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Old 25 March 2004, 11:45   #1
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First Aid Kit

I am starting to put the last bits together for the season and I have got to the first aid kit. This does not seem to have been covered much in any threads that I have found.
I know prevention is better than cure, but sh1t happens.

So my questions are:-

1) What do you guys (& girls) carry, in addition to the standard off the shelf Boots type kit?
2) What are the most common injuries on or around a RIB?
(Redirected photos of MeMe's arse are not required )
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Old 25 March 2004, 12:14   #2
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This is the same question I ask students on boat handling courses and we eventually end up with a list of injuries which are broken bones, punchure wounds, major lacerations (from a prop) burns / fire from petrol, hypotermia / sun stroke and decompression illness.

This then give you a list of injuries which you might have to treat (albeit a worse case list) also you might have more than one casualty.

So I have the proper approved first aid kit for a coded boat and a second with lots of additional big bandages and bottled water. Its not cheap, takes lots of room but a big first kit will make a difference if you know how to use it so dont' dismiss the training to go with it. Casualties want lots of rest / reassurance and big bandages everywhere to make them feel that although there is a drama its going to be alright.

Before anyone suggests they no longer want to attend one of my boat handling courses, it was all put to a very real use on the last one when a yachtie had a heart attack and only survived because we carried oxygen (the oxygen cylinder from the ambulance ran out) and had an intensive care nurse instructor on the boat at the time who took control of the defib from the amb crew who looked a little young and lacked a sence of urgency.

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Old 25 March 2004, 13:18   #3
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A first aid kit is useful for minor things but to be honest the knowledge is FAR more important - which would you rather - a doctor with no kit or a lorry driver delivering a mobile hospital????

I remember the story of a plane passenger with a collapsed lung on a BA flight - in response to "is there a doctor on board" about 50 hands shot up - they were consultants coming back from a conference on lung problems! the 2 who came forward were top specialists and saved the persons life with a wire coat hangar and some cling film!

To be honest the sort of first aid kit most people carry is worthless for anything serious - most things can be improvised.

Of course for less serious matters they are great and I will carry one - especially things like sunburn creams - antihistamines(which COULD save lives) etc etc.
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Old 25 March 2004, 13:54   #4
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Quote:
Originally posted by codprawn
but the knowledge is FAR more important
Agree with that statement 100%. A 1st aid kit is ONLY usefull if you know how to use it.
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Old 25 March 2004, 14:32   #5
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first aid kit

we carry along with the usual HSE approved first aid kit, a Laerderal
RNLI adapted mask. this is basicaly a pocket mask that goes over mouth and nose, but with a tube about 18 inches long, it is a great addition for any boat as you can do EAR/CPR in confined spaces, if you look at the deck space on your average rib there is not much room, so these bits of kit developed by the RNLI are great ,that and a TPA and MEDI WRAP BLANKET as used by the ambulance service but as others have said the knowledge is the best thing to have its probably one of the best courses to do.
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Old 25 March 2004, 17:50   #6
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Thanks all

I absolutely agree, you need to know how to use things. Equipment of any kind is only as good as the operator and a good operator can always improvise. I would only attempt basic first aid; anything more would probably endanger the patient. I know my limitations.
We have an excellent rescue service, and in the case of a life-threatening situation it is straight on the VHF and call for help.
My wife is a theatre sister and is probably as well trained in resuscitation as anyone outside a cardiac unit. I am booked to do a resuscitation course in April in case she is the one who needs CPR!
My past experience is in off shore yacht racing and I should imagine that the hazards are different to power craft. We used to cater for severe lacerations, head trauma, fractures, burns, hypothermia and seasickness. I would guess that the major incidents on a RIB would include bumps and bruises, lacerations, de-hydration, sun/wind burn, sunstroke, flying objects and the dreaded seasickness. (Best cure is dried fruit and ginger biscuits. You can keep drugs.)
My additions so far include
Bandages and pads
Waterproof elastoplasts (cut to size roll)
Steristrip
Antihistamine
Antiseptic wash & wipes
Strongest non-prescription painkillers available.
Codine or Paracetamol
Skin lotion
High factor sun cream
Water
Dextrasol (dextrose tablets)
Eyewash and bath
Sting/bite lotion
Scissors and tweezers
'Space blankets'
More water


Anything I missed?
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Old 25 March 2004, 21:06   #7
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Just aspirin - mixed with codeine known as Codis - very strong and over the counter in chemists - often stronger than prescription drugs!

Aspirin is also vital to give during or before a suspected heart attack.
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Old 26 March 2004, 03:07   #8
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Gaffer tape, If you need to improvise a splint, big wound dressing etc gaffer tapes the stuff, insulating tape for fingers.
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Old 26 March 2004, 03:49   #9
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Gaffer tape was on my list, but I thought some might think it a silly idea. I know and you know that you can use it for just about any thing. Always a roll or 2 of Gaffer and insulating tape in my kit bag when on someone elses boat.

Codprawn
Asprin added.

I am seeing a pharmacist this pm for further sugestions. Our kids are friends and we meet for the school run.
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Old 26 March 2004, 03:56   #10
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Quote:
Originally posted by Manos
A 1st aid kit is ONLY usefull if you know how to use it.
On that note, we are putting together an all new waterbased 1st aid course, to work alongside the RYA 1st Aid course we do currently. We use an experienced Paramedic who has also been ribbing for years.

If any one has any ideas or anything in particular they would like to see in a waterbased hands on 1st aid course, please let me know.
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