Emergency Medical Supplies

I raised the subject of survival stockpiling earlier.  Here I’d like to build a list of the drugs and medical supplies that would be most useful during an extended disaster.  Ideally one would be prepared to deal not only with traumatic injuries but also with the sorts of medical problems that tend to emerge during prolonged stress and in the absence of first-world infrastructure and sanitation. (Ref also the truth about drug expiration dates.)

Beginning the list are “first aid” supplies that should be accessible to everyone:

  1. Antiseptic swabs and ointments
  2. Adhesive bandages
  3. Sterile gauze rolls, pads, and tape
  4. Sterile saline solution
  5. Hemostatic powder/pad (Zeolite, QuikClot)
  6. Thermometer
  7. Tweezers
  8. Scissors
  9. Anti-diarrheals: loperamide (Imodium), bismuth subsalicylate (Pepto-Bismol)
  10. Rehydration powder
  11. Aspirin, ibuprofen, (analgesic, antipyretic, NSAID)
  12. Acetaminophen (analgesic)
  13. Antihistimines: diphenhydramine (Benadryl)
  14. Decongestants: pseudoephedrine
  15. Expectorants: guaifenesin
  16. Stimulants: caffeine
  17. Laxatives
  18. Antacids
  19. Emetic: ipacec
  20. Ointments:
    • anesthetics (lidocaine, benzocaine)
    • antibiotics (permethrin, malathion)
    • antifungals (ketoconazole, miconazole, tolnaftate)
    • antihistamines (Caladryl)
    • antivirals (acyclovir)
    • steroids (hydrocortisone)
  21. Cold packs (note: also usable for improvised explosives)
  22. Heat packs
  23. Smelling salts
  24. Breathing barrier with valve
  25. Latex gloves
  26. Condoms
  27. Contraceptives: levonogestrel (Plan B)

Anyone with emergency medical training will also want

  1. Manual aspirator or suction unit
  2. Sphygmometer
  3. Stethoscope
  4. Epinephrine auto-injector (Epipen)
  5. Epinephrine inhaler
  6. Hypodermic syringes and injectable lidocaine and adrenaline
  7. Sutures
  8. Airway management devices (OPAs or NPAs)
  9. IV catheters and solutions
  10. Obstetric kit
  11. Antiseptic scrub (chlorhexidine)

During disasters that might involve extended disruptions of pharmaceutical supplies, a stockpile should also include the following drugs:

  • antibiotics: levofloxacin (Levaquin), doxycycline
  • antibiotic, amebicide, and antiprotozoal: metronidazole (Flagil)
  • antifungals: itraconazole, ketoconazole, griseofulvin
  • anthilmentic: pyrantel
  • oral antiseptic: chlorhexidine (PeriDex)
  • anxiolytics, sedatives, hypnotics, anticonvulsants, muscle relaxants: benzodiazepines and barbiturates
  • narcotics: morphine, oxycodone
  • stimulants: amphetamines, modafinil
  • steroids: hydrocortisone, prednisone
  • vasodilators: nitroglycerin
  • bronchodilators: theophylline
  • urinary anti-infective: methenamine
  • general anesthetic: propofol

Why pay to do when others will pay you? – Part II

Government seems to have a penchant for paying for services that could be provided for free, or even for revenue.

My first example of this was Air Marshals (“Why Pay Air Marshals When Others Would Pay To Do the Job?”), but I believe there are many more examples waiting to be discovered.

Today’s example comes from the NSSF:

TWO MUNICIPAL DEER-CONTROL PROGRAMS CONTRAST SHARPLY . . . Two news reports show a marked difference in cost between municipalities managing deer with commercial sharp shooters or doing it with hunters and, at the same time, providing recreational opportunities to its citizens. A hunter-participation program in Bernards Township, N.J., has seen car-deer collisions in the township drop from 289 in 2000-01 to a record low of 89 in 2011-12. Total expenses for the coordinated sportsmen hunting program that culled 357 deer in 2011-12 were $20,747, averaging out to $58 per deer. In contrast, Solon, Ohio, implemented a commercial sharp shooter program at a cost to taxpayers of $183,353. Some 300 deer were culled, at an average cost of $611.18.