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Medical Kits

by Judy Peck, M.D.

Preparation

  • Consider the following when planning:
  • — Medical expertise of the intended user
    — Special environmental considerations
    — Length of trip
    — Distance from hospital
    — Availability of rescue
    — Number of people traveling
    — Pre-existing illness
    — Weight and space limitations
    — Base camp

  • Container:
  • — Choose an easily recognizable container if more than one person is using it, e.g. red or orange container
    — Label it as the "Medical Kit" and or place a cross on it. The cross is a universal medical symbol ­ use it!
    — Choose a water-proof container for wet conditions
    — Place items (e.g. Band-aids or Tylenol) into separate clear ziplock bags
    — items are organized and easy to identify
    — they are also water-proof
    — Do not make the kit too big or bulky
    — you can't bring it all
    — be smart when choosing what items to bring
    — big, bulky kits are often left behind
    — A personal medical kit can fit into a single ziplock bag if necessary

    **A medical kit in your car containing everything for every possible emergency is useless when you are a 50 miles down the trail

  • Medications:
  • — Tylenol/Motrin: fever, muscle aches, minor pain
    — Sudafed/Actifed: runny nose, congestion
    — Benadryl: allergies, itchy rash
    — Dramamine: motion sickness
    — Cortizone: insect bites, itchy rash, poison oak
    — Lotrimin: fungal infection, e.g. athlete's foot
    — Sunscreen (SPF 15): sun protection
    — Lip balm (SPF 15): lip protection
    — DEET 30% (adults): prevents insect bites
    — DEET 10% (children): prevents insect bites
    — Mylanta: stomach upset
    — Imodium: diarrhea
    — Rehydralyte, Oralyte, Sport drinks: for dehydration
    — Glucose paste: for low blood sugar/insulin shock
    — Epi-pen: bee allergy (available by prescription)
    — Personal medications: insulin, asthma inhalers . . .

  • Equipment:
  • — Wound care and bandage material (a store bought First Aid kit will contain this material )
    — Bandage scissors
    — Splinting material
    — Tweezers
    — CPR mask
    — Medical gloves
    — Notebook and writing utensil
    — Emergency dental kit
    — Duct tape: it has many uses
    — Communication: cell phone, radio. . .
    — First aid book

  • Special environment considerations:
  • Altitude Illness
    — Tylenol: for headache of acute mountain sickness (AMS)
    — Compazine : for nausea associated with AMS
    — Oxygen: for treatment of all altitude sickness
    — Acetazolamide: prevention and treatment of AMS
    — Nifedipine: for high altitude pulmonary edema (HAPE)
    — Dexamethasone: AMS/high altitude cerebral edema (RACE)
    — Furosemide: used cautiously when treating HAPE or HACE
    — Gamow Bag: simulates low altitude, used for HAPE/RACE
    — Definitive treatment is descent!

    Heat Illness
    — Extended temperature range thermometer
    — IV supplies and IV fluids
    — Chemical ice packs

    Snowblindness
    — Opthalmic anesthetic ­ e.g. proparacaine
    — Fluorescein stain
    — Cycloplegic agent ­ e.g. cyclogel
    — Opthalmic antibiotic ointment or drops
    — Spare sunglasses with side shields or goggles
    — Narcotics (e.g. Vicodin) ­ to treat pain
    — Eye patches

    Marine envenomation ­ e.g. box jellyfish — Vinegar: pour on nematocysts to "fix" them after washing with sea water
    — Urine also works and is used by Hawaiian natives
    — Talcum powder or shaving cream: cover nematocysts after fixing with vinegar
    — Knife: scrape off nematocysts
    — Steroid cream: to apply to skin after nematocysts are removed
    — Narcotics (e.g. Vicodin) : to treat pain

    Tropical or third world travel
    —Malaria pills, diarrhea medication...

    **Remember: Tailor your medical kit for your group's size and needs
    ***Consult your doctor or a travel doctor when planning your trip