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  #31  
Old 02-18-2013
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Re: Prescription medicines for first aid kit

HS,

Please document how a skipper of a federally documented pleasure craft can order up prescription pain killers for the boat.

Be specific, name the pharmacies, regulations etc.
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  #32  
Old 02-18-2013
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Re: Prescription medicines for first aid kit

No can do, Chickles. The thread was on this forum or that other one, about 3 years ago, and the remark posted by someone who did in fact order his vessel's meds from

Home | Seaside Marine International Drug Company Inc.

I'd suggest you check with them to find out the current situation.
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Re: Prescription medicines for first aid kit

demerol is contra-indicated for head injures as may increase intracranial pressure. In general morphine sulfate is a safer drug and more likely to be tolerated by more people. Can be used for myocardial infarction and. pain control in setting of trauma . May also wish to think about Ultram/tramadol. not sedating and not respiratory suppressant like the opiates. If I broke an arm and was single handing don' t think I'd be keen on being doped up. Believe promethazine supp. may need to be refrigerated. for IV hydration - Lactated ringers. Would take rocephin if only one antibiotic. broad spectrum. relatively low risk of side effects IMHO. also would take acyclovir ( singles etc) or other antiviral and antibiotic for ocular use.
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Re: Prescription medicines for first aid kit

lastly a medrol dose pak. wuld cover common needs for steriods e.g serious allergic rxns. etc.
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Re: Prescription medicines for first aid kit

Buy a good medical kit, it will have most of what you need. mine has syringes and suture, Plus syringes are good for Irrigation and flushing a wound.kits, I would see if you can get something for local anesthesia in case you have to give yourself sutures.

I have had to pull a tooth and give myself sutures without any local anesthesia, trust me I wish I had something. When your on your own and a long way from help a medical kit is priceless. coconut water has been used as an intravenous hydration fluid when nothing else was available.

this is the kit i have and i have purchased extras.. STOMP Portable Hospital Coyote Tan Backpack Military Medical Kit Extensive and Intensive Medic Care
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Old 02-19-2013
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Re: Prescription medicines for first aid kit

To me it seems like it would be a good idea to just sit down with your doctor and tell them what you are doing and get their advice too. I'm sure if you explain to your doctor that you are going to call them from the middle of the Pacific ocean on a satellite phone if someone gets hurt they'll probably have some suggestions about what to have with you. They (doctors) aren't passive elements in all of this. I mean this in addition, of course, to doing what you can to be prepared yourself. In the end the best advice is don't get hurt or sick.
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Old 03-02-2013
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Re: Prescription medicines for first aid kit

Quote:
Originally Posted by captainbri View Post
Buy a good medical kit, it will have most of what you need. mine has syringes and suture, Plus syringes are good for Irrigation and flushing a wound.kits, I would see if you can get something for local anesthesia in case you have to give yourself sutures.

I have had to pull a tooth and give myself sutures without any local anesthesia, trust me I wish I had something. When your on your own and a long way from help a medical kit is priceless. coconut water has been used as an intravenous hydration fluid when nothing else was available.

Aaaaaaaacccckkkk!!! NO! NO! NO !

You're not serious right? Nothing should go into the vein that is not sterilized and it should always be medical grade, isotonic, and ph balanced etc. Even if the venipuncture site isn't prepped appropriately the bacteria introduced from your skin can ruin one of your hear valves (endocarditis).

Starting an IV requires special equipment and the skill of starting an IV is a perishable one. If you don't practice often, you can't do it. Also, the only person you'd be sticking on your boat would be a severely dehydrated one, which is harder still.

The better solution to severe dehydration of any cause is a solved one. The World Health Organization developed a formulation of water, salts, and sugar that is 99% as effective as IV hydration and has saved millions of lives. You can buy the WHO Oral Rehydration Salts (though they're easier to find in other countries than in the USA where they are distributed by AMK and are expensive) or you can make it up yourself.

No special equipment, no needles, no special skills, no risk of endocarditis. What's not to like?

Recipe:

1 liter clean water
6 TSB table sugar
1/2 TSB table salt
1/4 TSB salt substitute (potassium chloride)
1/4 TSB baking soda

This specific concentration of sugar speeds absorption of the water through a co-transport mechanism but is not enough sugar to delay gastric emptying. i.e. it doesn't make your stomach hold on to it for a while to digest it. If the victim is drinking this on an empty stomach they can absorb 1liter/hour.

MedSailor

PS Sutures are something I hate seeing in remote medical kits. Suturing is usually for cosmetic effect. It's almost always better to leave the wound open and let it heal without sutures, much less chance of infection that way. This is even done in hospitals with a very dirty wound. If you must close a wound to preserve function use 3M Steri-strips. If you can apply a bandaid, you can use them. Leave the sutures needles and other sharp stuff at home it often does more harm than good!
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Last edited by MedSailor; 03-02-2013 at 07:33 PM.
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Re: Prescription medicines for first aid kit

Med-
I've used the UN rehydration recipe for years, and wanted to also mention it is dirt cheap, easily pre-mixed and carried so you just add water, and it beats the heck out of Gatoraide or anything else to keep you hydrated on a hot day.
OTOH it always tastes like old socks, no matter how you try to flavor it, i.e. by adding lemonade powder instead of sugar. Which can be a good thing, because no one wants to borrow it.
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Re: Prescription medicines for first aid kit

I found the pre-mixed sachets in small zip lock bags keep okay, but get chunky in humid environments. I never wanted to pre-mix a larger batch just in case the granules of different sizes separated out, altering the recipe.

Gatorade is crap. If you look at the sodium and potassium content it's about 2% of your daily value. That's the same as NOTHING. The WHO recipe has over 50% of your daily value of sodium.

V8 juice actually has nearly 10mEq of potassium and PLENTY of sodium, and chased with a glass of water would be better than gatorade. For serious rehydration, you want the WHO formula because V8 will delay gastric emptying, but gatorade is just expensive colored sugar water.

MedSailor

PS I'll take the taste of old socks over a 14gauge needle in my arm any day!
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Re: Prescription medicines for first aid kit

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Originally Posted by MedSailor View Post
PS I'll take the taste of old socks ...
I tried this WHO recipe at one point and you know I didn't mind it. I guess I wouldn't call it good tasting, but it wasn't bad.
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