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  #11  
Old 11-04-2012
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Re: 1st Aid at Sea & Important Like Items to Carry

It must be winter.

I thought this would be an informative thread as I'd be interested in what others are using as well. Then we get a couple of busybodies like super dave above with a condescending post. Even the Mod espousing about not posting about guns. Though I realize that may be a beaten topic, I didn't even notice a question about guns. Maybe deleted, or was so insignificant in the orig. post I didn't notice.... Jeez.

For a first aid kit though I'd suggest making one of your own and looking into attending a first aid class through the American Red Cross. I started looking into that just recently (they need blood right now BTW due to Sandy). I think I read about a first aid kit where the guy made a first aid kit and was pretty detailed on where he got his supplies, I'll look for a link and post in a bit.
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Old 11-04-2012
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Re: 1st Aid at Sea & Important Like Items to Carry

All Good Point's Sailordave.

I said, that I'm starting out with a 3 day refresher (25 ft. Oday) course in December. After, I'm evaluated I will train up as necessary. If you followed my other posts, you will see that I will progress out from there (Panama City). Going to my earlier post, I want to hire two or more experienced capt's. to sail with on my boat. I want to sail with them until " I have it {they tell me that). " I do not plan on flipping a switch and sailing off into the sunset. I have interest (my posts) in a number of unknowns and (trying) gaining information (daily). I don't think that my learning curve is that untouchable. My destination is not the north atlantic or the cape. My intended trip to Grenada is in 2014, so enough train up time to get there. Regarding spelling, if I'm that far off, send me the misspelled words and I'll correct them. I'm not a great at typing and try to get most of my words spelled right. I was able to fly helicopters & airplanes for 30 years with 9,0XX accident free hours. I'm a high tech. guy, helo. test pilot & 4 safety awards. My point here... hard work on my part... I can get there. I will get the necessary training I (1st part sch'd.) I require. I will earn my own self confidence through a comprehensive training program. I will ask a lot of questions and learn all I can; hopefully, one can bear with me. I'm following the same the training plan I've been on in the Army (30 yrs.)... train & evaluate & train & evaluate & test, be the best in your MOS.

Avery
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Last edited by HighFly_27; 11-04-2012 at 10:09 PM. Reason: corrections
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Old 11-04-2012
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Re: 1st Aid at Sea & Important Like Items to Carry

GMFL,

I edited out the questions of G _ _ 's on board and referred it to Off Topic on another day. I was concerned about being at risk and will address that later.

One can not read someone (100%) through wriiten words. I try to maintain self control and never allow myself to become ill willed (I got your point . My post's are straight up. My posts are intended for the betterment of everyone. If I learn something that (here) will help me, this information may/ can include the thousands of people that read/ visit Sailnet.. We All Win ! ! !

I Value SailNet as the Best of Best Sailing Forum. I'm very pleased with the help I've received.

From the Heart, Thanks' Everyone, Lot's of Great People Here & big smiles .

Last edited by HighFly_27; 11-04-2012 at 10:02 PM.
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Old 11-04-2012
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Re: 1st Aid at Sea & Important Like Items to Carry

GMFL .... the issue with guns is simply that any thread in which they are mentioned very quickly runs off the rails. I'm hoping that this thread might be mores useful than that.

Highfly .... thanks for your edit.
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Old 11-04-2012
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Re: 1st Aid at Sea & Important Like Items to Carry

For the first aid it's like most everything else that gets posted here.... equipment always comes second to knowledge. If you don't know how to use it then it won't do you much good. Also, there have been some good points made about buying LARGE medical kits. Most the time they have the same stuff as the little kits.. just more of it. So you go from 10 band-aids to 500 of them.

Building your own kit is always the best idea... and keeping it current. Grabbing some ibuprofen that expired 5 years ago when you built the first aid kit probably won't help your headache as well as you want. But you won't have a good idea what to put in it unless you know a bit about first aid/medical care. The first aid courses are a good idea, try to find something that has lots of hands-on/lab time. If you have the time and you plan on being out traveling far and wide for a while, a 110 hour EMT-Basic course might not be a bad idea. Seems excessive, but would be good if someone actually gets really hurt.

The kit on my boat is in a couple plastic storage containers with all the bits in zip-loc bags separated by meds and trauma/first aid stuff that I put together myself. Not the kind of thing to grab if you're going under!!! but that's not really what I figured I'd be using it for 99.999% of the time! And you're going to wind up spending money no matter what. Between meds and some basic first aid stuff it's surprising how quickly you can spend $40-50 (or way more). But really, it's still going to be cheaper than buying a pre-fab kit.

OTC meds I've got cover the scope of what I hopefully won't need!! ibuprofen, tylenol, ASA, cough and cold, cough drops, anti-diarrhea, antihistamine (diphenhydramine and loratadine), antacids.... Wal-mart recently had generic bottles of most all of these for $0.88 a bottle and I loaded up.

first aid stuff it'd be good to make sure you have quite a few 4x4" dressings. They're handy and you can cut them smaller or in odd shapes if you need. And get several roller gauze for holding dressings in place: 2", 4" are good. There is bulky roller gauze too... one of those 4" is handy. Don't forget a couple rolls of 1" tape, the cloth kind is strong but easy to tear. Might throw in some waterproof tape if you feel it's necessary. Could also toss in some skin glue... if you can't find it at the drug store, just get super glue. It's great for small flappers on fingers that you still need to use (we do that rock climbing somewhat often). Otherwise for wound closure "steri-strips" are nice.
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Old 11-04-2012
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Re: 1st Aid at Sea & Important Like Items to Carry

Not sure if this is the original post I was thinking of but this guy has some interesting videos. The one below is a video of his "Level 1" first aid kit and he has a series of his "Level 2" kits as well.

NOTE: there are some "2nd Amendment" references and pictures, so if you're sensitive to that, don't click through... Just posting this for first aid kit info...


G

Last edited by GMFL; 11-05-2012 at 12:28 AM.
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Old 11-05-2012
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Re: 1st Aid at Sea & Important Like Items to Carry

GMFL

Great Clip and Big Smiles, You're a Man after my Own Heart.


Avery
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Old 11-05-2012
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Re: 1st Aid at Sea & Important Like Items to Carry

Biology,

Good Advice,

I knew about keeping my 1st Aid Kit current and have been through this already. I bet.. that a number of the 1st aid kits out there are (big time) out dated or have been robbed for what we use most from them. I have a PA that I met in the UAE last year... he's a good man. He told me to call him if I needed anything but I'm about there (now). I just got a clip on a 1st aid kit and it's a power house kit. I don't need this higher level of a 1st aid kit but will make one up that's similair to it.

My next issue is getting the help I (something serious) need on the radio. I will learn about what is available (help) in different Caribbean areas; this knowledge will come about in the near future. I'd like to find out where the communication void zones are (if any) in the Caribbean chain. I'd like be aware (commo. void)when I'm passing through a geo. zone and radio contact is if'ee.

Avery
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Old 11-05-2012
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Re: 1st Aid at Sea & Important Like Items to Carry

Quote:
Originally Posted by HighFly_27 View Post
I'm in the process of Outfitting my I37 and I'd Like Some Old Salt'S Advice.

I need to buy a Good Quality 1st Aid Kit and add to it. My location is S. FL and Caribbean (sailing area). Most of the sailing will be single added. I assume, that buying the largest 1st Aid Kit would be right (best) choice. I have not looked to see if they are different for marine usage.

My No# 1 Question is: What do you carry and why ? I'm addressing a number of things, have read the Single Handed Sailing Article.

a. Boat Sinking and being in a storm is not required to sink. The I 37 that I just bought was close to sinking when a thru hull fitting let go (former owner story). The pump had a hard time keeping up to the flow and they barely made it to port (prior to sinking) in time.

So, what Emergency equipment needs __ ,___,_____ to be readily available, to grap it, get in the dinghy, or life vest and survive until you're picked (S. FL, warm water) ?!?

Yes, I see the survival kits with the emer. transmitters, food & water, flares, etc. . I'm asking about other great items to have ... that You Recommend. These items are over & above the emer. kits, something you think is important, grap it when you leave your boat. Also, this may be in the middle of the night, really scary and a different world to survive in.

I have read about sailing single handed and failing over board. I read that it's very difficult to get back on board if this occurs while under sail. I read about wearing a tethered harness, having a swim ladder that will deploy at the tug of the rope (smart idea).

Good Over the Counter Med.'s on Board ?

Sickness/ Injury: Falls (broken bones, sprains), Bad Cuts, Burns, Heat Stoke, Food Poisioning, Long (week or so) Term Effects of -- Bad Case of Flu, Pneumonia or like sickness that lends you to being bed fast (very weak) & your by yourself. I assume, once you realize your in a bad situation... You'd put out a distress call to the USCG. I hope your radios are good and not out of range, that would be a bad situation, so SOS is next.

The Best tlll Last.. the Bad Guy's Out There (Pirates).

I know of the Pirate danger, was in the military. I worked with different law enforement agency's in S. FL and other locations. I will ask what is permitted to be carried on board in a off topic question per the law. I talking about being away from the coast (Grand Turks & Caicos Islands) line and furher down the Caribbean chain. I'm aware of the drug traffic there, bad things can happen out there, particulary at night. Just asking for your knowledge or someones personal experience(s) i.e. what happened to ____ (?) . I think we all get more out of, " this happened to me story's ! " I remember all the times I was in a bad situation (Wx, combat, maint. problems, green horn mistakes) and lived to tell about it & passed these event's on to others.

I'm asking for this information to add to my preperation/ readiness knowledge base; including others that may read this thread. Having a well (emer. gear) prepared boat (knowing what to do).. may/ will be difference in being a -- Survivor or Not !
Wow! THat is a lot to cover in one post!!!!

For the first aid kit, we ended up buying a premade kit. I liked it because it went along with the medical handbook. THere are two we carry: The Comprehensive Guide to Marine Medicine and Advanced First Aid Afloat. They are both super good books. I like the Advanced First Aid Afloat better (has a better kids section) and seems easier to read. However, the first book matches up well with the medicine kits. Inside the Comprehensive Guide you will find a list of RX and OTC scripts. I cannot remember all of the meds, but most should not be an issue to get scripts for. The only two that are narcotics are Vicodin (usually Lortab) and Lomotil. We have used both and I would carry them if you are venturing where you are talking about. We also carry an array of anibiotics, including Cephelexin (Keflex which is good for UTI), Azythromycin (great general anibiotic), amoxicillin, and others. We also carry scopolamine patches and phenegren for nausea/ sea sickness. They both work for us, though they do not for some people. Try them before setting out. In addition, we carry an Epi Pen and an EPi Pen jr which are DANG expensive and we have never used - thank goodness. When ordering the Epi Pen, try to get one with the expiration date as far out as possible.

What is not well mentioned or stocked in the kits are a wide array of bandages, alcohol, and Hydrogen Peroxide. We go through a lot of these. On the bandaids, get both the tough strips and the water proof in a variety of sizes. I would suggest a lot of both because we seem to always be cutting ourselves on something. Hydrogen Peroxide works really well when you step on a sea creature (of choice) where we run a lot of it over the wound. It is also good to run through drains and clean cutting boards and things like that. Also, get your hands on some surgical grade tweezers and the little plier things that lock together. We have used those a LOT and are great for splinters (which we get all the time too). The splinters from the docks love to get infected, so plan on digging them out. We also carry several needles which also seem to be neglected. The alcohol is not just used for an antiseptic, but is also great for using on tools after getting them wet (to get water off). Lastly, see if you can get the butterfly strips that only seem to be available at medical supply stores. THese are totally sterile and are great for pulling together deep cuts and slices. Some people swear by super glue too to seal them up.

You can build your own kit. Its not that big of a deal. However, I really like the way they are compartmentalized and color coded. We carry a LOT of stuff and often when hurt, you are not thinking straight. SO having everything in easy to grab bags that are well laid out and easioy referenced is worth the money. Not to say you could not do that yourself (I would too), but there is something to be said about the prebuilts.

About the guns, we don't carry them. Instead I have a lot of the 12 ga and 25 mm flares and guns sitting beside the bed. That would sure put a hurt on someone. Weapons can be a real issue if you take them into a country without declaring them. I have also been told the declaration process can be a real PITA too. So, research where you plan to go and what the rules are. I had a doctor that has travelled all over the carrib and mexico with a shotgun and has never declared it. I also heard another cruiser tell me abouta sailor that had his gun discovered in Mexico and spent a long time in a Mexican Prison. Make your own decision about what you feel is most appropriate. They all carry risks.

We carry a wide variety of stuff in our ditch bag. I would suggest at least a EPIRB, some water, fishing gear, food (Ramen is great, cheap, small and lasts a long time), sea sick pills, and a handheld VHF.

Your VHF, in general, is only good up to 24ish miles offshore. I have had mine reach further than that (like sailing across Florida Bay) and less than that (heading to the Tortugas). Outside of that you have to make the decision of Sat Phone or or SSB. There seems to be a lot more waivering amongst cruisers now of which is best. One is free (more or less) after install (SSB). It is great to keep up with other cruisers on and you can send limited emails, get weather fax, and theoretically will work anywhere. THe Sat phone is basically a phone that can work anywhere and you can take and get calls at any time. Many will get on the internet with it and get weather with it. I also have a cruiser that told me he uses his SIRIUS weather satellite all through the Bahamas and down as far as Luperon. Each of these has a positive and negative. Several years ago, most people were still very pro-SSB. I am one of them. However, I now have many cruisers we have met that have given up on SSB and now only use a SAT phone. That is another choice you will have to make after you weigh the pros and cons of each.

As far as your experience, I would focus my attention on South Florida and the Bahamas for now. That could keep you busy for a lifetime - but more importantly, will allow you to build your skills in SOMEWHAT more protected environment. When you are up to your first challenge, head to the Tortugas or the Bahamas (I would do the Tortugas first).

I will be in the Tortugas the first week of December, weather permitting. I will then be in the keys shortly thereafter, probably Boot Key or Marathon Marina. From there, we sail to the Bahamas. The boat is Sea Mist IV. Feel free to stop by and say hi.

Brian
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  #20  
Old 11-05-2012
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Re: 1st Aid at Sea & Important Like Items to Carry

biology-
"OTC meds I've got cover the scope of what I hopefully won't need!! ibuprofen, tylenol, ASA, cough and cold, cough drops, anti-diarrhea, antihistamine (diphenhydramine and loratadine), antacids.... Wal-mart recently had generic bottles of most all of these for $0.88 a bottle and I loaded up"
Damn, we must have been taking the same drugs, because I've got a 99c bottle of 100 aspirin with a 2009 date on it. But when I went to look for replacements this summer, even at WallyWorld, everything else was 6-12 pills for $4-5 and the aspirin weren't 99c anymore either. WTF happened to the costs of simple pain meds?!

The 4x4 gauze pads (and if you can't fix something with 4x4 pads and a bandage roll, it probably needs a medevac) are incredibly cheap on Amazon.com, of all the unlikely places. Hospitals buy these by the crate, some folks are splitting the crate and selling a dozen individually sealed rolls for $5 or so, instead of the incredible prices at the discount drug chains. (3x-4x higher?! Again, WTF?!)

Brian, IIRC Lomotil is not an RX drug, it is a common anti-diarrheal. Coupla bucks for 50-100 generic pills in WallyWorld. For South Florida residents, you can also get a weeks worth of Cipro (RX needed) free from the Publix Supermarket pharmacies. Not the same as Zithromycin but still a useful antibiotic. They fill a number of scripts free, and they're not a bad place to shop. (G)

I'd have to agree that guns have no place in the first aid kit or the ditch bag. Some folks would say, that's just not right, what if you are carrying horses on board, like the sailors did in the 1600s, and one of them has to be put down? Shouldn't you have a 45 in the kit to put it out of it's misery? Hellno, you'll never hear the end of it from PETA, ask your vet for the correct meds to use, if you have horses onboard. Don't mess with PETA.

Avery, if you flew 9xxx hours and never broke anything, you weren't testing it hard enough! (VBG)

Depending on the value of your time...the expensive premade kits do have one advantage, in that they are often compartmentalized to stow things nicely. Somehow, packing a med kit is always a case of fitting round pegs in square holes, or vice versa.
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