Singlehanded TranspacSinglehanded Transpac20082008

Medical IssuesMedical IssuesSponsored by:Sponsored by:

San Francisco BaySan Francisco Bay

Singlehanded Sailing Society Singlehanded Sailing Society Lou Freeman, MDLou Freeman, MD

SHTP 2002SHTP 2002

SHTP 2006SHTP 2006

CREW ISSUESCREW ISSUES

MORE CREW ISSUESMORE CREW ISSUES

NO CREW ISSUESNO CREW ISSUES

BIBLIOGRAPHYBIBLIOGRAPHY

• Antibiotic Summary.pdfAntibiotic Summary.pdf• Dwight Odom MD Thoughts Dwight Odom MD Thoughts

2003.pdf2003.pdf• Kent Benedict MD PCYC 2004.pdfKent Benedict MD PCYC 2004.pdf

MEDICAL KITSMEDICAL KITS

• Minor Medical A and BMinor Medical A and B• Major MedicalMajor Medical• Major TraumaMajor Trauma• Medical EquipmentMedical Equipment

Major MedicalMajor Medical

• IV Solutions and cathetersIV Solutions and catheters• IV MedicationsIV Medications• Cardiac MedicationsCardiac Medications

Major TraumaMajor Trauma

• Suture equipmentSuture equipment• Local anestheticsLocal anesthetics• Large dressingsLarge dressings• Large splintsLarge splints

Medical EquipmentMedical Equipment• BP CuffBP Cuff• Pulse oximeterPulse oximeter• MultistixMultistix• GlucometerGlucometer

Minor Medical AMinor Medical A• ASA, Tylenol, MotrinASA, Tylenol, Motrin• Topical BenadrylTopical Benadryl• Topical steroidsTopical steroids• Topical antibiotics 1 vs 3Topical antibiotics 1 vs 3• Band-Aids, butterfly's, ace, tapeBand-Aids, butterfly's, ace, tape• AntisepticsAntiseptics• Alcohol, hydrogen peroxideAlcohol, hydrogen peroxide• VinegarVinegar• Personal medications - multiple Personal medications - multiple

sitessites

Minor Medical BMinor Medical B(Major for most of you)(Major for most of you)

• AntibioticsAntibiotics• Allergic reactionsAllergic reactions• Ophthalmic kitOphthalmic kit• Splints - various $$Splints - various $$• Burns - silver sulfadiazineBurns - silver sulfadiazine• Motion sicknessMotion sickness• Dental kitDental kit

AntibioticsAntibiotics• BACTRIM = trimethoprim + sulfamethoxazoleBACTRIM = trimethoprim + sulfamethoxazole• Aka SEPTRA 160/800 Use DSAka SEPTRA 160/800 Use DS• Rx 2 then 1 q 12 h UTI chronic bronchitis runsRx 2 then 1 q 12 h UTI chronic bronchitis runs• ZITHROMAX = azithromycinZITHROMAX = azithromycin• VIBRAMYCIN = doxycycline Rx 200 + 100 qdVIBRAMYCIN = doxycycline Rx 200 + 100 qd• CIPRO = ciprofloxacin $$$CIPRO = ciprofloxacin $$$• AMOXICILLINAMOXICILLIN• GET ADVICEGET ADVICE

Allergic ReactionsAllergic Reactions• Benadryl topicalBenadryl topical• Benadryl poBenadryl po• Tagamet = cimetadineTagamet = cimetadine• Claritin = laratadine Claritin = laratadine • Primatene Mist Inhaler = Primatene Mist Inhaler =

epinephrineepinephrine• Medrol DosepakMedrol Dosepak

TagametTagamet

Primatene Mist InhalerPrimatene Mist Inhaler

Wound CareWound Care• Common senseCommon sense• Cleaning - soaks and soapCleaning - soaks and soap• CreamCream• CoverCover• BleedingBleeding• PressurePressure• BetadineBetadine• Superglue and GET ADVICESuperglue and GET ADVICE

Duct Tape for EverythingDuct Tape for Everything

Opthalmic KitOpthalmic Kit• BLEPH-10 = sufacetamide opth uspBLEPH-10 = sufacetamide opth usp• BLEPHAMIDE = sulfacetamide + BLEPHAMIDE = sulfacetamide +

prednisaloneprednisalone• CAVEAT for herpesCAVEAT for herpes• ALCAINE = proparacaine (topical anesthetic) ALCAINE = proparacaine (topical anesthetic) • Flurosceine stripsFlurosceine strips• PATCH MANDATORYPATCH MANDATORY• Corneal abrasions NOT global puncturesCorneal abrasions NOT global punctures• GET ADVICEGET ADVICE

MOB InsuranceMOB Insurance

SAFETY - butt-packSAFETY - butt-pack

• Hand-held VHFHand-held VHF• PLBPLB• FlaresFlares• PFD/harnessPFD/harness

EATING & SLEEPINGEATING & SLEEPING

•Open discussionOpen discussion