Here’s a very short post on some things we need to get for our sailing trip, and things we’ve learned from Trina’s friend who’s a doctor. This isn’t an exhaustive list and doesn’t cover everything.
Thanks Bea for the giving up an evening to teach us how to stay alive!
- Meningitis? Useful
- Hep A
- Hep B probably okay without
Acquire staple gun, remover and scalpel, and pre-threaded suturing needle sizes 1 and 2
- Heartburn or upper stomach pain- ranitidine, esomeprazole and gaviscon.
- Stereo strips
- Imodium/Loperamide – avoid if really unwell
- Rehydration salts
- Steroid cream
- Cavit tooth filler
- Canesten – fungal anywhere
- Paraffin dressing – never put a dry dressing on a wound
- Co-amoxiclav Flucoxicilin
- Anaesthetic gel
- Proper anti-sickness
- Chloramphenicol for eye infection
- Sofradex for ears
- Fluconazole for thrush
- Co-amoxiclav – anything. Bites, chest infections, kidney probs, tooth trouble
- Flucoxicilin – skin infections or cellulitis. Anything with pus
- Metronidazole for serious gastro – no alcohol for 7 days, strict
- Ciprofloxacin for tropical gastroenteritis or any blood in diarrhoea
- Matranidazol for long term watery diarrhoea
- Trimethiporim urine infection
Stop bleeding. Pressure & elevate. Scalps won’t stop until you put stitches in. Tourniquet only for 30 mins if you want to save a limb. If amputation keep it on indefinitely.
Shave, local anaesthetic gel or ice pack. If less than 5cm glue and stereostrips to reinforce. If bigger go for staples. If somewhere delicate like face or somewhere often moved do stitches.
To sew: Stop bleeding as much as poss first. Hold edges together, and sew in individual stitches with non-puckered surgeon’s knot. Start where it’s spurting, or in the middle. 5mm from wound edge, use your wrist to turn needle not your arm. Glue on top. Remove stitches in 7 days, or 5 days for face, or 10 days for over joints. Take out every other stitch at first if worried, and replace with stereo strips.
Fractures – Splint and take painkillers. Splint must be well padded and immobilise joint above and below break.
Thigh bone especially but all leg bones are dangerous for blood loss, also lower leg bone. Keep as still as possible.
Sprains – Ice, compression and elevate. Tubigrip. No compression while sleeping. If anything goes blue, keep it straight or loosen very slightly.
Dislocation – turn arm out and pull gently. Can put foot in armpit if desperate
Head injury – protect airway and pack neck and skull to keep still. Tug jaw forward to open airway, but leave neck normal position
Pelvic splint – wrap a cloth 15cm wide, and wrap around thighs knees and ankles together like a frog mummy to keep it all still and avoid bleeding
Near drowning – recovery poisition. CPR if not breathing, but start with 5 breaths. ⅔ drowners will vomit so watch for that.
Wet clothes off, dry patient. Warm sugary drinks, monkeys, blankets
If stuck in water – Fold into a little cannon ball to stop heat loss. No swimming.