mix it well in two tumblersful (SOO ml) of water. If giVen to swallow.

try to induce vomiting by

introducing two rmgers into the back of the throat after each adrninistration. This mtxture can
be quickly prepared While the stomach is being washed out. If Ihe stomach lube remains in
position it can be intioduced through it.

'CHAPTER 21: GIVING OXYGEN

179. Atten t;pn should always be paid to the hazard of rue and e'f.plosion which may accompany the
use of oxygen:. . _
The patient must nave a clear airway and preferably be breathing spontaneously but oxygen may
be given with arttilcial respiration by the mouth-to-mouth or mouth-lo-nose technique. The
medical oxygen giving set from the P.T.C. 121 should be used and the instructions given there
foUo:wed carefully. If that supply fails, technical oxygen may be used as a substitUte provided
that the pressure of the gas is controlled by a rue·reducing valve before leading it to the mask
by hosepipe ~tc.
~i::-

* * "'
POISONSTREAnt;NT CH~
Conrenu ~~
180. l.a1relJed. Numbered. For use in conjunction with the Medical First Aid Guide for Use in Accidents
Involving Dangerous Goods and the I.M.G.S. Medicines Chest. Contents to be checked and renewed
regularly.

Injections No. 100 AscorbiG. acid 5% 10 ml x --6

~No_101 Atropine sulphate 1 mg/ml I ml x' SO
.No.t02 Sodium calcium edelate 20% Smlx 10
,­ No.103 Chlorpromazine HeL. 2S mrJml I ml x 10
No.IM Dimercaprol 5% 2mlx 20
No.IOS Nikethamide. 25% 2mlx 10
No.i06 Phenobarbital sodium 20% 1 ml x 10
*No.I01 Tetanus vaccine (Tet./Tox) I ml x 10
No.1 OS Methyl prediUsolone 1 ml x 6
'~i;-
Tablets etc. No.169 Ascorbic acid SOmgx 50
No.110 . Calcium lactate 1 gx 100
No.1l1 Pnlsernide 40mgx 2S

Miscellaneous No.lll Uquid paraff'm Soom"

-No.1 13 Copper sulphate 2 gx IS
No.1 14 Activated charcoal 500 g
No.1 IS Glucose (dextrose) O.S kg
No.116 Magnesium oxide 20 I.tX 5
No.ill Sodium sulphate 20 'x 25
No. lIS Sodium thiosulphati! ,10 JX S

"" NO.I01111ust be kept in l/:le refd[!cratof

30
 infusion
Dextran 40 for injection. bottles of
500 ml x 10 with giving sets and •
instructions
No.120 Ringer's solution
SOOmgxIO
No.121 Oxygen cylinders - 2 with reducing.
valve, tubes, mask etc. and
instructions .
N°·ill Cyanide treatment kit as u~d in
. factories, With fuD instructions
(a) amylnitrite
(b) sodium nitrite
(c) sodium thiosulphite

* '" *
*

31
 -
lIem
I Table I I I
Table II Table III Additional inlormation for use
. of chemist and for labelling
.
. Ouantilies for ships
carrying the under· •
mentioned number
01 persons

Up to 40 Over 40
Medicines
1. Auristillae glyeeris
(G~cerine ear drops)
30ml 60ml 30ml - Supply in bOllle 01 distinclive design
EA DROPS with dropper.
.
2. Capsulae amyli nitris
(Amyl nitrite capsules) X
6 6 6 - Each caPsule 0.3·ml amyl nitrite. covered
with absorbent fabric. To be renewed
after 12 months. .
3. Capsulae telraeyelini,
hydrochloridi
: 90 150 80 (') - Each capsule 250 '"lJ tetracvcline hydro
chloride. or an equivalent broad-spec
(TetraCYcline hydrochloride
capsules) trum antibiotic with 'similar therapeutic.
TETRACYCLINE CAPSULES effects (to be so labelled).

4. Compressi acid; acetylsali~liCi 250 500 200 100

~cetylsaliCY!ic acid tablets '.
Each tablel 300 mg 'acetylsalicylic:acid.
PIRtN TABlETS
. .
~

5. Compress; aminophytlini
(Aminop'/Rline tablets) .
20 40 20n - ~ach tablet 300 mg aminophyilinli...J..a bel
POISON~to be used only on mediCa I .
.
. AMINOP YLLINE TABLETS' X
advice by radio "•
6. Compressi butobarbital;
~Butobarbitone tablelS)
EDATIVE TABLETS,
40 80 20 (.) - , Each tablet 1 00 mg butobarbitone. Suppl
in. bottle 01 distinctive design. La
.. • POISON-.
7. Compress; chloroquini sulfati; 300 500 100 (') - Each. tablet 150 mg Chloro~uine base
J;hloroquine sulfate tablets)
ALARIA TABLETS X chloroquine sulfate 200 mg. hlorQquina
(Only for ships phosphate 250 mg may·be supplied 8$
operating in an alternative. .
malarious areas)
8. Compressi chlorothiazidi
(Chlorothiazide tablets) X
20 40 2Q (") - Each tablet 500 mg chlorOthiuide. Sup
ply In bOllle of distinctive design. La bel
o POISON-to be used only on medic II
advice transmitted in plain language and
not by code".
9. Compressi chlorpromazinl
hra!roChlOridi
20 40 20 (0) - Each tablet 50 mg chlorpromazine hydr0­
Chloride. Supply in 'boule of distinctive
(Ch orpromazine hydrochloride
tablets) design. label • POISON-to be used
TRANOUILlIZER TABLETS X . only on medical advice by radio ".

10. Compress; codeini.phosphatis :WO 300 1.00 40

~Codeine phosphate tablets) Eacli tablet 15 mg COdeine plJosphate. or
. ODEINE TABLETS en equivalenT drug with Similar theta·
peu.tic elfects (to be. so labelled) •
, 11. Compressi colocynthidis et 100 200 40 40(")
jalapae co. . Each tablet 60 mg compound colocvnth
(Compound colocynth and e~tractJ15 mg hyoscvamu5 dry e~tra ct/
jalap tab!ets) 15 mg jalap resIOI15 mq podophyllu rn
VEGETABLE LAXATIVE resin/O.OOo ml peppermint oil. O,r
TABLETS equiva1ent la~ative with similar ther
peutic elfecis (to be 50 labelled).
12. Compressi digoxini
(Digoxin tablets) X
20 20 20 - Each tablet 0.25 mg digo~in. Supply in
bottle of distinctive design. label' P 01.
SON-to be used only on medical adviceo

I transmitted in plain language and' no'

by code".

138
 !tem Table I I Table II Table 111,1 Additional inlormation lor use
of chemist and !or labelling

Quamities lor ships

carrying the under­
mentioned number
of perSOns

Up 10 40 Over 40
Medicines (continued)
13. Compressi ephedrini 60 100 40 20
hydrochloridi Each lablet 30 mg ephedrine hydro­
(Ephedrine hydrochloride chloride.
tablets) .
EPHEDRINE TABLETS
14. Compressi gli-cerylis trinhratis 20 40 20
(Glyceryftrinitrate tablets) Each lablet 0.5 mg glyceryl Irinitrate.
HEART TABLETS X Supply In bottle of distinctive design.
• label" POISON -.
15. Compressi Hyoscini Hydro­ 100 200 50 50r')
bromidi Each tablet 0,3 mg hyoscine hydrobro­
(Hyoscine hydrobromide tablets) mide, or an equivalent drug with"simila
SEASICKNESS-· TABLETS therapeutic effects (to be so. labelled)
Supply in bottle of distinctive design
!..abel - POISON ".
16. Compressi hlii permanganalis . _,'~ 50 100 20 20
. (Potassium permanganale Each tablet 60 mg potassium perman
;;:, ",3Dlets) ganate. Label - One tablet dissolved in
600 ml 01 water may be used as an anti
septic lotion or stomac~ wash -.
'17. CQlnpressi magnes;; Irisilic3tis 250 500 100
: (Magnesium .risilicate lablets) 100 Each tablet 250 mg magnesium triSilicate/ •
STOMACH TABLETS ' • 120 mg dried aluminium hydroxide gell
0.02 ml peppermint Oil.
18. Compress; natrii chloridi solv. 1 000 2000 500 250
(Sodium chloride tablets) Each tabiet 500 mg sodium chloride,
~ SALT TABLETS X 200 mg dextrose. Double the 'quantity to
be carried in vessels spending long
periods in Iropical areas,
19.~ Compressi phenobarbitali 50 100 40 20 Each, tablet 30 mg phenobarbito'ne.
..
,
(Phenobarbitone tablets)
PHENOBARBITONE TABLETS Supply in b,ollle of distinctive design.
Label - POISON ".
20: Compressi phenoxymethyl­ 300 600 120 60
, penicillini Each tablet 125 mg phenoxymethylpeni_
(Phenoxymethylpenicillin , tablets) cillin. Store in a coot dry place in a (:on­
PENICILLIN TABLETS tainer which will prevent access 01
moisture.
21. Compressi proguanili 100 200
hydrochloridi 100 100 Each tablet 100 mg proguanil hydrochlo­
(Proguanil hydrochloride ride. For ships proceeding on voyages to
tablets~ :" (Only lor ships malarious areas the quantity is 10. be
operating in increased 10 50 lablets per crew member.
malarious areas)
22. Compressi promethazini 40 60 40 20
hydrochloridi . Each tablet 25 mg !"omethazine hYdro­
(Promethazine hydrochloride chloride or an eqUIvalent antihistamine
tablelS) with similar therapeutic effects ,(to be
ANTIHISTAMINE TABLETS $0 labelled).

23, Compress; sulfadimidini 200 100

(Sulladimidine tablets) Each.tablel 500 'mg sulladi':"idine or an
SULFONAMIDE TABLETS equivalent sulfonamide wilh similar the­
rapeutic effeets (to be sO labelled)..
Supply in bOllle of distinctive design,
label - PO!SON.".
24. Compressi sullamethoxypyridazini '300 600 100
(Sulfamethoxypyridazine tablets) Each tablet 500 mg sulfamethoxypyrida_
5MP TABLETS X zine. Supply in botlle of distinctive
design. Label - POISON -.

139
 Item' Table I Table 1\ IT~ble 11\ Additional information lor use'
. 01 chemist and lor Idbelling

'Quantities lor ships I •

carrying the under·
mentioned number
of~

U~ OYer40
Medicines (continued)
25. Conspersus dicophani 500g looog 250 g(")
(DDT dusting powder) A white powder for application to persons
INSECTI,CIDE POWDER and their clothing; harmless to skin and
clothing and designed to destroy f:luinan
infestation by insects and mites. Instruc.
tions for use on the label and insufllator
included. '
26. Conspersus zinc!. amyli. 1"50g 250g 150g
ettalci 'A white powder consisting of 25% zinc
(Dusting powder 01 zinc. oxide. 25% starch. and 50% talc (q
starch. and talc) weight). Label - External use -.
ZINC DUSTING POWDER
27. Conspersus zinci undecenoatis 120 g 250g 120 9(')
(Dusting powder 01 zinc A powder conscstlng of 500 9. .starch.
undecenoate) 100 g zinc undecenoate. 20.8 9 unde­
RINGWORM POWDER cenoic acid. 4.7 ml pumilio pine dil, and
1000 g light kaolin. )
~J
28. Dimethylis phthalas, One bonle per crew member
(Dimethyl phthalate) To be carried on, all yessels proceeding
'INSECT REPELLENT .J to malarious pons. The supplV 'ptidiii!i.
vidual should be considered adequate
for seven days. To be increased if the
I' yessel remains longer in, a malarious,
area. 50·ml bOllle. label - External use -.
i
\/\29. j:iullae 5ullacetamidi
,\...ASullac'!.t~mide eye drops)
ANTISEPTIC EYE DROPS
'
8 60ml 30ml(") 30ml A solution of sulfacetamide sodiUm 10%.
for eye drops. Supply in bollie of dis­
tinctive design with dropper.
v" 30. GUllae tetracainaer 30ml 30ml 30ml 30ml
(Tetracaine eye dops) A solution of tetracl!ine -hydrochloride
ANAESTHETIC EYE' DROPS X 1% for eye drops. Supply in bottle of
distinctive design with dropper. Label
- External use-POISON -"
31. Injectio ailrenalini 5 5 5(') 3
(Adrenaline injection) Each ampoule 1 mg adrenaline. Supply
ADRENALINE INJECTION' in - Ampins -; Label - To be used only
on medical advice. except in 'case of
anaphylactic shock due to penicillin
injection -. .
32. Ini!!(;tio benzylpenicillini 50 ,100, 25 (") 25
(Prdcaine penicillin G Each ampoule 600 000 international
injection) 'units of procaine penicillin in a sterile
PENICILLIN INJECTION suspension in water or an equivalent
antibiotic with similar therapeutic effects
(to be so labelled). Store in a cool. dry
, place and 'enew when necessary.
1/33. Injectio morphini sulfatis ' 10 ,20 5 2
(Morphine sulfate injection) Each ampoule 15 mg morphine sulfate.
MORPHINE INJECTION X Supply in - Ampins -. Label' POISON-.

34. Injectio natrii chloridi , 4 6 4 (')

(Sodium chloride injection) Each bOllle I<lOOml water with 9 9 sodium
NORMAL ~AlINE INJECTION chlo,ide. sterile. Supply administration
set and instructions.
35. Injectio streptomycini sulfatis 6 12 6 (')
(Slreptomycin sulfate injection) Each ampoule 1000 mg streptomycin
STREPTOMYCIN ase. as a sterile solonion in water. Storen
INJECTION X bi ancool. dry place and rdnew when
necessary.

140
 hem
I Table I I Table 1/ Table III Additional information for use
of chemist and for labelling

Quantities for ships

carrying the under-
mentioned number
, 01 persons

Up to 40 Over 40
Medicines (continued)
36. 'njectio tetracyclini hydrochloridi
(Tetracycline hydrochloride
6 11 ' 3 - Each ampoule 100 mg tetracycline. Or a
equivalent broad-spectrum ,antibioti
injection)
TETRACYCLINE INJECTION with similar therapeutic eflects (to b
so label/ed).
37. Unctus sci~ae opiatus 500ml 1000 ml 150ml
(Unctus of squiH. opiate) 250ml(") A ml~ture in equal volumes: of 'cam
COUGH LINCTUS rated opium tincture. oxymel of squ
tolu Syru~. or 8n equivalent mixture .
similar t erapeulic effecls (to be
labelled). '
38. Linimentum methylis s:alicylalis .. ,

.. ~Melhyl salicylate liniment)

250ml 500ml 250 ml (") - Supply in bottle of distin~tive d8$ig
Label· External use -•• Not for bums
AliCYLAT£' LINIMENT
.. 39. Lotio calamlnae 500ml 1 PO~ml 150ml
tCalamine lotion) 150ml(") Supply in bottle of distinctive d
ALAMINE LOTION Label - External use·.
...... .
,)

••:§O• .,I.olio cetrimidi 500ml 1000ml 250ml 250 ml (..) A solution of cetrimide 1% in Walei'
t.~!
F.r:
(Cetrlmide lotion)
ANTISEPTIC SOLUTION equivalent. Supply in bottle of distin .
design. label· External use".
41, Magnesii hydroxidum .' 500ml l000ml 250ml 250ml("} A mixture containing 7.9% by weight o
{Magnesium hydroxide mixture)
IQUID LAXATIVE magnesium hydroxide with peppermin
oil flavouring.
42. Mistura kaolini et morphinae
(Kaolin and morphine mixture)
250ml 500ml 250 ml{') - A mixture containlng 2000 mg Iigh
kaolin. 650 mg sodium bicarbonaIe
DIARRHOEA MIXTURE
:t 0.75 ml chloroform and morphine tinco
I' ture, waler 10 15 ml (in each dose)
43. Naristillae ephedrinae
(Ephedrine nose drops)
30ml 60ml 30ml - A solution of norephedrine hydrochIorid(
y: NOSE DROPS X 1% lor nasal drops. Supply in bome o
"­
.' distinctive design with dropper. La be..
if.; 44. Natrii bicarbonatas • External use -.
" (Sodium bicarbonate)
125 g 250g 125 9 -
45. Oleum arachis
(Arachis oil)
250ml 500m" 250ml - Oleum olivae (olive oil) may be supplied
as alternative.
46. Oleum caryOphylli
+Oil of cloves)
30ml 30ml 30m' - Supply in wide-mouthed bottle of
tioclive design. label • External
OOTH ANAESTHETIC X
47, Paraffinum molle /levum 125 g 250g 125-0 125 g
~Yellow soft paraffin)
OFT PARAFFIN
48. TInct uta benzoini composita 100 ml.
"'" (TIncture of benzoin compound)
200 mI 100 ml(') - A mixture containing 10 0 crushed ben­
, INHALATION MIXTURE zoin, 7.5 g prepared storax. 2.5 9 to/u
I balsam, 2 g aloes. alcohol (90%) , to
I 100 mt label- External use -. - Add 5m1
to 500 ml hot water and inhale vapouIS".
49. Unguemum acidi benzoici 100g .
Compositum
200,g ',)09(') - An oinl'!'lenl conlaining 6% benzoic acid,
(Compound benzoic acid oint. 3% salicylic acid. 91% emulsifying oint­
menl) r menl.
WHITFIELO'S OINTMENT -
 Item
\
Table I I Table II Table III
- I
Additional informal ion for use
of chemist and for tabelling

Q.uantities for ships

•
carrying the under·
mentioned number
of persons

Up to 40 Over 40
Medicines (cl!ntinued)
. 50. Unguentum bacitracini 120g 240g 60g 60g An ointment containing bacitracin in •
(Bacitracin ointment) soft paraffin base. Supply in 15 9 tube.
ANTIBIOTIC OINTMENT
51. Unguentum benzocaini
Composilum
120g 180 g 120g - An ointment containing 10% benzocaine.
45% zinc' ointment, 45% hamamelis o.nt­
(Compound benzocaine ointment) ment. Supply in 15 g tubes ..
HAEMORRHOID OINTMENT
52. Unguentum gammabenzeni
hexachloridi
150 9 3009 150g - An ointment containing gamma benzene
hexachloride 1%. Supply in 50 g tube.
(Gamma benzene hexachloride
ointment)
ANTI·SCABIES OINTMENT X
53. Unguentum xylocaini 60g 120g 30 9(') 30g An ointment containing 5% xylocaine
hydrochloridi hydrochloride. Supply in 15 g tube.
(Xylocaine ointment) X
LOCAL ANAESTHETIC
OINTMENT
. :.3 • :..J

54. Unguentum zinci oxidi 200g 400g 100g 100 g An ointment containing 15% zinc olide.
(Zinc oxide ointment)
ZINC OINTMENT . .
Instruments
-
1. Eye spud with covered point 1 .1 1 - To be made of stainless steel.
2. Forceps: dental packing 1 1 1 - To be made of stainless steel.
3. Forceps: dissecting 1
"
1 1 - To be made of stainless steel. ~

4. Forceps: haemostatic 2· 2 1 1 To be made 01 stainless steel,length 15 cm.

5. Forceps: sinus 1 1 1 - To be made 01 stainless steel. length 15 cm.
6. Forceps: splinter 1 1 1 - To be made 01 stainless steel, with wide
oblique ends.
7. Scalpel: handie 1 1 1 - No.. 3 handle. Suitable lor standa!
scalpel blades.
B. Scalpel: blades 6 6 6 - No. 10 or .No. 11 blades.
9. Scissors 1 1 1 1 To be made of stainless steel, one blad
sharp· pointed. the other blunt·pointed
Length 15 cm.
10. Thermometer 3 6 2 2 Lens·fronted. stubby·end. half.",inut
thennomet.er. with metal or plastic case
11. Canvas roll lor above instruments 1 1 1 -
12. Applicators 50 50 2S 25 To be made of wood.
13. Artificial airway
14. Injp.ction syringe: 2 ml
1
2
2
2
1
-
1
- I For mouth·to·mouth breathing.
Both syrin1es: glass body with '-;"et
plunger and nozzle lor standard needle
15. Injection syringe; 5 ml 2 4 1 . 1
I Supplied in metal case.