Curtis Mattoon, a Wilderness Medicine/Rescue Instructor from Pittsburgh, Pennsylvania recommends the following components for a Wilderness/Mountain SAR Medkit .The first section is Personal use, for first-aid level personnel and the supplements apply to scenarios where the responder is acting as the dedicated team medic
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1) Personal Protection Equipment (PPE) ---
2 pr Latex Gloves (Nitrile)
1 CPR Microshield (or, the new Laerdal "Inflata-shield")
1 Purell Hand-sanatizer (small size) or 4 Hand sanitizer wipes (P.A.W.S. or similar)
--- Instruments/Equipment ---
1 pair Tweezers (magnifying glass & tweezers combo preferred)
1 First aid guide/list of contents/SOAA'P notes
1EMT bandage shears or comparable
1 pocket light
--- Trauma ---
2 4"x4" Gauze pads
3 3"x3" Gauze pads
1 5"x9" Abdominal pad
10 Band-aids (knuckle "H"-shaped bandaids rock - more versatile than "regular" bandaids)
1 Roll 1" Waterproof tape
1 2" Roll/Kling gauze (Kerlix or similar)
1 3" ACE/elastic athletic wrap
1 sheet 3"x4" Moleskin pads (go for the whole pad, not the precut donut-shaped ones)
2 Triangular bandages/cravats
1 18" SAM splint 1 (optional) 4" ACE/elastic athletic wrap
1 (optional) Military field dressing (to replace one of the triangular bandages)
--- Environmental ---
1 Space blanket or Emergency poncho
--- System Stabilizers---
1 Gatorade (or similar) electrolyte drink powder
1 Gu (or similar) energy gel
--- Medications ---
2 12gm Glucose tubes (or glucose tablets)
5 Medicane swabs or 1 Bottle of sting-eze
1 Small tube of neosporin or 5 Packs of neosporin

2.A) Wilderness/Mountain SAR medkit (Trained responder/team medic)
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This kit is designed for the person primarily responsible for medical care on the team. This is usually an EMT, or paramedic. By taking on this position, you know you're going to have to carry a separate bag, or have one in the team's cache. Therefore, while size and weight are a consideration, this pack should be made to be carried separately from the 24-hour daypack, as opposed to a personal first aid kit, which can be stored inside the pack.
2 pr Gloves
1 CPR microshield
1 Purell hand-sanitizer
1 P.A.W.S. or similar --- Instruments/Other ---
1 EMT Shears
1 Tweezers
1 Hemostat
1 Rite-In-The-Rain Notepad
1 List of contents/Expiration dates for meds
1 Pocket light
1 Stethoscope
1 Blood Pressure Cuff
1 Indoor/Outdoor thermometer (constant-read one from Radio-Shack or similar)
10 Covers for above
1 30cc syringe (needleless) *** Check on the legality of selling this, since it is Rx only
--- Airway ---
1 set Oral Airway Adjuncts (OPA)
1 set Nasal Airway Adjuncts (NPA) with surgi-lube
1 Bite stick
1 Asherman chest seal
--- Trauma ---
1 Military Field dressing
2 Triangular bandages
1 36" SAM splint
1 18" SAM splint
1 (optional) 9" SAM splint (I carry all 3, and use the 9" one as a C-collar.
1 (optional) Adjustable cervical collar
2 5"x9" Abdominal pads
3 4"x4" Gauze pads
5 3"x3" Gauze pads
3 3"x4" Moleskin
2 3"x5yd ACE/elastic athletic wrap
2 OB compressed vaginal tampons (absorb blood, and use as tampons for female team members) --- Environmental ---
2 Gatorade (or similar) electrolyte drink powder mix
2 Gu (or similar) energy gel
1 Mylar Emergency thermal blanket
--- Medications ---
2 12gm Glucose tubes (or glucose tablets)
5 Medicane swabs or 1 Bottle of sting-eze
1 Small tube of neosporin or 5 Packs of neosporin

2.B)Advanced Life Support kit, for the W-EMT's, paramedics, nurses, and doc's in the crowd. This could be another add-in module. Just about everything here is Rx only, but you might consider a pack design around the following:

---Intravenous (IV) Sub-Kit---
1 Roll of transparent surgical tape (1")
10 Alcohol Prep Pads
8 Betadine Pads
2 Venous tourniquets
8 Tegaderm/OpSite clear adherant dressings
1 1000mL IV NSS
2 500mL IV NSS
2 Macrodrip administration sets
1 Microdrip administration set
4 Saline Locks
2 1cc Syringe
2 3cc Syringes
2 IM Needles
4 SQ Needles
1 14ga, over-the-needle IV catheter
2 16ga, over-the-needle IV catheter
2 18ga, over-the-needle IV catheter
2 20ga, over-the-needle IV catheter

CAUTION. Before considering the inclusion of medications in a kit- be aware of the liability implications of dispensing mediations to others. Without knowledge of the patient's medical history, allergies etc, the dispensing of any medications carries potentially serious implications..If you do know how to dispense medications keep a close eye on expiration dates to be sure that the medications that you carry are well within those dates.

The following are pain killers recommended for adventure race medkits

10 Naproxen (Aleve) 220mg tablets
20 Ibuprofen 200mg tablets
6 Acetaminophen with hydrocodone tablets (500mg acetaminophen, 5mg hydocodone - Vicodin) (Rx only)
1 MSO4 (Morphine Sulfate) 10mg/mL 1mL vials (Rx only)
2 naloxone (Narcan) 1mg/mL 1mL amp (to reverse effects of morphine in case you give too much) (Rx only)
1 Ketamine 2 100mg vials (for sedation) (Rx only)
4 5mg haloperidol (Haldol) tablets (for sedation) (Rx only) --- ALS Kit ---

Wilderness Triad
After checking ABC's, treat for the Wilderness Triad : Hypothermia, dehydration, and hypoglycemia.
Basically, all patients we find in the wilderness are cold, thirsty, and hungry.
-To Treat Hypothermia
1) feed patients
2) keep them off the ground
3) keeping them warm and dry (thermal blanket)
-To Treat Dehydration
Mix Gatorade packets with water and administer
-To Treat Hypoglycemia
Administer Energy gel. This boosts blood glucose

Curtis Mattoon
FF/EMT/W-EMT
Wilderness Medicine/Rescue Instructor - Pittsburgh, PA USA