A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z | ||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | TMC First Aid kit | Medium camping group 4 to 7 pax + 25 crew | |||||||||||||||||||||||||
2 | |||||||||||||||||||||||||||
3 | Prepared by Roland Hunter 16/01/2019 | ||||||||||||||||||||||||||
4 | |||||||||||||||||||||||||||
5 | TMC group name | ||||||||||||||||||||||||||
6 | |||||||||||||||||||||||||||
7 | |||||||||||||||||||||||||||
8 | Name | Date | |||||||||||||||||||||||||
9 | First aid kit prepared by: | ||||||||||||||||||||||||||
10 | |||||||||||||||||||||||||||
11 | First aid kit checked by: | ||||||||||||||||||||||||||
12 | |||||||||||||||||||||||||||
13 | |||||||||||||||||||||||||||
14 | |||||||||||||||||||||||||||
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) | ||||||||||||||||||||||||
17 | |||||||||||||||||||||||||||
18 | |||||||||||||||||||||||||||
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 | ||||||||||||||||||||||||||
21 | |||||||||||||||||||||||||||
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 | ||||||||||||||||||||||
36 | |||||||||||||||||||||||||||
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 | ||||||||||||||||||||
44 | |||||||||||||||||||||||||||
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 | ||||||||||||||||||||||||
53 | |||||||||||||||||||||||||||
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 | |||||||||||||||||||||||||
57 | |||||||||||||||||||||||||||
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 | ||||||||||||||||||||
62 | |||||||||||||||||||||||||||
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. | |||||||||||||||||||||||||
70 | |||||||||||||||||||||||||||
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 | ||||||||||||||||||||||
77 | |||||||||||||||||||||||||||
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 | |||||||||||||||||||||
84 | |||||||||||||||||||||||||||
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 | |||||||||||||||||||||
90 | |||||||||||||||||||||||||||
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 | ||||||||||||||||||||||
96 | |||||||||||||||||||||||||||
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 |