Author Topic: Help me assemble a first aid kit list for a new show  (Read 46205 times)

Offline ModernSurvival

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Help me assemble a first aid kit list for a new show
« on: September 18, 2008, 12:31:47 PM »
Ok folks see if you can help me out here.  I have looked at a lot of "first aid kits" that are preassembled.   About 80% or more of the contents of most of them is like band aids and gauze.  Now not that they are not useful but what real items might be needed in a real field emergency or total shit hit the fan (yes you can say shit in my forum  8) ) scenario.

I was thinking sutures for one.  Hell if you are cut badly you might be willing to allow someone to stitch you with out novocaine and you might even do it yourself if possible.   

I was also wondering can you get your hands on things like novocain or lidocaine legally?  Or anything like that that would truly be useful as a local anesthetic.  I guess shooting lidocaine into your arm and stitching up a cut is "practicing medicine" but it the alternative is bleeding to death or getting a life threatening infection etc. I would take my chances. 

There also appears to be sources of antibiotics with out a prescription.  I never tried to order them but if this checks out I might.  Antibiotics when used properly save lives.  Again you get into the practicing medicine debate but either stranded in the wilderness or in a shit hit the fan, I would take my chances.

There are tons of other things to consider.  Such as pain killers.  If we are every prescribed any we use only what we need and seal the rest up for the First Aid Kit.  You can call in a script for a broken leg in a really bad situation.

I currently include a pint of whiskey and a pint of vodka as well.  The calming effects of a shot of alcohol on hysterical people are well documented.  Besides if I am gonna get stitched up with no numbing I would want a shot may be three!  ;)  I also keep isopropyl alcohol as well for sterilization.

It would seem good bandage strips would be a great idea as well.  Be they for a life saving tourniquet or to do up a splint or what have you.

I have to admit this is one of my weakest current preps, so help me out folks, lets come up with more then a plastic case full of gause, alcohol pads, johnson and johnson bandaids and advil.


Offline BigDanInTX

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Re: Help me assemble a first aid kit list for a new show
« Reply #1 on: September 18, 2008, 02:56:49 PM »
Jack, a great list is already done up on ZS forums.  Here's a link to the sticky over there that lists some of the great items recommended for a First Aid Kit (FAK).  Feel free to extract what you need to repost.
http://zombiehunters.org/forum/viewtopic.php?f=43&t=23901

There's also a thread on where to buy these things...
http://zombiehunters.org/forum/viewtopic.php?f=43&t=31455

=-]

blutfort

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Re: Help me assemble a first aid kit list for a new show
« Reply #2 on: September 18, 2008, 08:20:11 PM »
Regarding the sutures...You can stitch yourself up.  It just hurts like hell.
I was backpacking in Shawnee Forest in southern Ohio and sliced my leg open pretty badly.  The band-aids and tape in the first aid kit weren't cutting it.  In my pack I had a small sewing kit for fixing tents and pack and such and ended up putting five stitches in to keep it closed up enough.  Day and a half later at the emergency room I got an earful from the nurse about how stupid I was for sewing myself up.  The doctor said that it actually looked decent for someone having no idea what they were doing and doing it to themselves without any benzocaine or numbing chemicals.  Ever since then I've kept a suture kit in my pack.  You can pick them up fairly cheaply from a country vet usually.  They are usually tagged for veterinary use only.  But I figure in a crisis who cares!

Regarding the Isopropyl Alcohol...
A nurse once told me that of the items available today for sterilization that Alcohol is about the worst choice.  According to her, it killed of tender tissue at the edge of the wound that would otherwise help heal the site.  Additionally she told me that as an organic compound there were certain microbes that actually thrive in the alcohol and could contaminate the wound.  (Disclaimer...Not personally researched, told by a trusted friend that was a nurse.)
Edit...
Forgot this...The nurse freind suggested Hydrogen Peroxide or Betadine over alcohol.
« Last Edit: September 18, 2008, 08:23:17 PM by blutfort »

Offline creuzerm

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Re: Help me assemble a first aid kit list for a new show
« Reply #3 on: September 19, 2008, 12:49:31 AM »
I can relate. I can't afford a 'good' first aid kit. I end up buying a cheap kit and augmenting it until I feel it's useful.

The things I have added to my first aid kits:

Bottle of NewSkin - great for opened blisters and basically replaces a whole box of band aids with one small jar. It is also mildly antiseptic and the oil of cloves in it is a local anesthetic. I also picked up a spray bottle of the other stuff that is just like it to try. I haven't gotten a skun up knee yet to give it a try.

Those non-stick gauze pads are great. If you gotta leave yourself bandaged up for a day with a bad wound, they really do make changing the dressing easier. I seemed to need them for about a week before my wound quit trying to glue itself to the gauze.

Ace Bandages. I bet these would be the difference between walking out and needing to be rescued. I carry two of them, a 3 inch and a 2 inch. You can crush the center cardboard roll out of them and they will pack fairly flat or you can re-roll them about a stick pen and pull the pen out to make them fit better in a kit.

Rubber gloves - 2 pair. If it's bad enough you need gloves, it's likely bad enough you need help from another person too.

A tube of triple antiseptic. The 3 little pouches that come in a kit are great and all, but if your on a week long camping trip it would suck to run out on the second day due to a bad tumble down a hill and have lots of skun up arms and legs. This stuff could prevent an otherwise small wound from becoming a nasty infected mess that needs professional care and antibiotics.

A roll of athletic tape. Those little gauze tape rolls in a cheap kit are next to useless it seems. I can never get a big enough piece to stick for more then an hour. Athletic tape sticks better, and has more uses besides what it is sold for. A 2x2" gauze pad folded in half and some athletic tape makes a great large bandaid and you can make lots of them as needed out of your kit. The athletic tape can also be used for protecting blisters as well as fixing clothes, gear, boxes, just about anything duct tape can be used for. It's just as sticky and just as strong and the roll is much smaller. Again, you can crush the roll if you wanted to. The roll also just fits a waterproof match box if you want to go that route.

Don't forget sunscreen and insect repellent. I probably wouldn't keep these IN the kit, but I would consider them to be part of the kit.

I always try to have a bottle of water around with me to wash things up with.

One of those small travel bottles of hand sanitizer would be a good idea too. Clean your hands with that before you start changing your dressings.

I try to keep a regular sewing kit with me - just in case I need to do some sewing up. I have never needed one, hope I never do. I bet that cotton thread burns as it gets pulled through skin.

I have a clean tshirt that can be used as a major bandage, sling, etc. It is a tradeshow give-away, pressed and shrinkwrapped into a
brick shape so it's small, clean, and dry if I ever need it. I figure it will be SO wrinkled that I will just leave the ketchup stained shirt on at work and keep it for a real emergency.


Things I am looking to add to my kit.


Several of those Clotting bandages. These would be for the serious wound, gun shots, major accidents, etc. Starting at $10, they cost as much as the base first aid kit itself. I found some at Cabelas. I got a $twenty saved for the next time I drive by. I am thinking this could be one of those items that could save a life before an ambulance arrives. I plan to eventually have two (think entry and exit holes) for every kit, with an extra couple in the vehicle kit for good measure.

A flask of Everclear. A bit more potent then your whiskey. This is 98% grain alchohol. It could be used externally, or as you pointed out, internally. It could also be used as fuel for an alcohol stove if needed, maybe to boil water in a pinch?

I have read about a SAM splint. I am actually not 100% sure what they even are or look like as I can't find them at a local store. They seem to be recommended regularly.

My vehicle first aid kit had one of them instant icepacks. When I tried to use it, I couldn't get it activated. I am not sure if the heat ate it up or what. But I am going to replace it for the vehicle kit, but not in my daily carry kit.


I guess I see 4 levels of first aid that I plan to treat with my kit.

1) Minor scrapes and cuts with the little kids - a handful of bandaids will take care of that
2) Minor to moderate cuts, bruises, ect. - basically have enough antiseptic and covering bandages to keep it from getting infected. Some pain medicine too.
3) Moderate to major sprains, breaks, etc. - provide a way to get the wound bound up well enough so you can walk out the nearest road to get help.
4) Major trauma - dial 911 type of injuries where somebody could bleed out before help arrives - A few of those clotting packs would be useful here.

Again, as was stated elsewhere, what you know is more important then what you have. Some training, regular perusal of the manuals and a small well planned first aid kit will get you much further along then a full ambulance of gear and no idea how to use any of the stuff.

A lot of stuff can be improvised with a little knowledge. Clean socks, shirts, etc. for bandages. A bit of rope or cord or a belt for a turnicuit (sp?) to stop some serious bleeding. Being able to identify Jewel Weed for insect bites. Being able to splint a leg in a walking splint and improvise crutches so you can make your way the half a mile back to the house or to the parking lot.

It can be as simple as having the knowledge to know to clean up with some hand sanitizer before you go poking at a wound can save yourself from a nasty infection.

As for long term SHF scenarios. When I buy a type of supply, I buy the largest box of that type I can find/afford. The few items  I need out of that box go into the kit(s), the rest goes into a First Aid tote in a closet that has an assortment of refill items for my kits or even build a few new ones if needed.

Offline Capt Cook

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Re: Help me assemble a first aid kit list for a new show
« Reply #4 on: September 21, 2008, 09:31:03 PM »
Band Aids are great but you might as well go High Tech & get the ones with Antibiotics already in them. Saves you from opening one of those small Antibiotics packets for a minor cut or scrape & lets you save them for the larger wounds.

One neat thing I picked up a long time ago was an Auto Suture kit with Auto Suture Removal tool. Sort of a stapler for bad cuts.

I also recommend the Non-Stick gauze pads. My neighbor had a heck of a time with a bitten finger, trying to get the bandage off without opening the wound up.

Offline ElyasWolff

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Re: Help me assemble a first aid kit list for a new show
« Reply #5 on: September 21, 2008, 09:56:18 PM »
Well I would never recommend it.
But if your fish ever get sick they sell Amoxicillin and Penicillin in pet stores and places like Amazon com. Fish Mox and Fish Cillin in 500mg or 250mg. It is very inexpensive.

The purity is the same as human meds, and the capsules are the same.

I don’t know how much longer you can get meds for your "fish" without a prescription. You cant even get them for a dog without a 'script, just another case of an overactive govt trying to "protect" us.

Jack, you left before we got the IFAK (and the my ass rides in navy equipment version ;-) ) buy you can find Israeli bandages and CAT or SOFT tourniquets here: http://www.chinookmed.com/index.cfm/fa/category.display/category_id/14/Supplies.cfm
Try the “Z-Pack” gauze and the Quick Clot first response 25gram sponges too. Nasal airways have a use too but there are different sizes.
I have assembled my first aid kits with supplies from them.

Edit: I am not a doc, just took a combat lifesaver course.
« Last Edit: September 21, 2008, 10:01:23 PM by ElyasWolff »

Offline Tactical Badger

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Re: Help me assemble a first aid kit list for a new show
« Reply #6 on: September 23, 2008, 09:50:06 AM »
No one said anything about Superglue!!!  It's in everyone of my FAK's.  That and Steristrips.  I can't tell you how many times I've used superglue to hold a small cut together.  And for when you get dry cracks in your skin, for let's say if you had to be outside for a very long time in cold weather (AKA Ohio Winter Bugout) it's awesome.

Another thing most people overlook, myself included until someone pointed it out to me, is temporary fillings.  Nothing could ever quite ruin a good bugout like losing a filling.  There are all kinds of Dental Adhesives and temporary fillings kits on the market these days.  That's definitely in my bugout FAK.
« Last Edit: September 23, 2008, 10:07:50 AM by Tactical Badger »

Lee

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Re: Help me assemble a first aid kit list for a new show
« Reply #7 on: September 24, 2008, 04:27:03 PM »
A SAM Splint is an bendable aluminum splint that is covered with dense foam.  The great thing about them is that they are carried rolled up, so take up very little room in a kit and can be formed to fit the injury, they are especially good for immobilizing joint injuries.  Here is a good tutorial on their use: http://www.brooksidepress.org/Products/OperationalMedicine/DATA/operationalmed/MOLLEBag/SAMSplint.htm

Regarding sutures and suture kits, they are widely available with no prescription, especially from veterinary supply stores.  The local anesthetics, however, are not...the best course of action is to befriend a doctor or nurse to obtain prescriptions to that sort of thing.  Keep in mind that suturing is done in a sterile field in a hospital/clinc environment, and antibiotics are still routinely given to ward off any infections.   A few pairs of sterile gloves and the knowledge of how to don them while keeping them sterile is a good idea.  It is best to use an povidone-iodine  based solution for wound cleansing and as a topical sterilant, it is much less tissue invasive, and you generally have to do a lot of debridment (trimming) of a wound prior to suturing.   A decent video tutorial on suturing can be found here: http://www.operationalmedicine.org/Videos/HowtoSuture.htm

Another area to think about in a shtf situation is fluid replacement for major traumatic injuries, such as gunshot wounds.  In cases of severe blood loss, unless you can keep the fluid volume up to maintain blood pressure, until the source of bleeding can be controlled, hypo-volemic shock will occur and death is not far behind.  IV therapy is not difficult, nor are the supplies hard to find....again I suggest you find a friendly doctor, nurse or paramedic for help. 

Both of the web sites linked have TONS of instructional stuff, much of it free, for those interested in emergency medical care more advanced that basic life support/first aid.  I have more and will post them when I have time, if there is any interest.  If your REALLY want to learn some valuble skills for your survival preps, go find your local volunteer fire/EMS department and take your states equivelent EMT course, most stated require quite a few hours of clinical experience on an ambulance and at an emergency room....do what I did, befriend the ER docs and they will let you watch and even do all sorts of interesting things!  If you find you like the basic EMT stuff, go on for your paramedic certification, that's where you learn the heavy duty things like IV therapy, cardiology and pharmacology.  Besided, you can do your community a service at the same time, trust me...most places the VFD's are begging for help.....and many times, the courses are free for their members.

If anyone has any specific questions, let me know....if I can't answer them, I know LOTS of people who can!
« Last Edit: September 24, 2008, 04:39:14 PM by Lee »

SwampMonster

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Re: Help me assemble a first aid kit list for a new show
« Reply #8 on: September 24, 2008, 06:34:07 PM »
Awsome post Lee, Great job, Glad you are here.

Swamp

Offline 19kilo

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Re: Help me assemble a first aid kit list for a new show
« Reply #9 on: September 25, 2008, 12:17:47 AM »
+1 on the super glue


I didn't see anything on the Quikclot www.z-medica.com or hemostatic bandages  http://www.qwickaid.com/

While I have not used them,  I am certain someone here has.  These things would be real lifesavers in a disaster situation.  That's why I have some in every FAK I have.

Offline 19kilo

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Re: Help me assemble a first aid kit list for a new show
« Reply #10 on: September 27, 2008, 01:53:59 AM »
I also have a couple rolls of kerlix and an ace bandage in my FAK for my bicycle for when I take a dive and get some road rash.  Only happened once so far but I got hit by a car at a stop sign and was sent tumbling off the bike.  Only thing that happened was that I skinned by forearm up.  After the lady was done freaking out about hitting me I just wrapped it in kerlix and again in an ace bandage and I was fine til I got home.  Hurt a bit puling it off but maybe next time I will put some triple antibiotic ointment on it.


So  to recap:

Kerlix rolls
ace bandage
triple antibiotic ointment

rmcculloch

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Re: Help me assemble a first aid kit list for a new show
« Reply #11 on: September 29, 2008, 10:54:17 PM »
Hello to all, first post here, but lovin' the show!!!

I am a Firefighter/Paramedic in Southern California and obviously deal with medical emergencies all the time.  But in situations that we are talking about here on this forum, many rules of medicine as we know them are out!  I was on a medical team to Banda Aceh, Indonesia following the Indonesian Tsunami.  We had 300,000 people dead in the city I was working in.  In the time (3 weeks) I was there I didn't start a single IV, or even give a single shot to anyone.  All we really did was very sparingly give oral antibiotics, and attempt to quarantine outbreaks of TB, Dengue Fever, Malaria, etc.

For the most part if you can't handle someone's medical injury or illness via oral medications or oral fluids, there is little chance they will survive without major interventions which most likely won't be available.

What I currently have in my first aid kit are:

antibiotics (many different types for different types of infections, in different dosages for myself, my wife and our kids)
Epinephrine (can be acquired in an auto-injector) for allergic reactions
Benedryl-allergic reactions
Super Glue
Duct Tape
Multiple different bandages and Kerlix

If we ever really need bugout, the one book that I would be bringing with me is Where there is No Doctor as talked about in another post.  I was actually handed that book as I got on the flight going into Indonesia.  It really makes you think outside the box medically, and realize you have to make do with what you have around you.
Thanks!


Offline Beetle

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Re: Help me assemble a first aid kit list for a new show
« Reply #12 on: October 04, 2008, 10:22:48 PM »
I have an Epi- pen for be stings
Watergel for burns
charcoal / syrup of epicac for poising
Small eye wash bottle for rinsing eyes
Anbisol for tooth aches
CPR mask for PPE
Sting relief pen
Bottle of calamine lotion for poison oak
Penny shears(Paramedic scissors)
Stihl dealer has a bloodclotter bandage for big wounds http://www.stihlusa.com/apparel/pocket-first-aid-kit.html

Hope that adds something useful....
« Last Edit: October 04, 2008, 10:26:25 PM by Bailey »

Offline Beetle

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Re: Help me assemble a first aid kit list for a new show
« Reply #13 on: October 05, 2008, 08:55:18 AM »
Few more things...

Glucose tabs.
Benadryl/ Claritin
N95 mask(active TB has returned)
Safety glasses
Pack of Rolaids
Tweezers
Safety pins
Ace Bandage
Cheap tin foil emergency blankets
Ammonia tab
Instant Ice packs
Depending on how fancy you want to go:
Small O2 bottle
BP cuff
AED( kinda spendy)
I threw a roll of quarters in for the pay phone and a small hotel size bar of soap. Figure there is always a creek to wash up in.

dreadstalker

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Re: Help me assemble a first aid kit list for a new show
« Reply #14 on: October 06, 2008, 07:12:57 AM »
A lot of the antibiotics you can pick up over the counter at a veteranarian supply store. Same medicene , just packaged and sized differently.

Silver nitrate sticks are also handy in stopping a bloody nose and shaving cuts.

Allerion

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Re: Help me assemble a first aid kit list for a new show
« Reply #15 on: October 06, 2008, 10:33:54 PM »
A medical stapler can be used instead of sutures.  They are similar to a staplegun but the staples are round and pinch the wound closed.
An idiot can still use one to close a wound and stop blood loss.  After about two days the staples can be removed by hand.
This would not work for internal bleeding but it worked wonders for me. 

I cut my knee on a piece of drywall beading.  When it would not stop bleeding after an hour or so I visited a nurse.
She told me I needed to go to the hospital and get sutures but I figured she was overreacting, especially considering the bandage job she did on me and the size of the cut.  I went home and went to bed.  I woke up at about 2 am with what had to be at least 2 pints of blood in the bandage.  It was the weight of a water
balloon.  Four medical staples closed the wound and stopped the bleeding.  If I hadn't woken up I could well have bled to death in my sleep.  (Stupid me)
The one used on me was in a veterinary clinic. (Relative).  I was totally impressed with how easy these are to use and how well they work.

Vet clinics and/or clinic supplies have a huge array of medical equipment including medicines humans are prohibited from getting.  (Dogs don't knock over convenience stores to get more narcotic meds.)  Also I believe the vet med they may have been thinking of was cortisone spray two posts above?  I believe we used to use that to numb things we needed to stitch up on animals.  In a completely out of control disaster where people are looting hospitals and all hell has broken loose, I'd recommend a vet clinic for emergency supplies.  Or better yet, just keep a cool head and know a veterinarian. :)  Also super glue is almost identical to surgical glue.  I've even seen it used to repair a crushed turtle shell after the turtle had been run over by a car.  He healed up good as new. :)

Offline 19kilo

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Re: Help me assemble a first aid kit list for a new show
« Reply #16 on: October 06, 2008, 11:26:58 PM »
+1 for the staples.  They would be much easier to tolerate than sutures without pain meds.  I actually have a couple staples and a ton of sutures.   

Offline Beetle

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Re: Help me assemble a first aid kit list for a new show
« Reply #17 on: October 07, 2008, 09:36:10 AM »
A skedco stretcher http://www.skedco.com/detail.aspx?categoryID=1&subID=1&sku=SK-200 or a stokes litter might be a handy item also.

Sorry Modern if I am getting away from the topic of first aid- kits, because this item would have to be in a vehicle or stored in a building.

Offline firetoad

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Re: Help me assemble a first aid kit list for a new show
« Reply #18 on: October 10, 2008, 10:18:49 PM »
First post, but thought I would add my 2 pennies worth here. 

The base of my first aid kits include:  sterile rinse (sterile saline), some larger trauma dressings, tape, GLOVES, CPR mask, hand sanatizer and bandaids.

I then typically start adding various meds (ibuprofen, tylenol, imodium, etc.), cold packs, ace bandages, triangular bandages, gauze, sterile pads, ammonia inhalants, antiseptics, burn gel, burn bandages, disposable blanket, tweezers, knife, shears, notepad/pen, eye wash, eye bandages/ointment, depressers (for finger splints), liquid skin/bandage (or super glue), mole skin, etc.  My opinion, and my opinion only, I do not burden my kit, primarily from a space standpoint, with arm/leg splint material beyond gauze and/or tape because splint materials can be literally made out of anything that is stiff.

Having stated the above, the most important tool of any first aid kit is knowledge:  knowledge to properly determine illness/injury and administer appropriate first aid.  I would definitely recommend a CPR and basic first aid course for anyone that hasn't had any formalized training recently.  Most of us (myself included now) do not practice first aid on a regular basis and regular training (every 5-10 years minimum) will help prepare us for properly using any first aid kit that we may put together.

Anything beyond this, I agree with mcculloch:

Quote
For the most part if you can't handle someone's medical injury or illness via oral medications or oral fluids, there is little chance they will survive without major interventions which most likely won't be available.

The list above does not include any type of specialty condition pieces of kit, e.g. extra insulin for diabetics, epi-pens to prevent anaphylactic shock, etc.  These are items that must be added on an individual basis for personal or family circumstances that vary amongst the population.

Many first responder types of kits typically are made up of bandages and the bare basics only.  The ABC's (Airway, Breathing, Circulation) of first aid are the most important and critical.  Airway and breathing first aid, at my skill level, includes various techniques primarily requiring no tools and simple manipulation of the patient only.  Circulation is easy enough:  pulse or bleeding.  "Cardiac arrest" situations require CPR and can't really be treated beyond that at the non-medical, average Joe level (unless you have an AED handy).  Pressure and elevation goes a long way in stopping bleeding (obviously dependent upon the location and severity of the wound).  Beyond this, my skill begins to decrease quickly.

Please note, all of my medical training has been on a first responder level (basic recognition and treatment) via firefighting, vehicle extrication and law enforcement training.  I have seen enough though to know that people with significant injuries can survive with basic first aid during transport to a medical facility.  If a medical facility is not available in a SHTF situation, you can only do what you can do for we cannot be an absolute "jack of all trades".

thomasx7

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Re: Help me assemble a first aid kit list for a new show
« Reply #19 on: October 14, 2008, 12:38:28 AM »
As far as a bag to keep your first aid supplies in, I have a Combat Lifesaver bag left over from my Army days. It holds a lot of stuff, but is fairly compact and rugged. I really like it. I waffle on IV supplies. I learned in CLS course how to give IV's. Generally, an IV is a measure taken to keep someone going until they can get advanced medical support. Unless a hospital or ambulance service are readily available, any injury requiring an IV likely will be fatal. I'm talking about GSW, major lacerations, internal bleeding, etc. One exception might be dehydration, but that can usually be treated by cooling the person and giving water over time. I think that one must realistically assess medical threats that are likely and pack for that. Then maybe include more advanced stuff like J-tubes (used to help establish an airway), C collars(aka neck brace) , IV equipment in a vehicle based kit, or shelter kit. Overall, knowledge is power. Learning as much as one can about emergency medicine allows you to better adapt to each situation. Then you can better evaluate your equipment needs. Just as we train on defensive tactics, so must we train on first aid skills. We are much more likely to need first aid skills and equipment in our everyday lives then our defensive fighting skills.

Offline 19kilo

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Re: Help me assemble a first aid kit list for a new show
« Reply #20 on: October 14, 2008, 01:18:38 AM »
Quote
J-tubes

for some reason I thought of  a jejunostomy tube and not an oral airway. 
Those would not be a good idea for a first aid kit. ;)

Offline Serellan

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djturnz

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Re: Help me assemble a first aid kit list for a new show
« Reply #22 on: October 14, 2008, 04:48:08 AM »
I first heard of using super glue when I was watching a bare foot water ski competition on TV.  The returning champ had cut his foot and wouldn't be able to compete.  Then they said he super glued the cut closed and he competed.  I got a cut on my palm that would re-open evertime i used my hand.  I tried the super glue.  It hurts like a son of a bitch for about 10 minutes, but it definately has it's place in a First aid kit.

Aren't there spray anesthetics?  I don't know how good they are, but I guess it's better than nothing.

wipeout

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Re: Help me assemble a first aid kit list for a new show
« Reply #23 on: October 14, 2008, 03:08:40 PM »
As a Rural Medical First Responder, you can take this for what its worth, but work around the ABC's

Airway/breathing management will require either a pocket mask or BVM (unless you really want to lock lips with a patient). Airways can be maintained on unconscious patients through use of Oral Airways but the gag reflex kicks in when they regain consciousness. Nasal airways are better IMO as they can remain in place in a conscious patient. You can not use nasal airways on patients with facial trauma though. both airways need to be sized, I keep 28 and 32FR nasals in my bag for adults and cut them if needed for pediatrics. Oral airways are not field sizable like NPA's so one would have to carry a complete set of those. We just got approval for use of the king airways which are much easier to use than any other airway tubes. If you feel like you need to have something for tension pneumothorax, then asherman chest seals are one way to go, otherwise a bandage wrapper (think shrink wrap) and duct tape work just as well. 14ga angiocath needle works for chest decompression but you better know what the hell you are doing, and how to tell if it is needed before you use it.

Circulation - I'm not a fan of hemostatic clotting agents. I have not seen a wound that could not be controlled with direct pressure, elevation, pressure points, or a TQ. any kit should have large dressings (I like the Israeil and cinch-tite H bandage as those are the two I am familiar with), 4x4 dressings, kerlix or other roll bandage and either Ace bandages or Coban/vetwrap type bandages. while the vetwrap is similar and cheaper than the Coban, it contains latex so make sure you are not allergic.

other than that:

saline for irrigation
a 10cc syringe with catheter tip for irrigation
gloves
triangular bandages
duct tape ("medical" tape is shit, unless you get "durapore")
SAM splint
a bobo kit containing bandages, neosporin, OTC meds(ibuprofen, tylenol, imodium) and an ice pack

That about covers my call out bag. I can think of maybe only 2 times where something from the FR rig was needed that that didn't cover and one of those times was a traction splint.


Some good advice in this thread, some bad advice as well unless you know exactly what you're doing. I used to think the same way about sutures, "I'll just sew it up if I really need to", but there is a lot more than "just sewing" you need to know: when to suture and when not to, debriding wounds, what to allow for drainage, sewing layers of tissue, what type of suture material to use, and more.


My advice is if you really are interested in preparing for this type of thing, go take a first responder or EMT-B class. I think current course time is 80hrs for FR and 160 for EMTB. Having the tools to save someones life is only part way there, you need the knowledge as well.

Offline wcff3431

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Re: Help me assemble a first aid kit list for a new show
« Reply #24 on: October 14, 2008, 07:21:05 PM »
this is a site i got turn onto several year ago when i joined the vol. fire dept. www.galls.com..
they have kits that would be a good start for a survival kit you might have to add stuff to them. at least it would get you a good start no suture kits  :'(. so, here is what i started with http://www.galls.com/style.html?assort=general_catalog&style=TK079. also, some of the kits have list of the products that are in them in case you don't want to buy them, have a list of thing like that would be helpful at your local wally-world. also, try your local community college (book store) they should have a training book to get more info. i think the last book i got was around $150.

Offline ColdHaven

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Re: Help me assemble a first aid kit list for a new show
« Reply #25 on: October 15, 2008, 11:40:24 AM »
I am not sure what everyone thinks of alternative medicines, but something in my BOB is echinacea and goldenseal. I use these herbs everytime I get a flu or bronchitis. Every single time they have helped. On top of that you can use these herbs when you see everyone is sick around you and you have not become sick yet. I have done this and have avoided bouts of the flu. Moreover, these are herbs, and they grow naturally in the wild. Echinacea acts as an immunity booster while Goldenseal acts like and antibiotic. Of course the FDA has not given their blessing (and they never will), but they are more than just remedies.

Lucretius

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Re: Help me assemble a first aid kit list for a new show
« Reply #26 on: October 28, 2008, 06:53:21 AM »
+1 on Super Glue!

It can be put to use for applications other than first aid, too.


Liquid hand sanitizer bottle, alcoholic. Keeps your hands clean (and can be used as a last ditch pain killer... ;)). Also a great help with starting fires in damp weather.

As you can tell, redundancy is important to me... :D

Total Resistance

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Re: Help me assemble a first aid kit list for a new show
« Reply #27 on: November 05, 2008, 07:59:28 PM »
What kind of first aid kit are you planning and for what circumstances?

General around the house/car kit. Individual FAK. Blow out Kit for combat injuries. Medic Kit. Group Kit.

My blow out kit contains:
2 roller gauze
Israeli dressing
SF tourniquet
4" Kerlix
Quick clot tea bag
OPA
1" tape
lightstick
http://www.youtube.com/watch?v=FozKEOnRcfg

This is for immediate life or death injuries.

My group kit would include

IV set up kits, drip sets, angios
2 500ml bags of fluid. Advantage of 2 500 bags over 1 1000ml bag is you can give fluid to two people or if a bag ruptures you still have one left. Everyone else also carries two bags with set ups in their rucks.
many 4x4
many 2" roller gauze
traingular bandages
several ABD pads
12x12 bulky dressing
asherman chest seal
vaseline gauze
4x4 burn dressing (the one with lidocaine goo)
several battle dressings
ASA
Benadryl
cough drops
dayquil liqucaps
chapstick
bandaids
butterfly sutures
electrical tape
glucometer
alcohol pads
gloves
Medic shears

most injuries can be treated with 4x4 and roller gauze

as an add on ALS pack
1:1000 epi
50mg benadrl
for allergic reactions

25g D50
1mg glucagon
for diabetics

appropiate syringes
chest decompression kit

access to the above will be limited on availability and skill but if one has allergic problems or is an unstable diabetic they should be able to get a perscription for those items for self use.

For a home kit
I'd add in more of the above plus

PCN procain G
terramycin 343, make sure it is 343 as a broad spectrum antibiotic

both are available from vet stores, jeffers or lambriar vet.

to use the terramycin you can mix with water and drink and maybe not puke it up from the taste
or
buy a capsule filling machine and OO size capsules from herb places. One OO capsule IIRC is 250mg of terrmycin. You can also buy fishcillin in 500mg tiny capsules which are much easier to take. I've taken all of the above and so have most rural farmers and it works and doesn't kill you.

You need to buy a PDR, nurses drug book to know what your doses should be and do the math.

PCN is relatively safe as long as you're not allergic. You will need many IM needles and bottles of it depending on what you are treating.

Home kit would also have a BP cuff, stethoscope and otoscope to help with diagnosing ear infections.
 
My vehicle kit also contains
cervical collars
oxygen with NRB and nebulizers
albuterol/ipratropium
oral glucose
splint kit
BVM
intubation set
SAM splint
trach kit
tons of gloves since I'm probably using these items on strangers
penlight
blood pressure cuff
stethoscope

these items are only useful if you have a hospital to go to. If not there isn't much point in these items

If you're looking at just a general first aid bag, a small back pack with
4x4 dressings
5x9 ABD pads
roller gauze
kerlix
battle dressings (there are plain civilian ones too)
occlusive dressings
BP cuff/stethoscope
penlight
headlight (you may be working in the dark)
triangular dressings
SAM splint
hot/cold packs
medic shears
burn dressings
duct tape
tourniquet
quik clot
bandaids
pen/pencil
antibitotc cleaning cloths
gloves
alcohol wipes

Pen and pencil. You will probably want to write down who, what, how and what you did for trending or when you hand the person off to higher level of care. This would also include possible everyone carrying a casaulty card marked with contact info, allegies, medical history, medications, DOB etc.

I don't carry a BP cuff in my combat care grouping because it is added weight and I'm not running a field hospital. If it is too bad either way there is not a lot I can do with austere conditions.

If I can palpate a carotid pulse they have a BP of at least 60 mm/hg
If I can palpate a femoral pulse they have a BP of at least 70 mm/hg
If I can palpate a radial pulse they have a BP of at least 80 mm/hg

A stethoscope won't really do much if you recognize adventitious lung sounds in your CHF patient anyways. You can use it for home though to help with "diagnosing" possible pneumonia or at least consolidation if you notice whispered pectroliloquy/egophony.





« Last Edit: November 05, 2008, 08:04:28 PM by Total Resistance »

Offline Nate

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Re: Help me assemble a first aid kit list for a new show
« Reply #28 on: November 06, 2008, 09:28:34 AM »
There is a lot of good ideas posted already, but I will chime in anyway.  My training is in Wilderness First Resoponder which primarily focuses on multi use, making due with out and improvising.  Here are a few items for wound care that I didn't see posted.

Tampons:  for women and to stop pesky nose bleeds.  Might work for deep puncture wounds though I have never tried it.
Kotex pads:  again for women and excellent for slowing/stopping severe bleeding, like a trauma pad but multi use.
Coflex:  Stretchy Ace bandage like material that sticks to itself and NOT skin.  I use this stuff a lot!!  This also works better than ACE bandages for wrapping ankles.

Instead of carrying a SAM splint, you can use the pack stays from an internal frame backpack.  Most of my packs I am able to remove the stays with out damaging the pack.  It seems they are meant to be taken out.

Has anyone heard of Bag Balm?  This stuff is awesome for wound care.  It was developed for chapped cow udders over 100 years ago.  My parents used it on us all the time for cuts and abrasions.

Offline Eirchild

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Re: Help me assemble a first aid kit list for a new show-Everclea
« Reply #29 on: November 08, 2008, 01:12:15 PM »
  You should NEVER drink Everclear (it has to be diuted)  as it will do damage to your mouth and esophagus.  This is because it will severely dry those tissues out.I also question using it straight upon the skin or wound.  As an herbalist,we are always warnedabout NOT using it straight up.