Personal

Wilderness

Medical Kit

Version 1.2    10/7/99

 

This short version contains lists only; please check http://www.wemsi.org/ for a complete version with explanation and annotations.

 


Comments to:

Keith Conover, M.D., FACEP, Medical Director 
36 Robinhood Road, Pittsburgh, PA  15220-3014
412-561-3413  kconover+@pitt.edu

 

Minimum Module

4

Exp Date

#

Item and size/strength

Usual Dose

Pain Meds

 

 

10

naproxen 220 mg tablets (e.g., Aleve®)

Pain:  ii PO, then i PO BID

 

 

12

y acetaminophen with hydrocodone tablets (e.g., Vicodin®, Lortabs®, Anexsia®:  500 mg acetaminophen, 5 mg hydrocodone)

Pain: ii PO Q4H PRN

Allergy Meds

 

 

1

y injectable epinephrine anaphylaxis kit (Epi-Pen®) (may omit if have advanced module with injectable epinephrine)

anaphylaxis: i injection

 

 

1

y albuterol Rotocap™ inhaler

asthma: i cap Q4H PRN

 

 

8

y Rotocap™ albuterol capsules for above

 

 

6

di­phen­hy­dra­mine 25 mg tablets (e.g., Benadryl®)

allergy/sedation: i-ii PO Q4H PRN

 

 

5

y Prednisone 50 mg tablets

allergy/asthma: 50 mg PO QAM

GI Meds

 

 

12

loperamide 2 mg. tablets (e.g., Imodium-AD®)

diarrhea: ii PO, then i PO q loose BM up to 7/day

 

 

4

meclizine chewable 25 mg. tablets (e.g., Bonine®, Antivert®)

motion sickness: i PO TID PRN

 

 

4

y TransDerm Scop® transdermal scopolamine patches

motion sickness: i to skin Q3D

Bites and Stings

 

 

1

Sawyer Extractor™ Kit

as directed

 

 

1

Sting-Eeze® solution 15 cc bottle

as directed

Cardiac Meds

 

 

4

Aspirin 325 mg (5 gr.) tablets

chest pain: i PO

 

 

1

y bottle nitroglycerine spray (e.g., Nitrolingual®)

chest pain: i spray SL Q3’ PRN

Antibiotics Etc.

 

 

6

y azithromycin 250 mg tablets (e.g., Zithromax®)

infection: ii PO, then i PO daily

 

 

1

y 3.5 g tube polymyxin/bacitracin (e.g., Polysporin®) or bacitracin ophthalmic ointment

wounds: to skin BID

 

 

1

mild liquid soap 30 cc bottle, e.g., Hibiclens®; or, a small piece of solid soap (to save weight) ; or, a small (e.g., 8 cc) bottle of waterless hand sanitizer

 

 

1

Povadone-iodine solution 15 cc bottle (e.g., Betadine®)

Thermometer

 

 

1

digital thermometer (may substitute Radio Shack™ or similar continuous-reading digital thermometer)

 

 

1

spare battery for above

 

 

10

thermometer covers for above

Misc.

 

 

4

thiamine (vitamin B-1) 300 mg. tablets

starvation, prior to refeeding: i PO

 

 

4

y haloperidol 5 mg. tablets (e.g., Haldol®)

sedation: i-iiii PO

 

 

2

packets Gatorade® or ERG® powder, each to make ½ liter

 

 

4

pair exam gloves

 

 

1

pocket CPR shield

 

 

1

1" (by at least 10 yards) waterproof adhesive tape

 

 

1

8 cc bottle tincture of benzoin

 

 

6

sterile cotton applicators ("Q-tips®")

 

 

1

3" by 5 yards (stretched) elastic bandage (e.g., Ace®, Coban®, Vet-Wrap®)

 

 

1

3" by 5 yards (stretched) conforming roller gauze (e.g., Kling®)

 

 

8

medium-size (e.g., 3" x 3") gauze pads

 

 

2

OB-type compressed vaginal tampons

 

 

3

small pieces of clear adherent dressing (e.g., Tegaderm™, OpSite™)

 

 

3

#11 scalpel blades, sterile

 

 

1

string for ring removal

 

 

1

paper clip, medium size

 

 

2

large safety pins

 

 

1

nylon zipper bag or equivalent for MedKit

 

 

1

waterproof contents/protocols/standing orders

 

 

5

one-pint freezer-style zip lock plastic bags (if not available elsewhere in SAR pack)

 

 

2

small (5-staple) skin staplers

 

 

5

WEMSI Patient Record Forms

 

 

5

WEMSI Patient Record continuation sheets

 

Advanced Module

4

Exp Date

#

Item and size/strength

Usual Dose

 

 

2

y morphine sulfate 10 mg/mL, 1 mL vials

pain: 2-10 mg IV Q10’-Q4H PRN

5-10 mg IM Q½-4H PRN

 

 

4

y naloxone 1 mg/mL, 1 mL ampul (e.g., Narcan®)

excess narcotic: 1-4 mg IV/IM

 

 

1

y midazolam 5mg/mL, 10 ml vial (e.g., Versed ®)

sedation:3-5 mg IV Q10’

seizure:14 mg IM

 

 

1

y ceftriaxone 2 g powder, and sterile water 10 mL, for reconstitution (e.g., Rocephin®)

infection/open fracture: 2 g IV/IM

 

 

2

y epinephrine 1:1000, 1 mL ampul: 
substitutes for Epi-Pen in basic kit

anaphylaxis/severe asthma: 0.3-0.5 cc SQ Q10’

 

 

2

y diphenhydramine 50 mg/1 mL vial (e.g. Benadryl®)

allergy: 50-100 mg IV/IM

 

 

4

y droperidol 2.5 mg/mL, 2 mL vial

sedation/nausea: 2.5-10 mg IV/IM

 

 

2

y dexamethasone 10mg/mL, 10 mL vial (e.g., Decadron®)

 

 

 

6

alcohol prep pads, in foil

 

 

2

y 1 cc syringes

 

 

2

y 3 cc syringes

 

 

2

y IM needles

 

 

2

y SQ needles

 

 

2

y 18 ga, long, over-the-needle IV catheters

 

 

1

venous tourniquet (for starting IV)

 

 

2

saline lock

 

 

1

20 cc bottle saline flush solution

 

 

1

y 6.5 mm endotracheal tube

 

 

1

One-way valve for endotracheal tube

 

Search Module

4

Exp Date

#

Item and size/strength

Usual Dose

Pain Meds Etc.

 

 

30

acetaminophen tablets, 325 mg (e.g., Tylenol®)

pain/fever: i-ii PO Q4H PRN

 

 

4

y phenazo­pyridine hydro­chloride tablets, 200 mg (e.g., Pyri­dium®)

UTI symptoms: i PO TID

Cough, Cold, Allergy Etc.

 

 

1

15 mL squeeze bottle oxymetazoline nasal spray (e.g., Afrin®)

nasal congestion: i spray BID PRN

 

 

8

12-hour sustained-release pseudoephedrine tablets 120 mg. (e.g., Sudafed®)

nasal congestion: i PO BID PRN

 

 

8

12-hour sustained-release chlorpheniramine tablets 8 mg. (e.g., Chlor-Trimeton®)

allergy symptoms: i PO BID PRN

 

 

8

y Humibid-DM® tablets

cough: i PO PID PRN

Eye

 

 

1

y 1 mL dropper tube tetracaine ophthalmic solution

painful eye exam: 2-20 drops

 

 

3

fluorescein strips

as needed

 

 

1

2 mL dropper bottle cyclopentolate ophthalmic solution 0.5% or 1% (e.g., Cyclogyl®)

corneal abrasion or snowblindness:

GI

 

 

8

famotidine tablets 10 mg (e.g., Pepcid-AC®)

reflux/hyperacidity: i-ii PO BID PRN

Allergy

 

 

1

y 15 g tube fluocinolone acetonide cream 0.2% or similar high-strength steroid cream or lotion (e.g., Valisone®, Beni­sone®, Lidex®, Kenalog®, Aristocort®, Uticort®, Synalar®)

allergic rash/insect bites:
apply to rash QID PRN

 

 

1

y 1 oz. tube Pramosone® 1% or Aveeno® cream

itching: apply to skin Q4H PRN

Altitude Etc.

 

 

6

acetazolamide tablets 250 mg (e.g., Diamox®)

preventing AMS: ¼ tab (62.5 mg) PO BID treating AMS/HACE: 250 mg PO BID

 

 

 

y nifedipine capsules 10 mg (e.g., Procardia®, Adalat®)

HAPE:  10-30 mg PO QID

Misc.

 

 

1

10 mL bottle clotrimazole solution (e.g., Lotrimin®)

fungal skin infection: apply BID-QID
yeast vaginitis: i mL intravaginally daily

 

 

1

1 cc TB syringe, no needle (as vaginal applicator for above antifungal)

 

 

1

pair small sharp scissors (not necessary if available on WEMT's pocket knife)

 

 

1

pair fine-point splinter forceps (not necessary if available on WEMT's pocket knife)

 

 

1

SamSplint™ or equivalent flexible splint

 

 

4

3" x 4" pieces of moleskin

 

 

10

small adhesive bandages (e.g., 1" x 3" Bandaids™, Coverlet™)

 

 

5

medium-size "suture strips"

•Outline End