First Aid Kit
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A first aid kit or medical kit is a collection of supplies and equipment used to give immediate medical treatment, primarily to treat injuries and other mild or moderate medical conditions. There is a wide variation in the contents of first aid kits based on the knowledge and experience of those putting it together, the differing first aid requirements of the area where it may be used, and variations in legislation or regulation in a given area. The international standard for first aid kits is that they should be identified with the
ISO ISO is the most common abbreviation for the International Organization for Standardization. ISO or Iso may also refer to: Business and finance * Iso (supermarket), a chain of Danish supermarkets incorporated into the SuperBest chain in 2007 * Iso ...
graphical symbol for first aid (from
ISO 7010 ISO 7010 is an International Organization for Standardization technical standard for graphical hazard symbols on hazard and safety signs, including those indicating emergency exits. It uses colours and principles set out in ISO 3864 for these ...
), which is an equal white cross on a green background. Standard kits often come in durable plastic boxes, fabric pouches or in wall mounted cabinets. The type of container will vary depending on the purpose, and they range in size from wallet-sized through to a large box. It is recommended that all kits are kept in a clean dust- and damp-proof container to keep the contents safe and
aseptic Asepsis is the state of being free from disease-causing micro-organisms (such as pathogenic bacteria, viruses, pathogenic fungi, and parasites). There are two categories of asepsis: medical and surgical. The modern day notion of asepsis is deri ...
. Kits should be checked regularly and restocked if any items are damaged or are out of date.


Appearance

The
International Organization for Standardization The International Organization for Standardization (ISO ) is an international standard development organization composed of representatives from the national standards organizations of member countries. Membership requirements are given in Ar ...
(ISO) sets a standard for first aid kits of being green, with a white cross, in order to make them easily recognizable to anyone requiring first aid. File:ISO 7010 E003 - First aid sign.svg, ISO First Aid Symbol File:First aid.png, Alternate version of the first aid symbol File:Flag of the Red Cross.svg, Symbol of the
Red Cross The International Red Cross and Red Crescent Movement is a Humanitarianism, humanitarian movement with approximately 97 million Volunteering, volunteers, members and staff worldwide. It was founded to protect human life and health, to ensure re ...
File:Star of life2.svg,
Star of Life The Star of Life is a symbol used to identify emergency medical services. It features a blue six-pointed star outlined by a white border. The middle contains a Rod of Asclepius – an ancient symbol of medicine. The Star of Life can be found on a ...
The ISO only endorses the use of the green background and white cross, and this has been adopted as a standard across many countries and regions, including the entire EU. First aid kits are sometimes marked (by an individual or organization) with a red cross on white background, but use of this symbol by anyone but the
International Committee of the Red Cross The International Committee of the Red Cross (ICRC; french: Comité international de la Croix-Rouge) is a humanitarian organization which is based in Geneva, Switzerland, and it is also a three-time Nobel Prize Laureate. State parties (signato ...
(ICRC) or associated agency is illegal under the terms of the
First Geneva Convention The First Geneva Convention for the Amelioration of the Condition of the Wounded in Armies in the Field, held on 22 August 1864, is the first of four treaties of the Geneva Conventions. It defines "the basis on which rest the rules of internatio ...
, which designates the red cross as a protected symbol in all countries signatory to it. One of the few exceptions is in North America, where despite the passing of the First Geneva convention in 1864, and its ratification in the United States in 1881,
Johnson & Johnson Johnson & Johnson (J&J) is an American multinational corporation founded in 1886 that develops medical devices, pharmaceuticals, and consumer packaged goods. Its common stock is a component of the Dow Jones Industrial Average and the company i ...
has used the red cross as a mark on its products since 1887 and registered the symbol as a U.S.
trademark A trademark (also written trade mark or trade-mark) is a type of intellectual property consisting of a recognizable sign, design, or expression that identifies products or services from a particular source and distinguishes them from others ...
for medicinal and surgical plasters in 1905. Some first aid kits may also feature the
Star of Life The Star of Life is a symbol used to identify emergency medical services. It features a blue six-pointed star outlined by a white border. The middle contains a Rod of Asclepius – an ancient symbol of medicine. The Star of Life can be found on a ...
, normally associated with
emergency medical services Emergency medical services (EMS), also known as ambulance services or paramedic services, are emergency services that provide urgent pre-hospital treatment and stabilisation for serious illness and injuries and transport to definitive care. ...
, but which are also used to indicate that the service using it can offer an appropriate point of care. Though not supported by the ISO, a white cross on red background is also widely recognized as a first aid symbol. However, for very small medical institutions and domestic purposes, the white cross on a plain green background is preferred.


Contents of first aid kits

Commercially available first aid kits available via normal retail routes have traditionally been intended for treatment of minor injuries only. Typical contents include adhesive bandages, regular strength pain medication, gauze and low grade disinfectant. Specialized first aid kits are available for various regions, vehicles or activities, which may focus on specific risks or concerns related to the activity. For example, first aid kits sold through marine supply stores for use in watercraft may contain seasickness remedies.


Airway, Breathing and Circulation

First aid treats the ABCs as the foundation of good treatment. For this reason, most modern commercial first aid kits (although not necessarily those assembled at home) will contain a suitable infection barrier for performing artificial respiration as part of
cardiopulmonary resuscitation Cardiopulmonary resuscitation (CPR) is an emergency procedure consisting of chest compressions often combined with artificial ventilation in an effort to manually preserve intact brain function until further measures are taken to restore spont ...
, examples include: * Pocket mask * Face shield Advanced first aid kits may also contain items such as: *
Oropharyngeal airway An oropharyngeal airway (also known as an oral airway, OPA or Guedel pattern airway) is a medical device called an ''airway adjunct'' used in airway management to maintain or open a patient's airway. It does this by preventing the tongue from cov ...
*
Nasopharyngeal airway In medicine, a nasopharyngeal airway, also known as an NPA, nasal trumpet (because of its flared end), or nose hose, is a type of ''airway adjunct'', a tube that is designed to be inserted through the nasal passage down into the posterior pharynx ...
*
Bag valve mask A bag valve mask (BVM), sometimes known by the proprietary name Ambu bag or generically as a manual resuscitator or "self-inflating bag", is a hand-held device commonly used to provide positive pressure ventilation to patients who are not breathi ...
* Manual aspirator or suction unit *
Sphygmomanometer A sphygmomanometer ( ), a blood pressure monitor, or blood pressure gauge, is a device used to measure blood pressure, composed of an inflatable cuff to collapse and then release the artery under the cuff in a controlled manner, and a mercury (e ...
(
blood pressure Blood pressure (BP) is the pressure of circulating blood against the walls of blood vessels. Most of this pressure results from the heart pumping blood through the circulatory system. When used without qualification, the term "blood pressure" r ...
cuff) * Stethoscope Some first aid kits, specifically those used by event first aiders and emergency services, include bottled oxygen for resuscitation and therapy.


Common Items

Common kits may contain: * Thermometer * Adhesive dressings * Antiseptic solution * Bandages * Cotton balls or swabs * Emergency blanket * Gauze * Gloves * Hand sanitizer * Ice pack * Saline * Tweezers


Trauma injuries

Trauma injuries, such as bleeding, bone fractures or burns, are usually the main focus of most first aid kits, with items such as bandages and dressings being found in the vast majority of all kits. *
Adhesive bandage An adhesive bandage, also called a sticking plaster, medical plaster, or simply plaster in British English, is a small medical dressing used for injuries not serious enough to require a full-size bandage. They are also known by the genericized t ...
s (band-aids, sticking plasters) - can include ones shaped for particular body parts, such as knuckles **
Moleskin Moleskin is a heavy cotton fabric, woven and then shorn to create a short, soft pile on one side. The feel and appearance of its nap is suede-like, less plush than velour and more like felt or chamois. The word is also used for clothing made fr ...
– for blister treatment and prevention * Dressings ( sterile, applied directly to the
wound A wound is a rapid onset of injury that involves laceration, lacerated or puncture wound, punctured skin (an ''open'' wound), or a bruise, contusion (a ''closed'' wound) from blunt force physical trauma, trauma or compression. In pathology, a '' ...
) **Sterile eye pads **Sterile
gauze Gauze is a thin, translucent fabric with a loose open weave. In technical terms "gauze" is a weave structure in which the weft yarns are arranged in pairs and are crossed before and after each warp yarn keeping the weft firmly in place. ...
pads **Sterile non-adherent pads, containing a non-stick
teflon Polytetrafluoroethylene (PTFE) is a synthetic fluoropolymer of tetrafluoroethylene that has numerous applications. It is one of the best-known and widely applied PFAS. The commonly known brand name of PTFE-based composition is Teflon by Chemou ...
layer **
Petrolatum Petroleum jelly, petrolatum, white petrolatum, soft paraffin, or multi-hydrocarbon, CAS number 8009-03-8, is a semi-solid mixture of hydrocarbons (with carbon numbers mainly higher than 25), originally promoted as a topical ointment for its he ...
gauze pads, used as an occlusive (air-tight) dressing for sucking chest wounds, as well as a non-stick dressing *
Bandages A bandage is a piece of material used either to support a medical device such as a dressing or splint, or on its own to provide support to or to restrict the movement of a part of the body. When used with a dressing, the dressing is applie ...
(for securing dressings, not necessarily sterile) **Gauze roller bandages – absorbent, breathable, and often elastic **Elastic bandages – used for sprains, and pressure bandages **Adhesive, elastic roller bandages (commonly called 'Vet wrap') – very effective pressure bandages and durable, waterproof bandaging **Triangular bandages – used as slings, tourniquets, to tie splints, and many other uses * Butterfly closure strips – used like stitches to close wounds, usually only included for higher level response as can seal in infection in uncleaned wounds. * Saline – used for cleaning wounds or washing out foreign bodies from eyes *
Soap Soap is a salt of a fatty acid used in a variety of cleansing and lubricating products. In a domestic setting, soaps are surfactants usually used for washing, bathing, and other types of housekeeping. In industrial settings, soaps are use ...
– used with water to clean superficial wounds once bleeding is stopped *
Antiseptic An antiseptic (from Greek ἀντί ''anti'', "against" and σηπτικός ''sēptikos'', "putrefactive") is an antimicrobial substance or compound that is applied to living tissue/skin to reduce the possibility of infection, sepsis, or putre ...
wipes or sprays for reducing the risk of infection in abrasions or around wounds. Dirty wounds must be cleaned for antiseptics to be effective. *Burn dressing, which is usually a sterile pad soaked in a cooling gel * Adhesive tape,
hypoallergenic Hypoallergenic, meaning "below average" or "slightly" allergenic, is a term meaning that something (usually cosmetics, pets, textiles, food, etc.) causes fewer allergic reactions. The term was first used in 1953 in an advertising campaign for cosm ...
*
Hemostatic An antihemorrhagic (antihæmorrhagic) agent is a substance that promotes hemostasis (stops bleeding). It may also be known as a hemostatic (also spelled haemostatic) agent. Antihemorrhagic agents used in medicine have various mechanisms of action: ...
agents may be included in first aid kits, especially military or tactical kits, to promote clotting for severe bleeding.


Personal protective equipment

The use of
personal protective equipment Personal protective equipment (PPE) is protective clothing, helmets, goggles, or other garments or equipment designed to protect the wearer's body from injury or infection. The hazards addressed by protective equipment include physical, elec ...
or PPE will vary by the kit, depending on its use and anticipated risk of infection. The adjuncts to artificial respiration are covered above, but other common
infection control Infection prevention and control is the discipline concerned with preventing healthcare-associated infections; a practical rather than academic sub-discipline of epidemiology. In Northern Europe, infection prevention and control is expanded fro ...
PPE includes: * Gloves which are single-use and disposable to prevent cross infection *
Goggles Goggles, or safety glasses, are forms of protective eyewear that usually enclose or protect the area surrounding the eye in order to prevent particulates, water or chemicals from striking the eyes. They are used in chemistry laboratories and ...
or other eye protection *
Surgical mask A surgical mask, also known by other names such as a medical face mask or procedure mask, is a personal protective equipment used by healthcare professionals that serves as a mechanical barrier that interferes with direct airflow in and out of re ...
or
N95 mask An N95 filtering facepiece respirator, commonly abbreviated N95 respirator, is a particulate-filtering facepiece respirator that meets the U.S. National Institute for Occupational Safety and Health (NIOSH) N95 classification of air filtratio ...
to reduce the possibility of airborne infection transmission (sometimes placed on patient instead of caregivers. For this purpose the mask should not have an exhale valve) *
Apron An apron is a garment that is worn over other clothing to cover the front of the body. The word comes from old French ''napron'' meaning a small piece of cloth, however over time "a napron" became "an apron", through a linguistics process cal ...


Instruments and equipment

*
Trauma shears Trauma shears, also known as Tuff Cuts (a brand name), are a type of scissors used by paramedics and other emergency medical personnel to quickly and safely cut clothing from injured people. They usually consist of a plastic handle with a metal bl ...
for cutting clothing and general use *
Scissors Scissors are hand-operated shearing tools. A pair of scissors consists of a pair of metal blades pivoted so that the sharpened edges slide against each other when the handles (bows) opposite to the pivot are closed. Scissors are used for cutti ...
are less useful but often included (usually to cut medical equipment off or smaller) *
Tweezers Tweezers are small hand tools used for grasping objects too small to be easily handled with the human fingers. Tweezers are thumb-driven forceps most likely derived from tongs used to grab or hold hot objects since the dawn of recorded history. ...
, for removing splinters, amongst others. *
Lighter A lighter is a portable device which creates a flame, and can be used to ignite a variety of items, such as cigarettes, gas lighter, fireworks, candles or campfires. It consists of a metal or plastic container filled with a flammable liquid or c ...
for sanitizing tweezers or pliers etc. * Alcohol pads for sanitizing equipment, or unbroken skin. This is sometimes used to debride wounds, however some training authorities advise against this as it may kill cells which bacteria can then feed on *Irrigation
syringe A syringe is a simple reciprocating pump consisting of a plunger (though in modern syringes, it is actually a piston) that fits tightly within a cylindrical tube called a barrel. The plunger can be linearly pulled and pushed along the inside ...
– with catheter tip for cleaning wounds with sterile water, saline solution, or a weak iodine solution. The stream of liquid flushes out particles of dirt and debris. *Torch (also known as a
flashlight A flashlight ( US, Canada) or torch ( UK, Australia) is a portable hand-held electric lamp. Formerly, the light source typically was a miniature incandescent light bulb, but these have been displaced by light-emitting diodes (LEDs) since the ...
) *Instant-acting chemical cold packs * Alcohol rub (hand sanitizer) or
antiseptic An antiseptic (from Greek ἀντί ''anti'', "against" and σηπτικός ''sēptikos'', "putrefactive") is an antimicrobial substance or compound that is applied to living tissue/skin to reduce the possibility of infection, sepsis, or putre ...
hand wipes *
Thermometer A thermometer is a device that temperature measurement, measures temperature or a temperature gradient (the degree of hotness or coldness of an object). A thermometer has two important elements: (1) a temperature sensor (e.g. the bulb of a merc ...
*
Space blanket A space blanket (also known as a Mylar blanket, emergency blanket, first aid blanket, safety blanket, thermal blanket, weather blanket, heat sheet, foil blanket, or shock blanket) is an especially low-weight, low-bulk blanket made of heat-refle ...
(lightweight plastic foil blanket, also known as "
emergency blanket A space blanket (also known as a Mylar blanket, emergency blanket, first aid blanket, safety blanket, thermal blanket, weather blanket, heat sheet, foil blanket, or shock blanket) is an especially low-weight, low-bulk blanket made of heat-refle ...
") *
Penlight A flashlight ( US, Canada) or torch ( UK, Australia) is a portable hand-held electric lamp. Formerly, the light source typically was a miniature incandescent light bulb, but these have been displaced by light-emitting diodes (LEDs) since the ...
*
Cotton swab Cotton is a soft, fluffy staple fiber that grows in a boll, or protective case, around the seeds of the cotton plants of the genus ''Gossypium'' in the mallow family Malvaceae. The fiber is almost pure cellulose, and can contain minor perc ...
*Cotton wool, for applying antiseptic lotions. *
Safety pins The safety pin is a variation of the regular pin which includes a simple spring mechanism and a clasp. The clasp forms a closed loop to properly fasten the pin to whatever it is applied to and covers the end of the pin to protect the user from th ...
, for pinning bandages.


Medication

Medication can be a controversial addition to a first aid kit, especially if it is for use on members of the public. It is, however, common for personal or family first aid kits to contain certain medications. Dependent on scope of practice, the main types of medicine are life saving medications, which may be commonly found in first aid kits used by paid or assigned first aiders for members of the public or employees,
painkillers An analgesic drug, also called simply an analgesic (American English), analgaesic (British English), pain reliever, or painkiller, is any member of the group of drugs used to achieve relief from pain (that is, analgesia or pain management). It i ...
, which are often found in personal kits, but may also be found in public provision and lastly symptomatic relief medicines, which are generally only found in personal kits. Life saving *
Aspirin Aspirin, also known as acetylsalicylic acid (ASA), is a nonsteroidal anti-inflammatory drug (NSAID) used to reduce pain, fever, and/or inflammation, and as an antithrombotic. Specific inflammatory conditions which aspirin is used to treat inc ...
primarily used for central medical chest pain as an anti-platelet *
Epinephrine autoinjector An epinephrine autoinjector (or adrenaline autoinjector, also known by the trademark EpiPen) is a medical device for injecting a measured dose or doses of epinephrine (adrenaline) by means of autoinjector technology. It is most often used for t ...
(brand name Epipen) – often included in kits for wilderness use and in places such as summer camps, to temporarily reduce airway swelling in the event of anaphylactic shock. Note that epinephrine does not treat the anaphylactic shock itself; it only opens the airway to prevent suffocation and allow time for other treatments to be used or help to arrive. The effects of epinephrine (adrenaline) are short-lived, and swelling of the throat may return, requiring the use of additional epipens until other drugs can take effect, or more advanced airway methods (such as
intubation Intubation (sometimes entubation) is a medical procedure involving the insertion of a tube into the body. Patients are generally anesthetized beforehand. Examples include tracheal intubation, and the balloon tamponade with a Sengstaken-Blake ...
) can be established. *
Diphenhydramine Diphenhydramine (DPH) is an antihistamine and sedative mainly used to treat allergies, insomnia, and symptoms of the common cold. It is also less commonly used for tremor in parkinsonism, and nausea. It is taken by mouth, injected into a vein ...
(brand name Benadryl) – Used to treat or prevent anaphylactic shock. Best administered as soon as symptoms appear when impending anaphylactic shock is suspected. Once the airway is restricted, oral drugs can no longer be administered until the airway is clear again, such as after the administration of an epipen. A common recommendation for adults is to take two 25mg pills. Non-solid forms of the drug, such as liquid or dissolving strips, may be absorbed more rapidly than tablets or capsules, and therefore more effective in an emergency. Pain killers *
Paracetamol Paracetamol, also known as acetaminophen, is a medication used to treat fever and mild to moderate pain. Common brand names include Tylenol and Panadol. At a standard dose, paracetamol only slightly decreases body temperature; it is inferior ...
(also known as acetaminophen) is one of the most common pain-killing medications, as either tablet or syrup. *Anti-inflammatory painkillers such as
ibuprofen Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that is used for treating pain, fever, and inflammation. This includes painful menstrual periods, migraines, and rheumatoid arthritis. It may also be used to close a patent ductus arte ...
,
naproxen Naproxen is a nonsteroidal anti-inflammatory drug (NSAID) used to treat pain, menstrual cramps, inflammatory diseases such as rheumatoid arthritis, gout and fever. It is taken orally. It is available in immediate and delayed release formulati ...
or other
NSAID Non-steroidal anti-inflammatory drugs (NSAID) are members of a therapeutic drug class which reduces pain, decreases inflammation, decreases fever, and prevents blood clots. Side effects depend on the specific drug, its dose and duration of ...
s can be used as part of treating
sprain A sprain, also known as a torn ligament, is an acute soft tissue injury of the ligaments within a joint, often caused by a sudden movement abruptly forcing the joint to exceed its functional range of motion. Ligaments are tough, inelastic fibers ...
s and strains. *
Codeine Codeine is an opiate and prodrug of morphine mainly used to treat pain, coughing, and diarrhea. It is also commonly used as a recreational drug. It is found naturally in the sap of the opium poppy, ''Papaver somniferum''. It is typically use ...
is both a painkiller and anti-diarrheal. Symptomatic relief * Anti
diarrhea Diarrhea, also spelled diarrhoea, is the condition of having at least three loose, liquid, or watery bowel movements each day. It often lasts for a few days and can result in dehydration due to fluid loss. Signs of dehydration often begin wi ...
medication such as
loperamide Loperamide, sold under the brand name Imodium, among others,Drugs.co Page accessed September 4, 2015 is a medication used to decrease the frequency of diarrhea. It is often used for this purpose in inflammatory bowel disease and short bowel syn ...
– especially important in remote or third world locations where dehydration caused by diarrhea is a leading killer of children *
Oral rehydration salts Oral rehydration therapy (ORT) is a type of fluid replacement used to prevent and treat dehydration, especially due to diarrhea. It involves drinking water with modest amounts of sugar and salts, specifically sodium and potassium. Oral rehydrati ...
*
Antihistamine Antihistamines are drugs which treat allergic rhinitis, common cold, influenza, and other allergies. Typically, people take antihistamines as an inexpensive, generic (not patented) drug that can be bought without a prescription and provides re ...
, such as
diphenhydramine Diphenhydramine (DPH) is an antihistamine and sedative mainly used to treat allergies, insomnia, and symptoms of the common cold. It is also less commonly used for tremor in parkinsonism, and nausea. It is taken by mouth, injected into a vein ...
*Poison treatments **Absorption, such as
activated charcoal "Activated" is a song by English singer Cher Lloyd. It was released on 22 July 2016 through Vixen Records. The song was made available to stream exclusively on ''Rolling Stone'' a day before to release (on 21 July 2016). Background In an interv ...
, Enterosgel and Atoxyl. **
Emetic Vomiting (also known as emesis and throwing up) is the involuntary, forceful expulsion of the contents of one's stomach through the mouth and sometimes the nose. Vomiting can be the result of ailments like food poisoning, gastroenteri ...
s to induce vomiting, such as
syrup of ipecac Syrup of ipecac (), or simply ipecac, is a drug that was once widely used as an expectorant (in low doses) and a rapid-acting emetic (in higher doses). It is obtained from the dried rhizome and roots of the ipecacuanha plant (''Carapichea ipecac ...
although first aid manuals now advise against inducing vomiting. *
Smelling salts Smelling salts, also known as ammonia inhalants, spirit of hartshorn or sal volatile, are chemical compounds used as stimulants to restore consciousness after fainting. Usage The usual active compound is ammonium carbonate—a colorless-to-w ...
(
ammonium carbonate Ammonium carbonate is a salt with the chemical formula (NH4)2CO3. Since it readily degrades to gaseous ammonia and carbon dioxide upon heating, it is used as a leavening agent and also as smelling salt. It is also known as baker's ammonia and is ...
) Topical medications *Antiseptics / disinfectants **Antiseptic fluid, moist wipe or spray – For cleaning and disinfecting a wound. Typically
benzalkonium chloride Benzalkonium chloride (BZK, BKC, BAK, BAC), also known as alkyldimethylbenzylammonium chloride (ADBAC) and by the trade name Zephiran, is a type of cationic surfactant. It is an organic salt classified as a quaternary ammonium compound. ADBACs ha ...
, which disinfects wounds with minimal stinging or harm to exposed tissue. Can also be used as an antibacterial hand wipe for the person providing aid. ***
Povidone iodine Povidone-iodine (PVP-I), also known as iodopovidone, is an antiseptic used for skin disinfection before and after surgery. It may be used both to disinfect the hands of healthcare providers and the skin of the person they are caring for. It may ...
is an antiseptic in the form of liquid, swabstick, or towelette. Can be used in a weak dilution of clean water to prepare an irrigation solution for cleaning a wound. ***
Hydrogen peroxide Hydrogen peroxide is a chemical compound with the formula . In its pure form, it is a very pale blue liquid that is slightly more viscous than water. It is used as an oxidizer, bleaching agent, and antiseptic, usually as a dilute solution (3% ...
is often included in home first aid kits, but is a poor choice for disinfecting wounds- it kills cells and delays healing ** Alcohol pads – sometimes included for disinfecting instruments or unbroken skin (for example prior to draining a blister), or cleaning skin prior to applying an adhesive bandage. Alcohol should not be used on an open wound, as it kills skin cells and delays healing. **Medicated antiseptic ointments- for preventing infection in a minor wound, after it is cleaned. Not typically used on wounds that are bleeding heavily. Ointments typically contain one, two, or all three of the following antibacterial ingredients (those containing all three are typically called 'triple-antibiotic ointment')
neomycin Neomycin is an aminoglycoside antibiotic that displays bactericidal activity against gram-negative aerobic bacilli and some anaerobic bacilli where resistance has not yet arisen. It is generally not effective against gram-positive bacilli and ...
,
polymyxin B Polymyxin B, sold under the brand name Poly-Rx among others, is an antibiotic used to treat meningitis, pneumonia, sepsis, and urinary tract infections. While it is useful for many Gram negative infections, it is not useful for Gram positive inf ...
sulfate or bacitracin zinc. *Burn gel – a water-based gel that acts as a cooling agent and often includes a mild anaesthetic such as
lidocaine Lidocaine, also known as lignocaine and sold under the brand name Xylocaine among others, is a local anesthetic of the amino amide type. It is also used to treat ventricular tachycardia. When used for local anaesthesia or in nerve blocks, lidoca ...
and, sometimes, an antiseptic such as
tea tree oil Tea tree oil, also known as melaleuca oil, is an essential oil with a fresh camphoraceous odor and a colour that ranges from pale yellow to nearly colourless and clear. It is derived from the leaves of the tea tree, ''Melaleuca alternifolia'', ...
*Anti-itch ointment **
Hydrocortisone Hydrocortisone is the name for the hormone cortisol when supplied as a medication. Uses include conditions such as adrenocortical insufficiency, adrenogenital syndrome, high blood calcium, thyroiditis, rheumatoid arthritis, dermatitis, asthma, ...
cream **
antihistamine Antihistamines are drugs which treat allergic rhinitis, common cold, influenza, and other allergies. Typically, people take antihistamines as an inexpensive, generic (not patented) drug that can be bought without a prescription and provides re ...
cream containing
diphenhydramine Diphenhydramine (DPH) is an antihistamine and sedative mainly used to treat allergies, insomnia, and symptoms of the common cold. It is also less commonly used for tremor in parkinsonism, and nausea. It is taken by mouth, injected into a vein ...
**Calamine lotion, for skin inflammations. * Anti-fungal cream *
Tincture of benzoin Tincture of benzoin is a pungent solution of benzoin resin in ethanol. A similar preparation called Friar's Balsam or Compound Benzoin Tincture contains, in addition, Cape aloes or Barbados aloes and storax resin. Friar's balsam was invented by Jo ...
– often in the form of an individually sealed swabstick or ampule, protects the skin and aids the adhesion of adhesive bandages, such as moleskin, Band-Aids, or wound closure ('butterfly') strips. Benzoin swabsticks are very prone to leaking and making a mess when kept in portable first aid kits; ampules are a more durable option. If swabsticks are used, it is advisable to keep them in a sealed zip lock bag.


Improvised uses

Besides the regular uses for first aid kits, they can be helpful in wilderness or survival situations. First aid kits can make up a part of a
survival kit A survival kit is a package of basic tools and supplies prepared as an aid to survival in an emergency. Civil and military aircraft, lifeboats, and spacecraft are equipped with survival kits. Survival kits, in a variety of sizes, contain supp ...
or a
mini survival kit A mini survival kit contains essential outdoor survival tools and supplies. It is intended to be carried on one's person at all times, be appropriate to all environments, and be a comprehensive kit without being too large. Mini survival kits are ...
in addition to other tools.


Workplace first aid kits

In the United States, the
Occupational Safety and Health Administration The Occupational Safety and Health Administration'' (OSHA ) is a large regulatory agency of the United States Department of Labor that originally had federal visitorial powers to inspect and examine workplaces. Congress established the agenc ...
(OSHA) requires all job sites and workplaces to make available first aid equipment for use by injured employees. While providing regulations for some industries such as logging, in general the regulation lacks specifics on the contents of the first aid kit. This is understandable, as the regulation covers every means of employment, and different jobs have different types of injuries and different first-aid requirements. However, in a non-mandatory section, the OSHA regulations do refer to ANSI/ISEA Specification Z308.1 as the basis for the ''suggested'' minimum contents of a first aid kit. Another source for modern first aid kit information is
United States Forest Service The United States Forest Service (USFS) is an agency of the U.S. Department of Agriculture that administers the nation's 154 national forests and 20 national grasslands. The Forest Service manages of land. Major divisions of the agency inc ...
Specification 6170-6, which specifies the contents of several different-sized kits, intended to serve groups of differing size. In general, the type of first aid facilities required in a workplace are determined by many factors, such as: * the laws and regulation of the state or territory in which it is located; * the type of industry concerned; for example, industries such as mining may have specific industry regulations detailing specialised instructions; * the type of hazards present in the workplace; * the number of employees in the workplace; * the number of different locations that the workplace is spread over; * the proximity to local services (doctors, hospital, ambulance).


Historic first aid kits

As the understanding of first aid and lifesaving measures has advanced, and the nature of public health risks has changed, the contents of first aid kits have changed to reflect prevailing understandings and conditions. For example, earlier US Federal specifications for first aid kits included incision/suction-type snakebite kits and mercurochrome antiseptic. There are many historic components no longer used today, of course; some notable examples follow. As explained in the article on
snakebite A snakebite is an injury caused by the bite of a snake, especially a venomous snake. A common sign of a bite from a venomous snake is the presence of two puncture wounds from the animal's fangs. Sometimes venom injection from the bite may occu ...
, the historic snakebite kit is no longer recommended.
Mercurochrome Merbromin (marketed as Mercurochrome, Merbromine, Mercurocol, Sodium mercurescein, Asceptichrome, Supercrome, Brocasept and Cinfacromin) is an organomercuric disodium salt compound used as a topical antiseptic for minor cuts and scrapes and as ...
was removed in 1998 by the US FDA from the generally recognized as safe category due to concerns over its mercury content. Another common item in early 20th century first aid kits,
picric acid Picric acid is an organic compound with the formula (O2N)3C6H2OH. Its IUPAC name is 2,4,6-trinitrophenol (TNP). The name "picric" comes from el, πικρός (''pikros''), meaning "bitter", due to its bitter taste. It is one of the most acidic ...
gauze for treating burns, is today considered a hazardous material due to its forming unstable and potentially explosive picrates when in contact with metal. Examples of modern additions include the CPR face shields and specific body-fluid barriers included in modern kits to assist in
CPR Cardiopulmonary resuscitation (CPR) is an emergency procedure consisting of chest compressions often combined with artificial ventilation in an effort to manually preserve intact brain function until further measures are taken to restore sponta ...
and to help prevent the spread of bloodborne pathogens such as
HIV The human immunodeficiency viruses (HIV) are two species of ''Lentivirus'' (a subgroup of retrovirus) that infect humans. Over time, they cause acquired immunodeficiency syndrome (AIDS), a condition in which progressive failure of the immune ...
.


See also

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First aid First aid is the first and immediate assistance given to any person with either a minor or serious illness or injury, with care provided to preserve life, prevent the condition from worsening, or to promote recovery. It includes initial in ...
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IFAK This is a list of individual combat equipment issued by the United States Marine Corps. This list does not include items that are issued as uniforms or weapons and ordnance. Many items on this list have nicknames. See list of United States Mari ...
(individual first aid kit), US military equipment * Bug-out bag *
Medical bag A medical bag (doctor's bag, physician's bag) is a portable bag used by a physician or other medical professional to transport medical supplies and medicine. Traditionally, the medical bag was made of leather, opened on the top with a split- ...
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Injury An injury is any physiological damage to living tissue caused by immediate physical stress. An injury can occur intentionally or unintentionally and may be caused by blunt trauma, penetrating trauma, burning, toxic exposure, asphyxiation, o ...
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Emergency An emergency is an urgent, unexpected, and usually dangerous situation that poses an immediate risk to health, life, property, or environment and requires immediate action. Most emergencies require urgent intervention to prevent a worsening ...


References


External links


How to make your own first-aid kit
Centers for Disease Control and Prevention The Centers for Disease Control and Prevention (CDC) is the national public health agency of the United States. It is a United States federal agency, under the Department of Health and Human Services, and is headquartered in Atlanta, Georgi ...

Red Cross' Anatomy of a First Aid Kit
{{DEFAULTSORT:First Aid Kit Kit Camping equipment Medical equipment