Letter Re: Getting Your Group to Buy In: The $20 Medical Kit, By EMT J.N.

Dear Mr. Rawles,
I was very interested in the blog on the $20 medical kit. I was thinking of the situation where in the event of a major storm, hurricane, blizzard, fuel crisis, nuclear attack or where transportation and communications are severely disrupted over a wide area for an extended period, it may not be possible to get to the doctor or pharmacy or if one could get there, it may not be open due to a lack of electric power or severe damage to the facility.

Instead of discussing a group buy, a more practical approach may be the development of several master lists of the items needed or names of the drugs, the approximate cost of these items, a place to buy them and the primary use of the drugs. Some obvious things needed were not included such as hydrogen peroxide to clean wounds, Pepto Bismol for indigestion, [syrup of] ipecac to induce vomiting, colloidal silver for internal and external use, a thermometer to take temperature, blood thinner for circulation problems, and curved needles and nylon thread for suturing wounds. Information to help identify and overcome dehydration issues would also be helpful. The $20 price cap may be too low. Is there a source where the general public can buy Novocain to deaden teeth for dental work, dental pliers to pull teeth, and some type of pain deadener to inject into an injury to kill the pain while the suturing is being done? Most people could not think of all of the things that may be needed and would not know where to get them if they did have the list. What is the answer to the problem of an inability to refill prescriptions because the pharmacy is no longer open? Are there substitute drugs available? Some people with heart problems, diabetes, kidney problems, and other major health problems may be at serious risk if their drugs are no longer available. Is buying drugs in advance from Canada or Mexico a realistic option considering that mail and parcel services may no longer be available after the disaster? I am talking about people with the resources to purchase these items and it would be a disservice to not include them in an effort to stay below a specific dollar limit. Does anyone know of any hospital supply companies that sell to the general public in small quantities? Some of these items are readily available without a prescription if the person can know that the item would be needed in an emergency and think to buy it before it is needed.

It may also be desirable to develop different lists to reflect different situations. The man hunting in the woods or cutting wood with a chainsaw has a totally different risk and needs situation as compared to the elderly lady who may never go into the woods or the pregnant woman who is expected to deliver within the next six months or the person on antidepressant medications.

Would some medical types, EMT, nurse, retired medical doctor, or other types familiar with these issues be willing to develop a comprehensive list to cover one or more of these situations or to provide links to other sites that may include such information to be posted here for the benefit of your readers? It would be greatly appreciated and could greatly assist people surviving in a future emergency.

It appears that most of the medical articles and books are too general and tell you to provide fluids, clean the wound, and see the doctor etc without specific instructions on what to do if the doctor and pharmacy are not available. Any information on low cost books on these subjects that provide the necessary details would be greatly appreciated. People hate to buy the book and later find that the specific drugs needed are not listed or are not available. – S.F.