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first aid for remote areas

Information about First Aid Kit contents for
Outback and remote area travel

In the Outback you will be in extremely remote areas, sometimes days from medical assistance. It is therefore imperative that you carry adequate first aid equipment. Off the shelf first aid kits do not have sufficient content. Remote area travel changes the rules of first aid. You need to carry a more comprehensive first aid kit. I always carry a compression bandage in the door pocket of my vehicle that I have immediate access to in the event of snakebite. Current first aid practice is that the first aider is not to recommend the administration of any medications. This includes seemingly innocuous things like Aspirin and electrolyte replacement preparations unless the first aider had been specifically trained. Given that you will be in an extremely remote area, it would be advisable to contact your GP to discuss any prescription drugs you may take with you in case of emergency. These can be administered with advice from a Doctor from the Royal Flying Doctor Service by HF radio or satellite phone.
Mark Somers, Clinical Instructor with the Metropolitan Ambulance Service, Melbourne compiled the following list for remote area use.

Remote area first aid kit - the bare essentials

4	20cm X 20cm dressing pads	moderate/large wound dressing
2	10cm X 10cm dressing pads	moderate/small wound dressing
4	10cm crepe bandages	to retain dressings/snakebite/sprains
10	pairs disposable gloves	barrier device to prevent cross infection
1	shears	for cutting clothing and bulky dressings
1	resuscitation mask	barrier device for mouth to mouth
1	safety glasses	barrier device for mouth to mouth
4	triangular bandages	dressing retention/slings
1	emergency shock blanket	to prevent loss of body heat
1	5cm hypo-allerg. adhesive tape	non-allergenic tape for sensitive skin
1	notepad and pencil	to record accident and treatment at the time

Suggested additions for remote area first aid

1	Current first aid manual	For reference
1	Pkt assorted sticking plasters	Minor cuts and abrasions
1	Pkt assorted knuckle shapes	Minor cuts and abrasions
4	Eye pads	Emergency eye cover
2	Non adherent burns dressing	For burns after cold water
2	15cm crepe bandages	To secure universal dressing
2	5cm crepe bandages	To retain small/medium dressing
2	2.5cm crepe bandages	To retain small dressing
1	2cm hypo-allerg. adhesive tape	Secure dressings
4	Gauze swabs	Wound cleaning
1	Kidney dish	To hold dressings/instruments
1	Pkt cotton buds	General wound cleaning
6	Disposable towels	General cleaning
1	5cm scissors sharp/blunt	Cut dressings/bandages
10	Safety pins	Secure bandages and slings
1	Length of dressing strip	Cut to size dressings
1	Pair splinter forceps	Removing fine foreign bodies
10	0.9% saline irrigation solution	For eye irrigation
5	Premixed antiseptic solution	Single use for cleaning minor wounds
1	Antiseptic powder	Replaces creams for hygiene reasons
1	Anti-histamine cream	For insect bites

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and further...

1	Set of 6 air splints	To immobilise fractures, sprains and strains
1	Electronic thermometer	To assist in assessing casualty
5	Disposable thermometer covers	Barrier device against cross infection
1	Torch	For casualty assessment
1	Advanced resuscitation device	Resuscitation
1	Chemical cold pack	For the treatment of strains and sprains

medications

Allergies	Ampoule of Adrenaline and disposable syringes Phenergan®Claratyn®
Antiseptic	Betadine®
Bites	Sooze® Cream, Stingose ®.
Burns	Cold water, Silverzene® Cream
Constipation	Fybogel®, Senokot® Granules
Decongestant	Sudafed®
Dehydration	Gastrolyte®Powder
Diarrhoea	Lomotil®, Immodium®
Earache	Auralgan® Drops
Eye	Chloromycetin® eye ointment
Haemorrhoids	Anusol® or Rectinol®
Hay Fever	Avil®Tablets
Indigestion/Heartburn	Antacid
Menstruation	Tampons and Pads
Mouth Ulcers	Bonjela® Cream
Pain (Mild)	Aspirin, Panadol®
Pain (Severe)	Panadeine Forte®, Digesic®
Renal Cholic	Indocid® Suppository
Toothache	Oil of cloves, red powder
Urinary Tract Infections	Ural® Urinary Alkalinizer

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