid, simple pain killers, anti-diarrhoea
meds, antibiotic and fungal creams, and if climbing steroids, acetazolamide and
furosemide for acute mountain sickness. It is also worth requesting Malaria
prophylaxis – the CDC recommends doxycycline for most regions. iii. Buy a boat.
Australia, New Zealand, and the UK, require all boats sailing beyond coastal
limits to carry a comprehensive medical kit. This includes antibiotics, strong
narcotic analgesias, and a variety of other meds. Although not a legal
requirement in the US, I imagine most doctor 's would happily equip an ocean
going yacht with a comprehensive medical kit, especially if you can demonstrate
a basic medical knowledge. The US Public Health service offers suggested
medications and equipment, depending on numbers and expectedisolation. iv.
Prescription medicines are available over the counter in many third world
countries. While purchasing them certainly is not illegal, importation into
your own country may well be. While it is unlikely that a single course of
antibiotics would be a problem, extreme care should be exercised with more
uncommon drugs or large amounts. Narcotics should not be imported under any
circumstances. Should you purchase drugs in the third (or second) world you
need to be absolutely sure you are getting what you believe you are, the best
way is to ensure that the medications are still sealed in the original
manufactures packaging. v. Attend a Wilderness Medicine Course that offers the
opportunity for trained participants to purchase medication after the course;
this will also give you some knowledge of their administration and use. One
company in the UK does a three days course after which you can buy a range of
oral medication and a second three day top up course after which you can buy
drugs for injection. The medication is chosen from a list but covers a range of
antibiotic, pain medication and emergency drugs.



Other medical supplies:

Obtaining general medical supplies is

often easier. Basic bandages, and stethoscopes, etc. can be bought from any
medical suppliers. In the USA there is no federal law prohibiting the purchase
of things like sutures, syringes, needles, IVs, etc. but some states can make
it difficult. In most other countries they are freely available. Try looking in
the phone book or online for medical, or emergency medical supply houses, or
veterinary supplies. A number of commercial survival outfitters offer first aid
and medical supplies, however, I would shop around before purchasing from these
companies as their prices, in my experience, are higher than standard medical
suppliers. The above approaches for obtaining medicines can also be used for
obtaining medical equipment if you do have problems. The most important point
is to be able to demonstrate an understanding of how to use what you are
requesting. Pre-packaged Kits: Generally speaking it is considerably cheaper to
purchase your own supplies and put together your own kit. The commercial kits
cost 2-3 times more than the same kit would cost to put together yourself and
frequently contain items which are of limited value. The more you buy the
cheaper things become – consider buying in bulk.



Storage and Rotation of
Medications


Medications can be one of the more

expensive items in your storage inventory, and there can be a reluctance to rotate
them due to this cost issue, and also due to difficulties in obtaining new
stock.Unfortunately drugs do have limited shelf life. It is a requirement for
medications sold in the US (and most other first world countries) to display an
expiration date. It is our experience that these are usually very easy to
follow, without the confusing codes sometimes found on food products, e.g. --
Exp. 12/11=Expires December 2011. We cannot endorse using medications which
have expired, but having said that, the majority of medications are safe for at
least 12 months following their expiration date. As with food the main problem
with expired medicines is not that they becomedangerous but that they lose
potency over time and the manufacturer will no longer guarantee the dose/response
effects of the drug. The important exception to this rule was always said to be
the tetracycline group of antibiotics which could become toxic with time.
However, it is thought that the toxicity with degrading tetracycline was due to
citric acid which was part of the tablet composition. Citric acid is no longer
used in the production of tetracycline, therefore, the dangers of toxicity with
degradation of tetracycline is no longer a problem. Aspirin and Epinephrine do
break down over time to toxic metabolites and extreme care should be taken
using these medications beyond their expiry dates. Despite the above comments
“Let the buyer beware.” The expiry dates are there for a reason, and there are
almost certainly other medications which do break down, and become toxic after
their expiry date. In addition, we recommend that if you are acquiring
medications on a doctor's prescription that when you have the prescription
filled you explain the medications are for storage (you do not need to say
exactly what for), and request recently manufactured stock with distant
expiration dates. The ideal storage conditions for most medications are in a
cool, dark, dry environment. These conditions will optimise the shelf life of
the drugs. A small number of drugs require refrigeration to avoid loss of
potency. These include insulin, ergometrine, oxytocin, and some muscle
relaxants. Others such as diazepam rapidly lose potency if exposed to the
light.



How much?

This is a very individual question. It

depends upon what you are preparing for and the number of people you will be
looking after. It is impossible to say how much is enough. In order get a rough
idea of what you should stock – think of your worse case scenario and at least
double or triple the amounts you calculate. Items which never go as far as you
think they will include – gauze, tape, antibiotics, and sutures. In countries
where you pay for healthcare If you have ever been hospitalised or had a close
relative in hospital for even a relatively minor problem take a look at the
billing account for medical supplies and drugs to get an idea how much can be
consumed with even a relatively small problem. It is simple mathematics; drugs
which you need to take more than once or twice a day disappear extremely fast –
penicillin 4 times a day for 10 days on a couple of occasions quickly erodes
your “large stock” of 100 tablets! The same number of ciprofloxacin required
only twice a day last longer. Dosing frequency is worth considering when
deciding amounts.



Specific Medical Kits

Everyone has an idea of what his or her

perfect kit is and what he or she thinks is vital so there is no perfect
kit-packing list. What is perfect for one person’s situation and knowledge may
not be perfect for yours. You need to build a kit that you are able to
understand and use. In this section we have looked at a number of kits from a
basic first aid kit to more advanced ones. These are not the perfect kits or
the ideal packing list – but they give you some idea of what we consider are needed
to provide varying levels of care.



Note:

1) We’ve tried to use the international

generic names for drugs. However, there are some differences between the
British and the US pharmacopoeias and where possible we have tried to include
both e.g. Lignocaine (UK & Oz/NZ) = Lidocaine (US)

2) We have not included any quantities. This is dependent on what you are
planning for and what you can afford. Unfortunately most medications require
rotation with 1-5 year shelf lives, making this a costly exercise, as they are
not like food you cannot rotate into the kitchen.

3) Always store a supply of any medicines you take regularly. These do not
feature on the packing-lists. However, it is vital to remember the blood
pressure pills, thyroid hormones, allergy pills, contraceptive pills, asthma
inhalers, or whatever you take regularly. Most doctors will issue additional
prescriptions for regular medication to allow an extra supply at a holiday home
or to leave a supply at work. The main problem likely to arise is covering the
cost of the extra medication which may be expensive and not covered by
insurance. If you have previously had severe allergic reactions consider having
a supply of Epi-pens



Medical
Bags:


Before addressing what you need, it is

worth looking at what you’re going to put it in. There is large selection of
medical bags on the market – military and civilian styles, rigid and soft
construction. They vary in size from bum bags to large multi compartment
backpacks and vary in price from less than $100 to more than $500 USD. We have
selected 3-4 bags in each size range – personal use, first responder, and large
multi-compartment bags. They cover a range of prices. What is right for you
will depend on your individual requirements. If in a fixed location consider
buying a rolling mechanics tool chest and using it as a “crash cart”. Personal
size:



• Battle pack (Chinook Medical gear)

• Modular Medical Pouch (Tactical Tailor)

• Compact individual medical pouch (S.O Tech) First responder size

• First response bag (Tactical Tailor)

• Modular bag system (Galls)

• Plano 747M Hard Case (Plano)

• NSW Medical Patrol bag (London Bridge Trading Company)• Responder II
(Conterra)

• Pelican waterproof case



Large kit bag:

• M5 style bag (Tactical tailor)

• MIII Medical pack (Eagle)

• NSW Training/Coverage Medical Backpack (London Bridge TradingCompany) - one
of the best large bags on the market. The STOMP II Medical Backpack from
Blackhawk industries is very similar to the NSW training/coverage pack from
LBTC – but significantly cheaper.• ALS pack (Conterra)

• Kifaru back-packs (Kifaru) – not specifically medical, but can be customised
inside and out. When you have selected the bags that suit you, one approach to
organising your Medical supplies is:



Personal bag: Carry this
with you at all time. It contains basic first aid gear or in a tactical
situation the equipment to deal with injuries from a gunshot wound or
explosion.



Blowout bag: Personal medical equipment for a tactical situation (Dressings, HemCon
bandages, Asherman Chest seals, oral and nasal airways, iv cannular and a
tourniquet).



First response bag: Carry this in your car; take it with you when you go camping etc. It
contains more advanced first aid gear and some medical items.



Large kit bag: This is your home/retreat/bugging out medical kit. It contains your
medical equipment as opposed to simple first aid supplies.



Storage area: In your
home/retreat. It contains duplicate and bulk supplies. Large plastic storage
bins are ideal for this. Pack/organise/store items that are fragile, easily
damaged by water, or can become messy (most liquids and ointments, ESPECIALLY
tincture of benzoin in any form) in individual zip-lock plastic bags. For
high-value water sensitive items (pulse oximeters, blood glucose meters, etc.)
consider packing in water proof hard cases –such as the Pelican or Otter
boxes.Consider packing items that are used together into “battle-packs”, ready
to use packages – for example, pack an IV giving set with an IV start set with
an Angio-Cath in zip-lock bag – so you can grab one thing and be ready to go.
EBay is a good source of medical supplies and surgical instruments but be
careful to know what you are buying: Make certain you know what you want and
what it would have cost from a supplier.



Choosing Kit based on perceived risks



When deciding on what Medical Kit to
carry, whatever the purpose we prepare for what we consider to be risks. I.e.
if your intend to survive in a forest area then an axe and/or saw would be
useful and reasonable to carry.The same applies to First Aid Kit (FAK) &
Medical supplies, first compile a list based on the season, activities and
likely environment you may encounter. Then look at how lightly a particular
situation may occur. If it is very unlikely can you afford the weight / space
the supplies that would take to fix it, on the other hand if it is very common
can you afford not to carry those supplies to fix it. That must be weighed
against its likely hood to severely incapacitate or kill you too of
course.There are also a lot of items that are nice to have but may take up
space that would be put to a better use such as high energy rations or
trapping/fishing/ water acquisition equipment. Another consideration is can the
item be used for more than one purpose thus doubling its worth.As far as kit
distribution goes it may be worth keeping some items in a FAK if space permits
which has a use in first aid but also can be seen as a survival item. Then if
you lose your survival kit or main pack but have a FAK on your belt or in a
pocket then you have those additional resources. Such items could include a
Space Blanket, Paper and Pencil, Water purification tablets, small scissors
etcIt also excludes medical condition, where you should always carry extra
prescription medication. I’ve also excluded infectious diseases you can only
usually catch abroad and such conditions as altitude sickness.Below we have a
brainstormed list of possible risks in no particular order, after each I’ve put
a number as to how likely I think they are to going to occur in a survival
situation this is just a personal guess, please make up your own lists and
numbers (1 very likely – 5 Very unlikely) based on a temperate climate.Small
cuts and grazes (1)Large Cuts with significant blood loss (4)Small Burns
(3)Severe Burns (5)Soft tissue Injury (Strain, Sprain, twist) (3-4) dependant
on terrain and activityFracture (4-5) dependant on terrain and activityMinor
Insect bite or sting (1) if in suitable climateAnaphylactic reactions (5)
unless very prone to themVenomous Bite (5)Other Animal Bites (5)Heat Exhaustion
(4-5)Hypothermia (3-4)Chilblains (4)Frost Bite (4-5)D & V or Severe
indigestion (3-5)Gum Abscess & Dental Emergencies (5)‘Colds’, Chest / Upper
Respiratory Tract Infections (URTI) (3-5)Wound Infections (5)Headache (3)Fever
(4)Make your own lists and ranking, depending on type of activity and climate
you are planning for. Looking at my list those items which have a ranking of 3
or less are Small cuts and grazes, Small Burns, Soft tissue Injury, Minor
Insect bite or sting, Hypothermia, D & V, Colds or Severe indigestion and
Headache.



First Aid Kit



A comprehensive basic first aid kit is

the building block of any medical preparations. With relatively simple
equipment and supplies you can stop bleeding, splint a fracture, and provide
basic patient assessment. See below for a suggested contents for a basic first
aid kit. The following are the key components of any kit albeit for a work,
sport, or survival orientated first aid kit:



Dressings – Small gauze squares/large squares/Combined dressings/battle
dressings/non-adhesive dressings. There is a vast range. They serve two
functions: - to cover and stop bleeding and to protect a wound. Exactly what
you need is to a large degree



personal preference – but whatever you buy you need
small and large sizes, and they need to be absorbent.



Roller/Crepe Bandages – These go by various names (Crepe, Kerlix) – but we are talking about is
some form of elasticised roller bandage. These are required to hold dressings
in place, apply pressure to bleeding wounds, to help splint fractures, and
tostrap and support joint sprains. They come in a variety of sizes from 3 cm to
15 cm (1-4”) and you should stock a variety of sizes.



Triangular bandages – These are triangular shapes of material which can be used for making
slings, and splinting fractures, and sprains.



Plasters/Band-Aids – Lots of them and in multiple sizes. They are useful for protecting minor
wounds and skin damage.



Wound Wipes; For small kits include a few for cleaning when water not available or
rationed. Some are alcohol based, therefore flammable and can be used in
emergency fire lighting. Gauze - Best to get sterile pieces, packed in 5`s, Can be used for wound
cleaning, packing wounds and as dressings, small squares as plaster
substitutes, also good as try tinder can be made into charcloth. Also available
in ribbon form to feed into cavities and up noses.



Oral or nasal airways and a CPR
face shield –
We have already discussed supplies for

airway management. Oral or nasal airways are the basics for assisting with
airway management. Often when combined with basic airway opening manoeuvres
these aresufficient to maintain the airway of an unconscious person. The face
shield is if you need to perform mouth-to-mouth on someone. This only really an
issue with strangers not close friends or family members.



Sterile normal saline (salt water)
or water –
You do not need expensive antiseptic

solutions for cleaning wounds. Sterile saline or water (and to be honest – even
tap water is fine for most wound cleaning) is all that’s required to irrigate
or clean contaminated wounds. There is no clear evidence that using antiseptics
over sterile water in traumatic (as opposed to surgical) cuts or abrasions
reduces the incidence of infection. The best way to clean a wound is with
copious amounts of water or saline. It is also useful for irrigating eyes which
have been exposed to chemical, dust, or other foreign bodies.



Tape – You can never have too much tape. It has 100s of uses. We recommend a
strong sticky tape like Sleek™ or Elastoplast™. There are many other paper or
plastic based tapes around – the main criterion is that it always sticks when
required.



Gloves – Needed for two reasons. Firstly you have to assume that everyone you
deal with has a blood borne disease. When you are dealing with family members
in an austere situation this is not so important. The second reason is to try
and reduce infection when dealing with wounds. In the same way that using
antiseptics over sterile water for irrigation of wounds has minimal impact on
the incidence of infection the same is true for sterile vs. non-sterile gloves.
When managing traumatic wounds (again this is not true for surgical incisions
and operations) there appears to be minimal difference in infection rates
between wound management with sterile or non-sterile gloves. Exam gloves are
not sterile, can be used on either hand, and are just casually sized (small,
medium, large, etc.). They come in boxes of 50 or 100. Nitrile gloves are more
than latex. Sterile gloves are packed individually and have specific sizes –
7.0, 7.5, 8.0, etc. Size is important – know your size. That’s it really, a
very basic and limited range of supplies. As you can see this isconsiderably
less than what is sold in many commercial first air kits but this is all that
is required in a basic first aid kit. These supplies cover most first aid
situations. They give you the ability to provide basic airway management, clean
a wound, control bleeding, and splint, and immobilise fractures and sprains. It
will also protect yourself from contamination with the gloves and face shield.



Space Blanket or emergency
Sleeping Bag
to prevent hypothermia.D & V Is very

unpleasant and can be a killer in a survival situation, although in normal
circumstance its best to let it run its course in survival situations it Can be
much more serious. To counter include the following;

Loperamide Anti-Diarrhoea

Prochlorperazin anti-sickness (Anti-emetic)

Rehydration Sachets to replace salts/electrolytes.

Paracetamol or co-codamol Is a useful painkiller for a variety of problems it also reduces
temperature in fevers. Do not just stick to one type of pain killer as
different drugs work in different ways and having more than one available acts
as a balanced analgesia.

Ibuprofen is a good second choice get the 400mg tabs if you can. Also include a

few tablets of a stronger drug such as

Tramadol if you can.

A few Aspirins 300mg should also be included.



Basic Medical Kit

The basic medical kit is the next step

you take from a basic first aid kit. The example here is designed for someone
with a basic medical knowledge and a couple of good books. A lot of common
problems can be managed with it; minor trauma (cuts and minor fractures),
simple infections, and medical problems. Between this and the larger more
comprehensive advanced kit wide spectrum dependent on knowledge or experience.
Most begin with a first aid kit and expand as knowledge and finances allow. A
smaller medical kit for your bug-out bag could be made up from the above by
adding some medications (such as acetaminophen, Benadryl, and some loperimide) and
some instruments to a small first aid kit.



Advanced Medical kit

This is designed for someone with

extensive medical training and would allow one to cope with 90% of common
medical problems including some surgery, spinal and regional anaesthesia, and
general anaesthesia with ketamine, treating most common infections and medical
problems, and moderate trauma. This list may seem extreme, but is designed for
a well-trained person in a worst-case scenario. Even though it is a long list,
it all packs down. This sort of amount of equipment packs into two medium size
nylon multi-compartment bags and a Plano rigid 747 box.



Commercial Kits

There are a number of speciality

wilderness kits available, most contain a relevant selection of supplies in a
nice pouch. They have there place if you want an off the shelf solution however
they tend to be expensive and do not contain anything you can not obtain
elsewhere. The exceptions to this are Maternity Packs (see below) and Dental
kits, a number are described in the section of dentistry.



For a basic kit I would recommend getting a 50
person HSE(UK) Refill pack (Which contains a selection of items) such as the
one below.



  • · 1 x Guidance Leaflet

    · 60 x Assorted waterproof plasters

    · 6 x Standard Dressings (small – eye
    pads)

    · 12 x Standard Dressings (Medium)

    · 4 x Standard Dressings (Large)

    · 8 x Triangular Bandages

    · 20 x Alcohol Free wipes

    · 12 x Assorted Safety pins

    · 3 x pair of Disposable gloves



    Then Top it up with a box of 100+ Assorted Plasters, Box of Antiseptic Wipes
    and a box of Nitrile Gloves (these are the items you are going to use most off)
    The 4 items can be bought for less than £20. Then add a selection of Over the
    counter Medicines.



    Additional kits items

    Once you have a solid first aid kit you

    can develop further to the next levels



    Butterfly Sutue or Steri Strips

    These are used for closing wounds to

    enhance healing and reduce scar, wounds closed still need to be covered. (only
    include a few in smaller kits)



    Burns Dressings

    Although they have a cooling and

    analgesic effect would only include them in larger kits as they are bulky and
    only work for a limited time.



    Entonox (£500)

    An Entonox set consists of a bag, Gas Cylinder, Tubing with Demand valve and
    Accessories. It can be self administered either using a mask or a bite piece,
    either option should include an inline filter.



    Resuscitation

    There is much debate about the value of

    investing in Resuscitation Equipment for a Preparedness situation its is
    expensive, requires training and may well never be need also unfortunately the
    survival rate for pre-hospital Cardiac Arrest is low even in an urban setting.



    Maternity Pack (£10-£15)

    A maternity pack contains the supplies
    needed for a single uncomplicated birth.Hand Towel,
    sterile gloves, Babywrap, mucous extractor, umbilical cord scissors, 4
    umbilical cord clamps, maternity pad, Waste bag and Apron.



    Oxygen and Airway Equipment

    Barrel Bag (£30-50)


    Oxygen Cylinder (£130-£150)

    Oxygen masks Adult & Childs (£2ea)

    Bag and masks Adult & Childs (£8-£40+)

    Oral Airways Set (£3)

    Nasal Airways (£3ea)

    LMAs (£7ea)

    ET Tubes (£3ea)

    Suction device (£40-£150)

    Nebuliser Masks (£2ea)



    Administering Medication

    Cannula`s (£1-£2) ea


    Intraosseous Devices £40+



    ENT Diagnostic Set

    (£25-£50)


    1 Light weight C size Handle

    1 Otoscope Head double lenses

    3 Reusable Ear Speculums

    1 Ophtalmoscope Head

    1 Bent Arm Illuminator

    1 Nasal Speculum1 Tongue Depressor / Blade

    1 Tongue Depressor Blade Holder

    2 Laryngeal mirrors



    Automated
    External Defibrillator
    (From £800 - £2000+)



Fracture
& Spinal Management

Stiff Neck Collars (£6-£10)

Sam Splints (£10)

Fracture Packs (£30-£40)

Inflatable Splint set (£50-£60)

Kendrick Traction Device (£120)

Sam II Pelvic Splint (£50)



 
 



Wound Closure

Suture Set (Suture, scissors, needle

holder and forceps.)(£7-8) Removal Sets are £2 each Skin Stapler and removal
tool(£8-20)



Diagnostic Equipment

Blood Pressure Cuff (£5-£30+)


Auto Blood Pressure (£15+)

Stethoscope (£5 – £100+)

Blood Glucose Monitors are (£6-£10 and

)come with a some test stripes, extra ones can be purchased separately.

Pulse Oximeter (£50-£300) Expensive but a useful piece of compact diagnostic
and monitoring equipment.

Digital Thermometers start at £10, cheaper ones tend to be much less reliable,
better to go for a brand such as Braun at around £30.



Wilderness
Medical Kit


An example of a more comprehensive kit
is detailed below based around a military medics pouch. This is a Day to Day kit designed to Diagnose and treat a variety of
Injuries and illnesses so holds a very limited amount of each item. It should
be used as a mobile kit and restocked from supplies at a base camp.



Contents

Cannula’s, Adult oral Airways, Nasopharangeal Airways, Syringes, needles,
Scalpel, Digital & Mercury Thermometer, Tuff Cut scissors, dressing
Scissors, Needle Holder, Forceps, 2 x Saline Irrigation, 2 x Eye Wash



(3 internal mesh bags)



Bag 1 (Drugs)

Glucagen Hypo Kit, Hypstop, Epipen, Salbutamol Inhaler, Paracetamol 500mg,
Aspirin 300mg, GTN Spray, Antihistamine Cream, KY Jelly.Fluorets,
Ameothcaine.Injectables (Tramadol, Adrenaline, Stemetil, Lignocaine,
chlorphenamine) Syringes and Needles, flushes



Bag 2 (Bandages)

2 large Dressings, 1 no3 Ambulance Dressing, Eye Pad, Micropore Tape

15cm Light Support Bandage, 7.5cm Cotton Stretch Bandage x2, 7.5cm Conforming



Bag 3 (Diagnosis)

Blood Glucose Meter, Sphygmomanometer, Stethoscope, otoscope



Middle Pouches

Assorted Plasters, Antiseptic Wipes, Wound Closures, 2 x Steri Strips,
Quickclot, 10x40cm Waterjel Burns Dressing, Asherman Chest Seal, Abdominal Pad
5x9 inches, Triangular Bandages, 2x 5cm Dressings, 2 x 10cm Dressings, 3 Pks
Gauze(5), 3 x Petroleum Gauze, iodine solution, Nitrile gloves, 2 Lightsticks,
Alcohol Gel, Resus Shield, Personal Protection Pack, Field Dressing, Tissues,
Blood Pressure / Pulse Monitor, Pulse Oximeter, Gloves.



A more comprehensive kit in
Backpack



Contents

Bags contents is divided into sections and pouches each holding similar or
groups of equipment.See basic medical kit below



The Master kit lists
Basic First Aid Kit



Bandages and
Dressings:


Antiseptic Wipes


Bandage (Crepe) – 50 mm (2”)

Bandage (Crepe) – 75 mm (2.5”)

Bandage (Crepe) – 100 mm (4”)

Bandage (Gauze) – 75 mm (2.5”)

Bandage (Gauze) – 100 mm (4”)

Bandage Triangular

Dressing (Combine) 90 mm x 100 mm

Dressing (Combine) 200 mm x 200 mm

Dressing (Non Adhesive) 75 mm x 50 mm

Dressing (Non Adhesive) 75 mm x 100 mm

Dressing Strip - Elastoplast 75 mm x 1 m

Eye PadsGauze Swabs (Pkt 2) – 100 mm x 100 mm

Sticking plasters



Personal protection

Disposable Gloves


CPR Face Shield

Instruments

Clothing Shears


Tweezers - Fine Point

Splinter Probes

Other

Saline Solution 30 mL Tubes


Steri-Strips – 3 mm

Survival Sheet

Tape – 25 mm



Basic medical kit

Bandages and
Dressings:


Combat Dressings


Large gauze dressings

Small gauze squares

Roller Bandages elastic + cotton (2in/4in/6in)

Triangular Bandages

Bandaids -assorted sizes and shapes (i.e. finger tips)

Sleek Tape 1 in. (waterproof, plastic/elasticised tape)

Cotton buds (Q-tips, cotton tips)



Personal protection / Antisepsis:

Chlorhexidine (Hibiclens) or

Povidone-iodine (Disinfectant)

Antibacterial Soap

Gloves

Saline solution – for irrigation



Medication:

Lignocaine 1% (Lidocaine) (local

anaesthetic)

Augmentin (broad spectrum antibiotic)

Acetaminophen (Tylenol) (mild analgesic)

Diclophenac (Voltaren) (mod analgesic/anti-inflammatory)

Oral Rehydration powder

Loperamide (Imodium) (anti-diarrhoeal)

Benadryl &/or Claritin (antihistamines, short + long acting)

Adrenaline auto injector (Epicene) (USA = epinephrine)

Morphine Sulphate (strong pain killer) if available

Gamma Benzene Hexachloride (lice/scabies treatment)

Co-timoxazole (antifungal)

Contraceptive pills/Condoms



Instruments:

Clothing shears


Surgical scissors

Needle holder

Small curved clamps

surgery - suturing, draining

Tissue forceps

Scalpel blades



Other:

Thermometer (rectal or pacifier for

children)

Emergency Obstetric Kit (includes bulb suction)

Vicryl 2-0 suture material(Your choice
of suture material is up to you – and is covered in detail elsewhere in this
book.Vicryl is a synthetic dissolvable one, but takes up to 4-6 weeks to
dissolve, so I think it is the ideal survival thread)


5 mL syringes


20 gauge needles



Dental:

Oil of cloves (tooth ache), Emergency dental kit

(commercial preparation)



The Deluxe Medical Kit

Bandages and dressings

Large gauze dressings


Small gauze squares

Combat dressings

Petroleum gauze squares

Plastic bags

Bandaids - assorted sizes and shapes

Elastoplast dressing

Steri-Strips - assorted sizes

Tincture of Benzoin

Roller (elasticised + cotton) bandages (2in/4in/6in)

Triangular bandages

Safety pins

Cotton buds

Paper tape (1/2 in/1in)

Sleek tape (1/2in/1in)

Plaster of Paris (or fibreglass) roller bandages(4in/6in)

Eye patches



Airway

Oropharyngeal airways


Nasal airways (NPA)

Resuscitation facemask with one-way valve

Self-inflating resuscitation bag

Endotracheal tube/ Laryngoscope



Assessment

BP cuff


Stethoscope

Otoscope

Small Torch (flash light)

Thermometer (rectal for children)

Multi-dip. urine test strips

Pregnancy test kits

Fluorescein eye strips (+ some liquid tears to wet the strips)



Other

Small eye magnet (for FB's)


Space blanket

Air splints (arm/long-leg/short-leg)

SAM splints

Sterile and un-sterile latex gloves

Scrub Suits



IV Kit

Normal Saline or Hartmans


Haemaccel or Pentaspan (a colloid resuscitation fluid)IV giving sets -
maxi-sets + standard sets)

Blood collection bags + filter giving sets

Syringes 2/5/10/20 mL

Needles 20/22/24 gauge

IV cannulas 16/20/24 gauge

Spinal needles 22 gauge

Leur locks/Heparin locks

Saline for flushes

Tourniquet

Alcohol Wipes



Dental Kit

Oil of cloves, Zinc Oxide paste, Dental

mirror, Sharp probe, Compactor,Extraction forceps, Elevators



Surgical Kit

Mayo scissors, Dissecting forceps,

Small + medium needle holders, Small curved clamps, Small straight clamps,
Large curved clamps, Scalpel Handle + Blades (size 11, 12, 15) or disposable
scalpels,Small Bone Saw,Lift- Out obstetric forceps, Emergency Obstetric Kit
(includes cord clamps, bulb suction etc), Suture Material Vicryl; 0, 2-0Chromic
0, 2-0, Dermalon 0, 2-0, Surgical stapler and remover, Heimlich flutter valve,
Chest drains – various sizes, Drainage bottles or Flutter valves, Penrose
drains, Foley Urethral Catheters – 16 French (most useful size), Urine Bags,
Nasogastric (NG) tubes + spigots, Heavy duty scissors



Medications

Povidone - iodine Prep antiseptic skin

prepand/or Alcohol prep antiseptic skin prep

Chlorhexidine and cetrimide antiseptic hand wash

Benalkium Chloride Antirabies skin wash

Antibacterial Soap

Paracetamol (Tylenol) oral mild analgesic

Aspirin oral wonder drug

Diclophenac oral mod analgesic (NASID)

Morphine IV/IM/SC strong analgesic

Naroxone IV antagonist to morphine

Ketamine IV/IM IV anaesthetic

Diazepam IV hypnotic/sedative

Atropine IV pre-med/poison anti

Lignocaine (Lidocaine) IV local anaesthetic

Metoclopramide (Reglan) anti-emetic

Augmentin oral/IV penicillin antibiotic

Metronidazole oral anaerobic antibiotic

Cefaclor oral c