Chris,<br>I think that there are few things that the average GP would find useful that you would not already have available. Most are neither trained nor familiar with the care of multiply injured patients. In my experience, few physicians are comfortable with out of hospital (new touchy feely term to replace pre-hospital care in EMS circles) emergencies.<br>Unless your setup includes a portable CT scanner and tech as well as a blow-up neurosurgeon, there is little to offer your patient in that environment from a medical standpoint other than basic ABC stuff. I emphasised the importance I placed on a basic (to me) airway kit of laryngoscope and blade, endotracheal tube, and a paralyzing drug and sedative drug that I always have around. Basic drugs that are usefull in the field are benadryl and epinephine, a narcotic analgesic, a local anesthetic, a sedative (valium, versed, propofol, etomidate, etc),an anti-emetic, and a steroid--all injectables. I would not burden myself with ALS drugs: lidocaine, epinaphrine, etc. I would regard a remote area cardiac arrest as a terminal event, just as I would one on a dive boat 35 miles off shore in my back yard. Sounds callous, but I have never heard of a normo-thermic person surviving two or more hours of CPR in any medical or lay literature.<br>From a surgical standpoint, I would want to be able to put in a foley catheter, a chest tube, or a surgical airway. It simply is not reasonable to think that you can carry two or three gallons of IV fluid necessary to rescuscitate a trauma patient who really needs blood and a surgeon, so I would rely on a heparin or saline lock. There is some current enthusiasm for the use of 3% saline in lieu of 0.9% saline or lactated ringers for the EARLY resuscitation of an injured patient. I really don't have a well informed opinion about that yet.<br>It really would not take a lot to make me happy.<br>If anyone wants to have the benefit of an acquaintance of mine's hard work on the subject, look at Dr Keith Conover's site for more information: www.pitt.edu/~kconover/. <br>I think that this may generate some interesting discussion.