In reply to Katemonster:
As I've commented on your other thread, I'll keep this succinct, but in short, the key things I/we are clear on for all our expeds:
1) Location of med facilities, and their capability - this is worth checking when you're in country if at all possible - put aside a couple of days at the start to recce the likely hospitals/clinics you'll use, see what they have (anti venoms, RIG (rabies treatment), Malaria treatment, diagnostic equipment?). On the recce, time your journeys - knowing how long it will take you, what the roads are like, traffic (best to ask a local), is all useful info to have.
2) Your own medical equipment and knowledge - REC 2 (the 16 hour outdoor first aid course) isn't really sufficient for more remote areas in the developing world. Level 4 (Expedition) is another 16 hour course that focusses on exped med skills and likely injuries/illnesses. It will also help you put together an appropriate med kit.
3) Telemedical support - most travel insurance policies come with med support in the form of a number you can call for medical advice. Test the service before you go - how long would you expect to be on hold for? Do you speak to a doctor straight away or are there screening questions? Do you need your policy number or do you have a pin to put in? You may also be able to get your GP to prescribe some meds for the trip (such as broad spectrum antibiotics), and it's good to get a doctor's opinion before actually using these.
4) Repatriation - are there flying doctors? Again, do you need an account? Can you pay for separate cover for this or is it only on demand? Nearest airfield?
5) Mapping of the area - I like to print out maps from Open street maps, mark them up, and laminate them - if you're undergoing a prolonged medevac, you don't want to be relying solely on tech. Ideally you'll have GPS which has medical facilities, airfields, and other key locations marked, and that will never run out of battery... but that isn't always realistic!
6) Emergency contacts - People who you can rely on back home to help you in any ways remotely. They should have copies of your maps, plans, and you should keep them updated throughout your trip where possible.
Not all of this is possible for everyone on every trip, but off the top of my head as a brain dump on things that will help if the defecation hits the oscillation, it's a start.
Anyone have any other pre-trip tips?