Leader
Req. / Expy Out / Out / In / Leader Req. / Expy Out / Out / In
Cooking / MSR Whisper Light Stovew/ 1 MSR Pump Bottle / Shelter / Tent, four person
w/ Tyvek ground tarp
Extra Fuel Bottles (total)
Pump Bottle
Storage Bottle / Sleeping Tarp, four person
w/ green ground tarp
w/ one or pair of trekking poles
Propane 2 burner stove
w/ 1 gal fuel tank & hose / Pyramid, three person
  • w/ black ground tarp
  • w/pair of trekking poles and voile connector straps

Pots (total)
3 Quart
4 Quart / Other /

First Aid Kit

w/ Foot Care Kit, Resource bag, Wound Care Kit, Epi Kit, Miscellaneous bag, Trauma Kit, Medications bag

Frying Pan / Square/Clothing Happy Sacks
(1 per person)
Cooking Kit
w/ sump screen, sponge, soap, dip cup, pot grips, 2 spoons / Rectangle/ Sleeping Bag Happy Sacks
(1 per person)
Animal Resistant Food Canisters
(9-10 recommended for a 11 person trip) / Poop Kit
- w/ trowel, TP, hand sanitizer, bio bags (12)
Winter / Chains
Vehicle (circle):
12 Person Mini Van / Water Filter Kit
w/ Dromedary
Ice Scraper / Other Misc.
Kitty Litter
Van / Gazetteer
Van Brush
Van Safety Equipment

Any Equipment issues: (please describe)

Please note quantity of First Aid Equipment:
______

First Aid Kit – Puget Sound Outdoors and Passages
Trauma Materials (Packaged):
___ 4 x 4 pads (4)
___ Stretch Gauze Rolls (2)
___ Gloves (2 pair: 1 Lg, 1 Med)
___ Maxi Pads (2)
___ Trauma Shears (1)
___ CPR Mask [small, flat mask] (1)
Medications (see reverse for info):
___ Acetaminophen (4 packets)
___ Anti-Inflammatory (10 packets)
___ Antacid (3 packets)
___ Anti-Diarrheal (8 pills)
___ Antihistamine (10 packets)
___ Decongestant (10 packets)
___ Hydrocortisone (5 packets)
Splinting:
___ Ace bandage (2) *Contains Latex*
___ SAM Splint (1)
Water Treatment:
Passages:
___ Bleach
Puget Sound Outdoors:
___ AquaMira Part A
___ AquaMira Part B
___ Extra Aqua Mira Caps (6) / Wound Care and Prevention:
___ Latex-Free Gloves (1 Lg & 1 Med)
___ Roll of Sterile Gauze (1)
___ 4 x 4 pads (4)
___ Band-Aids (10)
___ Povidone Iodine Bottle (1)
___ Triple-antibiotic (8 packets)
___ Irrigation Syringe (1)
___ 1 1/2” Roll of Athletic Tape (2)
Epinephrine Kit
___ Epinephrine Pre-Loaded Syringe (2)
___ Antihistamine (5)
Miscellaneous:
___ Maxi Pads (3)
___ Tampons (10)
___ Lighter (1)
___ Tempa-Dots (2) or Dig. Them. (1)
___ Tweezers (1)
___ Large Safety Pin (2)
___ Red Bio-hazard bag (2)
___ Outer Bio-Hazard Bag (1: food happy sack or produce bag)
Resources:
___ The Wilderness Medicine Handbook (2016)
___ SOAP notes (3) & Incident forms (5)
___ Pencil
___ Repair supplies –tent pole sleeve & backpack hip buckle
August, 2016