Vanuatu 2006Vanuatu 2006Vanuatu 2006Vanuatu 2006

ORCV Vanuatu Race 2006

Important Disclaimer

• The following presentation contains general medical information which is designed to give a broad understanding to ocean racers of some matters which may be of interest to them. It does not constitute medical advice intended to be acted upon by anyone. Any person requiring medical advice concerning the topics discussed should engage an appropriately qualified medical practitioner to advise as to the specific matters relevant to their own individual circumstances. Neither the author of the article nor the Ocean Racing Club of Victoria, by its officers, employees or agents, accept any legal responsibility for the correctness, currency or completeness of the information which follows.

Medical Kit & ManualMedical Kit & ManualMedical Kit & ManualMedical Kit & Manual

Review of YA Racing Rules of Sailing Review of YA Racing Rules of Sailing Review of YA Racing Rules of Sailing Review of YA Racing Rules of Sailing

Part 1 Section 4Part 1 Section 4Part 1 Section 4Part 1 Section 4

4.07 Medical Kit & Manual4.07 Medical Kit & Manual4.07 Medical Kit & Manual4.07 Medical Kit & Manual

SOME MEDICATIONS INACTIVATED BY SOME MEDICATIONS INACTIVATED BY SOME MEDICATIONS INACTIVATED BY SOME MEDICATIONS INACTIVATED BY

HEAT: OFTEN BETTER STORED IN FRIDGE HEAT: OFTEN BETTER STORED IN FRIDGE HEAT: OFTEN BETTER STORED IN FRIDGE HEAT: OFTEN BETTER STORED IN FRIDGE

OR BELOW WATERLINEOR BELOW WATERLINEOR BELOW WATERLINEOR BELOW WATERLINE

MEDICAL KIT MEDICAL KIT MEDICAL KIT MEDICAL KIT

MUST BE MUST BE MUST BE MUST BE

WATERPROOFWATERPROOFWATERPROOFWATERPROOF

4.07.84.07.84.07.84.07.8

INCREASE MEDICATION QUANTITIES PRO INCREASE MEDICATION QUANTITIES PRO INCREASE MEDICATION QUANTITIES PRO INCREASE MEDICATION QUANTITIES PRO

RATARATARATARATA

CREWS > 10 CREWS > 10 CREWS > 10 CREWS > 10

PERSONSPERSONSPERSONSPERSONS

4.07.74.07.74.07.74.07.7

INCREASE MEDICATION QUANTITIES INCREASE MEDICATION QUANTITIES INCREASE MEDICATION QUANTITIES INCREASE MEDICATION QUANTITIES > 4 DAYS FROM > 4 DAYS FROM > 4 DAYS FROM > 4 DAYS FROM

PORTPORTPORTPORT

4.O7.64.O7.64.O7.64.O7.6

LISTED KITS ARE BASICLISTED KITS ARE BASICLISTED KITS ARE BASICLISTED KITS ARE BASIC4.07.54.07.54.07.54.07.5

ALSO NEED RADIO COMMUNICATION ALSO NEED RADIO COMMUNICATION ALSO NEED RADIO COMMUNICATION ALSO NEED RADIO COMMUNICATION

SKILLSSKILLSSKILLSSKILLS

SENIOR FIRST SENIOR FIRST SENIOR FIRST SENIOR FIRST

AIDERS X 2AIDERS X 2AIDERS X 2AIDERS X 2

4.07.44.07.44.07.44.07.4

TO REFLECT CONDITIONS & DURATION OF TO REFLECT CONDITIONS & DURATION OF TO REFLECT CONDITIONS & DURATION OF TO REFLECT CONDITIONS & DURATION OF

VOYAGEVOYAGEVOYAGEVOYAGE

MEDICAL KIT MEDICAL KIT MEDICAL KIT MEDICAL KIT

CONTENTSCONTENTSCONTENTSCONTENTS

4.07.34.07.34.07.34.07.3

MORE COMPLEX THAN FIRST AID MORE COMPLEX THAN FIRST AID MORE COMPLEX THAN FIRST AID MORE COMPLEX THAN FIRST AID

MANUAL FOR CAT 2MANUAL FOR CAT 2MANUAL FOR CAT 2MANUAL FOR CAT 2----5555

MEDICAL GUIDEMEDICAL GUIDEMEDICAL GUIDEMEDICAL GUIDE4.07.14.07.14.07.14.07.1

Medical EmergenciesMedical EmergenciesMedical EmergenciesMedical Emergencies

requiring advicerequiring advicerequiring advicerequiring advice

COMPLEX PROBLEM DUE TO COMPLEX PROBLEM DUE TO COMPLEX PROBLEM DUE TO COMPLEX PROBLEM DUE TO

SEVERE PAIN, FLUID LOSS +++ SEVERE PAIN, FLUID LOSS +++ SEVERE PAIN, FLUID LOSS +++ SEVERE PAIN, FLUID LOSS +++

AND RISK OF INFECTIONAND RISK OF INFECTIONAND RISK OF INFECTIONAND RISK OF INFECTION

TREATING SEVERE TREATING SEVERE TREATING SEVERE TREATING SEVERE BURNSBURNSBURNSBURNS

INCREASED RISK OF ABSORBING INCREASED RISK OF ABSORBING INCREASED RISK OF ABSORBING INCREASED RISK OF ABSORBING

TOXINS THROUGH BOWEL WALL TOXINS THROUGH BOWEL WALL TOXINS THROUGH BOWEL WALL TOXINS THROUGH BOWEL WALL

& CAUSING BLOOD POISONING& CAUSING BLOOD POISONING& CAUSING BLOOD POISONING& CAUSING BLOOD POISONING

TREATING TREATING TREATING TREATING DIARRHOEA WHERE DIARRHOEA WHERE DIARRHOEA WHERE DIARRHOEA WHERE

PATIENT HAS A PATIENT HAS A PATIENT HAS A PATIENT HAS A FEVERFEVERFEVERFEVER

RISK OF LOSING SIGHT IF RISK OF LOSING SIGHT IF RISK OF LOSING SIGHT IF RISK OF LOSING SIGHT IF

PENETRATING OBJECT REMOVEDPENETRATING OBJECT REMOVEDPENETRATING OBJECT REMOVEDPENETRATING OBJECT REMOVED

TREATING AN EYE TREATING AN EYE TREATING AN EYE TREATING AN EYE INJURYINJURYINJURYINJURY

NEED TO HAVE A CLEAR NEED TO HAVE A CLEAR NEED TO HAVE A CLEAR NEED TO HAVE A CLEAR

DIAGNOSIS. POTENTIAL DIAGNOSIS. POTENTIAL DIAGNOSIS. POTENTIAL DIAGNOSIS. POTENTIAL

COMPLICATIONS OF VOMITING, COMPLICATIONS OF VOMITING, COMPLICATIONS OF VOMITING, COMPLICATIONS OF VOMITING,

ALTERED CONSCIOUS STATEALTERED CONSCIOUS STATEALTERED CONSCIOUS STATEALTERED CONSCIOUS STATE

BEFORE GIVING BEFORE GIVING BEFORE GIVING BEFORE GIVING MORPHINE OR MORPHINE OR MORPHINE OR MORPHINE OR PETHIDINEPETHIDINEPETHIDINEPETHIDINE

Medical EmergenciesMedical EmergenciesMedical EmergenciesMedical EmergenciesCARDIAC EMERGENCIESCARDIAC EMERGENCIESCARDIAC EMERGENCIESCARDIAC EMERGENCIES

Can cause

significant

headache.

Anginine tabs

do not store

well

1 PUFF UNDER

TONGUE.

IF PAIN NOT

RELIEVED IN 2-3

MIN, REPEAT

1NITROLINGUAL NITROLINGUAL NITROLINGUAL NITROLINGUAL SPRAY SPRAY SPRAY SPRAY

(ANGININE)(ANGININE)(ANGININE)(ANGININE)

Rapid

absorption

due to good

blood supply

1 TAB CHEWED

& TO REMAIN IN

MOUTH

20SOLULBLE SOLULBLE SOLULBLE SOLULBLE ASPIRINASPIRINASPIRINASPIRIN

COMMENTSCOMMENTSCOMMENTSCOMMENTSRECOMMENDED RECOMMENDED RECOMMENDED RECOMMENDED DOSEDOSEDOSEDOSE

NONONONODRUGDRUGDRUGDRUG

Pain ManagementPain ManagementPain ManagementPain Management

20202020PARACETAMOL PARACETAMOL PARACETAMOL PARACETAMOL 500MG plus 500MG plus 500MG plus 500MG plus

CODEINE CODEINE CODEINE CODEINE 30MG30MG30MG30MG

((((PanadeinePanadeinePanadeinePanadeine forte)forte)forte)forte)

MOD –

SEVERE

CODEINE can cause CODEINE can cause CODEINE can cause CODEINE can cause

nausea, constipation, nausea, constipation, nausea, constipation, nausea, constipation,

blurring of vision.blurring of vision.blurring of vision.blurring of vision.

TRAMAL TABS give TRAMAL TABS give TRAMAL TABS give TRAMAL TABS give

similar pain relief but similar pain relief but similar pain relief but similar pain relief but

constipation less constipation less constipation less constipation less

likely likely likely likely

40404040PARACETAMOL PARACETAMOL PARACETAMOL PARACETAMOL 500MG plus 500MG plus 500MG plus 500MG plus CODEINE CODEINE CODEINE CODEINE 8MG8MG8MG8MG((((PanadeinePanadeinePanadeinePanadeine))))

MOD

NUROFEN or ASPIRIN NUROFEN or ASPIRIN NUROFEN or ASPIRIN NUROFEN or ASPIRIN

can be usedcan be usedcan be usedcan be used

40404040PARACETAMOL PARACETAMOL PARACETAMOL PARACETAMOL 500MG (Panadol)500MG (Panadol)500MG (Panadol)500MG (Panadol)

MILD

COMMENTSCOMMENTSCOMMENTSCOMMENTSNONONONORECOMMENDED RECOMMENDED RECOMMENDED RECOMMENDED DRUGDRUGDRUGDRUG

PAIN PAIN PAIN PAIN

LEVELLEVELLEVELLEVEL

Pain management Pain management Pain management Pain management ---- SevereSevereSevereSevere

(5)(5)(5)(5)PETHIDINE INJECTIONPETHIDINE INJECTIONPETHIDINE INJECTIONPETHIDINE INJECTION

100MG/2ML100MG/2ML100MG/2ML100MG/2ML

Significant incidence of Significant incidence of Significant incidence of Significant incidence of

nausea, vomiting & blurred nausea, vomiting & blurred nausea, vomiting & blurred nausea, vomiting & blurred

vision. Hence usually vision. Hence usually vision. Hence usually vision. Hence usually

requires requires requires requires StemetilStemetilStemetilStemetil as well, as well, as well, as well,

either injection /suppository.either injection /suppository.either injection /suppository.either injection /suppository.

(5)(5)(5)(5)MORPHINEMORPHINEMORPHINEMORPHINE

INJECTION 15MG/MLINJECTION 15MG/MLINJECTION 15MG/MLINJECTION 15MG/ML

Need to use suppositories if Need to use suppositories if Need to use suppositories if Need to use suppositories if

patient vomiting. Also higher patient vomiting. Also higher patient vomiting. Also higher patient vomiting. Also higher

dose provides better pain dose provides better pain dose provides better pain dose provides better pain

relief. relief. relief. relief.

20202020

10101010

OXYCODONE OXYCODONE OXYCODONE OXYCODONE

5MG TAB (5MG TAB (5MG TAB (5MG TAB (EndoneEndoneEndoneEndone) ) ) )

Or 30mg SUPPSOr 30mg SUPPSOr 30mg SUPPSOr 30mg SUPPS

((((ProladoneProladoneProladoneProladone))))

COMMENTCOMMENTCOMMENTCOMMENTNONONONODRUGDRUGDRUGDRUG

When seeking medical assistance, consult YA SR Part 1 Appendix FWhen seeking medical assistance, consult YA SR Part 1 Appendix FWhen seeking medical assistance, consult YA SR Part 1 Appendix FWhen seeking medical assistance, consult YA SR Part 1 Appendix F

to assist with describing region, type and character of pain.to assist with describing region, type and character of pain.to assist with describing region, type and character of pain.to assist with describing region, type and character of pain.

ORCV Vanuatu Race 2006

Managing Adverse Reactions Managing Adverse Reactions Managing Adverse Reactions Managing Adverse Reactions

Reverses extrapyramidal

side effects of stemetil,

maxolon, phenergan.

Box

of 5

COGENTIN

2mg/2ml amp

Reverses respiratory

depression caused by

opiates . (NB. Also

reverses pain relieving

effects)

2NALOXONE

Min-I-Jet injection

COMMENTNO DRUG

Wounds & LimbsWounds & LimbsWounds & LimbsWounds & Limbs ---- GeneralGeneralGeneralGeneral

Can be used for washing Can be used for washing Can be used for washing Can be used for washing

wounds, eyeswounds, eyeswounds, eyeswounds, eyes

500500500500

MLMLMLML

NORMAL NORMAL NORMAL NORMAL SALINESALINESALINESALINE

Do not use ifDo not use ifDo not use ifDo not use if IODINEIODINEIODINEIODINE

ALLERGY. ALLERGY. ALLERGY. ALLERGY. BBBBugsugsugsugs can live in can live in can live in can live in

BetadineBetadineBetadineBetadine so prefer Saline.so prefer Saline.so prefer Saline.so prefer Saline.

15ML15ML15ML15MLANTISEPTIC ANTISEPTIC ANTISEPTIC ANTISEPTIC SKIN SOLUTIONSKIN SOLUTIONSKIN SOLUTIONSKIN SOLUTION

(BETADINE)(BETADINE)(BETADINE)(BETADINE)

LOCAL ANAESTHETIC LOCAL ANAESTHETIC LOCAL ANAESTHETIC LOCAL ANAESTHETIC

CREAM.CREAM.CREAM.CREAM.

Do not use on broken skin.Do not use on broken skin.Do not use on broken skin.Do not use on broken skin.

1111MEDIMEDIMEDIMEDI----CRCRCRCRÈÈÈÈME ME ME ME TUBE (WITHTUBE (WITHTUBE (WITHTUBE (WITH

XXXXYLOCAINE 2%)YLOCAINE 2%)YLOCAINE 2%)YLOCAINE 2%)

Useful for covering dressings Useful for covering dressings Useful for covering dressings Useful for covering dressings

on fingers/hands / feeton fingers/hands / feeton fingers/hands / feeton fingers/hands / feet....

Beware if LATEX ALLERGYBeware if LATEX ALLERGYBeware if LATEX ALLERGYBeware if LATEX ALLERGY

COMMENTCOMMENTCOMMENTCOMMENT

20202020DISPOSABLE DISPOSABLE DISPOSABLE DISPOSABLE GLOVESGLOVESGLOVESGLOVES

NONONONOITEMITEMITEMITEM

Wounds & LimbsWounds & LimbsWounds & LimbsWounds & Limbs –––– Sticky dressingsSticky dressingsSticky dressingsSticky dressings

WATERPROOF PLASTIC WATERPROOF PLASTIC WATERPROOF PLASTIC WATERPROOF PLASTIC

DRESSINGS DRESSINGS DRESSINGS DRESSINGS with central with central with central with central

nonnonnonnon----adherent pad adherent pad adherent pad adherent pad –––– great great great great

on boatson boatson boatson boats

OPSITEOPSITEOPSITEOPSITE

POSTPOSTPOSTPOST----OPOPOPOPDRESSINGSDRESSINGSDRESSINGSDRESSINGSor ALEVYN or ALEVYN or ALEVYN or ALEVYN

FOAMFOAMFOAMFOAM

Use Use Use Use large size large size large size large size waterproof waterproof waterproof waterproof

ADVANCED HEALING ADVANCED HEALING ADVANCED HEALING ADVANCED HEALING

BANDAIDSBANDAIDSBANDAIDSBANDAIDS (J&J)(J&J)(J&J)(J&J)

20202020BANDAIDSBANDAIDSBANDAIDSBANDAIDS

STERISTRIPSSTERISTRIPSSTERISTRIPSSTERISTRIPS

adhere much betteradhere much betteradhere much betteradhere much better

COMMENTCOMMENTCOMMENTCOMMENT

10101010

(STRIPS (STRIPS (STRIPS (STRIPS

OF 5)OF 5)OF 5)OF 5)

BUTTERFLY BUTTERFLY BUTTERFLY BUTTERFLY CLOSURES orCLOSURES orCLOSURES orCLOSURES orSTERISTRIPSSTERISTRIPSSTERISTRIPSSTERISTRIPS

NONONONOITEMITEMITEMITEM

Wounds & Limbs Wounds & Limbs Wounds & Limbs Wounds & Limbs –––– Non Sticky Non Sticky Non Sticky Non Sticky DressingsDressingsDressingsDressings

For MARINE STINGERS & For MARINE STINGERS & For MARINE STINGERS & For MARINE STINGERS &

JELLYFISH JELLYFISH JELLYFISH JELLYFISH –––– apply liberallyapply liberallyapply liberallyapply liberally

BOTTLEBOTTLEBOTTLEBOTTLEVINEGARVINEGARVINEGARVINEGAR

Use low allergen tapeUse low allergen tapeUse low allergen tapeUse low allergen tape –––– egegegeg

LEUKOPLAST/MICROPORELEUKOPLAST/MICROPORELEUKOPLAST/MICROPORELEUKOPLAST/MICROPORE

50MM x 50MM x 50MM x 50MM x

2.5M2.5M2.5M2.5M

ADHESIVE TAPEADHESIVE TAPEADHESIVE TAPEADHESIVE TAPE

DonDonDonDon’’’’t bother taking! Take t bother taking! Take t bother taking! Take t bother taking! Take

cotton make up remover cotton make up remover cotton make up remover cotton make up remover

pads instead.pads instead.pads instead.pads instead.

XXXXROLL OF COTTON ROLL OF COTTON ROLL OF COTTON ROLL OF COTTON WOOLWOOLWOOLWOOL

COMMENTCOMMENTCOMMENTCOMMENTNONONONOITEMITEMITEMITEM

MELOLINMELOLINMELOLINMELOLIN –––– Buy the largest Buy the largest Buy the largest Buy the largest

(10cm x 10cm)(10cm x 10cm)(10cm x 10cm)(10cm x 10cm)

10101010NONNONNONNON----ADHERENT ADHERENT ADHERENT ADHERENT DRESSING DRESSING DRESSING DRESSING

(UNITULLE)(UNITULLE)(UNITULLE)(UNITULLE)

Wounds & Limbs Wounds & Limbs Wounds & Limbs Wounds & Limbs –––– Limb InjuriesLimb InjuriesLimb InjuriesLimb Injuries

For applying support & some For applying support & some For applying support & some For applying support & some

compression to wounds/ compression to wounds/ compression to wounds/ compression to wounds/

injuriesinjuriesinjuriesinjuries

Variable Variable Variable Variable

widthswidthswidthswidths

TUBIGRIPTUBIGRIPTUBIGRIPTUBIGRIP

For For For For immobilisationimmobilisationimmobilisationimmobilisation of limb of limb of limb of limb

fractures. fractures. fractures. fractures. Waterproof. Store Waterproof. Store Waterproof. Store Waterproof. Store

flat. Easily inflated.flat. Easily inflated.flat. Easily inflated.flat. Easily inflated. May be May be May be May be

uncomfortable to wear in the uncomfortable to wear in the uncomfortable to wear in the uncomfortable to wear in the

heat of the tropics.heat of the tropics.heat of the tropics.heat of the tropics.

ARM X 1 ARM X 1 ARM X 1 ARM X 1

LEG X 1LEG X 1LEG X 1LEG X 1

INFLATABLE INFLATABLE INFLATABLE INFLATABLE AIR SPLINTSAIR SPLINTSAIR SPLINTSAIR SPLINTS

For injuries to collar bone, For injuries to collar bone, For injuries to collar bone, For injuries to collar bone,

shoulder, arm or handshoulder, arm or handshoulder, arm or handshoulder, arm or hand

1111TRIANGULAR TRIANGULAR TRIANGULAR TRIANGULAR BANDAGEBANDAGEBANDAGEBANDAGE

Take EXTRA 100MM X2 and Take EXTRA 100MM X2 and Take EXTRA 100MM X2 and Take EXTRA 100MM X2 and

150MM x 2150MM x 2150MM x 2150MM x 2

50MM X 150MM X 150MM X 150MM X 1

75MM X 275MM X 275MM X 275MM X 2

CREPE CREPE CREPE CREPE BANDAGESBANDAGESBANDAGESBANDAGES

COMMENTCOMMENTCOMMENTCOMMENTNONONONOITEMITEMITEMITEM

EyesEyesEyesEyes

For removing superficial For removing superficial For removing superficial For removing superficial

foreign bodiesforeign bodiesforeign bodiesforeign bodies

COTTON BUDSCOTTON BUDSCOTTON BUDSCOTTON BUDS

Use wrap around variety to Use wrap around variety to Use wrap around variety to Use wrap around variety to

reduce UV getting to eyes & reduce UV getting to eyes & reduce UV getting to eyes & reduce UV getting to eyes &

causing premature cataract causing premature cataract causing premature cataract causing premature cataract

formationformationformationformation

SUNGLASSESSUNGLASSESSUNGLASSESSUNGLASSES

COMMENTCOMMENTCOMMENTCOMMENTITEMITEMITEMITEM

Must be folded in half & taped Must be folded in half & taped Must be folded in half & taped Must be folded in half & taped

with pad sitting in socked to with pad sitting in socked to with pad sitting in socked to with pad sitting in socked to

provide appropriate pressure provide appropriate pressure provide appropriate pressure provide appropriate pressure

to hold eyelid closed.to hold eyelid closed.to hold eyelid closed.to hold eyelid closed.

5555STERILE EYE STERILE EYE STERILE EYE STERILE EYE PATCHESPATCHESPATCHESPATCHES

Take Take Take Take 500ml bottle 500ml bottle 500ml bottle 500ml bottle & use for & use for & use for & use for

cleaning wounds as wellcleaning wounds as wellcleaning wounds as wellcleaning wounds as well

250250250250

MLMLMLML

NORMAL SALINENORMAL SALINENORMAL SALINENORMAL SALINE

EyesEyesEyesEyes

Put in when going to bed Put in when going to bed Put in when going to bed Put in when going to bed

or if using or if using or if using or if using eyepatcheyepatcheyepatcheyepatch as as as as

difficult to focus through difficult to focus through difficult to focus through difficult to focus through

film. Also useful for skin film. Also useful for skin film. Also useful for skin film. Also useful for skin

infections.infections.infections.infections.

4 GM 4 GM 4 GM 4 GM

TUBETUBETUBETUBE

CHLOROMYCETIN CHLOROMYCETIN CHLOROMYCETIN CHLOROMYCETIN EYE OINTEYE OINTEYE OINTEYE OINT

Antibiotic. Can be used Antibiotic. Can be used Antibiotic. Can be used Antibiotic. Can be used

every 2 hrs initially every 2 hrs initially every 2 hrs initially every 2 hrs initially

1111CHLOROMYCETIN CHLOROMYCETIN CHLOROMYCETIN CHLOROMYCETIN EYE DROPSEYE DROPSEYE DROPSEYE DROPS

COMMENTCOMMENTCOMMENTCOMMENTITEMITEMITEMITEM

Individual plastic vials.Individual plastic vials.Individual plastic vials.Individual plastic vials.

Great for washing salt out Great for washing salt out Great for washing salt out Great for washing salt out

of eyes.Eliminates risk of of eyes.Eliminates risk of of eyes.Eliminates risk of of eyes.Eliminates risk of

cross infection with single cross infection with single cross infection with single cross infection with single

use vial.use vial.use vial.use vial.

30 30 30 30

x x x x

0.4ml0.4ml0.4ml0.4ml

REFRESH EYE REFRESH EYE REFRESH EYE REFRESH EYE DROPSDROPSDROPSDROPS

(Artificial tears)(Artificial tears)(Artificial tears)(Artificial tears)

AntibioticAntibioticAntibioticAntibiotic

Do not use if allergic to Do not use if allergic to Do not use if allergic to Do not use if allergic to

SULPHAS.SULPHAS.SULPHAS.SULPHAS.

Used for urinary tract infections, Used for urinary tract infections, Used for urinary tract infections, Used for urinary tract infections,

some bowel infections.some bowel infections.some bowel infections.some bowel infections.

20202020BACTRIM TABBACTRIM TABBACTRIM TABBACTRIM TAB

(Sulphur)(Sulphur)(Sulphur)(Sulphur)

20% of patients with PENICILLIN 20% of patients with PENICILLIN 20% of patients with PENICILLIN 20% of patients with PENICILLIN

ALLERGY will also react to ALLERGY will also react to ALLERGY will also react to ALLERGY will also react to

Keflex.Keflex.Keflex.Keflex.

20202020KEFLEX 500MG KEFLEX 500MG KEFLEX 500MG KEFLEX 500MG CAPCAPCAPCAP

(Cephalosporin)(Cephalosporin)(Cephalosporin)(Cephalosporin)

Can cause PHOTOSENSITIVITY Can cause PHOTOSENSITIVITY Can cause PHOTOSENSITIVITY Can cause PHOTOSENSITIVITY

RASH. Suggest take RASH. Suggest take RASH. Suggest take RASH. Suggest take

DOXYCYCLINE instead as can be DOXYCYCLINE instead as can be DOXYCYCLINE instead as can be DOXYCYCLINE instead as can be

used for malaria prophylaxis as used for malaria prophylaxis as used for malaria prophylaxis as used for malaria prophylaxis as

well as infection.well as infection.well as infection.well as infection.

20202020ACHROMYCINACHROMYCINACHROMYCINACHROMYCIN

250MG CAP250MG CAP250MG CAP250MG CAP

(Tetracycline)(Tetracycline)(Tetracycline)(Tetracycline)

COMMENTCOMMENTCOMMENTCOMMENTNONONONOANTIBIOTICANTIBIOTICANTIBIOTICANTIBIOTIC

AntibioticAntibioticAntibioticAntibiotic

For For For For giardiagiardiagiardiagiardia (bowel infection).(bowel infection).(bowel infection).(bowel infection).

For anaerobic infections (some For anaerobic infections (some For anaerobic infections (some For anaerobic infections (some

wounds, dental infections)wounds, dental infections)wounds, dental infections)wounds, dental infections)

For For For For giardiagiardiagiardiagiardia, but often needs , but often needs , but often needs , but often needs

repeatingrepeatingrepeatingrepeating

21212121

4444

FLAGYL TABFLAGYL TABFLAGYL TABFLAGYL TAB

400MG400MG400MG400MG

((((MetronidazoleMetronidazoleMetronidazoleMetronidazole))))

OrOrOrOr

FASIGYN TABFASIGYN TABFASIGYN TABFASIGYN TAB

((((TinidazoleTinidazoleTinidazoleTinidazole))))

Reserve for severe infections.Reserve for severe infections.Reserve for severe infections.Reserve for severe infections.

Treats skin, respiratory, urinary Treats skin, respiratory, urinary Treats skin, respiratory, urinary Treats skin, respiratory, urinary

and bowel infections.and bowel infections.and bowel infections.and bowel infections.

14141414CIPROXIN TABCIPROXIN TABCIPROXIN TABCIPROXIN TAB

500MG500MG500MG500MG

COMMENTCOMMENTCOMMENTCOMMENTNONONONOANTIBIOTICANTIBIOTICANTIBIOTICANTIBIOTIC

BurnsBurnsBurnsBurns

COMMENTCOMMENTCOMMENTCOMMENTINDICATIONINDICATIONINDICATIONINDICATIONITEMITEMITEMITEM

SEVERESEVERESEVERESEVERE

(Third degree)(Third degree)(Third degree)(Third degree)

BLISTERINGBLISTERINGBLISTERINGBLISTERING

(Second (Second (Second (Second

degree)degree)degree)degree)

SUPERFICIALSUPERFICIALSUPERFICIALSUPERFICIAL

(First Degree)(First Degree)(First Degree)(First Degree)

Requires expert advice as complex Requires expert advice as complex Requires expert advice as complex Requires expert advice as complex

problem due to SEVERE PAIN, problem due to SEVERE PAIN, problem due to SEVERE PAIN, problem due to SEVERE PAIN,

FLUID LOSS +++ AND RISK OF FLUID LOSS +++ AND RISK OF FLUID LOSS +++ AND RISK OF FLUID LOSS +++ AND RISK OF

INFECTIONINFECTIONINFECTIONINFECTION

Apply in thick layer . Cover with non Apply in thick layer . Cover with non Apply in thick layer . Cover with non Apply in thick layer . Cover with non

stick dressing and bandage.stick dressing and bandage.stick dressing and bandage.stick dressing and bandage.

Contains photographic silver as Contains photographic silver as Contains photographic silver as Contains photographic silver as

antibiotic antibiotic antibiotic antibiotic –––– can stain clothing.can stain clothing.can stain clothing.can stain clothing.

SILVAZINE SILVAZINE SILVAZINE SILVAZINE CREAMCREAMCREAMCREAM

Dab on repeatedly to area. Wrap Dab on repeatedly to area. Wrap Dab on repeatedly to area. Wrap Dab on repeatedly to area. Wrap

with glad wrap if extensive area.with glad wrap if extensive area.with glad wrap if extensive area.with glad wrap if extensive area.

SOLUGELSOLUGELSOLUGELSOLUGEL

SOAK AFFECTED PART IN WATER FOR > 20MINS SOAK AFFECTED PART IN WATER FOR > 20MINS SOAK AFFECTED PART IN WATER FOR > 20MINS SOAK AFFECTED PART IN WATER FOR > 20MINS

TO REDUCE DEGREE OF BURN AND PAINTO REDUCE DEGREE OF BURN AND PAINTO REDUCE DEGREE OF BURN AND PAINTO REDUCE DEGREE OF BURN AND PAIN

Sunscreen Sunscreen Sunscreen Sunscreen 30 + SPF 250ML

� Takes 20mins to bind the skin before becoming Takes 20mins to bind the skin before becoming Takes 20mins to bind the skin before becoming Takes 20mins to bind the skin before becoming

effective.effective.effective.effective.

� Regular application will reverse 70% of solar damage.Regular application will reverse 70% of solar damage.Regular application will reverse 70% of solar damage.Regular application will reverse 70% of solar damage.

� Formulations with both Sunscreen and Insect Formulations with both Sunscreen and Insect Formulations with both Sunscreen and Insect Formulations with both Sunscreen and Insect repellantrepellantrepellantrepellant

available (useful in tropical areas)available (useful in tropical areas)available (useful in tropical areas)available (useful in tropical areas)

SunburnSunburnSunburnSunburn

Reduce degree of burnReduce degree of burnReduce degree of burnReduce degree of burnWET PACKSWET PACKSWET PACKSWET PACKS

AntiAntiAntiAnti----inflammatory effectinflammatory effectinflammatory effectinflammatory effectASPIRINASPIRINASPIRINASPIRIN

HYDROCORTISONE to faceHYDROCORTISONE to faceHYDROCORTISONE to faceHYDROCORTISONE to face

ELOCON OINT to other areasELOCON OINT to other areasELOCON OINT to other areasELOCON OINT to other areas

CORTISONE CREAMCORTISONE CREAMCORTISONE CREAMCORTISONE CREAM

Very soothingVery soothingVery soothingVery soothingSOLUGELSOLUGELSOLUGELSOLUGEL

Diarrhoea & DehydrationDiarrhoea & DehydrationDiarrhoea & DehydrationDiarrhoea & Dehydration

If diarrhoea persists > 48hrs and pt If diarrhoea persists > 48hrs and pt If diarrhoea persists > 48hrs and pt If diarrhoea persists > 48hrs and pt

has fever, suspect bacterial cause.has fever, suspect bacterial cause.has fever, suspect bacterial cause.has fever, suspect bacterial cause.

Obtain medical advice before Obtain medical advice before Obtain medical advice before Obtain medical advice before

commencing. In commencing. In commencing. In commencing. In an an an an emergency, give emergency, give emergency, give emergency, give

CiproxinCiproxinCiproxinCiproxin....

ANTIBIOTICANTIBIOTICANTIBIOTICANTIBIOTIC

12121212

20202020

1 PKT1 PKT1 PKT1 PKT

(10)(10)(10)(10)

NONONONO COMMENTCOMMENTCOMMENTCOMMENTITEMITEMITEMITEM

Controlling diarrhoea. Controlling diarrhoea. Controlling diarrhoea. Controlling diarrhoea.

SYMPTOMATIC RELIEF only. Can SYMPTOMATIC RELIEF only. Can SYMPTOMATIC RELIEF only. Can SYMPTOMATIC RELIEF only. Can

increase risk of absorbing bugs.increase risk of absorbing bugs.increase risk of absorbing bugs.increase risk of absorbing bugs.

IMODIUM 2MG IMODIUM 2MG IMODIUM 2MG IMODIUM 2MG TABTABTABTAB orororor

LOMOTIL TABLOMOTIL TABLOMOTIL TABLOMOTIL TAB

FLUID REPLACEMENT is most FLUID REPLACEMENT is most FLUID REPLACEMENT is most FLUID REPLACEMENT is most

important treatment. Flushes bugs important treatment. Flushes bugs important treatment. Flushes bugs important treatment. Flushes bugs

from bowel and maintains hydration from bowel and maintains hydration from bowel and maintains hydration from bowel and maintains hydration

& replaces lost salt and sugar& replaces lost salt and sugar& replaces lost salt and sugar& replaces lost salt and sugar

GASTROLYTEGASTROLYTEGASTROLYTEGASTROLYTE

4.9G SACHET4.9G SACHET4.9G SACHET4.9G SACHET

HydrationHydrationHydrationHydration

YA SR Part 1 Section 3.18 : WATER TANKS & WATERYA SR Part 1 Section 3.18 : WATER TANKS & WATERYA SR Part 1 Section 3.18 : WATER TANKS & WATERYA SR Part 1 Section 3.18 : WATER TANKS & WATER

At least 2.5 litres fresh water per crew member per

100NM of the course to be sailed shall be carried at the

start of the race.

Restrict intake of soft drinks (sugar) and alcohol Restrict intake of soft drinks (sugar) and alcohol Restrict intake of soft drinks (sugar) and alcohol Restrict intake of soft drinks (sugar) and alcohol

(diuretic) which can increase dehydration(diuretic) which can increase dehydration(diuretic) which can increase dehydration(diuretic) which can increase dehydration

Allow for additional water consumption Allow for additional water consumption Allow for additional water consumption Allow for additional water consumption ----

In tropicIn tropicIn tropicIn tropics s s s –––– SeasicknessSeasicknessSeasicknessSeasickness ---- Febrile illnessesFebrile illnessesFebrile illnessesFebrile illnesses

Vomiting and diarrhoea Vomiting and diarrhoea Vomiting and diarrhoea Vomiting and diarrhoea

Australian Kidney Foundation recommends 3.2 litres Australian Kidney Foundation recommends 3.2 litres Australian Kidney Foundation recommends 3.2 litres Australian Kidney Foundation recommends 3.2 litres

per 24 hours to reduce risk of chronic kidney damage per 24 hours to reduce risk of chronic kidney damage per 24 hours to reduce risk of chronic kidney damage per 24 hours to reduce risk of chronic kidney damage

by 50%.by 50%.by 50%.by 50%.

Sea SicknessSea SicknessSea SicknessSea Sickness

Commence medication 12hrs Commence medication 12hrs Commence medication 12hrs Commence medication 12hrs

before if possible. Continue taking before if possible. Continue taking before if possible. Continue taking before if possible. Continue taking

regularly until conditions abate or at regularly until conditions abate or at regularly until conditions abate or at regularly until conditions abate or at

sea for few days.sea for few days.sea for few days.sea for few days.

GENERAL GENERAL GENERAL GENERAL PRINCIPLESPRINCIPLESPRINCIPLESPRINCIPLES

Give 25mg intramuscularly.Give 25mg intramuscularly.Give 25mg intramuscularly.Give 25mg intramuscularly. Allows Allows Allows Allows

pt to sleep as well as stop vomiting. pt to sleep as well as stop vomiting. pt to sleep as well as stop vomiting. pt to sleep as well as stop vomiting.

Useful for severe allergic reactionsUseful for severe allergic reactionsUseful for severe allergic reactionsUseful for severe allergic reactions

PROMETHAZINE PROMETHAZINE PROMETHAZINE PROMETHAZINE

INJECTIONS INJECTIONS INJECTIONS INJECTIONS 50MG/2ML50MG/2ML50MG/2ML50MG/2ML

Keep in fridge as wax based and will Keep in fridge as wax based and will Keep in fridge as wax based and will Keep in fridge as wax based and will

melt in higher temps.melt in higher temps.melt in higher temps.melt in higher temps. Remove foil Remove foil Remove foil Remove foil

covering before insertingcovering before insertingcovering before insertingcovering before inserting

STEMETILSTEMETILSTEMETILSTEMETIL

SUPPSSUPPSSUPPSSUPPS 25MG25MG25MG25MG

ProchlorperazineProchlorperazineProchlorperazineProchlorperazine

YA: Some form of seasickness remedy shall be carried. YA: Some form of seasickness remedy shall be carried. YA: Some form of seasickness remedy shall be carried. YA: Some form of seasickness remedy shall be carried.

All types available may produce drowsiness and /or All types available may produce drowsiness and /or All types available may produce drowsiness and /or All types available may produce drowsiness and /or

disorientation. In the case of severe sea sickness disorientation. In the case of severe sea sickness disorientation. In the case of severe sea sickness disorientation. In the case of severe sea sickness StemetilStemetilStemetilStemetil

suppositories are strongly recommended.suppositories are strongly recommended.suppositories are strongly recommended.suppositories are strongly recommended.

AllergyAllergyAllergyAllergy

Any crew member with significant Any crew member with significant Any crew member with significant Any crew member with significant

allergy should carry their own allergy should carry their own allergy should carry their own allergy should carry their own EpiEpiEpiEpi----penpenpenpen

1111EPIEPIEPIEPI----PENPENPENPEN

For acute severe allergic reactions.For acute severe allergic reactions.For acute severe allergic reactions.For acute severe allergic reactions.

Needs calibrated 1ml syringe for Needs calibrated 1ml syringe for Needs calibrated 1ml syringe for Needs calibrated 1ml syringe for

accurate dose administrationaccurate dose administrationaccurate dose administrationaccurate dose administration

5555ADRENALINE ADRENALINE ADRENALINE ADRENALINE INJECTION INJECTION INJECTION INJECTION

1:1000/1ml1:1000/1ml1:1000/1ml1:1000/1ml

25252525

50505050

10101010

NONONONO

Requires medical advice re dosing.Requires medical advice re dosing.Requires medical advice re dosing.Requires medical advice re dosing.

Problems if used > 14 days without Problems if used > 14 days without Problems if used > 14 days without Problems if used > 14 days without

weaning off doseweaning off doseweaning off doseweaning off dose

PREDNISONE PREDNISONE PREDNISONE PREDNISONE 25MG TAB25MG TAB25MG TAB25MG TAB

Useful for sea sicknessUseful for sea sicknessUseful for sea sicknessUseful for sea sickness & & & & allergic allergic allergic allergic

reactionsreactionsreactionsreactions. . . . Can cause drowsinessCan cause drowsinessCan cause drowsinessCan cause drowsiness

PHENERGANPHENERGANPHENERGANPHENERGAN

10MG TAB10MG TAB10MG TAB10MG TAB

NonNonNonNon----sedating antihistamine.sedating antihistamine.sedating antihistamine.sedating antihistamine.

For milder reactionsFor milder reactionsFor milder reactionsFor milder reactions

TELFAST orTELFAST orTELFAST orTELFAST or

CLARATYNECLARATYNECLARATYNECLARATYNE

COMMENTCOMMENTCOMMENTCOMMENTITEMITEMITEMITEM

InstrumentsInstrumentsInstrumentsInstruments

???? Not on my boat!!! Use tapeNot on my boat!!! Use tapeNot on my boat!!! Use tapeNot on my boat!!! Use tapeSAFETY PINSSAFETY PINSSAFETY PINSSAFETY PINS

Prefer battery operated modelsPrefer battery operated modelsPrefer battery operated modelsPrefer battery operated models....

Relevant for confirming fever : Relevant for confirming fever : Relevant for confirming fever : Relevant for confirming fever :

? Malaria / ? Diarrhoea with fever? Malaria / ? Diarrhoea with fever? Malaria / ? Diarrhoea with fever? Malaria / ? Diarrhoea with fever

For managing HYPOTHERMIA.For managing HYPOTHERMIA.For managing HYPOTHERMIA.For managing HYPOTHERMIA.

Needs to be stored in cool place in Needs to be stored in cool place in Needs to be stored in cool place in Needs to be stored in cool place in

the boat.the boat.the boat.the boat. Refer YA Special Regs Part Refer YA Special Regs Part Refer YA Special Regs Part Refer YA Special Regs Part

1 Appendix C1 Appendix C1 Appendix C1 Appendix C

THERMOMETERSTHERMOMETERSTHERMOMETERSTHERMOMETERS

•CLINICALCLINICALCLINICALCLINICAL

•LOW READINGLOW READINGLOW READINGLOW READING

Can be sterilised in boiling water.Can be sterilised in boiling water.Can be sterilised in boiling water.Can be sterilised in boiling water.

Useful for controlling bleeding in Useful for controlling bleeding in Useful for controlling bleeding in Useful for controlling bleeding in

deeper woundsdeeper woundsdeeper woundsdeeper wounds

SS SCISSORSSS SCISSORSSS SCISSORSSS SCISSORS

SS SPLINTER SS SPLINTER SS SPLINTER SS SPLINTER FORCEPS FORCEPS FORCEPS FORCEPS

SS ARTERY SS ARTERY SS ARTERY SS ARTERY FORCEPSFORCEPSFORCEPSFORCEPS

InstrumentsInstrumentsInstrumentsInstruments

Suturing provides more sound skin Suturing provides more sound skin Suturing provides more sound skin Suturing provides more sound skin

closure than dressingsclosure than dressingsclosure than dressingsclosure than dressings

SUTURE KITSUTURE KITSUTURE KITSUTURE KIT

Great for checking dental problems.Great for checking dental problems.Great for checking dental problems.Great for checking dental problems.

Invaluable for objects lost on the boat in Invaluable for objects lost on the boat in Invaluable for objects lost on the boat in Invaluable for objects lost on the boat in

difficult locations !!!difficult locations !!!difficult locations !!!difficult locations !!!

DENTAL DENTAL DENTAL DENTAL MIRRORMIRRORMIRRORMIRROR

Miscellaneous MedicationMiscellaneous MedicationMiscellaneous MedicationMiscellaneous Medication

ANTIBIOTIC OINTMENT FOR ANTIBIOTIC OINTMENT FOR ANTIBIOTIC OINTMENT FOR ANTIBIOTIC OINTMENT FOR

PUSTULAR RASHESPUSTULAR RASHESPUSTULAR RASHESPUSTULAR RASHES& & & & WOUNDSWOUNDSWOUNDSWOUNDS

1111BACTROBAN BACTROBAN BACTROBAN BACTROBAN OINTMENTOINTMENTOINTMENTOINTMENT

THRUSH, TINEATHRUSH, TINEATHRUSH, TINEATHRUSH, TINEA1111ANTIFUNGAANTIFUNGAANTIFUNGAANTIFUNGALLLL

CREAM (LAMISIL)CREAM (LAMISIL)CREAM (LAMISIL)CREAM (LAMISIL)

ITCHY RASHES, SUNBURNITCHY RASHES, SUNBURNITCHY RASHES, SUNBURNITCHY RASHES, SUNBURN

INSECT BITESINSECT BITESINSECT BITESINSECT BITES

1111CORTISONECORTISONECORTISONECORTISONE

CREAMCREAMCREAMCREAM

INDIGESTION or HEARTBURNINDIGESTION or HEARTBURNINDIGESTION or HEARTBURNINDIGESTION or HEARTBURN30303030PPPPPPPPI I I I

(LOSEC,SOMAC)(LOSEC,SOMAC)(LOSEC,SOMAC)(LOSEC,SOMAC)

Useful for any type of COUGHUseful for any type of COUGHUseful for any type of COUGHUseful for any type of COUGH or or or or

WHEEZINGWHEEZINGWHEEZINGWHEEZING

1111VENTOLIN VENTOLIN VENTOLIN VENTOLIN INHALERINHALERINHALERINHALER

COMMENTCOMMENTCOMMENTCOMMENTNO NO NO NO ITEMITEMITEMITEM

Confidential Medical QuestionnaireConfidential Medical QuestionnaireConfidential Medical QuestionnaireConfidential Medical Questionnaire

INCLUDING ELASTOPLAST, BANDAIDS, ETC.INCLUDING ELASTOPLAST, BANDAIDS, ETC.INCLUDING ELASTOPLAST, BANDAIDS, ETC.INCLUDING ELASTOPLAST, BANDAIDS, ETC.

? CARRYING EPIPEN? CARRYING EPIPEN? CARRYING EPIPEN? CARRYING EPIPEN

Drug / Food AllergiesDrug / Food AllergiesDrug / Food AllergiesDrug / Food Allergies

CREW MEMBER TO ENSURE ADEQUATE CREW MEMBER TO ENSURE ADEQUATE CREW MEMBER TO ENSURE ADEQUATE CREW MEMBER TO ENSURE ADEQUATE

SUPPLIESSUPPLIESSUPPLIESSUPPLIES

Regular MedicationRegular MedicationRegular MedicationRegular Medication

ASTHMA, EPILEPSY, HEART DISEASEASTHMA, EPILEPSY, HEART DISEASEASTHMA, EPILEPSY, HEART DISEASEASTHMA, EPILEPSY, HEART DISEASEMedical ConditionsMedical ConditionsMedical ConditionsMedical Conditions

DestinationDestinationDestinationDestination

DepartureDepartureDepartureDeparture

Crew nameCrew nameCrew nameCrew name

All crew members are requested to complete the following All crew members are requested to complete the following All crew members are requested to complete the following All crew members are requested to complete the following

questionnaire prior to departure to ensure adequate questionnaire prior to departure to ensure adequate questionnaire prior to departure to ensure adequate questionnaire prior to departure to ensure adequate

supplies of supplies of supplies of supplies of appropriate emergency drugsappropriate emergency drugsappropriate emergency drugsappropriate emergency drugs are kept in the are kept in the are kept in the are kept in the

First Aid Kit aboard. However, it it essential that you bring First Aid Kit aboard. However, it it essential that you bring First Aid Kit aboard. However, it it essential that you bring First Aid Kit aboard. However, it it essential that you bring

adequate supplies of any regular medication and supplies adequate supplies of any regular medication and supplies adequate supplies of any regular medication and supplies adequate supplies of any regular medication and supplies

of your own favourite sea sickness medication.of your own favourite sea sickness medication.of your own favourite sea sickness medication.of your own favourite sea sickness medication.

Accessing Restricted DrugsAccessing Restricted DrugsAccessing Restricted DrugsAccessing Restricted Drugs

PROOF OF OWNERSHIP OF YACHT PROOF OF OWNERSHIP OF YACHT PROOF OF OWNERSHIP OF YACHT PROOF OF OWNERSHIP OF YACHT

(AND PROOF OF APPOINTMENT OF CREW

MEMBER IN CHARGE IF APPLICABLE)

OWNER OR OWNER OR OWNER OR OWNER OR CREWCREWCREWCREW

MEMBER MEMBER MEMBER MEMBER IN CHARGEIN CHARGEIN CHARGEIN CHARGE PROOF OF IDENTITY OF APPLICANTPROOF OF IDENTITY OF APPLICANTPROOF OF IDENTITY OF APPLICANTPROOF OF IDENTITY OF APPLICANT

PROOF OF ENTRY IN NOMINATED RACEPROOF OF ENTRY IN NOMINATED RACEPROOF OF ENTRY IN NOMINATED RACEPROOF OF ENTRY IN NOMINATED RACEORCVORCVORCVORCV

Completed Form A - APPLICATIONAPPLICATIONAPPLICATIONAPPLICATION

Completed Form B –INFORMATION REQUIRED INFORMATION REQUIRED INFORMATION REQUIRED INFORMATION REQUIRED IN SUPPORT OF APPLICATION IN SUPPORT OF APPLICATION IN SUPPORT OF APPLICATION IN SUPPORT OF APPLICATION

TO PURCHASE OR OBTAIN Sched 4 OR 8

POISONS TO TAKE ON BOARD A YACHT

DHS DHS DHS DHS FORMSFORMSFORMSFORMS

Owner or crew member in charge required to attend in person to Owner or crew member in charge required to attend in person to Owner or crew member in charge required to attend in person to Owner or crew member in charge required to attend in person to DHSDHSDHSDHS

Drugs & Poisons Unit with following documentation to attain a peDrugs & Poisons Unit with following documentation to attain a peDrugs & Poisons Unit with following documentation to attain a peDrugs & Poisons Unit with following documentation to attain a permit to rmit to rmit to rmit to

have restricted drugs dispensed by a have restricted drugs dispensed by a have restricted drugs dispensed by a have restricted drugs dispensed by a nominated nominated nominated nominated pharmacist.pharmacist.pharmacist.pharmacist.

Sched 8 Sched 8 Sched 8 Sched 8 ---- ENDONE, OXYCODONE, MORPHINE, PETHIDINEENDONE, OXYCODONE, MORPHINE, PETHIDINEENDONE, OXYCODONE, MORPHINE, PETHIDINEENDONE, OXYCODONE, MORPHINE, PETHIDINE & Sched 4& Sched 4& Sched 4& Sched 4

Accessing Restricted DrugsAccessing Restricted DrugsAccessing Restricted DrugsAccessing Restricted Drugs

�Ring for an appointment beforeRing for an appointment beforeRing for an appointment beforeRing for an appointment before attending.attending.attending.attending.

�Apply for permit 6Apply for permit 6Apply for permit 6Apply for permit 6----8 weeks prior to 8 weeks prior to 8 weeks prior to 8 weeks prior to

departure.departure.departure.departure.

General Enquiries: 1300 364 545General Enquiries: 1300 364 545General Enquiries: 1300 364 545General Enquiries: 1300 364 545

George direct: George direct: George direct: George direct:

9637 4057 ( till Jan 2006)9637 4057 ( till Jan 2006)9637 4057 ( till Jan 2006)9637 4057 ( till Jan 2006)

9096 5050 (after Jan 2006)9096 5050 (after Jan 2006)9096 5050 (after Jan 2006)9096 5050 (after Jan 2006)

PHONEPHONEPHONEPHONE

Drugs & Poisons Unit DHS,Drugs & Poisons Unit DHS,Drugs & Poisons Unit DHS,Drugs & Poisons Unit DHS,

50 Lonsdale St (near Spring St)50 Lonsdale St (near Spring St)50 Lonsdale St (near Spring St)50 Lonsdale St (near Spring St)

Melbourne (as from Jan 2006)Melbourne (as from Jan 2006)Melbourne (as from Jan 2006)Melbourne (as from Jan 2006)

LOCATIONLOCATIONLOCATIONLOCATION

Mr George Mr George Mr George Mr George PapazoglouPapazoglouPapazoglouPapazoglouCONTACTCONTACTCONTACTCONTACT

Disease PreventionDisease PreventionDisease PreventionDisease Prevention

Immunisations, Prophylaxis & Immunisations, Prophylaxis & Immunisations, Prophylaxis & Immunisations, Prophylaxis &

PrecautionsPrecautionsPrecautionsPrecautions

Vaccine Preventable DiseaseVaccine Preventable DiseaseVaccine Preventable DiseaseVaccine Preventable Disease

TYPHERIX TYPHERIX TYPHERIX TYPHERIX

or or or or

TYPHIM ViTYPHIM ViTYPHIM ViTYPHIM Vi

Contracted from Contracted from Contracted from Contracted from

contaminated food or drink contaminated food or drink contaminated food or drink contaminated food or drink

from infected patient or from infected patient or from infected patient or from infected patient or

carriercarriercarriercarrier

TYPHOIDTYPHOIDTYPHOIDTYPHOID

SABIN SABIN SABIN SABIN

(oral) or (oral) or (oral) or (oral) or

IPOL(injIPOL(injIPOL(injIPOL(inj))))

Still prevalent in Still prevalent in Still prevalent in Still prevalent in

underdeveloped countries. underdeveloped countries. underdeveloped countries. underdeveloped countries.

Causes acute flaccid paralysisCauses acute flaccid paralysisCauses acute flaccid paralysisCauses acute flaccid paralysis

POLIOPOLIOPOLIOPOLIO

ADT ADT ADT ADT

or or or or

BOOSTRIXBOOSTRIXBOOSTRIXBOOSTRIX

Current recommendation is to Current recommendation is to Current recommendation is to Current recommendation is to

have in combination with have in combination with have in combination with have in combination with

whooping coughwhooping coughwhooping coughwhooping cough

TETANUSTETANUSTETANUSTETANUS

FLUVAXFLUVAXFLUVAXFLUVAXMost common cause of illness Most common cause of illness Most common cause of illness Most common cause of illness

in overseas travellersin overseas travellersin overseas travellersin overseas travellers

INFLUENZAINFLUENZAINFLUENZAINFLUENZA

VACCINEVACCINEVACCINEVACCINECOMMENTCOMMENTCOMMENTCOMMENTDISEASEDISEASEDISEASEDISEASE

Vaccine Preventable DiseaseVaccine Preventable DiseaseVaccine Preventable DiseaseVaccine Preventable Disease

VIVAXIMVIVAXIMVIVAXIMVIVAXIMCombined Hep A & Typhoid Combined Hep A & Typhoid Combined Hep A & Typhoid Combined Hep A & Typhoid

vaccvaccvaccvacc

TWINRIXTWINRIXTWINRIXTWINRIXCombined Hep A& B vaccineCombined Hep A& B vaccineCombined Hep A& B vaccineCombined Hep A& B vaccine

ENGERIX BENGERIX BENGERIX BENGERIX BBlood borne illness. Risk of Blood borne illness. Risk of Blood borne illness. Risk of Blood borne illness. Risk of

long term liver damage.long term liver damage.long term liver damage.long term liver damage.

HEPATITIS BHEPATITIS BHEPATITIS BHEPATITIS B

SERUM

HAVRIX HAVRIX HAVRIX HAVRIX

or or or or

VAQTAVAQTAVAQTAVAQTA

Gastro like illness contracted Gastro like illness contracted Gastro like illness contracted Gastro like illness contracted

due to poor due to poor due to poor due to poor hygeinehygeinehygeinehygeine, , , ,

contaminated food or water.contaminated food or water.contaminated food or water.contaminated food or water.

HEPATITIS AHEPATITIS AHEPATITIS AHEPATITIS A

INFECTIOUS

VACCINEVACCINEVACCINEVACCINECOMMENTCOMMENTCOMMENTCOMMENTDISEASEDISEASEDISEASEDISEASE

Vaccine Preventable DiseaseVaccine Preventable DiseaseVaccine Preventable DiseaseVaccine Preventable Disease

VACCINEVACCINEVACCINEVACCINECOMMENTCOMMENTCOMMENTCOMMENTDISEASEDISEASEDISEASEDISEASE

OROCHOL OROCHOL OROCHOL OROCHOL

(oral)(oral)(oral)(oral)

30 30 30 30 –––– 50% of cases will 50% of cases will 50% of cases will 50% of cases will

be prevented by taking be prevented by taking be prevented by taking be prevented by taking

OrocholOrocholOrocholOrochol (oral cholera (oral cholera (oral cholera (oral cholera

vaccine)vaccine)vaccine)vaccine)

TRAVELLERTRAVELLERTRAVELLERTRAVELLER’’’’S S S S DIARRHOEADIARRHOEADIARRHOEADIARRHOEA

MENINGITECMENINGITECMENINGITECMENINGITEC

((((AustAustAustAust))))

MENCEVAXMENCEVAXMENCEVAXMENCEVAX

(Overseas)(Overseas)(Overseas)(Overseas)

Potentially lifePotentially lifePotentially lifePotentially life

threatening infection threatening infection threatening infection threatening infection

spread via saliva.spread via saliva.spread via saliva.spread via saliva.

Strain C Strain C Strain C Strain C –––– prevalent in prevalent in prevalent in prevalent in

AustraliaAustraliaAustraliaAustralia

Strains A,C,W,Y Strains A,C,W,Y Strains A,C,W,Y Strains A,C,W,Y ––––

overseasoverseasoverseasoverseas

MENINGITISMENINGITISMENINGITISMENINGITIS

Tropical IllnessesTropical IllnessesTropical IllnessesTropical Illnesses

� CROTCH ROT

� TROPICAL ULCERS

� JELLYFISH & MARINE STINGERS

� CIGATURA POISONING

� MALARIA

� DENGUE FEVER

� AVIAN FLU

Crotch RotCrotch RotCrotch RotCrotch Rot

TREATMENT:

�Fresh air / loose cotton

underwear

�Lamisil cream – antifungal

�SOOV talc/ Prantal powder –

to absorb sweat

‘Tinea cruris' - ‘Crotch Rot' and ‘tinea

pedis' athlete's foot is caused by

Epidermophyton floccosum. This produces short-lived infections and

relies on shed skin for quick spread

to other hosts. It flourishes in warm

moist conditions.

Tropical UlcersTropical UlcersTropical UlcersTropical Ulcers Any minor cut or scratch can easily Any minor cut or scratch can easily Any minor cut or scratch can easily Any minor cut or scratch can easily

become infected in the tropics due become infected in the tropics due become infected in the tropics due become infected in the tropics due

to moisture and proceed to to moisture and proceed to to moisture and proceed to to moisture and proceed to

ulceration.ulceration.ulceration.ulceration.

PREVENTION:PREVENTION:PREVENTION:PREVENTION:

Disinfect ALL wounds. Apply Disinfect ALL wounds. Apply Disinfect ALL wounds. Apply Disinfect ALL wounds. Apply

waterproof breathable covering (eg. waterproof breathable covering (eg. waterproof breathable covering (eg. waterproof breathable covering (eg.

Advanced healing bandaids).Advanced healing bandaids).Advanced healing bandaids).Advanced healing bandaids).

TREATMENT:TREATMENT:TREATMENT:TREATMENT:

If wound appears infected, apply If wound appears infected, apply If wound appears infected, apply If wound appears infected, apply

BactrobanBactrobanBactrobanBactroban cream or cream or cream or cream or SSSSilvazineilvazineilvazineilvazine

cream if more contaminated. cream if more contaminated. cream if more contaminated. cream if more contaminated.

Apply non adherent dressing over. Apply non adherent dressing over. Apply non adherent dressing over. Apply non adherent dressing over.

Bandage firmly.Bandage firmly.Bandage firmly.Bandage firmly.

Jellyfish & Marine StingersJellyfish & Marine StingersJellyfish & Marine StingersJellyfish & Marine Stingers

The first line of defence against The first line of defence against The first line of defence against The first line of defence against

potentially deadly jellyfish stings potentially deadly jellyfish stings potentially deadly jellyfish stings potentially deadly jellyfish stings

is awareness and preventionis awareness and preventionis awareness and preventionis awareness and prevention....

�Restrain victim from rubbing Restrain victim from rubbing Restrain victim from rubbing Restrain victim from rubbing

sting sitesting sitesting sitesting site

�Douse sting site liberally with Douse sting site liberally with Douse sting site liberally with Douse sting site liberally with

vinegarvinegarvinegarvinegar

�Apply vinegar soaked pad to Apply vinegar soaked pad to Apply vinegar soaked pad to Apply vinegar soaked pad to

doused areadoused areadoused areadoused area

�Observe victim for minimum Observe victim for minimum Observe victim for minimum Observe victim for minimum

45mins45mins45mins45mins

CigaturaCigaturaCigaturaCigatura PoisoningPoisoningPoisoningPoisoningForm of seafood poisoning caused by Form of seafood poisoning caused by Form of seafood poisoning caused by Form of seafood poisoning caused by

eating tropical marine fish which have eating tropical marine fish which have eating tropical marine fish which have eating tropical marine fish which have

accumulated naturally occurring toxins in accumulated naturally occurring toxins in accumulated naturally occurring toxins in accumulated naturally occurring toxins in

their diet.their diet.their diet.their diet.

SYMPTOMS:SYMPTOMS:SYMPTOMS:SYMPTOMS:

Gastro like illness with Gastro like illness with Gastro like illness with Gastro like illness with abdoabdoabdoabdo cramps, cramps, cramps, cramps,

nausea, vomiting and diarrhoea. Also nausea, vomiting and diarrhoea. Also nausea, vomiting and diarrhoea. Also nausea, vomiting and diarrhoea. Also

experience neurological symptoms with experience neurological symptoms with experience neurological symptoms with experience neurological symptoms with

headache, tingling & numbness, weakness headache, tingling & numbness, weakness headache, tingling & numbness, weakness headache, tingling & numbness, weakness

in limbs.in limbs.in limbs.in limbs.

PREVENTION:PREVENTION:PREVENTION:PREVENTION:

�Avoid eating more than one meal from a Avoid eating more than one meal from a Avoid eating more than one meal from a Avoid eating more than one meal from a

single fish. single fish. single fish. single fish.

�Do not eat internal organsDo not eat internal organsDo not eat internal organsDo not eat internal organs

�Wash flesh prior to consumingWash flesh prior to consumingWash flesh prior to consumingWash flesh prior to consuming....

MalariaMalariaMalariaMalariaMalaria, one of the world's most Malaria, one of the world's most Malaria, one of the world's most Malaria, one of the world's most

prevalent and deadly diseases affects prevalent and deadly diseases affects prevalent and deadly diseases affects prevalent and deadly diseases affects

250 million people each year and 250 million people each year and 250 million people each year and 250 million people each year and

causes at least one million deaths. causes at least one million deaths. causes at least one million deaths. causes at least one million deaths.

Risk in Oceania is approx 1:30. This is Risk in Oceania is approx 1:30. This is Risk in Oceania is approx 1:30. This is Risk in Oceania is approx 1:30. This is

becoming worse due to drug becoming worse due to drug becoming worse due to drug becoming worse due to drug

resistance. resistance. resistance. resistance.

Spread by the bite of an infected Spread by the bite of an infected Spread by the bite of an infected Spread by the bite of an infected

female Anopheles mosquito, primarily female Anopheles mosquito, primarily female Anopheles mosquito, primarily female Anopheles mosquito, primarily

between sunset and sunrise. between sunset and sunrise. between sunset and sunrise. between sunset and sunrise.

MosquitoesMosquitoesMosquitoesMosquitoes must have been infected must have been infected must have been infected must have been infected

by the malaria parasite through a by the malaria parasite through a by the malaria parasite through a by the malaria parasite through a

previous blood meal taken from an previous blood meal taken from an previous blood meal taken from an previous blood meal taken from an

infected person.infected person.infected person.infected person.

Malarial Transmission CycleMalarial Transmission CycleMalarial Transmission CycleMalarial Transmission Cycle

Malaria PreventionMalaria PreventionMalaria PreventionMalaria Prevention

� REDUCE RISK OF BEING BITTEN BY MOSQUITOES: � Wear clothing washed with

Permethrin

� Apply RID / DEET repellant to exposed skin

� Sleep under bed nets impregnated with Permethrin

� MEDICATION FOR MALARIALPROPHYLAXIS:

� Take all antimalarials with plenty of water with or after evening meal to reduce problems with indigestion.

� Doxycycline 100mg daily

Malaria ManagementMalaria ManagementMalaria ManagementMalaria Management

�Suspect Malaria if patient has high fever for > 48 hrsSuspect Malaria if patient has high fever for > 48 hrsSuspect Malaria if patient has high fever for > 48 hrsSuspect Malaria if patient has high fever for > 48 hrs

�Diagnostic tests only reliable if performed in laboratoryDiagnostic tests only reliable if performed in laboratoryDiagnostic tests only reliable if performed in laboratoryDiagnostic tests only reliable if performed in laboratory

4 TABS DAILY FOR 3 DAYS4 TABS DAILY FOR 3 DAYS4 TABS DAILY FOR 3 DAYS4 TABS DAILY FOR 3 DAYSMALARONE MALARONE MALARONE MALARONE

250/100250/100250/100250/100 TABTABTABTAB

TREATMENTTREATMENTTREATMENTTREATMENT

1 TAB DAILY COMMENCING 1 TAB DAILY COMMENCING 1 TAB DAILY COMMENCING 1 TAB DAILY COMMENCING

2 DAYS BEFORE ENTERING 2 DAYS BEFORE ENTERING 2 DAYS BEFORE ENTERING 2 DAYS BEFORE ENTERING

MALARIAL AREA, WHILST IN MALARIAL AREA, WHILST IN MALARIAL AREA, WHILST IN MALARIAL AREA, WHILST IN

AREA & CONTINUE FOR 4 AREA & CONTINUE FOR 4 AREA & CONTINUE FOR 4 AREA & CONTINUE FOR 4

WEEKS AFTER LEAVINGWEEKS AFTER LEAVINGWEEKS AFTER LEAVINGWEEKS AFTER LEAVING

DOXYCYCLINE DOXYCYCLINE DOXYCYCLINE DOXYCYCLINE

100MG TAB100MG TAB100MG TAB100MG TAB

PROPHYLAXISPROPHYLAXISPROPHYLAXISPROPHYLAXIS

DOSEDOSEDOSEDOSEMEDICATIONMEDICATIONMEDICATIONMEDICATIONINDICATIONINDICATIONINDICATIONINDICATION

Avian FluAvian FluAvian FluAvian Flu

This infection is notThis infection is notThis infection is notThis infection is not currently currently currently currently

a problem in Vanuatu or a problem in Vanuatu or a problem in Vanuatu or a problem in Vanuatu or

Australia.Australia.Australia.Australia.

Prophylaxis and treatment is Prophylaxis and treatment is Prophylaxis and treatment is Prophylaxis and treatment is

taking antiviral agents:taking antiviral agents:taking antiviral agents:taking antiviral agents:

�TAMIFLU TABSTAMIFLU TABSTAMIFLU TABSTAMIFLU TABS

�RELENZA.RELENZA.RELENZA.RELENZA.

Obtain a script and put your Obtain a script and put your Obtain a script and put your Obtain a script and put your

name on the waiting list at name on the waiting list at name on the waiting list at name on the waiting list at

the pharmacy.the pharmacy.the pharmacy.the pharmacy.

Watch this space !!!Watch this space !!!Watch this space !!!Watch this space !!!

Check listCheck listCheck listCheck list

Owner or crew member of yacht to attend in Owner or crew member of yacht to attend in Owner or crew member of yacht to attend in Owner or crew member of yacht to attend in

person with completed paperwork, MINIMUM of person with completed paperwork, MINIMUM of person with completed paperwork, MINIMUM of person with completed paperwork, MINIMUM of

SIX WEEKS prior to race to SIX WEEKS prior to race to SIX WEEKS prior to race to SIX WEEKS prior to race to ----

Dept of Human Services Drugs & Poisons UnitDept of Human Services Drugs & Poisons UnitDept of Human Services Drugs & Poisons UnitDept of Human Services Drugs & Poisons Unit

PRESCRIPTION PRESCRIPTION PRESCRIPTION PRESCRIPTION MEDICATIONMEDICATIONMEDICATIONMEDICATION

(Schedule 4 ,8,9)(Schedule 4 ,8,9)(Schedule 4 ,8,9)(Schedule 4 ,8,9)

�Visit at least SIX WEEKS prior to departure.Visit at least SIX WEEKS prior to departure.Visit at least SIX WEEKS prior to departure.Visit at least SIX WEEKS prior to departure.

�Discuss personal requirements (medication, Discuss personal requirements (medication, Discuss personal requirements (medication, Discuss personal requirements (medication,

immunisations, malaria prophylaxis)immunisations, malaria prophylaxis)immunisations, malaria prophylaxis)immunisations, malaria prophylaxis)

�Obtain prescriptions for Medical kit items Obtain prescriptions for Medical kit items Obtain prescriptions for Medical kit items Obtain prescriptions for Medical kit items

�Obtain List of medications to be carriedObtain List of medications to be carriedObtain List of medications to be carriedObtain List of medications to be carried

GPGPGPGP

OrOrOrOr

TRAVEL CLINICTRAVEL CLINICTRAVEL CLINICTRAVEL CLINIC

Supply medicationsSupply medicationsSupply medicationsSupply medications

Supply dressingsSupply dressingsSupply dressingsSupply dressings

PHARMACISTPHARMACISTPHARMACISTPHARMACIST

For impregnating clothing and sleeping nets for For impregnating clothing and sleeping nets for For impregnating clothing and sleeping nets for For impregnating clothing and sleeping nets for

malarial prevention.malarial prevention.malarial prevention.malarial prevention.

PERMETHRINPERMETHRINPERMETHRINPERMETHRIN

Relax and enjoy!!!Relax and enjoy!!!Relax and enjoy!!!Relax and enjoy!!!

YouYouYouYou’’’’re therere therere therere there!!!!!!!!!!!!