The Interagency Emergency Health Kit 2006 - Medicines and Medical Devices for 10,000 People for Approximately 3 Months - An Interagency Document (2006; 88 pages) [ French] [ Spanish]  Índice de contenido
Supplementary unit (for 10,000 people for 3 months)
Anaesthetics |
ketamine, inj 50 mg/ml |
|
10 ml/vial |
25 |
lidocaine, inj 1%13 |
|
20 ml/vial |
50 |
Analgesics14 |
morphine, inj 10 mg/ml15 |
|
1ml/ampoule |
50 |
Recall from basic unit |
ibuprofen, tab 400 mg |
|
(10 x 2,000) 20,000 |
|
paracetamol, tab 100 |
|
(10 x 1000) 10,000 |
|
paracetamol, tab 500 mg |
|
(10 x 2,000) 20,000 |
|
Antiallergics |
hydrocortisone, powder for inj 100 mg |
|
vial |
50 |
prednisolone, tab 5 mg |
|
tab |
100 |
epinephrine (adrenaline) see "respiratory tract" |
|
|
Antidotes |
calcium gluconate, inj 100mg/ml16 |
|
10 ml/ampoule |
4 |
naloxone, inj 0.4 mg/ml 17 |
|
1 ml/ampoule |
20 |
Anticonvulsants/antiepileptics |
diazepam, inj 5 mg/ml |
|
2 ml/ampoule |
200 |
magnesium sulfate, inj 500 mg/ml |
|
10 ml/ampoule |
40 |
phenobarbital, tab 100 mg |
|
tab |
500 |
Anti-infective medicines |
benzathine benzylpenicillin, inj 2.4 million IU/vial (long-acting penicillin) |
vial |
50 |
benzylpenicillin, inj 5 million IU/vial18 |
|
vial |
250 |
ceftriaxone, inj 1 g |
|
vial |
800 |
cloxacillin, caps 500 mg19 |
|
caps |
1,000 |
clotrimazole, pessary 500 mg |
|
pessary |
100 |
doxycycline, tab 100 mg |
|
tab |
3,000 |
metronidazole, tab 500 mg |
|
tab |
2,000 |
miconazole, muco-adhesive tab 10mg20 |
tab |
350 |
procaine benzylpenicillin, inj 3-4 million IU/vial21 |
vial |
200 |
Recall from basic unit: |
|
|
albendazole, tab 400 mg |
(10 x 200) 2,000 |
|
amoxicillin, tab 250 mg |
(10 x 3,000) 30,000 |
|
Malaria module (can be withheld from the order upon request) |
artemether, inj 20 mg/ml22 |
1ml/ampoule |
200 |
artemether, inj 80 mg/ml 22 |
1ml/ampoule |
72 |
quinine dihydrochloride, inj 300 mg/ml23 |
2 ml/ampoule |
100 |
Recall from basic unit: malaria module |
artemether + lumefantrine, tab 20 mg+120 mg |
(10 x 6,120 tab) 61,200 |
|
quinine sulfate, tab 300 mg |
(10 x 2,000) 20,000 |
|
rapid diagnostic tests |
(10 x 800) 8,000 |
|
lancet for blood sampling (sterile) |
(10 x 1000) 10,000 |
|
safety box for used lancets, 5 litres |
(10 x 2) 20 |
|
Medicines affecting the blood |
folic acid, tab 5 mg |
tab |
1,000 |
Recall from basic unit: |
ferrous sulfate + folic acid, tab 200 mg + 0.4 mg |
(10 x 2,000) 20,000 |
|
Cardiovascular medicines |
atenolol, tab 50 mg |
tab |
1,000 |
hydralazine, powder for inj 20 mg24 |
ampoule |
20 |
methyldopa, tab 250 mg25 |
tab |
1,000 |
Dermatological medicines |
polyvidone iodine, solution 10% |
bottle, 200 ml |
10 |
silver sulfadiazine, cream 1% |
tube, 50 g |
30 |
miconazole, cream 2% |
tube, 30 g |
25 |
Recall from basic unit: |
benzyl benzoate, lotion 25% |
(10 x 1L) 10 |
|
gentian violet, powder 25 g |
(10 x 4) 40 |
|
tetracycline, eye ointment 1% |
(10 x 50) 500 |
|
Disinfectants and antiseptics |
sodium dichloroisocyanurate (NaDCC), tab 1.67 g26 |
tab |
1,200 |
Recall from basic unit: |
chlorhexidine, solution 5% |
(10 x 1L) 10 |
|
Diuretics |
furosemide, inj 10 mg/ml |
2 ml/ampoule |
20 |
hydrochlorothiazide, tab 25 mg |
tab |
200 |
Gastrointestinal medicines |
promethazine, tab 25 mg |
tab |
500 |
promethazine, inj 25 mg/ml |
2 ml/ampoule |
50 |
atropine, inj 1 mg/ml |
1 ml/ampoule |
50 |
Recall from basic unit: |
aluminium hydroxide + magnesium hydroxide, tab 400 mg + 400 mg |
(10 x 1,000) 10,000 |
|
Oxytocics |
oxytocin, inj 10 IU/ml27 |
1 ml/ampoule |
200 |
Psychotherapeutic medicines |
chlorpromazine, inj 25 mg/ml |
2 ml/ampoule |
20 |
Respiratory tract, medicines acting on |
salbutamol, tab 4 mg |
tab |
1,000 |
epinephrine (adrenaline), inj 1 mg/ml |
1 ml/ampoule |
50 |
Solutions correcting water, electrolyte and acid-base disturbances28 |
compound solution of sodium lactate (Ringer's lactate), inj solution, with IV giving set and needle |
500 ml bag |
200 |
glucose 5%, inj solution, with IV giving set and needle29 |
500 ml bag |
100 |
glucose 50%, inj solution (hypertonic) |
50 ml/vial |
20 |
water for injection |
10 ml/plastic vial |
2,000 |
Recall from basic unit: |
oral rehydration salts, sachets |
(10 x 200) 2,000 |
|
Vitamins |
retinol (vitamin A), caps 200,000 IU |
caps |
4,000 |
ascorbic acid, tab 250 mg |
tab |
4,000 |
Patient PEP module, 50 treatments (can be withheld from the order upon request) |
azithromycin, tab 250 mg30 |
tab |
200 |
cefixime, tab 200 mg31 |
tab |
100 |
pregnancy test |
unit |
50 |
levonorgestrel, tab 1.50 mg32 |
tab |
50 |
zidovudine (AZT) + lamivudine (3TC), tab 300 mg +150 mg33 |
tab |
3,000 |
WHO Model Formulary (latest edition), English version |
unit |
2 |
MSF Essential Drugs, practical guide (latest edition) |
- English version |
unit |
2 |
- French version |
unit |
2 |
- Spanish version |
unit |
2 2 |
MSF Clinical Guidelines, diagnostic and treatment manual (latest edition) |
- English version |
unit |
2 |
- French version |
unit |
2 |
- Spanish version |
unit |
2 |
Medical devices, renewable |
cannula, IV short, 18G (1.3 x 45 mm), sterile, disposable |
unit |
100 |
cannula, IV short, 22G (0.8 x 25 mm), sterile, disposable |
unit |
50 |
cannula, IV short, 24G (0.7 x 19 mm), sterile, disposable |
unit |
50 |
needle, disposable, 19G (1.1 x 40 mm), sterile34 |
unit |
2,000 |
needle, disposable, 21G (0.8 x 40 mm), sterile |
unit |
1,500 |
needle, disposable, 23G (0.6 x 25 mm), sterile |
unit |
1,500 |
needle, disposable, 25G (0.5 x 16 mm), sterile |
unit |
100 |
needle, scalp vein, 21G (0.8 x 19 mm), sterile, disposable |
unit |
100 |
needle, scalp vein, 25G (0.5 x 19 mm), sterile, disposable |
unit |
300 |
needle, spinal, 20G (0.9 x 90 mm), sterile, disposable |
unit |
25 |
needle, spinal, 22G (0.7 x 40 mm), sterile, disposable |
unit |
25 |
syringe, disposable, 20 ml, sterile35 |
unit |
100 |
syringe, disposable, 10 ml, sterile |
unit |
600 |
syringe, disposable, 5 ml, sterile |
unit |
2,000 |
syringe, disposable, 2 ml, sterile |
unit |
700 |
syringe, disposable, 1 ml, sterile36 |
unit |
200 |
safety box for used syringes/needles, 5 litres37 |
unit |
50 |
syringe, feeding, 50 ml, conical tip, sterile38 |
unit |
10 |
syringe, feeding, 50 ml, Luer tip, sterile38 |
unit |
10 |
tube, aspirating/feeding, CH16, L125 cm, conical tip, sterile, disposable |
unit |
10 |
tube, feeding, CH08, L40 cm, Luer tip, sterile, disposable |
unit |
50 |
tube, feeding, CH05, L40 cm, Luer tip, sterile, disposable |
unit |
20 |
catheter, Foley, CH12, sterile, disposable |
unit |
10 |
catheter, Foley, CH14, sterile, disposable |
unit |
5 |
catheter, Foley, CH18, sterile, disposable |
unit |
5 |
bag, urine, collecting, 2000 ml |
unit |
10 |
gloves, examination, latex, large, disposable |
unit |
100 |
gloves, examination, latex, medium, disposable |
unit |
100 |
gloves, examination, latex, small, disposable |
unit |
100 |
gloves, surgical, 6.5, sterile, disposable, pair |
unit |
50 |
gloves, surgical, 7.5, sterile, disposable, pair |
unit |
150 |
gloves, surgical, 8.5, sterile, disposable, pair |
unit |
50 |
compress, gauze, 10 cm x 10 cm, sterile |
unit |
1,000 |
gauze, roll, 90 cm x 100 m, non-sterile39 |
unit |
3 |
razor blade, double-edged, disposable (for use with razor, see p.21) |
unit |
100 |
scalpel blade, No. 22, sterile, disposable |
unit |
100 |
suture, absorbable, synthetic, braided DEC2 (3/0), curved needle 3/8 circle, 26 mm, triangular point |
unit |
144 |
tape umbilical, 3 mm x 50 m, non-sterile |
unit |
2 |
tongue depressor, wooden, disposable |
unit |
500 |
indicator, TST (Time, Steam, Temperature) control spot |
unit |
300 |
indicator, TST (Time, Steam, Temperature) control strip |
unit |
100 |
masking tape, 2 cm x 50 m40 |
roll |
1 |
Recall from basic unit: |
|
|
Medical devices, renewable |
|
|
bandage, elastic, 7.5 cm x 5 m, roll |
(10 x 20) 200 |
|
bandage, gauze, 8 cm x 4 m, roll |
(10 x 200) 2,000 |
|
compress, gauze, 10 cm x 10 cm, non-sterile |
(10 x 500) 5,000 |
|
cotton wool, 500 g, roll, non-sterile |
(10 x 2) 20 |
|
gloves, examination, latex, medium, disposable |
(10 x 100) 1000 |
|
soap, toilet, bar, approximately 110 g, wrapped |
(10 x 10) 100 |
|
tape, adhesive, zinc oxide, 2.5 cm x 5 m |
(10 x 30) 300 |
|
Stationery |
|
|
book, exercise, A4 size, 100 pages, hard cover |
(10 x 4) 40 |
|
envelope, plastic, 10 cm x 15 cm |
(10 x 2,000) 20,000 |
|
health card |
(10 x 500) 5,000 |
|
pad, note, plain, A6 size, 100 sheet |
(10 x 10) 100 |
|
pen, ball-point, blue |
(10 x 12) 120 |
|
plastic bag, for health card, 11 cm x 25 cm, snap-lock fastening |
(10 x 500) 5,000 |
|
Medical devices, equipment |
apron, protection, plastic, reusable41 |
unit |
2 |
drawsheet, plastic, 90 cm x 180 cm |
unit |
2 |
brush, hand, scrubbing, plastic |
unit |
2 |
towel, Huck, 430 mm x 500 mm |
unit |
2 |
stethoscope, binaural, complete |
unit |
4 |
sphygmomanometer, (adult), aneroid |
unit |
4 |
stethoscope, fetal, Pinard |
unit |
1 |
otoscope set, cased42 |
unit |
2 |
spare battery R6 alkaline AA size, 1.5 V (for otoscope) |
unit |
12 |
scale, electronic, mother-and-child, 150 kg x 100 g |
unit |
1 |
scale, (only) infant spring, 25 kg x 100 g |
unit |
3 |
weighing trousers for scale infant spring, set of 5 |
unit |
3 |
razor, safety, metal, 3 piece43 |
unit |
2 |
tape measure, vinyl-coated, 1.5 m |
unit |
5 |
tape measure, arm circumference, MUAC (mid-upper arm circumference) |
unit |
50 |
tourniquet, latex rubber, 75 cm44 |
unit |
2 |
thermometer, clinical, digital, 32-43 Celsius |
unit |
10 |
sterilizer, steam, approximately 21 L or 24 L |
unit |
1 |
stove, kerosene, single-burner, pressure |
unit |
1 |
timer, 60 minutes |
unit |
1 |
basin, kidney, stainless steel, 825 ml |
unit |
2 |
bowl, stainless steel, 180 ml |
unit |
2 |
drum, sterilizing, approximately 150 mm x 150 mm |
unit |
2 |
forceps, artery, Kocher, 140 mm, straight |
unit |
2 |
scissors, Deaver, 140 mm, straight, sharp/blunt |
unit |
2 |
tray, dressing, stainless steel, 300 mm x 200 mm x 30 mm |
unit |
1 |
surgical instruments, suture set45 |
unit |
2 |
surgical instruments, dressing set46 |
unit |
5 |
Medical devices, equipment |
surgical instruments, delivery set47 |
unit |
1 |
filter, drinking, candle, 10-80 L per day |
unit |
3 |
Recall from basic unit: |
Medical devices, equipment |
basin, kidney, stainless steel, 825 ml |
(10 x 1) 10 |
|
bowl, stainless steel, 180 ml |
(10 x 1) 10 |
|
drum, sterilizing, approximately 150 mm x 150 mm |
(10 x 2) 20 |
|
forceps, artery, Kocher,140 mm, straight |
(10 x 2) 20 |
|
scissors, Deaver,140 mm, straight, sharp/blunt |
(10 x 2) 20 |
|
thermometer, clinical, digital 32-43 Celsius |
(10 x 5) 50 |
|
tray, dressing, stainless steel, 300 mm x 200 mm x 30 mm |
(10 x 1) 10 |
|
surgical instruments, dressing set |
(10 x 2) 20 |
|
13 20 ml vials are preferred, although 50 ml vials may be used as an alternative.
14 Alternative injectable analgesics, such as pentazocine and tramadol, are not recommended by WHO. It is however recognized that these may be practical alternatives to morphine in situations where opioids cannot be sent.
15 See Annex 9 for more details.
16 For use as an antidote to magnesium sulfate overdose in case of severe respiratory depression or arrest.
17 Naloxone is an opioid antagonist given intravenously for the treatment of morphine overdose and to reverse the effects of therapeutic doses of morphine.
18 Benzylpenicillin inj 5 million UI/vial is provided for diseases requiring high dosage treatment. The vials are not intended for multiple use because of concerns over contamination.
19 Alternative: cloxacillin tablet 250 mg and doubling the quantity is acceptable.
20 WHO recommends nystatin, tablet, lozenge and pessary as an antifungal agent. The interagency group agreed to include in the kit miconazole muco-adhesive tablets as they are more agreeable for patients than oral nystatin.
21 The combination of procaine benzylpenicillin 3 million IU and benzylpenicillin 1 million IU (procaine penicillin fortified) is used in many countries and may be included as an alternative.
22 Alternative: artesunate, 60 mg for inj., 300, and 5 ml of glucose 5% or NaCl 0.9% inj, 300, is acceptable. Before using, inject the added 1 ml sodium bicarbonate 5% injection solution into the artesunate vial, dissolve and then add 5 ml of glucose 5% or NaCl 0.9% inj. Tuberculin syringe, disposable, 1 ml, sterile, 200, needs to be included too for administration purposes.
23 Intravenous injection of quinine must always be diluted in glucose 5%, bag 500 ml.
24 For the acute management of severe pregnancy-induced hypertension only.
25 For the management of pregnancy-induced hypertension only.
26 Each effervescent tablet containing 1.67g of NaDCC releases 1g of available chlorine when dissolved in water.
27 For prevention and treatment of postpartum haemorrhage.
28 Because of the weight, the quantity of infusions included in the kit is minimal.
29 Glucose 5%, bag 500 ml, for administration of quinine by infusion.
30 For presumptive treatment of sexually transmitted infections (Clamydia infection) by sexual assault (rape). Alternative: azithromycin tab 500 mg and halving the quantity is acceptable.
31 For presumptive treatment of sexually transmitted infections (Gonococcal infection) by sexual assault (rape). It may be used in pregnancy.
32 For women who seek help within 72 hours of rape and wish to use emergency contraception to prevent pregnancy, they should take one tablet of levonorgestrel 1.50 mg. Alternative: levonorgestrel 0.75 mg tablets and doubling the quantity is acceptable.
33 For presumptive treatment to reduce the chances of HIV infection by sexual assault (rape) and by needle stick.
34 Included mainly for reconstitution purposes.
35 Included for the administration of magnesium sulfate only.
36 Included for the administration of artemether in children only.
37 WHO/UNICEF standard E10/IC2: boxes should be prominently marked.
38 Alternative: the two types of feeding syringes 50 ml may be replaced by, syringe, feeding, 60 ml, with Luer and conical connector, unit, 20.
39 Alternative: gauze, roll, 60 cm x 100 m, non-sterile.
40 To secure small paper parcels of instruments for sterilization allowing contents and date to be written.
41 Alternative: apron, protection, plastic disposable, unit, 100, may be supplied.
42 Spare bulb must be included within the otoscope set.
43 Alternative: razor, safety, disposable, unit, 100, may be supplied.
44 Alternative: tourniquet with Velcro, unit, 2, may be supplied.
45 One suture set should be reserved for repair of postpartum vaginal tears.
Abscess/suture set (7 instruments + box)
• 1 forceps, artery, Halsted-mosquito, 125 mm curved
• 1 forceps, artery, Kocher, 140 mm, straight
• 1 forceps, tissue, standard, 145 mm, straight
• 1 needle holder, Mayo-Hegar, 180 mm, straight
• 1 probe, double-ended, 145 mm
• 1 scalpel handle, No. 4
• 1 scissors, Deaver, 140 mm, curved, sharp/blunt
• 1 tray, instruments, stainless steel, 225 mm x 125 mm x 50 mm, with cover.
46. Dressing set (3 instruments + box)
• 1 forceps, artery, Kocher, 140 mm, straight
• 1 forceps, dressing, standard, 155 mm, straight
• 1 scissors, Deaver, 140 mm, straight, sharp/blunt
• 1 tray, instruments, stainless steel, 225 mm x 125 mm x 50 mm, with cover.
47 Delivery set (3 instruments + box)
• 1 scissors, Mayo, 140 mm, curved, blunt/blunt
• 1 scissors, gynaecological, 200 mm, curved, blunt/blunt
• 1 forceps, artery, Kocher, 140 mm, straight
• 1 tray, instruments, stainless steel, 225 mm x 125 mm x 50 mm, with cover.
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