A Practical First Aid Kit for the Everyday and the Extreme

A practical home first aid kit

It’s difficult to recommend a generalized first aid kit for everyone because different people do different activities and have different risks. There are a few must-haves though, and then I’ll go into how to personalize your first aid kit to meet specific needs.

Critical Items:

  1. Hemostatic Gauze - makes blood clot faster, stopping bleeding
  2. Israeli bandage - closes large wounds and puts pressure on the bleeding area
  3. Chest seal/Occlusive dressing - treats punctured lungs, neck wounds, and abdominal injuries
  4. SAM splint - stabilizes almost any broken bone
Items of a personal first aid kit inside a medical bag

The critical items treat injuries that will most likely kill you or cause permanent damage if left untreated. Chest seals, israeli bandages, and hemostatic gauze are the core items that every first aid kit needs to be built around. If you have nothing else in your kit, have these items. SAM splints treat severe injuries, but usually they are only life-threatening while you're away from civilization and ambulance services.

You may wonder why tourniquets aren’t listed. In my opinion tourniquets fall into a special category because even though they can save your life, they can also be completely useless. A tourniquet is for injuries that bleed so bad they can’t be controlled by pressure, bandages, elevating the limb, etc. When you get this kind of injury you can bleed out in less than 1 minute.

Ideally you’d want to be able to take the tourniquet out and apply it in <30 seconds. If it takes you over 30 seconds to realize there is an injury, get to your patient, open your bag, and find the tourniquet, it’s probably too late. If the injury isn’t quite that bad it can probably be stopped just fine using pressure combined with Quikclot and an Israeli bandage. Also, tourniquets only treat bleeding on your arms and legs, not on your torso, neck, or head. I do cover tourniquets completely here.

Common Items for a First Aid Kit:

  1. Surgical Glue - super glue for skin
  2. Medical Tape - good for securing everything from gauze to splints
  3. Nitrile Gloves - protect yourself from blood borne diseases and gross things like vomit
  4. Wound Cream - soothes, protects, and speeds healing of burns, cuts, and bruises
  5. Povidone Iodine - cleans cuts and protects against infection (can also purify drinking water)
  6. Diphenhydramine (Benadryl) - calms allergic reactions, helps motion sickness, sleep aid
  7. Antiemetic Drugs - prevent and treat motion sickness
  8. Aspirin, Ibuprofen, Acetaminophen - reduce fever, pain, and inflammation
  9. Sterile Gauze - good for small to medium cuts
  10. Folding Scissors - collapsible, durable, good for cutting things
  11. Medical Bag - holds and organizes your equipment
  12. Zinc Lozenges - stop the common cold
  13. Tweezers - splinters are small but painful
  14. Leatherman Multi Tool - because you never know what tools you'll need
A view of all the items of the personal first aid kit

The common items are for daily issues that most people see in regular life. You may not need all of these because some of the uses overlap, but each has its own benefits. Both Benadryl and Bonine help motion sickness, but Bonine is less drowsy and Benedryl is more for allergies. Aspirin and Ibuprofen both reduce fever, pain, and inflammation, but they have different contraindications.

You may wonder why band-aids and butterfly stitches aren’t listed. A few band-aids won’t hurt, but in my opinion band-aids are less useful than medical tape with gauze because the cuts they treat are very small and stop bleeding quickly on their own.

In this first aid kit I also replace butterfly stitches with vetbond skin glue because Vetbond does everything butterfly stitches can and it stops bleeding instantly. Butterfly stitches aslo can't handle sweating, bleeding, or cuts where the skin pulls tight like knuckles and knees.

Optional Items for a First Aid Kit:

  1. Triangular Bandage - used to sling/stabilize fractures or sprains
  2. Ivarest - reduces poison ivy, oak, and sumac symptoms
  3. Mylar Blanket - reflects body heat
  4. CPR Mask - prevents disease transmission from mouth-to-mouth resuscitation
  5. N95 Mask - protects against respiratory diseases and filters harmful particles out of the air
  6. Tourniquet - stops uncontrollable bleeding in the arms and legs
  7. ACE Bandage - pressure bandage that speeds recovery from sprains, strains, and other injuries
  8. Cold Pack - instant cold pack that can pull the heat out of burns and reduce swelling in injuries
  9. Antidiarrheal - controls symptoms of diarrhea
  10. Activated Charcoal - helps treat ingested drug overdoses and poisons

The optional items are most useful in certain situations but may not be useful for everyone. Triangular bandages, Ivarest, and mylar blankets are best for people who hike or camp a lot. CPR or mouth-to-mouth resuscitation can be performed as compressions-only or mouth-to-mouth in an emergency, so a CPR mask isn't strictly necessary for a normal first aid kit. You may want an N95 mask if you’re likely to encounter TB or spend a lot of time breathing air pollution.

A tourniquet works great if you’re willing to have it ready at all times. ACE bandages and cold packs are useful if you play sports or hike a lot. An antidiarrheal is often good for frequent travelers who are exposed to new diets often.

Bulky Items for a First Aid Kit:

  1. Portable Defibrillator - used to restart a person’s heart (cardiac arrest)

An AED is useful in high traffic areas or for people at high risk of sudden cardiac arrest. AEDs are extremely easy to use, and have step-by-step, usually spoken as well as written and pictographic, instructions on what to do. You do not have to be medically trained to buy an AED. Those who have coronary heart disease and the elderly are most likely to need one[2].

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About Peter Oldani - Author of Inside First Aid

About the author

Peter Oldani graduated college with a B.S. in biomedical engineering, worked as an EMT to gain hands on experience in emergency medicine and completed active shooter training as part of New York State’s initiative to prepare civilian organizations for disaster response.