First Aid Kit

Urgency Care

Short of ER or regular doctor: go to ex Mosaic Urgent Care. https://www.mymosaiclifecare.org/Main/Location/st-joseph-mo/mosaic-life-care-at-st.-joseph/Urgent-Care/

From Jeff Frazer, EMT in Maysville MO

EMT kit -

1. Maxipads x 2: Wound Dressing or for its intended purpose.
2. 4x4 Sterile Gauze x 2: Wound Dressing
3. 4 Inch Non-Sterile Roller Gauze: Wound Bandage (Combine item 1, 2, 3 in plastic bag)
4. Zip Tie: To hold tourniquet windlass rod in place or attach casualty card to patient
5. Triangular Bandage: Use for a sling, a pressure dressing or tourniquet
6. Tongue Depressor: Finger splint or visualizing the airway
7. Sterile Roller Gauze: Wound dressing, bandage, or for packing wounds. As an alternative, a roll of coban or an ace wrap could be included instead.
8. Tourniquet Windlass Rod: 8 tongue depressors taped together for tightening a tourniquet
9. Nitrile Gloves: 1 pair.
10. Providone Iodine Pads x 2: For wound cleaning or water purification
11. Alcohol Prep Pads x 6: For wound cleaning or fire starting
12. Bandaid Assortment x 20: For protecting small cuts or as tape for splints
13. Butterfly Closure x 5: Wound closure
14. Casualty Card: To record treatment given, as well as medical history
15. Red Zipper Pouch: To contain items. Safety Pin attached to zipper to ease use under stress.

Liquid:

1. Iodine - disinfectant
2. Rubbing alcohol - disinfectant
3. Hydrogen peroxide - oxidizer
4. Eyewash bottle

From Yoonseo

Hydrogen Peroxide 16oz

Rubbing Alcohol 70% Isopropyl

Neosporin 1oz

Latex-Free Powder-Free Exam-Quality Disposable Gloves 200pce

Medical Tape

Sterile Gauze Sponges 50pce

Stainless Steel Scissors

Stainless Steel Point Tweezer

Cold Pack 24pce

Sterile Gauze Roll

Hemostatic

Emergency Blanket

Sterile Adhesive Bandages

Liquid Sprayer

Burn Relief Gel

Slant Tweezer

Multi Trauma Dressing

Lister Scissors

Sterile Gauze Roll

Case Studies

Marcin of sweet Maysville, Missouri in the United States

Case: stepped on a screw which went in about an inch. One week later after a trip to Spain, the subject's foot is swollen:

Antibiotics

• Vitamin C, A, D (10000 units), A, and K

Eric Lotze

Backround

• So the main injuries i've seen on the jobsite are:
  • Heat Stress / Heat Exhaustion
    • Not entirely relevant to First Aid ; almost a step above it, BUT having Water / Bottled Water + Ice Available, as well as some form of Electrolytes (Be it a Sports Drink (with electrolytes plants crave!), or even just extra Granola Bars / Protein Bars in your Lunch Box for others as well as yourself just in case etc) can help a TON with that, and along with looking out for yourself + others can help turn something that would be work day ending/an ER visit into a calm break etc
  • Cuts/Scrapes
    • On the scale from a small abrasion, to a pretty nasty slice from a Pocket Knife opening something, or Sharp Corners/Edges on Sheet Metal etc
      • These aren't some HUGE concern, but spreading blood all over is a Bloodborne Pathogen risk, and even if that is irrelevant etc (due to the person not being infected and/or being properly treated etc) it is unsightly and can spook others etc so getting the bleeding under control+under a bandage gets someone back in the game, even if it would be overkill if you were chilling at home on the couch etc
    • Most of the Abrasion Ones are just:
      • Clean if Off (if there is dirt in there etc), either in a sink / with a bottled water, OR with Sterile Saline Spray or Sterile Saline Rinsewater (Although aseptic would be cooler!)
      • Get some Antibiotic Ointment on there (Although from an Antibacterial Resistance perspective this may not be the best)
    • Get your Bandaid Bandage on there
      • For cuts that are in the annoying area between "instantly clots up, just a scrape" and "bleeding out and dying need Hemostatic Gauze wound packing and/or a Tourniquette etc, some of that Clotting Powder may be a nice (and more inexpensive) way to reduced the time sitting there waiting on a cut to clot as you want it MOSTLY stopped pre-bandaid or it will soak through
      • This is from personal experience with the occasional razor knife/blade pocket knife cut/sheet metal scrape RIGHT ON a damn capillary etc
  • Migraines / Aches and Pains
  • Cold/Flu/Covid (Although the latter especially SHOULD be a stay at home / self isolate type situation, this is just due to crappy Sick Leave policies and people needing the money)
    • Diarrhea / Stomach Issues (Either from a "stomach bug" or even just travel / crappy food etc, but can be VERY good to have on hand)

Takeaways from all that

• SO the majority of what you are preparing for can be covered by:
  • Packing a big lunch + cooler with ice in it + keeping a watch on how you+your team are doing
  • Having a Cuts and Scrapes First Aid Kit + Some Anti-Diarrheal meds in your backpack/on person
  • Having a bin as a sort of " Portable Medicine Cabinet " with your NSAIDs / Pain Meds, Some Allergy Meds, also we do some Boat Stuff on occasion so i threw in some Anti-Seasickness Medication and some other things
    • This stays in my car so is usually with me at the shop, if we go on small day or less jobs i don't bring it (just my cuts and scrapes one), but for LONG/multi-day trips i bring the larger box with me

My Kits

• A Small Pouch With
  • Bandaids
  • Antibiotic Ointment
  • Bug Itch Cream + that heat thing that works pretty well too
  • Anti-Diarrheal Tablets
• A Larger Box With:
  • Sterile Saline Spray
    • Larger Bandages
  • Just about every OTC medicine

Things i Want to Get/Add but haven't yet

• A Forehead Thermometer or some similar non-contact one for checking fever etc
• A Pulse Oximeter (a bit extra, but can come in handy in more intense first aid while not being that expensive/complex
• A PROPER Trauma First Aid Kit / IFAK / Stop The Bleed kit
  • Mainly thinking if i see a bad motorcycle crash, but could come in handy in various work incidents too
• That clotting powder
• Dedicated Bags for Cold Compresses + Phase Change Heat Packs
• A more organized car/bag system, also probably a roll of Trash Bags + Paper Towels (and/or one of those Box of Rags things)
• Dakin's Solution for use as a Wound Wash
  • Would be Aseptic, unlike Saline, but less tissue damaging than Alcohol etc
    • Although some Alcohol Disposable Wipes / Hand Sanitizer is a good add too, for cleaning hands/tools after bandaging up etc
      • I currently keep a mini-bottle in my lunch box and car, and use a larger bottle to refill at home (to save money/reduce plastic bottle buying)
• A CPR Bag Mask (or at LEAST a Barrier Device)
• Narcan (Need for cold(er) storage is my main holdup for this right now

See Also

• The "Healthcare sub-section of the "Construction Sets" Page