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Rx - What should you carry?
- Thread starter Bernoulli
- Start date
Skammer, how are you going to use this. Do you also carry BP cuff and stethoscope? Is there a wilderness protocol for nitro use?
KR
I carry cuff and scope in my full on medic pack not my regular SAR ops kit as its too heavy and bulky. Nitro of course is for for heart issues. Simplified protocol is to give 1 squirt under the tongue within chest pain guidelines, not to be given if Viagra has beeen consumed in previous 12 hrs. It can mitigate a heart attack very fast if you are lucky.
Requires training.
Skam
Requires training.
Skam
Yeah, I am aware of its use. I just have never used it without first making sure the systolic was above 100mmHg. I also have rarely seen one application make much, if any difference. It usually seems to take 2 or 3 squirts SL. But each time before use we must make sure the systolic is above 100mmHg.
Like I was saying just curious.
KR
K,
I didnt know your background sorry. Our protocol is 1 squirt and re-eval. 2nd, 3rd if needed within a minute or longer. In the bush we have to be carefull with doseage. Interesting about the systolic as an acute MI can present with less than 100mmHg and still require nitro.
We are playing around with the patch as a field treatment as well but no protocols yet.
Skam
I didnt know your background sorry. Our protocol is 1 squirt and re-eval. 2nd, 3rd if needed within a minute or longer. In the bush we have to be carefull with doseage. Interesting about the systolic as an acute MI can present with less than 100mmHg and still require nitro.
We are playing around with the patch as a field treatment as well but no protocols yet.
Skam
Nice find!
No problem skam. Are you a EMT-B/I/P? I have seen the patch but have never used it in an emergency setting.
KR
FYI ... If you carry RX meds and administer them to another person and it has unforeseen consequences, i.e. anaphylaxis, overdose, under dose or improper injection technique. You will have broken many state and federal laws that can leave you liable if you are unlicensed.
- Joined
- Nov 18, 2006
- Messages
- 2,011
Just a couple add-ons to the really comprehensive lists here:
I'm a huge fan of Ibuprofen Liqui-Gels. Fast-acting.
Definately some sort of anti-nausea/anti-diarrhea medicine.
Neosporin, or other topical ointment.
New-Skin, in the glass vial or a spray can. Basically sterile nail polish, fantastic for dealing with obnoxious little cuts you can't keep a band-aid on, broken toenails, etc. Also contains clove oil.
Topical Benadryl, or something similar that can be used in place of Calamine lotion or as a hydrocortisone. I like "Corticool" a lot. I see a lot of recommendations for oral cortisones, anyone prefer those over the topical variety in all cases?
As far as the Claratin/Decongestant there are some people who are pretty sensitive to Pseudoephedrine. Claritin will knock me the hell out, and I'll feel drowsy for the next day. Interestingly, I was sensitive to Pseudoephedrine as a kid, but it made me really hyperactive instead of tired. Funny how that works. Non-drowsy, generic Phenylephrine Decongestints work great for me now, though.
It's great to see people with medical training replying to this thread!
I'm probably getting too much into topicals instead of pharmaceuticals either way.
I'm a huge fan of Ibuprofen Liqui-Gels. Fast-acting.
Definately some sort of anti-nausea/anti-diarrhea medicine.
Neosporin, or other topical ointment.
New-Skin, in the glass vial or a spray can. Basically sterile nail polish, fantastic for dealing with obnoxious little cuts you can't keep a band-aid on, broken toenails, etc. Also contains clove oil.
Topical Benadryl, or something similar that can be used in place of Calamine lotion or as a hydrocortisone. I like "Corticool" a lot. I see a lot of recommendations for oral cortisones, anyone prefer those over the topical variety in all cases?
As far as the Claratin/Decongestant there are some people who are pretty sensitive to Pseudoephedrine. Claritin will knock me the hell out, and I'll feel drowsy for the next day. Interestingly, I was sensitive to Pseudoephedrine as a kid, but it made me really hyperactive instead of tired. Funny how that works. Non-drowsy, generic Phenylephrine Decongestints work great for me now, though.
It's great to see people with medical training replying to this thread!
I'm probably getting too much into topicals instead of pharmaceuticals either way.
- Joined
- Apr 7, 2007
- Messages
- 284
Those of us who are licensed will simply be sued...
Hey Skam. Are you SOLO trained for your Wilderness cert? I have my third wilderness recert on 10/08/07.
KR
That will just put you into jail. Wait until the civil attorneys get a hold of you and take everything you have worked for in a civil lawsuit.
KR
No, Small group usually 2-3. Individual skill tests are required however and of course the nerve wracking written exam
. Recerted in Feb this year good for 3 more.Anything you do to anyone is up for liability so mind your skill sets. In "our" SAR world we have direct comm lines to on call Dr's who sign off on out of scope procedures thus covering our asses.
Its a different world 20 miles from a road.
Skam
Oral or injectable zones are the only thing that works for me when suffering from poison ivy or the like. I attract it like flies to s hit it seems. I have tied it all and rx zones are the only thing that works. Friggin myrical.
Skam