lose the Sawyer extractor it is no longer considered the proper treatment of snake bite.

It seems you have too much of almost everything especially the meds.
get rid of all the tiny bandaids. fewer rolls of gause.
12 antibiotic ointment; this is almost unnecessary carry 3.

Improvise more; the eyepad can be made from other items in the kit like a 4x4 sterile pad folded over.

3 differnet ways to wash out your eyes?

There is a lot of stuff you don't really need.