文档介绍：Personal Wilderness EMS
Wilderness Institute
Medical Kit
Version 10/7/99
Comments to:
Keith Conover, ., FACEP, Medical Director
36 Robinhood Road, Pittsburgh, PA 15220-3014
412-561-3413 kconover+***@
Revisions
This revision, , is offered in preparation for the release of a major revision
of the WEMSI Personal Wilderness Medical Kit list, which will be numbered
, and released at the beginning of 2000. You will note “redlined” changes
throughout the lists, representing changes from version , which had
remained virtually unchanged for years.
Some of the major highlights of the proposed changes are as follows. These
are explained in more detail in the endnotes:
• A saline lock and saline flush have been added to the Advanced Kit, to
allow WEMTs at the scene to start an IV, to give multiple medications,
and to have a patent IV ready for when IV bags and tubing arrive.
• IM ketorolac (., Toradol®) has been taken off the list, as it has
virtually no advantages over oral ibuprofen (see endnotes).
• Tubex™ injections and syringes have been taken off the list, as the
containers leak when overheated.
• A one-way valve has been added to the advanced kit, to provide some
WEMT protection during mouth-to-endotracheal-tube ventilation.
• A small skin stapler has been added, for scalp wounds and for minor
lacerations.
• Droperidol has been added as a multi-purpose replacement for both
prochlorperazine (., Compazine®) and haloperidol (., Haldol®) for
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sedation, nausea, and migraines.
• After due consideration, we have added midazolam (., Versed®) to
the Advanced Kit, for sedation for procedures and for control of
seizures, and removed ciprofloxacin (., Cipro®), bisacodyl (.,
Dulcolax®), bismuth subsalicylate (., Pepto-Bismol®) and
cyclobenziprine (.,