The hard stuff made easy

Once upon a time in what seems like another life altogether, I was delivering a Safety and Sea Survival course with Gerry Fitz. One of the students was a medical Doctor who was working in the casualty department of one of Sydney's busiest inner city hospitals. I asked her if she would review the standard list of contents for a first aid kit in the light of new drugs and develping techniques. She agreed - bravely, I thought, given the liability issues involved and the increasingly litigious bent of the yachting mob. She gave us a table of suggested contents based on the absolute requirements of the IRC regulations for Category 0 and 1 yacht races plus her own suggested additions and a table of the sorts of problem your average yacht crew might meet while doing what they do. She and Donna then worked it so that the table is set out with a column for the problem - say Severe Pain - another for the appropriate treatment, then the brand names of a list of drugs to administer - Oxycodone, Endone etc , followed by likely side effects and any other useful information. It's all set out so that it can be laminated and put in the first aid kit or kept in the boat's information file. All very sensible and really easy to use under pressure.

My little burst of prescience about the pain getting really really bad in yesterday's blog came true with knobs on - I won't bore you with descriptions but the rhinocerous pills (paracetamol, 1g) coupled with Pete's special Aubergine painkillers (ditto but with codeine dihydrate, I think) didn't even begin to dent it. So in the depths of the night, I dug out the boat's box of goodies looking for a magic bullet. Oxycodone seemed the thing but I was also full of paracetamol and codeine and was not sure whether I could drop oxycodone on top of all that. So to the table and there it says, loud and clear for oxycodone - administer with paracetamol and/or ibrupofen - yay! exactly what I needed to know.

My profound thanks, Dr. G (the human version) and Donna for an elegant and effective reference kit. The recipe is working and now I will start cutting back on the dose...