What's In Your Medical Kit?
Thursday, July 05, 2007
Paul Auerbach, M.D.
Wilderness Medicine is the official newsletter of the Wilderness Medical Society. Over the past 24 years, it has evolved from a one-page mimeographed announcement sheet to a four-color, glossy quarterly magazine supported by an editorial staff and numerous contributors. I always look forward to receiving my copy, because the publication is full of interesting stories and useful advice.
The Spring 2007 issue is no exception. One article that stands out for its practicality is in the section Backcountry Medicine and is entitled “What’s in Your Kit?” The author, Dr. Timothy Platts-Mills, is a rising star in this area of expertise. I suggest that you read what he has written, but in the meantime, here are a few “pearls” excerpted from his excellent advice:
Preparation, Organization, and Communication: Carry a cell phone in the U.S. backcountry; consider a satellite phone outside the U.S. Carry a waterproof paper and pencil for critical notes to be transmitted in rugged environments.
Foot Care and Skin Care: One way to manage a blister is to drain it with a small incision, then cover it with a cyanoacrylate tissue adhesive (“tissue glue”), cover the dried adhesive with moleskin, then cover the moleskin with duct tape, and then grease the duct tape with Vaseline.
Respiratory Problems: Always carry epinephrine for injection in an allergy kit or as an EpiPen to treat a serious allergic reaction. Oxymetazoline nasal spray (Afrin) applied to a small piece of cotton wool may be held in the nose to help control a nosebleed.
Altitude Illnesses: Acetazolamide (Diamox) is used to both prevent and treat acute mountain sickness.
Wounds: Clean wounds first with clear, flowing water, then irrigate thoroughly with clean, disinfected water. Attempt to apply a significant irrigation pressure by using a plastic water bottle with a hole or a syringe attached to a needle or catheter of approximately 18-gauge. (Remember, the solution to pollution is dilution!)
Abdominal Complaints: If a pregnant patient develops abdominal pain in the backcountry, she should be evacuated for evaluation. Therefore, women of childbearing age should carry a urine pregnancy test.
Analgesia and Central Nervous System Treatments: If you are responsible for the care of persons on an expedition, carry adequate pain medications.
Miscellaneous: Cavit is useful to fill cavities. Insect repellent containing DEET or picaridin should be carried to avoid mosquito bites, which can transmit significant diseases, such as malaria and West Nile virus infection.
photo courtesy of www.kidsdomain.com
Tags: medical kit, backcountry, expedition, medical, physician, health, wilderness medicine, outdoor medicine, healthline
Labels: first aid, first aid kit, Wilderness Medical Society, wilderness medicine
2 Comments:
At Thu Jul 05, 02:49:00 PM 2007,
Phat Mac said…
I'm sorry, but I can't resist this--carry a urine pregnancy test while galavanting in the woods?!!! Honestly...if a woman doesn't know she is pregnant (which hopefully she has enough sense to figure out after the second month), what good would it do to find out while she's in the forest, even if she is having abdominal pains?
Air lifted for abdominal cramps and just found out that you're pregnant...sounds like an excellent time with mother nature.
Love your posts--keep up the good work!
At Thu Jul 26, 03:00:00 PM 2007,
John said…
Phat Mac,
Women of child-bearing age presenting with abdominal pain may be experiencing a pregnancy that implants in the wrong location (ectopic pregnancy). If that is not diagnosed early, it can rupture, cause shock, and death.
Ectopic pregnancy is the leading cause of pregnancy-related death in the first trimester, and it is a cause of significant morbidity. It is responsible for 10% of maternal deaths.
By taking a urine pregnancy test, one can quickly rule out ectopic pregnancy as a cause of abdominal pain. A positive UPT would require further evaluation to diagnose an ectopic pregnancy.
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