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Saturday January 3 2009

Letter Re: Inexpensive Spare Eyeglasses

Hello JWR,
Thanks for the site. Information is the best currency. I will send 10 Cent Challenge money in February.
Just wanted to give you a link to LBWEyewear.com, a site I discovered which sells [made-to-order] prescription eyeglasses. Most normal pairs are less than $25. Some less than $15.
I don't have any connection to that site, just a satisfied customer. I'm sure there are others like it.

I have found that paying 200+ dollars for a pair of glasses is not economical because I lose them often and break them. It's always good to have a spare pair in the car, or BOB. And even though ordering eyeglasses on a web site"sight unseen" means you have to guess as to the style / fit, it's better to have a clunky pair in an emergency than none. Also, post-SHTF, optometrists appointments are probably low priority. I think this falls under the category of medical supplies, such as prescription medicines.

For the second time now I have ordered 4 pairs for less than 60 dollars. There is a pair in each vehicle I own, one by the television, one in the shooting bag, etc. Also, after ordering once I now know which to order that are stylish for me. This company sent both my packages snailmail within two weeks.

Here's the catch: you have to know your prescription. That means you have to call your eye doctor and finagle this information out of their receptionist. Legally they have to give you this info, but that doesn't mean they will. Optometrists make their money selling their ability to check your eyes. They're selling you the eye exam, not the glasses. But they give you the exam "for free", because you will buy the glasses for hundreds of dollars. The manufacturing itself costs only a few dollars for common glass
Also, your prescription is more than what is written on your contact lenses box. You have to know the power of your near / farsightedness, the axis of any astigmatisms, and your pupillary distance. Doctors don't often give this information on the first try.

In support of buying local and supporting independent retailers you may want to pay your optometrist something for their service. I however cannot justify another pair of over-priced specs. Offering to "buy the exam" may be a more honorable way to go.
Hope this info is helpful! Best, - N.

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Sunday December 21 2008

Four Letters Re: Survival Dentistry, by The Army Dentist

Sir:
At the conclusion of his article, the Army Dentist says, "I think this can at least organize a discussion or be a good stimulus for questions." So (if it's somehow possible to do this in SurvivalBlog format) I'd like to ask him, In case of an irreversible pulpitis or abscess, if professional dental care is not available, then what are the best tools and techniques to perform a "home extraction"? And how about anesthetics? - Charley S.

 

Hi Jim,
The Survival Dentistry article by The Army Dentist is a very informative and important piece. Home dental care i.e., dental hygiene, is essential in preventing decay, pain, potential loss of teeth and last, and perhaps least, halitosis. I might add, and am sure that the good Army Dentist will agree, that flossing your teeth, preferably daily, is nearly as important as brushing the teeth.

Something else that can be useful in killing oral bacteria is a mix of 1/2 hydrogen peroxide and 1/2 water for occasional rinsing and gargling. It's cheap, and it works.

In addition, tooth decay can lead to heart problems, though it's rare. - SLC

 


JWR:,
I just wanted to point out to the readers of survival blog that fluoride is a poison. There has been a lot of research done lately about this. Those of us that are health conscious avoid it. It is safer to use xylitol instead. Check out FluorideAlert.org and related videos on YouTube and Google Video. Your Fellow Countryman, - S.B.

 

James,
I would like to know what the dentist thinks about the use of peroxide as a mouth wash? I am far from a poster child for proper dental care, but since I have started using peroxide mouth wash the hygienist hasn't found anything for the dentist to work on teeth or gums.- Keith S.

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Friday December 19 2008

Survival Dentistry, by The Army Dentist

Dentistry may be one of the least exciting topics under preparedness. You will never see a television show on the daily life and death struggles in a dental office and you won’t find too many stories “from the front” on the dental team. But a dental emergency can quickly complicate or even bring to a standstill, daily living and tasks. In a SHTF scenario, this is not something you want to deal with. The confederate army was the first army to recognize this and fielded a dentist for their troops. In Vietnam, dental disease accounted for 11% of Disease and Non-Battle Injury (DNBI). Today, the military recognizes this and has provided more and more dental support closer to the forward line of troops (FLOT ) in an effort to keep troops on duty and out of sick call.

I have been practicing dentistry for 12 years now. I am currently in private practice but I served on active duty in the army for four and one half years and have been in the reserves the balance of my career. I have performed dental procedures in the third world as both a civilian and a soldier in places such as rural Jamaica, Guatemala and Kosovo (and in a few months I will add Iraq to the list but I doubt I will ever leave the wire to treat civilians). Most of these procedures involved nothing more than tooth extractions because it is the fastest way to help the most people. And most of these people recognized that follow up dental care was tenuous at best, and were not willing to gamble on a questionable tooth. On each of the medical civilian aid missions (MEDCAPs) in which I participated, the line to see the dentist was always at least as long as the line to see the physician's assistants (PAs) and physicians.

I would like to present a summary of the caries process and the best way to prevent dental pathology in the first place, a simple way to recognize and or loosely categorize dental symptoms, and some simple treatment alternatives until definitive care can be reached.

The first place I would start, would be to go to your dentist and have everything taken care of immediately. Think of Tom Hank’s character in the movie “Lost” who ended up extracting an abscessed tooth with an old ice skate. Need I say more? Sometimes in dentistry, we will treat a questionable tooth in an effort to save it but the tooth has a poor prognosis and we instruct the patient to return if problems persist. If you feel that you will be remote to dental care for an extended period of time, then I would attempt to limit these “watch and wait” procedures. Always ask for the dentist’s prognosis. You don’t want to find out that the procedure has failed after you no longer have access to the dentist.

After all existing problems have been addressed, begin and maintain (make it a habit) a preventive dental program. It is not a very difficult thing to do and you can save untold thousands of dollars and a lot of pain by doing it. Believe me, I’ll take your money to fix the problems but its better if you just avoid the problems in the first place.

Caries begins when bacteria in your mouth, digests sugar and creates acid, which dissolves tooth structure. As this process progresses towards the pulp of the tooth, you will experience pain. I know you all have heard this a million times but I’ll say it again because if you do this, you will have very few problems. Brush your teeth nd limit your sugar intake. . It really does work. If you can remove the bacteria, which predominantly resides in plaque, from your mouth, you will limit its ability to create acid. Also, the sugar intake frequency is more important than the amount of sugar. Every time you put sugar in your mouth, the bacteria will create acid for thirty minutes. If you drink one soda in 10 minutes, and then consume no more sugar the rest of the day, then you will only have acid in your mouth for about 40 minutes. If you take the same soda, and sip on it all day long, then you will have acid in your mouth all day long. Certainly limit the amount of sugar you ingest, but more importantly, limit the frequency with which you ingest it. Also, use a fluoride rinse every night. You should brush your teeth, then rinse your mouth, drink water if you want, and then rinse with the fluoride. Then don’t put anything else in your mouth and go to bed. The fluoride will sit on your teeth and make the enamel less soluble. It works.|

Toothpaste is not necessary in this regimen either. It is good but not necessary. Toothpaste is nothing more than a mild abrasive, flavoring and fluoride. If you want to make your own, you can use fluoride rinse and baking soda although baking soda is much more abrasive than commercially made tooth paste and can irritate your tissues. It is fine to use every now and then and just use fluoride rinse or water if that’s all you have the rest of the time.

If you do develop a carious lesion (a cavity), you can expect the following, which can take months or years to fully develop. These symptoms are never written in stone and vary greatly between individuals and even between teeth in the same person. But this should provide a general guideline so you can estimate what you are dealing with, what symptom may be expected with time and what treatment you may need.

When the tooth structure has been sufficiently weakened, it will break and leave a hole (the cavity). At first you may have no pain and only experience a gingival irritation as food gets packed in it. You may have trouble getting all of the food out. Soon it will start to ache when you chew and possibly will be very cold sensitive. This decay is approaching the pulp of the tooth and is starting to irritate the nerves within the tooth. This is called reversible pulpitis, literally a reversible irritated pulp. This can be treated with a filling. When the tooth begins to hurt spontaneously, wakes you up at night and is sensitive to hot, then you most likely have an irreversible pulpitis. At this point, the tooth requires a root canal or an extraction. The toxins from the decay have reached the nerve and essentially have mortally wounded it. This may last for several weeks and if you gut it out, the pain will eventually go away. When the pain goes away, the nerve has died. Do not leave this tooth untreated! As the nerve decomposes, the body is unable to get inside the tooth to take care of it and you will eventually end up with an abscess. The pain will return with a vengeance. This tooth will no longer be sensitive to hot and cold but it will be extremely painfully to the touch. You may begin to run a fever and experience swelling. Some people say it feels like the tooth has “raised up”. It has. The infection is pushing it up. The infection will seek the path of least resistance in an effort to relieve pressure. If you are lucky it will establish drainage toward your cheeks or lips through the gums. Once the drainage is established, the pain may resolve somewhat. Again, don’t leave this untreated. If the infection, however, travels toward the tongue, neck or sinuses, to name a few places, it can become very dangerous, very quickly. Possible sequelae include septicemia, airway obstruction and pericardial infections. These complications are not common but are very dangerous and need to be treated by a medical professional. Some of the symptoms of these very serious infections will include increased temperature, swelling under your jaw, under your tongue and around your chin, swelling extending toward your neck, swelling in your throat that may begin to push your uvula aside, difficulty swallowing and/or breathing. Do not ignore these! Seek medical care immediately!

As far as field dentistry for non-dental personnel, you are pretty much limited to prevention, and possibly temporarily treating a reversible pulpitis. I have in the past taught 18Ds [The Army MOS for Special Operations Medical Sergeants] to extract teeth and even perform root canals but they are exceptional men in exceptional circumstances and we had a lot of time to work on it. In this venue I will suggest the names and techniques and perhaps you can fill in the gaps with a willing local dentist.

Two long-standing temporary filling materials are Cavit and IRM. Both of these are a powder and liquid that when mixed will become very hard. The benefit of IRM is that it contains eugenol (clove oil), which is a sedative and can sooth a sensitive tooth. These will keep food and “cold” out of a cavity until you can reach definitive care. If you are somehow able to secure it, Fuji IX is a wonderful restorative material that will also release fluoride and can slow down/stop the decay process. I don’t know how you can get it without a dental license but if you are resourceful…please, I am not advocating non-dentists treating tooth pathology in any way, shape or form (i.e. don’t sue me if you try something and it doesn’t work). I am simply offering some observations from my own experiences that may be helpful when dental care is not available. In the end, you will need to find a dentist but hopefully these tips can help you prevent, treat or recognize the severity of dental pathology that you may encounter in remote areas. This is about four years of school crammed into a few pages so there are huge gaps of course, and there are as many ways to treat disease as there are dentists. Others may have different opinions and better treatment alternatives but I think this can at least organize a discussion or be a good stimulus for questions.

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Wednesday December 10 2008

Letter Re: Dress for Survival Success

Jim;
That was a great article by George Haystack in Tuesday's blog! I thought I was the only one [that carried so much survival gear around on a daily basis.] Mr. Haystack takes it further than I do. First, I could not carry [a concealed firearm] at my workplace being within the secure area of an airport. I generally carried a sturdy day pack, with the following:
(1) Lockback knife
(2) LED flashlights (9 LED's / 3 AA batteries)
(16) spare AAA batteries
(1) regular AA flashlight
(4) spare AA batteries
The following are all OTC medications, of course
(1) small bottle aspirin
(1) small bottle acetaminophen (Tylenol)
(1) small bottle ibuprofen (Advil)
(1) small bottle naproxen sodium (Aleve)
(1) small bottle antihistamine allergy medication
(2) bandanas 1 blue / 1 red
(1) pocket AM/FM radio uses 2 AA batteries
several pens
(1) steno pad
(1) change of underwear/socks/t-shirt
(12) decaffeinated tea bags
(4-6) pop tarts/granola bars, or similar quick food
(1) metal mug ("grannyware" type camp cup)
(1) set of tableware, knife, spoon, fork, and a "steak knife"
(1) hat and gloves
(2-3) cigarette lighters
(2-3) books of matches
(2) "space blankets"

This is far from what my co-coworkers carried in to work each day. I still had room for my work papers, and such, which went in on the top, for ease of access, and to keep my preparations from "prying eyes". I may not have carried my sidearm at work, but the items in my pack would have raised management's eyebrows, and gotten me a talking to, that's for sure. Luckily for me, the company was shut down, and I am currently an unemployed student. The only thing my co-workers knew was that if they had a headache or a cold, I was the "go-to guy" for an aspirin! Or the guy with the multi-tool to fix whatever is busted in the office! LOL!

On my person, I always carry at least the following, in normal pockets, or on my belt:
(1) cigarette lighter
(1) multi-tool on my belt
(1) Swiss Army knife
(1) LED flashlight
(1) Wallet, which is regularly thinned out to keep only what I'm going to use for the day/trip
(2) key rings, one for car keys one for house, general keys. Only frequently used keys are on the ring.
(1) spare set of car keys in an undisclosed pocket or in my backpack, as well.
(1) cell phone

Mr. Haystack is so right that most folks simply give no "tactical" thought to daily clothing choice. A few take the advice of frequent travelers and choose natural fibers, and loose-fitting, comfortable clothes for air travel, but many more simply wear the style of the day with no thought as to how hot that artificial polyester shirt or top will burn if there is actually trouble. How it clings to the skin like napalm, and burns severely. The problem with air travel today, is that the items I mentioned carrying in my pockets are now "prohibited items", and so every year, I fly less. At work, only when I had to to keep my currency up for annual training. I'll take a mode of transport that impacts my liberty and preparations a little less, thank you. Great article! - R. in the Northeastern US.

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Friday December 5 2008

Letter Re: Essential Oils for Survival

Knowing that a survival situation will be most likely without medical help - one of my first thoughts is - make sure I have some essential oils.

What are essential oils? Think herbs, with the important oils all "juiced" out of them.

I first became interested in oils after learning that oils are mentioned in the Bible quite frequently - both in the Old and New Testament. God had/has a keen interest in them. Maybe I should too, I mused.

Lately, I've tried to stock up on my favorites, as they may become difficult to buy in the future, as the economy weakens. If I had to pack my G.O.O.D. bag with oils, I would do them in this order:

1. Tea Tree Oil - an all around favorite for washing/sanitizing hands, applying to cuts or wounds, and a general antibacterial, antifungal oil. Tea tree can be obtained at Wal-Mart (a full 2 ounces--the big oil bottle, for under $10 bottle. The price has gone up, just recently). Look in the vitamin section.

2. If I had room for a second bottle, I would put in a concoction of several oils to ward off/ deal with current typical illnesses (colds, flus, bronchial, weak immune system, bleeding gums, etc).... It would consist of: thyme, oregano, clove, eucalyptus oil. Some of these are harder to find than others, and the price would be around $35 or so. You need to mix these (equal parts or so) yourself. This can be applied directly to the chest and/or the bottom of the feet. A few drops will do. Make sure you have a "dropper" style lid under the cap.

3. A tie for second place bottle would be a "pain relief" bottle - consisting of a blend I would make myself of peppermint, wintergreen, clove, and cypress oils (go heavier on the peppermint and wintergreen). This should be around $20. Peppermint has a heavy "fume" to it, and if it is even near the eyes, it will feel like it's in your eyes - be careful (If you do ever get oils in your eyes - any kind of vegetable oil helps bring it out - not water). This is great for headaches, injuries (like a hurt knee or slight sprain or backache), etc. Again, a couple drops will do. Have your dropper style lid in place.

4. If there's still room in the bag, go for some Rosemary (under $5 for .5 oz). I've personally found Rosemary excellent at antifungal applications. A survival situation may entail some tangles with athletes foot, toe/finger fungus or ringworm, and the Rosemary (which can also be teamed with a little Tea Tree) will almost always do the trick. Again, just one drop, using the dropper lid.

I've found the key to essential oils is to use very little - maybe just one drop, for your problem...but to do it constantly - like at least three times a day. Conventional medicines don't require that kind of attention...but, who can get a refill on prescription in the middle of the wilderness?

5. And, if you can, grab a bottle of Lavender oil. (Usually around $10). The intense stress that we will all be under when times get really tough can be relieved by a little lavender oil. It never ceases to amaze me how a drop or two can relax and then - put to sleep! - myself and others - in anxious circumstances.

People in the essential oil business argue which manufacturer is best. I'll tell you my 2 cents and leave it up to you. Young Living is probably the most expensive (purchased on the Internet), but they claim most of their oils can also be ingested. That part is appealing. For oils that you can apply or use in different ways, you may be happy with other brands. I've used Aura Cacia, Thursday Plantation, and Sante with good results. They and others can be purchased at health food stores.

There are many other varieties of essential oils that I could comment on, but thought I would keep it to a few important ones.

I'm in the process of packing the family's G.O.O.D. bags. And I hope to not leave home without the oils. Thanks for all you do, Jim. Take care, - Jean L.

JWR Replies: Thanks for those suggestions. Here is a good on-line reference on how to safely use essential oils.

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Letter Re: Some Disaster Preparedness Information for Asthmatics

Hi Mr. Rawles,
My son has asthma and I have had the unfortunate experience of not having power when he needed a nebulizer treatment. Please inform you readers of the absolute necessity of having power inverters and testing your needed appliances before an emergency. Not knowing how sensitive a medical nebulizer is and knowing that some equipment is sensitive to modified sine wave power from the cheaper inverters was terrifying. Having the power out and an asthma attack at the same time was bad enough.The prayer that I said when turning on our only nebulizer plugged into a gizmo (my wife's word, not mine) that was attached to a car running in the driveway with jumper cables was unique to say the least.

Buy good inverters and test [them with your various electrical and electronic equipment] before the storm.
I now have several and we insist on our young drivers keeping their cars full of gas.
My point in writing you was to inform your readers that everything in their house can be ran in a emergency. Nebulizers are not very power hungry and can be run with very inexpensive equipment. - GB

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Thursday December 4 2008

Letter Re: Some Disaster Preparedness Information for Asthmatics

Dear JWR
I am fairly new to prepping but as a lifelong asthma patient I quickly realized that I cannot depend solely on my current nebulizer WTSHTF. This is because it plugs into a wall and does not have any other alternative way to work when the grid goes down. When I did some research, however, I found a beautiful thing.

There are now handheld nebulizers that have both AC and and DC car adapter abilities as well as a rechargeable [gel cell] battery. They cost around $200 or slightly more but I can tell you that this is a bargain compared to dying of an asthma attack because there was no power and the hospital is not an option for one reason or another. For other people who will want to do this kind of prep for themselves or family members with asthma a prescription is required for the medicine and also the nebulizer.

The most common issue though is to acquire this unit, it seems to be on backorder from most of the local places I have tried. So for preppers I advise start the process now if you need one of these. I was just told today by one company that they haven't yet received their order that was placed in August .

Respectfully, - SKT

JWR Replies: This is a similar requirement than the CPAP machines needed by some folks with sleep apnea. (This has been discussed previously in SurvivalBlog,.,and elaborated on further in a subsequent letter about refrigeration for insulin.) Thankfully, most nebulizers have fairly modest current requirements.

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Thursday November 27 2008

Two Letters Re: A Vehicular BoB

Mr. Editor:

I have been a reader of this blog for a little while now and one of the earlier postings I read caught my eye: In regards to a vehicle “bug out” kit. That list was certainly a good place to start, but it was missing a few items, so I thought I would put my “two cents” worth in.

To give you a little bit of background, I would describe myself as essentially being a realist. I watch the news, I read the papers. I know what is going on around me. I am aware of today’s political and economic climate, and I understand what that does (and can) mean; not only for today but for tomorrow as well. In my opinion preparation and knowledge are the keys to not only surviving, but for nearly anything in life.

I have worked both white-collar and blue collar jobs. I have been a soldier (an NCO – I worked for a living), and I have been what I term a “survivalist” for a little over a decade now. Along the way I have managed to learn some of the lessons the easy way; reading books, talking to people, experimenting, and practice, practice, practice. While other lessons were learned at the school of “hard-knocks”; try sitting on the side of the road in the middle of a blizzard for six hours on Christmas Day with three children praying for someone else to come along to help (I’m not kidding about that one) – all because you thought “it could never happen to you”. I am an active outdoorsman; camping, fishing, hiking, small game, etc. To date I have been lucky enough to live through them all. Sometimes with a few bumps and scrapes along the way, and sometimes with little more than a bruised ego; but I have survived nonetheless. Not surprisingly on my journey I have picked up a few things: “must have” items, advice, knowledge, and most of all experience.

As for geography I have lived in the cold and wet of Washington state; the extreme cold of Colorado; the hot and dry of West Texas; and now the hot, wet and hurricane-prone area of East Texas; and this list contains items that have literally saved my life on more than one occasion, while making crisis situations a whole lot easier to deal with in others.

While I am not going to lay claim at being an expert on the subject of survival or preparations; I have seen a done things that may genuinely surprise some people (while possibly boring others) and could probably go on for hours on end; but that is not my point here today. I now possess [what I feel] is enough knowledge that I can speak with at least some authority. My point in this is to allow others to learn from my own mistakes in the hopes that they don’t find themselves forced to repeat the same errors that I have made. Learn from others – that is the point in all of this.

As I write this I am proud to say that none of my vehicles are ever without the bare essentials. In my opinion it is one of the things that everyone should do, survivalist or not. I rank properly equipping my vehicles right up there with having them registered, insured, and inspected, to me it is simply a necessity, a requirement. In an attempt to make sense of this I broken the lists down into four basic areas:

Vehicle Supplies
Personal Supplies
Glove-Box Miscellaneous (loose throughout the vehicle)
General Miscellaneous

While there is some repetition between the 4 areas, this is done so for a reason – it is always a good idea to have a backup.

1. Vehicle supplies (most will fit in a small “duffle” or reasonably sized “tool bag”, kept in trunk, cargo area, or under the seat)
Jumper Cables (get the good ones)
Tow Rope (at least 1)
2 cans of “fix-a-flat”
Air compressor (cigarette lighter plug in)
Roll of Duct Tape (if you can’t fix it, duck it)
100ft of parachute cord (550 cord)
X style lug-wrench (more torque, safer, and more versatile than the ones that come with cars today)
2 1⁄2 ton bottle jack (again safer, and more versatile than the ones that come with cars today)
Roadside Flares (3 minimum)
Hand-held spotlight, plug in type is fine
Electrical Kit with:
Spare Fuses – vehicle specific
Spare Bulbs – vehicle specific
Small roll of Red Wire (14-16 GA)
Small roll of Green Wire (14-16 GA)
Small Assortment of Butt Splices
Circuit tester (Screwdriver type)
Electrical tape
Spare belts – vehicle specific
Spare hoses – vehicle specific
Spare thermostat – vehicle specific
Assortment of hose clamps, at least two large enough for your coolant hoses
Flashlight (2 minimum – generator type are best, LED Generator types are better)
Spare batteries – 1 set for each flashlight in the vehicle (if needed)
Tarp (8 x 10’ is usually sufficient)
Hand Tools:
Screwdrivers (4 minimum, 2 standard 2 Phillips-head)
Crescent Wrenches (2 minimum, 6” and 12”)
Slip-Joint Pliers
Needle-Nose Pliers
Wire Cutters
Channel-Locks (12”)
Socket set (basics only, 3/8” drive, SAE and Metric)
Combination Wrench set ((basics only, SAE and Metric)
Allen Wrench set
Small Hammer
Hatchet (axe)
Folding Shovel
Plastic Trash bags (2 minimum)
Coffee Can full of Cat litter (with lid)
Basic First Aid Kit, with the following additions:
Aspirin
Tylenol
Motrin
Antacid Tablets
Water purification tablets
Small tube of Neosporin
Additional alcohol pads
Additional band-aids (common sizes)
Cravat
Razor blade
Matches
Can of Sterno (large)
Wire coat hanger
Roll of bailing wire
Box of matches (at least 1 box)
Cigarette lighter (disposable, spend the buck and a half and get the Bic brand, you can’t beat them)
Water bottle
Pen(s)
Small notepad
A small stash of cash ($50 to $100)
Spare compass
Rain poncho – 2
Emergency Blanket (foil type) – 2
Candles – 6
Sunscreen
Basic Fishing kit:
Hooks
Sinkers
Fishing Line
Bobbers

2. Personal Supplies (with a little patience and forethought, this will all fit inside of and/or attached to a medium sized book-bag, i.e. backpack)
Basic First Aid Kit – duplicate of the aforementioned kit
1 pair of socks
Flannel shirt
Windbreaker
Baseball cap
Multi-tool
“Swiss Army” knife
Fixed blade knife
Basic Camping Mess Kit
Travel Toothbrush
Toothpaste
Toilet paper
Tissues
Sunscreen
Flashlights (2 minimum)
Compass
50 ft of parachute cord (550 cord)
Can of Sterno (small)
SPAM – 1 can
Tuna fish – 1 can
Rice – 1⁄2 lb
Lintels – 1⁄2 lb
“Gorp” (Trail mix) – 1⁄2 lb
Packet of powdered Gatorade
Zip-lock bag with:
Sugar packets
Salt Packets
35mm film canisters full of All-spice
Tea bags
Bullion Cubes
Vitamin Pills
Energy bars (3 minimum)
P-38 can opener
Rain poncho
Poncho Liner
Tarp – 5 x 8” is usually sufficient
Candles – 3
Matches
Cigarette lighter
Emergency blanket (Mylar foil type) – 2
Signaling mirror
Basic Fishing kit:
Hooks
Sinkers
Fishing Line
Bobbers
Small Hikers Trowel
Plastic trash bag (2 minimum)
A small stash of cash ($40 to $50) [JWR Adds: I recommend that be in rolls of Quarters, so you can also use pay phones.]
Water purification tablets
Canteen
Canteen cup
Web Belt


3. Glove-Box Miscellaneous (kept loose in the glove box, in the vehicles console, or in door pockets)
Package of Tissues
Cigarette Lighter
Small Multi-tool
“Button” or other small compass
Map of local city you are in, and the state(s) you are traveling – or expect to travel.
Small tube with a mix of aspirin, Motrin, and Tylenol.
Pen(s)
Small notepad
A small, durable pocket-knife
Small Flashlight
One $20 bill

4. General Miscellaneous
Fuel can – store empty; you never know when you will run out of fuel two miles form the nearest gas station. If you are evacuating, fill up as you leave – this will reduce your risk of fumes/explosion.
One gallon of potable water
1 Qt Engine Oil (minimum)
1 Qt Transmission Fluid (minimum)
1 Pt Power Steering Fluid (minimum)
Assortment of “bungee” cords

Now I am sure that I have probably missed a few items here, but this list is fairly comprehensive. Please feel free to add items to it – I am always eager to learn more.
If you look through it, you should be able to think of one (and most of the time multiple) uses for each and every item on this list. With this setup you basically have what you need whether you are accompanied or alone and whether you stay with the vehicle, leave the vehicle, or are for some reason forced to separate your party (never a good idea – remember there is always strength in numbers). But you get the point.

In colder climates, add more food, and more warmth items (sleeping bag, snow boots, candles, or a heavy coat?). In warmer climates add more fluids and more shade (bottled water, additional hats, or maybe an umbrella?).

On to the next topic – How much does all of this cost? Well that can vary widely. Many of these items can be had at the local dollar store, while other may take a little bit of searching. Check Wal-Mart, your local Military surplus dealer, the flea markets, and pawn shops. You might be surprised just how far you can make your dollars go. Plus don’t try to do it all in one shopping trip – you will just frustrate yourself. Keep your eyes open when you are at the grocery store or out doing your normal shopping; pick up a few items here and there, and just slowly equip your vehicle. Within a month or two you will suddenly find your vehicle is much better equipped than it ever was before.

As to the vehicle preparation mentioned in the earlier post, this is all good advice. But again I would add to it. Create yourself a short checklist of items that you check weekly and monthly. Follow the owners manual that came with the vehicle, they tend to be fairly comprehensive.

Some tricks I have learned include:

Remember to check the air pressure in your spare tire regularly. A spare doesn’t do any good if it is flat too.
Don’t forget to check the brake fluid, power steering fluid, and windshield washer fluid too, these are often over looked.
Never, ever overfill any of your vehicle’s fluids.
Keep all of your lights clean, headlights, brake lights etc. The better they work, the better you see, and are seen.
Whenever adding accessories to your vehicle: make additions that work, and that matter before you worry about “pretty”. Think of it this way - which is more important (and useful) on a full-size truck – a good trailer hitch, or a pair of fancy mud flaps? You get my point.
When adding electrical accessories, always use the next heavier gauge wire, it will handle to load better, last longer, and prevent not only short circuits, but fires as well.
A good CB is always a wise investment, but make sure that it is installed properly.
Engine and Transmission oil cooler can extend the life of your vehicle – and mean the difference between getting there and getting stuck – especially in hot weather and heavy traffic. They are definitely worth the money.
Own a truck, van or SUV? Look into an oversized fuel tank and/or a spare fuel tank with a transfer pump. It may be expensive, but it will pay for itself over time; between having the ability to fuel up for a cheaper price per gallon, combined with the extended range the vehicle will now have – it is definitely worth at least considering.
Consider installing an aftermarket, oversized fuel filter. Cleaner fuel means longer engine life. Plus some of the newer vehicles don’t even have an inline fuel filter – they are mounted inside the tank itself. Who was the genius that came up with this gem anyway?
If your vehicle doesn’t have them, install tow hooks both front and rear. They do not have to be conspicuous, but they need to be there.
Don’t skimp on wiper blades, buy the good ones and replace them often. If you can’t see, you can’t drive.
Keep the engine bay clean – it makes finding a leak a whole lot easier, and makes life a whole lot more pleasant when making repairs.

It also it isn’t a bad idea to add seasonal items to your kits. For example if you live in area prone to snow, you should probably have a set of tire chains/cables with you in the colder months, but then why would you want to carry them in July?

Lastly a few words of advice:

First: know how to use everything you put in your kit. Practice with it before you put it in the vehicle – few tools are as dangerous as the ones in the hands of the uninformed.

Second: check your local laws on exactly what is considered a weapon, and what is considered concealed. You may want to think twice before you run out and buy that shiny Rambo knife with the 12 inch blade and have it strapped to the outside of your back pack sitting under your seat.

Third: in regards to knives, multi-tools, hand tools and the like – you generally get what you pay for. That cheap knife at the flea market is normally just that – cheap. It may be better than nothing at all, and the truth is that if that is all you can afford – then fine. But understand that up front.

Fourth: when choosing the storage bags to put these items in – think about the size, shape, and color of the bag you buy. There is not a right or wrong here, get what fits your situation. And think about the straps. There may be a situation where you find yourself forced to carry these bags, so good shoulder strap are important. And just as with knives and hand tools – you generally get what you pay for.

Lastly, a word about any and all foodstuffs you keep in your kit: remember that all food expires sooner or later – a even water can only sit for so long before it is no longer fit to consume. Trust me when I tell you that yes, even SPAM can and will go bad with time (you really, really don’t want to know how I know that). So rotate your foodstuffs regularly.

The long and the short of it is that some sort of vehicle kit really should be in each and every car, truck, SUV, or van on the road. With a little bit of thought and not a whole lot of money we can all prepare ourselves better. No traveler should be without what they consider to be the basics. - David H. in Southeast Texas

[JWR Adds: Thanks for those great lists! The only additions that I'd make to your lists are a fire extinguisher, and depending on whether off-road travel is anticipated, more robust pioneer tools. These should include an ax, pick, shovel, and if space permits, a Hi-Lift jack.]

Jim,
Hugh D. sent in a good letter about using his trailer as a large bug-out kit. The concept isn't bad (as long as he's on the road and off again before the masses figure out something is wrong) but then he said this:

"This has been overcome with careful planning on our part. First, we have mapped out likely hide spots for ourselves and the trailer – mostly campgrounds on National Forest lands," and then regarding some cabins near the campground, "...we can move into a nice, if rustic, survival retreat."

No offense, but I wouldn't exactly consider this careful planning. If Hugh doesn't think that for every marked camping site in America there aren't 100 guys (who also own guns) already thinking about that same site, he's crazy. Worse, he has no claim of "right" when it comes to those cabins. He is no more entitled to a cabin there than the next guy that comes along and wants to evict him and take it for himself. Furthermore, he's got kids in diapers (I do too) - he isn't going to be able to defend both his family and his "stuff" in a public campground whose location is published on every map and travel guide in America.

I'd suggest that Hugh reconsider his plans. The trailer is good but find somewhere else to go. As an example, I live in the Dallas area and have friends who own a ranch about three hours away in central Texas and can be reached using a number of combinations of country roads and state highways. It's on 500 hilly acres twenty miles from the closest town, whose population is a couple thousand people. You can't see a single building on the ranch from the state highway - you have to drive a winding county dirt road a few miles to get to the houses and barns. My friends who own the ranch think I'm nuts (they aren't survivalists by any means, but retired city folk who wanted to run a peach orchard in retirement). Nonetheless, they have agreed that if I need to get out of town I can come down there with no prior notice. - Matt R.

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Thursday November 20 2008

Letter Re: Comments on Two of the Three Bs: Bullets and Band-Aids

Greetings Jim,
With [the] November 4th [US presidential and congressional election] behind us, many of us are wondering how to proceed with our preps. With regard to the bullets in the "Three B's" consider this; your firearm will function with one magazine, most with even no magazine, but they all require ammunition. As a prep (as opposed to investment), I put forth that a good supply of ammunition is a higher priority than spare magazines, after purchasing the firearm, of course! In selecting a firearms battery, ammunition availability is a common selection criteria. You should own firearms that ammunition can be purchased readily at any country store in the middle of nowhere. Good choices are .308,.223, .30-06, 12 gauge, 9mm, .45 ACP, .40 S&W, .22 LR, and possibly 7.62x39. A post-November 4th trip to our local Wal-Mart found them cleaned out of the Federal brand 100 round white boxes of both .223 and 9mm.

Esoteric calibers should play only a limited role in the defensive battery and be supported by more common calibers. A couple of notable exceptions are .50 BMG, and .338 Lapua Magnum. These calibers are in limited use by various military units for very-long range engagement of medium and hard targets. If you own weapons chambered in these cartridges then be sure to obtain a large supply ASAP. These weapons can be very useful for special purposes, and typically represent large financial investments, but are useless without ammunition. If ammunition is hard to find now, it will only be more difficult and expensive later. From that point consider purchasing a quantity of ammunition, in each caliber, that you maintain a commitment to not to use any of it. It's reasonable to start with calibers that you or your group have the most firearms for, and work down from there. After reserves in each caliber are built up, purchase ammunition for training, target practice, or barter, using the same (most guns to least guns) philosophy. Some people may choose to start with rifle ammunition and work towards pistol ammo. As my favorite Front Sight instructor says, "Your pistol is only to fight your way to a rifle!" A thousand rounds in backstock, of each caliber, is a good place to start (case lots are psychologically harder for me to break open). One needs only to hear of the purported attempt to ban imports of 7.62x39, or the ammunition "registration" bill being pushed in Arizona to realize that there are many magazines, etc. available on the market, but ammunition is a one-time use product. Bans, taxes, or "registration" of loaded ammunition, or components would eventually make gun control a moot point! So stock up now.

With regard to the band-aids in the "Three B's", on another blog I happened onto a discussion of first aid kit components. The pre-hospital care giver was advocating obtaining all sorts of advanced tools like IV fluid and sutures. As Josh (hat-tip to my fellow Montanan) pointed in an earlier SurvivalBlog letter ,there are many training, and medical-legal issues with having/using this type of equipment. And as many sources like Ragnar Benson, and Where There is No Doctor point out, these interventions have only a limited role in all but a full of TEOTWAWKI situation. One excellent product that everyone should have in their medical bag that requires no prescription or specific training is a hemostatic agent like Quickclot. Here is a YouTube link to the military report on Quickclot (one specific brand, there are other good ones also) should demonstrate it's effectiveness. The 6th edition of the NAEMT's Pre-Hospital Trauma Life Support (PHTLS) textbook identifies hemostatic agents as most useful in a "delayed transport" scenario, that is, typically greater than one hour to definitive medical care, like what you would find in a wilderness or"grid down" type emergency.

Having the equipment without the proficient skill in its use is exactly like having a firearm in the nightstand and thinking you are good to go. Here are some ideas on medical training in addition to the WRSA, and Medical Corps suggestions that you've made. Start out with an American Heart Association (AHA) CPR Healthcare Provider class (Healthcare Provider is the prerequisite for most other training, and much more detailed than the AHA's Friends and Family CPR class.) The AHA offers other basic medical training as well. Many community colleges offer excellent Emergency Medical Technician (EMT) classes, they last about one semester, and may equal up to four college credits). If you are currently enrolled in college this is a great class that offers immediate job opportunities with varied schedules, and may expose you to a career track that you hadn't considered. Many volunteer fire and ambulance services provide this same training for free with a time commitment to the service after course completion.

Wilderness Medical Associates, and NOLS offer a variety of non-urban setting EMS classes. One of the best educational opportunities that is often overlooked is the National Ski Patrol's Outdoor Emergency Care Technician program. It closely mirrors the EMT curriculum but emphasizes care in the outdoor setting, and improvisation. Think about this; take the class, learn important skills, and then ski for free! Lastly, as Ragnar Benson points out in some of his books, even doctors use reference materials. In addition to the well known titles like Emergency War Surgery, and Where There is No Doctor, some people may consider purchasing EMT, Paramedic, or the OEC textbook. Gray's Anatomy or other texts on anatomy/physiology, and pathophysiology are also important references . The key is not just to have the texts, but to learn them as well. Some people may try a self-study program of these resources. This last route is the least desirable, because so many skills like assessment, splinting, etc. require significant practice and experience. As a side note, the first aid kit in your latest auction from Cajun Safety and Survival certainly seems to be well equipped to deal with a variety of emergencies.

Thanks for all you do. Keep up the great work. - J. in Montana (A 10 Cent Challenge subscriber)

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Saturday November 8 2008

Letter Re: A Suggested Checklist for Preparedness Newbies

Here's a beginner's list I made for my [elderly] father today:

Food
{Brown pearl] rice does not store well. Neither does cooking oil so that needs to be fresh. No, Crisco doesn't count.
Coconut oil would be your best bet.
Wheat berries - 400 pounds - bulk order at your local health food store
Beans - 400 pounds - bulk order at your local health food store
Mylar bags
Spices
Salt
Country Living grain mill
propane tanks, small stove and hoses to connect
freeze dried fruits, vegetables, eggs and meat if you can find them.
Water
500 gallons of water [storage capacity. Rainwater catchment is a common practice in Hawaii]
Water filter

Cooking
Cast Iron Cookware

Firearms
FN PS 90

10 PS 90 magazines

5.7 handgun

10 FN 5.7 handgun magazines

5.7 ammo

Training: Front Sight four day defensive handgun course. (Note: eBay sometimes has course certificates for $100!)

Body armor: Nick at BulletProofME.com

Medical
Personal medications
Augmentin antibiotic
Up to date dental work
Painkillers
Bandages
Iodine
Anti-fungal spray

Finances
$10,000 cash in small bills
100 one-ounce silver coins (GoldDealer.com or Tulving.com)

Transport
Gasoline in 5 gallon cans or better yet, this.
Gas stabilizer
Mountain bikes
Air pump

Miscellany
Flashlights
Rechargeable Batteries
Battery charger
Hand held walkie talkies
Topographical map of your area
Spare eyeglasses
Shortwave radio
Home generated power
12 volt battery system
Good backpack
Good knife
Good compass
Good shoes
Bar soap
Toothbrushes
Dental floss
Toilet paper
Fishing kit
Salt licks
Connibear traps


Regards, - SF in Hawaii

JWR Adds: The following is based on the assumption that SF's father also lives in Hawaii: Because of the 10 round magazine limit for handguns, I recommend that Hawaiians purchase only large bore handguns for self defense--such as .45 ACP. Both the Springfield Armory XD .45 Compact or the Glock Model 30 would both be good choices. The "high capacity" advantage of smaller caliber handguns is not available to civilians in Hawaii, so you might as well get a more potent man stopper, given the arbitrary 10 round limitation.

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Sunday October 19 2008

Letter Re: 11th Hour Preparations: It is Not Too Late to Start

Jim:
It is not too late to prepare for the hard times that are coming. But time is short, so I am going to be brutally blunt. Prices are going up. If you don’t already expect double digit inflation, you haven’t been paying attention. If you are just realizing that you need to prepare for the future, forget buying barter goods. Forget precious metals to swap for what others may be willing to sell.

The idea of buying things so that you can swap them for other goods or services later is bad policy. That’s right. I’m advocating that you buy no precious metals and no barter goods. Instead- you need to prioritize purchases of things that you need right now. Sitting on a pile of sewing needles, can openers, or thousands of dollars of face value in gold or silver is not going to stop you from starving to death, freezing to death, or dying gasping in your own fluids.

This is not a slam on Mr. Rawles' excellent advice to invest in tangibles. It is not even a criticism of his recent post on barter items to acquire, or of his advice to invest in precious metals. JWR is a voice of reason in a world gone mad. This letter is a reminder that all those things are good advice only after you have squared away your personal needs. Only after you have duplicate sources of potable water, shelter, a substantial food supply, a deep medicine chest, and ample supplies of sturdy clothing and footwear should you invest in barter goods or precious metals.

Here are your priorities:

You need breathable air to live. Most of us expect that to be available for free. Your next priority for sustaining life is shelter from extreme elements (your home and a way to heat it during winter), then potable water. Let me make this explicitly clear. Unless you have clean water to drink, you will die in a matter of days. It is not the government’s job to make sure that you stay alive. It is your responsibility to care for yourself and your dependants. You are responsible to ensure that you have access to clean drinking water or a method to filter, boil, or collect it. If you have no method to do so, go get one. At the very least, plan on a way to boil water over an outside fire.

After air, shelter, and water – you need food. Come what may, you and those who you love will need to eat. Buy food. The cheapest food that you can get will keep you alive, but my advice is to buy extra of what you already eat. Oatmeal, grits, rice, pasta and potatoes are all relatively affordable and life sustaining. Potatoes will store for months. The others will store for years if properly packaged. Yes these alone would make a very bland diet. Use them to stretch your regular grocery meals while the other supplies last.

What next? Get over-the-counter medicines. Diarrhea will kill you. The stomach flu will kill you. Pneumonia will kill you. Allergic reactions will kill you. There may not be any 911 to send help. There may not be an emergency room to flee to as a last resort. There may not be a pharmacy with inventory to sell at 3 a.m.. Buy vital medicines now. Look in your medicine cabinet. If you do not have the medicines to treat an allergic reaction, stomach flu, and a chest cold; go buy them today. $10 spent on medicine could save your child’s life. It won’t if you can’t give it to them. Go buy it before you go to sleep tonight.

If you can avoid getting sick that’s even better than treating illness. Hygiene is critical to health. Buy toilet paper and tissues. You will need them, why don’t you already have them?

You should have sturdy warm clothes and footwear for each member of your family.

And yes, you should also have a means of defense and forage. A simple shotgun and shells for it will let you defend your doorway and harvest birds and bunnies if need be. If you are contemplating buying your first firearm then I strongly recommend that you take an NRA-sponsored firearms safety course as soon as possible. Firearms are a vital tool, but whether you ever need to defend you home, you will need to drink, sleep in a dry place, eat, and stay healthy. God has given you the resources and wisdom to prepare, the rest is up to you. Now pray for wisdom and go take action. - Mr. Yankee.

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Sunday September 28 2008

Letter Re: Impressions of Medical Corps Training

Dear Mr. Rawles:
Thanks for a wonderful book and blog site. They are very, very helpful. I also wanted to thank you for a posting I saw last spring on your web site about the Medical Corps class led by Chuck Fenwick, called Field Medicine in a Hostile Environment. Because of that posting, I took Chuck's course in Ohio in May and found it to be invaluable. I couldn't believe all the techniques and information imparted in such a short period of time. Although not on the curriculum, when I asked if he'd show us how to give injections, he added that to the curriculum. Chuck is extremely knowledgeable and you know he's experienced it all. His workshop was life-changing for me and the 40 + attendees. I feel like I'm ready to be of assistance to anyone who may experience injuries of almost any sort. I can imagine nothing worse than seeing a loved one hurt and not know what to do to help them. Now I've got peace of mind in that area thanks to you and Chuck.

The reason I'm writing today is because I've noticed he's bringing his class to Texas, just outside the Austin area, in December. This may be the last time this course may be offered if TSHTF soon, and I think that if many Texans knew about the class, they'd be forever grateful. There are a lot of us down here in this great state who feel that readiness for the schumer is very important. I recommend this class to anyone and everyone. No one can afford not to have these skills.

Thanks again, Mr. Rawles, for letting your readers know about this life-changing and life-enhancing workshop. Blessings, - Mary C

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Wednesday September 24 2008

A Girl Scout Troop Leader Wants to Get Her Girls Prepared

We recently got an e-mail from a Girl Scout troop leader, describing how she wants to start a project making 72-hour "bug out" bags for the troop members. Her goal is to get her troop members better prepared, yet not tip-off their parents to her own level of preparedness. She wants to avoid making herself look like some sort of "preparedness nut" or "whacko".

The important thing to keep in mind is that terminology and phrasing are crucial to how people form opinions. Do not use terms such as "Bug Out Bag" or "Get Out of Dodge Kit" or "Survival Kit." It is much better to use the term Disaster Preparedness Kit, or even better yet to phrase the title to match the locally expected disaster. (Such as "Earthquake preparedness kit" or "Hurricane preparedness kit". You get the idea....Our scouting friends in California made earthquake kits for their cars which they keep in a large Tupperware bin in the trunk. They contain bottled water, canned tuna, a can opener, granola bars, space blankets, knit hats, matches, and so forth. Suggested packing lists are available in PDF from the FEMA web site.

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Tuesday September 23 2008

Five Letters Re: Preparedness Advice for the Parents of a Newborn Infant

Dear Memsahib:
I'd like to suggest exploring the Wear Your Baby site There are free directions for making your own baby wearing wraps and free videos demonstrating different wrapping/carrying styles. The free printable items have good clear photographs to help in choosing the right fabric for the job. Now that slings have become poplar and trendy the prices have become rather expensive. There is nothing like spending $30+ dollars to find that baby doesn't like that carrying style or is wrong for momma's back. I'd rather buy fabric and try different styles (more comfy). If it is a total washout at least the fabric can be used for other projects. Another benefit is the cost is low enough a spare can be handy for those oops that come with babies. HTH, - Stephanie in Arkansas


Jim:
These folks may want to find a way to store and dose antibiotics. Kids develop infections of all kinds from strep to severe ear infections. In a post-collapse environment this may be very hazardous health wise. Buying clothes that are several sizes bigger for the child to grow into is another thought. - Scott S.

 

Dear Mr. and Mrs. Rawles,
I love your site. I have been reading for a few months now and hope to get my act http://www.alertpay.com/together here. I am slowly but surely getting prepared (my Dear Husband thinks I am crazy, but I tell him he will thank me one day.) I am starting a homemaker's preparedness section on my site. You know, what if you have no washer, have to make your own laundry detergent, cleaning supplies. That kind of thing. So this was right up my alley :)
I have two Babies and I can offer this advice.
1. Lots of pure water for Mom who is nursing. I have a water filter pitcher that I got on sale and am saving for an emergency.
2. The Nojo Sling is great for Mom who has to nurse/keep baby quiet/put baby to sleep on the go or in emergency situation. [JWR Adds: The Nojo brand slings are quite expensive if bought new. But if you shop around, they can be found in "gently used" condition on eBay or even Craig's List.] They can double as blankets and changing pads.
3. Lansinoh Lanolin cream is food rated and is not only good for Mom, but cures diaper rash and chapped skin.
4. Acidophilus will stop some diarrheas. Garlic for a natural antibiotic (honey to make it go down for Mom but of course no honey for Baby. Baby will get garlic in breast milk), ascorbic acid (buffered Vitamin C) to cure just about everything.
5. Coconut oil. Not only can you cook with it, you can use it to moisturize sensitive baby skin, it is a natural sun screen, has anti bacterial and anti viral properties, works on diaper rash and can help keep away bugs.
6. Bulb syringes. I just got two at Walgreen's [pharmacy store] for about $2 each. They suction noses and [can be used very cautiously to] clean ears. Invaluable for when baby is stuffy and can't nurse.
7. Saline nose drops for same thing. I am "thinking" correct me if I am wrong, that these could double to clean out wounds.
8. Cloth diapers. I don't use them, but have some to use as light weight blankets, wipe up clothes and for putting in the crook of your arm when you nurses so baby's face doesn't stick to your arm.
9. Boppy [style sling baby carriers]. Great for nursing anywhere. (The "Breast Friend" works well for on the go because you can strap it on and walk if you have to, otherwise use sling) and can support baby upward if baby is sick and can help baby sleep.
10. Oatmeal. Great nutrition, easily transported and stored, good for both Mom and Baby to eat and increases breast milk production
11. Dr. Bronner's soaps are great, multipurpose soaps the whole family can use. I use the Peppermint to clean (it deters pests) and brush teeth, wash baby with Baby soap. Can also use to clean dishes, as a shampoo and to wash clothes. [JWR Adds: I have used a 4 ounce squeeze bottle of Dr. Bronner's Peppermint Castile Soap for many years, mostly on backpacking trips. A little bit goes a long way!]
12. Rubbing alcohol to cheaply and effectively disinfect everything.

Hope any of this helps. I tried to think in terms of compact and multipurpose. We are in a crowded town, in a small apartment and I am doing what I can and asking God to help me (and trusting him) with the rest. Keep up the good work! Many Blessings - Ace

Jim and Memsahib:
As a mother of 13 children, I am very familiar with prepping for newborns, toddlers, children and teens :-).
Our children range in age from 19 years old to 10 months old, (and one on the way)

Here is what I have stocked up on for the little ones:

==Acetaminophen suppositories (I buy the baby, junior and adult doses).
They are wonderful for when a fussy baby or child will not swallow medicine. A real life saver that has helped me keep my sanity.

==Children's Motrin and Tylenol liquid. When my babies reached 20 pounds, my doctor said that they could receive a 3/4 dose of liquid Children's Motrin if the fever was not coming down. I recently had to do this and thank goodness it worked! Keep plenty of both liquids on hand..it goes fast.

==Pacifiers. If your child likes a pacifier, you don't want to be without one in the middle of the night or during an emergency. I once had a child scream for seven hours until I gave in and went to the store. I have gotten smarter with age and now I have stocked up (I have several dozen in my storage).

==Bottle Liners, extra Nipples, extra holders. If you use a bottle for breast milk or formula, you'll need these. You can never have to many. Any baby items are good for barter.

==Humidifiers. I always have at least 6 new humidifiers in storage. A baby can be miserable with a cold.

==Baby Food. I try to give the baby what we are eating..but if we are on the road or are eating something the baby probably can't handle (chili, etc), I whip out the baby food. I keep a years worth on hand.

==Suppositories (Glycerin). Babies do get constipated on occasion. I also keep "Baby Lax" on hand (a liquid).

==Pedialyte [oral rehydration solution]. A must! Keep plenty of it on hand. It could be a life saving item!

==Extra blankets, crib sheets, etc.

==Baby shampoo. I prefer not to use adult shampoo on the younger children as it will eventually get in their eyes and they'll pitch a fit that'll raise the hair on a bald man.

==Toothbrushes and special Toothpaste (non-fluoride as they will swallow it!) I have them for the babies as soon as they get their first tooth. I get extra for all age groups.

==Next size up in clothing. They grow fast! Thank goodness we have hand me downs as all my children (except one) are boys!

==Books. Babies love books. Get them now as you'll be surprised at how young an age they will enjoy listening to you read!

==Toys. Age appropriate toys. The more simple, the better (blocks are a favorite around here).

I'm sure I have more items I could add to this list as we follow the "Alpha Strategy"...but it's time to make lunch.

God bless all of you! You are an inspiration! In God's Love, - Walt and Wendy, and our 12 (soon to be 13) blessings from God

 

Folks,
First, for those who have children, blessings.

Second, in addition to diapers, do not forget more blankets, bedding, a good crib and a safely portable car set/trailer system / transport system depending on your transportation options.

Stock up on supplies for milk, baby food and Pedialyte. (Gatorade is not for small children). Contact your medical provider about infant medical supplies, study and train up for infant CPR. What ever supplies you have on hand, add to them and remember rotate, rotate rotate. Formula is not cheap, and does not have a long shelf life. As to diapers, well that is up to you to choose, but A supply of disposables and cotton washables would be a good idea. The disposables are not cheap.

Adult health products are not for children, including pain relievers and the like, so please consult your pediatrician and your pharmacist. Also review your home for hazards, like exposed electrical sockets and the like. - TFB

JWR Adds: As mentioned before in SurvivalBlog, there are recipes available for make-it-yourself Oral Rehydration Solution. (ORS). Be sure to print out a hard copy for your file. It could be a lifesaver!

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Sunday September 21 2008

Letter Re: Preparedness Advice for the Parents of a Newborn Infant

Mr. & Mrs. Rawles,
I hope you and the family are doing well. I have been reading your blog for over a year now and it has been quite helpful. We are making our way slowly in our preps but now I have a new issue. My wife has blessed our home with a child. We had been trying for 12 years with no luck, I guess God decided it was time! My daughter is now two weeks old and with all the excitement I hadn't put any thought into preps for a new born. Maybe the Memsahib could give me some direction. Thanks so much for what you do! Also I'm a 10 cent challenge subscriber and it's time for me to renew. I'll be getting that done soon! - Jason in Missouri

The Memsahib Replies: Congratulations! The most important thing is that your wife breast feeds your baby! I hope that she is doing so. The first week or so is the hardest. If she is having difficulties do let her know it will get better. The La Leche League is the best resource for help with breast feeding difficulties.

If you hope God will bless you with more babies, you ought to be prepared! You can order home birth childbirth kits from a number of vendors in the US, and in the UK.

Your biggest concern will be diapers. Depending on circumstances (availability of spring or well water and grid, generator, or photovoltaic power to run a washing machine) you will have to decide between cloth diapers or disposable diapers. When I nursed my newborns, I often changed diapers more than 10 times per day, to prevent diaper rash! (My family has fair, sensitive skin.) Untreated, diaper rash can lead to serious infections. Proper hygiene is crucial.) Choose you diapering method and then stock up, in quantity!

The very most useful items in my experience are:

For childbirth:

Sterilized cord clamp

Betadine solution

A bulb syringe

Bed liners (like those made for the disabled, available at medical supply houses)

For your newborn:

Plan on breast feeding, but as a back up consider stocking up on canned infant formula

Lanolin cream for your nursing wife

Petroleum jelly ad zinc ointment as diaper rash preventatives

Diapers and diaper covers,

Multiple"onesees", sleepers, or saque gowns would be a real blessing. They can be found at yard sales for maybe 25 cents per outfit.or less if you don't care about stains. As you have already discovered babies spit up a lot and diapers leak. In a post-TEOTWAWKI world, when washing and drying baby clothes won't be so easy, then having multiple changes in every size would make daily life easier.

I also would never be without a front pack infant carrier.

I'd appreciate other SurvivalBlog readers chiming in (via e-mail) with childbirth and infant care suggestions, including recommend brand names of useful products.

I should also mention that I highly recommend the childbirth book "Heart and Hands". And, although not from a Christian perspective (It has Hippie/Flower Child perspective!), the book "Spiritual Midwifery" presents childbirth as a natural process--not just as a medical condition.

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Friday September 19 2008

Letter Re: Some Thoughts on Practical Preparedness -- Things That Work

Jim:
To follow-up on the last two e-mails that you posted from me, here are some random thoughts that I'd like to share on preparedness for when the Schumer Hits the Fan (WTSHTF):

Use an eyeglasses "leash" (lanyard) to prevent the loss of glasses and reduce the risk of damage.

Buy janitorial-size rolls os toilet paper, without perforations. Each roll is 1,000 feet long, and a box of 12 rolls measures about two feet square. These take up just a fraction of the room required to store the same length of toilet paper in standard household rolls.

Use a kiddie-type pool to collect water from rainwater downspouts. The pools with hard-plastic sides and vinyl bottoms are fairly durable. A six foot diameter pool that is 15 inches deep holds 211 gallons of water.

Light-emitting diode (LED) lights are superior to traditional [filament] bulb designs. They last much longer and are much more resistant to impact. When used LEDs, batteries last much longer. LED headlights are close to ideal for doing chores, since they keep your hands free. Tactical use requires a hand-held or weapon-mounted light [with an intermittent switch.]

Krazy Glue [cyanoacrylate adhesive] is great for closing small cuts [after they have been properly cleaned.] Steri-strips are the next step up in holding ability.

Water Filters - Culligan's new EZ-change Level 4 [under-sink] filter [cartridge] is rated to treat 500 gallons. That is five time the volume of most compact backpacking filters. With a self-contained design, it would be easy to attach a pump. The are available for $38 through Amazon.com. Most [other] under-sink filters could be used the same way, but the Culligan design is preferable because it is fairly compact.

For "ready made" backpacking filters, I prefer the First Need brand filters. These are rated to remove viruses and radioisotopes.

Ball-shaped pin on magnetic compasses are compact, but they are more fragile that the type designed to clip on to a watch band, such as the Brunton and Suunto brand compasses.

Dental health is very important for long-term survival. Wal-Mart now sells a dental kit including a mirror with scaling tool and pick, from Dentek. They also sell Temparin temporary filling repair kits. These come in three-application containers. Temparin is far superior to the old standby of packing a lost filling void with zinc oxide.

A big part of survival is preventing injury. In a post collapse word, an injury will reduce available manpower, and something that would be considered just relatively minor in the present day could prove fatal. Proper safety equipment and training in the safe use of hand tools is crucial. Gloves, eye protection, preventing falls, fire safety, and so forth should be stressed. Hygiene and proper sanitation are equally important.

I believe that a good foundation for long-term family preparedness is learning the basics of wilderness survival. Having a solid understanding of the first four critical basics--water, food heat and shelter--helps set priorities in developing a larger plan for long-term preparation. It is also the final "fall back" position [in the event that you are forced to abandon your retreat or in case you never make it there]. These basics are also foundational in making important decisions.

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Monday September 15 2008

Letter Re: Recommended Preparedness Focus for a Dentist in Kansas?

Dear Sir,
It was James Howard Kunstler who alerted me to the problems that has caught so many other people unawares in early 2002. Alas, although we're light years ahead of our fellow citizens in terms of preparedness, we're many parsecs behind the majority of your readers! We do have about six months of food on hand (which keeps growing each day), plus containers for water storage and filters for water purification. We have some basic medical supplies. Our "battery" has been augmented including the storage of several hundreds (although not thousands yet) of rounds of ammunition. Soon, I'll have a basic reloading set up. I've been buying whatever high-quality tools I can find, whether it's a 1930s #8 Stanley plane or a King of Spades shovel. Our organic garden is growing each year. We're not squeamish so we'll probably be gray-watering and humanuring as soon as it is feasible. My wife is a green thumb and is becoming an expert on foraging: she knows every edible plant/mushroom in Kansas!

So all hope isn't lost but there is so much to be done. Which brings me to my point: thanks ever so much for this incredible resource!
But I have one question: knowing the little that you do about us (family of four, in rural Kansas, slightly-prepared but not much) what would you recommend as being our first priority? What products/skills should I spend the next year focusing upon? Thanks again, - SF, DDS, in Kansas

JWR Replies: My recommendation, particularly for anyone living in the Plains States and most of the western US is that water should be your top priority, including roof downspout rain barrel conversions, and locating any nearby creeks or reservoirs where you can collect water, and the means to transport and treat it, even if you are ling "Grid Down" and don't have gasoline available to operate motor vehicles for hauling water..

In the next year, take advantage of as much free and low cost training as your schedule permits. (Red Cross, WRSA, et cetera.) Next, move on to more sophisticated training, as your budget permits. (Medical Corps, Front Sight, OnPoint Tactical, et cetera.)

Since you are a dentist, you might think in terms of operating a minimalist general dentistry and dental surgery practice without grid power. Stock up on expendable supplies. Search for old-fashioned/alternative equipment. Buy a full-up photovoltaic power system if you can afford it. You might even be able to find a foot-powered dental drill. These are now considered museum pieces, except in the Third World, where they are still in limited use.

As I've previously mentioned in SurvivalBlog, I have some very strong reservations about the humanure approach. To be done safely, it takes very close temperature monitoring, and that might prove difficult in a grid-down post-collapse environment. I also consider it unfeasible for handing waste at a remote retreat that is only occupied for part of each year. (Ideally, it would best done at a rural farm or ranch that has at least five residents that are living there year-round.) In my opinion the risks far outweigh the rewards for most of us.

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Thursday September 11 2008

Three Letters Re: Welding Oxygen Versus Medical Oxygen

Jim,
I write to you again as I pull another EMS duty shift. So far tonight I have had one EMS call and it was a "difficulty breathing" call. Our local law enforcement officers (LEOs) already had the patient on 15LPM. of 02 via non-rebreather mask (NRBM) before we got on scene. The LEOs tend to over inflate, so I titrated the flow down to 8LPM., which worked for the patient's breathing pattern. I'm glad our LEOs are proactive, but this means that I don't get a baseline Room Air (RA) 02 saturation for comparison and it does waste some O2 until I get there.

Hint: We use NRBMs on the rig because from this one type of mask you can make the other types simply by removing the circular rubber flap valves. The NRBM has one inspiration valve at the top of the bag inside the mask; and two other expiration valves outside the mask on each side of the nose. When you exhale, the side expiration valves open allowing exhaled air and CO2 to escape outside the mask. But when you inhale, these same valves close, and the inspiration valve opens, allowing 100% O2 to enter the mask from the inflated bag. Hence the name non-rebreather mask because the patient is not re-breathing his own exhaled air. There is no outside air entrainment (provided the mask has a good seal).

1) If you take the same NRBM mask and remove one or both of the expiration valves from the side of the nose, you now have a partial rebreather mask, since when the patient inhales, 100% O2 from the bag is mixed with room air from the removed side valve port.

2) If you take both side valves off, and replace the bag O2 port with the straight line O2 port (that is included in the NRBM package), you now have a simple mask.

3) Here's another trick, if you take the straight line O2 port off the mask, and replace it with the bottom medicine cup of a nebulizer, you have a aerosol mask for administering nebulized medications like albuterol sulfate.

As more air entrainment is allowed, the overall O2 percentage decreases from the 100% @ 8LPM. - 10LPM. of the NRBM to approximately 28% @ 2LPM. O2 of the nasal cannula. It doesn't mean your wasting O2 by using a nasal cannula, (since it uses a lower flow rate) your just choosing the best modality to meet the patients need. Some chronic Chronic Obstructive Pulmonary Disease (COPD) patients breathing drive can actually be suppressed with too much O2 over a period of time.

(I've got to go, just got paged for an "Alcohol Overdose").

Now I'm back again. The overdose call went okay. But I'm reminded that masks are also good for combative, spitting, or TB patients (Mask the patient and yourself) But on a sad note I found out that the patient I transported three hours ago with difficulty breathing died of respiratory arrest in the ER. She didn't seem that bad, but she had a DNR order and the family requested she not be intubated. I volunteer for this.

Regarding O2 itself. Almost all O2 manufacturers use the Air Liquefaction method to make compressed O2 gas. The method is written on the side of the cylinder. This is why you will see large stand tanks of Liquid Oxygen (LOX) at the gas vendors' sites. The oxygen that boils off the LOX is piped through a manifold system to fill the cylinders usually on a cascade system. So although O2 USP has the same basic source as industrial gases, it's specified., handled, distributed and tracked differently. O2 USP has FDA mandated lot numbers to facilitate product recalls. These lot numbers are tracked all the way to the patient.

During the day I'm a Home Medical Equipment Technician in the respiratory department of a major hospital. We jokingly call the hospital room console the "magic" wall since compressed air, power, suction, O2, etc. is right there. But the fact that O2 is flowing through a humidifier bottle doesn't instantly change it to medical O2 as the previous supplier quote asserts. It just adds humidity, and then really only at flow rates over 3LPM. Water bottles are mandated in the hospital setting, but not in the home setting. Oxygen is a natural drying agent. We do however use extra dry grades of O2 USP 99.995% and Nitrogen to calibrate our O2 analyzers.

A note on carbon monoxide poisoning. If the patient presents with the classic cherry red complexion, they are too far gone for any O2 to do much good. The carbon monoxide molecule binds something like 600 times more readily to the hemoglobin in the blood than O2, and has to be forced out by O2 in a hyperbaric oxygen chamber. Under double atmospheric pressure even the plasma in the blood carries oxygen. (Which might be one reason our Pre-Flood forefathers could run so far and not become weary.) - Steve P., EMT in Wisconsin

 

Mr. Rawles:
This is in regard to the oxygen discussion. I don't know the slightest thing about the sources of oxygen, but as a nurse, I thought I would share a little bit about administration of oxygen. The following is straight from my Medical-Surgical Nursing textbook

" Indications for use: ...Oxygen is usually administered to treat hypoxemia (decreased oxygen levels in blood) caused by respiratory disorders such as COPD, pulmonary hypertension, cor pulmonale, pneumonia, atelectasis (lung collapse), lung cancer, and pulmonary emboli; cardiovascular disorders such as myocardial infarction, dysrhythmias, angina pectoris, and cardiogenic shock; central nervous system disorders such as overdose of opioids, head injury, and sleep apnea. .....
-Oxygen toxicity- may result from prolonged exposure to a high level of oxygen. High levels of oxygen.....can lead to acute respiratory distress syndrome....All levels above 50% and used for longer than 24 hours should be considered potentially toxic. Levels of 40% and below may be regarded as relatively nontoxic and may not result in development of significant oxygen toxicity if exposure period is short."

In other words, high levels of oxygen (100% via rebreather/non-rebreather mask) is ideal for emergency situations, but not more than 24 hours!! After stabilization of initial symptoms, it is best to go to a lower oxygen percent, usually 2-3 LPM (for a delivery of 21 to 30 percent oxygen). Of course, these guidelines are designed for medical professionals who can monitor the PaO2 and SpO2 so unless you have a pulse ox[imeter] at home, you're going to be going with best guess. Watch for breathing difficulties such as trouble breathing, rapid breathing, cough, restlessness.
So, in summary, high oxygen to deal with the immediate emergency, then switch to low oxygen after stabilization or before 24 hours pass. I am a recent graduate, so anybody with more experience please feel free to jump in with any corrections.

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Tuesday September 9 2008

Five Letters Re: Welding Oxygen Versus Medical Oxygen

James:
Just a quick note, never ever use oxygen under pressure near oil! Never use oil on the thread's or fittings! The high pressure will cause the oil to detonate,similar to a diesel ignition! If you must,and probably should never need to, use a teflon tape seal!And if you have an acetylene bottle, let it stand for 24 hours as it may have been laid on it's side before using it, separating the acetone from the gas. - Dean

 

Jim
The letter in response to welding oxygen versus medical oxygen was interesting. Unfortunately [that readers} was wrong on one point. Oil is never used around oxygen, period. Quoting from a Compressed Gas Association safety alert "Liquid oxygen containers must be properly cleaned for oxygen service and must be kept clean and free of grease, oil, or other hydrocarbon materials, which can combine with oxygen with explosive violence."

The other danger is that the manufacturer does not know what the end use of the gas will be. If they allow any impurities in it, they could be liable for contaminating an end product of causing a substandard weld. I can assure you that virtually all oxygen is safe for human use. - Docliberty

 

Jim:
If you go to a local oxygen supplier and ask, (and they are being honest) they will tell you that they fill the welding oxygen, the aviators oxygen and the medical grade oxygen tanks from the exact same bulk tank, which is to say, they are all medical grade.
The previous e-mail is correct in that it is important to know that if you are using a compressor for breathable air, it should be medical grade, preferably an oil-less compressor.
His/her reasoning is correct but in the oxygen industry, no one I know makes their own oxygen with compressors on premises any more. Rather, they buy in bulk from dealers (You can make oxygen yourself with an oxygen concentrator but then you are back to needing electricity.) and the dealers only make one grade: medical grade.

The difference is not in the quality of the oxygen but the chain of custody of the tanks. If you bring an oxygen tank in to get refilled, they will give you another refilled oxygen tank of the same category (i.e. welding, aviators or medical) that you gave them but not likely the exact one you brought in. Here's the issue: If a welding tank is used, you don't know where it's been and if it has been left open, contaminants may have gotten in at some work site that used it previously.

If you want to save money or avoid a prescription and use welding oxygen (which I have personally done) then here's the solution: Buy a new welding tank and spray paint your name on it. When you get it filled/refilled, demand your personal tank back. Now you have chain of custody. The oxygen will be medical grade and since you started with a clean tank there will be no contaminants. Make sure that you don't tell the refill station why you really want it or they may not refill it for you. If they ask, have your cover story, like welding...

Also, you will want a regulator that has a range of about 5 to 15 liters per minute. The oxygen that comes out will need to be controlled so you don't waste it. Get one that has both liter-per-minute (LPM) and pressure gauges so you know both how fast you are using it and how much you have left. For medical applications, you don't need 100% oxygen unless you are dealing with something like smoke inhalation or carbon monoxide poisoning. Raising the inhaled oxygen content from 21% (normal) to say, 50% will be a boon for your injured mates and make your limited supply of this valuable resource last longer. I would use oxygen with lung injuries or loss of blood, but this is a topic better answered by others.

You will also need to get/make an adaptor with the appropriate male nipple size to fit on the end of the regulator that will attach to the female end of the plastic hose that goes to the mask you will be using.

Welding regulators are not set up to go directly to a mask and medical grade oxygen regulators (which will go right to a mask hose) will not fit on a welding tank (by design to thwart this very thing).
Masks are inexpensive, but medical supply houses can be sticklers for requiring a prescription for them. Online purchases rarely require them. You will want what is called a rebreather mask. They look the the ones you see fall from the airplane ceilings in movies.

If you want to give 100% oxygen and not waste any, look at the rebreather bag attached to the mask. Decrease the LPM of oxygen until you see it deflate with each inhalation but not all the way. If it stays fully inflated at all times you are wasting O2, if it goes empty/flat on inhalations, you are dropping below 100% oxygen and forcing the patient to pull in extra air from outside the mask which not only decreases the oxygen level but may be difficult for the injured. If you want to go below 100% oxygen, then make sure that the mask has valves or ports on it to allow air to be breathed in from outside or loosen the mask a bit so air can get in from the sides. Test this by making a tight seal with the mask on your face, plug up the hose and breath in. If you can do this without effort, you're set up is good. Don't go with nasal cannulas as they waste 50% of the oxygen and you're not likely to get a refill anytime soon.SF in Hawaii

 

Sir:
Despite the dire warnings, there is no difference in oxygen purity or suitability for breathing among the four “grades.”

From a major supplier's web site:

‘There are four kinds of oxygen that are merchandised or sold to users; Aviation, Medical, Welding and Research. There is a ongoing controversy if there is any difference between the different types. Oxygen gas is produced from the boiling off of liquid oxygen. It would appear that the oxygen is therefore the same. Where we obtain oxygen, all the different types of oxygen are supplied from the same manifold system. Then someone says that medical oxygen has more moisture in it. That is partly true. The oxygen going to a hospital bed is plain oxygen that comes from liquid oxygen. At the bed location, there is a unit on the wall that adds moisture. At this moment we now have medical oxygen. If the oxygen is in a pressure vessel or in a manifold system (like inside a hospital) then it is regular oxygen. The cost of medical or welding oxygen is normally much less than the oxygen you get at an airport.
”Also of interest, we have been told by the suppliers of welding oxygen, the purity level required for welding and cutting purposes is more critical than for breathing.
”The bottom line about the different types of oxygen is in the insurance liability of the oxygen supplier. The gas is the same but the insurance liability is different.”

All oxygen is generated from oil-free compressors/liquefiers because any oil (of whatever nature) is highly flammable in 100% oxygen

The bottom line is safety – oxygen makes things burn, even people. Safe use requires scrupulous attention to cleanliness and detail. Don’t do it if you don’t know if it is safe or not. - JB, MD

 

James,
I sent in a letter about using aviation or welding oxygen instead of medical oxygen and another reader replied, objecting that compressor oil could compromise the safety of the oxygen. I don’t want to get into a tit-for-tat over the subject, but I think it’s important to address the reader’s concerns because the lack of a prescription may keep people from obtaining oxygen that could later save a life.

Unlike SCUBA air, oxygen is not pumped with a compressor at the point of bottle filling. It is dispensed from a large tank that has been provided by a supplier like Air Products or Praxair. Oil, whether petroleum based or vegetable based, is not present in the compressed oxygen. Oil and grease can burn spontaneously when exposed to pure oxygen – especially under pressure – so the suppliers take care to remove such impurities before bottling.

When I said that medical, aviation and welding oxygen are all clean, pure and dry, I meant exactly that. They come from the same source! ABO, medical and welding oxygen are all U.S.P. grade oxygen and all are safe to breathe. The only differences among them are that ABO has had an additional drying step to prevent ice formation at altitude and there are slight differences in filling methods (evacuate first or not) and paperwork, all inconsequential when we’re talking about supplemental oxygen delivered through a mask or cannula.

Private pilots have been using welding oxygen for years with no ill effects. If welding oxygen somehow scares you then by all means, buy ABO: We know that’s safe to breathe. My main point was that there is a no-prescription option available.

I just Googled a good resource. This guy is an expert on the subject and perhaps his paper will clarify things and end further debate on this subject. - Matt S.

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Monday September 8 2008

Letter Re: Welding Oxygen Versus Medical Oxygen

Jim,
In one of the letters about acquiring oxygen, the following statement was made by a SurvivalBlog reader: “Aviation, medical and welder’s oxygen are all pure, dry and inexpensive. There is a deadly difference between oxygen made for use by a machine and oxygen made for use by people. Compressors, like any other machine, must be lubricated. Air compressors used in a dive shop [or a medical supply company] will use a natural oil, like peanut oil. Compressors used to inflate a car tire, or produce air and oxygen for welding and manufacturing processes, generally use a light machine oil. Breathing air containing trace amounts of machine oil can cause serious health problems or even death. Leaking oxygen can also cause normal chemical process to become explosive.

We all need to keep in mind that some things, like oxygen, explosives, and chemical storage are best left to experts. If someone is dead set on doing something, then they should spend the time and take the training to become an expert.

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Thursday September 4 2008

Two Letters Re: Survival Medicine and Ditch Medicine

James
Josh’s article [on Survival Medicine and Ditch Medicine] was very good. I wanted to address the fact that a medical oxygen bottle is illegal to possess without a prescription and/or doctor’s care.

Actually, I don’t think the bottle itself is illegal. Just illegal for someone to fill it with medical oxygen without a prescription. But that’s beside the point because there is a simple, legal alternative: Aviation oxygen.

Aviation oxygen tanks and gas are easily obtained and not inordinately expensive ($150-to-$250 depending on size). Aviation, medical and welder’s oxygen are all pure, dry and inexpensive. With the “ABO” (Aviator’s Breathing Oxygen) label the tank can only be filled with aviation oxygen. Remove the ABO label and it can be refilled at an industrial gas supplier that sells welding oxygen. No prescription required in either case.

The same people who sell the tanks also supply disposable nasal cannulas and masks. Best, - Matt S.

 

JWR,
I was glad to see Josh in Montana submit his article on basic medical in