Job specific first aid kit, and AR list

Magnum783 said:
Vet wrap, Coban same thing vet wrap is cheap as it is "not for human use". Conban is "for human use" both come out of the same plant and are the same thing. Just FYI.

A thought Evan the collage here provides first aid cpr for $80/hd or you can purchase the whole class (20 seats) for $400. Just a thought I often forget to make use of the local community collage.
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Thanks for the clarification, they appeared to be quite similar. What's your name Magnum?

We did our FA/CPR at the local fire department. I think we paid $35-40/head. It was much less then any other option, which was in the $80 range like you mentioned.
 
Something I totally recommend and failed to list is quick clot. A bit hard to find and def requires some training to use but incredibly handy to have for the situations
 
Benadryl is the brand name for diphenhydramine...Same drug. Claritin is the brand name for loratadine.

If you're giving an antihistamine for a severe allergic reaction or anaphylaxis, go with Benadryl as it's the standard treatment and I would imagine they're not going back to work that day.

If you want to stock something for seasonal or environmental allergies (IE runny nose, itchy eyes etc) claritin (loratadine) would probably be better as it tends to make people less sleepy.

I do have emergency experience,, but I'm no doctor so please don't take my advice as final word on anything, just trying to point you in the right direction. Sounds like you've got the right idea!

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Thank you Boone and Steve. That was the clarification I needed. I was looking for treating of an analphylactic reaction. I too am no so concerned with the seasonal allergies.
 
My goal is to build this to fit into a Rubbermaid container that can easily be carried to the work zone if it's away from the truck. I.e. back yard.

I'm going to some extent section it out for injury types, and use some sort of easily broken tag to make sure it's easily inspect to be "untouched" since last stocking.

We will likely still have the box under the seat so they can put Band-Aids on their boo boos without getting into the kit that actually could save our lives.
 
Part of that goal is some basic AR gear in the same box. That's really where I'm going to run out of room, but we'll figure it out. It may be that the appointed rescue climber will be required to have his gear at the work zone, and there are just a few pieces in the kit to grab beyond that.
 
I didn't read the osha list, but I would add a tourniquet to your list. The Israeli bandage is a good choice, but may not be enough to slow an arterial bleed or excessively large wound (chainsaw). Both items would be in my kit.
The AR stuff is good to think out as well. An appointed rescuer isn't very useful without gear.
 
The treatment for anaphylaxis is EPIPEN and 911. Benadryl has minimal immediate effect in what the life threatening physiologic reactions are that will kill you immediately. Blast them with an epic pen and get them to the ER. Benadryl is more effective and quicker via IV anyway. Wouldn't get bogged down with the benadryl.
 
The reason is because Benadryl is a histamine blocker. It effects the gut and mucous secretion in the respiratory tract. Anaphylaxis in its true life threatening response is hypotension(low BP) and bronchoconstriction(wheezing)due to narrowing of the respiratory tract. Benadryl doesn't help that. EPI works on the Beta2 neuroreceptors that cause constriction of the blood vessels to increase blood pressure and it also causes bronchodilation. Casuses the lungs to open back up from the constricting. Benadryl is a second line drug. I have personally given epi to a blue not breathing person and watched it work its magic bringing life back into them more than once. I have also personally been the recipient of epi during a reaction and it was amazingly effective.
 
Nice explanation Steve.
Epinephrine/EPIPEN prescriptions have to come from an MD, but they are getting easier to get for businesses and the like for emergencies. A nurse told me that some doctors will write a rx for epi to have on hand for others. Everyone with a serious allergy has a first time.
 
If you've followed the hype they are super expensive, good for about a year and can't get above 90f or they go bad. Tough to keep them in a rig and keep in a controlled temperature
 
Steve, I agree with most of what you've posted. I wasn't sure if the goal of the antihistamine was for minor or major stuff. I didn't suggest an epi pen because of the issues you brought up (cost, Rx only, stability).

The only place I'd disagree with you is that in many cases PO Benadryl would be helpful. Yes, IV Benadryl is faster and more effective, but only if you get it faster. If EMS has a long response time, or if it's a basic unit, the patient may not be medicated for 30-60 minutes. If oral Benadryl can be given shortly after exposure it will still help. Epi is important but you can't fully treat anaphylaxis without antihistamines.

Really we are splitting hairs though. It doesn't have to be a pharmacy and wound care clinic in a bag. Just focus on interventions that will control or stabilize major bleeding and injuries until EMS arrives.
 
Benadryl isn't gonna fix what's gonna kill you rite away. Epi is. Actually the treatment modality for anaphalaxsis is epi Benadryl solumedrol albuterol and sinefrin over bolis to a systolic bp of 90 mm/hg. Trust me. If your in full blown anaphylactic shock even with Benadryl your still gonna die without epi. I'll have to stand my ground on this debate. Been a paramedic for 27 years in a paid ema system that runs 85k calls a year. Also taught the stuff for many years. Not picking at you. Just stating facts.
 
Youre not wrong. Never disagreed with any of that, I know the treatment for anaphylaxis, but everything you described is out of the scope of this kit. Don't wanna argue and derail the thread!

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Treating anaphylaxis period is out of the scope of anyone who isn't trained. He asked, I answered. You disagreed. It's all good in da hood. Thats what its all about. Discussion
 
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