[swatsurgeon]

rest of list is fine....what about meds?
I'm adding my med list card contents that I use...most everything is pill and takes up little room. Also, we're writing an article on kitchen vacuum sealer bags to store small gear like this, takes up less room when sealed and keeps the stuff from going out of date on the date stamped....US gov cipro stockpiles were found to be 'fresh' and active 4 and 6 yrs out of date because of the vacuum sealing.Medication List for Tactical EMS


BITES Primary Alternative Comments
Bat/raccoon/skunk
Augmentin 500mg p.o. TID Doxycycline 100mg p.o. BID; rabies: HRIG 20 IU/kg infultrate around wound, rest IM in gluteals; vaccine 1 mL IM in deltoid days 0, 3, 7, 14, 28
Cat Augmentin 500mg p.o. TID Doxycycline 100mg p.o. BID High incidence of infection
Dog Augmentin 500mg p.o. TID Clindamycin 300mg p.o. QID + Cipro 500mg p.o. BID Low infection rate, consider rabies exposure
Human Augmentin 500mg p.o. TID x 5 days; begin ASAP If signs of infection, IV Unasyn 1.5 gm q6 hr PCN allergy: Clinda 300 mg p.o. QID + Cipro 500 mg p.o.
Rat Augmentin 500mg p.o. TID Doxycycline 100mg p.o. BID No rabies worries
Snake (poisonous) Antivenom in E.D. Need tetnus
Spider: brown recluse E.D. evaluation
Infected Wound Augmentin 500mg p.o. TID Cipro 500 mg po BID
Penetrating Abdominal Wound Unasyn 3 gm IV Cipro 500 mg IV + Flagyl 500 mg IV
Penetrating Wounds; other Augmentin 500mg p.o. or Ancef 1gm IV Doxycycline 100mg p.o. BID
Anthrax Cipro 500 mg p.o. BID


Anaphylaxis: Epi (1:1000) 0.2-0.5 mL SQ or IM (EPIpen?)
Benadryl 50 mg p.o., IV, IM

pain: Bextra 20-40 mg daily po (no anti-platelet effects)
or alleve 500 mg q12hr if no obvious bleeding risk
if opiods are necessary, dilaudid po 1-3 mg every 4-6 hrs...small pills, longer duration of effect