I had a puncture in a hire car a couple of years ago and was distressed to find they no longer bother with spare tyres - at least in the UK. Not sure if this is some money saving escapade, or if it's because most drivers no longer knows how to change a wheel.
Instead had to wait hours for a tow truck and a replacement tyre.
Vest and first aid kit cost like €15, absolutely should have them - although I'm not convinced the typical "cut finger" first aid kit would be much help. Sure if you knick yourself changing your wheel (which of course you don't do any more), but I wonder what level of injury it's useful for when looking at a typical crash.