TMC First Aid for medium camping group 4 to 7 pax + 25 crew.xlsx

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1	TMC First Aid kit	Medium camping group 4 to 7 pax + 25 crew
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3	Prepared by Roland Hunter 16/01/2019
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5	TMC group name
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8		Name	Date
9	First aid kit prepared by:
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11	First aid kit checked by:
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15		Note: please refer to First Aid and Wilderness Medicine pocket handbook (a copy is in all TMC First Aid Kits)
16						Medical Bag 1	Medical Bag 2	Medical Bag 3 (western leader)
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19	MEDICINES	USED FOR	DOSAGE	PAGE NUMBER IN FIRST AID AND WILDERNESS HANDBOOK	REMARKS, WARNINGS AND SIDE EFFECTS	Quantities	Quantities	Quantities
20		Source: First Aid and Wilderness Medicine pocket handbook by Dr Jim Duff
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22	Antibiotics and antifungal:
23	Co- amoxiclav (Augmentin) 500mg/ 125mg	a) Sinus, urinary, ear, mouth infections, tooth abscess, severe throat infections, pneumonia	250mg to 500mg 8 hourly or 12 hourly for 3 to 14 days	Page 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.	25	25
24		b) Wound infection around eye, appendicitis and meningitis
25		c) Animal bites, appendictis, boils and abscesses, septiceamia and open fracture
26	Ciprofloxacin (Cipro or cipran) 500mg	a) Respiratory (but not pneumonia), skin, kidney, ear and other infections	250mg to 500mg 8 hourly or 12 hourly for 5 to 14 days	Pages 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.	25	25
27		b) Bacterial diarrhoea	1,000mg 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.
28	Azithromycin (Zifromax) 500mg	a) Respiratory infections, boils/ abscesses or middle ear infection	500mg daily for 3 days	Pages 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.	25	25
29		b) Bacterial diarrhoea, chlamydia
30	Cefalexin (Ceporex) 500mg	a) Respiratory infections, ears, mouth wound, kidney, urinary, boils or abscesses	250 to 500mg 6 to 8 hourly for 3 to 14 days	Page 120 (Wounds), Page 164 (Respiratory problems), Page 218 (chart of medications)	Avoid in severe penicillin allergy. Side effects: rash. nausea, fainting and diarrhoea	20	20
31		b) Septicaemia, open fracture, animal bites, appendicitis, fever (cause unknown)
32	Tinidazole 500mg	a) Giardia, amoebic diarrhoea, tooth abscess, tetanus	2 g orally once with food	Pages 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, heartburn	20	20
33		b) Fever (cause unknown), pelvic infection
34		c) Septicaemia, open fractures, appendicitis
35	Fluconazole 150mg	Antifungal medicine	Single 150 mg dose for vaginal thrush			2	2
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37	Stomach related:
38	Antacid tablets (Digene)	Heartburn, indigestion	As required	Page 157 (Common abdominal problems), Page 223 (chart of medications)		20	20
39	Ranitidine (Aciloc or Zantac) 150mg	Heartburn, indigestion	150mg 12 hourly	Page 157 (Common abdominal problems), Page 223 (chart of medications)		10	10
40	Buscopan (hyoscine butylbromide) 10mg	Buscopan 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 rate	30	30	10
41	Loperamide (immodium) 2mg	To slow down diarrhoea	4mg initially then 2mg after every loose stool	Pages 150 (Diarrhoea) & 154 (Antibiotic protocol for severe diarrhoea of unknown cause), Page 221 (chart of medications)		15	15	10
42	Bisacodyl (Laxative tablets) 5mg	Constipation relief	1 to 2 tabs at night	Page 156 (Common abdominal problems), Page 221 (chart of medications)	May cause griping belly pain. Increase fibre/ liquid intake.	10	10
43	Oral rehydration solution	Electrolyte replacement	As required	Pages 150 (Diarrhoea) & 154 (Antibiotic protocol for severe diarrhoea of unknown cause)		5 packets	5 packets	2 packets
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45	Anti-inflammatories & painkillers:
46	Paracetamol 500mg	Mild to moderate aches, pains, flu, headache, fever	1000mg 4 to 6 hourly.	Page 44 (Pain management), Page 223 (chart of medications)		30	30	10
47	Ibuprufen 400mg	Mild to moderate aches, pain with inflammation or infection, women's period pains, sprains and strains	200 to 400mg 6 to 8 hourly. Daily maximum 2,400mg.	Page 45 (Pain management), Page 223 (chart of medications)	Take with food.	30	30	10
48	Aspirin 150mg	a) Aches and pains, flu, headache, fever, arthritis, inflammation, broken tooth	300 to 600mg 4 to 6 hourly. Daily maximum 4,000mg	Page 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.	30	30	20
49		b) Heart attack	300mg daily
50	Tramadol 50mg	Moderate to severe pain	50 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 Codeine	15	15	10
51	Codeine phospate 15mg	a) Moderate pain	Adult 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 affect	Page 45 & 46 (Pain management), Page 224 (chart of medications)	Larger doses depress breathing rate	20	20	15
52		b) Cough, diarrhoea	15 to 30mg 8 to 12 hourly		Mild cough suppresant, slows diarrhoea
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54	Anti nausea:
55	Prochlorperazine (Stemetil) 5mg tab	a) Nausea/ vomiting, may be used for acute vertigo	5mg or 10mg tablet 8 hourly	Page 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 pressure	15	15	10
56		b) May be useful for acute anxiety, agitation in psychosis	5mg or 10mg tablet 12 hourly
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58	Altitude and acclimatisation:
59	Acetazolamide (Diamox) 250mg	AMS prevention, AMS treatment, HAPE and HACE, periodic breathing or poor sleep at altitude	Prevention: 125 or 250mg twice a day. Treatment: 250mg three times a day	Page 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 stones	30	30	10
60	Nifidipine (Depin) 20mg	High altitude pulmonary oedema (HAPE)	20mg three times a day	Page 176 (Altitude Ilness AMS, HACE and HAPE), Page 217 (chart of medications)	Side effects: sudden fall in blood pressure, fainting, dizziness, headache	15	15	10
61	Dexamethasone 0.5mg	High altitude cerebral oedema (HACE) and acute mountain sickness (AMS), asthma and anapyhlactic shock	For HACE: 8mg at once then 4mg every 6 hours for rest of time at high altitude	Page 176 (Altitude Ilness AMS, HACE and HAPE), Page 217 (chart of medications)		40	40	20
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63	Allergy and miscellaneous:
64	Calamine Cream	Soothing and protective cream for the relief of discomfort, chapped and tender skin, irritated skin	As required			1 tube	1 tube
65	Cetirizine (anti histamine) 10mg	Allergic rashes, itchy skin/ bites, hay fever.	10 mg every 24 hours	Page 216 (chart of medications)	Side effects: headache, dry mouth. Avoid alcohol.	15	15	5
66	Hydrocortisone cream 1%	Skin rashes, allergies, mild sunburn, mild burns and piles	As required	Page 216 (chart of medications)	External use only. Not to be used on infected or broken skin.	1 tube	1 tube
67	Prednisolone 10mg	Severe allergy, ashma attack, analphylactic shock	40 mg orally per day. Same dose as Asthma.	Page 163 (Respiratory problems)		30	30	15
68	Diazepam 5mg	Short 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 problems	Anxiety 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)	10	10
69		Helping muscles relax and for muscle spasm	To help control muscle spasm: 5mg-15mg each day, in divided doses.
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71	Eye, ear and teeth :
72	Ciprofloxacin eye drops	Eye infection, abrasion, superficial foreign object	As required	Page 222 (chart of medications)	Side effects: local allergic reaction, stop if symptoms get worse	1 tube	1 tube
73		Infection or inflammation of external ear canal			Side effects: local allergic reaction, stop if symptoms get worse
74	Ketrolac tromethamine eye drops (nonsteroidal anti-inflammatory)	Snowblindness	As required	Page 222 (chart of medications)	Effect lasts up to 4 hours. Once anaesthetized the eye is best padded shut until sensitive again	2 minims	2 minims
75	Clove oil	Tooth ache	As required			1 bottle	1 bottle
76	Dentanurse kit (brought out from UK)	Refixes dislodged crowns, bridges and fillings	As required			1 kit	1 kit
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78	Respiratory and Decongestants:
79	Asthma salbutamol spray (Ventolin)	a) Asthma	As required	Page 167 (Non-infective respiratory problems), Page 225 (chart of medications)	Side effects: palpitations and tremors	1	1	1
80		b) May be helpful for anaphylactic shock and HAPE
81	Phenylephrine 7.5mg Paracetamol 500mg (Decold/ decongestant)	Blocked nose	One tablet every 4 hours, don't take more than 4 tablets in 24 hours	Page 225 (chart of medications)	Side effects: palpitations and blood pressure	20	20	10
82	Vicks vaporub	Blocked nose and sinuses	As required			1 tub	1 tub
83	Throat lozenges (eg Strepsils)	Coughs and sore throats	As required			20	20	5
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85	Disinfectant and sanitiser:
86	Antiseptic cream	a) General antiseptic, wound cleaning	As required	Page 117 (General management of wounds), Page 222 (chart of medications)	External use only	1 tube	1 tube	1 tube
87	Disinfectant (Dettol)	a) General disinfectant, wound cleaning	1 tablespoon in 250ml water	Page 117 (General management of wounds), Page 222 (chart of medications)	External use only	1 bottle	1 bottle
88		b) Sterilisation of instruments			Leave 10 minutes
89	Hand sanitiser	Disinfecting hands	As required			1 small bottle	1 small bottle	1 small bottle
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91	Tubes and creams:
92	Antifungal cream (clotrimazole)	Fungal skin infection	As required			1 tube	1 tube
93	Burn cream (silver sulfadiazine)	General disinfectant, skin burns (when dirty or infected)	As required			1 tube	1 tube
94	Deep heat cream	Topical application for sprains or muscle aches	As required			1 tube	1 tube
95	Aciclovir and Zovirax	Cold sores	As required			1 tube	1 tube
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97	Bandages and dressings:
98	Lifesystems Mountain Leader Pro medical kit from UK	Bandages and plasters for cuts, burns cream and antiseptic wipes	As required	Page 113 (General management of wounds)				1
99	Gauze dressing rolls	Swabbing and cleaning wounds	As required	Page 113 (General management of wounds)		1 roll	1 roll
100	Gauze pads (5*5cm)	Swabbing and cleaning wounds	As required	Page 113 (General management of wounds)		5	5