Marine Operations Note: 08/2009 - Guidance for the International Medical Guide for Ships 3rd edition

Ocean-going merchant vessels without a doctor onboard.

Maximum duration of travel of 3 weeks.

Crew sizes of 10, 20, 30 or 40 persons.

Only to be used in conjunction with the International Medical Guide for Ships

3^rd edition

Running numbers are given to the alphabetical list of medicines and equipment. Items which have been added by authors appear in alphabetical order and are written in italic letters.

Quantities for the

recommended minimum

number of items for oceangoing vessels are based

on an estimated 3 weeks inventory for a crew

complement of 10 to 40

persons.

Comments in italic letters refer to added items which are mentioned in the textbook but have not been displayed in the list of medicines. Remarks on items which may be omitted under special circumstance are given. For dosage, contraindications, doctor consulting, unwanted effects and remarks refer to IMGS 3 rd ed. p. 430‐461 and textbook

MEDICINES, p. 431 – 450

Item No.

Recommended Item Dosage form, Strength

per 10

per 20

per 30

per 40

Indications (on board ships)

Added comments

1

Acetylsalicylic acid 300mg tablet

100

200

300

400

‐ high dose (600‐900mg): to reduce pain, fever, inflammation

‐ low dose (100‐150mg) to inhibit formation of blood clots in angina pectoris, myocardial infarction, stroke

See pages 17‐25 and 113‐116, 133‐135, 137, 138

2

Aciclovir 400mg tbl.

35

35

70

70

‐ treatment of primary or recurrent herpes simplex virus infection;

‐ may be useful for severe varicella and herpes zoster infection (doctor should be consulted)

See pages 125‐126, 198‐199, 256

3

Adrenaline 1:1000 ampoule 1ml = 1 mg

10

10

10

10

‐ to raise blood pressure in anaphylaxis

‐ to dilate airways in severe asthma or anaphylaxis See pages 145‐147

4

Amethocaine (tetracaine hydrochloride) 0.5% eye drops, single‐use vial 1ml

20

20

20

20

for eye examination and procedures See pages 33‐34

5

Amoxicillin + clavulanate tablets 875mg/125mg

15

30

30

45

‐ to treat infections responsive to this antibiotic

See pages 7‐776, 140‐144, 181‐183, 204, 216‐217,

221‐223, 262 and 288

6

Antimalarial prophylaxis (prevention) tablets

Quantity dependent of crew number, risk of acquiring malaria in a given port and duration of

dwell in risk area. Seek medical advice

Prophylaxis and treatment of Malaria as recommended by www.who.int/malaria/publications.html or

www.cdc.gov/travel/regionalmalaria/index.html See pages 265‐269

7

Artemether

Ampoule 1 ml = (80mg)

5

5

5

5

Treatment of severe malaria. See pages 265‐269 required only for voyages to areas where malaria transmission is a risk

8

Artemether + Lumefantrine tablets 20mg + 120mg

24

24

48

48

Treatment of malaria. See pages 265‐269 required only for voyages to areas where malaria transmission is a risk

9

Atropine

ampoule 1.2 mg/ml

10

10

10

10

‐ to treat slow heart rate in myocardial infarction

‐ to treat organophosphate insecticide poisoning See pages 96, 136

10

Azithromycin tablet 500mg

3

3

6

6

- to treat infections responsive to this antibiotics

See pages 141‐144, 195‐207, 260, 274, 277, 281

11

Ceftriaxone

ampoule 1g powder for injection (dissolve in water for injection)

15

30

45

60

‐ to treat infections responsive to this antibiotic

See pages 16, 141‐144, 153, 160‐161, 172, 175, 187, 194, 195‐207, 269‐270

12

Cetirizine tablet 10mg

30

30

30

30

‐ to treat allergy symptoms in hay fever, hives, allergic dermatitis, etc. See page 145

13

Charcoal, activated

50g in 300 ml purified water

2

2

2

2

to absorb ingested poisons. See pages 93‐96

14

Ciprofloxacin tablet 250mg

40

40

40

40

‐ to treat infections responsive to this antibiotic See pages 77, 156‐157, 181‐183, 195‐207, 221‐223, 262 and 277

15

Cloves, oil of 10 ml

1

1

1

1

Toothache, see pages 287‐289

16

Dexamethasone ampoule 4mg/ml

5

5

5

5

‐ to treat life‐threatening and severe asthma

‐ to treat anaphylaxis

‐ to treat severe allergic reactions

17

Diazepam tablets 5mg

50

50

100

100

to treat alcohol withdrawal. See pages 235‐239.

18

Docusate with Senna tablet 50mg +8mg

20

20

40

40

‐ to avoid straining in patients with anal fissure and haemorrhoids

‐ to prevent constipation caused by opioid use See pages 168‐169

19

Doxycycline tablet 100mg

20

20

40

40

as recommended in IMGS3 for the specific infection See pages 195‐207, 209‐210, 221‐223, 271‐272.

20

Ethanol 70%, hand cleanser gel 250ml

2

4

6

8

an alternative to hand‐washing when hands are not obviously soiled

21

Ethanol 70%, liquid Liquid 500 ml

1

1

2

2

to disinfect instruments and surfaces

22

Fluorescein 1%, strips or single use vials 1 ml

20

20

20

20

to detect damage to cornea: damaged area stains yellow/green See pages 33‐34

23

Frusemide

Ampoule 4ml = 40mg

5

5

5

5

to treat severe fluid retention in lungs (pulmonary oedema) due to cardiac failure, see pages 15, 136

24

Glucagon, ready to use ampoule 1mg amp

1

1

1

1

to treat low blood sugar (hypoglycaemia) due to insulin when oral intake is impossible and intravenous glucose cannot be given. See pages 123, 125.

It is recommended to carry a glucose measuring instrument on board.

25

Haloperidol

Ampoule 1 ml= 5mg

5

5

10

10

‐ to treat psychotic hallucinations and delusions

‐ to treat severe agitation and aggressiveness See pages 126‐132.

26

Hydrocortisone 1% cream Cream (20 ‐30 gramm)

2

4

6

8

to treat allergy and some other inflammatory skin conditions. See pages 169, 212‐213, 219‐221

27

Ibuprofen

coated tablet 400 mg

50

100

150

200

‐to treat inflammation

‐ to reduce mild‐to‐moderate pain, especially if

associated with inflammation See pages 17‐25.

28

Insect repellent lotions for skin. Vials for personal use

DEET 20‐35% formulation or Picaridin or p‐menthane‐3,8‐

One vial per person in areas of risk of acquiring a disease transmitted by mosquitoes in a given port

Consider diseases transmitted by mosquitoes as Dengue Fever p 258‐259, Malaria p. 265‐269, Yellow fever p 284

See also pages 363‐364 for mosquito control in

diol

general

29

Isosorbide dinitrate tablet 5mg sublingual.

20

20

40

40

‐ to treat angina pectoris (chest pain)

‐ to treat myocardial infarction

30

Lignocaine 1% (without

adrenaline) Ampoule 5ml

5

5

10

10

for local anaesthesia when suturing wounds or performing minor surgery See pages 71‐74, 216‐219

31

Loperamide tablet 2mg

30

60

90

120

to treat symptoms of diarrhoea See pages 156‐157

32

Mebendazole tablet 100mg

10

10

20

20

‐ to treat intestinal worm infections not effective for tapeworm infection or hydatid disease See pages 281‐284

33

Metoprolol tablet 100mg

30

60

60

60

‐ to treat hypertension (high blood pressure)

‐ to treat artrial fibrillation (irregular or rapid

heart rate)

‐ to treat angina pectoris (chest pain)

‐ to prevent migraine See pages 133‐137

34

Metronidazole tablet 500mg

30

30

30

30

to treat infections responsive to antibiotics See pages 160‐163, 172, 203‐204

35

Miconazole 2% cream

2

4

6

8

to treat fungal skin infections

See pages 203‐204, 214

If women on board, supply also Miconazole vaginal cream.

36

Midazolam ampoule 1ml (= 5mg)

5

5

10

10

to terminate epileptic fits. See pages 121, 128‐130

37

Misoprostol tablet 200μg

3

3

3

3

to prevent post‐partum haemorrhage. Page 192 If women on board

38

Morphine (injectable) ampoule 1 ml = 10mg

10

20

30

40

‐ to reduce severe pain

‐ to reduce pain not relieved by other analgesics See pages 17‐25.

39

Morphine (oral)

liquid 1mg/ml 100ml bottle

or 10 tablets with 10 mg

1

1

1

1

to reduce severe pain likely to last several days in patients able to eat and drink See pages 17‐25

40

Naloxone

Ampoule 1 ml (=0.4mg)

10

10

10

10

to reverse effects of opioids, especially in case of overdose See pages 123, 240

41

Omeprazole tablets 20mg

30

30

60

60

‐ to treat gastro‐oesophageal reflux

‐ to treat peptic ulcer disease

See pages 152, 163‐167 and 173

42

Ondansetron tablet 4mg

or

Scopolamin transdermal patches see page 347.

10

5

10

5

20

10

20

10

‐ to prevent vomiting

‐ to prevent seasickness

See page 347.

Caution: Scopolamine treatment causes sedation, see remarks on page 347

43

Oral rehydration salts sachets of powder for reconstitution

10

10

20

20

to prevent or treat dehydration, especially due to diarrhoea, see pages 257‐258 and 347

44

Oxymetazoline 0.5% (or

equivalent) drops or spray

4

5

6

7

‐ to treat nasal obstruction due to allergies or viral infection

‐ to improve sinus drainage in sinusitis

45

Paracetamol Tablets 500mg

100

200

300

400

to reduce pain and fever (but not inflammation) See pages 17‐25

46

Permethrin 1% lotion 250 ml

1

1

2

2

to eliminate hair, pubic, and body lice See pages 219‐221

47

Permethrin 5%

Lotion, vial of 250 g

1

1

2

2

to treat scabies

See pages 219‐221

48

Povidone iodine ointment 10%

2

3

4

5

to disinfect skin and wounds

25 to 50 g

See pages 67‐ 77, 215‐219

49

Povidone iodine solution 10% 30 to 120ml

2

3

4

5

to disinfect skin and wounds See pages 67‐ 77, 215‐219

50

Prednisone tablet 25mg

30

30

60

60

‐ to treat severe asthma

‐ to treat other inflammatory conditions (on medical advice)

See pages 125‐126, 145‐147

51

Petroleum jelly

50 g to 100 g (vaseline)*

2

3

4

5

‐to treat chapped skin. See page 212, 261 for lubricating rectal thermometer

52

Salbutamol aerosol inhaler 0.1mg/dose

1

2

3

4

‐ to treat asthma

‐ to treat chronic bronchitis

‐ to treat emphysema

‐ to treat other lung diseases

See pages 145‐147

52a

Volume spacer

for salbutamol inhaler

1

1

1

1

To make inhaling salbutamol more effective See page 146

53

Sodium chloride 0.9% infusion

plastic‐bottle 1 litre or 2x 500ml plastic bottle

5

5

5

5

for fluid replacement

Can also be used for sterile eye irrigation, see page 38

54

Sodium chloride 0.9% infusion plastic‐bottle 10 ml

2

2

2

2

For sterile eye bathing and application of wet compresses, see page 38

55

Tetracycline 1% ointment Eye – ointment 5 g

2

4

6

8

to treat minor eye infections; to prevent infections

following damage to the cornea. See pages 33‐34, 40‐42, 261.

56

Tetanus Immunoglobulin ampoule. (keep at 2‐8°C)

1

1

1

1

Part of wound care if state of vaccination is unknown, see page 68

57

Tetanus toxoid vaccination ampoule (keep at 2‐8°C)

1

1

1

1

Part of wound care if state of vaccination is unknown, see page 68

58

Tramadol

tablets 50 mg .

50

50

50

50

Against moderate pain; See pages 22‐23

In severe pain use morphine; See pages 17‐25

59

Vitamin K (Phytomenadione) Ampoule 1 ml= 10mg

2

2

2

2

to reverse excessive or unwanted effects of warfarin or related drugs. See pages 96, 173

60

Water for injection Ampoules 5ml

20

30

40

50

reconstitution of injectable drugs provided as powders

61

Zidovudine plus Lamivudine

tablets, 300mg+150mg

Consider adding further or using other antiviral substance

following current guidelines

http://www.who.int/hiv/pub/pr ophylaxis/pep_guidelines/en/in dex.html

www.liv.ac.uk/hiv/guidelines.ht

m

http://www.cdc.gov/mmwr/pre view/mmwrhtml/rr5409a1.htm

Carry at least 60 tablet.

Qualified medical advise needed for general risk

assessment on board

Omit only if very low risk of infection with exposure on board .

Add further or other antivirals following guidelines with moderate to high risk for infection in case of exposure.

Prophylaxis against HIV infections after needle‐stick injury. One tablet daily twice daily for four weeks.

See page 252

In case of exposure immediately seek radio‐medical advice for risk assessment in individual person.

62

Zinc oxide 20%

paste or ointment 50‐100 g

5 5 5

5

protection of irritated skin

EQUIPMENT p. 451 ‐461

Item No.

Recommended item

per 10

per 20

per 30

per 40

Category

Added comments

1. RESUSCITATION EQUIPMENT

1.1

Portable oxygen set, complete containing:

1

1

1

1

appliance for the administration of oxygen See pages 4‐5

1.1a

1 oxygen cylinder, 2l/200bar

1

1

1

1

Ready to use. See pages 4‐5

1.1b

1 spare oxygen cylinder,

2l/200bar

1

1

1

1

See pages 4‐5. If no additional equipment from the MFAG on board consider to increase amount of oxygen to 4 X 10l

1.1c

Pressure regulating unit and flow meter with tubes such that ship's industrial oxygen can also be used

1

1

1

1

See pages 4‐5

1.1d

3 disposable face masks of choice: including simple face mask and non‐rebreathing

mask

1

2

3

4

See pages 4‐5

1.2a

Guedel airway (Mayo‐tube): size medium

1

1

1

1

Oropharyngeal airway, see pages 4‐5, 315

1.2b

Guedel airway (Mayo‐tube): size large

1

1

1

1

Oropharyngeal airway, see pages 4‐5, 315

1.3a

Manual aspirator to clear upper airways

1

1

1

1

Mechanical aspirator, see pages 4‐5

1.3b

Catheters for aspirator,

2

2

2

2

Mechanical aspirator, different sizes; see pages 4‐5

1.4

Ambubag or equivalent; supplied with small, medium, and large masks

1

1

1

1

Bag and mask resuscitator including oxygen reservoir bag and oxygen tubing, see pages 4‐5

1.5

Brook Airway, Lifeway, pocket face mask or equivalent

1

1

1

1

Cannula for mouth‐to‐mouth resuscitation, see pages 4‐5

2. DRESSING MATERIAL AND SUTURING EQUIPMENT

2.1

Assorted wound‐plaster or plaster strips, water resistant – slim and broad

200

200

200

200

adhesive dressings

2.2a

Sterile gauze compresses, 5cm x 5cm, sterile

50

50

100

100

Sterile gauze compresses

2.2b

Sterile gauze compresses, 10 cm x 10cm

50

50

100

100

Sterile gauze compresses

2.3

Gauze roll, 5cm and 60 or 90 cm x 100 m, non‐sterile

1

1

1

1

Gauze roll

60 cm / 90 cm my be substituted by gauze roll of smaller size

2.4

Non‐adherent gauze dressing, square 10cm

10

20

30

40

Gauze dressing with non‐adherent surface

2.5

Paraffin gauze dressing, 10 x 10 cm, sterile

40

40

40

40

Vaseline gauze

2.6

Elastic fixation bandage, 4 m x 6 cm

3

6

9

12

Bandage

2.7a

First‐aid absorbent gauzecovered cotton pad sewn onto a cotton bandage (ambulance dressing) small

5

5

10

10

Sterile compression bandages.

2.7b

First‐aid absorbent gauzecovered cotton pad sewn onto a cotton bandage (ambulance

5

5

10

10

Sterile compression bandages

dressing) medium

2.7c

First‐aid absorbent gauzecovered cotton pad sewn onto a cotton bandage (ambulance dressing) large

5

5

10

10

Sterile compression bandages

2.8a

Tubular gauze bandage for finger bandage, 5m

1

1

1

1

Tubular gauze for finger bandage See pages 43‐58

2.8b

Applicator for finger bandage

1

1

1

1

See pages 43‐58

2.9

Adhesive elastic bandage 4 m x 6 cm

10

10

10

10

Adhesive elastic bandage

2.10

Triangular sling

5

5

5

5

Triangular sling. See pages 43‐58 and 77

2.11

Sterile sheets for burn patients

2

2

4

4

Sterile sheet for burn victims. Different sizes See pages 79‐83

2.12

Honey for dressing burns 1kg, (only purified 1000 g)

1

1

2

2

Only if honey for medical purposes available

Otherwise use a hydrogel‐burnkit. See pages 79‐83

2.13

Adhesive tape, waterproof, skin‐friendly, 5 x 1.25 cm

3

3

6

6

Adhesive sutures or zinc oxide bandages

2.14

Q‐tips (wooden)

100

100

100

100

Q‐tips

2.15

Safety pins (stainless steel), 12 pieces

1

1

2

2

safety pins

2.16

Butterfly sutures, Steristrip® or Leukostrip®, sterile

50

50

50

50

Butterfly sutures. See pages 69‐74

2.17

2‐octyl cyanoacrylate liquid,

0.5ml

1

1

1

1

Skin adhesive for closing small wounds. See pages 69‐74.

2.18 a

Sutures, absorbable with curved non‐traumatic needles, 1 – O,

3

3

6

6

Suturing equipment. See pages 71‐74.

Replace with non‐absorbable sutures for easier use See page 71

2.18 b

Sutures, absorbable with curved non‐traumatic needles, 3 – O,

3

3

6

6

Suturing equipment. See pages 71‐74.

Replace with non‐absorbable sutures for easier use, See page 71

2.18 c

Sutures, absorbable with

curved non‐traumatic needles,

4 ‐ 0 or 5 ‐ 0

3

3

6

6

Suturing equipment. See pages 71‐74.

Replace with non‐absorbable sutures for easier use, See page 71

2.19a

Disposable examination gloves, size M

100

100

100

100

Gloves

2.19b

Disposable examination gloves, size L

100

100

100

100

Gloves

2.19c

Surgical gloves size 6.5, sterile in pairs

3

4

5

6

Gloves (sterile)

2.19d

Surgical gloves size 7.5, sterile, in pairs

3

4

5

6

Gloves (sterile)

2.19e

Surgical gloves size 8.5, sterile, in pairs

3

4

5

6

Gloves (sterile)

2.20

Eye pads

1

2

3

4

See pages 36, 38.

3. INSTRUMENTS

3.1

Scalpel, sterile, disposable

10

10

10

10

Disposable scalpels See pages 71‐74, 216‐219.

3.2

Instrument box (stainless steel)

1

1

1

1

Stainless‐steel instrument box.

3.3

Operating scissors, straight (stainless steel)

1

1

1

1

Scissors

3.4

Bandage scissors (stainless steel)

1

1

1

1

Scissors

3.5

Splinter forceps, pointed (stainless steel)

1

1

1

1

Forceps

3.6

Teeth tissue forceps (stainless steel)

1

1

1

1

Forceps. See pages 71‐74, 216‐219.

3.7

Needle holder, Mayo‐Hegar

1

1

1

1

Needle holder. See pages 71‐74.

180mm, straight

3.8

Haemostatic clamp, Halstead mosquito, 125mm, stainless steel

2

2

2

2

Haemostatic clamps

3.9

Razor, disposable

5

5

5

5

Disposable razors

4. EXAMINATION AND MONITORING EQUIPMENT

4.1

Tongue depressors, disposable

100

100

100

100

Disposable tongue depressors

4.2

Reactive strips for urine analysis: blood/ glucose/ protein/nitrite/leukocytes

50

50

100

100

Reactive strips for urine analysis, see pages 311‐312, 324.

4.3

Microscope slides

12

12

12

12

Microscope slides, See pages 265‐269

4.4

Stethoscope

1

1

1

1

Stethoscope

4.5

Sphygmomanometer (blood pressure set), preferably automatic

1

1

1

1

Aneroid sphygmomanometer, see pages 305‐307

4.6a

Standard thermometer, digital if possible

2

2

3

3

Standard thermometer, see pages 302‐304

4.6b

Rectal thermometer, digital if possible

1

1

1

1

Rectal thermometer, see pages 302‐304

4.7

Thermometer 32˚‐34˚C, digital if possible

1

1

1

1

Hypothermic thermometer, preferable range 26°C to 42°C to differentiate between severe‐moderate‐mild hypothermia; see pages 343‐344.

4.8

Penlight + blue cover

1

1

1

1

Penlight (blue light) to detect damage to cornea. See pages 33‐34

4.9

Waterproof indelible marker

1

1

1

1

see page 29.

4.10

Magnifying glass (a x 8 loupe)

1

1

1

1

See pages 33‐34.

FORMS AND BOOKS

4.11

Temperature cards / charts

10

10

10

10

Use as master copy from page 302

4.12

Cards for telemedical advise

10

10

10

10

Use ass master copy. Should be filled in before calling radiomedical advise

4.13

Medical logbook

1

1

1

1

See p. 455

4.14

Controlled drug register

1

1

1

1

Controlled drug register

4.15

International Medical Guide for Ships 3rd

1

1

1

1

Hard‐copy

4.16a

Forms from Annex A

Ship master´s report form

10

10

10

10

Use as master copy (see pages 455 ‐ 461) file in medical log p. 455

4.16b

Forms from Annex A

Ship´s identity and navigational status form

10

10

10

10

Use as master copy (see pages 455 – 461)

4.16c

Forms from Annex A

Patient health status form

10

10

10

10

Use as master copy (see pages 455 – 461)

4.16d

Forms from Annex A

Primary physician´s report form

10

10

10

10

Use as master copy (see pages 455 ‐ 461)

4.17

Vaccination requirements

1

1

1

1

International travel and Health, current edition (WHO )

4.18

Malaria prophylaxis and treatement

1

1

1

1

www.who.int/malaria/publications.html or

www.cdc.gov/travel/regionalmalaria/index.html See Page 266

5. EQUIPMENT FOR INJECTION, INFUSION, AND CATHETERIZATION

5.1

Syringes, Luer connection, 2ml, sterile, disposable

10

20

30

40

Equipment for injection, see pages 324‐329

5.2

Syringes, Luer connection, 5ml, sterile, disposable

10

20

30

40

Equipment for injection, see pages 324‐329

5.3

Syringes, Luer connection, 10 ml, sterile, disposable

10

10

20

20

Equipment for injection, see pages 324‐329

5.4

Hypodermic subcutaneous needle, Luer connection, 16x0.5mm (23 G or 25 G), sterile, disposable

20

30

40

50

Equipment for subcutaneous injection, see pages 324‐329

5.5

Hypodermic intramuscular needle (19G or 21G), Luer connection, 40x0.8mm, sterile, disposable

20

30

40

50

Equipment for intramuscular injection, see pages 324‐329

5.6

Needles, 19G or 21G, blunt, "drawing up" type

20

30

40

50

Equipment for drawing the medicine into the syringe, see pages 324‐329

5.7a

Intravenous infusion cannula 16G (1.7mm) or 19G, Luer‐lock connection, sterile, non‐recap type + mandarin

5

5

10

10

Equipment for intravenous fluid infusion, see page 326

5.7b

Intravenous infusion cannula 22G (0.8mm) or 21G, Luer‐lock connection, sterile, non‐recap type+mandrin

5

5

10

10

Equipment for intravenous fluid infusion, see page 326

5.8

Intravenous giving set, Luerlock connection, steril +3‐way valve/ connection

5

5

10

10

Equipment for intravenous infusion, see pages 324329,

5.9

Tourniquet, blood‐taking type, to be used with intravenous infusion cannula

1

1

1

1

Equipment for infusion, see pages 324‐329

5.10a

Penile sheath set with condom catheter, tube, and bag

1

1

1

1

Bladder drainage equipment, see page 308‐309

5.10b

Indwelling urine catheter 14 CH

1

1

1

1

Bladder drainage equipment, see pages 319‐ 321

5.11a

Short‐term urine catheter with soft‐eye straight tip Thieman No. 12 , or equivalent

2

2

2

2

Bladder drainage equipment, see pages 319‐321

5.11b

Short‐term urine catheter with soft‐eye straight tip Thiemann No 16, or equivalent

2

2

2

2

Bladder drainage equipment, see pages 319‐321

5.11c

Complete sterile urine catheterization set with lubricant, drapes, cotton swabs, skin disinfection, forceps, sterile container

2

2

2

2

Bladder drainage equipment, see pages 319‐321

5.12

Urine collecting bag and tube

2

2

2

2

Bladder drainage equipment, see pages 319‐321

6. GENERAL MEDICAL AND NURSING EQUIPMENT

6.1

Plastic goggles or full‐face mask

1

1

1

1

Eye protection

6.2

Disposable plastic apron

10

10

10

10

Plastic apron

6.3

Kidney dish, stainless steel, 825ml

1

1

2

2

Kidney dish

6.4

Towels, plastic backed, absorbent, 600x500mm

10

10

10

10

Plastic backed towels

6.5

Safety box for sharps disposable, 5l

1

1

1

1

Safety box

Size of 1‐5 liters may be chosen

6.6

Mask, duckbill type, disposable

50

50

100

100

Mask

6.7

Tape measure, vinyl coated,

1.5m

1

1

1

1

Tape measure

6.8

Draw sheet, plastic 90x180cm

1

1

1

1

Draw sheet

6.9

Bedpan, stainless steel

1

1

1

1

Bedpan

6.10

Hot‐water bag

1

1

1

1

Hot‐water bottle

6.11

Urinal, male (plastic)

1

1

1

1

Urine bottle

6.12

ColdHotpack maxi

1

1

1

1

Ice bag

6.13

Aluminum foil blanket

1

1

1

1

Aluminium foil blanket

6.14

Male condoms

100

200

300

400

Condoms, assorted sizes

6.15

Plastic wash bottle, 250ml

1

1

1

1

Wash bottle

6.16

Bottle, 1l plastic with screw top

1

1

1

1

Plastic bottle

6.17

Stainless steel dressing tray

300x200x30mm

1

1

1

1

Dressing tray

6.18

Bowl, stainless steal, 180ml

1

1

1

1

Bowl

6.19

Jars, plastic, with lids and lables 100ml

10

20

30

40

Specimen jars

6.20a

Bandages, POP, 5cmx2.7m

6

6

6

6

Plaster‐of‐Paris bandages, may be omitted if splints are carried

6.20b

Bandages, POP, 10cmx2.7m

6

6

6

6

Plaster‐of‐Paris bandages, may be omitted if splints are carried

6.21a

Stockinet sizes for arm splints 10m roll

1

1

1

1

Stockinet

See pages 43‐58

6.21b

Stockinet sizes for leg splints 10m roll

1

1

1

1

Stockinet. See pages 43‐58

6.22

Cotton wool roll 500g

1

1

2

2

Cotton wool. See pages 43‐58

6.23

Alcohol swabs

100

100

100

100

70% alcohol swabs for skin cleansing prior to injection

6.24

Nail brush

1

1

1

1

Nail brush

6.25

Thermometer for refrigerator

1

1

1

1

If Tetanus vaccine and Immunoglobin are on board

6.26

Mortuary transfer bag

1

1

1

1

see pages 334 – 336

DISINFACTANTS, DISINSECTANTS

6.27

Water disinfection set including measure kit/ test stripes for pH and for residual chlorine

1

1

1

1

To disinfect potable water tanks with chlorine effectively. See pages 359‐360.

6.28

Disinfectant solution for medical instruments, 1000 ml: 3 % aqueous phenolic solution

1

1

1

1

For disinfection of used instruments* and

thermometers, see page 331.

*Caution: All items entering the skin or are in direct contact with mucous membranes should be single use (i.e. injection needles, urinary catheters.

6.29

Disinfectant for surfaces and floor, 1000 ml concentrate: 2% cetrimide solution or 3% aqueous phenolic solution

1

1

1

1

For disinfection of contaminated surfaces, hardsurface objects and floors (non‐food‐handling area), see page 331.

6.30

Disinfectant for surfaces and floor 1000 ml concentrate:

sodium hypochlorite 100mg/ litre

2

2

2

2

For disinfection of food‐handling area: cutlery, dishes, plates, glasses), see page 331

6.31

Chlorpyrifos 5g/l in Bait stations or gels

20

20

20

20

To use against cockroaches in food storage and preparation area, see pages 362‐365

6.32

Chlorpyrifos‐methyl 7‐10 g/l Spray – 1 piece

10

10

10

10

To use against cockroaches in other areas than food storage and preparation area See pages 362‐365

6.33

Insecticide spray

Permethrine, natural pyrethrins or chlorpyriphos‐methyl

1

2

3

4

For space spraying, not for skin

See pages 362‐ 365

7. IMMOBILIZATION AND TRANSPORTATION EQUIPMENT

7.1

Malleable finger splint

1

1

1

1

Malleable splints (small). See pages 43‐58.

7.2

Malleable forearm/ hand splint

2

2

2

2

Malleable splints (medium). See pages 43‐58.

7.3

Malleabloe splint legs

2

2

2

2

Malleable splints (large). See pages 43‐58.

7.4

Stretcher

1

1

1

1

Stretcher equipment (a system for trauma management, i.e. immobilization and stretcher equipment most suited for treatment in the vessel

concerned. Preferably allowing crane/helicopter lifting. See page 7

7.5

Cervical rigid collar variable size

1

1

1

1

for neck immobilisation. See pages 7, 45