Be Prepared
Courtesy of WebMD
Almost everyone will need to use a first aid kit at some time. Take the time to prepare a kit to have available for home and travel. First aid kits may be basic or comprehensive. What you need depends on your medical training and your distance from professional medical help. Ready-made first aid kits are commercially available from chain stores or outdoor retailers. But you can make a simple and inexpensive first aid kit yourself.
Home and Travel First Aid Kits
Home first aid kits are usually used for treating these types of minor traumatic injuries:
- Burns
- Cuts
- Abrasions (scrapes)
- Stings
- Splinters
- Sprains
- Strains
First aid kits for travel need to be more comprehensive because a drug store may or may not be accessible. In addition to personal medical items, the kit should contain items to help alleviate the common symptoms of viral respiratory infections such as these:
- Fever
- Nasal congestion
- Cough
- Sore throat
It should also contain items to treat these ailments:
- Cuts
- Mild pain
- Gastrointestinal problems
- Skin problems
- Allergies
How to Make a First Aid Kit
Try to keep your first aid kit small and simple. Stock it with multi-use items. Almost anything that provides good visibility of contents can be used for a household first aid kit.
- If your kit will be on the move, a water-resistant, drop-proof container is best.
- Inexpensive nylon bags, personal kits, fanny packs, or makeup cases serve very well.
- You do not need to spend a lot of money on a fancy "medical bag." Use resealable sandwich or oven bags to group and compartmentalize items.
- Put wound supplies in one bag and medications in another.
How to Use a First Aid Kit
Make sure you know how to properly use all of the items in your kit, especially the medications. Train others in your family to use the kit. You may be the one who needs first aid! Pack and use barrier items such as latex gloves to protect you from bodily fluids of others. Check the kit twice a year and replace expired medications. Find out the phone number of your regional poison control center at the American Association of Poison Control Centers Web site and keep the number with your kit.
Where to keep your first aid kit
- The best place to keep your first aid kit is in the kitchen. Most family activities take place here. The bathroom has too much humidity, which shortens the shelf life of items.
- The travel kit is for true trips away from home. Keep it in a suitcase or backpack or drybag, depending on the activity.
- A first aid kit for everyday use in the car should be just like the home first aid kit. For that matter, you could keep similar kits in your boat (inside a waterproof bag), travel trailer, mobile home, camper, cabin, vacation home, and wherever you spend time.
What to Put in Your Household Kit
You can buy all items for your first aid kits at a well-stocked drug store. Ask the pharmacist for help in selecting items.
Home kit: A household first aid kit should include these items:
- Adhesive tape
- Anesthetic spray (Bactine) or lotion (Calamine, Campho-Phenique) - For itching rashes and insect bites
- 4" x 4" sterile gauze pads - For covering and cleaning wounds, as a soft eye patch
- 2", 3", and 4" Ace bandages - For wrapping sprained or strained joints, for wrapping gauze on to wounds, for wrapping on splints
- Adhesive bandages (all sizes)
- Oral antihistamines - diphenhydramine (Benadryl causes drowsiness) or loratadine (Claritin doesn’t cause drowsiness) - for allergic reactions, itching rashes. Avoid topical antihistamine creams because they may worsen the rash in some people.
- Exam gloves - For infection protection, and can be made into ice packs if filled with water and frozen
- Polysporin antibiotic cream - To apply to simple wounds
- Nonadhesive pads (Telfa) - For covering wounds and burns
- Pocket mask for CPR
- Resealable oven bag - As a container for contaminated articles, can become an ice pack
- Safety pins (large and small) - For splinter removal and for securing triangular bandage sling
- Scissors
- Triangular bandage - As a sling, towel, tourniquet
- Tweezers - For splinter or stinger or tick removal
What to Put in Your Travel Kit
Travel kit: A travel first aid kit may contain these items:
-
Adhesive tape
-
4" x 4" sterile gauze pads
-
Antacid - For indigestion
-
Antidiarrheal (Imodium, Pepto-Bismol, for example)
-
Antihistamine cream
-
Antiseptic agent (small bottle liquid soap) - For cleaning wounds and hands
-
Aspirin - For mild pain, heart attack
-
Adhesive bandages (all sizes)
-
Diphenhydramine (Benadryl) or loratadine (Claritin)- Oral antihistamine
-
Book on first aid
-
Cigarette lighter - To sterilize instruments and to be able to start a fire in the wilderness (to keep warm and to make smoke to signal for help, for examples)
-
Cough medication
-
Dental kit - For broken teeth, loss of crown or filling
-
Exam gloves
-
Small flashlight
-
Ibuprofen (Advil is one brand name)
-
Insect repellant
-
Knife (small Swiss Army–type)
-
Moleskin - To apply to blisters or hot spots
-
Nasal spray decongestant - For nasal congestion from colds or allergies
-
Nonadhesive wound pads (Telfa)
-
Polysporin antibiotic ointment
-
Oral decongestant
-
Personal medications and items
-
Phone card with at least 60 minutes of time (and not a close expiration date) plus at least 10 quarters for pay phones and a list of important people to reach in an emergency
-
Plastic resealable bags (oven and sandwich)
-
Pocket mask for CPR
-
Safety pins (large and small)
-
Scissors
-
Sunscreen
-
Thermometer
-
Tweezers
Anatomy of a First Aid Kit
Courtesy of the American Red Cross
A well-stocked first aid kit is a handy thing to have. To be prepared for emergencies, keep a first aid kit in your home and in your automobile. Carry a first aid kit with you or know where you can find one when you are hiking, biking, camping or boating. Find out the location of first aid kits where you work.
First aid kits come in many shapes and sizes. You can buy one from a drug store, the RedCross.org store, your local American Red Cross chapter may sell them, or you can make your own kit. Some kits are designed for special activities such as hiking, camping or boating. Whether you buy a first aid kit or put one together, make sure it has all the items you may need. Include any personal items, such as medications and emergency phone numbers, or other items your physician may suggest. Check the kit regularly. Make sure the flashlight batteries work. Check expiration dates and replace any used or out-of-date contents. The contents of a first aid kit can be dangerous in the hands of young children. Store your first aid kit in a secure place out of the reach of young children.
Here are suggestions for the contents of a first aid kit:
· Activated Charcoal (use only if instructed by Poison Control Center)
· Adhesive Tape
· Antiseptic Ointment
· Band-Aids (assorted sizes)
· Blanket
· Cold Pack
· Disposable Gloves
· Gauze Pads and Roller Gauze (assorted sizes)
· Hand Cleaner
· Plastic Bags
· Scissors and Tweezers
· Small Flashlight and Extra Batteries
· Syrup of Ipecac (use only if instructed by Poison Control Center)
· Triangular Bandage
U.S.
Department Of State and DOD
Announce Pilot Project on
Electronic Health Record System
Feasability
The Department of Defense (DoD)
and the Department of State (DoS)
announced they have reached an
agreement to begin a pilot
project to determine if the DoD
electronic health record system,
AHLTA is a feasible system for
DoS to adopt as its electronic
health record system of the
future.
DoS selected AHLTA over other
electronic medical records
because of its robust
functionality, proven
reliability in remote and
austere environments, and
compliance with tough DoD
security standards.
While operating AHLTA in remote
areas under austere
communication conditions, DoD
healthcare providers routinely
record and transmit patient
healthcare information from
overseas areas of operation to
medical treatment facilities in
the United States, a requirement
that DoS has with its overseas
facilities.
"This collaboration and the prospect of extending the reach of our worldwide health information technology network is an important step in building a universal healthcare information delivery system, Dr. William Winkenwerder Jr., assistant secretary of defense for health affairs said. "AHLTA has transformed the way we practice medicine in DoD. We look forward to sharing our implementation experience and the benefits AHLTA provides with another federal department and a new global healthcare partner."
This ground breaking federal partnership is the first of its kind and allows both departments to partner in ways unforeseen even a few years ago. If all goes according to plan, the DoS anticipates AHLTA will eventually be used to support DoS beneficiaries abroad, many of whom seek treatment at both DoS and DoD facilities.
DoD personnel receiving care in
U.S. embassies will now have
continuity of their lifelong
medical record. DoS medical
personnel will have access to
vital medical information
globally at the point of care,
improving quality and reducing
health care costs.
In addition, domestic deployment
of AHLTA will allow DoS much
better real-time access to
quality measures and
epidemiological surveillance,
both crucial issues facing
healthcare managers.
"We here at State view this as win-win, insofar as we can tap into the development expertise and prior deployment experience that the DoD has invested in AHLTA, and for the first time DoD will begin to electronically capture the healthcare encounters their personnel receive at our embassies abroad. In addition, the taxpayer wins whenever governmental bodies work together rather than reinventing expensive wheels," Dr. Laurence Brown, DoS medical director.
AHLTA provides a comprehensive, computer-based patient record for all military health beneficiaries, regardless of their location. It ensures healthcare providers have instant access to invaluable medical information about their patients. AHLTA was developed by incorporating commercial-off-the-shelf technologies, integrating and fine tuning them to perform the complex functions that a comprehensive electronic health record system provides.
"AHLTA is the result of an extraordinary partnership among the military services, federal employees, contract personnel and our industry partners working together to build systems that not only make healthcare safer and information more accessible, but have the potential to literally save lives," said Carl Hendricks, chief information officer of the Military Health System.
In August 2005, more than one million individuals lost their paper medical records as a consequence of Hurricane Katrina. But all MHS beneficiaries who fled the storm and checked into medical treatment facilities hundreds of miles from their Gulf Coast homes received seamless care because providers were able to access their EHR.
AHLTA ensures valuable, life-saving beneficiary information is always accessible and records are durable, complete, accurate and legible-a major advancement over the paper record. Implementation of AHLTA began in January 2004 was completed in December 2006 and supports more than 9.1 million beneficiaries worldwide.
Women and heart attacks (Myocardial infarction)
Did you know that women rarely have the same dramatic symptoms that men have when experiencing heart attack...you know, the sudden stabbing pain in the chest, the cold sweat, grabbing the chest & dropping to the floor that we see in the movies. Here is the story of one woman's experience with a heart attack.
"I had a completely unexpected heart attack at about 10:30 pm with NO prior exertion; NO prior emotional trauma that one would suspect might've brought it on. I was sitting all snugly & warm on a cold evening, with my purring cat in my lap, reading an interesting story my friend had sent me, and actually thinking,” A-A-h, this is the life, all cozy and warm in my soft, cushy Lazy Boy with my feet propped up." A moment later, I felt that awful sensation of indigestion, when you've been in a hurry and grabbed a bite of sandwich and washed it down with a dash of water, and that hurried bite seems to feel like you've swallowed a golf ball going down the esophagus in slow motion and it is most uncomfortable. You realize you shouldn't have gulped it down so fast and needed to chew it more thoroughly and this time drink a glass of water to hasten its progress down to the stomach. This was my initial sensation---the only trouble was that I hadn't taken a bite of anything since about 5:00 p.m.
After that had seemed to subside, the next sensation was like little squeezing motions that seemed to be racing up my SPINE (in hind-sight, it was probably my aorta spasming), gaining speed as they continued racing up and under my sternum (breast bone, where one presses rhythmically when administering CPR). This fascinating process continued on into my throat and branched out into both jaws.
"AHA!! NOW I stopped puzzling about what was happening--we all have read and/or heard about pain in the jaws being one of the signals of an MI happening, haven't we? I said aloud to myself and the cat, "Dear God, I think I'm having a heart attack!" I lowered the foot rest, dumping the cat from my lap, started to take a step and fell on the floor instead. I thought to myself "If this is a heart attack, I shouldn't be walking into the next room where the phone is or anywhere else........but, on the other hand, if I don’t, nobody will know that I need help, and if I wait any longer I may not be able to get up in moment."
"I pulled myself up with the arms of the chair, walked slowly into the next room and dialed the Paramedics... I told her I thought I was having a heart attack due to the pressure building under the sternum and radiating into my jaws. I didn't feel hysterical or afraid, just stating the facts. She said she was sending the Paramedics over immediately, asked if the front door was near to me, and if so, to unbolt the door and then lie down on the floor where they could see me when they came in.
"I then laid down on the floor as instructed and lost consciousness, as I don’t

