AMC1 CAT.IDE.A.225 Emergency medical kit    

CAA ORS9 Decision No. 1

CONTENT OF EMERGENCY MEDICAL KIT

(a) Emergency medical kits should be equipped with appropriate and sufficient medications and instrumentation. However, these kits should be complemented by the operator according to the characteristics of the operation (scope of operation, flight duration, number and demographics of passengers, etc.).

(b) The following should be included in the emergency medical kit:

(1) Equipment

(i) sphygmomanometer — non-mercury;

(ii) stethoscope;

(iii) syringes and needles;

(iv) intravenous cannulae (if intravenous fluids are carried in the first-aid kit, a sufficient supply of intravenous cannulae should be stored there as well);

(v) oropharyngeal airways (three sizes);

(vi) tourniquet;

(vii) disposable gloves;

(viii) needle disposal box;

(ix) one or more urinary catheter(s), appropriate for either sex, and anaesthetic gel;

(x) basic delivery kit;

(xi) bag-valve masks (masks two sizes: one for adults, one for children);

(xii) intubation set;

(xiii) aspirator;

(xiv) blood glucose testing equipment; and

(xv) scalpel.

(2) Instructions: the instructions should contain a list of contents (medications in trade names and generic names) in at least two languages (English and one other).This should include information on the effects and side effects of medications carried. There should also be basic instructions for use of the medications in the kit and ACLS cards (summarising and depicting the current algorithm for advanced cardiac life support).

(3) Medications

(i) coronary vasodilator e.g. glyceriltrinitrate-oral;

(ii) antispasmodic

(iii) epinephrine/adrenaline 1:1 000 (if a cardiac monitor is carried);

(iv) adrenocorticoid — injectable;

(v) major analgesic;

(vi) diuretic — injectable;

(vii) antihistamine — oral and injectable;

(viii) sedative/anticonvulsant — injectable, rectal and oral sedative;

(ix) medication for hypoglycaemia (e.g. hypertonic glucose);

(x) antiemetic;

(xi) atropine — injectable;

(xii) bronchial dilator — injectable or inhaled;

(xiii) IV fluids in appropriate quantity e.g. sodiumchloride 0.9 % (minimum 250 ml);

(xiv) acetylsalicylic acid 300 mg — oral and/or injectable;

(xv) antiarrhythmic — if a cardiac monitor is carried;

(xvi) antihypertensive medication;

(xvii) beta-blocker — oral.

* Epinephrine/Adrenaline 1:10 000 can be a dilution of epinephrine 1:1 000

(4) The carriage of an automated external defibrillator should be determined by the operator on the basis of a risk assessment taking into account the particular needs of the operation.

(5) The automated external defibrillator should be carried on the aircraft, though not necessarily in the emergency medical kit.