I like and use the same multplicity of meds that treat the same thing. Especially pain meds. Some people can take one kind but not another. By having different kinds doesn't mean you are carrying more total but gives you flexability.

I agree with some to much tape.

As to rolls of gauze. Their function is to hold the bandage in place. While the bandage that is in contact with the wound must or should be sterial thge dressing does not need to be and most gauze rolls are not. I would chuck them and go with 2 ace bandages. Either a pair of 2 inchers or a 2 and a 4. The one not in use can be washed for future changes. If you realy ned semi-sterilization you can boil them. And if you vacume pack them it will greatly reduce the bulk. They can then do double duty for sprains and the like.

What no vacume packing machine. Put them in Ziploc type bag. Place on the floor. Put a book or board over the bag. Then sit on the whole mess. Once you have squeezed out the air seal the bag. The poorman's vacume packing method.

You might think about the Leatherman Micra as a replacement for the trama shears and penknife. While not as good it is a more compact package.

Nail clippers would go in be more of a personal care item than a first aid item. If you want one it goes elsewhere.

Most everything else has been covered by others.