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TMC First Aid kitMedium camping group 4 to 7 pax + 25 crew
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Prepared by Roland Hunter 16/01/2019
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TMC group name
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NameDate
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First aid kit prepared by:
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First aid kit checked by:
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Note: please refer to First Aid and Wilderness Medicine pocket handbook (a copy is in all TMC First Aid Kits)
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Medical Bag 1Medical Bag 2Medical Bag 3 (western leader)
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MEDICINESUSED FORDOSAGEPAGE NUMBER IN FIRST AID AND WILDERNESS HANDBOOKREMARKS, WARNINGS AND SIDE EFFECTSQuantitiesQuantitiesQuantities
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Source: First Aid and Wilderness Medicine pocket handbook by Dr Jim Duff
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Antibiotics and antifungal:
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Co- amoxiclav (Augmentin) 500mg/ 125mga) Sinus, urinary, ear, mouth infections, tooth abscess, severe throat infections, pneumonia250mg to 500mg 8 hourly or 12 hourly for 3 to 14 daysPage 119 & 120 (Wounds), Page 189 (Eyes, ears & mouth), Page 218 (chart of medications)Co-amoxiclav is a broader spectrum version of amoxicillin. Avoid in pencillin allergy.2525
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b) Wound infection around eye, appendicitis and meningitis
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c) Animal bites, appendictis, boils and abscesses, septiceamia and open fracture
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Ciprofloxacin (Cipro or cipran) 500mga) Respiratory (but not pneumonia), skin, kidney, ear and other infections250mg to 500mg 8 hourly or 12 hourly for 5 to 14 daysPages 152 (Diarrhoea) & 154 (Antibiotic protocol for severe diarrhoea of unknown cause), Page 219 (chart of medications)Avoid in quinolone allergy. Give on empty stomach, drink plenty.2525
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b) Bacterial diarrhoea1,000mg taken once. There should be a marked improvrement in 12 hours, if not settled after 12 hours of ciprofloxacin take 500mg of azithromycin daily for 2 to 3 days. There should be an improvement in 24 to 48 hours.
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Azithromycin (Zifromax) 500mga) Respiratory infections, boils/ abscesses or middle ear infection500mg daily for 3 daysPages 152 (Diarrhoea) & 154 (Antibiotic protocol for severe diarrhoea of unknown cause), Page 164 (Respiratory problems), Page 218 (chart of medications)Take 1 hour before food (or two hours after). Side effects: rashes, nausea, diarrhoea, joint pains, dizziness and increased risk of sunburn.2525
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b) Bacterial diarrhoea, chlamydia
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Cefalexin (Ceporex) 500mga) Respiratory infections, ears, mouth wound, kidney, urinary, boils or abscesses250 to 500mg 6 to 8 hourly for 3 to 14 daysPage 120 (Wounds), Page 164 (Respiratory problems), Page 218 (chart of medications)Avoid in severe penicillin allergy. Side effects: rash. nausea, fainting and diarrhoea2020
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b) Septicaemia, open fracture, animal bites, appendicitis, fever (cause unknown)
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Tinidazole 500mga) Giardia, amoebic diarrhoea, tooth abscess, tetanus2 g orally once with foodPages 152 (Diarrhoea) & 154 (Antibiotic protocol for severe diarrhoea of unknown cause), Page 220 (chart of medications)Take 1 hour before meal. Need to avoid alcohol for 2 days after finishing treatment Side effects: metallic taste, causes depression, nausea, heartburn2020
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b) Fever (cause unknown), pelvic infection
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c) Septicaemia, open fractures, appendicitis
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Fluconazole 150mgAntifungal medicineSingle 150 mg dose for vaginal thrush22
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Stomach related:
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Antacid tablets (Digene)Heartburn, indigestionAs requiredPage 157 (Common abdominal problems), Page 223 (chart of medications)2020
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Ranitidine (Aciloc or Zantac) 150mgHeartburn, indigestion150mg 12 hourlyPage 157 (Common abdominal problems), Page 223 (chart of medications)1010
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Buscopan (hyoscine butylbromide) 10mgBuscopan relieves painful stomach cramps, including those linked with irritable bowel syndrome (IBS). It can also help bladder cramps.2 tablets 10mg taken 4 times a day.dry mouth, constipation, blurred vision, fast heart rate303010
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Loperamide (immodium) 2mgTo slow down diarrhoea4mg initially then 2mg after every loose stoolPages 150 (Diarrhoea) & 154 (Antibiotic protocol for severe diarrhoea of unknown cause), Page 221 (chart of medications)151510
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Bisacodyl (Laxative tablets) 5mgConstipation relief1 to 2 tabs at nightPage 156 (Common abdominal problems), Page 221 (chart of medications)May cause griping belly pain. Increase fibre/ liquid intake.1010
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Oral rehydration solutionElectrolyte replacementAs requiredPages 150 (Diarrhoea) & 154 (Antibiotic protocol for severe diarrhoea of unknown cause)5 packets5 packets2 packets
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Anti-inflammatories & painkillers:
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Paracetamol 500mgMild to moderate aches, pains, flu, headache, fever1000mg 4 to 6 hourly.Page 44 (Pain management), Page 223 (chart of medications)303010
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Ibuprufen 400mgMild to moderate aches, pain with inflammation or infection, women's period pains, sprains and strains200 to 400mg 6 to 8 hourly. Daily maximum 2,400mg.Page 45 (Pain management), Page 223 (chart of medications)Take with food.303010
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Aspirin 150mga) Aches and pains, flu, headache, fever, arthritis, inflammation, broken tooth300 to 600mg 4 to 6 hourly. Daily maximum 4,000mgPage 44 (Pain management), Page 223 (chart of medications)Side effects: indigestion, retinal (eye) bleeding at high altitude. Take with food. Avoid if history of stomach ulcer, stomach bleeding, allergy or asthma. 303020
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b) Heart attack300mg daily
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Tramadol 50mgModerate to severe pain50 to 100mg 4 hourly. Max dose 400mg in 24 hours.Page 46 (Pain management), Page 224 (chart of medications)Tramadol has a less depressant effect on respiraion than other opiates like Codeine151510
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Codeine phospate 15mga) Moderate painAdult dose is 15 to 60mg 4 to 8 hourly. Maximum dose is 240mg in 24 hours. If Codeine alone is not controlling pain then add ibuprufen or paracatemol for a more powerful affectPage 45 & 46 (Pain management), Page 224 (chart of medications)Larger doses depress breathing rate202015
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b) Cough, diarrhoea15 to 30mg 8 to 12 hourlyMild cough suppresant, slows diarrhoea
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Anti nausea:
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Prochlorperazine (Stemetil) 5mg taba) Nausea/ vomiting, may be used for acute vertigo5mg or 10mg tablet 8 hourlyPage 157 (Common abdominal problems), Page 220 (chart of medications)Side effects: severe spasms in neck and face/eye muscles. May depress breathing, cause drowsiness, dry mouth, drop blood pressure151510
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b) May be useful for acute anxiety, agitation in psychosis5mg or 10mg tablet 12 hourly
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Altitude and acclimatisation:
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Acetazolamide (Diamox) 250mgAMS prevention, AMS treatment, HAPE and HACE, periodic breathing or poor sleep at altitudePrevention: 125 or 250mg twice a day. Treatment: 250mg three times a dayPage 176 (Altitude Ilness AMS, HACE and HAPE), Page 217 (chart of medications)Takes 12 hours to start working. Avoid in sulfa allergy, pregnancy, diabetes, kidney stones303010
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Nifidipine (Depin) 20mgHigh altitude pulmonary oedema (HAPE)20mg three times a dayPage 176 (Altitude Ilness AMS, HACE and HAPE), Page 217 (chart of medications)Side effects: sudden fall in blood pressure, fainting, dizziness, headache151510
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Dexamethasone 0.5mgHigh altitude cerebral oedema (HACE) and acute mountain sickness (AMS), asthma and anapyhlactic shockFor HACE: 8mg at once then 4mg every 6 hours for rest of time at high altitudePage 176 (Altitude Ilness AMS, HACE and HAPE), Page 217 (chart of medications)404020
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Allergy and miscellaneous:
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Calamine CreamSoothing and protective cream for the relief of discomfort, chapped and tender skin, irritated skinAs required1 tube1 tube
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Cetirizine (anti histamine) 10mgAllergic rashes, itchy skin/ bites, hay fever.10 mg every 24 hoursPage 216 (chart of medications)Side effects: headache, dry mouth. Avoid alcohol.15155
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Hydrocortisone cream 1%Skin rashes, allergies, mild sunburn, mild burns and pilesAs requiredPage 216 (chart of medications)External use only. Not to be used on infected or broken skin.1 tube1 tube
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Prednisolone 10mgSevere allergy, ashma attack, analphylactic shock40 mg orally per day. Same dose as Asthma.Page 163 (Respiratory problems)303015
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Diazepam 5mgShort term relief of severe anxiety, which is an emotional state where you may sweat, tremble, feel anxious and have a fast heart beat and may occur alone or with insomnia (trouble sleeping) or mental health problemsAnxiety or mental health problems: 5mg-30mg each day, in divided doses. To help you sleep: 5mg-15mg at bedtime.Respiratory depression (very slow and/or shallow breathing)1010
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Helping muscles relax and for muscle spasm To help control muscle spasm: 5mg-15mg each day, in divided doses.
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Eye, ear and teeth :
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Ciprofloxacin eye dropsEye infection, abrasion, superficial foreign objectAs requiredPage 222 (chart of medications)Side effects: local allergic reaction, stop if symptoms get worse1 tube1 tube
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Infection or inflammation of external ear canalSide effects: local allergic reaction, stop if symptoms get worse
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Ketrolac tromethamine eye drops (nonsteroidal anti-inflammatory)SnowblindnessAs requiredPage 222 (chart of medications)Effect lasts up to 4 hours. Once anaesthetized the eye is best padded shut until sensitive again2 minims2 minims
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Clove oilTooth acheAs required1 bottle1 bottle
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Dentanurse kit (brought out from UK)Refixes dislodged crowns, bridges and fillingsAs required1 kit1 kit
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Respiratory and Decongestants:
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Asthma salbutamol spray (Ventolin)a) AsthmaAs requiredPage 167 (Non-infective respiratory problems), Page 225 (chart of medications)Side effects: palpitations and tremors111
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b) May be helpful for anaphylactic shock and HAPE
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Phenylephrine 7.5mg Paracetamol 500mg (Decold/ decongestant)Blocked noseOne tablet every 4 hours, don't take more than 4 tablets in 24 hoursPage 225 (chart of medications)Side effects: palpitations and blood pressure202010
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Vicks vaporubBlocked nose and sinusesAs required1 tub1 tub
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Throat lozenges (eg Strepsils)Coughs and sore throatsAs required20205
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Disinfectant and sanitiser:
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Antiseptic creama) General antiseptic, wound cleaningAs requiredPage 117 (General management of wounds), Page 222 (chart of medications)External use only1 tube1 tube1 tube
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Disinfectant (Dettol)a) General disinfectant, wound cleaning1 tablespoon in 250ml waterPage 117 (General management of wounds), Page 222 (chart of medications)External use only1 bottle1 bottle
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b) Sterilisation of instrumentsLeave 10 minutes
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Hand sanitiserDisinfecting handsAs required1 small bottle1 small bottle1 small bottle
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Tubes and creams:
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Antifungal cream (clotrimazole)Fungal skin infectionAs required1 tube1 tube
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Burn cream (silver sulfadiazine)General disinfectant, skin burns (when dirty or infected)As required1 tube1 tube
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Deep heat creamTopical application for sprains or muscle achesAs required1 tube1 tube
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Aciclovir and ZoviraxCold soresAs required1 tube1 tube
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Bandages and dressings:
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Lifesystems Mountain Leader Pro medical kit from UKBandages and plasters for cuts, burns cream and antiseptic wipesAs requiredPage 113 (General management of wounds)1
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Gauze dressing rollsSwabbing and cleaning woundsAs requiredPage 113 (General management of wounds)1 roll1 roll
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Gauze pads (5*5cm)Swabbing and cleaning woundsAs requiredPage 113 (General management of wounds)55