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#49004 - 09/16/05 12:31 AM Re: Medical Kits
haertig Offline
Pooh-Bah

Registered: 03/13/05
Posts: 2322
Loc: Colorado
Quote:
KY jelly (lube for the airways)
I'm not sure where you're planning on inserting your airways where you'll be needing KY Jelly <img src="/images/graemlins/wink.gif" alt="" /> I've used Lidocaine gel for ET tubes. Nothing for the hard plastic orals (mostly used to protect an ET tube).
Quote:
IV stuff... oxygen bottle ... sterile saline
Are you a physician? I believe all this requires an Rx. At least it did back when I was a paramedic. You also have shelf life issues. How do you roll over your IV stock with fresh supplies?

I agree with what others have said about the Magills. Used them once in a decade in the back of an ambulance. In desperation, after a drunken patient had tried to swallow a side of beef ... whole. Didn't work. The swallowing OR the Magills! <img src="/images/graemlins/wink.gif" alt="" />

Quote:
I have a laryngoscope
If you personally own one of these, why are you asking first aid advice on this forum? No offense intended, but there are probably only a few of us here who even know what this is and are trained in its use. Either you have significant medical training to use (and own) all this stuff, or you've collected things that you really shouldn't be messing around with without training and experience. Again, no offense intended, but you questions seem odd taken in context with the advanced equipment you apparently own. Please don't tell me you've got a LifePak sitting on your coffee table! <img src="/images/graemlins/wink.gif" alt="" />

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#49005 - 09/16/05 12:39 AM Re: Medical Kits
bmisf Offline
Member

Registered: 03/19/03
Posts: 185
Quote:
I have encountered the following medical conditions in the field (wilderness setting):
Dehydration
Fractures/sprains/strains due to falls or trip hazards
Hypothermia
Hyperthermia
Asthma attacks
Chest pain/possible MI


That about sums it up; I've also dealt with or seen:

Thermal burns
Frostnip and limited frostbite
Psych. event (patient on psych. meds unknown to trip leaders and not stated on medical history sheet filled out pre-trip wasn't taking them and got a bit unmanageable and belligerent)
Mild HAPE (patient had a more serious episode at higher altitude in the past)

I guess the point is that a big kit really isn't so important. Knowledge is more so, and so is getting patients with serious issues stabilized and evacuated and up the treatment chain.

- Steve (WFR)

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#49006 - 09/16/05 12:46 AM Re: Medical Kits
haertig Offline
Pooh-Bah

Registered: 03/13/05
Posts: 2322
Loc: Colorado
Quote:
I have encountered the following medical conditions in the field (wilderness setting)...
Also the more mundane diarrhea and foot blisters.

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#49007 - 09/16/05 01:59 AM Re: Medical Kits
X-ray Dave Offline
Addict

Registered: 11/11/03
Posts: 572
Loc: Nevada
Bee sting, blisters, assorted twists and sprains, 1 fractured femur, 2 lacerations both requiring stitching, FB in eye, dehydration, slivers, ticks, spider bites, 1 near drowning, ingrown toenail, gout attack. I got to camp a day late for the gunshot.
Dave

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#49008 - 09/16/05 02:04 AM Re:med kit/worst seen
CJK Offline
Addict

Registered: 08/14/05
Posts: 601
Loc: FL, USA
Wasn't there personally (was suppose to go though but got called in to work)...a friend of mine (also emergency prep mindset) was rock climbing in The Gunks (New Paltz NY) when someone went off rope and fell 73 feet onto the rocky trail about 100 feet to the side of where my friend was belaying someone. Multiple fractures, Head injury, internal bleed. You'll see it all sooner or later.

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#49009 - 09/16/05 12:42 PM Re:med kit/worst seen
williamlatham Offline
Enthusiast

Registered: 01/12/04
Posts: 265
Loc: Stafford, VA, USA
Idiot friend of a friend of a friend blew off 4 1/2 fingers and an eye shooting M80s out of a slingshot. That one was fun. Elevation and direct pressure to the artery works great.

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#49010 - 09/16/05 03:23 PM Re: Medical Kits
Glock-A-Roo Offline
Old Hand

Registered: 04/16/03
Posts: 1076
Quote:
I'm not sure where you're planning on inserting your airways where you'll be needing KY Jelly


Hopefully the KY is for the NPAs that he forgot to list...!

Quote:
If you personally own one of these, why are you asking first aid advice on this forum?


Good question, though I suspect his query was mostly about subdividing his medical loadout. Anyone who's willing to jam wires into their drilled teeth shouldn't be worried about what other people think.

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#49011 - 09/16/05 03:34 PM Re: Medical Kits
haertig Offline
Pooh-Bah

Registered: 03/13/05
Posts: 2322
Loc: Colorado
Quote:
Hopefully the KY is for the NPAs that he forgot to list...!
Oh! Ya got me. I totally forgot about the nasal airways. Never used one of those personally, during years and years in the field. If I remember our protocols (it's been several years), I think we still were to use Lidocaine gel for NPA's, but I'm sure KY would work fine too. Certainly protocols like lubrication choice vary from area to area.

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#49012 - 09/16/05 07:06 PM Re: Medical Kits
duckear Offline
Addict

Registered: 03/01/04
Posts: 478
Quote:
Although it is unpolular to say so, I was always under the impression that except in rare cases, asthma is self-limiting. True or no?


Very false. The number of ER visits from excerbations of asthma are legion. While asthma doesn't kill like it used to do, it is a dangerous disease that must be respected and treated.

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#49013 - 09/16/05 09:05 PM Re:med kit/worst seen
Stu Offline
I am not a P.P.o.W.
Old Hand

Registered: 05/16/05
Posts: 1058
Loc: Finger Lakes of NY State
Saw something simular about 8 years ago at the Gunks. Guy was setting up a top rope while tired after a day of climbing, and went over. Landed on the tril right in front of his son.
They dropped a biner earlier, and father said not top use it anymore because it fell 20 feet. Too bad he didn't think safety when setting the top rope up, and have a safety line.
_________________________
Our most important survival tool is our brain, and for many, that tool is way underused! SBRaider
Head Cat Herder

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