COASTAL FIRST AID KIT Developed by Emergency Room Physicians at Richmond, VA. Updated and revised April 1995 by Malcolm Baker and Eric English, MD The following First Aid inventory was developed to attempt to meet the first aid needs of a boat cruising coastal or in the Chesapeake Bay where medical attention could be secured in several hours. Several items require medical doctor prescrip- tions and the consultation and instructions in their appropriate use should be secured. The STANDARD FIRST AID course which includes CPR such as given by the American Red Cross should be considered as a minimum and essential for prudent seamen. To assist boatowners in assembling this First Aid Kit, brand names and quantities are frequently shown. This just means that that product is satisfactory and to help to guide for an equiva- lent. Dated means the manufacturer placed an expiration date on the product. INJURY CLASSIFICATION TREATMENT REQUIREMENTS I. Lacerations / Abrasions A. Povidine Iodine Prep Solution -dated; 8oz; Recommended instead of Hydrogen Proxide for washing wounds B. Irrigating Solution -dated, prescription; 0.9% Sodium Chloride, pt C. Gauze Sponges 2-4"X 4"; 5-2"X 2" D. Steri Strips (butterflies) -dated; 1/8" x 3"; 1/2" x 4"; Tincture of Benzoin as liquid paste to help stick butterflies, available in individual packets or in bottle to use with Q-tip E. Band Aids, box each of large and small; 4 extra large F. Kling Bandages 2 - 3" rolls G. Adhesive Tape 1" & 2" rolls H. 1 oz Tube Neopsorin for minor scrapes or cuts; Providone Iodine Antiseptic also satisfactory; both dated I. Individual alcohol swabs, 12 packets J. Bulb or plastic syringe for flush cleaning K. pHisoDerm Lathering Skin Cleaner and Conditioner II. Sprains / Contusions A. Ice Packs 2 - Large Instant Cold Packs (4/$6.95, DynaMed Catalog* -see note below for *) B. Ace Wraps 4" roll C. Sam (tm) Splint padded aluminum strips ($10, DynaMed*) COASTAL FIRST AID KIT Page 2 III. Eye Injury - Chemical Burn or Foreign Body A. Sterile Ophthalmic Eye Irrigating Solution -dated; Alcon Eye Stream 1 fl oz B. Eye Patches oval 4 - 1 5/8" x 2 5/8" sterile pads C. Paper Tape 1" roll, 3M, for face application D. Antibiotic Drops -prescription, dated; Bleph-10 or Sulamyd (sulfacetamide sodium) 5 ml; Indications: Foreign body, abrasions IV. Burns A. Irrigating Solution -above B. Antiseptic Cream -prescription, dated; Silverdene Cream (1% silver sulfadiazine - sulfa; Indications: for 2nd or 3rd degree burns) C. Gauze Dressings -above D. Kling Bandages -above E. Ice Packs -above V. Anaphylactic Reactions A. Emergency Insect Sting Kit, AnaKit, contains adrenalin -prescription, dated; and Extractor Pump. The Epi-Pen may be recommended by the physician; Indications: Severe reaction to stings, i.e. airway impairment, wheezing VI. Trauma A. Microshield barrier membrane mouthpiece for CPR; in sealed pouch ($7.25, DynaMed) B. Disposable latex gloves (from $8.90/100, DynaMed) C. Emergency mylar thermal blanket ($4.25, DynaMed) VII. Medications: Pain and Upset A. Benadryl Capsules 30 caps -prescription, dated; Indica- tions: Mild pain, itching, hives, and allergic reac- tions; mild sedative or sleep aid B. Trans-derm scopolamine patches -prescription, dated, not currently available 4/95; Indications: Motion Sickness. Available over-the-counter for stocking: Dramamine and Bonine -both dated. Phenergon (tm) Tabs and/or supposi- tories -prescription, dated; would be helpful for nausea and sedation for severe seasickness C. Imodium for severe acute diarrhea. Pepto-Bismol for upset stomach - both OTC and dated COASTAL FIRST AID KIT Page 3 D. Pain relief: Lortab 5 or Vicodin 5 (acetaminophen 325mg/hydreocodone 5mg) 1-2 tabs/6 hours for mild to severe pain; Other choices: Tylenol #3 with codeine (sometimes causes nausea or abdominal reaction). Hydrocodone may be better substitute; - all prescrip- tions and dated. Aspirin, Advil, Tylenol, Motrin, Nuprin for mild to moderate pain; OTC, select a couple E. Ipecac -OTC single use bottle; Indication: To induce vomiting following swallowing of a poison; especially if children are aboard; Check with Poison Control first to determine if vomiting is appropriate. E. Ora-Jel tube, benzocaine gel for toothache pain F. Jelly fish sting, Adolph's Natural Meat Tenderizer VIII. Miscellaneous A. Toe nail clippers, finger nail clippers and file, tweezers; oral thermometer B. Stainless bandage scissors, shears, and forceps ($3.50-$5, DynaMed) C. First Aid / Trauma Case. Most of above will fit a 16 x 7 x 8 high two tray tackle box. Weather resistant Paramedic and EMT special designed cases $26-$60 from DynaMed. * DynaMed Catalog, "Manufacturer of Emergency Care Products," 6300 Yarrow Drive; Carlsbad, CA 92009-1597. Orders 800-854-2706. The inclusion of this catalog source of products listed is for the user's convenience and is not an indorsement or recommenda- tion. CHECK ALERGIC HISTORY BEFORE ADMINISTERING ANY MEDICATION. The above medications can be secured from the outpatient pharmacy of a hospital in sealed, DATED, individual packages at little extra cost. This security is worth it. Even a single Tylenol is nice to have this way. In several cases items can be grouped for specific treatments, such as for eyes, by placing in zip lock bags together for quick access. Package sealed tablets such as Tylenol #3 by putting inside plastic medicine bottle with label showing medication and indicated for Severe Pain use. The entire kit fits a medium large tackle box. I would suggest assembling kit before securing box as the kit requires a little larger box than your first impression. A TRAUMA kit could be made up separately with splint, blanket, ice packs, etc. to save space in main kit. Include a copy of this inventory in the kit as a checklist along with a good medical reference book. Mark outside of box plainly as FIRST AID.