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)
|
||
|