Tried and failed to post from work, and then my phone
crapped out for a bit. Finally bought a new laptop
, sorry about the delay!
Originally Posted by DeepFrz
I don't think I remember reading that in the study. Could you provide a reference?
I found my old medical kit from traveling. It was Doxycycline that I was cautioned about, I knew it had something to do with malaria and was an antibiotic too.
The doctor I mentioned said that generally expiry only indicated a possible reduction in effectiveness, and helped me figure out a lot of the medicines etc for my kit, and also with good advice for storing some things for long term disaster/SHTF preparedness back when I had more space and money
living on land.
The only exception that came up while I was preparing for my trip was that antibiotic, so I'm certain it wasn't a knee-jerk reaction to caution me about it.
He is one of the smartest men
I've ever met, and with a lot of experience in medicine, and surgery, both in Africa
and here. His wife(a pharmacist) also concurred. They are innovative, constantly learning
, and unlikely to be just following an official line about expiry. I trust his advice, as he has proven regularly correct.
If I was still dating his daughter, I'd ask for clarification.
Since we didn't part on the best of terms owing to her poor decisions, not going to happen now.
One other thing he suggested to me for traveling that might be good to take before you go is a vaccine called Dukoral. It's an oral vaccine. Seemed effective considering the things I was eating all the way through Central America
and how often I drank the water
Other things I found in my kit that I don't remember seeing in the thread:
Quick-clot packets used for serious bleeding, supposed to do the job when nothing else will, maybe not as much of a concern on a boat as on a motorbike, where crashes are a common concern.
Steri-strips(use all the time in place of stitches, there's a bigger version as well with elastic in the middle that you can overlap, or use to keep tension off stitches, I had one packet of them when I had my hand sewn up, they worked really well).
Sealed syringe kit(to avoid disagreements at borders, it is sealed and labled clearly by the manufacturer)
aluminium mesh folded in half and rolled to use as a formable splint, takes up 1/3 the space of the foam covered splints, and forms better.
Sealed small sterile packets of saline, clip the end and irrigate wounds or eyes instantly. I use these often.
Liquid skin. The top comes off easy so I wrap it in tape to keep it on.
Second Skin band-aids for burns, blisters
or cuts(I have a few of each, they are different shapes but essentially the same otherwise).
They seal on tight, so the area needs to be cleaned carefully first, but keep water
, dirt, sweat etc out after. Worth their weight in gold for cuts on hands when you have to put back on dirty wet gloves.
I'm allergic to petroleum, so things like Polysporin are off limits to me unless I want to be covered in blisters
Alternatives I use instead:
Polysporin disinfectant spray, it's ok, but not great.
The pre-treated antibiotic bandaids are fantastic, I use them whenever I have a cut that is starting to get infected or not healing up normally, they've worked every time so far.
Here are the type of kits I've seen friends use as base kits, then upgrade but keeping the official packaging and basic consumables. The bigger ones go on sale
from time to time too, a Pelican hardcase takes up too much room for me.
Adventure Medical Kits 0.7 First Aid Kit - Ultralight, Watertight - Save 35%
Re: epi-pens. When taking my first Wilderness First Aid Course I was advised that epi-pens were a temporary solution, they buy you enough time to get someone to help(ideally) or to try something else. One suggestion, given with the understanding that it wasn't an official policy if I remember right was that if it can reduce the swelling enough for the victim to swallow was to use that opportunity to get them to swallow some antihistamines, in the hopes that they would kick in to reduce the reaction enough before the epi-pen wore off, as in many remote
areas we might be too far to get outside help in time.
The only time that a friend of mine has had to administer one in the bush, a helicopter was on route
in time, before they really had to test this suggestion about using the Epi-pen to buy time for the anti-histamines.
Also, NEVER, EVER put your thumb over the end of an epi-pen when going to use it, even in practice with no adrenaline or stress, I've seen people get them the wrong way around, as we are so conditioned to pulling the cap off the writing end of a pen, while an epi-pen cap is on the back end. holding the pen in a fist, if you poke the person with the wrong end, nothing happens flip it around and you're good to go. With a thumb over the end, you will get the shot right in your thumb which is reported to be absolutely excruciating and the victim gets nothing.
Epi-pens have a good amount of force behind the needle, I've tested an expired one on a piece of well dried wood, and the needle punched in hard enough that I could pick up the wood by the pen no problem. If you have expired ones you aren't using, an orange is a common thing to practice the injections on, that's how teachers here are trained to administer them.