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
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)
SMALL FIRST AID KIT (REI) (some duplication of FANNY)
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)
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
alcohol wipes (4) Betadine ointment (6) Betadine prep (4 oz) Betadine wipes (4) Dial soap (motel) (1)
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)
Benadryl 50 mg/cc (1 ampule) Epinephrine 1:1000 (2 ampules) Lomotil (12 tabs) Xylocaine (1% plain) (20 cc)
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)
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)
needle holder hemostat (straight) (3) scissors straight Mayo Paramedic pickups without teeth scalpel handle scalpel blades #15 (1) #11 (1) #10 (1) signal mirror
Betadine solution (4 oz) Betadine wipes (4) Betadine ointment (6) Neosporin ointment (8) alcohol wipes (4) liquid soap (Campsuds) (2 oz)
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)
Benadryl 50 mg/cc (1) Epinephrine 1:1000 (2) Atropine 0.4 mg/cc (5) Lomotil (12)
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
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
needle holder hemostat mosquito regular Kelly scissors tissue suture iris Paramedic pickups with teeth without teeth splinter scalpel handle scalpel blades: #15, #10, #11
Betadine scrub brush Betadine prep Betadine paint Betadine wipes Betadine ointment hydrogen peroxide (H2O2) alcohol alcohol wipes antiseptic towelettes
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)
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)
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
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
Oil of Cloves Tiny cotton balls Dental pickups
(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.
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)
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
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.
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
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)