victorthecook ([info]victorthecook) wrote,
@ 2005-09-01 00:45:00
Previous Entry  Add to memories!  Tell a Friend!  Next Entry
Emergency kit - annotated - edit #1
I've been following the discussion of emergency kits at Making Light. Charles Stross mentioned his confusion over the contents of an emergency kit (by James D. Macdonald, here.)
I've taken the liberty of offering some amateur annotations. Please note that I am not an EMT, and this information has not been vetted for error or completeness. I take no credit for the choice of items, only the italicized annotations.

Annotated Emergency Kit: (kit choices James MacDonald, see
http://www.sff.net/people/doylemacdonald/emerg_kit.htm

First Aid Kit:

In waist pouch or day pack:

•one flashlight with batteries
•spare batteries

These should be straightforward. In the UK and elsewhere, this device is known as a 'torch' or 'electric torch'. I prefer LED-based flashlights for size, durability, and low battery drain. You could certainly argue for a xenon bulb instead, with a longer effective range.

• one pair EMT shears
EMT shears are blunt-pointed offset shears used by EMTs and other emergency responders. (EMT = Emergency Medical Technician) These are useful for cutting clothes off injured people, for removing dressings, and for the other things a big pair of scissors can do. They're also called penny cutter shears, which gives a good impression of their capabilities. Divers also cary them sometimes, as they're better than a knife for getting through nets.

• two pairs nitrile exam gloves
Nitrile is the preferred alternative to latex, since people can have latex allergies, and nitrile has a wider range of chemical resistance than latex. The gloves also tend, if a hole develops, to rip dramatically rather than just leaking - an advantage, since you know that they're not working. These are lightweight, thin, but tough, gloves such as are used by doctors and lab techs everywhere.

• one biohazard waste bag
if you need the stuff in this kit, there's likely to be blood involved. A plastic trash bag, for preference bright red with a biohazard warning, will let you dispose of the mess responsibly. Plus, you now have a tough plastic bag - a thousand and one uses.

• one SAM splint
I had to look these up, but wow, they're cool. Also called a pocket cast. A rolled, metal-supported splint which can be worked into several shapes to support whatever needs splinting, and a compact alternative to a bunch of big wooden sticks or something.

•two triangular bandages
Any edition of the Boy Scout manual will show you things to do with these tidy white bandannas - the Boy Scout neckerchief is the same thing, only red so your mom doesn't panic.

• four 4"x4" gauze pads
Absorbent cotton, basically cheesecloth, for bandaging stuff. The combination of gauze with adhesive tape is much more versatile than self-adhesive bandages.

• two rolls 4" gauze
Pre-packaged rolls of this stuff are available in plastic packs. 4" is the width of the roll. Obviously, you can wrap it around damaged limbs; it can also be used as padding for the SAM splint.

• Ten adhesive bandages (Band-Aid type)
For stuff that just needs a Band-aid.

• One roll 1/2" adhesive tape
There are a bunch of kinds of medical tape out there; you'll have to consider trade-offs. Some kinds of tape are easy to rip when applying, while others are tougher and stay on better. This is the mechanism for getting bandages to stick; it's also good for the kinds of things tape is good for. If you get the heavier kinds, you might think of it as medical-grade duct tape.

• Two 5" x 9" abdominal pads
Big absorbent pads. The back is plastic-coated so fluids don't seep through.

• One pocket face mask (keychain-style CPR mask)
You don't know where that mouth has been. If you need to administer CPR, this increases the safety of doing so.

• One bottle 81 mg chewable aspirin
Some pain relief is possible; it's a field expedient blood thinner for suspected heart attacks. It's a fever reducer. It's chewable, since your patient may not be able to swallow pills easily. If there are other reasons, I don't know them.

• two 6" elastic bandages (Ace bandages)
The kind of bandage used for sprains - stretchy, provides support. I didn't know they came up to 6" width.
• six safety pins
Both pins and fasteners. On the low end, splinter removal. For something more serious, they'll hold slings in place, or Ace bandages, or the broken zipper on your kit...

•six alcohol prep pads
Prepackaged alcohol-soaked gauze pads, for cleaning wounds, sanitizing surfaces, etc.

• six povodine iodine prep pads
Per Jim Macdonald, these are used in combination with the alcohol pads for wound prep. Also, these can be used as a field-expedient water purification device (similar to iodine tablets).

• one pen
It writes messages. It's a short splint.

• one notebook

• inventory list
So you can check off what you have in the bag, and make sure everything gets back into the bag between uses.



(Post a new comment)

"Flashlight" == "Torch"?
[info]cdodgson
2005-09-01 01:01 pm UTC (link)
I think "flashlight" may be another one of those English words that doesn't exist in England; IIRC, they call it a "torch". Similar confusion may exist in other items... but I'm not sure I'd recognize those.

Then there's the more serious omission... the book that tells folks without training how to use all this stuff...

(Reply to this) (Thread)

Re: "Flashlight" == "Torch"?
[info]papersky
2005-09-01 01:23 pm UTC (link)
Flashlight in British English means a big serious electric torch, the kind you might keep in your car but would be too heavy to carry all the time. Torch (UK) means any flashlight (US). As I understand it torch (US) means something with open flame, which is more likely to lead to confusion...

(Reply to this) (Parent)(Thread)

Re: "Flashlight" == "Torch"?
[info]veejane
2005-09-01 03:04 pm UTC (link)
Imagine my surprise when Edmund got a torch for his birthday in one of the Narnia books. I sepnt some minutes assuming he'd been given a really big, rag-wrapped stick to carry around, and conveniently also had matches, before figuring out that it was an electrical device he was talking about.

(Reply to this) (Parent)

Re: "Flashlight" == "Torch"?
[info]victorthecook
2005-09-01 05:07 pm UTC (link)
Yes, this is USA->flashlight, or UK-> torch. An excellent point. I'm not exactly sure what Jim Macdonald has in mind for this, but my personal pick is a pocket-sized LED-based light which runs on 4 AAA cells. Depending on your needs, something bigger, smaller, or just different may serve you better. I'll correct this in just a second.

For those of you who like to obsess over your equipment, try Flashlightreviews.com

(Reply to this) (Parent)(Thread)

Re: "Flashlight" == "Torch"?
[info]red_mike_yog
2005-09-01 05:54 pm UTC (link)
What I personally carry in my jump kit is a "Mini-mag" flashlight. What I carry when I'm on normal runs is a full-sized Maglite (three D cells).

http://www.orderoutdoors.com/minimagaa.htm

You can get conversion kits to turn your Mini-mag into an LED light. http://www.cases4less.com/detail_niteize_LED-CB.html

(Reply to this) (Parent)

The Kit
[info]red_mike_yog
2005-09-01 02:23 pm UTC (link)
Aspirin is also a dandy fever-reducer.

Many divers carry EMT shears (also called "penny cutters") because they'll cut fishing nets or fishing line in which they may have become entangled more effectively than a knife.

The povodine iodine prep pads are used in combination with alcohol for disinfecting areas. They are also used for field-expedient water purification.

After Charlie Stross checks in with his comments, may I have permission to post this annotated list on the original emergency-kit page (with attribution)?

(Reply to this) (Thread)

Re: The Kit
[info]victorthecook
2005-09-01 05:14 pm UTC (link)
Excellent points - I'd totally forgotten to list fever reduction, and was of course clueless about the povodine pads. I'll add notes accordingly.

You may certainly post the annotated list on your page. I'm honored that you think it merits inclusion.

(Reply to this) (Parent)

Update #1
[info]victorthecook
2005-09-01 05:32 pm UTC (link)
Thanks, everyone, for the comments. I've updated the main text under:

• Asprin

• EMT Shears

• Flashlight (or 'electric torch')

• Povodine prep pads

I'd like to get more detail on the povidine pads, but I wanted to get this up promptly.

Now, the comment I haven't addressed in the main text is [info]cdodgson's comment on information. This is a serious-wounds kit, and using it well is going to take training. My first suggestion is to take advantage of first-aid training where you can get it. However, if the trained person gets injured, there's a role for a manual in the 'desperate-emergency' category. So, I'm calling for discussion on 4 points:

1. Should there be a manual with at least some people's kits?

2. What books are useful in this area?

3. Where in your geographic area can you go to get first-aid training?

4. What kind of training is necessary? Appropriate? Surplus to requirements?

(Reply to this) (Thread)

Re: Update #1
[info]red_mike_yog
2005-09-01 06:17 pm UTC (link)
The DOT First Responder course (approximately 50 hours) is an excellent one if you want to learn some serious first aid. (First Responder is the first level in the DOT's emergency medicine hierarchy. It goes First Responder, Emergency Medical Technician - Basic, Emergency Medical Technician - Intermediate, Paramedic.)

If you have the time and money, but don't intend to become an EMS (Emergency Medical Services) professional, the DOT First Responder is probably the best first aid training you can get.

The American Red Cross offers an Advanced First Aid course. I've helped teach this course locally, and it will introduce you to most of what you'll run into in most common situations.

The Girl Scouts and Boy Scouts offer first aid classes for their adult leaders.

Others offer one and two day first aid courses. For an example of one I'm familar with: http://www.soloschools.com/schedule.html#wfa

Some companies have Medical Emergency Response Teams (MERT). Training courses are available (see, for example, http://www.lessstress.com/mert.htm)

Books: Small, light. My guiding philosophy in putting together all my jump bags was "Small, light, inexpensive, strapped to your body." That makes 'em easier to put together and to actually carry them.

Anyway, books. Something like this http://galls.com/style.html?assort=general_catalog&style=BK951&cat=2786 that fits in your shirt pocket will refresh your memory when you've already been trained but you've been up for three days straight and things are getting fuzzy. It'll fit in the waist pouch, too. I have one of these (the Intermediate edition) in my car jump bag.

Wilderness First Aid by Paul Gill is also excellent, and light. http://www.amazon.com/exec/obidos/tg/detail/-/0071379622/ Plus, I've met the guy who wrote it. When I put together a first aid kit for one of my kids, this was the book I put in it.

(Reply to this) (Parent)(Thread)

Re: Update #1
[info]red_mike_yog
2005-09-01 06:58 pm UTC (link)
Bit of expansion for our non-USA friends: DOT (as in DOT First Responder) is the US Department of Transportation. Due to an accident of history emergency medical services in the United States on the federal level are run by the same people who oversee truck scales, rather than by the Department of Health and Human Services.

(DOTS is a mnemonic for Deformed, Open, Tender, Swollen which helps you assess fractures.)

(Reply to this) (Parent)


[info]lenora_rose
2005-09-01 06:27 pm UTC (link)
Grotesque but true thing my First Air trainer mentioned:

The pocket CPR mask also helps with one other thing. If the CPR is for a drowning victim or similar, the person receiving the CPR tends to start throwing up the water and other fluid about the time they start recovering on their own. Better to have a bit of a barrier between you and that...

(Reply to this) (Thread)


[info]red_mike_yog
2005-09-01 06:34 pm UTC (link)
True fact. They puke in your mouth every darned time.

(Reply to this) (Parent)

thank you!
(Anonymous)
2006-01-12 09:15 pm UTC (link)
This is excellent.

Once I was carrying a caving kit in the back of my car. It had a small crowbar, a small shovel, a couple of penlights. Some 1" webbing, some reppelling rope and such. An off-duty policeman happened to look into my trunk and said, "I wouldn't have expected you to carry a burglary kit."

There's nothing on this list that would cause the slightest suspicion except possibly the shears.

This stuff doesn't even look particularly suspicious as drug paraphernalia.

(Reply to this)


Create an Account
Forgot your login?
Login w/ OpenID
English • Español • Deutsch • Русский…