MEDICAL SUPPLIES
Don’t worry about medical care if there is no power. Hospitals have emergency generators and they come on line when power goes out - unless they don’t. That is exactly what happened in my area when Ike brought down power. This is a large regional hospital and the generator did not come on even though it had fuel. A smaller generator kept lights on in the emergency area and that was it. Critical patients had to be sent by ambulance to San Antonio, more than a five hour trip. Operations could not be performed. All patients in the hospital were in the dark in hot rooms.
Where were repairmen to immediately fix the generator? At home with their families hoping their roof wouldn’t blow off or a tree fall into their house (some roofs did come off and trees did fall into some houses). Portable hand held house phones and cell phones did not work so unless the caller in the area and person called had a non-portable phone land line, no communication was going to happen (Communication is next).
What does this mean to us? It means always have your prescription medicines and over the counter medicines and supplies to treat wounds. It also means do not take chances if power is out, for if you are badly hurt, unless you have a non-portable land line phone, you can’t call 911 (if they could get there) and if you have no gasoline, you aren’t going to an emergency room, whether they have power or not.
True story: I was prepared for Ike, knew I would lose power and had everything in place, except my body decided to tell me it was sick the morning of day it was coming in that night. I also had a fever and needed to start an antibiotic right then - couldn’t believe this bad luck. I immediately put in a call to my doctor but I doubted he would call back as every person in the area was beginning to hunker down and stores were beginning to close. I could see myself going to the emergency room and waiting for hours to get that medication with everyone there likely in a panic due to the approaching hurricane.
Then, about 4:30 pm, the doctor called, then he immediately called our pharmacy very near us. I waited about five minutes, then called the pharmacy. The pharmacist said he was beginning to lock up and leave when he got the doctor’s call and he would stay until we got there, then he had to go home to prepare for the storm. Thankfully, my doctor cared enough to call me and the pharmacist cared enough to stay there, and I got the vital medicine at the last minute before everything shut down.
After the hurricane passed, power was out and stores couldn’t open - it was a ghost town with police cars occasionally driving around shopping centers checking for vandalism. If you needed over the counter medicine or wound/accident supplies from a drug store then, you weren’t getting them as drug stores couldn’t open and employees were long gone.
You can’t predict an illness that requires an antibiotic, but you can always have over the counter medicines you use, plus others you might need and medical supplies for injuries, if the elusive power, over which you have no control, goes off, and plunges your town into a ghost town.
Over the Counter Medicines:
What over the counter medicines should one store? Let’s use parts of the body to help you decide as no one knows your body and your family’s bodies like you do:
Head: Each member of your family has a mouth, eyes, nose, ears, scalp, hair, and skin. What has happened in the past to these parts and what over the counter medicines did you use to cure, or help cure, the ailments? Whatever those were, get some. For toothaches, Orajel can help deaden pain. You’ll likely have to find a dentist, but the Orajel can give you some time with less pain or no pain before you have to get there. There are over the counter ear drops to help stop earaches. Eye drops are good to wash out debris that might get in an eye.
A caution: Eye drop tubes look very much like super glue tubes, Orajel tubes, and others. I had a patient who was driving her car, pulled over, picked up her eye drop tube to put drops in her eye, but got the super glue tube instead, and was in major pain in seconds. Fortunately, she didn’t lose her eye, but let that be a lesson to always check the tube before putting drops in your eye even if you’re sure you have the right tube - look one more time.
Likely, you have used decongestants and antihistamines for stuffed up nose/sinuses. Be sure you keep some in your medical stash. Benadryl could be a choice for an allergic reaction to a substance.
Neck: Might you need a soft neck brace for neck pain - the drug store has them. What about your throat? Ah, yes, sore throat. If you don’t have a favorite remedy for a sore throat, ask the pharmacist for a suggestion. You’ve also probably had a doctor suggest gargling with warm salt water and you will have that if you have stored water and salt and have a way to heat/cook.
Chest: Congestion due to a cold or flu. There are over the counter expectorants and cough suppressants and you likely have your favorites; if not, ask the pharmacist to suggest some. However, if you suspect flu, try to get to your doctor fast to get an antiviral shot and prescription. Flu can lead to pneumonia fairly quickly. Talk to your doctor about getting a flu shot every year unless you are allergic to the vaccine. If you are prone to pneumonia, talk to the doctor about a pneumonia shot which is different than a flu shot and lasts several years.
Stomach/intestines/kidneys/bladder: Whatever you take now for indigestion, upset stomach, diarrhea, constipation, store some. If you have never used any, ask the pharmacist to suggest one for each problem. Severe diarrhea can cause dehydration and loss of electrolytes. Pedialite and Gatorade are two liquids that will help replace electrolytes. Easier for storage is Pedialite and Gatorade powder packages. In case a kidney or bladder infection happens, consider having a box of over the counter, “AZO Standard”. The AZO will eliminate some of the symptoms so one feels better but go to a doctor if at all possible as an antibiotic may be needed.
Legs/feet: Do you have a weak knee that might need an elastic knee support? Even if you don’t use foot powder or have athlete’s foot now, have foot powder (Gold Bond is popular) and an athlete’s foot medicine.
For all the body: Pain killers, for children and adults, the kind you likely already use, just make sure you have them.
CPR:
If you don’t know CPR, you can find good instructions at
http://firstaid.about.com/od/cpr/ht/06_cpr.htmput Be sure to also read instructions for infants and children.
Accidents during an emergency:
My number one caution: Do not climb on anything if there is ANY possibility you could fall. Breaking a femur (thigh bone), can rupture the femoral artery and you will bleed to death fairly quickly. That artery is deep in the leg and it’s almost certain no one around you will able to stop the amount of bleeding that will happen - just pressure on the leg won’t stop it.
No member of the family should climb when medical help is not available. Men won’t take kindly to this, but they are the most likely to climb, fall, and kill themselves. Young boys would likely be next.
Besides arms and legs that could break from a fall, a head injury from a fall could be fatal.
Suggestions about possible head injuries (assuming the patient is breathing): call 911 if possible and don’t move the patient as the neck could be involved. Assuming you don’t have a neck brace, keep the patient still, one person get behind the patient and hold the head to keep the neck from moving. If there is blood from a place on the head, do not push in on that spot. If the skull is broken, and you push in, those pieces could go inside the brain causing more damage. If you see blood, assume the skull is fractured there.
A suggestion if the only way to get medical help is to transport the patient with the possible head injury, and you have no neck brace, one person should hold the head so the neck doesn’t move and, with others on either side of the patient, put the patient on a board of some kind to stabilize the body, strap the body down if possible with someone still holding the head still, then transport to a hospital with the head still being held immobile by the assisting person. More injuries could happen if you move the patient so try your best to get medical help to come to the patient.
Injuries from falling and head injuries from falling or other causes, are, to me, among the worst accidents that could happen in an emergency situation. Avoiding those injuries is the best cure for them - don’t let them happen - don’t take chances.
If you take an EMT (Emergency Medical Technician) course, you would be able to help your family and others should the need arise. There is also an ECA (Emergency Care Attendant) course that is less demanding but would still be of immense value to your family and others.
If a substancial wound happens, go to an emergency room if at all possible. Suggestions for treating a wound (generally):
1. If you’re outside and someone with you suffers a wound, apply pressure to stop or minimize bleeding and go inside to treat the wound. Once bleeding has been controlled:
2. Wash hands thoroughly before cleaning patient’s wound (or wash, then use hand sanitizer). Use sterile gloves if available.
3. Clean wound with sterile gauze pad and soap (liquid antibacterial if you have it) and clean water. Rinse with clean water.
4. Apply antibiotic cream/ointment.
5. Apply bandage.
6. The next day, remove bandage and leave off if bleeding has stopped. Wash with soap (antibacterial if you have it) and water every day and apply antibiotic cream. A bandage is not there to conceal a wound; it’s there to absorb blood, help stop bleeding, and keep the dressing (antibacterial cream/ointment, sterile dressing, etc.) on the wound. Once the wound is over the bleeding stage, leave the bandage off; there is more chance of infection if the bandage is left on plus the wound needs air to dry.
If you can’t get to a doctor/emergency room immediately and the wound is a sufficient cut separating the skin, do the above to stop bleeding and do the cleaning and apply the cream/ointment, then pull the skin together and apply either Butterfly Strips or Steri-Strips to hold the skin together. Use enough of either strips to hold the skin together well. Steri-Strips must be kept dry or an infection could start. Butterfly Strips are more likely to come off, but the chance of infection may be less, and new strips may be applied. Read the instructions before you use either kind, and follow them to the letter. If it’s a severe cut that obviously needs numerous stitches, do your best to get to an emergency station.
For all wounds: Watch for infection in any wound and if you suspect one, do your best to get to a doctor/emergency medical station.
Medical supplies that are reasonable to have:
1. Tubes of antibiotic cream/ointment to help prevent infection in a wound.
2. Burn gel or burn pads.
3. Instant cold packs.
4. Boxes of sterile gauze pads to use for cleaning wounds.
5. Antibacterial liquid soap.
6. Bandages of different sizes from Band-Aid small ones (I like Walt Disney “Princess” and “Sponge Bob Square Pants”. Oh, those are for kids?), graduating to larger ones up to the largest size available, and a box of individually wrapped Kotex Maxi-pads for large wounds.
7. Rolls of good adhesive tape.
8. Butterfly Strips and/or Steri-Strips (Butterfly ones are easier to find).
9. Number of bottles of hand sanitizer.
10. N95 masks, a box. If used correctly, these masks, gloves, and hand sanitizer could prevent flu from going through the family.
11. Medical gloves, a box, fits all sizes.
12. Ace bandages for sprains or to hold a makeshift splint on an arm/leg or to wrap a wound tightly to stop bleeding. Make sure you have a pulse on both sides of the wound whether it’s a broken limb or cut, before you wrap and check again after you wrap. If you can’t find both after wrapping, release the wrap and re-try.
13. Wine and other alcohol drinks for adult pain killers - I’m sure you won’t go overboard with this one, right? I can trust you, right?
Writing this section was difficult to do without going into more detail and end up writing a book. My suggestions are only that and result from my EMT training and I'm not a medical doctor and if you have questions about treating wounds or over the counter medicines or medical problems, talk with your pharmacist or doctor. As for adding more to your supplies, take a walk around your drug store and see what’s available. The more you have, the better off you are if you know how to use the products; always read and follow directions.
Communication is next.