Originally Posted by jacob30
So I just received my Pelican 1500 EMS kit and am going to begin stocking. My list thus far is: Bandages ( various) scissors Tourniquet Butterfly bandages Splint Sutures quickclot sponge Saline wash Eye drops Neosporin Super glue gel IV kit with lactated ringer's solution Eye patch Gauze Tape Tweezers Forceps Antibiotics (cypro ??) Pain meds ( Tylenol, Motrin, codein) Imodium Sea sickness
meds ( Dramamine )?? Epi pen Aspirin Valium?? Iodine tincture Alcohol prep pads Neosporin So just a start. If you have a medical background chime in on what you would bring. Thanks, Jacob Sent from my iPad
using Cruisers Sailing Forum
Good on ya for putting the kit together rather than buying
one of those pre-made kits they flog at the boat shows. However, I think you have overlooked your best source of advice (and materials) and if you are still a SAR Pilot, he's probably sitting right behind you. Your Medic/Corpsman! That guy will tell you just what you need and probably be able to get it for you.
That said, and as I meet your criteria (8 yrs Hospital Corpsman USN Fleet Marine
Force Trained, EMT/Paramedic, 8 years Physician Assistant-Certified practicing Internal Medicine, Emergency
Medicine and Primary Care), I'll chime in if only to give you my best advice and steer you clear of some of the frankly more laughable advice.
First, don't include anything you don't already know how to use, it'll only get you in trouble. Sutures and IV's are great but only if you can use them. Oral hydration is always the best option when possible. "Butterfly" sutures are easy and all the average person can manage. Forget carrying sterile water
, fresh water
and a mild soap are all you need. If you really want a good cleaning
the water weight for Hibicleanse. It is easy on tissues and a better choice than betadine of any kind for an open wound. Betadine is really only for a skin prep BEFORE an incision or procedure and to be effective, it has to dry completely.
You should be able to get your hands on some G.I. Battle Dressings. They are highly absorbent and have gauze already attached to secure them. I LOVE quickclot and carry it myself. NEVER EVER use superglue on a wound, it's a myth and will cause infection and necrosis. Get Dermabond which is a surgical adhesive
if you must, but it's useless but for the smallest lacerations in my opinion. SAM splints are gold, they are versatile and you should carry about 4 to make good use of them they are light and when used properly, better than anything else. ( Remember though, that casting/splinting material is no longer plaster but, yep... Fiberglass! And the advantage here is that it can heal your boat too!)
Second, don't include anything considered a controlled substance unless it is prescribed, more trouble. Any narcotics are hard to explain and too great a temptation for some to pass up, so have a copy of the original Rx and keep both locked up. Tylenol/Ibuprofen and Aspirin are all good. Neosporin is garbage, carry Bactroban or silver sulfadiazine for abrasions and superficial burns respectively. Ciprofloxacin and Imodium together are a good treatment for the trots, metronidazole has a relatively narrow spectrum of application and isn't worth carrying. Plain ol' penicillin goes a long way, Ceftriaxone is good too. The trouble is, unless you know what you are trying to treat, you could make things worse. I like Valium, it's good for pain, anxiety, seizures, as a muscle relaxer and it can be used for sedation or treating alcohol withdrawal when the rum
runs out on a crossing!
Sea water is apt'ly described as bacteria soup. Other than superficial abrasions, wounds related to contact with coral are a concern, but coral CAN NOT reproduce in the body under any circumstances. Just care for the usual injuries the usual way and 99 of 100 will be just fine.
You can't plan for every eventuality, but you can practice prevention. Know the medical history
of any crew and any medications. Life jackets, harness and even helmets for bad weather
. Preventing seasickness is easier than treating it, same goes for sunburn, dehydration, sleep deprivation and piss poor planning.
So, having given my advice, I say take it with a grain of salt
(also a good antibacterial agent) and go talk to the guy behind you. This forum has a very few people with good knowledge who will rarely part with it so search them out. Try not to be blown off course by those who think the sheer volume of the advice they spew gives them credibility.