Medical Kit

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Line 4: Line 4:
===Suggested Contents===
===Suggested Contents===
*'''First-aid Supplies''
*'''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:  
Dressing and suturing equipment:  
Line 15: Line 12:
Suture and needle pack   
Suture and needle pack   
sterile non-absorbable
sterile non-absorbable
-
26mm half needle 3  
+
3 x 26mm half needle  
-
sterile non-absorbable  
+
3 x sterile non-absorbable 40mm half needle  
-
40mm half needle 3
+
26 x sterile absorbable 40mm half needle
-
sterile absorbable  
+
6 x 75mm steri-stripsCrape bandage  7.5cm x 4.5 m  4  
-
40mm half needle 26
+
4 x Elastic adhesive  7.5cm x 4m  
-
75mm steri-strips
+
4 x Trianglular bandage
-
  6
+
1 x Tubular gauze  finger size/ 20m  
-
Crape bandage  7.5cm x 4.5 m  4  
+
20 x Conforming bandage  5cm x 5m
-
Elastic adhesive  7.5cm x 4m 4
+
20 x Conforming bandage  7.5cm x 5m
-
Trianglular bandage   4
+
40 x Paraffin gauze dressing  10cm x 10cm
-
Tubular gauze  finger size/ 20m 1
+
5 x No 13 BPC Dressings )  
-
Conforming bandage  5cm x 5m 20  
+
5 x No 14 BPC Dressings )  varying size gauze pad with  
-
Conforming bandage  7.5cm x 5m 20
+
-
Paraffin gauze dressing  10cm x 10cm 40
+
-
No 13 BPC Dressings )   5  
+
-
No 14 BPC Dressings )  arying size gauze pad with 5
+
No 15 BPC Dressings )  attached rollar bandage  4  
No 15 BPC Dressings )  attached rollar bandage  4  
No 16 BPC Dressing ( eye pads )  3  
No 16 BPC Dressing ( eye pads )  3  
Gauze sterile cotton  30 x 90cm  6  
Gauze sterile cotton  30 x 90cm  6  
Cotton wool 15gm sterile  6  
Cotton wool 15gm sterile  6  
-
100gm unsterile  3  
+
100gm unsterile  3  
Adhesive tape  2.5cm x 5m  1  
Adhesive tape  2.5cm x 5m  1  
Adhesive suture strips  pkt of 52  
Adhesive suture strips  pkt of 52  
Line 42: Line 35:
Gauze swabs  10cm x 10cm  100  
Gauze swabs  10cm x 10cm  100  
Plastic Burns bags  46cm x 31 cm  5  
Plastic Burns bags  46cm x 31 cm  5  
-
 
 
   
   
-
Instruments   
+
'''Instruments'''    
disposible scaples No 23  
disposible scaples No 23  
-
  2  
+
2  
scissors 18cm  
scissors 18cm  
-
  1  
+
1  
scissors 12.5cm  
scissors 12.5cm  
-
  1  
+
1  
dissecting forceps  
dissecting forceps  
-
  1  
+
1  
haemostatic clamps  
haemostatic clamps  
-
  1  
+
1  
needle holder  
needle holder  
-
  1  
+
1  
disposible razors  
disposible razors  
-
  2  
+
2  
-
 
+
'''Examination and monitoring equipment'''
-
Examination and monitoring equipment  
+
Disposible tounge depressors 4  
Disposible tounge depressors 4  
Line 72: Line 63:
Specimen jars 2  
Specimen jars 2  
-
 
+
'''Equipment for injection, perfusion and catheterisation'''
-
Equipment for injection, perfusion and catheterisation  
+
Bladder drainage set ( bag/spigots/tube ) 1  
Bladder drainage set ( bag/spigots/tube ) 1  
Line 82: Line 72:
Penile sheath set 1  
Penile sheath set 1  
-
 
+
'''General Medical Equipment'''
-
 
+
-
General Medical Equipment  
+
Bedpan 1  
Bedpan 1  
Line 124: Line 112:
15gm
15gm
-
+
'''Dental instruments'''
-
 
+
-
 
+
-
Dental instruments  
+
Excavator double ended, Guy's pattern 1  
Excavator double ended, Guy's pattern 1  
Line 134: Line 119:
Cavit tube ( temp filling inserter ) 1  
Cavit tube ( temp filling inserter ) 1  
 +
'''Stretcher Equipment'''
-
Stretcher Equipment Neil Robertson/ Paraguard type 1  
+
Neil Robertson/ Paraguard type 1  
-
 
+
'''First Aid Kit''' (per 10 people)  
-
First Aid Kit (per 10 people)  
+
Triangular Bandages 4  
Triangular Bandages 4  
Line 150: Line 135:
Disposable gloves 5  
Disposable gloves 5  
-
 
+
*'''Prescription Drugs'''<br>
-
 
+
(''ALWAYS carry certified copies of the prescriptions'')
-
*'''Prescription Drugs'''<br>(''ALWAYS carry certified copies of the prescriptions'')
+
-
 
+
Drugs
Drugs
Line 162: Line 145:
    
    
Adrenaline 1:1000
Adrenaline 1:1000
-
1ml  amp 5  
+
1ml  amp 5  
Glyceryl trinitrate
Glyceryl trinitrate
-
0.4mg  inhaler  1  
+
0.4mg  inhaler  1  
Frusemide  
Frusemide  
-
40mg  tab  20  
+
40mg  tab  20  
Frusemide  
Frusemide  
-
10mg/ml  2ml amp  2  
+
10mg/ml  2ml amp  2  
Vitamin K  
Vitamin K  
-
10mg/ml  1ml amp  1  
+
10mg/ml  1ml amp  1  
Ergometrine  
Ergometrine  
-
0.5mg.ml  1ml amp  2  
+
0.5mg.ml  1ml amp  2  
Atenolol  
Atenolol  
-
50mg  tab  10  
+
50mg  tab  10  
Aspirin  
Aspirin  
-
75mg  tab  25  
+
75mg  tab  25  
-
Gastrointestinal:
+
'''Gastrointestinal''':
      
      
Cimetidine  
Cimetidine  
-
400mg  tab  30  
+
400mg  tab  30  
Promethazine  
Promethazine  
-
25mg/ml  1ml amp  10  
+
25mg/ml  1ml amp  10  
Prochlorperazine  
Prochlorperazine  
-
3mg  tab (buccal)  30  
+
3mg  tab (buccal)  30  
Gylcerol suppository  
Gylcerol suppository  
-
4gms  supp  6  
+
4gms  supp  6  
Codeine phos  
Codeine phos  
-
30mg  tab  60  
+
30mg  tab  60  
-
Analgesics:
+
'''Analgesics''':
      
      
Paracetamol  
Paracetamol  
-
500mg  tab  100  
+
500mg  tab  100  
Diclofenac sodium  
Diclofenac sodium  
-
100mg  supp  3  
+
100mg  supp  3  
Morphine sulphate  
Morphine sulphate  
-
10mg/ml  1ml amp 10  
+
10mg/ml  1ml amp 10  
Codeine phos as above
Codeine phos as above
    
    
Hyoscine  
Hyoscine  
-
0.3mg  tab  20  
+
0.3mg  tab  20  
-
Nervous:
+
'''Nervous''':
      
      
Diazepam  
Diazepam  
-
5mg/ml  2ml amp  5  
+
5mg/ml  2ml amp  5  
Diazepam  
Diazepam  
-
10mg  tab  20  
+
10mg  tab  20  
Chlorpromazine  
Chlorpromazine  
-
25mg  tab  40  
+
25mg  tab  40  
Chlorpromazine  
Chlorpromazine  
-
25mg/ml  1ml amp  5  
+
25mg/ml  1ml amp  5  
Hyoscine as above
Hyoscine as above
      
      
Diazepam rectal  
Diazepam rectal  
-
10mg/2.5ml  rectal tube  4  
+
10mg/2.5ml  rectal tube  4  
Anti-allergics/Anti-anaphylactics:
Anti-allergics/Anti-anaphylactics:
    
    
Astemizole  
Astemizole  
-
10mg  tab  30  
+
10mg  tab  30  
Prednisolone
Prednisolone
-
5mg  tab  10  
+
5mg  tab  10  
Hydrocortisone  
Hydrocortisone  
-
100mg/2ml  powder for inj  3  
+
100mg/2ml  powder for inj  3  
-
Respiratory:
+
'''Respiratory''':
    
    
Salbutamol  
Salbutamol  
-
100 microgms  inhaler  1  
+
100 microgms  inhaler  1  
Beclometasone  
Beclometasone  
-
50 microgms  inhaler  1  
+
50 microgms  inhaler  1  
-
Anti-infection:
+
 
 +
'''Anti-infection''':
    
    
Benzylpenicillin  
Benzylpenicillin  
-
600mg  powder for inj  10  
+
600mg  powder for inj  10  
Ciprofloxacillin  
Ciprofloxacillin  
-
500mg  tab  10  
+
500mg  tab  10  
Cefuroxime  
Cefuroxime  
-
750mg  powder for inj 20  
+
750mg  powder for inj 20  
Erythromycin  
Erythromycin  
-
250mg  tab  40  
+
250mg  tab  40  
Trimethoprim  
Trimethoprim  
-
200mg  tab  30  
+
200mg  tab  30  
Medendazole  
Medendazole  
-
100mg  tab  6  
+
100mg  tab  6  
Metronidazole  
Metronidazole  
-
1gm  supp  12  
+
1gm  supp  12  
Metronidazole  
Metronidazole  
-
400mg  tab  14  
+
400mg  tab  14  
Doxycycline  
Doxycycline  
-
100mg  tab  10  
+
100mg  tab  10  
Tetanus vaccine  
Tetanus vaccine  
-
0.5ml  amp  5  
+
0.5ml  amp  5  
Tetanus immumoglobulin  
Tetanus immumoglobulin  
-
  amp  1  
+
amp  1  
-
Rehydration:
+
'''Rehydration''':
    
    
Oral Rehydration fluid  
Oral Rehydration fluid  
-
sachets = 1 L 10  
+
sachets = 1 L 10  
-
External preparations:
+
'''External preparations''':
    
    
-
Chlorhexidine and Cetrimide
+
Chlorhexidine and Cetrimide solution  100mls  
-
solution  100mls  
+
Neomycin cream 15gm  1  
-
Neomycin cream  
+
Benzoic Acid 6% oint  50gm  1  
-
15gm  1  
+
Silversalazine cream 1%  50gms  2  
-
Benzoic Acid  
+
Malathion 0.5% cream  200mls  3  
-
6% oint  50gm  1  
+
Zinc ointment 25gms  2  
-
Silversalazine cream  
+
Potassium permanganate crystals  10gm  1  
-
1%  50gms  2  
+
Hydrocortisone cream 1%  15gm  2  
-
Malathion  
+
-
0.5% cream  200mls  3  
+
-
Zinc ointment  
+
-
25gms  2  
+
-
Potassium permanganate  
+
-
crystals  10gm  1  
+
-
Hydrocortisone cream  
+
-
1%  15gm  2  
+
-
Eye medications:
+
'''Eye medications''':
    
    
-
Framycetin sultphate  
+
Framycetin sultphate 0.5% ointment  5gm  4  
-
0.5% ointment  5gm  4  
+
Betamethasone 0.1%/ Neomycin 0.5%  eyedrops 5mls  1  
-
Betamethasone 0.1%/
+
Amethocaine eyedrops 0.5% 0.5ml  5  
-
Neomycin 0.5%  
+
Pilocarpine eyedrops  0.5% 0.5ml 1  
-
  eyedrops 5mls  1  
+
Fluorescein eye test strips 1%  10  
-
Amethocaine eyedrops  
+
-
0.5% 0.5ml  5  
+
-
Pilocarpine eyedrops
+
-
  0.5% 0.5ml 1  
+
-
Fluorescein eye test strips  
+
-
1%  10  
+
-
Nose/ear/throat:
+
'''Nose/ear/throat''':
    
    
-
Antibiotic ear drops  
+
Antibiotic ear drops  5mls  1  
-
  5mls  1  
+
Neomycin/polymixin B/hydrocortisone ear drops  5ml  1  
-
Neomycin/polymixin B/
+
Ephedrine nose drops 0.5%  10ml  1  
-
hydrocortisone ear drops  
+
Chlorhexidine gluconate mouthwash 0.2%  300mls  1  
-
  5ml  1  
+
-
Ephedrine nose drops  
+
-
0.5%  10ml  1  
+
-
Chlorhexidine gluconate mouthwash  
+
-
0.2%  300mls  1  
+
-
Local anaesthetics:
+
'''Local anaesthetics''':
    
    
-
Ethylchloride spray  
+
Ethylchloride spray 50mg  1  
-
50mg  1  
+
Lignocaine 1% 20mg/2mls 2ml amp  2  
-
Lignocaine 1%  
+
Oil of cloves 10mls  1  
-
20mg/2mls 2ml amp  2  
+
Lignocaine gel 2%  20g  
-
Oil of cloves
+
-
10mls  1  
+
-
Lignocaine gel  
+
-
2%  20g
+
-
 
+
-
 
+
-
Doctors Bag (if doctor is carried on board)  
+
'''Doctors Bag''' (if doctor is carried on board)  
Adrenaline, 1:1000  1ml amp 5  
Adrenaline, 1:1000  1ml amp 5  
Line 366: Line 325:
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'']
+
* [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
*
*
*
*

Revision as of 06:59, 20 December 2007

Contents

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:

Item Size Quantity 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 No 15 BPC Dressings ) attached rollar bandage 4 No 16 BPC Dressing ( eye pads ) 3 Gauze sterile cotton 30 x 90cm 6 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 disposible scaples No 23 2 scissors 18cm 1 scissors 12.5cm 1 dissecting forceps 1 haemostatic clamps 1 needle holder 1 disposible razors 2

Examination and monitoring equipment

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

Equipment for injection, perfusion and catheterisation

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

General Medical Equipment

Bedpan 1 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 1L

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 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.

Comments

Personal comments?

Forum Discussions

Links to discussion threads on the CruiserLog Forum

External Links

Links to relative websites

BACK

.

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