Search Results for: austere medicine

Adapting Traditional Medical Care to the Austere Environment, by A.P.T.

…Perhaps you are a civilian EMT, paramedic or RN that has found interest in preparedness, or you are an established prepper who has taken an EMT class or a Wilderness EMT class, but are having some difficulty with bridge to the world that has no power grid, no Internet and lacks a certain social cohesion. Even military medics will be challenged in this situation, as they are currently accustomed to having modern equipment, restock and a means of patient evacuation (in most cases). Either way you bring essential experience and knowledge to your preparedness group as the medical specialist, but lack in certain areas.  This article will help to begin the adaptation of your knowledge and skill set to the world without modern medicine. The austere environment is one in which evacuation to definitive care is extremely delayed or non-existent. Without power modern electronic diagnostic and treatment options will… Continue reading

Letter: Updated Survival & Austere Medicine Book

…Hugh, As many of your readers already know, the newly revised, highly recommended book, Survival & Austere Medicine: an Introduction, has been published free online in .pdf format (click the picture!). There are several editions online. Make sure you download the 2017 3rd edition edited by the group collectively known as RAWTWMDBM. Available in Hardcover And now this 2017 edition (589 pages) has been published in hardcopy by Lulu. It’s available in hardcover with black & white illustrations for $29.25; paperback black & white for $19.28; paperback with full color illustrations for $111.91; and hardcover full color for $126.35. This is the update to the 2014 edition. (The black and white editions are quite adequate; you probably don’t need to pay extra for the full color editions.) I would be remiss not to mention that there are also a wide variety of medical references available free online, and I… Continue reading

Letter Re: Another Recommendation for the Survival and Austere Medicine e-Text

…Mr. Rawles, The subject of survival medicine is one which you touched upon in your novel “Patriots” (nicely done, I might add) as well as occasionally via letters to your blog. All well and good but far less than the subject merits insofar as it may weigh into our collective futures. If I may be so bold I’d like to suggest that it be given at least as much attention as the nifty gadgets readers are often eager to promote. You may or not be aware of a relatively new book on the subject, perhaps the first if not the only peer-reviewed volume on the subject of survival medicine in general. I am speaking of the 2005 publication of Survival and Austere Medicine: An Introduction. The book was written by a small group of writers that include two physicians trained and practiced in the art of medical care under… Continue reading

Guest Article: The Best Free Medical References for Preppers, by Greg Ellifritz

…extremities, chest, abdominal, and head; and controlling shock.” This course was developed by the United States Army, but the lessons contained within are the battlefield medical protocols utilized by all branches of the US Military.  These are the absolute best practices for handling traumatic injuries without professional medical intervention. Combat Lifesaver Home Study Course This is the “advanced” version of the basic TCCC protocols course above.  It is a self- guided home study course that is academically equivalent to the class that many soldiers going into combat receive. Special Operations Forces Medical Handbook (2001)   This book is a little more complex than the other ones above, but it is still a very valuable reference.  There are more current print versions available, but the latest books don’t vary greatly from the free version found at the link. Survival and Austere Medicine, An Introduction (2nd edition) This is simply one of the… Continue reading

Re-Write of the Austere and Survival Medicine Book

…Hi James, I’ve decided to embark on a re-write of the Austere and Survival Medicine book. I know a number of MDs and other health professional read SurvivalBlog. If you think it appropriate would you mind posting a request for chapter authors on your blog. We will be starting with the existing book with the goal of adding more “how to” to the book and by popular demand also making some of the advice even more austere and primitive. The goal is to empower non-medical people to prepare medically for major medium and long term disasters. Once again the book will be available for free download or purchase for cost from CafePress. People who are interested can be directed to this link. – Dr. Craig in NZ… Continue reading

Musings of a Law Enforcement Paramedic – Part 1, by LEO Medic

…People struggle when you take them out of their comfort zone. So what is the solution, besides becoming a Wilderness paramedic, marrying a nurse, and going to Cynthia Koelker’s Survival Medicine class, or recruiting a trauma surgeon? First, realize the limitations of your current training. Then address them. If you are an EMT, get training on bandaging, infection control, rehab, suturing, dentistry, et cetera. If you are a nurse, look into getting EMT trained or buy and read a EMS text. Most states will let a nurse challenge the test and test out. Like Mary Gray in Patriots, think about the skills you may need (for example blood transfusions or suturing) and then seek out training in them. I have a cousin in the Peace Corps. I have used this to start all sorts of conversations with doctors I come across to ask questions about medicine in austere conditions. If… Continue reading

Health, Hygiene, Fitness and Medical Care in a Coming Collapse, by RangerDoc

…with physical fitness. Preventative Medicine Next issue: public health measures. For many years I taught and practiced medical and surgical care in austere environments. In the late 1990s I was the chief of the medical special response teams for the US Army, Pacific, and taught disaster planning and medical care in austere environments around the world as a Department of Defense consultant. If I had to choose between having access to modern medical care and having a sound public sanitation system and clean water, it would be a no-brainer. The clean water and hygienic handling of human waste as first perfected in the twentieth century have saved many more lives than have antibiotics and modern surgery. Hepatitis, polio, typhoid fever, dysentery and other waste and waterborne diseases have defeated far more armies throughout history than have poor tactics and strategy. Witness [German General Erwin] Rommel’s own struggle with hepatitis during… Continue reading

Letter Re: Adapting Traditional Medical Care to the Austere Environment

…Mr. Rawles, I enjoyed the referenced article, and wanted to piggyback a point about triage in combat. Combat medicine is different than a mass casualty incident in a non combat scenario. Good medicine may be bad tactics. In combat, treat those in the yellow category (such as having a finger shot off) first- to get more guns back into the fight. Otherwise you may all die, and that’s bad juju. Don’t waste time on an expectant casualty (i.e. a gunshot wound to the head with brain matter showing). Move instead to the casualty with extremity bleeding where they may be bandaged or tourniqueted and put back into the fight. In TEOTWAWKI, combat may be a hard fact of life and the subtle differences in emergency medicine could make or break a good group’s survival. – Jeremiah Johnson in Florida… Continue reading

Traditional Womanly Arts for Austere Times by Sue of Suburbia

…instincts.  This is an important skill to learn now, before a crisis situation occurs, as it takes much time to develop the confidence and knowledge to be able to apply it in a practical way.  I am by no means an expert in this vast field of ancient medicine and am constantly learning, but I find this area tremendously useful and fulfilling as a mother.  I recommend Encyclopedia of Herbal Medicine: The Definitive Home Reference Guide. Lastly and perhaps the most important of all womanly skills is teaching.  In order to preserve these womanly arts for future generations, it is of utmost importance for a woman to include her daughters, nieces and/or young friends in all of these activities such that they become a way-of-life from an early age.  I have no doubt that the future holds much more austerity than what we know now.  We humans are using resources… Continue reading

Letter From The Goat Lady Re: Free Survival Medicine Reference

…Memsahib:   In your spare time (LOL) you might want to check out this book, downloadable free at or hard copy at   Survival and Austere medicine would be a REALLY handy thing to have in a SHTF situation as it’s practical info, field tested, and doable by a non-medical person.  All the authors are in the medical field either as MDs, EMTs, RNs, etc.  They knoweth what they are doing and talking about.  Chapter 8 is really good on herbs, preps, uses, and the content is approved by the above listed medical personal.  I think Chapter 8 is really good for beginner or experienced herb users (I should think it’s great – I wrote it).    Anyway, try to find time to give it a peruse – it may be helpful to lots of your readers – the authors do not get any kickback or anything –… Continue reading

TEOTWAWKI Medical Skills: Thoughts on Becoming a “Woofer” (Wilderness First Responder), by Richard B.

…emotion and unpredictability. In this brief commentary I’m advocating two things: investing (time/money) in a comprehensive training program that provides hands-on, real-world scenarios, and then, putting together a full kit that will meet the needs of your current or probable family/community, and allow you to fully utilize your skills. As a teen–in the 1960s–I took Red Cross courses (First Aid, Lifesaving, and Water Safety Instructor). Then the Army sent me to Vietnam for a couple of years where I had the “opportunity” to get some up-close and personal trauma-care experience. A decade later I went to back to school and earned a nursing degree. And just recently I took a Wilderness First Responder (WFR or “woofer”) class, eighty hours of realistic instruction and practice with dozens of what-if scenarios (medical and trauma). Without question the WFR is the best program I know for a 360-degree approach to survival medicine. Wilderness… Continue reading

The Survivalist’s Odds ‘n Sods:

Lights of the US

…SurvivalBlog presents another edition of The Survivalist’s Odds ‘n Sods— a collection of news bits and pieces that are relevant to the modern survivalist and prepper, this week from JWR. Today we highlight the population density of the Great Basin region. Survival and Austere Medicine Book Update! A group of medical professionals has rewritten their great Survival and Austere Medicine freeware book. The Second Edition was published in 2005 as a free PDF and has been download more than 5,000 times and it is found in many on-line prepper/survivalist collections. They have just released the Third Edition. The new edition of the book remains free – it is a labor of love from a group of medically-orientated preppers and Survivalists – several MDs, nurses, Physician’s Assistants (PAs), a veterinarian, and a biomedical technician. Most of them live in Australia and New Zealand. The Third Edition (of December, 2017) is… Continue reading

The Survivalist’s Odds ‘n Sods:

A SWAT team entry

…their penchant for SWAT. HF Ops Reader P.S. sent in this excellent article that details some of the questions and answers a new person might have when considering High Frequency (HF) communications. Do you get a dedicated QRP rig or a full power rig for the field? What additional equipment do you need and what skills do you need to master in order to be effective in using the equipment are just some of the questions dealt with. And again, it encourages the reader to actually use it rather than just collect the equipment. Survival & Austere Medicine Reader G.L. pointed out that the Austrailina Preparedness Forum has posted the release of the third revision of Survival & Austere Medicine. The PDF download is free and this is an excellent resources for those looking to improve their back country medical skills. Of course, nothing can replace the ready access we… Continue reading

Sources for Free Survival and Preparedness Information on the Internet, by K.L. in Alaska

…Aid in Armed Conflicts and Other Situations of Violence The UK Maritime and Coastguard Agency book, The Ship Captain’s Medical Guide Hesperian makes available free downloads of its books for medical treatment in primitive conditions. Two highly respected guides it publishes are Where There Is No Doctor and Where There Is No Dentist. Here is a direct link to the must-have book Survival and Austere Medicine: An introduction. Australian Survivalist Online has several additional Files for downloading. The Department of Agriculture has a treasure trove of information for free download. This agency maintains The National Agricultural Library, a collection of free information on Agriculture, Food and Nutrition, and other related subjects. Another USDA web site is the Cooperative Extension Service. Click on the map to navigate to various Extension offices around the country. Don’t limit your search to just your own state. Many of them have invaluable information on animals,… Continue reading

The Long View- Part 2, by J.M.

…for self-reliance if SHTF. I had both of my daughters take this course for this very reason. I also completely agree with you about ‘Where There Is No Doctor’ and Where There Is No Dentist.’ I prepared an annotated list of references for those who must practice in ‘austere‘ conditions. (Austere medicine is how we will practice after SHTF). This list is available at: It does contain books that are ‘professional medical’ in content, but goes far beyond basic EMT training. I keep the entire list of books on a USB as references anytime I am deployed to a disaster. And, again, having responded to multiple disasters, I’d NOT recommend ‘acclimating’ yourself to local water. Filter, boil, and/or treat ALL of the water that goes in your mouth. (Tested well water would be an exception, of course.) Look at cholera in Haiti for a very easy example of why… Continue reading