Medical bag for the doctors cars.
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Medical bag for the doctors cars.
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I would like to use this forum to ask the colleagues if they are carry a medical bag in their car. Of course all the cars must have a medical bag for fist aid , but a doct
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Forums » Off duty » News & media » Medical bag for the doctors cars.
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Medical bag for the doctors cars.
posted at 10/8/2012 2:07 AM BST
on bmj.com
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Posts: 578
First: 8/6/2011 Last: 19/5/2013 |
I would like to use this forum to ask the colleagues if they are carry a medical bag in their car. Of course all the cars must have a medical bag for fist aid , but a doctors car should have more . So my question is ' 1) what do you think that a doctor should have always in his car for cases of unexpected medical emergencies when he is out of work ? Note ' I am not referring to the usual doctor's bag . I am referring to the bag that a doctor should have always in his car even when he is out of work example when he is going out for shopping or for clubbing, etc. |
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Re: Medical bag for the doctors cars.
posted at 10/8/2012 7:26 PM BST
on bmj.com
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Posts: 3045
First: 27/3/2012 Last: 20/5/2013 |
The medical bag for the doctor's car should include oxygen, bag-valve-mask resuscitator, and portable suctio, emergency medications, and resuscitation devices plus two (optional) ACLS drugs and a portable cardioverter-defibrillator. When planning a car first aid kit, there is only one item that is absolutely necessary. No matter what you pack for bandaging material, splints, or even if you have a shield for doing mouth to mouth, your first aid kit must have a cellular phone. There is no better tool in the event of an emergency. If you can't access emergency medical services, your car first aid kit is not complete. Anyone with a medical problem should have that medical information easily accessible at all times. There are several ways to organize medical information and make it available to rescuers.For the rest of your first aid kit, you'll need:
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Re: Medical bag for the doctors cars.
posted at 10/8/2012 7:53 PM BST
on bmj.com
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Posts: 1348
First: 25/1/2009 Last: 20/5/2013 |
You can break this down to far simpler measures...
CPR barrier device and gloves are for your protection, so thats your choice Bandages / field dressings could be useful to stop a patient bleeing out, so those I would have Plasters & antiseptic are useful but not essential - as is analgesia (paracetamol etc). The same could be said for cold packs and tape etc.
Then it comes down to what do you need to save a life? CPR can be done without the aid of Bag & mask / defib while you wait for the ambulance. Stopping bleeding needs a dressing of sorts, but even this can be improvised if needs be. Will you consider an epipen for anaphylaxis, but then what about naloxone incase of opiate OD, how about insulin & hypostop? The list then spirals out of contol.
In may car I carry a few field dressings, some plasters (for me), and some gloves & a face shield. Everything else can be improvised or wait for the ambulance to arrive |
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Re: Medical bag for the doctors cars.
posted at 10/8/2012 9:13 PM BST
on bmj.com
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Posts: 2047
First: 12/3/2010 Last: 21/5/2013 |
You have no duty of care to anyone who is sick or needs treatment in a public place. If you do try to treat them them you MUST be competent to treat them - if you are not and you try to treat them, you are negligent. So be very careful indeed about how you equip youreself, and how you put yourself forward! But many doctors will want to help, especially if the casualty is collapsed. Then, first, Acute Basic Life Support, ABC(DE). Airway, Breathing, Circulation (Disabiity, Exposure, but they come very much last). And the latest Resusc.Council advice for the public is to skip 'B' and go straight to CPR if the patient is unconcious. ANY DOCTOR SHOULD BE COMPETENT TO DO THIS, WITH NO EQUIPMENT AT ALL! If you want to be a First Responder, then then a bargain is available, in the many hundreds of First Responder first aid bum-bags that are being used at the Olympic Games! SPS will be offering these at a bargain price. See: http://www.spservices.co.uk/item/LondonKits_KittedEx-LondonGreenBumBagwithBasicFirstAidContents_137_74_4099_0.html Click on the link to see what they contain. Then, what is the situation? Do you plan to go the assistance of an RTA victim? In which case the above applies, plus inline neck stabilisation (difficult to do by yourself!). Or drowning, electrocution, severe laceration or crush trauma, or some other life threatening injury? Again NO EQUIPMENT REQUIRED! IMHO, this is all that is necessary, until the Ambulance crew arrives, fully equipped to deal with nything up to and including endotracheal intubation, or at least the insetion of a iGel airway device. If you want the full kit, again SPS are offering post-Olympic full BLS/Intermediate Back-packs at a bargain price, but still £500! And you will have to maintain the pack, keep the disposable items and drugs in date, by buying them new when they expire, not cheap!. They will also sell you a full Advanced Life Support/Rapid Sequence Induction back pack with a full drug pack that you will have to maintain. BUt again, you MUST be competent, to even offer to treat a cut or graze. A member of the public can do so and only have the responsibility of a Good Samaritan. If you say, I am a doctor, then you are libable for any complication that arises. Kirked will tell us that UK courts are most unlikely to find a Good Samaritan doctor negligent, but people aren't grateful and are litigious. As they used to say on "Hill Street Blues", "Let's be careful out there!" John |
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Re: Medical bag for the doctors cars.
posted at 10/8/2012 11:28 PM BST
on bmj.com
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Posts: 3045
First: 27/3/2012 Last: 20/5/2013 |
In Response to Re: Medical bag for the doctors cars.: You have no duty of care to anyone who is sick or needs treatment in a public place. If you do try to treat them them you MUST be competent to treat them - if you are not and you try to treat them, you are negligent. So be very careful indeed about how you equip youreself, and how you put yourself forward! But many doctors will want to help, especially if the casualty is collapsed. Then, first, Acute Basic Life Support, ABC(DE). Airway, Breathing, Circulation (Disabiity, Exposure, but they come very much last). And the latest Resusc.Council advice for the public is to skip 'B' and go straight to CPR if the patient is unconcious. ANY DOCTOR SHOULD BE COMPETENT TO DO THIS, WITH NO EQUIPMENT AT ALL! If you want to be a First Responder, then then a bargain is available, in the many hundreds of First Responder first aid bum-bags that are being used at the Olympic Games! SPS will be offering these at a bargain price. See: http://www.spservices.co.uk/item/LondonKits_KittedEx-LondonGreenBumBagwithBasicFirstAidContents_137_74_4099_0.html Click on the link to see what they contain. Then, what is the situation? Do you plan to go the assistance of an RTA victim? In which case the above applies, plus inline neck stabilisation (difficult to do by yourself!). Or drowning, electrocution, severe laceration or crush trauma, or some other life threatening injury? Again NO EQUIPMENT REQUIRED! IMHO, this is all that is necessary, until the Ambulance crew arrives, fully equipped to deal with nything up to and including endotracheal intubation, or at least the insetion of a iGel airway device. If you want the full kit, again SPS are offering post-Olympic full BLS/Intermediate Back-packs at a bargain price, but still £500! And you will have to maintain the pack, keep the disposable items and drugs in date, by buying them new when they expire, not cheap!. They will also sell you a full Advanced Life Support/Rapid Sequence Induction back pack with a full drug pack that you will have to maintain. BUt again, you MUST be competent, to even offer to treat a cut or graze. A member of the public can do so and only have the responsibility of a Good Samaritan. If you say, I am a doctor, then you are libable for any complication that arises. Kirked will tell us that UK courts are most unlikely to find a Good Samaritan doctor negligent, but people aren't grateful and are litigious. As they used to say on "Hill Street Blues", "Let's be careful out there!" John Posted by John D Many thanks for important medicolegal aspects! Could I request you to post some of the interesting experiences at the london olympics voluntary services? |
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Re: Medical bag for the doctors cars.
posted at 11/8/2012 6:55 AM BST
on bmj.com
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Posts: 959
First: 15/7/2011 Last: 21/5/2013 |
I agree wholeheartedly with John Ds summary. Theres no point carrying chest drains and bags full of hitech equipment unless are are fully trained and experienced in using them - also that you are prepared to get involved and initiate a duty of care for the patients. |
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Re: Medical bag for the doctors cars.
posted at 11/8/2012 3:52 PM BST
on bmj.com
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Posts: 154
First: 29/11/2010 Last: 19/5/2013 |
I was arranging the things in mind for sometime now.And thinking about how much it'll cost me to prepare one. Thanks to the discussion starter.This will surely help me arrange something while keeping certain things in mind. I'll be keenly following this discussion.Thanks again. BTW does anybody have mentioned a tourniquet? . Or may be i've missed it.
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