My First Aid Kit

In light of one of my crew recently cutting himself with his chain saw, I decided to post a picture and discription of the first aid box I keep in the truck.
Of all the pre-made kits I have seen none of them are specificly designed for tree work.
I have found that the most common injuries are small cuts and abrasions, sprains, getting something in my eye, poision oak, splinters, burns, and not as common, the occasional 'BAD CUT'.
So I have always made up my own kits.
Please excuse the poor quality picture. The attachment I made in Microsoft word.
Of special use to me was the finding of 'eye cups' these are plastic cups that go over your eye and hold it open and hold saline solution. They are the best for cleaning out that little thing and annoys you to no end and you cant get out anyother way (short of taking a shower and washing your eye in the falling water).
Also fabric band aids. They hold on even in wet dirty conditions that is normal for tree work.
The 'Vet Wrap' is by far the best product I have ever seen for holding gauze pads in place. My wife rides horses and they use them to hold wraps onto the lower part of the horses leg. They do a real good job even in sandy horse arenas. They are streachy and self adhesive (stick to themselves). They work to wrap a thumb or hand or just about anything else. And they hold on even when they get rubbed (like under your arm or in a glove) and hold when wet.
I put everything in it's own zip lock baggy because the box gets hot in the summer time and if anything leaks, it wont leak into anything else.
Neosporin, asprin, saline solution, etc are all in small disposable one use containers. That reduces the chance of anything becoming non-sterile. And they all have expiration dates, so it is easy to keep everthing up to date.

One product I have been using for quite some time is tottally illegal. That is 2% Lidocaine. I get it from a doctor who lets me take it with me. The stuff is the best for spraying onto a wound and numbing it so it makes scrubbing the wound easy. Cuts from chain saws, hand saws, penetration into the flesh with sticks, etc, etc are ALL prone to infection and should be cleaned real well. Have you ever had to dig deep to get a splinter out? This stuff is great, but should be used very carefully and is not any type of excuse to not have a nurse or doctor take a look at the wound.

Shock is a major factor to think about and keeping the person warm is essential. That is why I have a space blanket in my box as well as an instant cold pack.

It is not so much an issue these days with all these cell phones but I make sure everyone knows where my cell phone is and what street they are on.
In case the paramedics have to be called.

I encourage ANYONE doing tree work to have an excellently loaded first aid box, know what is in it, and how to clean and bandage a wound. Even when going to the hospital the wound should be cleaned and bandaged as soon as possible. I cant tell you how many people are caught without even the basics when something happens

Frans
 

Attachments

Good work!

I hadn't considered it before, but for numbing an area you might be able to "legally" use something like https://www.anbesol.com/index.asp

I got a kick out of item 8, "Septic spray". Where do you find that stuff bottled like that? I've got a 1000 gallon tank full of it buried out in the yard; I didn't know there was a market for it. :)
 
Epi Pen is prescription only and you don't want to admin "adrenalin" to anyone who doesn't have a prescription for it. It is only used for anaphalactic reactions as is a full dose of benadryl. If someone is having a reaction, benadryl will only make them better temporarily and maybe lull them into a false sense of security. Medical attention is needed bacause the reation can return up to 48 hours after initial exposure to the allergen.
 
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Epi Pen is prescription only...
...benadryl will only make them better temporarily and maybe lull them into a false sense of security. Medical attention is needed bacause the reation can return up to 48 hours after initial exposure to the allergen.

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Right on all counts. After talking with EMTs and my physician they agreed that having an Epi pen in our line of work would be a good consideration. Education is needed before someone gets poked with the needle though.

Over the counter Benadryl tablets can buy time on the way to a hospital. One of my guys got zapped and was feeling a bit woozy. We were close to a pharmacy so we went and talked to the Pharmacist. He suggested the Benadryl along with monitoring the signs. If breathing was getting constricted it was 911 or the hospital. The hospital was very close. Didn't need either as it turned out.

Tabs of Benadryl or an Epi pen can be thought of as first aid to be used before the EMTs arrive. It's VERY unlikely that anyone would abuse or misuse an Epi pen or Benadryl.
 
The problem is the possible side effects of the epi pen. You are not covered under the good samaratin act to admin meds that are not prescribed to the pt. Even EMT personnel can only admin meds prescribed to the pt. The only prehospital personnel who can give unprescribed meds are the advanced life support people. Paramedics..

Benadryl will no counter the breathing aspect of the allergic reaction. It is only a histamine blocker and is not an immediate reaction. Has to be digested and taken through the GI tract into the blood stream. Anyway, you are taking a real chance with giving epi pens to people who aren't prescribed to them.

Background on me, I have a deathly serious allergy to nuts and have also been a Paramedic for 15 years. Didn't stay at a holiday in express last nite
 
Stve,

Walk me through how you would react in this scenario. This is all hypothetical of course. I'm tyring to get a broader outlook.

Non-prescribed EPI pen in the FA kit
Climber is stung by hornets
911 called
Climber's breathing declines from reaction---throat swelling

Also,what are the possible downsides of giving an Epi shot? It seems to me, faced with getting in trouble for giving a med without a prescription that has the real potential of keeping someone alive and not using the Epi pen...well, from what I've been taught, keep 'em alive. But...maybe I need more education. Can you give me any insights?

Thanks!
 
Interesting scenerio Tom.

my 2 cents....

I think Id agree with you that Id rather take the chance of getting into some trouble if it meant saving someones life.

Problem is this though, if you are not prescribed the epi, they are very costly. The last refill I got was around 80 bucks for one pen (insurance wouldnt cover it, for some lame reason, and Im prescribed), well trying to cover all bases, I told my Doc I need 3 of them, one for the truck, another in my climbing kit and the 3rd for my boat.
It kinda sucks dropping that kind of money on something evry year that you hope you'll never use. They do expire just like all meds. And another thing to consider, they need to be stored at optimal temps..... an epi in first aid kit behind the seat of the truck is probably no good due to freezing then thawing etc.

Personally I dont think they should be stored in a first aid kit unless it is stored in the same manner.
 
I was taught to place the epi into the person's hand and then "help" them do the injection. Don't know how that would end up after the lawyers are done.
 
Sorry I have taken so long to respond. Got 26 stitches in my leg and broke a finger at the Fire Department and had to have pins put in. Anyway....

Tom,

The common sense thing to do would be to give the EPI Pen. Unfortunately legally wise its a no no. I would support his breathing as much as I could and if he stopped breating I would give mouth to mask. Epi can cause some serious side effects for someone who had a cardiac condition or hypertension. It is possible to induce a heart attack with that dose of Epi. Provided the person lived great, you are the hero but if something goes wrong then you are way open to a law suit. Also you need to know the difference between anaphalaxsys and an allergic reaction. Ep isn't given for a simple reaction. I'll try to do some research furthur for you!
 
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26 stitches, pins? What happened?

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40 feet up in a pine last saturday and I don't know how I did it but ended up with the 200T across my knee. 26 stitches and luckily no tendon or dmamge to the joint capsule. Seemed like the longest repel of my life. Bandaged it up, finished the job and spent 5 hours in the er. Needless to say I have already gottem my SIP 5.1 pants. Just have to wait to heal until I can use them. That $250 per day I pay the sub contract climber really hurts more than the cut did!

Copied off his other post, I left the award part out.
 
I know this may sound wierd, but my mom has me aways carry 2 foot surgical tubbing for turicates and has a reminder for me when I come over to see her and the pops to had me a couple of things of blood clotter. She worries alot for some of the stories that she has told fromthe old farm days of saw damage to people. Course in the situation of it all there may come the time I tell them. The biggest thing is the propper training, unforunatley last year we lost a [use a better word] good worker on the constuction side to the grounds dept. were I work to a heart attack, nobody knew CPR and tried like mad to help till medics showed up. To this day now all of us know CPR and first aid. The bad thing was there where only a few of us who knew it and were out of the area when it happened.
 

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