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From: Evan Dallas <Evan_Dallas_at_notes.ntrs.com>
subject: [Paddlewise] Prepackaged Medical Kits?
Date: Fri, 22 Nov 2002 15:56:53 -0800
>Does anyone have a favorite commercially available medical kit, or useful
information on this subject generally?  Our local scout troop is
considering >standardizing its med kits, and although we may build our own,
we will also considering buying kits that have all the requisite
components.  I have a >number of wilderness medicine books and I have
usually put together my own kits for my personal use.    I am a little
prejudiced against buying a kit, but >I would like to know others'
experience.  The kits would be intended for use in North America, without
terrain restrictions.
>
>TFJ
-----------------------
This was discussed in my mountaineering first aid class (which went a
little deeper than your garden-variety first aid classes), where our
instructor was of the opinion that if you're only talking about one kit, it
may be cheaper to buy a prepackaged kit.  However, much beyond that, you're
better off building your own.  Also, IMHO the prepackaged kits are 90%
various bandaids and tylenol (though they at least come with a nice bag to
keep everything in!).  For a situations where you may be a day or more away
from a doctor, you may want a more complete kit.  For example, many kits
don't even have items as simple as sugar packets (if someone experiences
diabetic problems) or anti-histamines (for bee sting allergies), etc etc.
Things like maxipads make excellent and inexpensive bandages for more
severe bleeding.  There's an excellent list of first aid items in Cliff
Jacobson's book "Canoeing and Camping: Beyond the Basics", some of which
require a doctor's prescription (which is usually not difficult to get for
this sort of thing -- in fact, your doctor may even add some additional
recommendations, such as stronger pain-relief medicine than you get from
off-the-shelf stuff like tylenol).

Evan Dallas
Woodinville, Washington
                                                                            
                                                                            
                                                                            
                                                                            




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From: David Flory <daflory_at_pacbell.net>
subject: Re: [Paddlewise] medical kit components
Date: Fri, 22 Nov 2002 19:37:06 -0800
> Things like maxipads make excellent and inexpensive bandages for more
> severe bleeding.

One of the best major injury with bleeding components that is available  
is one I included in my kit I carried as a rookie cop and again when I  
was a motorcycle officer/sgt. Sterile Maternity pads, I used to scam  
from cooperative nurses and Doctors at the ERs. I used to spend a lot  
of time there after accident scenes, and did Kiatsu treatments on the  
staff (aikido derived finger pressure therapy for aches and pains) and  
also restrained violent patients for them so they were quite willing to  
help. Maternity pads have nice long ties  making them easy to attach to  
a serious wound anywhere on the body. I'm sure that most inventive  
kayakers could manage to score one. I'm sure they could be had from  
medical supply houses, as well. The latter might need a club for a  
group purchase 'cause I doubt the supply houses are used to sales of  
one each.

I carried these and nylon parachute cord and straps for tourniquets,  
triangle bandages, and splinting sticks of various sizes which would go  
on with the cords/straps, or Duct Tape. The latter can even be used for  
sucking chest wounds and the like. In these cases you're more concerned  
with immediate death from inability to breathe than any infection from  
blocking the hole with a nonsterile material.

I may evoke some unpleasant images, but I've used all these items and a  
few people lived because I did. Most first aid kits are useless for  
anything other than PR. Life saving first aid, especially when you may  
not be able reach help for days is very different. The above items and  
some Staples or butterfly bandages or sterile needles and suture  
material are the kind of things to consider adding in a real emergency  
kit.
--  
------------------------------------------------------------------------ 
-
Dave Flory, San Jose, CA.  daflory_at_pacbell.net  Go Sea Kayaking!!  ©2002
------------------------------------------------------------------------ 
-
     Speak softly and study Aikido, then you won't need a big stick.
------------------------------------------------------------------------ 
-


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