Medical Kit

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==Yacht's Medical Kit==
==Yacht's Medical Kit==
Cruisers are often a long way from qualified assistance (in distance and time) so the yacht's medical kit needs to be fairly substantial. Along with the medical bag, be sure that you have reference materials (books, etc.) at hand to assist in diagnosis and in the administration of first aid. Also, never underestimate the usefulness of your onboard radios (VHF and HF) in calling for help with more serious medical problems or injuries.
Cruisers are often a long way from qualified assistance (in distance and time) so the yacht's medical kit needs to be fairly substantial. Along with the medical bag, be sure that you have reference materials (books, etc.) at hand to assist in diagnosis and in the administration of first aid. Also, never underestimate the usefulness of your onboard radios (VHF and HF) in calling for help with more serious medical problems or injuries.
===Suggested Contents===
===Suggested Contents===
-
*'''First-aid Supplies''
+
'''Note''': The list below, though very comprehensive, is somewhat "overkill" for a cruising yacht. Please submit another list that is suitable and adequate for a cruising yacht - here?? ...
 +
......
 +
 +
*'''First-aid Supplies'''
British medical scales for ocean going ships, from the Marine safety agency, Merchant Shipping Notice No.M.1607. It is compatible with the medical treatments described in the "Ship's Captain Medical Guide", the new edition (22nd) of which will be published shortly. The amounts suggested are per 10 people.  
British medical scales for ocean going ships, from the Marine safety agency, Merchant Shipping Notice No.M.1607. It is compatible with the medical treatments described in the "Ship's Captain Medical Guide", the new edition (22nd) of which will be published shortly. The amounts suggested are per 10 people.  
-
 
+
'''Dressing and suturing equipment'''
-
 
+
: Suture and needle pack   
-
Dressing and suturing equipment:  
+
: sterile non-absorbable
-
 
+
: 3 x 26mm half needle  
-
Item Size  Quantity
+
: 3 x sterile non-absorbable 40mm half needle  
-
Suture and needle pack   
+
: 26 x sterile absorbable 40mm half needle
-
sterile non-absorbable
+
: 6 x 75mm steri-stripsCrape bandage  7.5cm x 4.5 m  4  
-
26mm half needle 3  
+
: 4 x Elastic adhesive  7.5cm x 4m  
-
sterile non-absorbable  
+
: 4 x Trianglular bandage
-
40mm half needle 3
+
: 1 x Tubular gauze  finger size/ 20m  
-
sterile absorbable  
+
: 20 x Conforming bandage  5cm x 5m
-
40mm half needle 26
+
: 20 x Conforming bandage  7.5cm x 5m
-
75mm steri-strips
+
: 40 x Paraffin gauze dressing  10cm x 10cm
-
  6
+
: 5 x No 13 BPC Dressings )  
-
Crape bandage  7.5cm x 4.5 m  4  
+
: 5 x No 14 BPC Dressings )  varying size gauze pad with  
-
Elastic adhesive  7.5cm x 4m 4
+
: 4 x No 15 BPC Dressings )  attached rollar bandage  
-
Trianglular bandage   4
+
: 3 x No 16 BPC Dressing ( eye pads )  
-
Tubular gauze  finger size/ 20m 1
+
: 6 x Gauze sterile cotton  30 x 90cm   
-
Conforming bandage  5cm x 5m 20
+
: 6 x Cotton wool 15gm sterile   
-
Conforming bandage  7.5cm x 5m 20
+
: 3 x 100gm unsterile   
-
Paraffin gauze dressing  10cm x 10cm 40
+
: 1 x Adhesive tape  2.5cm x 5m  
-
No 13 BPC Dressings )   5
+
: Adhesive suture strips  pkt of 52  
-
No 14 BPC Dressings )  arying size gauze pad with 5
+
: 40 x Bandaids  assorted  
-
No 15 BPC Dressings )  attached rollar bandage 4
+
: 1 x Zinc oxide plaster tape  2.5cm x 5 m  
-
No 16 BPC Dressing ( eye pads )   3
+
: 100 x Gauze swabs  10cm x 10cm
-
Gauze sterile cotton  30 x 90cm  6
+
: 5 x Plastic Burns bags  46cm x 31 cm  
-
Cotton wool 15gm sterile  6
+
-
100gm unsterile  3
+
-
Adhesive tape  2.5cm x 5m 1
+
-
Adhesive suture strips  pkt of 52  
+
-
Bandaids  assorted 40 
+
-
Zinc oxide plaster tape  2.5cm x 5 m 1
+
-
Gauze swabs  10cm x 10cm 100
+
-
Plastic Burns bags  46cm x 31 cm 5
+
-
 
+
   
   
-
Instruments   
+
'''Instruments'''    
-
disposible scaples No 23  
+
: 2 x disposible scaples No 23  
-
  2
+
: 1 x scissors 18cm  
-
scissors 18cm  
+
: 1 x scissors 12.5cm
-
  1  
+
: 1 x dissecting forceps
-
scissors 12.5cm  
+
: 1 x haemostatic clamps  
-
  1  
+
: 1 x needle holder  
-
dissecting forceps  
+
: 2 x disposible razors
-
  1  
+
-
haemostatic clamps  
+
-
  1  
+
-
needle holder  
+
-
  1
+
-
disposible razors  
+
-
  2
+
 +
'''Examination and monitoring equipment'''
 +
: 4 x Disposible tounge depressors
 +
: 50 x Reactive urine analysis test strips
 +
: 1 x Stethoscope
 +
: 1 x Sphygmomanomter
 +
: 3 x Std clinical thermometer
 +
: 1 x Hypothermia thermometer
 +
: 2 x Sputum cups
 +
: 2 x Specimen jars
-
Examination and monitoring equipment
+
'''Equipment for injection, perfusion and catheterisation'''
 +
: 1 x Bladder drainage set ( bag/spigots/tube )
 +
: 1 x Rectal drip set
 +
: 6 x Syringes and needles ( 2ml / 5ml / 10ml of each )
 +
: 1 x Foley ballon catheter 16fr
 +
: 1 x Nelaton catheter 16fr ( no ballon ) 
 +
: 1 x Penile sheath set
-
Disposible tounge depressors 4
+
'''General Medical Equipment'''
-
Reactive urine analysis test strips 50
+
: 1 x Bedpan
-
Stethoscope 1
+
: 1 x Hot water bottle  
-
Sphygmomanomter 1
+
: 1 x Magnifying glass  
-
Std clinical thermometer 3
+
: 1 x Urine container  
-
Hypothermia thermometer 1
+
: 1 x Ice bag  
-
Sputum cups 2
+
: 6 x Safety pins  
-
Specimen jars 2
+
: 1 x Kidney dish ( stainless steel )  
-
 
+
: 1 x Lotion bowl ( stainless steel )  
-
 
+
: 2 x Waterproof sheeting, 1m x 2m  
-
Equipment for injection, perfusion and catheterisation
+
: 1 x Sterile plastic sheet , 90cm x 120cm  
-
 
+
: 1 x Nail brush  
-
Bladder drainage set ( bag/spigots/tube ) 1
+
: 1oo x Disposible paper towels  
-
Rectal drip set 1
+
: Plastic measuring jug, 1/2 L 1  
-
Syringes and needles ( 2ml / 5ml / 10ml of each ) 6
+
: 6 x Disposible face masks  
-
Foley ballon catheter 16fr 1
+
: 25 x Disposible latex gloves  
-
Nelaton catheter 16fr ( no ballon ) 1
+
: 5 x Disposible latex gloves, sterile  
-
Penile sheath set 1
+
: 1 x Malleable finger splint  
-
 
+
: 1 x Malleable forearm splint  
-
 
+
: 1 x set Inflatable splints ( half-leg/full leg/half-arm/full arm )  
-
 
+
: 1 x Thigh collar  
-
General Medical Equipment  
+
: 1 x set Neck collar ( sm/med/large )
-
 
+
: 1 x Thomas splint  
-
Bedpan 1  
+
: 1 x Seton traction kit
-
Hot water bottle 1  
+
-
Magnifying glass 1  
+
-
Urine container 1
+
-
Ice bag 1
+
-
Safety pins 6
+
-
Kidney dish ( stainless steel ) 1  
+
-
Lotion bowl ( stainless steel ) 1
+
-
Waterproof sheeting, 1m x 2m 2
+
-
Sterile plastic sheet , 90cm x 120cm 1
+
-
Nail brush 1
+
-
Disposible paper towels 100
+
-
Plastic measuring jug, 1/2 L 1  
+
-
Disposible face masks 6
+
-
Disposible latex gloves 25
+
-
Disposible latex gloves, sterile 5
+
-
Malleable finger splint 1
+
-
Malleable forearm splint 1
+
-
Inflatable splints ( half-leg/full leg/half-arm/full arm ) 1 set
+
-
Thigh collar 1  
+
-
Neck collar ( sm/med/large ) 1 set
+
-
Thomas splint 1  
+
-
Seton traction kit 1
+
-
Disinfectants
+
-
chlorine compound
+
-
general disinfectant
+
-
insectiside
+
-
Liquid
+
-
Hand spray
+
-
Powder
+
   
   
-
sufficient for 50l water
+
'''Disinfectants'''
-
1L
+
: chlorine compound
-
 
+
: general disinfectant
-
5L
+
-
1
+
-
15gm
+
-
 
+
-
+
-
 
+
-
 
+
-
Dental instruments
+
-
 
+
-
Excavator double ended, Guy's pattern 1
+
-
Filling paste inserter 1
+
-
Dental mirror size 4 1
+
-
Cavit tube ( temp filling inserter ) 1
+
-
 
+
-
 
+
-
Stretcher Equipment Neil Robertson/ Paraguard type 1
+
-
 
+
-
 
+
-
First Aid Kit (per 10 people)
+
-
Triangular Bandages 4
+
'''Dental instruments'''
-
Small dressings ( 13 BPC ) 4  
+
: 1 x Excavator double ended, Guy's pattern
-
Med dressings ( 14 BPC ) 2
+
: 1 x Filling paste inserter
-
Large dressings 2
+
: 1 x Dental mirror size 4
-
Medium safety pins 6
+
: 1 x Cavit tube ( temp filling inserter )  
-
Bandaids assorted 20
+
-
Sterile eye pads 2
+
-
Cotton wool  15gms
+
-
Disposable gloves 5
+
 +
'''Stretcher Equipment'''
 +
: 1 x Neil Robertson/ Paraguard type
 +
'''FIRST AID KIT''' (per 10 people)
 +
: 4 x Triangular Bandages
 +
: 4 x Small dressings ( 13 BPC )
 +
: 2 x Med dressings ( 14 BPC )
 +
: 2 x Large dressings
 +
: 6 x Medium safety pins
 +
: 20 x Bandaids assorted
 +
: 2 x Sterile eye pads 
 +
: Cotton wool  15gms
 +
: 5 x Disposable gloves
*'''Prescription Drugs'''<br>(''ALWAYS carry certified copies of the prescriptions'')
*'''Prescription Drugs'''<br>(''ALWAYS carry certified copies of the prescriptions'')
 +
 +
'''Cardiovascular''' 
 +
: 5 x amp Adrenaline 1:1000 1ml 
 +
: 1 x Glyceryl trinitrate 0.4mg inhaler 
 +
: 20 tab Frusemide 40mg
 +
: 2 x amp Frusemide 10mg/ml 2ml 
 +
: 1 x amp Vitamin K 10mg/ml 1ml
 +
: 2 x amp Ergometrine 0.5mg.ml 1ml
 +
: 10 x tab Atenolol 50mg
 +
: 25 x tab Aspirin 75mg
 +
'''Gastrointestinal'''   
 +
: 30 x tab Cimetidine 400mg
 +
: 10 x amp Promethazine 25mg/ml 1ml
 +
: 30 x tab Prochlorperazine 3mg (buccal)
 +
: 6 x supp Gylcerol suppository 4gms 
 +
: 60 x  tab Codeine phos 30mg
-
Drugs
+
'''Analgesics'''   
 +
: 100 x tab Paracetamol 500mg
 +
: 3 x supp Diclofenac sodium 100mg 
 +
: 10 x amp Morphine sulphate 10mg/ml 1ml
 +
: Codeine phos as above
 +
: 20 x tab Hyoscine 0.3mg
 +
'''Nervous'''
 +
: 5 x amp Diazepam 5mg/ml 2ml 
 +
: 20 x tab Diazepam 10mg
 +
: 40 x tab Chlorpromazine 25mg
 +
: 5 x amp Chlorpromazine 25mg/ml 1ml
 +
: Hyoscine as above
 +
: 4 x tube Diazepam rectal 10mg/2.5ml rectal
-
Medicine Dose Format Quantity
+
'''Anti-allergics/Anti-anaphylactics''' 
-
Cardiovascular:
+
: 30 x tab Astemizole 10mg
-
 
+
: 10 x tab Prednisolone 5mg
-
Adrenaline 1:1000
+
: 3 x Hydrocortisone 100mg/2ml powder for inj
-
1ml  amp 5
+
-
Glyceryl trinitrate
+
-
0.4mg  inhaler  1
+
-
Frusemide
+
-
40mg  tab 20
+
-
Frusemide
+
-
10mg/ml  2ml amp  2
+
-
Vitamin K
+
-
10mg/ml  1ml amp  1
+
-
Ergometrine
+
-
0.5mg.ml  1ml amp  2
+
-
Atenolol
+
-
50mg  tab  10
+
-
Aspirin
+
-
75mg  tab  25
+
-
Gastrointestinal:
+
'''Respiratory'''  
-
   
+
: 1 x inhaler Salbutamol 100 microgms
-
Cimetidine
+
: 1 x inhaler Beclometasone 50 microgms
-
  400mg  tab  30
+
-
Promethazine
+
-
25mg/ml  1ml amp  10
+
-
Prochlorperazine
+
-
3mg  tab (buccal)  30
+
-
Gylcerol suppository
+
-
4gms  supp  6
+
-
Codeine phos
+
-
30mg  tab  60
+
-
Analgesics:
+
'''Anti-infection''' 
-
   
+
: 10 x Benzylpenicillin 600mg powder for inj
-
Paracetamol
+
: 10 x tab Ciprofloxacillin 500mg
-
  500mg  tab 100
+
: 20 x Cefuroxime 750mg powder for inj  
-
Diclofenac sodium
+
: 40 x tab Erythromycin 250mg
-
100mg supp 3
+
: Trimethoprim 200mg
-
Morphine sulphate
+
: 6 x tab Medendazole 100mg  
-
10mg/ml  1ml amp 10  
+
: 12 x supp Metronidazole 1gm
-
Codeine phos as above
+
: 14 x tab Metronidazole 400mg
-
 
+
: 10 x tab Doxycycline 100mg
-
Hyoscine
+
: 5 x amp Tetanus vaccine 0.5ml
-
0.3mg tab  20
+
: 1 x amp Tetanus immumoglobulin  
-
Nervous:
+
'''Rehydration'''  
-
   
+
: Sachets (10L) Oral Rehydration fluid  
-
Diazepam
+
-
  5mg/ml  2ml amp  5
+
-
Diazepam
+
-
10mg  tab  20
+
-
Chlorpromazine
+
-
25mg  tab  40
+
-
Chlorpromazine
+
-
25mg/ml  1ml amp  5
+
-
Hyoscine as above
+
-
   
+
-
Diazepam rectal
+
-
10mg/2.5ml  rectal tube 4
+
-
Anti-allergics/Anti-anaphylactics:
+
'''External preparations''' 
-
 
+
: Chlorhexidine and Cetrimide solution  100mls
-
Astemizole
+
: 1 x Neomycin cream 15gm 
-
  10mg tab  30
+
: 1 x Benzoic Acid 6% oint 50gm  
-
Prednisolone
+
: 2 x Silversalazine cream 1% 50gms  
-
  5mg tab  10
+
: 3 x Malathion 0.5% cream 200mls
-
Hydrocortisone
+
: 2 x Zinc ointment 25gms  
-
  100mg/2ml  powder for inj  3
+
: 1 x Potassium permanganate crystals 10gm
 +
: 2 x Hydrocortisone cream 1% 15gm
-
Respiratory:
+
'''Eye medications'''    
-
    
+
: 4 x Framycetin sultphate 0.5% ointment 5gm
-
Salbutamol
+
: 1 x Betamethasone 0.1%/ Neomycin 0.5% eyedrops 5mls
-
100 microgms  inhaler  1  
+
: 5 x Amethocaine eyedrops 0.5% 0.5ml
-
Beclometasone
+
: 1 x Pilocarpine eyedrops 0.5% 0.5ml   
-
50 microgms  inhaler  1  
+
: 10 x Fluorescein eye test strips 1%
-
Anti-infection:
+
-
 
+
-
Benzylpenicillin
+
-
600mg  powder for inj  10
+
-
Ciprofloxacillin
+
-
500mg  tab  10
+
-
Cefuroxime
+
-
750mg  powder for inj 20
+
-
Erythromycin
+
-
250mg  tab  40
+
-
Trimethoprim
+
-
200mg  tab  30
+
-
Medendazole
+
-
100mg  tab  6
+
-
Metronidazole
+
-
1gm  supp  12
+
-
Metronidazole
+
-
400mg  tab  14
+
-
Doxycycline
+
-
100mg  tab  10
+
-
Tetanus vaccine
+
-
  0.5ml  amp  5
+
-
Tetanus immumoglobulin
+
-
  amp  1  
+
-
Rehydration:
+
'''Nose/ear/throat'''    
-
    
+
: 1 x Antibiotic ear drops 5mls
-
Oral Rehydration fluid
+
: 1 x Neomycin/polymixin B/hydrocortisone ear drops 5ml  
-
  sachets = 1 L 10
+
: 1 x Ephedrine nose drops 0.5% 10ml
 +
: 1 x Chlorhexidine gluconate mouthwash 0.2% 300mls 
-
External preparations:
+
'''Local anaesthetics'''    
-
    
+
: 1 x Ethylchloride spray 50mg
-
Chlorhexidine and Cetrimide
+
: 2 x amp Lignocaine 1% 20mg/2mls 2ml
-
solution  100mls
+
: 1 x Oil of cloves 10mls
-
Neomycin cream
+
: Lignocaine gel 2%  20g
-
15gm  1  
+
-
Benzoic Acid
+
-
6% oint  50gm  1
+
-
Silversalazine cream
+
-
1%  50gms  2
+
-
Malathion
+
-
0.5% cream  200mls  3
+
-
Zinc ointment
+
-
25gms  2  
+
-
Potassium permanganate
+
-
crystals  10gm  1
+
-
Hydrocortisone cream
+
-
115gm  2
+
-
Eye medications:
+
'''Doctors Bag''' (''if doctor is carried on board'')
-
 
+
: 5 x amp Adrenaline, 1:1000 1ml
-
Framycetin sultphate
+
: 4 x amp Aminophylline, 25mg/1ml 10ml
-
  0.5% ointment 5gm  4
+
: 50 tabs Aspirin, 300mg
-
Betamethasone 0.1%/
+
: 1 x Beclomethasone, 50microgm inhaler
-
Neomycin 0.5%  
+
: 1 x amp Chlorpromazine, 25mg/1ml 1 ml  
-
eyedrops 5mls  1  
+
: 5 x amp Cyclizine, 50mg/1ml 1ml
-
Amethocaine eyedrops
+
: 2 x amp Dextrose, 50% 20ml
-
0.5% 0.5ml 5
+
: 5 x amp Diazepam, 5mg/ml 2ml
-
Pilocarpine eyedrops
+
: 5 x amp Frusemide, 10mg/1mls ml  
-
  0.5% 0.5ml 1  
+
: 1 x amp Glucagon, 1mg/ml 1 ml
-
Fluorescein eye test strips
+
: 1 x bag Glucose infusion, 5% 500ml
-
1%  10
+
: 10 x Blood glucose test strip
 +
: 10 x Blood glucose lancets
 +
: Grudel Airways set of sizes 4,3,1 1  
 +
: 1 x vial Hydrocortisone, 100mg/2ml 100mg
 +
: 1 x vial Insulin 100iu/ml rapid action 10ml
 +
: IV giving sets + cannulas + leur lock 16g/18g 6 (3/3)
 +
: 1 x Laerdal Pocket Mask
 +
: 4 x Plasma substitution infusion fluid
 +
: 5 x amp Morphine 15mg/1ml 1ml  
 +
: 1 x Oxygen Resuscitator bag + tubing  
 +
: 1 x Manual suction pump + 2 yankauer & 2 14fr catheters
 +
: 24 x tabs Paediatric paracetamol 120mg
 +
: 25 x tabs Prednisolone, 5mg
 +
: 1 x Salbutamol 100 micrograms inhalers
 +
: 50 x Swabs Alcohol
 +
'''Syringe and needle pack'''
 +
: 2 x 2ml syringe + 21g needle
 +
: 2 x 20ml syringe + 21g needle
 +
: 2 x 1ml insulin syringe + 25g needle
-
Nose/ear/throat:
+
: 1 x Stethoscope
-
 
+
: 1 x Sphygmomanometer
-
Antibiotic ear drops
+
-
5mls  1  
+
-
Neomycin/polymixin B/
+
-
hydrocortisone ear drops
+
-
5ml  1
+
-
Ephedrine nose drops
+
-
0.5%  10ml  1
+
-
Chlorhexidine gluconate mouthwash
+
-
0.2%  300mls  1
+
-
 
+
-
Local anaesthetics:
+
-
 
+
-
Ethylchloride spray
+
-
50mg  1  
+
-
Lignocaine 1%
+
-
20mg/2mls 2ml amp  2
+
-
Oil of cloves
+
-
10mls  1
+
-
Lignocaine gel
+
-
2%  20g 
+
-
 
+
-
 
+
-
 
+
-
Doctors Bag (if doctor is carried on board)
+
-
 
+
-
Adrenaline, 1:1000  1ml amp 5
+
-
Aminophylline, 25mg/1ml  10ml amp 4
+
-
Aspirin, 300mg tabs 50
+
-
Beclomethasone, 50microgm inhaler 1
+
-
Chlorpromazine, 25mg/1ml 1 ml amp 1 
+
-
Cyclizine, 50mg/1ml 1ml amp 5
+
-
Dextrose, 50% 20ml amp 2
+
-
Diazepam, 5mg/ml 2 ml amp 5
+
-
Frusemide, 10mg/1ml s ml amp 5
+
-
Glucagon, 1mg/ml 1 ml amp 1
+
-
Glucose infusion, 5%  500 ml bag 1
+
-
Blood glucose test strip  10
+
-
Blood glucose lancets  10
+
-
Grudel Airways set of sizes 4,3,1 1
+
-
Hydrocortisone, 100mg/2ml 100mg vial 1
+
-
Insulin 100iu/ml rapid action  10ml vial 1
+
-
IV giving sets + cannulas + leur lock 16g/18g 6 (3/3)
+
-
Laerdal Pocket Mask  1
+
-
Plasma substitution infusion fluid  4
+
-
Morphine 15mg/1ml 1ml amp 5
+
-
Oxygen Resuscitator bag + tubing  1
+
-
Manual suction pump + 2 yankauer & 2 14fr catheters 1
+
-
Paediatric paracetamol 120mg tabs 24
+
-
Prednisolone, 5mg tabs 25
+
-
Salbutamol 100 micrograms inhalers 1
+
-
Swabs Alcohol  50
+
-
Syringe and needle pack
+
-
2ml syringe + 21g needle
+
-
20ml syringe + 21g needle
+
-
1ml insulin syringe + 25g needle
+
-
 
+
-
2
+
-
2
+
-
2
+
-
 
+
-
+
-
Stethoscope  1
+
-
Sphygmomanometer 1
+
===References===
===References===
Books, etc.
Books, etc.
* "Advanced First Aid Afloat" by Peter Eastman
* "Advanced First Aid Afloat" by Peter Eastman
-
* "The Ship Captain's Medical Guide" [http://www.mcga.gov.uk/c4mca/mcga-seafarer_information/mcga-dqs_st_shs_seafarer_information-medical/mcga-dqs_st_shs_ships_capt_medical_guide.htm ''Downloadable from the Maritime and Coastguard Agency'']
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* [http://www.mcga.gov.uk/c4mca/mcga-seafarer_information/mcga-dqs_st_shs_seafarer_information-medical/mcga-dqs_st_shs_ships_capt_medical_guide.htm The Ship Captain's Medical Guide] - Downloadable from the Maritime and Coastguard Agency
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Personal comments?
Personal comments?
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===Forum Discussions===
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==Forums==
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Links to discussion threads on the CruiserLog Forum
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List links to discussion threads on [[Cruising Forums|partnering forums]]. (see link for requirements)
* [http://www.cruiserlog.com/forums/index.php?showtopic=3656 Yachts Medical Kit]
* [http://www.cruiserlog.com/forums/index.php?showtopic=3656 Yachts Medical Kit]
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===External Links===
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==Links==
Links to relative websites
Links to relative websites
* [http://www.riparia.org/cruising_medical_kit.html Cruiser's Medical Kit] Doctor Mark Anderson's suggested kit for cruisers.
* [http://www.riparia.org/cruising_medical_kit.html Cruiser's Medical Kit] Doctor Mark Anderson's suggested kit for cruisers.
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[[Category:Seamanship]]

Latest revision as of 15:49, 20 May 2016

WorldSafety and SurvivalMedical Kit

Yacht's Medical Kit

Cruisers are often a long way from qualified assistance (in distance and time) so the yacht's medical kit needs to be fairly substantial. Along with the medical bag, be sure that you have reference materials (books, etc.) at hand to assist in diagnosis and in the administration of first aid. Also, never underestimate the usefulness of your onboard radios (VHF and HF) in calling for help with more serious medical problems or injuries.

Suggested Contents

Note: The list below, though very comprehensive, is somewhat "overkill" for a cruising yacht. Please submit another list that is suitable and adequate for a cruising yacht - here?? ...

......

  • First-aid Supplies

British medical scales for ocean going ships, from the Marine safety agency, Merchant Shipping Notice No.M.1607. It is compatible with the medical treatments described in the "Ship's Captain Medical Guide", the new edition (22nd) of which will be published shortly. The amounts suggested are per 10 people.

Dressing and suturing equipment

Suture and needle pack
sterile non-absorbable
3 x 26mm half needle
3 x sterile non-absorbable 40mm half needle
26 x sterile absorbable 40mm half needle
6 x 75mm steri-stripsCrape bandage 7.5cm x 4.5 m 4
4 x Elastic adhesive 7.5cm x 4m
4 x Trianglular bandage
1 x Tubular gauze finger size/ 20m
20 x Conforming bandage 5cm x 5m
20 x Conforming bandage 7.5cm x 5m
40 x Paraffin gauze dressing 10cm x 10cm
5 x No 13 BPC Dressings )
5 x No 14 BPC Dressings ) varying size gauze pad with
4 x No 15 BPC Dressings ) attached rollar bandage
3 x No 16 BPC Dressing ( eye pads )
6 x Gauze sterile cotton 30 x 90cm
6 x Cotton wool 15gm sterile
3 x 100gm unsterile
1 x Adhesive tape 2.5cm x 5m
Adhesive suture strips pkt of 52
40 x Bandaids assorted
1 x Zinc oxide plaster tape 2.5cm x 5 m
100 x Gauze swabs 10cm x 10cm
5 x Plastic Burns bags 46cm x 31 cm

Instruments

2 x disposible scaples No 23
1 x scissors 18cm
1 x scissors 12.5cm
1 x dissecting forceps
1 x haemostatic clamps
1 x needle holder
2 x disposible razors

Examination and monitoring equipment

4 x Disposible tounge depressors
50 x Reactive urine analysis test strips
1 x Stethoscope
1 x Sphygmomanomter
3 x Std clinical thermometer
1 x Hypothermia thermometer
2 x Sputum cups
2 x Specimen jars

Equipment for injection, perfusion and catheterisation

1 x Bladder drainage set ( bag/spigots/tube )
1 x Rectal drip set
6 x Syringes and needles ( 2ml / 5ml / 10ml of each )
1 x Foley ballon catheter 16fr
1 x Nelaton catheter 16fr ( no ballon )
1 x Penile sheath set

General Medical Equipment

1 x Bedpan
1 x Hot water bottle
1 x Magnifying glass
1 x Urine container
1 x Ice bag
6 x Safety pins
1 x Kidney dish ( stainless steel )
1 x Lotion bowl ( stainless steel )
2 x Waterproof sheeting, 1m x 2m
1 x Sterile plastic sheet , 90cm x 120cm
1 x Nail brush
1oo x Disposible paper towels
Plastic measuring jug, 1/2 L 1
6 x Disposible face masks
25 x Disposible latex gloves
5 x Disposible latex gloves, sterile
1 x Malleable finger splint
1 x Malleable forearm splint
1 x set Inflatable splints ( half-leg/full leg/half-arm/full arm )
1 x Thigh collar
1 x set Neck collar ( sm/med/large )
1 x Thomas splint
1 x Seton traction kit

Disinfectants

chlorine compound
general disinfectant

Dental instruments

1 x Excavator double ended, Guy's pattern
1 x Filling paste inserter
1 x Dental mirror size 4
1 x Cavit tube ( temp filling inserter )

Stretcher Equipment

1 x Neil Robertson/ Paraguard type

FIRST AID KIT (per 10 people)

4 x Triangular Bandages
4 x Small dressings ( 13 BPC )
2 x Med dressings ( 14 BPC )
2 x Large dressings
6 x Medium safety pins
20 x Bandaids assorted
2 x Sterile eye pads
Cotton wool 15gms
5 x Disposable gloves
  • Prescription Drugs
    (ALWAYS carry certified copies of the prescriptions)

Cardiovascular

5 x amp Adrenaline 1:1000 1ml
1 x Glyceryl trinitrate 0.4mg inhaler
20 tab Frusemide 40mg
2 x amp Frusemide 10mg/ml 2ml
1 x amp Vitamin K 10mg/ml 1ml
2 x amp Ergometrine 0.5mg.ml 1ml
10 x tab Atenolol 50mg
25 x tab Aspirin 75mg

Gastrointestinal

30 x tab Cimetidine 400mg
10 x amp Promethazine 25mg/ml 1ml
30 x tab Prochlorperazine 3mg (buccal)
6 x supp Gylcerol suppository 4gms
60 x tab Codeine phos 30mg

Analgesics

100 x tab Paracetamol 500mg
3 x supp Diclofenac sodium 100mg
10 x amp Morphine sulphate 10mg/ml 1ml
Codeine phos as above
20 x tab Hyoscine 0.3mg

Nervous

5 x amp Diazepam 5mg/ml 2ml
20 x tab Diazepam 10mg
40 x tab Chlorpromazine 25mg
5 x amp Chlorpromazine 25mg/ml 1ml
Hyoscine as above
4 x tube Diazepam rectal 10mg/2.5ml rectal

Anti-allergics/Anti-anaphylactics

30 x tab Astemizole 10mg
10 x tab Prednisolone 5mg
3 x Hydrocortisone 100mg/2ml powder for inj

Respiratory

1 x inhaler Salbutamol 100 microgms
1 x inhaler Beclometasone 50 microgms

Anti-infection

10 x Benzylpenicillin 600mg powder for inj
10 x tab Ciprofloxacillin 500mg
20 x Cefuroxime 750mg powder for inj
40 x tab Erythromycin 250mg
Trimethoprim 200mg
6 x tab Medendazole 100mg
12 x supp Metronidazole 1gm
14 x tab Metronidazole 400mg
10 x tab Doxycycline 100mg
5 x amp Tetanus vaccine 0.5ml
1 x amp Tetanus immumoglobulin

Rehydration

Sachets (10L) Oral Rehydration fluid

External preparations

Chlorhexidine and Cetrimide solution 100mls
1 x Neomycin cream 15gm
1 x Benzoic Acid 6% oint 50gm
2 x Silversalazine cream 1% 50gms
3 x Malathion 0.5% cream 200mls
2 x Zinc ointment 25gms
1 x Potassium permanganate crystals 10gm
2 x Hydrocortisone cream 1% 15gm

Eye medications

4 x Framycetin sultphate 0.5% ointment 5gm
1 x Betamethasone 0.1%/ Neomycin 0.5% eyedrops 5mls
5 x Amethocaine eyedrops 0.5% 0.5ml
1 x Pilocarpine eyedrops 0.5% 0.5ml
10 x Fluorescein eye test strips 1%

Nose/ear/throat

1 x Antibiotic ear drops 5mls
1 x Neomycin/polymixin B/hydrocortisone ear drops 5ml
1 x Ephedrine nose drops 0.5% 10ml
1 x Chlorhexidine gluconate mouthwash 0.2% 300mls

Local anaesthetics

1 x Ethylchloride spray 50mg
2 x amp Lignocaine 1% 20mg/2mls 2ml
1 x Oil of cloves 10mls
Lignocaine gel 2% 20g

Doctors Bag (if doctor is carried on board)

5 x amp Adrenaline, 1:1000 1ml
4 x amp Aminophylline, 25mg/1ml 10ml
50 tabs Aspirin, 300mg
1 x Beclomethasone, 50microgm inhaler
1 x amp Chlorpromazine, 25mg/1ml 1 ml
5 x amp Cyclizine, 50mg/1ml 1ml
2 x amp Dextrose, 50% 20ml
5 x amp Diazepam, 5mg/ml 2ml
5 x amp Frusemide, 10mg/1mls ml
1 x amp Glucagon, 1mg/ml 1 ml
1 x bag Glucose infusion, 5% 500ml
10 x Blood glucose test strip
10 x Blood glucose lancets
Grudel Airways set of sizes 4,3,1 1
1 x vial Hydrocortisone, 100mg/2ml 100mg
1 x vial Insulin 100iu/ml rapid action 10ml
IV giving sets + cannulas + leur lock 16g/18g 6 (3/3)
1 x Laerdal Pocket Mask
4 x Plasma substitution infusion fluid
5 x amp Morphine 15mg/1ml 1ml
1 x Oxygen Resuscitator bag + tubing
1 x Manual suction pump + 2 yankauer & 2 14fr catheters
24 x tabs Paediatric paracetamol 120mg
25 x tabs Prednisolone, 5mg
1 x Salbutamol 100 micrograms inhalers
50 x Swabs Alcohol

Syringe and needle pack

2 x 2ml syringe + 21g needle
2 x 20ml syringe + 21g needle
2 x 1ml insulin syringe + 25g needle
1 x Stethoscope
1 x Sphygmomanometer

References

Books, etc.

Comments

Personal comments?

Forums

List links to discussion threads on partnering forums. (see link for requirements)

Links

Links to relative websites

Comments

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