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First aid bag on Nepal Treks

According to Dr. Jim Duff and Dr. Peter Gormly, the following should be included in a first aid kit depending on group size for major mountain expeditions of more than 4 weeks (Dr Jim Duff is a mountaineer and worked as Doctor on Chris Bonnington’s 1975 expedition on Everest). This is a very comprehensive list and not all items are included in our first aid kit on treks. See what’s included in our first aid kits at the end of this article.

 

INSTRUMENTS

Large group Small group Two people Personal minimalist (mountaineer)
Thermometer 1 1 1
Tweezers splinter type

(pointed end)

1 1 1
Scissors sharp :

One fine , one large

1 1 1
Ordinary sewing needle 1 1 1
Safety pins 5 3 2 1
Forceps (artery) 2 1
Scalpel no. 15 1 1
Disposable razors 1 packet
Syringe 20ml or bigger 1 1
Syringe 10ml (and needles ) 1 1 1
Syringe 2ml (and needles) 4 2 1
Protective gloves Dozen pairs Half dozen pairs 1 pair
Rubber gloves(washing-up) 2 pairs 1
Enema tube 1 1

 

DRESSINGS AND WOUND CARE

Large group Small group Two people Personal minimalist (mountaineer)
Band aids 60 20 10 3
Blister ‘skin’ (Moleskin TM Compeed) 3 packets 1 packet 1 packet
Cotton buds 1 packet 1 packet
Gauze squares 5cm 30 10 5
Sterile non-stick dressings 10cm (e.g. melolin TM) 20 5 2
Large wound dressing 2 1
Sanitary pads (for absorbent padding) 10 5 1
Plastic food wrap (Cling wrap TM, Saran wrap TM ) Roll Small roll
Adhesive tape bandage 10cm Roll Small roll
Triangular bandages 4 1
Cotton bandages 10cm x 1.5m 6 2 1
Elastic bandages 10cm 2 1 1
Crepe bandages 10cm x 1.5m 5 1 1
Duct tape 1 large roll 1 small roll 1 small roll 60 cm length
Closures (Steristrips TM) 6mm 4 packets 1 packet 1 packet 1 packet
1 tincture of benzoin (prone to leaks: double wrap) Small bottle
Alcohol swabs 20 10 5 1
Petroleum jelly (Vaseline TM) 1 tube/jar 1 small tube/jar
SAM splint TM (large) 2 2

 

MEDICATIONS

Large group Small group Two people Personal ‘minimalist’ (mountaineer)
ALLERGY, INFLAMMATION AND ITCH
Antihistamine tablets

(Chlorpheniramine maleate 4mg e.g., Piriton TM, or diphenhydramine 25mg, e.g., Benadryl TM)

20 tabs 10 tabs 10 tabs
Antihistamine tablets non-sedating (cetirizine, or desloratidine, or fexofenadine 10 tabs
Anti-inflammatory cream/ointment/gel 100g tube 30g tube
Hydrocortisone cream 1% 15g tube 15g tube 15g tube
Calamine or Eurax TM cream 15g tube
ALTITUDE ILLNESS (IF GOING ABOVE 2000 METER)
Acetazolamide 250mg (Diamox TM) 60 tabs 20 tabs 20 tabs 6 tabs
Nifedipine modified release (MR) or long acting (LA) 20 to 30 mg 20 tabs 10 tabs 6 tabs 6 tabs
Dexamethasone 4 mg 40 tabs 20 tabs 20 tabs 6 tab
ANTIBIOTICS
Ciprofloxacin 500mg or norfloxacin 400mg 40 tabs 20 tabs 10 tabs 4 tax / caps
Co-amoxiclav or amoxicillin 250mg or cefalexin 250mg 40 caps 30 caps 20 caps
Flucloxacillin 500mg 40 caps 20 caps
Azithromycin 500mg (or erythromycin  250mg) 15 caps (40 caps) 10 caps (20 caps)
Metronidazole 400mg (or tinidazole 400/500 mg) 40 tabs 30 tabs 15 tabs
ANTIBIOTIC / ANTIFUNGAL SKIN APPLICATIONS
Antibiotic ointment (muprirocin or fucidin) 15g tube 15g tube 15g tube
Antifungal cream (miconazole, clotrimazole, terbinafine) 15g tube 15g tube
BURN
Burn cream (silver sulfadiazine or Aloe Vera gel) 2 x 20g tubes 1 x 20g tube
CONSTIPATION
Laxative (Bisacodyl TM) 20 tabs 5 tabs
DENTAL
Clove oil (Dentaik TM of W.L. toothache drops TM) Bottle
Dental first aid kit (proprietary) 1
DIARRHOEA
loperamide (Imodium TM) 30 caps 15 caps 10 caps 2 caps
DISINFECTANT
       
Povi-iodine (Betadine TM ) or Dettol or Savlon Small bottle Small bottle Small bottle
Dettol Soap 1 1
DISINFECTANT FOR WATER
Iodine (tablets or lugol’s solution in a 25ml bottle with dropper or crystals) As appropriate As appropriate
EYE AND EAR INFECTION
Antibiotic ointment for eye and ear (chloramphenicol or soframycin) 1 tube 1 tube 1 tube
Anaesthetic eye drops (tetracaine, minims Amethocaine TM) 4 minims 2 minims 1 minim (in case of snow blindness)
HAEMORRHOID (PILES)
Haemorrhoid ointment 1 tube 1 tube
Haemorrhoid suppositories 5
INDIGESTION
Antacid simple (Gaviscon TM etc) 40 tabs 20 tabs
Ranitidine 150mg 20 tabs 10 tabs 10 tabs
NAUSEA & VOMITING
Prochlorperazine (as Buccastem TM buccal tablets 3mg or stemetil TM tablets 5 mg) AND/OR 20 10 5 2
Prochlorperazine suppositories, OR 5 3
Prochlorperazine injectable ampoule 5 3
PAINKILLER (ANALGESICS)
Paracetamol 60 tabs 20 tabs 10 tabs
Aspirin 40 tabs
Ibuprofen 400mg 60 tabs / caps 40 tabs/ caps 20 tabs/caps 2 tabs/caps
Codeine phosphate 30mg* 40 tabs 20 tabs 10 tabs 9 tabs
Diclofenac 50mg suppository (voltarol TM) 10 5
Tramadol 50mg 30 caps 15 caps 10 caps
Methoxyflurane (penthrox TM) inhaler 2 1
Lidocaine gel 1 tube
ORS (ORAL REHYDRATION SOLUTION )
e.g. Diorylate TM, Gastrolyte TM, Jeevan Jal TM, Electrobion TM, Rehidrat TM 10 packets 4 packets 2 packets
 

 

 

RESPIRATIORY (BREATHING ) PROBLEMS
Phenylephrine or pseudoephedrine nasal drops / spray 1 bottle / spray 1 bottle / spray
Flu & sinus medication 20 tabs / caps 10 tabs/ caps
Throat lozenges 30 15 5
Asthma reliever spray (salbutamol) 1 1
Prednisolone 5 mg 60 tabs 60 tabs
Tiger balm or eucalyptus oil 1 tube / jar
OTHER MEDICATION
Diazepam 5mg tablets 20 tabs 10 tabs
Diazepam ractal tubes 5mg 2

 

OTHER ITEMS RECOMMENDED
Large group Small group Two people Personal minimalist (mountaineer)
Hyperbaric bag and/or oxygen (if going above 2500m) 1 bag /1 cylinder
Facemask for rescue breathing (Laerdal TM mask) 1 1
Space blanket 1 1
Bivvy bag, plastic survival bag or small tarp 1 large 1
Sunscreen 1 tube 1 tube 1 tube
Glucose tablets 10
Gas lighter 1 1
Square of boiled clean cotton sheet (1 meter) 1 1
Pencil 1 1
Incident forms (sample available from

www.treksafe.com.au/medical )

5 2
DOCTORS, PARAMEDICS OR SPECIFICATION TRAINED FIRST – AIDERS MAY CONSIDER THE FOLLOWING
Oto/opthalmo/stetho-scope 1
Pulse-oximeter(oxygen saturation meter) 1
Airways Selection
Ambu-bag 1
Sutures with needles Various sizes
Lidocaine local anaesthetic injection 5 ampoules 2 ampoules
IV/IM: antibiotics, antiemetic, antipsychotic, dexamethasone, diazepam, epinephrine (adrenaline) tetanus booster As appropriate As appropriate
Blood volume expenders 500ml infusion bag/giving set 2
Ketamine anaesthetic for IM or IV injection 2 ampoules
Fluorescein eye stain 2 minims
Morphine or pentazocine for IM injection* 5 ampoules
And/or fentanyl patches* 5 patches
Naloxone (Narcan TM) 2 ampoules
GROUP LEADER SHOULD ALSO HAVE AVAILABLE
Closed cell foam mat, spare fleece of down jacket, whistle, plus if appropriate a radio, mobile and/or satellite telephone
Note: for customs purposes carry a letter from a doctor or other authority stating these painkillers are for expedition use.

 

ITEMS INCLUDED IN CRYSTAL MOUNTAIN TREK’s FIRST-AID KIT

  • Small Scissor
  • 4 inch crepe bandage
  • 4 inch cotton roll bandage
  • Sterile Gauze piece 4×4
  • Alcohol swab
  • Handi-plast
  • Safety pin
  • Paper tape
  • Glove 2 sets
  • Pulse Oximeter
  • Thermometer,
  • Kidney tray
  • Forceps
  • Betadine solution
  • triangular bandage

And over the counter medicines for high altitude, pain, diarrhea, wound care etc as follows:

  • Anistihistamine tablets (non sedating)
  • Anti-inflammatory cream/ointment/gel
  • Hydrocortisone cream 1% 15g tube
  • Acetazolamide 250mg or 125 mg (Diamox)
  • Ciprofloxacin 500mg or norfloxacin 400mg
  • Azithromycin 500mg
  • Metronidazole 400mg
  • Oral Rehydration Salts

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