Expired Medications – Part 3: General Principles, by Cynthia J. Koelker, MD

In Part 1 and Part 2 of this series, I reviewed the available information regarding expiration dates of specific medications, primarily antibiotics and antiviral drugs, as tested in the FDA’s Shelf Life Extension Program (SLEP).  Although antimicrobial medications are important, what about other common drugs used on a daily basis?  If you or someone you know suffers from diabetes, chronic pain, arthritis, asthma, hypertension, heart disease, or other serious condition, will medications be safe and effective beyond their expiration dates?  The following is excerpted from my upcoming book, Armageddon Medicine: Published data has documented the safety of many medications beyond …




The First Aid Kit as a Multi-Layered Medical Resource, by Hambone

SurvivalBlog has gone to some lengths to provide first rate information on a wide variety of subjects – including first aid kits.  I strongly encourage everyone to receive professional training  and to own at least one (or more) quality first aid manuals.  In my experience. many first aid kits seem to have been built with either a limited vision or a lack of foresight regarding their use in a disaster situation.  Worse, some contain items that if misused or improperly used can further injure/permanently cripple/kill the ‘patient’.  Hence my emphasis on professional training – it is easily as good an …




A Legal, Low-Cost, Readily-Available Painkiller, by Kitchen Maven

You’re stacking wood when a log suddenly twists, and the pile comes tumbling down on you, leaving your legs covered with cuts and bruises. You walk into the kitchen, and see your toddler, who has climbed the counter to grab something in an upper cabinet, start to topple over. You lunge forward to grab her, and your body provides her with a soft landing spot as you crash over the kitchen chair and wind up on your face on the floor. Accidents happen, and they hurt. Many posts have discussed pharmaceutical painkillers, but most people have limited access to them, …




Letter Re: Developing Your Healthcare Networking List

Mr. Rawles, I am a long time reader who enjoys how thought provoking your blog can be. But have a disagreement with a recent post by Josh S. I am a Emergency Medicine Physician, practicing in the Northeast US. Josh S.’s article is true in the detail of developing your medical network — it is quite easy to call up a friend or relative for some quick medical advice or help. And, furthermore, I appreciate this — I did get into medicine to help people, and I would much rather help friends and family than a vast majority of drug-seeking …




Developing Your Healthcare Networking List, by Josh S.

For a while just after my wife and I graduated from graduate school we went without health insurance. We figured that it would be no problem. We are young, healthy, she just graduated with a nursing degree and I with a doctor of chiropractic degree. If there was any small problem we could handle it and get by. If there was a big problem, well, we could have been in trouble. With no health insurance we became very cautious people. On our long hikes and backpacking trips we took care to plan, not hike to close to steep edges, keep …




Letter Re: Prepping: It is Dental and it is Mental, by Wade H., DDS

Mr. Editor: A good item to have on hand is Oil of Oregano. It stops the bacteria infection in the tooth and gives one enough time to find a dentist to take care of the problem. Last Wednesday, my nine year old Australian Shepherd woke up with an extremely swollen cheek nose and eye. I called the vet and she could not fit Hannah in for a week. I started giving Hannah Oil Of Oregano P73 in the pill form (wrapped up in ground meat). In two days, the swelling went down about 80%. Today Hannah went to the vet …




Prepping: It is Dental and it is Mental, by Wade H., DDS

Let’s presume that our worst imaginations of the future economic/political/societal collapse come true.  We are in our “undisclosed bunker location” surviving day by day without all of the creature comforts that we are used to.  A random thought or fear pops into our head…Our local dentist might as well be on the other side of the moon. What is going to happen to our teeth? What are we going to do if we have a tooth ache? What if we get an abscess? What if Suzie did not get her wisdom teeth removed like the dentist wanted? The subject of …




Survival and “The Right Stuff” Thoughts on Guns and Medicine, by Matthew R.

Survivalism in our age represents a gamut of knowledge in diverse subject areas. Expertise in a specific subject area can be a rare and valuable find. But anyone who claims to be a “general expert” is an oxymoron at best. I have been serving in the Army Reserve and National Guard as a medic for seven years now; and I am an OIF veteran. That makes me an expert in a very limited area of combat medicine. It also makes me generally knowledgeable in areas of basic soldiering. Based on these experiences, I believe I knowledge and skills that could …




Training Sources for TEOTWAWKI, by Christopher E.

The reality of the situation is that tactical combat, survival and self defense training is not something that can be mastered in a week or a month.  Training needs to be consistent to the point where the drills become as a reaction that you don’t even have to think about it…. The point is that terrorists and threats to you have been in serious training for a long period of time while many of us still see the concept of learning the inner workings of firearms as being premature. Private survival training in the present day has often been seen …




Guest Article: Expired Medications–Are They Safe? Are They Effective? Part 2, by Cynthia J. Koelker, MD

In Part I of this series, I explained the definition of pharmaceutical expiration dates and ‘do not use beyond’ dates, and how both are determined. Additionally, I reviewed information from the Shelf Life Extension Program (SLEP) database, which led to a temporary Emergency Use Authorization in 2009, permitting the use of certain Tamiflu products (to treat H1N1 influenza) for up to an additional five years beyond the imprinted expiration date. (See Part I of this series for more information. ) Part II will examine the data regarding use of common antibiotics beyond their expiration dates. The following is excerpted from …




Medical Asset Evaluation, by Dr. C. in Flyover Country

The evaluation of “Medical Assets” depends greatly upon the evaluator and the mission. For the purpose of this discussion, I consider people, places and things collectively and individually as “assets”. This discussion is meant for a group of non-medical personnel who need to assess whether a person, place, or thing will further their short and long term goals (mission). But how do you make that assessment or know when it has been done properly? Base assumptions: 1) The group has little to no medical knowledge. 2) The needs include general medicine, surgical procedures, veterinary medicine, and dentistry. 3) The most …




Guest Article: Using Expired Medications – Antibiotics and Antiviral Medications – Part 1, by Cynthia J. Koelker, MD

My first guest post on SurvivalBlog.com generated an abundance of questions and concerns.  Among the most popular was that of using medications beyond their expiration date.  Are they safe?  Are they effective?  It’s easy enough for me to say I think it’s safe, but is there any science to support my opinion?  I spent the week looking into the facts, and found some fascinating information. To start with, just what is a drug expiration date?  In short, the date (required since 1979) does not indicate when a drug goes bad, but rather a date through which the drug is guaranteed …




Letter Re: Cartridge Lead Hygiene

Jim, Any serious firearms enthusiast should know the basic makeup of most ammunition normally includes a lead containing primer and projectile and while this does not present an immediately serious hazard per se, anyone planning on handling ammunition and firearms should be mindful of the risk of prolonged exposure to lead components and both pre- and post-TEOTWAWKI, take precautions to protect themselves. As an Army reservist for eight years (doing the occasional field exercise with blank ammunition and the annual range qualification), we would eat our IMP rations after loading hundreds of magazines without a second thought towards washing our …




Lessons Learned From a Suburbanite, by Battle Ax

I am your typical thirty-something suburbanite that lives in a cookie cutter house (on the grid of course) in a nice little subdivision, with a wife, 2.6 kids, a dog, and two cats.  I have a steady job, pay my taxes, keep my lawn manicured, and chat with the neighbors out front.  I try to keep up with current events, and I believe things are going to get worse before they get better.  Not being pessimistic, but realistic. My roots in preparedness go back to my childhood where my step-father was a military man, and subtly assigned each one in …




Filling in the Gaps on Firefighting and Emergency Medicine, by Nate

I’ll be the first to admit this is my first visit to SurvivalBlog, and I only received copy of “How to Survive the End of the World as We Know It” yesterday, but I finished reading it yesterday as well. I’ve always had what I like to call a “jack of all trades” mentality, as soon as I begin to feel competent in one skill, I have a strong urge to begin the learning process anew and expand my base of knowledge. I’ve been reading through the articles previously posted, and while extremely helpful and informative, I feel I have …