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 graphical symbol for first aid (from ISO 7010), 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.
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.
Common items
Common kits may contain:
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.
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
Personal protective equipment
The use of protective equipment 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 PPE includes:
Insturements and equipment
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, 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 primarily used for central medical chest pain as an anti-platelet
Epinephrine autoinjector (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) can be established.
Diphenhydramine (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
Symptomatic relief
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 or a mini survival kit in addition to other tools.