When it comes to first aid kits, it is difficult to find the just balance between being ready for anything and overdoing it, and neglecting it...
On my first safari I had a first aid kit that would have done a Squad Medic proud. Short of brain surgery, I could have done about anything in the field, including dealing with chest wound and bullet wound, extensive sutures and amputation - well... almost amputation
Grossly over done! Never mind that it took half my backpack
Conversely, DO NOT ASSUME that 1) there will be a first aid kit in the hunting truck; 2) that your PH will know anything about first aid; 3) that there will be a medicine kit in camp. In my experience, in the vast majority of cases, you will be in a medical / medicine desert, short of a trip to the nearest town.
Nowadays, after multiple safaris, I limit myself to THREE ITEMS.
1) IFAK (Individual First Aid Kit) - Always in my stalking pack, i.e. always with me in the field:
IFAK designed for field light emergency care:
- Israeli emergency bandage 4"
- US emergency cravat triangular bandage
- US wound dressing
- Velket tourniquet
- Quikclot gauze 3' x 24" (x2)
- Small gauze roll
- EMT scissors
- Forceps & tweezers
- Curad Instant Clotting Flex-Fabric band aids and suture tapes of various sizes
- Alcohol wipes
- Moleskin tape
- Electrolyte tablets
- Dermabond or SurgiSeal (DO NOT use Super Glue or Krazy Glue on open wounds)
- Needles (to remove splinters)
- (+ Zeiss wipes for scope and binocs)
PS: I used to also carry a Chest Seal pack, but not anymore.
2) Basic medicine kit - stays in camp
Basic medicine kit designed for routine health maintenance:
- Advil/Ibuprofen - muscle pain
- Excedrin/Aspirin - headache
- Tylenol/Acetaminophen - fever
- AcidPep - spicy food and excess booze
- Allegra - allergies
- Imodium - diahrea
- Neosporin - infection prevention on myriads of cuts and scratches (I hunt in shorts)
- Blister Gel Guard / Band Aids / suture tapes of various sizes
- Clotting Flex-Fabric Band aids of various sizes
- Alcohol wipes
- Moleskin padding
- Lipstick balm
3) Field Rescue and Medical Evacuation subscription
For when things really go wrong, from hunting truck accidents, to hunting accidents, to shooting accidents, to any and every medical emergency...
And I would add Extraction Services if I were to go hunting in some African destinations further North...
In summary...
The reality is that safari is not combat deployment, and that anything even remotely serious will get you to a town doctor or hospital. So you need enough to deal with minor incidents in the field - typically cuts and bruises - and enough to deal with comfort in camp - typically blisters, muscle pain and digestion).
If you are serious about anything else, subscribe for the duration of your safari to a field rescue AND medical evacuation service. If things go wrong these will be the best $250 of your entire safari.
PS: I am purposefully not listing what goes in the "possible bag" because these are not medical supplies, but the likes of headlamp, spare batteries, sawing kit, paracord, Leatherman tool, toilet paper, gas lighter, mosquito net, etc. etc. will quasi systematically find a use in any field emergency or even mild annoyance...