649 lines
23 KiB
Plaintext
649 lines
23 KiB
Plaintext
|
|
Kevin King
|
|
Tyler, TX
|
|
12-26-88
|
|
Dear Ken:
|
|
I am happy to share my list of medical equipment and
|
|
supplies.
|
|
FANNY refers to a "fanny pack", a small 7 pocket day-pack
|
|
which I purchased from SI.
|
|
KEEPWITH is a list of the stuff I want close; in the car if
|
|
possible.
|
|
BUGOUT is a collection to grab if evacuation is ever
|
|
necessary.
|
|
CAMPING includes the things we usually take on a camping
|
|
trip. Hopefully, it includes enough to camp out for 2 weeks.
|
|
STORM will eventually be the all inclusive inventory list.
|
|
It will add to CAMPING the reserve inventory and the
|
|
necessities for shelter living.
|
|
MEDICAL LIST is Jane Orient's project. I received it as hard
|
|
copy and have gotten only part of it in the computer.
|
|
I hope you find some of this helpful. Feel free to edit it
|
|
to fit your needs.
|
|
Sincerely,
|
|
Kevin King
|
|
|
|
FANNY
|
|
alcohol wipes (cassette tape box full)
|
|
aspirin (adult, pedi) (1 bottle each)
|
|
Band-Aids (cassette tape box full)
|
|
bandana (camo) (1)
|
|
Betadine ointment (cassette tape box full)
|
|
Betadine wipes (cassette tape box full)
|
|
chap stick (1)
|
|
gloves (exam) (4 pair)
|
|
Magic Marker (black) (1)
|
|
magnifying glass (1)
|
|
safety pins (8)
|
|
signal mirror (1)
|
|
soap (Dial) (1)
|
|
tape (1" silk) (wrapped on matchstick,
|
|
stored in 35 mm film can)
|
|
towel (hand size) (1)
|
|
Tylenol (adult, pedi) (1 bottle each)
|
|
Fluid Therapy Formula
|
|
Water Deprivation
|
|
Diarrheal Losses
|
|
Cola soft drinks, straight, half strength, bubbles
|
|
shaken out
|
|
Orient Formula
|
|
water 1 quart
|
|
sugar 10 teaspoons
|
|
baking soda 1/3 teaspoon
|
|
(sodium bicarbonate)
|
|
Lite Salt 1 teaspoon
|
|
(Morton, KCl, NaCl, NaI)
|
|
|
|
KEEPWITH
|
|
SMALL FIRST AID KIT (REI) (some duplication of FANNY)
|
|
(equipment)
|
|
eye shield
|
|
gloves sterile (2 pair)
|
|
mirror (signal)
|
|
needles
|
|
18 g (2)
|
|
20 g (2)
|
|
pill vials (3)
|
|
Q-Tips (5)
|
|
razor blade
|
|
safety pins (25 in assorted sizes)
|
|
suture
|
|
3-0 Dexon (1)
|
|
4-0 Nylon (3)
|
|
syringe
|
|
3 cc (1)
|
|
thermometer
|
|
tongue blades (5)
|
|
(instruments)
|
|
hemostat: mosquito (2)
|
|
nail clippers
|
|
needle holder (1)
|
|
pickups with teeth (1)
|
|
scalpel handle (1)
|
|
scalpel blades
|
|
#15 (1)
|
|
#11 (1)
|
|
#10 (1)
|
|
scissors: straight Mayo
|
|
(prep)
|
|
alcohol wipes (4)
|
|
Betadine ointment (6)
|
|
Betadine prep (4 oz)
|
|
Betadine wipes (4)
|
|
Dial soap (motel) (1)
|
|
(dressings)
|
|
Band-Aids (6)
|
|
cotton balls
|
|
eye dressing (pads) (2)
|
|
field dressing (2)
|
|
(battle dressing)
|
|
(Carlyle dressing)
|
|
(pressure dressing)
|
|
roller gauze 1" (1)
|
|
sponges (2 packs with 2 each)
|
|
tape (1" silk) (wrapped on matchstick
|
|
stored in 35 mm film can)
|
|
triangle bandage
|
|
38" side, 54" hypotenuse
|
|
36" side, 50" hypotenuse
|
|
Vaseline gauze (1)
|
|
(drugs, prescription)
|
|
Benadryl 50 mg/cc (1 ampule)
|
|
Epinephrine 1:1000 (2 ampules)
|
|
Lomotil (12 tabs)
|
|
Xylocaine (1% plain) (20 cc)
|
|
(drugs, non-prescription)
|
|
aspirin (adult)
|
|
Neosporin Ointment
|
|
oil of cloves (1 oz)
|
|
Tylenol (adult)
|
|
Maalox
|
|
(other first aid supplies) (not in small REI)
|
|
air splints
|
|
pocket mask with valve
|
|
ingredients for fluid replacement
|
|
sugar
|
|
NaCl
|
|
NaHCO3
|
|
Morton's Lite Salt
|
|
snake bite kit
|
|
survival blanket
|
|
|
|
BUGOUT (this is about as far as my editing goes)
|
|
LARGE FIRST AID KIT (REI)
|
|
(equipment)
|
|
pill vials (4)
|
|
tongue blades (2)
|
|
gloves (sterile)
|
|
suture (1 of each)
|
|
4-0 Dexon
|
|
5-0 Dexon
|
|
4-0 Nylon
|
|
5-0 Nylon
|
|
6-0 Nylon
|
|
3-0 Silk ties
|
|
4-0 Chromic
|
|
needles
|
|
18 g (2)
|
|
20 g (2)
|
|
syringe
|
|
3 cc (1)
|
|
razor blade (Weck) (5)
|
|
safety pins (25 in assorted sizes)
|
|
insect repellent (REI Jungle Juice)
|
|
(instruments)
|
|
needle holder
|
|
hemostat (straight) (3)
|
|
scissors
|
|
straight Mayo
|
|
Paramedic
|
|
pickups without teeth
|
|
scalpel handle
|
|
scalpel blades
|
|
#15 (1)
|
|
#11 (1)
|
|
#10 (1)
|
|
signal mirror
|
|
(prep)
|
|
Betadine solution (4 oz)
|
|
Betadine wipes (4)
|
|
Betadine ointment (6)
|
|
Neosporin ointment (8)
|
|
alcohol wipes (4)
|
|
liquid soap (Campsuds) (2 oz)
|
|
(dressings)
|
|
Band-Aids (15)
|
|
Field dressing (4) (battle dressings, Carlyle
|
|
pressure dressings)
|
|
grease gauze
|
|
Vaseline (1)
|
|
Adaptic (1)
|
|
sponges (4)
|
|
tape (1" satin tape wrapped on matchstick and
|
|
stored in a pill vial)
|
|
Triangle bandage (54" hypotenuse)
|
|
(drugs, prescription)
|
|
Benadryl 50 mg/cc (1)
|
|
Epinephrine 1:1000 (2)
|
|
Atropine 0.4 mg/cc (5)
|
|
Lomotil (12)
|
|
(drugs, non-prescription)
|
|
ASA (adult)
|
|
Tylenol (adult)
|
|
Maalox
|
|
NaCl (salt) tablets
|
|
|
|
CAMPING (some of this stuff is because I
|
|
am an anesthesiologist)
|
|
COMPREHENSIVE LIST OF FIRST AID SUPPLIES
|
|
(equipment)
|
|
O-P airways
|
|
N-P airways
|
|
tongue blades
|
|
ET tubes (1 each)
|
|
8.0 cuffed
|
|
7.0 cuffed
|
|
6.0 cuffed
|
|
5.5 uncuffed
|
|
6.0 uncuffed
|
|
6.5 uncuffed
|
|
stylet
|
|
laryngoscope
|
|
pedi handle
|
|
blades
|
|
Miller #3
|
|
Mac #3
|
|
McGill forceps
|
|
Ambu bag
|
|
Crico-Thyrotomy tube
|
|
suction hose
|
|
tonsil suction tip
|
|
suction catheter (14f)
|
|
DeLee (new born) suction trap
|
|
ear syringe (suction bulb)
|
|
stethoscope
|
|
gloves
|
|
exam
|
|
sterile
|
|
Steri-Strips
|
|
suture
|
|
4-0 Dexon
|
|
5-0 Dexon
|
|
6-0 Dexon
|
|
3-0 Nylon
|
|
4-0 Nylon
|
|
5-0 Nylon
|
|
6-0 Nylon
|
|
3-0 Silk ties
|
|
4-0 Silk suture
|
|
6-0 Silk suture
|
|
4-0 Chromic
|
|
needles
|
|
regular 18, 20, 25
|
|
spinal 18, 22, 25
|
|
syringes
|
|
1 cc
|
|
3 cc
|
|
5 cc
|
|
20 cc
|
|
splints (wire and air)
|
|
tourniquet
|
|
chest tube
|
|
Salem sump (18f, 14f)
|
|
umbilical cord clamp
|
|
Foley catheter
|
|
thermometer
|
|
eye dropper
|
|
Q-Tips
|
|
razor blades
|
|
safety pins
|
|
cotton sewing thread and needle
|
|
(instruments)
|
|
needle holder
|
|
hemostat
|
|
mosquito
|
|
regular
|
|
Kelly
|
|
scissors
|
|
tissue
|
|
suture
|
|
iris
|
|
Paramedic
|
|
pickups
|
|
with teeth
|
|
without teeth
|
|
splinter
|
|
scalpel handle
|
|
scalpel blades: #15, #10, #11
|
|
(prep)
|
|
Betadine scrub brush
|
|
Betadine prep
|
|
Betadine paint
|
|
Betadine wipes
|
|
Betadine ointment
|
|
hydrogen peroxide (H2O2)
|
|
alcohol
|
|
alcohol wipes
|
|
antiseptic towelettes
|
|
(dressings)
|
|
ABD's
|
|
Ace bandage (3" and 4")
|
|
Band-Aids
|
|
Eye patches
|
|
Eye shield
|
|
Field dressings (Battle dressings, Carlyle pressure
|
|
dressings)
|
|
Gauze roller bandage (2" and 3")
|
|
Grease Gauze dressing (Adaptic, Vaseline)
|
|
Kotex
|
|
Moleskin
|
|
Safety pins
|
|
Sponges (3" x 3" or 4" x 4")
|
|
Steri-Strips
|
|
Tape (satin or canvas)
|
|
1"
|
|
2"
|
|
3"
|
|
Triangle bandage (54" hypotenuse)
|
|
bed sheets (for dressings)
|
|
(drugs, prescription)
|
|
Penicillin (oral and parenteral
|
|
Amoxicillin (oral and parenteral
|
|
EES (Erythromycin) (oral)
|
|
TCN (Tetracycline) (oral and parenteral)
|
|
Antibiotic ointments (general, eye)
|
|
Antibiotic drops (eye)
|
|
Atropine (ACLS, Chemical Agents)
|
|
Benadryl (capsules, injection)
|
|
Compazine (oral, rectal, parenteral)
|
|
Decadron (parenteral)
|
|
Diamox (altitude sickness) (oral)
|
|
Droperidol (parenteral)
|
|
Epinephrine (parenteral)
|
|
Lasix (oral, parenteral)
|
|
Lomotil (oral)
|
|
Narcan (parenteral)
|
|
NTG (Nitroglycerine) (sub-lingual)
|
|
Ophthane
|
|
Opiate Analgesics
|
|
ASA with Codeine
|
|
Tylenol #3
|
|
Morphine (parenteral)
|
|
Xylocaine (ACLS, suturing)
|
|
(drugs, non-prescription)
|
|
ASA (adult and pedi)
|
|
Tylenol (adult and pedi)
|
|
Alcohol
|
|
baking soda (eye wash and soaks for dermatitis)
|
|
Calamine lotion
|
|
Chapstick
|
|
Chlorox
|
|
Colace
|
|
Desenex
|
|
powder
|
|
ointment
|
|
Ipecac
|
|
KaoPectate
|
|
Maalox
|
|
NaCl tablets (salt)
|
|
NeoSporin ointment
|
|
Nose drops (Afrin and NeoSynephrine)
|
|
Oil of cloves
|
|
Robitussin
|
|
Throat lozenges
|
|
Vaseline
|
|
Vicks
|
|
Vitamins
|
|
Multi
|
|
Vit C, 25 mg/day
|
|
Zinc oxide paste
|
|
(fluid replacement)
|
|
clear liquids (tea, bouillon, Jello)
|
|
ORAL REPLACEMENT
|
|
water 1 liter
|
|
NaCl 1 tsp
|
|
NaHCO3 1/2 tsp
|
|
IV
|
|
normal saline 1000 cc
|
|
lactated ringers 1000 cc
|
|
D5/W 500 cc
|
|
D50/W 50 cc
|
|
administration sets
|
|
extension sets
|
|
Jelcos
|
|
pressure bag
|
|
(dental)
|
|
Oil of Cloves
|
|
Tiny cotton balls
|
|
Dental pickups
|
|
|
|
STORM
|
|
(First aid supplies are essentially the same items as
|
|
for CAMPING; the quantity in the inventory is simply
|
|
increased as finances allow.)
|
|
|
|
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, and can be sterilized if necessary.
|
|
A small supply gauze pads should be obtained in
|
|
sterile packs.
|
|
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,
|
|
both also manufactured by the 3M Company, will be
|
|
useful. Masking tape (like you would use for
|
|
painting) and Scotch tape are both satisfactory
|
|
substitutes for adhesive 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.
|
|
Bed sheets (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, and Kelly for clamping
|
|
larger vessels.
|
|
Needle holder (2)
|
|
medium for general suturing
|
|
small for fine suturing
|
|
Scalpel
|
|
handle # 3 (general purpose) (1)
|
|
blade
|
|
# 10 (general purpose) (5)
|
|
# 11 (stab blade) (5)
|
|
Scissors (3)
|
|
iris
|
|
Mayo (one blade tip sharp, one blunt)
|
|
Paramedic
|
|
Suture
|
|
silk, nylon, Prolene, plain catgut,
|
|
chromic catgut, Vicryl, Dexon, Mersaline
|
|
sizes 6-0 to 3-0 for general use,
|
|
heavier for special use
|
|
umbilical tape
|
|
most suture with swagged needles
|
|
some suture without needles for free hand ties
|
|
heavy cotton sewing thread can be sterilized and
|
|
used for expedient suture
|
|
scalp wound can be closed by tying strands of
|
|
hair together across the wound
|
|
wounds have been closed with safety pins when
|
|
nothing else was available
|
|
(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, insomnia)
|
|
chlorpheniramine
|
|
diphenhydramine (Benadryl)
|
|
aspirin (1000)
|
|
acetaminophen (Tylenol)
|
|
adult (1000)
|
|
children's chewable
|
|
children's liquid
|
|
antacid (Maalox, Mylanta, etc.)
|
|
liquid works faster and better
|
|
tablets keep better
|
|
baking soda (NaHCO3)
|
|
component of replacement fluids
|
|
eye wash
|
|
soaks for dermatitis
|
|
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, is also
|
|
useful as replacement source of magnesium (Mg)
|
|
for treatment of chronic diarrhea)
|
|
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, p. 114.)
|
|
brown bottle with dropper
|
|
(to protect the SSKI from light)
|
|
KI crystals
|
|
Fill the brown bottle about 60% full of KI
|
|
crystals, add water until the bottle is 90% full,
|
|
shake well before each use.
|
|
NOTE: excess KI must be present to assure that the
|
|
solution is saturated. Some crystals must
|
|
remain out of solution.
|
|
(prescription drugs)
|
|
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)
|
|
(this is as far as I have gotten in transcribing Jane's
|
|
list)
|
|
|