Kevin King gives his list of Camping Medical Supplies

                                              Kevin King
                                              Tyler, TX
                                              12-26-88
 Dear Ken:
 I am happy to share my list of medical equipment and
supplies.
 FANNY refers to a "fanny pack", a small 7 pocket day-pack
which I purchased from SI.
 KEEPWITH is a list of the stuff I want close; in the car if
possible.
 BUGOUT is a collection to grab if evacuation is ever
necessary.
 CAMPING includes the things we usually take on a camping
trip.  Hopefully, it includes enough to camp out for 2 weeks.
 STORM will eventually be the all inclusive inventory list.
It will add to CAMPING the reserve inventory and the
necessities for shelter living.
 MEDICAL LIST is Jane Orient's project.  I received it as hard
copy and have gotten only part of it in the computer.
  I hope you find some of this helpful.  Feel free to edit it
to fit your needs.
                                   Sincerely,
                                   Kevin King

FANNY
          alcohol wipes           (cassette tape box full)
          aspirin (adult, pedi)   (1 bottle each)
          Band-Aids               (cassette tape box full)
          bandana (camo)          (1)
          Betadine ointment       (cassette tape box full)
          Betadine wipes          (cassette tape box full)
          chap stick              (1)
          gloves (exam)           (4 pair)
          Magic Marker (black)    (1)
          magnifying glass        (1)
          safety pins             (8)
          signal mirror           (1)
          soap (Dial)             (1)
          tape (1" silk)          (wrapped on matchstick,
                                    stored in 35 mm film can)
          towel (hand size)       (1)
          Tylenol (adult, pedi)   (1 bottle each)
Fluid Therapy Formula
     Water Deprivation
     Diarrheal Losses
          Cola soft drinks, straight, half strength, bubbles
               shaken out
          Orient Formula
               water                 1 quart
               sugar                10 teaspoons
               baking soda         1/3 teaspoon
                    (sodium bicarbonate)
               Lite Salt           1   teaspoon
                    (Morton, KCl, NaCl, NaI)

KEEPWITH
     SMALL FIRST AID KIT (REI) (some duplication of FANNY)
(equipment)
          eye shield
          gloves sterile        (2 pair)
          mirror (signal)
          needles
               18 g             (2)
               20 g             (2)
          pill vials            (3)
          Q-Tips                (5)
          razor blade
          safety pins           (25 in assorted sizes)
          suture
               3-0 Dexon        (1)
               4-0 Nylon        (3)
          syringe
               3 cc             (1)
          thermometer
          tongue blades         (5)
(instruments)
          hemostat: mosquito    (2)
          nail clippers
          needle holder         (1)
          pickups with teeth    (1)
          scalpel handle        (1)
          scalpel blades
               #15              (1)
               #11              (1)
               #10              (1)
          scissors: straight Mayo
(prep)
          alcohol wipes         (4)
          Betadine ointment     (6)
          Betadine prep         (4 oz)
          Betadine wipes        (4)
          Dial soap (motel)     (1)
(dressings)
          Band-Aids             (6)
          cotton balls
          eye dressing (pads)   (2)
          field dressing        (2)
              (battle dressing)
              (Carlyle dressing)
              (pressure dressing)
          roller gauze 1"       (1)
          sponges               (2 packs with 2 each)
          tape (1" silk)        (wrapped on matchstick
                                stored in 35 mm film can)
          triangle bandage
               38" side, 54" hypotenuse
               36" side, 50" hypotenuse
          Vaseline gauze        (1)
(drugs, prescription)
          Benadryl 50 mg/cc     (1 ampule)
          Epinephrine 1:1000    (2 ampules)
          Lomotil               (12 tabs)
          Xylocaine (1% plain)  (20 cc)
(drugs, non-prescription)
          aspirin (adult)
          Neosporin Ointment
          oil of cloves         (1 oz)
          Tylenol (adult)
          Maalox
(other first aid supplies)  (not in small REI)
     air splints
     pocket mask with valve
     ingredients for fluid replacement
          sugar
          NaCl
          NaHCO3
          Morton's Lite Salt
     snake bite kit
     survival blanket

BUGOUT (this is about as far as my editing goes)
     LARGE FIRST AID KIT (REI)
(equipment)
          pill vials (4)
          tongue blades (2)
          gloves (sterile)
          suture (1 of each)
               4-0 Dexon
               5-0 Dexon
               4-0 Nylon
               5-0 Nylon
               6-0 Nylon
               3-0 Silk ties
               4-0 Chromic
          needles
               18 g (2)
               20 g (2)
          syringe
               3 cc (1)
          razor blade (Weck) (5)
          safety pins (25 in assorted sizes)
          insect repellent (REI Jungle Juice)
(instruments)
          needle holder
          hemostat (straight) (3)
          scissors
               straight Mayo
               Paramedic
          pickups without teeth
          scalpel handle
          scalpel blades
               #15 (1)
               #11 (1)
               #10 (1)
          signal mirror
(prep)
          Betadine solution (4 oz)
          Betadine wipes (4)
          Betadine ointment (6)
          Neosporin ointment (8)
          alcohol wipes (4)
          liquid soap (Campsuds) (2 oz)
(dressings)
          Band-Aids (15)
          Field dressing (4) (battle dressings, Carlyle
                               pressure dressings)
          grease gauze
               Vaseline (1)
               Adaptic  (1)
          sponges (4)
          tape (1" satin tape wrapped on matchstick and
                   stored in a pill vial)
          Triangle bandage (54" hypotenuse)
(drugs, prescription)
          Benadryl 50 mg/cc (1)
          Epinephrine 1:1000 (2)
          Atropine 0.4 mg/cc (5)
          Lomotil (12)
(drugs, non-prescription)
          ASA (adult)
          Tylenol (adult)
          Maalox
          NaCl (salt) tablets

CAMPING (some of this stuff is because I
         am an anesthesiologist)
    COMPREHENSIVE LIST OF FIRST AID SUPPLIES
(equipment)
          O-P airways
          N-P airways
          tongue blades
          ET tubes (1 each)
               8.0 cuffed
               7.0 cuffed
               6.0 cuffed
               5.5 uncuffed
               6.0 uncuffed
               6.5 uncuffed
          stylet
          laryngoscope
               pedi handle
               blades
                    Miller #3
                    Mac    #3
          McGill forceps
          Ambu bag
          Crico-Thyrotomy tube
          suction hose
          tonsil suction tip
          suction catheter (14f)
          DeLee (new born) suction trap
          ear syringe (suction bulb)
          stethoscope
          gloves
               exam
               sterile
          Steri-Strips
          suture
               4-0 Dexon
               5-0 Dexon
               6-0 Dexon
               3-0 Nylon
               4-0 Nylon
               5-0 Nylon
               6-0 Nylon
               3-0 Silk ties
               4-0 Silk suture
               6-0 Silk suture
               4-0 Chromic
          needles
               regular 18, 20, 25
               spinal  18, 22, 25
          syringes
               1 cc
               3 cc
               5 cc
              20 cc
          splints (wire and air)
          tourniquet
          chest tube
          Salem sump (18f, 14f)
          umbilical cord clamp
          Foley catheter
          thermometer
          eye dropper
          Q-Tips
          razor blades
          safety pins
          cotton sewing thread and needle
(instruments)
          needle holder
          hemostat
               mosquito
               regular
               Kelly
          scissors
               tissue
               suture
               iris
               Paramedic
          pickups
               with teeth
               without teeth
               splinter
          scalpel handle
          scalpel blades: #15, #10, #11
(prep)
          Betadine scrub brush
          Betadine prep
          Betadine paint
          Betadine wipes
          Betadine ointment
          hydrogen peroxide (H2O2)
          alcohol
          alcohol wipes
          antiseptic towelettes
(dressings)
          ABD's
          Ace bandage (3" and 4")
          Band-Aids
          Eye patches
          Eye shield
          Field dressings (Battle dressings, Carlyle pressure
                           dressings)
          Gauze roller bandage (2" and 3")
          Grease Gauze dressing (Adaptic, Vaseline)
          Kotex
          Moleskin
          Safety pins
          Sponges (3" x 3" or 4" x 4")
          Steri-Strips
          Tape (satin or canvas)
               1"
               2"
               3"
          Triangle bandage (54" hypotenuse)
          bed sheets (for dressings)
(drugs, prescription)
          Penicillin (oral and parenteral
          Amoxicillin (oral and parenteral
          EES (Erythromycin) (oral)
          TCN (Tetracycline) (oral and parenteral)
          Antibiotic ointments (general, eye)
          Antibiotic drops (eye)
          Atropine (ACLS, Chemical Agents)
          Benadryl (capsules, injection)
          Compazine (oral, rectal, parenteral)
          Decadron (parenteral)
          Diamox (altitude sickness) (oral)
          Droperidol (parenteral)
          Epinephrine (parenteral)
          Lasix (oral, parenteral)
          Lomotil (oral)
          Narcan (parenteral)
          NTG (Nitroglycerine) (sub-lingual)
          Ophthane
          Opiate Analgesics
               ASA with Codeine
               Tylenol #3
               Morphine (parenteral)
          Xylocaine (ACLS, suturing)
(drugs, non-prescription)
          ASA (adult and pedi)
          Tylenol (adult and pedi)
          Alcohol
          baking soda (eye wash and soaks for dermatitis)
          Calamine lotion
          Chapstick
          Chlorox
          Colace
          Desenex
               powder
               ointment
          Ipecac
          KaoPectate
          Maalox
          NaCl tablets (salt)
          NeoSporin ointment
          Nose drops (Afrin and NeoSynephrine)
          Oil of cloves
          Robitussin
          Throat lozenges
          Vaseline
          Vicks
          Vitamins
               Multi
               Vit C, 25 mg/day
          Zinc oxide paste
(fluid replacement)
          clear liquids (tea, bouillon, Jello)
          ORAL REPLACEMENT
               water   1 liter
               NaCl    1 tsp
               NaHCO3  1/2 tsp
          IV
               normal saline     1000 cc
               lactated ringers  1000 cc
               D5/W               500 cc
               D50/W               50 cc
               administration sets
               extension sets
               Jelcos
               pressure bag
(dental)
          Oil of Cloves
          Tiny cotton balls
          Dental pickups

STORM
     (First aid supplies are essentially the same items as
     for CAMPING; the quantity in the inventory is simply
     increased as finances allow.)

MEDICAL LIST
(disinfectants)
     Betadine scrub                               (1 pint)
     Betadine solution                            (1 pint)
     Chlorox (5.25% solution)
          for water purification:
          volume    clear                    cloudy
          1 qt      2 drops                  4 drops
          1 gal     8                        16
          5 gal     1/2 tsp (2.5 cc)         1 tsp (5 cc)
          for cleaning instruments and surfaces:
          1:10 dilution
     Dry Pool Chlorine ("burn out" or "shock treatment")
          65% Calcium Hypochlorite
          24.5 grams (about 10 Tbsp) in 1 gallon of water is
               about equivalent to commercial bleach.
          CAUTION:  The dry material gives off small amounts
               of Chlorine gas.  This may cause symptoms in
               some people.  Keep the container tightly
               sealed.  Prepare solutions in a well
               ventilated area.  Hypochlorite solution
               dissolves blood clots: do not use to irrigate
               wounds.
(antiseptics)
     Hydrogen Peroxide                            (1 pint)
          local wound cleansing
          mouth wash for oral ulcers
     Acetic acid (5%) (equivalent to vinegar)
          irrigate infected wounds (especially good for
               Pseudomonas)
          irrigate ear for external otitis (use 1/2 strength)
(dressings)
     Gauze pads (4" x 4")                         (800)
                                                  (200/pack)
                                                  (4 packs)
          Non-sterile gauze pads are cheaper, clean enough
          for most uses, and can be sterilized if necessary.
          A small supply gauze pads should be obtained in
          sterile packs.
     Tape (1 inch)                                (12 rolls)
          The best tape is Durapore ("silk") tape
          manufactured by the 3M Company.  (A similar tape
          manufactured by Johnson & Johnson is not nearly as
          good.)  The second choice tape is old fashion
          "canvas" tape.  If tape allergy is a consideration,
          Micropore (paper) tape or Transpore (plastic) tape,
          both also manufactured by the 3M Company, will be
          useful.  Masking tape (like you would use for
          painting) and Scotch tape are both satisfactory
          substitutes for adhesive tape.
     Conforming roller gauze (4 inch)             (12)
          Trade names are Conform and Kerlex.
     Ace Bandage (elastic) (4 inch)               (2)
     Sanitary napkins (Kotex)                     (1 box)
          Besides their intended use, sanitary napkins can be
          useful as field dressings and bulky dressings.
     Bed sheets                                    (several)
          rip into bandage strips
          cut into triangular bandages
          can be sterilized if necessary
     Safety Pins (assorted sizes)                 (many)
          The utility of the lowly safety pin extends from
          securing dressings to patching clothes to closing
          wounds to building expedient AM radios.
     Sewing shears
(surgical instruments for minor wounds)
     Forceps (pick ups) (with teeth)              (1)
     Hemostat                                     (2)
          Choices are "mosquito" for fine clamping, regular
          hemostat for general work, and Kelly for clamping
          larger vessels.
     Needle holder                                (2)
          medium for general suturing
          small for fine suturing
     Scalpel
          handle # 3 (general purpose)            (1)
          blade
               # 10 (general purpose)             (5)
               # 11 (stab blade)                  (5)
     Scissors                                     (3)
          iris
          Mayo (one blade tip sharp, one blunt)
          Paramedic
     Suture
          silk, nylon, Prolene, plain catgut,
               chromic catgut, Vicryl, Dexon, Mersaline
          sizes 6-0 to 3-0 for general use,
               heavier for special use
          umbilical tape
          most suture with swagged needles
          some suture without needles for free hand ties
          heavy cotton sewing thread can be sterilized and
               used for expedient suture
          scalp wound can be closed by tying strands of
               hair together across the wound
          wounds have been closed with safety pins when
               nothing else was available
(diagnostic equipment)
     flashlight (and batteries)
     thermometer
     stethoscope
     sphygmomanometer
(other clinical supplies and equipment)
     cotton tip applicators
     enema bag
     gloves
          sterile (to protect the patient)
          non-sterile (to protect your self)
     ear syringe
          for irrigating wounds or ears
          for suctioning mouth and nose of newborn
     Foley catheter set
     KY Jelly
     needles
          21 gauge
          25 gauge
     plastic bags
     soap (Dial)
     surgical masks
          protects from airborne infection
          offers some protection for short exposure
               to fallout if nothing else is available
     syringes (3 cc or 5 cc)
          plastic (disposable and sterile)
          glass (reusable but require sterilization)
     writing materials
          notebook
          pen
          pencil
          Sharpie (writes on anything)
(over the counter medications)
     antihistamine (useful for treatment of allergy or hives,
               nausea, insomnia)
          chlorpheniramine
          diphenhydramine (Benadryl)
     aspirin                                 (1000)
     acetaminophen (Tylenol)
          adult                              (1000)
          children's chewable
          children's liquid
     antacid (Maalox, Mylanta, etc.)
          liquid works faster and better
          tablets keep better
     baking soda (NaHCO3)
          component of replacement fluids
          eye wash
          soaks for dermatitis
          antacid (certainly not ideal but works)
     decongestant
          Afrin nose drops or spray
          pseudoephedrine (Sudafed) tablets
     Kaopectate
     laxative
          Senokot
          MOM (Milk of Magnesia, in small amounts, is also
               useful as replacement source of magnesium (Mg)
               for treatment of chronic diarrhea)
     tolnaftate (Tinactin) powder
          for fungal skin infections
POTASSIUM IODIDE (KI)
     To block the thyroid gland to prevent uptake of
     radioactive iodine from contaminated food and water,
     take four (4) drops of a saturated solution of potassium
     iodide (SSKI) daily.  (Ref:  Nuclear War Survival
     Skills, p. 114.)
     brown bottle with dropper
          (to protect the SSKI from light)
     KI crystals
          Fill the brown bottle about 60% full of KI
          crystals, add water until the bottle is 90% full,
          shake well before each use.
          NOTE:  excess KI must be present to assure that the
                 solution is saturated.  Some crystals must
                 remain out of solution.
(prescription drugs)
     NOTE:  The following is not intended as a self treatment
     guide, but as a guide to choosing drugs for storage.
     Always seek medical advice before using these potent
     drugs, all of which have potentially serious side
     effects, including death.  Antibiotics should not be
     used when they are not needed (as in viral infections)
     because of side effects and the risk of selecting out
     resistant bacteria.

     For guidance in determining quantities, the usual
     duration of treatment for an episode of illness is about
     10 days.

     All drugs have an expiration date.  This is usually
     determined by the time at which the preparation begins
     to lose potency.  Toxic products may also be formed.
     DO NOT TAKE OUTDATED TETRACYCLINE; KIDNEY DAMAGE MAY
     OCCUR.

     ALWAYS ASK THE PATIENT WHETHER HE IS ALLERGIC TO THE
     DRUG.  IF HE HAS A HISTORY OF HIVES (AN ITCHY SKIN RASH)
     OR WHEEZING OR SWELLING IN THE MOUTH OR THROAT, DO NOT
     GIVE THE MEDICATION, AS A FATAL REACTION MAY OCCUR.

Abbreviations:  bid = twice a day
                tid = three times daily
                qid = four times daily

(antibiotics)
     Penicillin V (500 mg tablets)           (1000)
          500 mg qid for Streptococcal or Pneumococcal
          infections
          (Although the spectrum is limited, this drug is
          relative cheap; also causes fewer side effects such
          as diarrhea and vaginitis.)
     Amoxicillin (250 mg capsules)           (500)
          250 mg or 500 mg tid for urinary, middle ear, lower
          respiratory infection, some types of bacterial
          diarrhea
          (This is a broader spectrum penicillin.)
     Ampicillin for oral suspension (250 mg/tsp)
          1/2 to 1 tsp qid, depending on size of child
          (For children who cannot swallow amoxicillin
          capsules.)
     Erythromycin (mg varies with preparation)    (500)
          for patient allergic to penicillin
          if ethylsuccinate, two 400 mg tablets bid
          for pneumonia, some benefit in Staphylococcal skin
          infections
     Tetracycline (250 mg)                   (1000)
          250 mg or 500 mg qid
          for plague, various other insect borne infections,
          urinary infections, bronchitis, infected animal
          bites, and some venereal diseases
     OxyTetracycline for injection
          500 mg bid for severe life threatening infections
          Intramuscular injection is painful, a local
          anesthetic may be given simultaneously.
          for patients too ill to take oral medications or
          for illnesses like plague or anthrax which may be
          fatal before oral medication is absorbed
     Metronidazole (Flagyl) (250 mg tablets) (500)
          500 mg tid for specific infections
          This drug is useful for certain protozoans such as
          amoebae and Giardia and for anaerobic bacteria such
          as those that normally inhabit the bowel and the
          female genital tract.  It can be extremely useful
          in intraabdominal, pelvic, and wound infections
          caused by such bacteria.
     Chloramphenicol (500 mg)
          500 mg qid
          for anaerobic infections, typhoid and other
          Salmonella infections, psittacosis, rickettsial
          infections
          This drug causes fatal aplastic anemia in about
          1 in 50,000 patients treated with it.  It may be
          difficult to obtain.
     Trimethoprim-Sulfamethoxazole           (500)
          (Bactrim DS, Septra DS)
          1 double strength (DS) tablet bid
          for urinary infections, some types of bacterial
          diarrhea, back up drug for sinusitis, bronchitis,
          ear infections
Some excellent broader spectrum drugs, especially amoxicillin
with clavulanic acid (Augmentin) and ciprofloxacin are not
included solely because of expense.
(other prescription drugs)
     (this is as far as I have gotten in transcribing Jane's
      list)

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