Medical Kit

From CruisersWiki

Revision as of 07:34, 20 December 2007

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

• '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 ) 4

Med dressings ( 14 BPC ) 2 Large dressings 2 Medium safety pins 6 Bandaids assorted 20 Sterile eye pads 2 Cotton wool 15gms Disposable gloves 5

• Prescription Drugs
  

(ALWAYS carry certified copies of the prescriptions)

Drugs

Medicine Dose Format Quantity Cardiovascular:

Adrenaline 1:1000 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:

Cimetidine 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:

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

Hyoscine 0.3mg tab 20

Nervous:

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:

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

Respiratory:

Salbutamol 100 microgms inhaler 1 Beclometasone 50 microgms inhaler 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:

Oral Rehydration fluid sachets = 1 L 10

External preparations:

Chlorhexidine and Cetrimide solution 100mls Neomycin cream 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 1% 15gm 2

Eye medications:

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

Nose/ear/throat:

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

Books, etc.

• "Advanced First Aid Afloat" by Peter Eastman
• The Ship Captain's Medical Guide - Downloadable from the Maritime and Coastguard Agency

Comments

Personal comments?

Forum Discussions

Links to discussion threads on the CruiserLog Forum

• Yachts Medical Kit

External Links

Links to relative websites

• Cruiser's Medical Kit Doctor Mark Anderson's suggested kit for cruisers.

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