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archive:survival:king.lst
                                            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)



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