I did some whittling this morning (and some shopping yesterday) and here's the changes so far:

I've removed:

• Book: Don't get Sick
• Magic instant washcloth tablets
• EMT shears
• Itch Gel
• All but one sheet of Moleskin
• Many of the meds

I've added:

• 2x 4" square gauze pads
• 4x After Bite towelettes (for a total of 6)
• 8x Alcohol prep swabs
• 6x Standard size adhesive bandages
• 4x Med-Small adhesive Bandages
• Recycled 10 caplet Advil container with:
  • 6 Advil
  • 2 Tylenol Ultra
  • 2 Tylenol Cold and Flu
  • 2 Tylenol Back Pain
  • 6 Gravol
  • (all the loose pills are in the container, the blister packs remain as is)

It's still VERY full but at least now when I pack it I can hear a tiny bit of slop when I shake it. My first instinct is to fill the holes! At least with a bit of space I'll have room to add a little bit yet and if I ever have to repack it in the dark one day, the extra space will be nice to have so that it doesn't have to go back together EXACTLY the way it came apart.

I don't think it's quite right yet but it's damn close. I'd still like to add another pair of nitrile gloves for example. Could be a good time to experiment with the 'store it on the outside of the case' ideas!