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Trauma First Aid Kit for Auto Accidents

car-accident-hi

This past Tuesday I was driving to lunch with Mom and a friend and we came upon a two-car accident which had just occurred. Traffic was stacking up as other motorists looked for a way around the tie-up, as it was clear no one could get through the main south-bound lanes. The police and paramedics had not yet arrived. As I turned the corner myself, I noticed that only two cars had pulled to the curb.

car accident first aidI took a deep breath and told my passengers I was going to pull over, because I am Red Cross First Aid and CPR Certified and I felt it was really important to see if I could help.

As I tried to cross the street, other motorists really weren’t interested in making way for me, but I

 persisted. There was plenty of glass, debris and fluids on the road and I was glad I was wearing sturdy closed shoes.  The two cars had obviously collided at a high rate of speed, though it was not entirely clear how. The smaller late-model luxury sedan had all its airbags deployed and its front end was completely crushed. The other car was a much older Suburban, apparently without airbags (or they had not been re-packed after a previous accident). The Suburban was destroyed: the front end was smashed, the driveshaft was on the car accident 2pavement and the two back tires were flat. Fortunately, neither of the drivers had passengers. A few other people were milling about. I asked the two most sensible-looking people if someone had already called the police.

car accident victimI checked on the driver of the Suburban. She was bleeding profusely from a facial laceration and she was very upset. I asked her if she had bumped her head and she said yes. I asked her a couple of questions to test her mental state, and so far she seemed okay other than the bleeding. I told her not to move. I yelled to my passenger to see if we had a First Aid Kit in our car. There was an Auto Emergency Kit in the car, but the first aid supplies in it consisted of a pair of exam gloves, 2 pieces of sterile gauze that you could see through, and a few Band-Aids. It was clearly inadequate. I told the lady again not to move, and that I was going to go check on the other driver.

I went to check on the other driver. He had gotten out of his car and was standing on the sidewalk with a witness, who lived in the house on the corner. The witness had brought out a chair for him, and I got him to sit down. I also asked him if he had hit his head and he said yes. He removed his ball cap, and I could see he had some very minor abrasions at his hairline. I asked him a couple of mental status questions also, which at first he failed but then he corrected. Other people were with the gentleman, so I wasn’t too worried about him.

Hit HeadIt was clear both drivers were going to be going into shock, but I could hear a siren and then saw a police car arrive. I told the officer both drivers had hit their heads and would need ambulances. He said the paramedics were on their way, and immediately went looking for witnesses, presumably to make sure they wouldn’t leave. I went back to the lady in the Suburban. I thought she might have a slight smell of alcohol, but you couldn’t hold me to that.  She kept saying she couldn’t get a ticket for the accident, and kept repeating it. She was moving around, trying to get at her driver’s license in her back pocket. I told her again not to move, that taking care of her injuries was much more important than worrying about the legal issues at that moment.

ParamedicFinally, after the paramedics got there, it was clear I was no longer needed. I had accomplished very little to begin with, because of a lack of First Aid Supplies, and also a lack of confidence and assertiveness on my part. I went back to our car. When I got in, my Mom said that it was clear we needed to make sure we had better stocked First Aid Kits and blankets in all our vehicles.

I have since been working on a very comprehensive list of First Aid Trauma Items I would like to have in my car at all times. Its a lot of stuff. I researched the cost of it all, and it is well over $400. I found that generally the best place to buy bulk First Aid supplies online is First-Aid-Product.com. Not every product is the very cheapest, nor do they have every single product I would want. But overall, I believe the total when ordered from them would be the lowest than from anywhere else. Items starred “*” below can usually be purchased from local grocery or discount stores. Also, items marked with a “$” can usually be bought at a local dollar store.

April’s Trauma Kit

First Aid Kit

QR: Quick Response Module

Quick Response Items:

 

1 – Inventory Sheet (A list of everything in the Kit, and where it is located. Type this yourself, and put it in a page protector.)

1- Emergency First Aid At-A-Glance Instruction Chart (a basic chart with the A-B-Cs of First Aid)

1 – CPR Keychain w/Gloves (disposable) (I highly recommend getting fully CPR certified, but you can do hands-only CPR without certification).

1 – Emergency Water Pouches (4 oz) (keep yourself and the victims hydrated)*

4 – Sunscreen: SunX Sunscreen Pouch SPF 30 (single-use foil packet) (protect yourself on a sunny Colorado day! A sample-size bottle $ will work too.)

For Search and Rescue:

1 – Leather Palmed Work Gloves (pair) (protect your hands from glass and metal)$hard hat gloves

1 – Hard Hat (better safe than sorry)

1 – Safety Goggles (these aren’t just for flying glass and debris, but also to protect against bodily fluids)*$

1 – Safety Vest, Reflective Orange or Yellow (make yourself visible day or night)*

1 – 2-Way Auto Emergency Tool, with Glass Hammer and Seat Belt Cutter (If you can’t get in the car, you can break the glass on the other side of the car. Don’t take off or cut the victim’s seat belt unless you have to move them for their safety.)*

1 – Pry Bar, 24″ (to open doors, also good for breaking glass)*

1 – Survival Fixed Blade Knife w/Sheath (for innumerable uses)*

1 – Utility Shears (for cutting clothing)$

2 – Emergency Thermal “Space Blankets” (for shock and hypothermia)*

1 – Blanket: Paramedic/Emergency, Yellow, Disposable (for shock and hypothermia)*

1 – Duct Tape, Small Roll (10 yds) (can be used to immobilize limbs and other innumerable uses)$

1 – Flexible, Folding Emergency Evacuation Stretcher (optional, can use duct tape to help secure victim)

 For Communication:

1 – Plastic Whistle with Lanyard (get attention, direct traffic)$

1 – Writing Pen (take down the drivers’ information and record details of the accident and injuries)*$

1 – Writing Tablet (take down the drivers’ information and record details of the accident and injuries)*$

2 – Waterproof Document Pouch, 7”x10” or larger (Keep important notes and papers in dry and in one place. Collect evidence if necessary. Can simply use gallon-size plastic ziptop bags. Ziptop bags should be utilized to keep all the other components of the Kit dry.)*$

For Light:

3 – Light Sticks, 12–Hour, Yellow or Green (Stay visible, can be used as road flares)*$

3 – Road Flares (optional) (to warn other motorists)*

1 – Flashlight, LED: recommend 400 Hour Glow Flashlight with 4 Functions by Life+Gear*$

1 – Headlamp, LED (bright, to keep your hands free while working)*

1 – Strobe Light: recommend AC Delco Strobe with Flashlight (to warn other motorists)*

Batteries: at least one extra set of whatever types are used by your lights (recommend rechargeable batteries)*$

For Biohazard Protection:

1 – Hand Sanitizer Gel, 2 oz bottle (You will need 5 bottles, one for each module of this kit. Use it generously before you even leave your car!)*$

2 – Nitrile Exam Gloves, Latex Free Medical Grade (pair) (Always “glove up” after sanitizing and before touching a victim!)*$

2 – Face Mask, Procedural or N-95 (A mask will protect both you and the victims.)*$

2 – Disposable Plastic Gowns (better safe than sorry!)

Module A: Protection, Sanitation & Instruments

For Biohazard Protection & Sanitation:

1 – Hand Sanitizer Gel, 2 oz bottle (Again, if you have taken off the gloves for any reason, sanitize generously for at least 1 minute.)*$

2 – Nitrile Exam Gloves, Latex Free Medical Grade (pair) (Glove up!)*$

2 – Face Mask, Procedural or N-95*$

2 – Biohazard Waste Bags, 10 gal capacity, Red (put all gloves, masks, wipes, used bandages, sponges, etc in the bag and seal it before throwing away. Give it to a paramedic for proper disposal, if possible.)

10 – Towels: Emergency EZ Towels (in a tube) (these are compressed “towels” that expand 10x while absorbing fluids)$

Instruments:

1- Kelly Forceps/Hemostat Straight, Sterile (for pulling things out, but don’t remove shrapnel from a wound, as it may be holding back bleeding)

1- Pen Light, Disposable (checking pupils, etc)

thermometer1 – Bandage Scissors (cutting bandages and tape)*$

1 – Splinter-Out Kit w/Sterile Point (obvious)

2 – Forehead Thermometer, LCD, Disposable (to check temperature for fever or hypothermia)*

1 – Tweezers, slanted or pointed (innumerable uses)*$

1 – Waterproof Matches, box of 25 or more (can be used to sanitize instruments)*$

first-aid-md

Module B: Wound Cleaning & Treatment

For Biohazard Protection & Sanitation:

1 – Hand Sanitizer Gel, 2 oz bottle (same as above)*$

4 – Hand Sanitizer Gel (packets) (for patients)

2 – Nitrile Exam Gloves, Latex Free Medical Grade (pair) (same as above)*$

2 – Face Mask, Procedural or N-95 (same as above)*$

For Wound Cleaning:

10 – Alcohol Cleansing Wipes (for small cuts and scrapes)*$

first_aid_supplies 310 – BZK Antiseptic Cleansing Wipes, Sting Free 0.13% (for small cuts and scrapes)

10 – Sterile Saline Wipes (for small cuts and scrapes)

1 – Antiseptic Spray, BKZ w/Lidocaine 2.5% (pump) (works better than a wipe on medium and larger cuts and abrasions)

1 – Antiseptic Spray, Hydrogen Peroxide (H2O2) Pump Spray (for medium and larger cuts and abrasions)

1 – Eye Wash, 4 oz bottle (can also be used to irrigate wounds)*$

1 – Irrigation Syringe (use gently at first)

1 – Emergency Water Pouch (4 oz) (for irrigation)*

For Wound Treatment:

10 – Applicator/Swabs: Cotton-Tipped (for applying treatments)*$

10 – Cotton Balls (for applying treatments)*$

5 – First Aid/Burn Cream Foil Packet (all treatments should be applied very gently or spread on the bandage first)*$

10 – Triple Antibiotic Ointment Packets*$

1 – Petroleum Jelly (Vaseline) or other Lubricant Packets*$

2 – Burn Relief Gel Packets, Water Jel® Brand

1 – Burn Spray (aerosol)

1 – Hydrocortisone Cream 1% Packets (for itching and irritation)*$

1 – Sting & Bite Swabs (not to be used on those allergic to bee and insect stings)

Module C: Medium Wound Care & Medications

For Biohazard Protection & Sanitation:

1 – Hand Sanitizer Gel, 2 oz bottle (same as above)*$

2 – Nitrile Exam Gloves, Latex Free Medical Grade (pair) (same as above)*$

2 – Face Mask, Procedural or N-95 (same as above)*$

Bandages:

10 – Adhesive Bandages (Band Aids): 1″ (can always use more than one!)*$bandages

10 – Adhesive Bandages (Band Aids): Assorted Spots, Snips, etc.*$

10 – Adhesive Bandages (Band Aids): Elbow & Knee: 2”x3” or larger*$

10 – Adhesive Bandages (Band Aids): Knuckle & Fingertip: Assorted (These are so convenient to have instead of trying to make a regular Band-Aid work.)*$

First Aid Supplies 22 – Sterile Gauze Dressing Pads, 2”x2” (All Gauze Pads should be 8- or 12-ply)*$

2 – Sterile Gauze Dressing Pads, 3”x3” *$

1 – Gauze Roller Bandage: 2”x5 yd. (can be sterile or not, it’s used to wrap around a limb to secure a gauze pad bandage)*$

1 – Gauze Roller Bandage: 4”x5 yd. *$

1 – Waterproof Adhesive Tape, 1” *$

1 – Elastic Bandage, “ACE” style, with 2 fasteners, 3”x5 yd. (helps support and immobilize limbs, can also help hold on a cold or heat pack)*$

2 – Cohesive Elastic Bandage, 2”x5 yd. (this is a bandage that sticks to itself but not skin or hair, like the kind that veterinarians use)

1 – Blood Stopper Bandage (small) (these are expensive but so worth it)

Pressure Dressing1 – Compress/Pressure Bandage (small) (this is a very thick bandage with roller gauze attached, used to control heavy bleeding)

3 – Adhesive Butterfly Bandages (used to help close deeper cuts)

2 – Eye Pad, Oval Sterile Gauze or w/Adhesive Strips (always rinse then cover an injured eye)*

2 – Dressing: Burn: saturated Water Jel®, 4”x4” (use for serious burn wounds)

2 – Finger Cots (roll-on rubber fingertip bandages)$

2 – Condoms (can substitute as finger cots and innumerable other uses)*$

2 – Feminine Hygiene Pads (can substitute as compress/pressure bandages)*$

2 – Tampons (for bullet, stab, and other penetrating wounds)*$

1 – Triangular Sling/Bandage w/2 Safety Pins (to immobilize arms and innumerable other uses)*$

Medications:

First Aid Supplies(Medications Note: do not administer any medications yourself. Offer to patient, but they must take it themselves)

1 – Ammonia Inhalants (Smelling Salts) (use only if necessary to move victim or obtain consent for treatment, etc)

5 – Aspirin Tablets, 2 per packet (see medications note above)*$

5 – Acetaminophen (Tylenol) Tablets, 2 per packet (see medications note above)*$

5 – Ibuprofen Tablets (Motrin), 2 per packet (see medications note above)*$

5 – Antacid Tablets, Chewable, 2 per packet (or a roll) (see medications note above)*$

5 – Eye Drops, Single Ampules (see medications note above)*

5 – Throat Lozenges (see medications note above)*$

1 – Epi-Pen (by prescription for those allergic to bee and insect stings) (see medications note above)

Module D: Large Wound Care


For Biohazard Protection & Sanitation:

1 – Hand Sanitizer Gel, 2 oz bottle (same as above)*$

2 – Nitrile Exam Gloves, Latex Free Medical Grade (pair) (same as above)*$

2 – Face Mask, Procedural or N-95 (same as above)*$

Bandages:

2 – Sterile Gauze Dressing Pads, 2”x2” (same as above, try to find 8- or 12-ply gauze) *$

2 – Sterile Gauze Dressing Pads, 3”x3” *$

2 – Sterile Gauze Dressing Pads, 4”x4” *$

2 – Sterile Gauze Dressing Pads, 5”x9”

1 – Gauze Roller Bandage, 2”x5 yd. *$

1 – Gauze Roller Bandage, 4”x5 yd. *$

1 – Waterproof Adhesive Tape, 1” *$

1 – ABD Combine Pad, 8”x10” (this is a very large dressing meant for abrasions covering an entire body part)

quil cllot1 – Blood Stopper Bandage (medium) (same as above)

1 – Blood Stopper Bandage (large) (same as above)

1 – Compress Bandage (medium) (same as above)

1 – Compress Bandage (large) (same as above)

1 – Pressure Bandage (medium) (same as above)

1 – Pressure Bandage (large) (same as above)

3 – Adhesive Butterfly Bandages (same as above) *$

1 – Super Glue Gel, 2 pk of 0.12 oz tubes (can be used to seal edges of a wound) *$

1 – Chest Seal: Foxseal Ballistic (optional) (should not be used by untrained responders)

1 – Tourniquet: latex free blue band (optional) (should not be used by untrained responders)

SAM SplintEquipment:

1 – Splint, metal finger (never attempt to set a bone, just immobilize it) *$

1 – SAM Splint (orange & blue flexible metal roll), 24” (read instructions for proper use)

1 – Suture/Syringe Medic Kit (disposable) by Adventure Medical Kits (should not be used by untrained responders)

1 – Cervical Collar, one size fits all (immobilizes the neck, should not be used by untrained responders)

Module E: Cold/Heat Application & Hydration/Sugar

4 – Cold Compress, Instant Disposable (reduces pain and swelling)*$

2 – Chemical Warmer, Body Size (for hypothermia and frostbite)*

2 – Chemical Warmer, Hand Size (prevent frostbite)*

2 – Chemical Warmer, Toe Size (prevent frostbite)*

2 – Emergency Water Pouches (4 oz)

4 – Bottled Water (half-pint 8 oz) (Also carry as much water in your car as you have room for.)*$

4 – Oral Re-Hydration Salts, packets (dissolve in a water bottle for those who are severely dehydrated)

4 – Emergen-C Packets (dissolve in a water bottle, provides quick energy and good nutrients)*

1 – Glucose Gel Tube (for hypoglycemic low blood sugar and diabetic attacks)

2 – Millennium Food Bars (for hunger pangs! These are specially designed for long shelf-life at erratic temperatures)

ANY IDEAS?

I would love to hear any other ideas or any advice from anyone out there! If you think it’s just too much, I’d like to know what you think is unnecessary. Or if I have said something wrong or misleading, send me a correction, suggestion, or comment!

DISCLAIMER:

The information in this blog article is intended for informational purposes only. The writer is not a medical professional. The information in this blog post is not intended to provide medical advice, instruction, or education. Readers should not construe any information in this blog post as direction as to any particular choice of supplies, equipment, diagnosis or treatment. The writer specifically disclaims and denies any responsibility for any illness, injury, damages or other harm caused directly or indirectly by following or not following anything construed by the reader to be advice provided by the information in this article.

car accident 3

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This entry was posted on November 2, 2013 by in Emergency Preparedness, First Aid, Self Sufficiency and tagged , , , , .

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