b.
Surgical supplies:
i.
14G angiocath. Useful for emergency thoracostomy.
ii.
Instruments: bandage scissors, sterile/non-sterile gloves,
1
tissue scissors, needle holder and forceps, 18G angio for
wound irrigation, #11 blade scalpel, Tweezers for foreign
body (Uncle Bill's the best), drape materials, cotton
applicators and tongue depressors.
iii.
Your favorite cleansing solution...betadine, hibiclens, sur-
clens.
iv.
Bandage materials.
v.
Safety pins and shaver
16)
Injectables: (think about temperature extremes and stability)
a.
Antibiotics:
i.
Imipenem-cilastatin (Primaxin) IM for severe GI concerns
pending evacuation.
ii.
Rocephin
b.
Epinephrine...a must!
c.
Lidocaine
d.
Pain meds: Morphine (consider Narcan) and Toradol.
e.
Anti-emetic such as Compazine or Phenergan.
f.
Benadryl.
g.
Valium...may also give rectally.
h.
Kenalog or some steroid.
17)
Other thoughts/Miscellaneous:
a.
Duct tape...can't improvise tape in the backcountry!!!
b.
A notepad and pencil to keep notes and document.
c.
Airway Kit...would include pocket mask, various sizes of oral
airways, bag-valve mask kit. ET tubes, V-Vac suction device,
oxygen.
d.
Stethoscope and BP cuff.
e.
16 F Foley catheter...many uses.
f.
Thermometer...think hypothermic as well.
g.
Headlamp (for night consults and procedures)
h.
Urine chemstrips.
i.
I carry a spare set of sunglasses in my kit.
j.
More toys: oto-opthalmascope, etc.
k.
IV solution kits: How many and how long are you going to use and
need? A topic unto itself. Hypertonic Saline/Dextrose may be an
option and currently under study through the U of Washington.
l.
AED's: for long sails with at risk people.
1
Annals of Emergency Medicine 43:3 March '04, p362. Study demonstrated no clinically important
difference in infection rates using clean non-sterile gloves vs. sterile gloves.
