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1 Medical List - Panama - 0 Person Crew MFAG Name Treatment Requirements Recommended Dosage. Amoxycillin 00mg capsules Table 9 00mg x3. Anaesthetic eye drops, bottle Table 7 drop x several times daily (IMGS3 No. 4)* ()* 3 3. Antibiotic eye ointment, tube Appendix 7-4 times daily or more (IMGS3 No. 4)* ()* 4 4. Atropine injection mg/ml or 0.mg/ml, ml ampoule Table 7 mg x several (IMGS3 No. 9)* (0)*. Beclamethasone 0 mcg/dose 00 doses, aerosol inhalation, bottle or Budesonide 00mdg/dose, aerosol inhalation, bottle Table 9 0mcg x several ( puffs of 0mcg) or 400mcg x several ( puffs of 00mcg) or () 6 6. Calcium gluconate % gel, g tube Tables 9, 0 Apply several times 7 7. Calcium gluconate g effervesent tablets Table 6 g x Cerfuroxime 70mg injection substance, bottle 8a) water for Table 0 70mg x 3 0 injection, ml ampoule 9 9. Charcoal, activated powder 0g bottle or effervescent granules g Table 0 0g x (IMGS3 No. 3)* ()* sachets 0 0. Diazepam rectal solution 0mg/ml, ampoule Tables 4,,6 0mg x -. Erythromycin 00mg tablets Table 9 00mg x 4. Ethyl alcohol 99, % 00ml bottle ml 99, % in 0-0 ml of Table 9 (must be for internal use!) water or soft drink Fluorescein eye test strip Appendix 7 test strip x (IMGS3 No. 0 (0)* 4 4. Furosemide 0mg/ml, ml ampoules or ml ampoules Tables, 9 0mg x 3 (IMGS3 No, 3) ()* or. Metoclopramide mg/ml injection, ml ampoule Tables 7,8,0,3,,0 0mg x Metronidazole g suppositories Table 0 3g x Morphine sulphate 0mg/ml 0mg to 0mg x 6 or 7 (IMGS3 7 Tables 7,8,0,3 40 (0)* injection, ml ampoule No. 38)* 8. Naloxone 0.4mg/ml injection, ml 8 Tables 4, 3 0.4mg x to (IMGS3 No. 40)* (0)* ampoule 9. Oral rehydration salts, sachets litre x 3 or more (IMGS3 No. 9 Tables 8,0, 8l ORS to give 8 litres solution 43)* 0 0. Paracetamol 00mg tablets Tables 7,8,3 g x 4 (IMGS3 No. 4)* 00 (00)*. Phytomenadione 0mg/ml 0mg x or more (IMGS3 No. Table 4 0 (0)* injection, ml ampoule 8)*. Plasma expander, Gelatine based, Appendix 3 00ml x to ml infusion, bottle 3/3a 3. Salbutamol inhalation aerosol, dose, 00 doses including inhalation device or 3a. Terbutaline inhalation aerosol, 00mcg/dose, 0 doses, a) including inhalation device Table 9 puffs of 00mcg x several (IMGS3 No. )* (IMGS3 No. a)* or puff or 00mcg x several ()* ()* or () () 4 4. Sodium chloride 0.9% isotonic (saline) 000ml, bottle Table 7 l x to 3 (IMGS3 No. 3)* ()*. Guedel airway a) size b) size 3 c) size 4 Appendix 3 (IMGS3 Equipment, No..a)* (IMGS3 Equipment, No..b)* a) b)()* c)()* 6 6. I.v cannula (size,) ("safety" preferable, to avoid needle stitch Appendix 3 (IMGS3 Equipment No.7)* 0 (0)* injuries) 7 7. I.v set Appendix 3 (IMGS3 Equipment no.8)* 0 (0)* 8 8. Needles, size 0.8 (safety preferable to avoid needle stitch As directed (IMGS3 Equipment No..)* 00 (0)* injuries) 9 9.Simple face mask (allowing up to 60% oxygen) disposable Appendix 3 (IMGS3 Equipment No.d)* 0 (3)*. Valve and bag manual resuscitator Appendix 3 (IMGS3 Equipment No.4)* ()* 3a 3a. Oxygen ( bottle by 40 litres or 4 bottles by 0 litres) 00bar* Appendix 3 As directed 40 l Ayvansaray Mh Esnaf Loncası Sokak No:74/A Fatih 39 Istanbul / Turkey Phone /Fax :

2 Medical List - Panama - 0 Person Crew MFAG 3b 3 Name Treatment Requirements Recommended Dosage 3b. Portable oxygen giving set ready for use, containing: bottle by litres 00 bar and spare bottle by litres 00 bar* 3. Rectal infusion set catheter 6 french gauge Appendix 3 (IMGS3 Equipment No..a)* (IMGS3 Equipment No.b)* l ( l)* and l( l)* Appendix 3 6 Ayvansaray Mh Esnaf Loncası Sokak No:74/A Fatih 39 Istanbul / Turkey Phone /Fax :

3 Medical List - Panama - 0 Person Crew MFAG Name Treatment Requirements Recommended Dosage. Amoxycillin 00mg capsules Table 9 00mg x3. Anaesthetic eye drops, bottle Table 7 drop x several times daily (IMGS3 No. 4)* ()* 3 3. Antibiotic eye ointment, tube Appendix 7-4 times daily or more (IMGS3 No. 4)* ()* 4 4. Atropine injection mg/ml or 0.mg/ml, ml ampoule Table 7 mg x several (IMGS3 No. 9)* (0)*. Beclamethasone 0 mcg/dose 00 doses, aerosol inhalation, bottle or Budesonide 00mdg/dose, aerosol inhalation, bottle Table 9 0mcg x several ( puffs of 0mcg) or 400mcg x several ( puffs of 00mcg) or () 6 6. Calcium gluconate % gel, g tube Tables 9, 0 Apply several times 7 7. Calcium gluconate g effervesent tablets Table 6 g x Cerfuroxime 70mg injection substance, bottle 8a) water for Table 0 70mg x 3 0 injection, ml ampoule 9 9. Charcoal, activated powder 0g bottle or effervescent granules g Table 0 0g x (IMGS3 No. 3)* ()* sachets 0 0. Diazepam rectal solution 0mg/ml, ampoule Tables 4,,6 0mg x -. Erythromycin 00mg tablets Table 9 00mg x 4. Ethyl alcohol 99, % 00ml bottle ml 99, % in 0-0 ml of Table 9 (must be for internal use!) water or soft drink Fluorescein eye test strip Appendix 7 test strip x (IMGS3 No. 0 (0)* 4 4. Furosemide 0mg/ml, ml ampoules or ml ampoules Tables, 9 0mg x 3 (IMGS3 No, 3) ()* or. Metoclopramide mg/ml injection, ml ampoule Tables 7,8,0,3,,0 0mg x Metronidazole g suppositories Table 0 3g x Morphine sulphate 0mg/ml 0mg to 0mg x 6 or 7 (IMGS3 7 Tables 7,8,0,3 40 (0)* injection, ml ampoule No. 38)* 8. Naloxone 0.4mg/ml injection, ml 8 Tables 4, 3 0.4mg x to (IMGS3 No. 40)* (0)* ampoule 9. Oral rehydration salts, sachets litre x 3 or more (IMGS3 No. 9 Tables 8,0, 8l ORS to give 8 litres solution 43)* 0 0. Paracetamol 00mg tablets Tables 7,8,3 g x 4 (IMGS3 No. 4)* 00 (00)*. Phytomenadione 0mg/ml 0mg x or more (IMGS3 No. Table 4 0 (0)* injection, ml ampoule 8)*. Plasma expander, Gelatine based, Appendix 3 00ml x to ml infusion, bottle 3/3a 3. Salbutamol inhalation aerosol, dose, 00 doses including inhalation device or 3a. Terbutaline inhalation aerosol, 00mcg/dose, 0 doses, a) including inhalation device Table 9 puffs of 00mcg x several (IMGS3 No. )* (IMGS3 No. a)* or puff or 00mcg x several ()* ()* or () () 4 4. Sodium chloride 0.9% isotonic (saline) 000ml, bottle Table 7 l x to 3 (IMGS3 No. 3)* ()*. Guedel airway a) size b) size 3 c) size 4 Appendix 3 (IMGS3 Equipment, No..a)* (IMGS3 Equipment, No..b)* a) b)()* c)()* 6 6. I.v cannula (size,) ("safety" preferable, to avoid needle stitch Appendix 3 (IMGS3 Equipment No.7)* 0 (0)* injuries) 7 7. I.v set Appendix 3 (IMGS3 Equipment no.8)* 0 (0)* 8 8. Needles, size 0.8 (safety preferable to avoid needle stitch As directed (IMGS3 Equipment No..)* 00 (0)* injuries) 9 9.Simple face mask (allowing up to 60% oxygen) disposable Appendix 3 (IMGS3 Equipment No.d)* 0 (3)*. Valve and bag manual resuscitator Appendix 3 (IMGS3 Equipment No.4)* ()* 3a 3a. Oxygen ( bottle by 40 litres or 4 bottles by 0 litres) 00bar* Appendix 3 As directed 40 l Ayvansaray Mh Esnaf Loncası Sokak No:74/A Fatih 39 Istanbul / Turkey Phone /Fax :

4 Medical List - Panama - 0 Person Crew MFAG 3b 3 Name Treatment Requirements Recommended Dosage 3b. Portable oxygen giving set ready for use, containing: bottle by litres 00 bar and spare bottle by litres 00 bar* 3. Rectal infusion set catheter 6 french gauge Appendix 3 (IMGS3 Equipment No..a)* (IMGS3 Equipment No.b)* l ( l)* and l( l)* Appendix 3 6 Ayvansaray Mh Esnaf Loncası Sokak No:74/A Fatih 39 Istanbul / Turkey Phone /Fax :

5 Medical List - Panama - 0 Person Crew Name Treatment Requirements Recommended Dosage. Acetylsalicylic acid 0mg (also known as Aspirin) -high dose ( mg): to reduce pain, fever, inflammation -low dose (00-0mg): to inhibit formation of blood clots in angina pectoris, myocardial infarction, stroke. See pages 7- and 3-6, 33-3, 37, 38 For pain and inflammation -3 tablets every 4-6 hours; for thrombosis; half a tablet daily 00. Aciclovir 400mg tablet (also known as Zovirax, acyclovir) -treatment of primary or reccurent herpes simplex virus infection; -may be useful for 400mg 3 times daily for -0 severe varicella and herpes zoster infection days for primary infection or (doctor should be consulted) See pages - for 3- days for recurrence 6, 98-99, Adrenaline :000 ampoule ml = mg (also known as epinephrine, adrenaline :000) 4. Amethocaine (tetracaine hydrochloride) 0.% eye drops, single use vial ml. Amoxicillin + clavulanate tablets 87mg/mg -to raise blood pressure in anaphylaxis - to dilate airways in severe asthma or anaphylaxis See pages for eye examination and procedures See pages to treat infections responsive to this antibiotic See pages 7-776, 40-44, 8-83, 04, 6-7, -3, 6 and 88 for analphylaxis: 0.ml, IM, repeated every minutes if needed; For severe asthma: 0.ml IM, repeated every minutes if needed 0` drops inside lower eyelid 0 one tablet twice daily taken with food 6 6. Antimalarial prophylaxis (prevention) tablets Prophylaxis and treatment of malaria as recommended by / malaria / publications.html or / travel / regionalmalaria / index.html See pages 6-69 As directed dependant of crew number, risk of acquiring malaria in a given port and duration of dwell in risk area 7 7. Artemether ampoule ml = (80mg) 8 8. Atemether + Lumefrantrine tablets 0mg +0mg 9 9. Atropine ampoule.mg/ml 0 0. Azithromycin tablet 00mg -treatment of severe malaria. required only for voyages to areas where malia transmission is a risk See pages treatment of malaria. required only for voyages to areas where malaria transmission is a risk See pages to treat slow heart rate in myocardial infarction - to treat organphosphate insecticide poisoning See pages 96, 36 -to treat infections responsive to this antibiotic See pages 4-44, 9-07, 60, 74, 77, 8 See under malaria in IMGS, chapter, infectious diseases See under malaria in chapter infectious diseases for slow heart rate in myocardial infarction: 0.6mg IM or IV the specific infection Ceftriaxone ampoule g powder for injection (dissolve in water for injection) -to treat infections responsive to this antibiotic See pages 6, 4-44, 3, 60-6, 7, 7, 87, 94, 9-07, the specific infection. Cetirizine tablet 0mg -to treat allergy symptoms in hayfever, hives, allergic dermatitis etc. See pages 4 0mg daily up to a maximum of 0mg daily 3 3. Charcoal, activated 0g in 00ml purified water -to absorb ingested poisons See pages g/kg orally up to a maximum of 00g for first dose; for repeat doses, 0g every 4 hours, if advised by a doctor 4 4. Ciprofloxacin tablet 0mg -to treat infections responsive to this antibiotic See pages 77, 6-7, 8-83, 9-07, -3, 6 and 77 the specific infection; to be taken hour before or hours after meals milk and other dairy products to be avoided 40. Cloves, oil of 0ml -toothache, see pages to be applied to affected tooth with cotton wool soaked in oil of cloves Ayvansaray Mh Esnaf Loncası Sokak No:74/A Fatih 39 Istanbul / Turkey Phone /Fax :

6 Medical List - Panama - 0 Person Crew Name Treatment Requirements Recommended Dosage 6 6. Dexamethasone ampoule 4mg/ml #NAME? for analphylaxis and lifethreatening asthma: 4mg IM or IV otherwise as advised by a doctor 7 7. Diazepam tablets mg -to treat alcohol withdrawal See pages 3-39 see IMGS3, Chapter, Tobacco, alcohol, and drug use Docusate with senna tablet 0mg + 8mg -to avoid straining in patients with anal fissure and haemorrhoids -to prevent constipation caused by opioid use See pages tablets at bedtime, may be increased to up to tablets twice daily if required Doxycycline tablet 00mg the specific infection. See pages 9-07, 09-0, - 3, 7-7. the specific infection, tablet with 0ml water, to be taken with meals, patient to remain sitting or standing for minutes after a dose Ethanol 70% hand cleanser gel 0ml an alternative to hand-washing when hands are not obviously soiled enough should be used to cover hands thoroughly and allowed to dry. Ethanol 70%, liquid, Liquid 00ml to disinfect instruments and surfaces topical use only. Fluorescein %, strips or single use vials ml to detect damage to cornea: damaged area stains yellow / green. See pages As directed Frusemide ampoule 4ml = 40mg to treat severe fluid retention in lungs (pulmonary oedema) due to cardiac failure, See pages, 36 40mg IV over 0 minutes or (less desirable) IM repeat in hour if necessary 4 4. Glucagon, ready to use ampoule mg amp to treat low blood sugar (hypoglycaemia) due to insulin when oral intake is impossible and intravenous glucose cannot be given. See pages 3, mg IM or Sc: response should occur within minutes. Haloperidol ampoule ml = mg 6 6. Hydrocortisone % cream, Cream (0-) gm -to treat psychotic hallucinations and delusions -to treat severe agitation and aggressiveness See pages 6-3 to treat allergy and some other inflammatory skin conditions. See pages 69, -3, mg IM, repeated every -6 hours if needed maximum: mg in 4 hours to be applied sparingly twice daily after a few days, application to be reduced to once a day 7 7. Ibuprofen coated tablet 400mg #NAME? mg every 6 hours maximum 0 mg (=8 tablets) per 4 hours take with food Insect repellent lotions for skin. Vials for personal use Deet 0-3% formulation or Picaridin or p- menthane-3,8-diol Consider diseases transmitted by mosquitoes as Dengue Fever p 8-9, Malaria p. 6-69, Yellow fever p 84 See also pages for mosquito control in general. One vial per person in areas of risk of acruiring a disease transmitted by mosquitoes in a given port. # 9 9. Isosorbide dinitrate tablet mg sublingual #NAME? tablet, sublingual, repeated once after 0 minutes if pain persists to be used preventively if possible before activity likely to cause angina patient to sit or lie down when using tablet to be placed under tongue, patient must not swallow tablet if pain resolves, patient spits out remaining tablet so as to reduce risk of headache 0. Lignocaine % (without adrenaline) ampoule ml for local anaesthesia when suturing wounds maximum 00mg (0ml or % for performing minor surgery. See pages 7- solution) after maximum dose, 74, 6-9 give no more for hours Ayvansaray Mh Esnaf Loncası Sokak No:74/A Fatih 39 Istanbul / Turkey Phone /Fax :

7 Medical List - Panama - 0 Person Crew 3 3. Loperamide tablet mg 3 3. Mebendazole tablet 00mg Name Treatment Requirements Recommended Dosage to treat symptoms of diarrhoea. See pages 6-7 -to treat intestinal worm infections not effective for tapeworm infection or hydatid disease, See pages 8-84 starting dose 4mg then mg with each diarrhoeal motion up to 6mg (=8 capsules) per 4 hours the specific infection to be taken with food Metoprolol tablet 00mg -to treat hypertension (high blood pressure) -to treat atrial fibrillation (irregular or rapid heart) -to treat angina pectoris (chest pain) - to prevent migraine. See pages oral with food for hypertension 00mg once daily, for angina pectoris: 0mg twice daily: on medical advice, may be increased to 00mg twice daily for atrial fibrillation : 0mg twice daily: on medical advice, may be gradually increased to 00mg twice daily, for migraine: 0mg twice daily Metronidazole tablet 00mg to treat infections responsive to antibiotics. See pages 60-63, 7, the specific infection to be taken with food if possible to minimize unwanted effects 3 3. Miconazole % cream Midazolam ampoule ml (=mg) Misoprostol tablet 00ug Morphine (injectable) ampoule ml = 0mg 39. Morphine (oral) liquid mg/ml bottle or 0 tablets with 0 mg to treat fungal skin infections see pages 03-04, 4. if women on board supply also miconazole vaginal cream to terminate epileptic fits. See pages, 8- to prevent post-partum haemorrhage. page 9 -to reduce severe pain -to reduce pain not releived by other analgesics See pages 7- to reduce severe pain likely to last several days in patients able to eat and drink. See pages 7- a thin film applid twice daily then for weeks after symptoms have gone hands should be washed promptly after use 0.-0.mg/kg body weight IM or 0mg intranasally two ampoules should be opened and one drop allowed to drip into alternate nostrils until ampoules are empty 600 ug orally immediately after delivery See IMGS3,Chapter 3,Pain management See IMGS3,Chapter 3,Pain management Naloxone ampoule ml (=0.4mg) to reverse effects of opioids, especially in case of overdose. See pages 3, mg IM, repeated as needed response should be rapid: if no response to doses, diagnosis is not ipioid overdose Omeprazole tablets 0mg -to treat gastro-oesophageal reflux -to treat peptic ulcer disease. See pages, and 73 starting dose 0mg once daily before a meal, preferably in the evening dose increased to 40mg daily if symptoms persist in gastrointestinal haemorrhage: 40mg twice daily 4 4. Ondansetron tablet 4mg or Scopolamin transdermal patched see page 347 -to prevent vomiting -to prevent seasickness see page 347 one tablet, preferably taken before the stimulus to vomiting 0 or Oral rehydration salts sachets of powder for reconstitution to prevent or treat dehydration, especially due to diarrhoea, see pages 7-8 and 347 as recommended in IMGS3 correct amount of boiled, cooled tap water ( not less water then specified) to be added to the entire contents of one sachet, shaken or stirrwed until all the powder si dissolved solution keeps for 4 hours 0 Ayvansaray Mh Esnaf Loncası Sokak No:74/A Fatih 39 Istanbul / Turkey Phone /Fax :

8 Medical List - Panama - 0 Person Crew 44 Name Treatment Requirements Recommended Dosage 44. Oxymetazoline 0.% (or equivalent) drops or spray 4 4. Paracetamol tablets 00mg #NAME? to reduce pain and fever (but not inflammation) see pages drops in each nostril twice daily or only at night if disturbed sleep is the main complaint 000mg every 6 hours maximum 4000mg (=8 tablets) per 4 hours Permethrin % lotion 0ml to eliminate hair, pubic, and body lice. See pages 9- to be applied to washed, damp hair or skin, rubbed in, left for 0 minutes, then rinsed off a fine-tooth comb should be used to remove eggs to be repeated after one week hands to be washed to remove lotion Permethrin % lotion, vial of 0g to treat scabies. See pages 9- to be applied to clean, dry skin from chin down, left on for hours, then washed with soapy water and rinsed to be repeated after 7 days Povidone iodine ointment 0% to 0g to disinfect skin and wounds, See pages 67-77, -9 ointment to be applied thinly with gauze - times a day Povidone iodine solution 0% - 0ml to disinfect skin and wounds, See pages 67-77, -9 ointment to be applied thinly with gauze - times a day 0 0. Prednisone tablet mg -to treat severe asthma -to treat other inflammtory conditions (on medical advice) See pages -6, 4-47 see under Asthma in IMGS3, Chapter, Respiratory diseases to be taken with food. Petroleum jelly 0g to 00g (vaseline)*. Salbutamol aerosol inhaler 0.mg/dose -to treat chapped skin See page, 6 lubricated rectal thermometer -to treat asthma -to treat chronic bronchitis -to treat emphysema -to treat other lung diseases see pages 4-47 As directed for symptoms: puffs every 4 hours up to puffs maximum per day in severe asthma, up to 0 puffs repeated every minutes a a. Volume spacer for salbutamol inhaler to make inhaling salbutamol more effective 3 3. Sodium chloride 0.9% infusion see appropriate IMGS3 text or for fluid replacement plastic-bottle litre as advised by a doctor 4 to treat minor eye infections; to prevent cm ointment to be applid 4. Tetracycline % ointment Eyeinfections following damage to the cornea. twice daily to inner surface of ointment g See pages 33-34, 40-4, 6. lower eyelid. Tetanus Immunoglobulin ampoule Part of wound care if state of vaccination is (keep at -8 degrees C) unknown see page Tetanus toxoid vaccination Part of wound care if state of vaccination is ampoule (keep at -8 degrees C) unknown see page Tramadol tablets 0mg against strong pain, see pages 7- As directed 0 8 Vitamin K (Phytomenadione) ampoule ml=0mg to reverse excessive or unwanted effects of warfarin or related drugs. See pages 96, 73 for life-threatening situations (trauma, major bleeding): 0mg orally or IM for minor bleeding: - mg orally 9 9. Water for injection ampoules ml Zidovudine plus lamivudine tablets, 0mg+0mg reconstitution of injectable drugs provided as powders prophylaxis against HIV infections after needle-stick injury. See page As directed 0 One tablet twice daily for four weeks. may be omitted if risk assessment for HIV infection on board suggests low risk. If carried on board: min 60 tablets. Ayvansaray Mh Esnaf Loncası Sokak No:74/A Fatih 39 Istanbul / Turkey Phone /Fax :

9 Medical List - Panama - 0 Person Crew Name Treatment Requirements Recommended Dosage 6 6. Zinc oxide 0% paste or ointment 0-00g protection of irritated skin apply liberally to affected skin twice daily and after washing,. Portable oxygen set, complete appliance for the administration of oxygen, containing: see pages 4-..a.a. oxygen cylinder, l/00bar see pages 4-..b.b. spare oxygen cylinder, l/00bar see pages 4-..c.c. Pressure regulating unit and flow meter with tubes such that ship's see pages 4-. industrial oxygen can also be used.d.d. 3 disposable face masks of choice: including simple face mask and non-rebreathing mask see pages 4-..a.a. Guedel airway (mayo-tube): size oropharyngeal airway, see pages 4-, 3. medium.b.b. Guedel airway (mayo-tube): size oropharyngeal airway, see pages 4-, 3. large.3a.3a. Manual aspirator to clear upper airways Mechanical aspirator, see pages 4-.3b.3b. Catheters for aspirator Mechanical aspirator, see pages 4- As directed,4.4. Ambubag or equivalent; suplied with small, medium and large masks Bag and mask resuscitator, see pages 4-,,.a.b. Brook Airway, Lifeway, pocket Cannula for mouth-to-mouth resuscitation, face mask or equivalent see pages 4-. Assorted wound-plaster or plaster strips, water resistant - slim and Adhesive dressings As directed 00 broad.a. Sterile gauze compresses, cm x Sterile gauze compresses cm, sterile As directed 0.b. Sterile gauze compresses, 0cm x 0cm Sterile gauze compresses As directed 0,3.3. Gauze roll, cm and 60 or 90cm x 00m, non-sterile Gauze roll 60cm / 90cm may be substituted bu gauze roll of smaller size,4,,6.7a.7b.7c.8a.4 Non-adherent gauze dressing, square 0cm Gauze dressing with non-adherent surface 0.. Paraffin gauze dressing, 0 x 0cm, sterile Vaseline gauze As directed Elastic fixation bandage, 4m x 6cm Bandage As directed 3.7a. First-aid absorbent gauzecovered cotton pad sewn onto a Sterile compression bandages cotton bandage (ambulance dressing) As directed small.7b. First-aid absorbent gauzecovered cotton pad sewn onto a Sterile compression bandages cotton bandage (ambulance dressing) As directed medium.7c. First-aid absorbent gauzecovered cotton pad sewn onto a Sterile compression bandages cotton bandage (ambulance dressing) As directed large.8a. Tubular gauze bandage for Tubular gazue for finger bandage. See finger bandage, m pages b.8b. Applicator for finger bandage See pages 43-8,9.9 Adhesive elastic bandage 4m x 6cm Adhesive elastic bandage. 0,.0. Triangular sling Triangular sling. see pages 43-8 and 77 As directed,.. Sterile sheets for burn patients Sterile sheet for burn victims. See pages 79-83, Only if honry for medical purposes.. Honey for dressing burns kg, available. Otherwise use a hydrogel-burnkit. As directed (only purified 000g) See pages 79-83,3.3. Adhesive tape, waterproof, skinfriendly, x.cm Adhesive sutures or zinc oxide bandages As directed 3,4.4. Q-tips (wooden) Q-tips 00 Ayvansaray Mh Esnaf Loncası Sokak No:74/A Fatih 39 Istanbul / Turkey Phone /Fax :

10 Medical List - Panama - 0 Person Crew Name Treatment Requirements Recommended Dosage,.. Safety pins (stainless steel), pieces Safety pins,6.6. Butterfly sutures, Steristrip or leukostrip, sterile Butteryfly sutures. See pages As directed 0,7.7. -octyl cyanoacrylate liquid, Skin adhesive for closing small wounds. See 0.ml pages a Suturing equipment. See pages a. Sutures, absorbable with Replace with non-absorbable for easier use curved non-traumatic needles, - 0, p7 As directed 3.8b Suturing equipment. See pages b. Sutures, absorbable with Replace with non-absorbable for easier use, As directed curved non-traumatic needles, 3-0, see p7 3.8c. Sutures, absorbable with Suturing equipment. See pages c curved non-traumatic needles, 4-0 Replace with non-absorbable for easier use, As directed 3 or - 0 see p7.9a.9a. Disposable examination glvoes, Gloves size M 00.9b.9b. Disposable examination gloves, Gloves size L 00.9c.9c. Surgical gloves size 6., sterile in pairs Gloves (sterile) As directed 3.9d.9d. Surgical gloves size 7., sterile in pairs Gloves (sterile) As directed 3.9e.9e. Surgical gloves size 8., sterile in pairs Gloves (sterile) As directed 3,.0. Eye pads See pages 36, 38 3, 3.. Scalpel, sterile, disposable Disposable scalpels see pages 7-74, , 3.. Instrument box (stainless steel) Stainless-steel instrument box. 3, Operating scissors, straight (stainless steel) Scissors 3, Bandage scissors (stainless steel) Scissors 3, 3.. Splinter forceps, pointed (stainless steel) Forceps 3, Teeth tissue forceps (stainless steel) Forceps see pages 7-74, 6-9 3, Needle holder, mayo-hegar 80mm, straight Needle holder. See pages , Haemostatic clamp, Halstead mosquito, mm, stainless steel Haemostatic clamps 3, Razor, Disposable Disposable razors As directed 4, 4.. Tongue depressors, disposable Disposable tongue depressors 00 4, 4. Reactive strips for urine analysis: blood/ glucose/ protein / nitrite / leukocytes Reactive strips for urine analysis, see pages 3-3 As directed 0 4, Microscope slides Microscope slides, see pages , Stethoscope Stethoscope 4, 4.. Sphygmomanometer (blood pressure set), preferably automatic Aneroid sphygmomanometer, see pages a 4.6a. Standard thermometer digital if possible Standard thermometer see pages -4 As directed 4.6b 4.6b. Rectal thermometer digital if possible Rectal thermometer see pages -4 4, Thermometer 3 Degree - 34 Hypothermic thermometer, see pages 343- Degree C, digital if possible 344 4, Penlight + blue cover Penlight (blue light) to detect damage to cornea see pages , Waterproof indelible marker See page 9 4, 4.0. Magnifying glass (a x 9 loupe) See pages , 4.. Temperature cards / charts As master copy from page 0 4, 4.. Cards for telemedical advise As master copy. should be filled in before calling radiomedical advise 0 4, Medical logbook See page 4 4, Controlled drug register Controlled drug register Ayvansaray Mh Esnaf Loncası Sokak No:74/A Fatih 39 Istanbul / Turkey Phone /Fax :

11 Medical List - Panama - 0 Person Crew 4, 4.6a Name Treatment Requirements Recommended Dosage 4.. International medical guide for ships 3rd 4.6a. Forms from Annex A ship master's report form Hard-copy as master copy (see pages 4-46) file in medical log p b 4.6b. Forms from Annex A ships identity and navigational status form as master copy (see pages 4-46) 0 4.6c 4.6d 4.6c. Forms from Annex A Patient health status form 4.6d. Forms from Annex A Primary physicians report form 4, Vaccination requirments as master copy (see pages 4-46) 0 as master copy (see pages 4-46) 0 International travel and health, current edition (WHO) 4, Malaria prophylaxis and treatment / malaria / publications.html or / travel / regionalmalaria / index.html See page 66,,,3.. Syringes, Luer connection, ml, sterile, disposable.. Syringes, Luer connection, ml, sterile, disposable.3. Syringes, Luer connection, 0ml, sterile. disposable Equipment for injection, see pages Equipment for injection, see pages Equipment for injection, see pages ,4.4. Hypodermic subcutaneous needle, Luer connection 6x0.mm (3 G or G), sterile, disposable Equipment for subcutaneous injection, See pages As directed 0,.. Hypodermic intrmuscular needle (9G or G), sterile, disposable Equipment for intramuscular injection, see pages As directed 0,6.7a.7b,8,9.0a.0b.a.b.6. Needles, 9G or G, blunt, "drawing up" type.7a. Intravenous infusion cannula 6G (.7mm) or 9G, Luer-lock connection, sterile, non-recap type + mandarin.7b. Intravenous infusion cannula G (0.8mm) or G, Luer-lock connection, sterile, non-recap type + mandarin.8. Intravenous giving set, Luer-lock connection, sterile +3-way valve/ connection.9. Tourniquet, blood-taking type, to be used with intravenous infusion cannula.0a. Penile sheath set with condom catheter, tube, and bag.0b. Indwelling urine catheter CH.a. Short-term urine catheter with soft-eye straight tip Thieman No., or equivalent.b. Short-term urine catheter with soft-eye straight tip Thieman No. 6, or equivalent Equipment for drawing the medicine into the syringe, see pages Equipment for intravenous fluid infusion, see page 36 Equipment for intrvenous fluid infusion, see page 36 Equipment for intravenous infusion, see pages As directed 0 As directed As directed As directed Equipment for infusion, see pages Bladder drainage equipment, see page 8-9 Bladder drainage equipment, see pages 39-3 Bladder drainage equipment, see pages 39- As directed 3 Bladder drainage equipment, see pages 39- As directed 3.c.c. Complete sterile urine catheterization set with lubricant, drapes, cotton swabs, skin disinfectant, forceps, sterile container Bladder drainage equipment, see pages 39-3,.. Urine collecting bag and tube Bladder drainage equipment, see pages 39- As directed 3 6, 6.. Plastic goggles or full-face mask Eye protection 6, 6.. Disposable plastic apron Plastic apron 0 6, Kidney dish, stainless steel, 8ml Kidney dish 6, Towels, plastic backed, absorbent, 600x00mm Plastic backed towels 0 Ayvansaray Mh Esnaf Loncası Sokak No:74/A Fatih 39 Istanbul / Turkey Phone /Fax :

12 Medical List - Panama - 0 Person Crew 6, Name Treatment Requirements Recommended Dosage 6.. Safety box for sharps disposable, l Safety box Size of - litre may be chosen 6, Mask, duckbill type, disposable Mask As directed 0 6, Tape measure, vinyl coated,.m Tape measure 6, Draw sheet, plastic 90x80cm Draw sheet 6, Bedpan, stainless steel Bedpan 6, 6.0. Hot-water bag Hot-water Bottle 6, 6.. Urinal, male (plastic) Urine bottle 6, 6.. ColdHotpack maxi Ice bag 6, Aluminium foil blanket Aluminium foil blanket 6,4 Male condoms Condoms 00 6, 6.. Plastic wash bottle, 0ml Wash bottle 6, Bottle, l plastic with screw top Plastic bottle 6, Stainless stell dressing tray 0x00xmm Dressing tray 6, Bowl, stainless steel, 80ml Bowl 6, Jars, plastic, with lids and lables 00ml Specimen jars 0 6.0a 6.0a. Bandages, POP, cmx.7m Plaster-of-paris bandages, ma be omitted if splints are carried As directed 6 6.0b 6.0b. Bandages, POP, 0cmx.7m Plaster-of-paris bandages, ma be omitted if splints are carried As directed 6 6.a 6.a. Stockinet sizes for arm splints 0m roll Stockinet. See pages b 6.b. Stockinet sizes fro leg splints 0m roll Stockinet. See pages , 6.. Cotton wool roll 00g Cotton wool. See pages , Alcohol swabs 70% alcohol swabs for skin cleansing prior to injection 00 6, Nail brush Nail brush 6, 6.. Thermometer for refrigerator if tetanus vaccine and immunoglobulin are on board 6, Mortuary transfer bag See pages , Water disinfection set including To disinfect portable water tanks with measure kit/ test strips chlorine effectively. See pages For disinfection of used instruments* and 6,8 thermometers, See page 33. *Caution: all 6.8. Disinfectant solution for medical items entering the skin or are in direct instruments, 000ml: 3% aqueous As directed contact with mucous membranes should be phenolic solution single use (i.e. injection needles, urinary catheters 6,9 6, Disinfectant for surfaces and floor, 000ml concentrate: % cetrimide solution or 3% aqueous phenolic solution 6.. Disinfectant for surfaces and floor 000ml concentrate: sodium hypochlorite 00mg/litre For disinfection of contaminated surfaces, hard-surface objects and floors (non-foodndling area), see page 33 For disinfection of food-hadnling-area: cutlery dishes, plates,glasses, see page 33 As directed 6, Chlorpyrifos g/l in Bait stations or gels To use against cockroaches in food storage and preparation area, see pages As directed 0 6, Chlorpyifos-methyl 7-0 g/l spray - peice To use against cockroaches in food storage and preparation area, see pages , Insecticide spray Permethrine, natural pyrethrins or chlorpyriphosmethyl For space praying not for skin see pages , 7.. Melleable finger splint Malleable splints see pages , 7.. Malleable forearm / hand splint Malleable splints see pages , Splints- simple, vacuum or fibreglass, set of four (half leg, full-leg, halfarm, See pages 43-8 full-arm) Ayvansaray Mh Esnaf Loncası Sokak No:74/A Fatih 39 Istanbul / Turkey Phone /Fax :

13 Medical List - Panama - 0 Person Crew 7,4 Stretcher Name Treatment Requirements Recommended Dosage Stretcher equipment (a system for trauma management, i.e. immobilization and stretcher equipment most suited for treatment in teh vessel concerned. see page 7. 7, 7.. Cervical rigid collar variable size for neck immobilization see pages 7-4 Ayvansaray Mh Esnaf Loncası Sokak No:74/A Fatih 39 Istanbul / Turkey Phone /Fax :

14 Medical List - Panama - 0 Person Crew Name Treatment Requirements Recommended Dosage. Acetylsalicylic acid 0mg (also known as Aspirin) -high dose ( mg): to reduce pain, fever, inflammation -low dose (00-0mg): to inhibit formation of blood clots in angina pectoris, myocardial infarction, stroke. See pages 7- and 3-6, 33-3, 37, 38 For pain and inflammation -3 tablets every 4-6 hours; for thrombosis; half a tablet daily 00. Aciclovir 400mg tablet (also known as Zovirax, acyclovir) -treatment of primary or reccurent herpes simplex virus infection; -may be useful for 400mg 3 times daily for -0 severe varicella and herpes zoster infection days for primary infection or (doctor should be consulted) See pages - for 3- days for recurrence 6, 98-99, Adrenaline :000 ampoule ml = mg (also known as epinephrine, adrenaline :000) 4. Amethocaine (tetracaine hydrochloride) 0.% eye drops, single use vial ml. Amoxicillin + clavulanate tablets 87mg/mg -to raise blood pressure in anaphylaxis - to dilate airways in severe asthma or anaphylaxis See pages for eye examination and procedures See pages to treat infections responsive to this antibiotic See pages 7-776, 40-44, 8-83, 04, 6-7, -3, 6 and 88 for analphylaxis: 0.ml, IM, repeated every minutes if needed; For severe asthma: 0.ml IM, repeated every minutes if needed 0` drops inside lower eyelid 0 one tablet twice daily taken with food 6 6. Antimalarial prophylaxis (prevention) tablets Prophylaxis and treatment of malaria as recommended by / malaria / publications.html or / travel / regionalmalaria / index.html See pages 6-69 As directed dependant of crew number, risk of acquiring malaria in a given port and duration of dwell in risk area 7 7. Artemether ampoule ml = (80mg) 8 8. Atemether + Lumefrantrine tablets 0mg +0mg 9 9. Atropine ampoule.mg/ml 0 0. Azithromycin tablet 00mg -treatment of severe malaria. required only for voyages to areas where malia transmission is a risk See pages treatment of malaria. required only for voyages to areas where malaria transmission is a risk See pages to treat slow heart rate in myocardial infarction - to treat organphosphate insecticide poisoning See pages 96, 36 -to treat infections responsive to this antibiotic See pages 4-44, 9-07, 60, 74, 77, 8 See under malaria in IMGS, chapter, infectious diseases See under malaria in chapter infectious diseases for slow heart rate in myocardial infarction: 0.6mg IM or IV the specific infection Ceftriaxone ampoule g powder for injection (dissolve in water for injection) -to treat infections responsive to this antibiotic See pages 6, 4-44, 3, 60-6, 7, 7, 87, 94, 9-07, the specific infection. Cetirizine tablet 0mg -to treat allergy symptoms in hayfever, hives, allergic dermatitis etc. See pages 4 0mg daily up to a maximum of 0mg daily 3 3. Charcoal, activated 0g in 00ml purified water -to absorb ingested poisons See pages g/kg orally up to a maximum of 00g for first dose; for repeat doses, 0g every 4 hours, if advised by a doctor 4 4. Ciprofloxacin tablet 0mg -to treat infections responsive to this antibiotic See pages 77, 6-7, 8-83, 9-07, -3, 6 and 77 the specific infection; to be taken hour before or hours after meals milk and other dairy products to be avoided 40. Cloves, oil of 0ml -toothache, see pages to be applied to affected tooth with cotton wool soaked in oil of cloves Ayvansaray Mh Esnaf Loncası Sokak No:74/A Fatih 39 Istanbul / Turkey Phone /Fax :

15 Medical List - Panama - 0 Person Crew Name Treatment Requirements Recommended Dosage 6 6. Dexamethasone ampoule 4mg/ml #NAME? for analphylaxis and lifethreatening asthma: 4mg IM or IV otherwise as advised by a doctor 7 7. Diazepam tablets mg -to treat alcohol withdrawal See pages 3-39 see IMGS3, Chapter, Tobacco, alcohol, and drug use Docusate with senna tablet 0mg + 8mg -to avoid straining in patients with anal fissure and haemorrhoids -to prevent constipation caused by opioid use See pages tablets at bedtime, may be increased to up to tablets twice daily if required Doxycycline tablet 00mg the specific infection. See pages 9-07, 09-0, - 3, 7-7. the specific infection, tablet with 0ml water, to be taken with meals, patient to remain sitting or standing for minutes after a dose Ethanol 70% hand cleanser gel 0ml an alternative to hand-washing when hands are not obviously soiled enough should be used to cover hands thoroughly and allowed to dry. Ethanol 70%, liquid, Liquid 00ml to disinfect instruments and surfaces topical use only. Fluorescein %, strips or single use vials ml to detect damage to cornea: damaged area stains yellow / green. See pages As directed Frusemide ampoule 4ml = 40mg to treat severe fluid retention in lungs (pulmonary oedema) due to cardiac failure, See pages, 36 40mg IV over 0 minutes or (less desirable) IM repeat in hour if necessary 4 4. Glucagon, ready to use ampoule mg amp to treat low blood sugar (hypoglycaemia) due to insulin when oral intake is impossible and intravenous glucose cannot be given. See pages 3, mg IM or Sc: response should occur within minutes. Haloperidol ampoule ml = mg 6 6. Hydrocortisone % cream, Cream (0-) gm -to treat psychotic hallucinations and delusions -to treat severe agitation and aggressiveness See pages 6-3 to treat allergy and some other inflammatory skin conditions. See pages 69, -3, mg IM, repeated every -6 hours if needed maximum: mg in 4 hours to be applied sparingly twice daily after a few days, application to be reduced to once a day 7 7. Ibuprofen coated tablet 400mg #NAME? mg every 6 hours maximum 0 mg (=8 tablets) per 4 hours take with food Insect repellent lotions for skin. Vials for personal use Deet 0-3% formulation or Picaridin or p- menthane-3,8-diol Consider diseases transmitted by mosquitoes as Dengue Fever p 8-9, Malaria p. 6-69, Yellow fever p 84 See also pages for mosquito control in general. One vial per person in areas of risk of acruiring a disease transmitted by mosquitoes in a given port. # 9 9. Isosorbide dinitrate tablet mg sublingual #NAME? tablet, sublingual, repeated once after 0 minutes if pain persists to be used preventively if possible before activity likely to cause angina patient to sit or lie down when using tablet to be placed under tongue, patient must not swallow tablet if pain resolves, patient spits out remaining tablet so as to reduce risk of headache 0. Lignocaine % (without adrenaline) ampoule ml for local anaesthesia when suturing wounds maximum 00mg (0ml or % for performing minor surgery. See pages 7- solution) after maximum dose, 74, 6-9 give no more for hours Ayvansaray Mh Esnaf Loncası Sokak No:74/A Fatih 39 Istanbul / Turkey Phone /Fax :

16 Medical List - Panama - 0 Person Crew 3 3. Loperamide tablet mg 3 3. Mebendazole tablet 00mg Name Treatment Requirements Recommended Dosage to treat symptoms of diarrhoea. See pages 6-7 -to treat intestinal worm infections not effective for tapeworm infection or hydatid disease, See pages 8-84 starting dose 4mg then mg with each diarrhoeal motion up to 6mg (=8 capsules) per 4 hours the specific infection to be taken with food Metoprolol tablet 00mg -to treat hypertension (high blood pressure) -to treat atrial fibrillation (irregular or rapid heart) -to treat angina pectoris (chest pain) - to prevent migraine. See pages oral with food for hypertension 00mg once daily, for angina pectoris: 0mg twice daily: on medical advice, may be increased to 00mg twice daily for atrial fibrillation : 0mg twice daily: on medical advice, may be gradually increased to 00mg twice daily, for migraine: 0mg twice daily Metronidazole tablet 00mg to treat infections responsive to antibiotics. See pages 60-63, 7, the specific infection to be taken with food if possible to minimize unwanted effects 3 3. Miconazole % cream Midazolam ampoule ml (=mg) Misoprostol tablet 00ug Morphine (injectable) ampoule ml = 0mg 39. Morphine (oral) liquid mg/ml bottle or 0 tablets with 0 mg to treat fungal skin infections see pages 03-04, 4. if women on board supply also miconazole vaginal cream to terminate epileptic fits. See pages, 8- to prevent post-partum haemorrhage. page 9 -to reduce severe pain -to reduce pain not releived by other analgesics See pages 7- to reduce severe pain likely to last several days in patients able to eat and drink. See pages 7- a thin film applid twice daily then for weeks after symptoms have gone hands should be washed promptly after use 0.-0.mg/kg body weight IM or 0mg intranasally two ampoules should be opened and one drop allowed to drip into alternate nostrils until ampoules are empty 600 ug orally immediately after delivery See IMGS3,Chapter 3,Pain management See IMGS3,Chapter 3,Pain management Naloxone ampoule ml (=0.4mg) to reverse effects of opioids, especially in case of overdose. See pages 3, mg IM, repeated as needed response should be rapid: if no response to doses, diagnosis is not ipioid overdose Omeprazole tablets 0mg -to treat gastro-oesophageal reflux -to treat peptic ulcer disease. See pages, and 73 starting dose 0mg once daily before a meal, preferably in the evening dose increased to 40mg daily if symptoms persist in gastrointestinal haemorrhage: 40mg twice daily 4 4. Ondansetron tablet 4mg or Scopolamin transdermal patched see page 347 -to prevent vomiting -to prevent seasickness see page 347 one tablet, preferably taken before the stimulus to vomiting 0 or Oral rehydration salts sachets of powder for reconstitution to prevent or treat dehydration, especially due to diarrhoea, see pages 7-8 and 347 as recommended in IMGS3 correct amount of boiled, cooled tap water ( not less water then specified) to be added to the entire contents of one sachet, shaken or stirrwed until all the powder si dissolved solution keeps for 4 hours 0 Ayvansaray Mh Esnaf Loncası Sokak No:74/A Fatih 39 Istanbul / Turkey Phone /Fax :

17 Medical List - Panama - 0 Person Crew 44 Name Treatment Requirements Recommended Dosage 44. Oxymetazoline 0.% (or equivalent) drops or spray 4 4. Paracetamol tablets 00mg #NAME? to reduce pain and fever (but not inflammation) see pages drops in each nostril twice daily or only at night if disturbed sleep is the main complaint 000mg every 6 hours maximum 4000mg (=8 tablets) per 4 hours Permethrin % lotion 0ml to eliminate hair, pubic, and body lice. See pages 9- to be applied to washed, damp hair or skin, rubbed in, left for 0 minutes, then rinsed off a fine-tooth comb should be used to remove eggs to be repeated after one week hands to be washed to remove lotion Permethrin % lotion, vial of 0g to treat scabies. See pages 9- to be applied to clean, dry skin from chin down, left on for hours, then washed with soapy water and rinsed to be repeated after 7 days Povidone iodine ointment 0% to 0g to disinfect skin and wounds, See pages 67-77, -9 ointment to be applied thinly with gauze - times a day Povidone iodine solution 0% - 0ml to disinfect skin and wounds, See pages 67-77, -9 ointment to be applied thinly with gauze - times a day 0 0. Prednisone tablet mg -to treat severe asthma -to treat other inflammtory conditions (on medical advice) See pages -6, 4-47 see under Asthma in IMGS3, Chapter, Respiratory diseases to be taken with food. Petroleum jelly 0g to 00g (vaseline)*. Salbutamol aerosol inhaler 0.mg/dose -to treat chapped skin See page, 6 lubricated rectal thermometer -to treat asthma -to treat chronic bronchitis -to treat emphysema -to treat other lung diseases see pages 4-47 As directed for symptoms: puffs every 4 hours up to puffs maximum per day in severe asthma, up to 0 puffs repeated every minutes a a. Volume spacer for salbutamol inhaler to make inhaling salbutamol more effective 3 3. Sodium chloride 0.9% infusion see appropriate IMGS3 text or for fluid replacement plastic-bottle litre as advised by a doctor 4 to treat minor eye infections; to prevent cm ointment to be applid 4. Tetracycline % ointment Eyeinfections following damage to the cornea. twice daily to inner surface of ointment g See pages 33-34, 40-4, 6. lower eyelid. Tetanus Immunoglobulin ampoule Part of wound care if state of vaccination is (keep at -8 degrees C) unknown see page Tetanus toxoid vaccination Part of wound care if state of vaccination is ampoule (keep at -8 degrees C) unknown see page Tramadol tablets 0mg against strong pain, see pages 7- As directed 0 8 Vitamin K (Phytomenadione) ampoule ml=0mg to reverse excessive or unwanted effects of warfarin or related drugs. See pages 96, 73 for life-threatening situations (trauma, major bleeding): 0mg orally or IM for minor bleeding: - mg orally 9 9. Water for injection ampoules ml Zidovudine plus lamivudine tablets, 0mg+0mg reconstitution of injectable drugs provided as powders prophylaxis against HIV infections after needle-stick injury. See page As directed 0 One tablet twice daily for four weeks. may be omitted if risk assessment for HIV infection on board suggests low risk. If carried on board: min 60 tablets. Ayvansaray Mh Esnaf Loncası Sokak No:74/A Fatih 39 Istanbul / Turkey Phone /Fax :

18 Medical List - Panama - 0 Person Crew Name Treatment Requirements Recommended Dosage 6 6. Zinc oxide 0% paste or ointment 0-00g protection of irritated skin apply liberally to affected skin twice daily and after washing,. Portable oxygen set, complete appliance for the administration of oxygen, containing: see pages 4-..a.a. oxygen cylinder, l/00bar see pages 4-..b.b. spare oxygen cylinder, l/00bar see pages 4-..c.c. Pressure regulating unit and flow meter with tubes such that ship's see pages 4-. industrial oxygen can also be used.d.d. 3 disposable face masks of choice: including simple face mask and non-rebreathing mask see pages 4-..a.a. Guedel airway (mayo-tube): size oropharyngeal airway, see pages 4-, 3. medium.b.b. Guedel airway (mayo-tube): size oropharyngeal airway, see pages 4-, 3. large.3a.3a. Manual aspirator to clear upper airways Mechanical aspirator, see pages 4-.3b.3b. Catheters for aspirator Mechanical aspirator, see pages 4- As directed,4.4. Ambubag or equivalent; suplied with small, medium and large masks Bag and mask resuscitator, see pages 4-,,.a.b. Brook Airway, Lifeway, pocket Cannula for mouth-to-mouth resuscitation, face mask or equivalent see pages 4-. Assorted wound-plaster or plaster strips, water resistant - slim and Adhesive dressings As directed 00 broad.a. Sterile gauze compresses, cm x Sterile gauze compresses cm, sterile As directed 0.b. Sterile gauze compresses, 0cm x 0cm Sterile gauze compresses As directed 0,3.3. Gauze roll, cm and 60 or 90cm x 00m, non-sterile Gauze roll 60cm / 90cm may be substituted bu gauze roll of smaller size,4,,6.7a.7b.7c.8a.4 Non-adherent gauze dressing, square 0cm Gauze dressing with non-adherent surface 0.. Paraffin gauze dressing, 0 x 0cm, sterile Vaseline gauze As directed Elastic fixation bandage, 4m x 6cm Bandage As directed 3.7a. First-aid absorbent gauzecovered cotton pad sewn onto a Sterile compression bandages cotton bandage (ambulance dressing) As directed small.7b. First-aid absorbent gauzecovered cotton pad sewn onto a Sterile compression bandages cotton bandage (ambulance dressing) As directed medium.7c. First-aid absorbent gauzecovered cotton pad sewn onto a Sterile compression bandages cotton bandage (ambulance dressing) As directed large.8a. Tubular gauze bandage for Tubular gazue for finger bandage. See finger bandage, m pages b.8b. Applicator for finger bandage See pages 43-8,9.9 Adhesive elastic bandage 4m x 6cm Adhesive elastic bandage. 0,.0. Triangular sling Triangular sling. see pages 43-8 and 77 As directed,.. Sterile sheets for burn patients Sterile sheet for burn victims. See pages 79-83, Only if honry for medical purposes.. Honey for dressing burns kg, available. Otherwise use a hydrogel-burnkit. As directed (only purified 000g) See pages 79-83,3.3. Adhesive tape, waterproof, skinfriendly, x.cm Adhesive sutures or zinc oxide bandages As directed 3,4.4. Q-tips (wooden) Q-tips 00 Ayvansaray Mh Esnaf Loncası Sokak No:74/A Fatih 39 Istanbul / Turkey Phone /Fax :

19 Medical List - Panama - 0 Person Crew Name Treatment Requirements Recommended Dosage,.. Safety pins (stainless steel), pieces Safety pins,6.6. Butterfly sutures, Steristrip or leukostrip, sterile Butteryfly sutures. See pages As directed 0,7.7. -octyl cyanoacrylate liquid, Skin adhesive for closing small wounds. See 0.ml pages a Suturing equipment. See pages a. Sutures, absorbable with Replace with non-absorbable for easier use curved non-traumatic needles, - 0, p7 As directed 3.8b Suturing equipment. See pages b. Sutures, absorbable with Replace with non-absorbable for easier use, As directed curved non-traumatic needles, 3-0, see p7 3.8c. Sutures, absorbable with Suturing equipment. See pages c curved non-traumatic needles, 4-0 Replace with non-absorbable for easier use, As directed 3 or - 0 see p7.9a.9a. Disposable examination glvoes, Gloves size M 00.9b.9b. Disposable examination gloves, Gloves size L 00.9c.9c. Surgical gloves size 6., sterile in pairs Gloves (sterile) As directed 3.9d.9d. Surgical gloves size 7., sterile in pairs Gloves (sterile) As directed 3.9e.9e. Surgical gloves size 8., sterile in pairs Gloves (sterile) As directed 3,.0. Eye pads See pages 36, 38 3, 3.. Scalpel, sterile, disposable Disposable scalpels see pages 7-74, , 3.. Instrument box (stainless steel) Stainless-steel instrument box. 3, Operating scissors, straight (stainless steel) Scissors 3, Bandage scissors (stainless steel) Scissors 3, 3.. Splinter forceps, pointed (stainless steel) Forceps 3, Teeth tissue forceps (stainless steel) Forceps see pages 7-74, 6-9 3, Needle holder, mayo-hegar 80mm, straight Needle holder. See pages , Haemostatic clamp, Halstead mosquito, mm, stainless steel Haemostatic clamps 3, Razor, Disposable Disposable razors As directed 4, 4.. Tongue depressors, disposable Disposable tongue depressors 00 4, 4. Reactive strips for urine analysis: blood/ glucose/ protein / nitrite / leukocytes Reactive strips for urine analysis, see pages 3-3 As directed 0 4, Microscope slides Microscope slides, see pages , Stethoscope Stethoscope 4, 4.. Sphygmomanometer (blood pressure set), preferably automatic Aneroid sphygmomanometer, see pages a 4.6a. Standard thermometer digital if possible Standard thermometer see pages -4 As directed 4.6b 4.6b. Rectal thermometer digital if possible Rectal thermometer see pages -4 4, Thermometer 3 Degree - 34 Hypothermic thermometer, see pages 343- Degree C, digital if possible 344 4, Penlight + blue cover Penlight (blue light) to detect damage to cornea see pages , Waterproof indelible marker See page 9 4, 4.0. Magnifying glass (a x 9 loupe) See pages , 4.. Temperature cards / charts As master copy from page 0 4, 4.. Cards for telemedical advise As master copy. should be filled in before calling radiomedical advise 0 4, Medical logbook See page 4 4, Controlled drug register Controlled drug register Ayvansaray Mh Esnaf Loncası Sokak No:74/A Fatih 39 Istanbul / Turkey Phone /Fax :