Category: First Aid/Medical

In Praise of Betadine, by A. Woofer

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In 1940, Reserve Constable Albert Alexander scratched his face.  Accounts differ on whether this occurred while shaving, or an encounter with a rose bush.  In either case, the Constable had a minor scratch  which became infected. What makes Constable Alexander’s story notable, is that his was the first wound infection treated with the then-new antibiotic, penicillin. It almost worked.  When first treated, Constable Alexander improved dramatically, but the hand-purified supply of antibiotic available ran out before the infection was eliminated. The infection returned, and he died from the combined staph and strep infection of the wound.  Welcome to the reality …


Letter Re: Distilled Spirits for Barter

Hello, Here is a “barter material” idea your many readers may find of interest. I am located in Kansas City and, after telling friends who are also into “survival” my idea it caught on such that one liquor store here is suddenly the largest reseller of this liquor in North America. I have friends who, for their store of barter items, have stockpiled extra food, ammunition, guns and other items people would want in a breakdown of society. But they are all items that may only have a storage life of a few years, takes up a lot of room …


Two Letters Re: Oral Rehydration Solutions

Dear Sir, I was perusing your blog for the first time and saw the post about dehydration due to diarrhea. I have five sisters and one brother (yeah mom!) so my mother is quite the home medic. My eldest sister had been prescribed a very strong antibiotic for a common infection she had. After she took the course of the antibiotic, she also began having severe chronic diarrhea (we’re talking months here). She began going to a specialist after her regular doctor couldn’t diagnose her. My mother, conscious of her medical history, realized the antibiotic she had taken for her …


Six Letters Re: Oral Rehydration Solutions

Jim, During my many travels in Asia and Central America I never brought along medications to stop diarrhea, only to prevent it. Diarrhea is natures way of getting rid of something your body doesn’t want in it. Preventing that can lead to serious problems. Water and food born bugs (bacteria, not parasites) can be dealt with by taking Doxycycline Hyclate as a prophylactic. Prior to the likely encountering of suspect food and water, such as a bug out situation, a pill a day will keep you reasonably safe. You should be able to talk your doctor into proscribing for emergency …


Letter Re: Oral Rehydration Solutions

Sir: My recent trip to the library and skimming through a few books on diseases led me to the conclusion that some of the secondary or follow-on effects are often bigger killers that the diseases themselves. I’m talking about pneumonia and diarrhea. Respiratory bugs often develop co-infections like pneumonia. And stomach bugs often cause diarrhea, which can cause such severe dehydration, that the patient dies. Obviously, [some forms of] pneumonia can be avoided by getting a pneumovax innoculation. So how do we deal with diarrhea? It can be controlled with over the counter (OTC) medicines. According to FamiliyDoctor.org, some of …


Two Letters Re: Wound Irrigation in Austere Environments

Hello James, Regarding wound irrigation, wound preps, surgical site prep, etc., folks would do well to purchase a gallon each of Betadine, Povidone, or other generic tamed iodine, in both the scrub and solution formulations. These are not terribly expensive and one likely could talk his/her Veterinarian into getting some for them, as they are not controlled substances. [JWR Adds: They are also available in the vet supply department at some of the larger feed stores, and via mail order and Internet vet supply companies like Jeffers.] These are concentrates and can be diluted, and used on wounds if the …


Wound Irrigation in Austere Environments

TEOTWAWKI will result in a lot of wounds, including not just lacerations but scrapes and burns as well.  These will happen regardless of if the injury is the result of a disaster or if post-crash efforts lead to injury.  This is bad enough, but you could be in even more trouble if infection sets into one of these wounds.  A lot of preparedness/survival-types focus on suturing, including having access to suture material and instruments to allow for laceration repair. While this is all well and good, you shouldn’t focus too much on actual wound repair without first being sure that …


Letter Re: Open Enrollment for Many Medical Savings Plans

Dear Mr. Rawles, Greetings! I saw a blog letter mentioning FSA (Flexible Spending Accounts)-one medical plan that helps the average person. Basically, one’s employer (private, public, etc.) has some amount taken out before taxes and this money is put into a plan with a pre-set amount that must be used by the end of the plan year. Okay, what many people do not know is that IRS laws allow the following: Once the plan is started, the full year’s funds are present, even if you have not had that total amount saved up yet. Example: I set the plan to …


Letter Re: Open Enrollment for Many U.S. Medical Savings Plans

Hi James, First let me thank you for your wonderful blog, which I read every day. This is just a reminder that fall is typically Open Enrollment at many large and small companies for next year’s benefits elections. My company’s three week window to sign up for 2010 benefits opened yesterday. This is the time when a person can choose to participate in a [“before tax”] Flexible Spending Plan. While some people are justifiably nervous putting money away in a, “use it or lose it,” program, the I.R.S. made the decision a lot easier a few years ago when it …


Letter Re: Preparations for Eyesight & Hearing

JWR, Regarding Eye Surgery: I am an optometrist. Unfortunately some of what was most recently posted is misleading if not flat-out wrong. 1. Laser Vision Correction (LVC) will not make you more prone to problems with your near vision. However, if (a) you are nearsighted before the surgery (and thus able to see up close without correction), and (b) you are over age 42 or so, then you will struggle with your near vision. Prior to the surgery, of course, you can see fine up close if you remove your glasses or if you have bifocals. But the LVC does …


Letter Re: Wood Stove Selection, Operation, and Safety

James, You’ve had two good letters on woodstoves recently. I’d like to add a few thoughts based of heating and cooking with wood for a couple of decades in the Colorado mountains. I have never been more contented than when there’s a blizzard raging outside and I’m inside next to a nice warm woodstove. That being said, woodstoves and chainsaws account for the vast majority of domestic emergencies in many rural areas and a constant source of amusement for EMTs. As has been written, the importance of a properly installed chimney cannot overemphasized. Do get a quote for a good …


Lessons Learned from Hurricanes Ike, Rita, and Katrina, by TiredTubes

In September, 2008, Hurricane Ike–a Category 4 hurricane–pounded the Gulf Coast of the southern US. Some coastal communities like Crystal Beach no longer really exist. Inland, life was severely disrupted. For those of us on the South Coast hurricanes are a frequent reality. We were quite well prepared, but used the disruptions and dislocations as a test and opportunity to tune up our preparations. 1. Be ready to help others and to accept help We didn’t need much during Ike, but the power went out before a neighbor finished boarding up his house. My 1 KW inverter, hooked up to …


Two Letters Re: Preparations for Eyesight & Hearing

Jim, I thought that I would respond to Jake G.’s letter on “Preparations for Eyesight & Hearing”. I feel I can offer a little insight (no pun intended) on eyesight and Lasik. I had Lasik a little less than two years ago. I had just turned 43 and, after 22 years of wearing glasses or contact lenses, I was ready to make the jump. I didn’t take it lightly, as having any procedure contains some degree of risk, but having surgery on arguably the most important of your five senses is scary. I had been in love with the idea …


Prepping for the Worst Case: Becoming a Refugee, by Dr. L.D.

I am unable to make my home self-sustaining.  So, unfortunately, my family will probably become refugees in a true SHTF scenario.  My focus presently is in becoming desirable refugees rather than shunned refugees.  The key is minimizing any negative impact (extra logistics of all sorts) and maximizing any positive impact (filling in weak spots) to someone that is geographically fortuitous.  I was challenged to figure out how a small family could best become a wanted commodity when food is tight and security isn’t. I determined the key for us was that everything carried needed to be dense in value. Density …


Letter Re: Preparations for Eyesight and Hearing

Mr. Editor: Just a quick note to follow-up regarding preparations for Eyesight and Hearing. I checked into lasik and contacts long ago (I am slightly near-sighted – too many hours staring into cameras and computers I guess). Although Lasik advances have come a long way, please be sure you talk to your eye surgeon at length before you commit to this serious expense. If you are near-sighted, a successful lasik procedure will improve your long-distance vision, but may impede your “up close” vision. I talked with my eye doctor at length about this, and after many questions he acknowledged that …