As I started planning out my rig and figuring out what I wanted to buy for the trail, I decided the first thing to do was to outline what I wanted to be able to accomplish with my equipment. My number one priority is to be able to bring back everyone I set out with, which necessitates a first aid kit.
First, a couple of considerations:
1.) Accidents off road can be difficult for EMS to get to in a super timely manner. Commo may be unavailable if CB radio is smashed, and cell service is unavailable.
2.) Vehicular wrecks will most likely involve blunt trauma injuries, spinal injuries, head injuries, severe (arterial) bleeding or small extremity amputations, burns, and possibly chest wounds.
3.) Vehicular wrecks can also mean occupants are pinned/trapped within the vehicle.
4.) Out in the sticks, moderate medical conditions can become deadly medical conditions (e.g., dehydration, moderate to severe allergies, heat/cold injuries) especially if your vehicle(s) is/are immobilized.
With these considerations in mind, I'd be interested to hear what everyone has in the way of a first aid/emergency kit to bring people back home. Is there anything else I should take into consideration?
My current kit looks a little like this:
-SKEDCO litter, spine splint, & adjustable cervical collar
-Formable aluminum SAM splints
-Valved chest seals
-QuickClot hemostatic sponges
-6" and 4" Israeli/compression bandages
-Nasal airways with lube
-Eye wash kit
-Mylar "space" blankets
-Pocket resuscitators/rescue breathing masks
-Assorted gauze wrap, medical tape, band-aids, antibiotic ointment, iodine wipes, alcohol wipes, butterfly skin closures, and gauze pads
-Instant cold packs (ammonia/urea binaries)
-Trauma shears and non-latex exam gloves
*still exploring options for dehydration, allergies, and emergency signaling. I'm not comfortable with IVs and I'm not even sure that they are legal to purchase without clearance. Chem lights, marker panels, ground flares, Visible/IR strobe, and orange smoke (hesitant on anything pyrotechnic) are up for consideration in terms of day/night marking for rescuers.
All that stuff is great and I'm not knocking any of it. I spent over 20 years in the military with 15 being on tanks and mech infantry. In all those years, the majority of injuries I witnessed were mostly heat injuries and injuries that occurred when doing maintenance and vehicle recovery. Smashed fingers, cut hands, and the like. You can spend a lot of money on first aid items that will never get used or go bad before you need them. You have to rotate fresh stock regularly. My best advice is think about what kind of activities in off roading have the biggest chance of injury. I'd wager that theaverage off roader is more likely to be injured changing tires, conducting trail repairs, or working under a jacked up jeep. Those are the kind of injuries that I would build my first aid kit around. Bandages, burn cream, disinfectant, splints, etc. IVs are nice to have if you learn how to use one. I've seen a lot of heat injuries just riding around in Hummers and tracked vehicles in the hot southern states.
Another common injury to consider in the field is snake bites and allergic reactions to insect stings. Lastly, a few old style razor blades in a vial of alcohol are handy. I keep this in my tacklebox and have had to cut a few fishing hooks out of fingers over the years when they got buried too deep to get out with traditional methods. Always good to have a sharp sterile blade on hand.
Like I said, if you have the $$ to purchase and maintain a list like yours then that is awesome. If not, stick to the most likely stuff.
I agree with DMB - get a basic FAK and take a wilderness first aid course. Best preparation, IMHO.
My FAKs all have wound care (band aids, gauze, quick clot, antibiotic ointment, etc.), main and discomfort management (aspirin, non-aspirin, anti-D, antihistamines, tums), and some stuff like an emergency blanket, vet wrap, etc. In all my 20 years of 'wheeling, I've only needed to break out the FAK 1 time, and it wasn't major. Dehydration and poison ivy are the only issues that ever really presented themselves.