Jim, Great pack and kit! Just some thoughts FWIW, alcohol pads vs. Betadine pads, Betadine pads can be put into a liter of water for wound irrigation purposes and alcohol pads are flammable for fire starting. I'd keep a small bottle of Purell, it's just too convenient not to have, and if you have a traumatic injury to deal with (read bloody), I promise you'll be glad to have it along. The other thing that occurred to me was an axe or hatchet. Can do more then your knife or saw and do it faster when time is of the essence. I really like Gransford Bruks stuff. I carry their hatchet in my work bag and their Small forest axe in my 72hr+ bag three seasons and trade up to their Scandi forest axe in the winter.
Have you taken or do you have available to you a wilderness medicine course? This would tweak your abilities not only in the wilderness context, but also on the street. Do you know about Remote, Austere, Wilderness and Third World Medicine ( www.medtech.syrene.net ) or Global Medical and Rescue Services LTD ( www.gmrsltd.com )? Might be worth a look. Regards, Jim

PS sorry I can't seem to get the raw&twm link to connect, but it is the correct address, or just Google the full name. Jim