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Auerbach - Medicine for the Outdoors

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    Medicine for the Outdoors
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Table of Contents
List of tables
List of figures
  1. Figures in General First-Aid Principles
  2. Figures in An Approach to the Unconscious Victim
  3. Figures in Chest Injury
  4. Figures in Chest Pain
  5. Figures in Bleeding
  6. Figures in Shock
  7. Figures in Head Injury
  8. Figures in Fractures and Dislocations
  9. Figures in Burns
  10. Figures in Abdominal Pain
  11. Figures in Emergency Childbirth
  12. Figures in Head (Also Eye, Ear, Nose, Throat, and Mouth)
  13. Figures in Disorders of the Gastrointestinal Tract
  14. Figures in Skin Disorders
  15. Figures in Minor Bruises and Wounds
  16. Figures in Musculoskeletal Injuries
  17. Figures in Male Genital Problems
  18. Figures in Injuries and Illnesses Due to Cold
  19. Figures in Injuries and Illnesses Due to Heat
  20. Figures in Snakebite
  21. Figures in Insect and Arthropod Bites
  22. Figures in Lightning Strike, Tornado (Cyclone), Hurricane (Typhoon), Flood, Earthquake, Tidal Wave (Tsunami), Landslide (Mudslide), Volcano, and Snow Avalanche
  23. Figures in Hazardous Aquatic Life and Aquatic Infections
  24. Figures in Underwater Diving Accidents
  25. Figures in Animal Attacks
  26. Figures in Wild Plant and Mushroom Poisoning
  27. Figures in Transport of the Injured Victim
  28. Figures in Ground-to-Air Distress Signals
  29. Figures in Procedures
  30. Figures in Appendix Four
  31. Figures in Appendix Six
Landmarks
Appendix One
Commonly Used Drugs (Medications) and Doses

This Appendix lists drugs that are mentioned in the book, and some that are not mentioned but that might be carried and taken by persons you may encounter.

Before administering any medication, ask the recipient if he suffers from allergy to it. If so, don't administer the drug or anything that you feel is similar to it. Use medications only if you have a reasonable understanding of what you are treating. Always have a doctor or pharmacist explain the actions and side effects of any drug you obtain to be carried with you. Exercise extreme caution and don't administer drugs to pregnant women, infants, or small children unless absolutely necessary. Drugs have many side effects. Some of the common ones are noted. Be familiar with the drugs you carry.

Many drugs are used to suppress symptoms (such as abdominal pain, nausea and vomiting, and headache) of potentially serious disorders. In these cases, don't overmedicate the victim if you need to watch for a worsening condition.

Drugs are listed here by purpose. I have listed some products that are available over-the-counter; however, many of the drugs require a prescription. This is not a comprehensive formulary, but rather emphasizes the medications most likely to be used or encountered.

Doses are listed in absolute amount (generally, for adults) or in amount to be given per body weight or per age (generally, for children). For determination of weight, 1 kilogram (kg) equals 2.2 pounds (lb). The drug should be administered orally unless otherwise specified.

Because children usually require a fraction of the dose used for adults, they may need to have the drug in special tablet or liquid form. The average weights for children, according to age, are as follows:

1 year10 kg (22 lb)

3 years15 kg (33 lb)

6 years20 kg (44 lb)

8 years25 kg (55 lb)

Picture 1 years30 kg (66 lb)

11 years35 kg (77 lb)

Corticosteroids (steroids) are interchangeable to a certain degree. If you must substitute, here is a rough measure of equivalence: 20 mg prednisone equals 16 mg methylprednisolone equals 3 mg dexamethasone.

Drugs are listed in the following order:

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Drugs and Pregnancy

In general, it's best to avoid taking any medication when pregnant (particularly during the first trimester, or first third, of pregnancy) to avoid the risk of fetal malformation, or illness or injury in the newly born child. A pregnant woman should be discouraged from taking over-the-counter drugs. However, women can certainly become ill during pregnancy, so it's important to know what can be administered safely and what should be absolutely avoided. Fortunately, many of the drugs that are labeled potentially hazardous have only been proved hazardous in laboratory animals, frequently in relative doses that far exceed their common usage in humans. Furthermore, some drugs, such as diazepam and salicylates, formerly thought to cause malformation of the developing fetus, have since been proved safe when administered in normal therapeutic doses.

The following list reflects recommendations compiled from the current medical literature. Whenever possible, a pregnant woman contemplating use of a medication should seek advice in advance from her physician.

Antibiotic, Antifungal, Antiviral, Antimalarial
No Recognized Hazard

amoxicillinclavulanate

ampicillin/amoxicillin

cephalosporins

clotrimazole

erythromycin

gentamicin topical eye medication

mefloquine (apparently safe)

miconazole

nystatin

paromomycin

penicillin

proguanil

terconazole

Avoid If Possible

acyclovir

chloramphenicol

chloroquine (apparently safe)

ciprofloxacin

fluconazole

gentamicin injection

metronidazole

nitrofurantoin

primaquine

quinacrine

quinine

trimethoprimsulfamethoxazole

Hazardous

fleroxacin

norfloxacin

ofloxacin

tetracycline/doxycycline (causes staining of teeth and altered bone development in fetus)

Pain Medication
No Recognized Hazard

acetaminophen

hydrocodone

meperidine

oxycodone

Avoid If Possible

aspirin (during last 3 months of pregnancy)

codeine

ibuprofen and other NSAIDs (during last 3 months of pregnancy)

Hazardous

indomethacin

Vaccine
No Recognized Hazard

diphtheria toxoid

hepatitis A

hepatitis B (killed)

pooled serum immunoglobulin

tetanus immunoglobulin

tetanus toxoid

Avoid If Possible

cholera

influenza (inactivated virus)

meningococcal vaccine

pneumococcal vaccine

polio (oral and injection)

rabies vaccine (preexposure; must be used for postexposure)

tuberculosis (BCG)

typhoid

typhus

yellow fever

Hazardous

measles

mumps

rubella

smallpox

varicella

Antiallergy
No Recognized Hazard

cimetidine

dimenhydrinate

epinephrine (use only in a critical situation)

famotidine

loratadine

topical corticosteroids, decongestants (e.g., oxymetazoline)

Avoid If Possible

albuterol

chlorpheniramine

epinephrine (avoid in a noncritical situation)

hydroxyzine

prednisone

Hazardous

brompheniramine

cyclizine

dimenhydrinate

diphenhydramine (during first trimester)

Antinausea, AntiMotion-Sickness, Antidiarrheal, Anticonstipation
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