What to Pack in A Climbers First Aid Kit

The contents of a climbers first aid kit can be customized based on personal preference, individual medical training, the environment in which you’re traveling, and the length of time you’ll be in the field. The core idea of the first aid kit is to have quick access to a few essential tools that can help manage both minor injuries and life-threatening emergencies. While it may seem like a lot to carry, all of these items fit into a small, compact pouch. The weight is minimal when compared to the life-saving potential of what’s inside.

At Golden Mountain Guides, we encourage continued education in wilderness medicine. If you’re looking to expand your medical knowledge and skills, we highly recommend checking out our Wilderness Medicine Courses that either offer a 2 day WFA course, or a 3 day WFR recert designed for climbers. Additionally check out Backcountry Pulse and their Wilderness First Responder (WFR) courses.

Disclaimer: This is not medical advice. Proper medical training is required, and all individuals must operate within the scope of their training. This is simply a guide to building a first aid kit. Whether you are climbing single pitch, multipitch, bigwall, or a casual day out with friends a first aid kit is essential piece of gear to have in your kit.

PPE and Containments

  • Surgical Gloves
  • Face Mask
  • Bio Bags
  • Zip Locks Bags

Wound Care

  • Gauze Pads 2″x2″ or 4″x4″
  • Non Adherent Dressing
  • Gauze Roll
  • Steri Strips: 1/4
  • Coban Wrap
  • Ace Bandage
  • Basic Bandaids: 4-6, various sizes
  • Mole Skin
  • Blister Band Aids
  • Combat Gauze for large bleeds
  • Climbers Tape
  • Irrigation Syringe
  • Triangular Bandage

Airway

  • CPR Mask

Creams

  • Triple Antibiotic Ointment
  • Hydrocortisone Cream
  • Sunscreen

Medications

  • Ibuprofen(Advil, Motrin)
  • Acetaminophen(Tylenol)
  • Diphenhydramine
  • Kaopectate
  • Glucose Tablets or Honey Sticks

Additional Supplies

  • Tweezers
  • Nail Clippers
  • Small Swiss Army Knife
  • Emergency Blanket/Space Blanket
  • Digital Copy of a Wilderness Medicine Book
  • Wire Splint: Lighter and more compact than a SAM splint

Items I would take on a Single Pitch terrain, but not Multi-Pitch:

Irrigation Syringe: To thoroughly clean a dirty wound can take a lot of water and your water may be limited substantially while you’re on a longer route. You need to make sure that you aren’t wasting too much of your drinking water on irrigation because dehydration will hurt/kill you much faster than that infection can develop.
Combat Gauze versus Gauze: Combat gauze or quickclot gauze can be bulky, and instead bring an extra role of gauze.

Multipitch Items to pack in your first aid kit:

-When it comes to packing your first aid kit for a multipitch climb, keeping your kit light so you can have more freedom to move is ideal. However,
-Inreach Mini/Satellite Communicator: In single pitch terrain, transporting a client back to a trailhead and into a personal vehicle can be easier and quicker than using an emergency device to call for rescue. You should always contact emergency services and alert a medical team of your situation to either initiate a rescue, or recieve medical advise. While a Garmin Spot is a cheaper option, it does not allow for you to communicate with rescuers directly to explain the situation.
-Sam Splint Versus Wire Splint: If you need to immobilize a limb, this is your best option, especially if rescue is hours away.
-Extra Gloves and Gauze: If hemorrhaging occurs during a multipitch climb, your resources will be limited and having a few extra rolls of gauze and gloves can help prevent blood contamination.

A well-stocked wilderness medicine kit is more than just gear—it’s peace of mind. Whether you’re heading out for a quick day climb or a multi-day expedition, being prepared can make all the difference in managing minor injuries or responding to more serious emergencies. Remember, the best kit is the one tailored to your trip, your training, and your group’s specific needs. And no matter how dialed your kit is, it’s only as useful as your ability to use it—so keep your skills sharp and your knowledge current.

Stay safe, stay prepared, and we’ll see you out there.

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