BajaNomad

Tackle Box Morphed into Baja First-Aid Kit

DianaT - 4-25-2012 at 02:52 PM

My sister who lives in Baja is a retired nurse. Thus, she decided that she, us and some friends needed some first-aid kits for at home in Baja, and for travelling, especially out into the back country. At first, we thought it might be a small and very basic kit, but it her idea grew and here it is

The Box



The list inside that also has a place for personal emergency information.



Some basic information for if someone is alone and has a heart attack---and she suggested that as we find other useful medical information on the internet, that we print it and slip it into the jacket



What the top layer of this kit looks like -- I think that perhaps only a nurse would think of having the notebook and pen to record everything. Also, she included some empty small containers for a stash of personal medications in case one is stranded.



And the second layer of the kit---love the paint sticks for possible splints; she admitted that one was her friend's idea. The item not seen well is a small flashlight with the batteries attached on the outside.



I am sure her friends are as thrilled to have this as we are. We just think it is such a special gift as she put so much into this project!

Wanted to share this as she also wants us to think about anything she might have forgetten! None of this, of course, takes the place of professional medical care, but all of it sure could help in an emergency.

dizzyspots - 4-25-2012 at 02:59 PM

would be interested to know whats in the "snake bite kit"?...the fine print at the bottom seems to indicate a "suction pump"...if that is the case: "DO NOT USE IT"...the suction pump was banned many moons ago...it caused MORE tissue damage than the bite itself. The CURRENT teaching is to immobilize the limb, if possible, below the level of the heart, stay as calm as possible and seek medical attention as soon as possible. No amount of tourniquets, suction, cut and suck..any of the old "Boy Scout" methods is going to stop any significant amount of venom, but WILL increase the chance for tissue damage and infection...many bites are actually "dry" bites...but the only cure for a "wet" is "antivenin"...this info is taken, paraphrased, from the latest info from the University of Arizona Poison Control Center...PS NO ice packs or tourniquets either....otherwise NICE first aid kit...:)

[Edited on 4-25-2012 by dizzyspots]

woody with a view - 4-25-2012 at 03:02 PM

that is pretty complete but you can always add to it. get a cpr mask with a 1 way valve that store about the size of a hotel soap bar. if you want to get involved with potential roll overs and such a nasal canula is an easy way to keep an airway open....and on...and on....and on.

everyone should know cpr and first aid!

edit: and use latex gloves for anyone other than your spouse!

[Edited on 4-25-2012 by woody with a view]

Cisco - 4-25-2012 at 03:02 PM

Quote:
Originally posted by DianaT
My sister who lives in Baja is a retired nurse. Thus, she decided that she, us and some friends needed some first-aid kits for at home in Baja, and for travelling, especially out into the back country. At first, we thought it might be a small and very basic kit, but it her idea grew and here it is

The Box



The list inside that also has a place for personal emergency information.



Some basic information for if someone is alone and has a heart attack---and she suggested that as we find other useful medical information on the internet, that we print it and slip it into the jacket



What the top layer of this kit looks like -- I think that perhaps only a nurse would think of having the notebook and pen to record everything. Also, she included some empty small containers for a stash of personal medications in case one is stranded.



And the second layer of the kit---love the paint sticks for possible splints; she admitted that one was her friend's idea. The item not seen well is a small flashlight with the batteries attached on the outside.



I am sure her friends are as thrilled to have this as we are. We just think it is such a special gift as she put so much into this project!

Wanted to share this as she also wants us to think about anything she might have forgetten! None of this, of course, takes the place of professional medical care, but all of it sure could help in an emergency.



Great stuff Diana, thanks for the post.

Would you ask her about carrying a suture kit also please and her recommendation for that kit. (I'm really tiring of using 8# mono or dental floss and my fishing long-nose pliers). Need something a bit more antiseptic.

Thanks again, great post.

DianaT - 4-25-2012 at 03:09 PM

Woody,
Gloves are included and I will mention the other item.

Cisco, she looked for suture kits and could not find them. She is still looking as she thinks it is a good idea. Not as easy to find some things now that she is retired.

Dizzyspots, I have not opened the snake/insect bite kit, but it is basically a suction device---no cutting device. It certainly would not cure the problem, but it could slow it down. Also, she, of course suggests that if someone has severe insect bite allergies, they should always have an epi-pen (sp) with them.



[Edited on 4-25-2012 by DianaT]

dizzyspots - 4-25-2012 at 03:10 PM

?nasal cannula to keep an airway open?...missed that one in Medic class???
suture kit....use steri-strips or super glue (seriously...that is what it was originally invented for: wound closure in the field!


dittos for first aid and cpr training...

dizzyspots - 4-25-2012 at 03:13 PM

Diana...glad it doesnt contain any blades for cutting, but the suction is not gonna get any venom out...from the time of the bite until you can get to and use the suction...the venom is in the system and moving along...sorry

DianaT - 4-25-2012 at 03:14 PM

Quote:
Originally posted by dizzyspots
?nasal cannula to keep an airway open?...missed that one in Medic class???
suture kit....use steri-strips or super glue (seriously...that is what it was originally invented for: wound closure in the field!


dittos for first aid and cpr training...


Steri-strips are included, but super glue---that is a good one! Thanks

dizzyspots - 4-25-2012 at 03:16 PM

Diana...you are correct an Epi-pen IS a LIFESAVER!!! Stateside, we get used to calling 911 and getting Paramedic level help within 8-10 minutes, most places...for those of us that love Baja...the remoteness of ANY level of medical care behoves(sp?) us to all be prepared and ready to assit our selves or other Nomads should the need arise....:)

Frank - 4-25-2012 at 03:22 PM

Great kit Diana. My wife is a nurse and we have seen some bad accidents along the road so we also carry, tourniquets, hemostats and a product called Quickclot, trach tube and Lidocaine. Im sure there is more, but she's the nurse and Im the guy with the crow bar and rope.

Bahia Asuncion is really lucky to have my buddy Stan in its population. He is the real deal Medic.

DianaT - 4-25-2012 at 03:32 PM

Quote:
Originally posted by Frank
Great kit Diana. My wife is a nurse and we have seen some bad accidents along the road so we also carry, tourniquets, hemostats and a product called Quickclot, trach tube and Lidocaine. Im sure there is more, but she's the nurse and Im the guy with the crow bar and rope.



It is very handy to have a trained nurse along. :yes:

Mexitron - 4-25-2012 at 03:33 PM

Good looking first-aid kit! Except I don't see the bourbon listed..... :D

On the snakebite subject----what are your chances if you don't get medical attention? What if you just stay put? I'm under the impression that bites are not always fatal.

DianaT - 4-25-2012 at 03:39 PM

Quote:
Originally posted by Mexitron
Good looking first-aid kit! Except I don't see the bourbon listed..... :D

On the snakebite subject----what are your chances if you don't get medical attention? What if you just stay put? I'm under the impression that bites are not always fatal.


Jeez---where is the bourbon is the first question my son asked. :biggrin:

I am sure no expert on snakebites and I do my best to avoid all rattle snakes! However, I have read that if possible, it is best to not move, but in the back country, that is not always possible. And I have also read that not all rattlesnake bites are fatal and I think it often depends on what type of rattler, and lots of other variables. I sure hope to never have first hand experience in this area!

woody with a view - 4-25-2012 at 03:47 PM

Quote:
Originally posted by dizzyspots
?nasal cannula to keep an airway open?...missed that one in Medic class???


you're right, i'm a maroon! i meant http://www.google.com/products/catalog?oe=utf-8&rlz=1V4I... :light:

rts551 - 4-25-2012 at 04:31 PM

Diane

Stop it. My better half is a nurse and has "these" kits every where. and always adding more... need to hide this post some how! more stuff.... now where is my picture of that snake

Skipjack Joe - 4-25-2012 at 04:31 PM

Quote:
Originally posted by Mexitron
Good looking first-aid kit! Except I don't see the bourbon listed..... :D

On the snakebite subject----what are your chances if you don't get medical attention? What if you just stay put? I'm under the impression that bites are not always fatal.


This is very true. I want to relate a seminar I went to with Ralph Cutter.

Ralph is an incredible flyfishermen. Probably the best in California. He wrote a very important book "Fishing the Sierras". He lives in Truckee.

Anyway, it was a slideshow. Ralph pointed out that if you kick around the Sierras long enough sooner or later you will get bit. What to do. Absolutely nothing. Just kick back in a shaded cool area and let your body do it's thing. Laying next to a stream, he drank lots of fluids.

Well, I would ignore such advice. Except there was Ralph with a picture of himself in some wilderness. His arm was a rich purple from the forearm to the biceps.

I believe that Ralph is an intelligent man who completely understood what was happening and what would happen. He had faith in the course of event.

Me? If I saw my arm turning purple that would really worry me.

I would think if you panic and run for help that would not be helpful. If you are left in the hot sun or have little water you are reducing your chances. If you know what you're doing you can ride it out.

[Edited on 4-25-2012 by Skipjack Joe]

Cisco - 4-25-2012 at 04:56 PM

Quote:
Originally posted by Frank
Great kit Diana. My wife is a nurse and we have seen some bad accidents along the road so we also carry, tourniquets, hemostats and a product called Quickclot, trach tube and Lidocaine. Im sure there is more, but she's the nurse and Im the guy with the crow bar and rope.

Bahia Asuncion is really lucky to have my buddy Stan in its population. He is the real deal Medic.


If he's not out fishing or driving the beach looking for fish. :lol:

DianaT - 4-25-2012 at 05:10 PM

Quote:
Originally posted by rts551
Diane

Stop it. My better half is a nurse and has "these" kits every where. and always adding more... need to hide this post some how! more stuff.... now where is my picture of that snake


Do you think there is something in this kit that your wife may have forgotten? :lol::lol: Now go find that picture!

Igor, When we lived in Honduras I was bitten by some unknown insect right on my elbow and it swelled quite a bit. I finally went to see one of the local doctors who had very little training and he gave me a shot of something. The next day my entire arm swelled up HUGE and it scared me to death. The doctor said it was a normal reaction to the medicine------I still don't know. I was ready to drive 3 hours to Tegus and catch the next plane north!

So, I just can't imagine me ever sitting and remaining unconcerned and calm as my arm swelled and turned purple. I wonder if his method would work for everyone in all bite situations---it sure is something to ponder and it sure seemed to work for him!

[Edited on 4-26-2012 by DianaT]

Cisco - 4-25-2012 at 05:24 PM

Quote:
Originally posted by DianaT
Quote:
Originally posted by rts551
Diane

Stop it. My better half is a nurse and has "these" kits every where. and always adding more... need to hide this post some how! more stuff.... now where is my picture of that snake


Do you think there is something in this kit that your wife may have forgotten? :lol::lol: Now go find that picture!

Igor, When we lived in Honduras I was bitten by some unknown insect right on my elbow and it swelled quite a bit. I finally went to see one of the local doctors who had very little training and he gave me a shot of something. The next day my entire arm swelled up HUGE and it scared me to death. The doctor said it was a normal reaction to the medicine------I still don't know. I was ready to drive 3 hours to Tegus and catch the next plane north!

So, I just can't imagine me ever sitting and remaining unconcerned and calm as my arm swelled and turned purple. I wonder if his method would work for everyone in all bite situations---it sure is something to ponder and it sure seemed to work for him!

[Edited on 4-26-2012 by DianaT]



MONDAY, April 23 (HealthDay News) -- It goes without saying that bites from venomous snakes can be painful and dangerous, but they can also be very expensive, an expert warns.

Medical bills of $50,000 or more are not uncommon for a person bitten by a venomous snake, said Jill Heatley, an associate professor of veterinary medicine at Texas A&M University in College Station.

The total cost includes hospitalization, which can last from one day to several weeks, treatment of damaged tissue, and antivenin therapy, which can run into the thousands of dollars.

http://news.yahoo.com/cost-snakebite-therapy-may-squeeze-vic...

Skipjack Joe - 4-25-2012 at 05:35 PM

Diane,

It depends on many factors I would think. The man was in mid 30s and great shape. What about children, over 60, weak immune systems. I would never suggest nomads follow that advice.

Just sayin. You'll probably make it.

vgabndo - 4-25-2012 at 05:35 PM

I suppose If you get right down to it. CPR doesn't have a very good record of success even when done right. Without a barrier between yours and a mouth reeking of vomit, it is unlikely most folks are going to stay with it. And, there is always the possibility that after heroic work the effect will be to keep alive a brain damaged body that would have thanked you to let it die.

My best barrier/one-way-valve lives in the console of my truck
and I hope I never have to take it out!

My friend and personal doctor recently told me of hearing "is there a Dr. in the house", and with a defib. machine which was present he and my previous doc got a 70 something year old heart attack victim pumping and breathing again. His joy was NOT in sending him away alive in the ambulance, but later in learning that the man had suffered no brain damage while he wasn't breathing!!!!

DianaT - 4-25-2012 at 06:01 PM

Quote:
Originally posted by vgabndo
I suppose If you get right down to it. CPR doesn't have a very good record of success even when done right. Without a barrier between yours and a mouth reeking of vomit, it is unlikely most folks are going to stay with it. And, there is always the possibility that after heroic work the effect will be to keep alive a brain damaged body that would have thanked you to let it die.

My best barrier/one-way-valve lives in the console of my truck
and I hope I never have to take it out!



From what I hear today, it is suggested that with an adult that one should not do the mouth to mouth and just concentrate on doing the chest compressions. But mouth to mouth should be done with a child???? What have others heard?

Terry28 - 4-25-2012 at 06:03 PM

Vgabondo,

As a firefighter for 3o years I can say with confidence you are wrong, wrong, wrong. CPR saves lifes....period....

redhilltown - 4-25-2012 at 11:54 PM

My first and foremost thought upon seeing the photographs was: can a tackle box really be THAT clean????? ;D

A great thread and post to make people think about the subject and maybe do some work on their own kit.

I would also add a few points. Some of the items in this (and most ) kits have expiration dates so it is wise to check them now and then...you won't die if your ointment is a year past date but you might as well have the best of the best in remote areas like Baja. These items would include eye wash, ointments, peroxide,antiseptic wipes (the "pad" type wipes can get old and be completely dry and useless.) Eye wash makes an excellent irrigation solution for cuts and is sterile..good to have two bottles or some smaller 1 oz sizes. The last I read peroxide is NOT good for serious, deeper cuts. The "ace" bandages are nice to have but what is really really great are the self adhering wraps. Gloves as mentioned are essential and I put them right on top of my kits where I literally have to move them to get to the other items forcing me to think about it. A really good pair of virtus forceps is a life saver for cactus spines (ok..yes, and for taking bones out of fish....just clean em....oh...right....have two pair.) There are tons and tons of ways to get good (bad) burns while camping or cooking or car repair. Water Jel makes a good line of products for minor to serious burns.

Great post and thanks!

DavidE - 4-26-2012 at 01:07 AM

The holding of breath maneuver for atrial or ventricular fibrillation is called the "Valsalva Maneuver" and it only works on some people some of the time. It worked on my afib for about two seconds in several hundred attempts during a dozen afib episodes.

May I suggest while performing the Valsalva Maneuver, walk to the medicine chest, extract two 325 mg. aspirin (Tylenol is useless for this purpose) and swallow them. If you are Rx'd for a CPAP or Bi-PAP machine, use it. You need O2 and at 15 cm any assist is good assist. If you or someone have medical oxygen in your house, use it! Lack of oxygen kills heart tissue!

I am an old tired broken-down EMT-2. Stan and I chat regularly -- a nice guy and certainly glad to have him around.

Take a CPR course! No book on the face of the earth will teach you 1% of what an approved course will do. Heimlich Maneuver training is essential and try to work out for yourself if your airway gets clogged and you are home alone. It is scary and I had one gosh darnned steep learning curve I can tell you!

Try to learn the technique of communicating and performing the Heimlich maneuver on young children.

I have assisted several people in staying alive and I can tell you that it one soul-satisfying achievement. Very personal reward.

So skip a few episodes of American Idol and learn things that can save lives, Please, I beg you!

Islandbuilder - 4-26-2012 at 06:59 AM

CPR training no longer includes breaths. Even so I carry a pocket guard with a one-way valve, and gloves all over the place. A glove with a hole in it can serve as an emergency mouth guard, but one with a valve is much better. Aspirin for heart atttack ASAP.

We have a full medi kit on the boat, including splints, suture kit and a back board. We can be several hours from getting even a CG helo to us (including the seemingly endless debate with the flight surgeon about the patient's condition and symptoms) And, a really nice affordable AED. If you've had heart issues, or are in an at risk group, buying an AED is an affordable way to extend your tether a bit.

[Edited on 4-26-2012 by Islandbuilder]

DianaT - 4-26-2012 at 01:50 PM

Some really good discussion and ideas--- especially the reminder about expiration dates --- for personal meds, I might put a note in as to when they expire. Also, I really like the water gel idea. I am going to made of list of some of the things I think my sister might like to include.

I think of this kit more as having about the BA home some things that are difficult to find in BA. ---even things like adhesive tape, bandaids, bandages, etc. While these things are available there, the quality is not as good. And for me, having everything in ONE place is a good thing. Other than that, I don't worry much while in Bahia Asuncion as we do have the clinic and doctors and for professional medical help, that is where we would go. It is limited, but it is there and fortunately, we have had to use it only once.

And we like to go out into the back country and travel around, this kit, with a couple more things added thanks to the suggestions, will be with us.

Thanks for all the input --- tis a good thing.

BTW--A couple of dog first-aid ideas---just can't ignore the pups. We carry individually antiseptic wipes as they don't dry out for cleaning us just a mess or a wound. Hemostats are great for sticker and thorn removal, and peroxide is a good emetic for dogs.

For a good paw bandage, this is what we came up with a few months back--- and it worked. Tom had an injury on the bottom of his paw that was quite painful. We have Bamitol from the Vet in GN that we keep with us and it works quite well. So, we cleaned the wound and applied the ointment along with Triple Antibiotic gel.

It needed a bandage. Anyone who has been in the hospital for anything has come home with those little ankle socks with the non-skid pads on the bottom---perfect for dog on tile floors. We put cotton balls over the salve but we could not find any large and thick gauze pads in town, so we bought a small package of sanitary pads --- we didn't tell Tom that was what we were using. :biggrin: We put a couple of pads in different directions, tape around that, then the sock and lots more tape!

It gave the wound a chance to begin to heal and all the padding made it more comfortable for him to walk. And of course, all of this had to have a dog picture attached. :yes::yes:



Hope to keep hearing more ideas.

vgabndo - 4-26-2012 at 05:02 PM

Terry28, I'm sure your experience is accurate, but 5% to 10% STILL isn't very effective. Most of the time, CPR is abuse of a corpse. That doesn't mean I won't some day be found guilty of just that. I hope I never have to make that decision.

Ateo - 4-26-2012 at 05:36 PM

I have got to learn first aid and CPR.....I was the first person to arrive on scene 2 weeks ago at a horrific accident just pass the turnoff to Julian on interstate 8. It took 20 minutes for fire and ambulance. All I could do was tell the man help was on the way, comfort him and tell him he was gonna be OK. I felt helpless and basically worthless.

Baja is even more desolate....it could be a long wait on the side of the road for help to arrive.

redhilltown - 4-26-2012 at 05:50 PM

Diana: cute pup pics!! The coflex/co-wrap self adherent wrap is great for animals too...i think vets use it all the time. But with anything like that you have to be careful not to bandage too tightly.

And I still can't believe a tackle box can be so clean..........

DianaT - 4-26-2012 at 06:11 PM

Quote:
Originally posted by redhilltown
Diana: cute pup pics!! The coflex/co-wrap self adherent wrap is great for animals too...i think vets use it all the time. But with anything like that you have to be careful not to bandage too tightly.

And I still can't believe a tackle box can be so clean..........


Thanks. I guess one danger of all of this being in a tackle box is that some fisherperson might make a mistake and either start fishing with some gauze, or start throwing things into the box and make it as smelly as the other tackle boxes. :biggrin:

Maderita - 4-26-2012 at 08:49 PM

QuikClot for controlling bleeding of serious injuries. It stops bleeding almost instantly, including arterial bleeding. Amazing stuff.
http://www.quikclot.com/home.aspx

If you have the stomach for it, this video shows just how effective it is. If you can't handle the sight of blood, don't say I didn't warn you!
http://www.youtube.com/watch?v=e9xvIbKBJn4

Islandbuilder - 4-26-2012 at 09:07 PM

Ateo, you weren't worthless; providing comfort is critically important. It keeps the victim calm, and gives him a connection that he desperately needs.
That said, get the training, the person you're most likely to encounter having a bad day in Baja is whoever is sitting with you in your rig. To have the training, and some tools (like DianaT's most excellent tackle box) can go a long ways toward mitigating a disaster.
My last two careers have required me to keep current CPR/First Aid cards, and last year I took it a bit further and got my Wilderness First Responder training. And, I still feel like a useless idiot when things go bad. So I do what I can to administer first aid, and offer comfort and tell them they're going to be OK.............

Ateo - 4-27-2012 at 08:29 AM

Islandbuilder,

I'm looking for training classes as we speak. Think I may even take the rest of the family (wife and kids) with me to get everyone some training.

woody with a view - 4-27-2012 at 09:37 AM

a little online reading will do the same in a pinch.
ABC's
Airway, is it open?
Breathing, are they breathing?
Circulation, is there a pulse?

obviously formal training is best but it takes all day to mostly anecdotal stories by the instructor. try looking online for something. CPR is pretty easy to do after the adrenaline mellows out. if not for a stranger, at least do it for your family. if you aren't breaking ribs you aren't pushing hard enuf!