Category: First Aid/Medical

Two Letters Re: Triage in Emergency Mass Critical Care (EMCC) Events

Dear Jim, This letter is in response to NC Bluedog’s very informative article that appeared today. Here in rural Wisconsin, we have the same problems as he noted–shortage of high-technology life-saving devices. This is due to the overall situation that our medical care industry is dollar-driven. He have a small hospital, and two more within a 15 minute dash via ambulance. Each hospital has at least a four-bed Intensive Care Unit (ICU) with a ventilator per bed, and at least two extra ventilators that can be used outside of their ICUs. Beyond that, there are none available. Extra units would …


Letter Re: Triage in Emergency Mass Critical Care (EMCC) Event

Dear JWR: I feel that there is a strong premonition in the article you flagged on Wednesday (Who Should Doctors Let Die in a Pandemic?) This hit the Main Stream Media (MSM) early this week and quickly fell off the news cycle. The topic is simply too uncomfortable. The original articles were published in the medical journal Chest (The Journal of the American College of Chest Physicians and are very dry and difficult reading even for a physician. This is unfortunate because it is a salient topic which needs to be vigorously publicly debated (instead of who got voted off …


Four Letters Re: Advanced Medical Training and Facilities for Retreat Groups

James In response to BES in Washington’s comment on Paramedics and EMTs I must say that I agree when it comes to workaday medics. A great benefit to having the years of training as a paramedic is that it earns you some credibility. My advice to paramedics and long time EMTs is to speak to your training officers and EMS directors and find out if your supervising physician or another doctor would be willing to mentor you in surgery[, though observation]. I had the opportunity starting with my paramedic internship to make relationships with quality doctors who wanted to mentor …


Letter Re: Advanced Medical Training and Facilities for Retreat Groups

Jim, I have been enjoying and appreciating the letters and replies throughout the blog, and I am compelled to respond to “Advanced Medical Training and Facilities for Retreat Groups”. The letter contained very accurate and useful information, but I must comment on medical skills available to survivalists. First of all, need to say that I am a professional Emergency Medical Technician – and have been for 25 years. I have treated dozens of real-life gunshot wounds, hundreds of knife wounds, and thousands of other cases of trauma that I would prefer to not remember. As a 911 responder, I appreciate …


Letter Re: Advanced Medical Training and Facilities for Retreat Groups

Mr. Rawles, Last month I wrote to SurvivalBlog about what do one would do medically in TEOTWAWKI, when all systems are down. I had received three very good replies, and have ben thinking about what was said. I want to thank those people for their valued replies. Now, I have more questions and concerns. From what I’ve read concerning medical advice leaves me wondering. All of the advice given has stated to get a good quality Field Surgical Kit, and two books: “Emergency War Surgery”; and, “Where there is no Doctor”. Then these articles went on to [imply that] when …


Letter Re: An Overlooked Aspect of Preparedness–Crutches and Canes

Mr. Rawles, Hi again and thanks again for the wonderful blog! I wanted to address the request for more information about splinting injuries and stretchers. Before I begin discussing methods of splinting we need to first address the degree of injury. I once “sprained” my wrist playing sports. It swelled, hurt, was sensitive, caused immense pain, and was hot to the touch. Our sports trainer pulled me out of the game, three hours after a “minor injury.” [X-rays showed that] I had two hairline fractures and went home with a cast. The doctor was shocked that I waited till halftime …


Letter Re: An Overlooked Aspect of Preparedness–Crutches and Canes

Dear JWR; A week ago, I did the first big spring mowing with a push mower “for the exercise” (3 acres). The next morning, my knee was swollen, wouldn’t bend, and the pain was breathtaking. I’m now down to limping around with a cane, and should be fine in a few more days. I discovered a weakness in my first-aid preparedness the hard way: I had no crutches, canes, or aids to mobility for the injured. I now own a fine set of crutches, two durable walking canes/livestock sticks, and have a Cold Steel Heavy Duty Sword Cane on the …


Letter Re: Advice on Emergency Dentistry

Dear Mr. Rawles, I have read and been positively influenced by your novel [“Patriots”]. I am now making provisions for difficult times. Can you recommend any links towards obtaining dentistry kit and basic dental instruction? Mainly interested in being able to perform extraction safely. With Thanks and Sincerity, – Dan-O JWR Replies: This topic has been covered briefly in the blog, but is important enough that it deserves additional discussion. The most important resource is the book “Where There is No Dentist“, available for free download from the Hesperian Foundation (But I recommend getting a bound hardcopy. Ditto for their …


The Precepts of My Survivalist Philosophy

In the past week I’ve had three newcomers to SurvivalBlog.com write and ask me to summarize my world view. One of them asked: “I could spend days looking through [the] archives of your [many months of] blog posts. But there are hundreds of them. Can you tell me where you stand, in just a page? What distinguishes the “Rawlesian” philosophy from other [schools of] survivalist thought?” I’ll likely add a few items to this list as time goes on, but here is a general summary of my precepts: Modern Society is Increasingly Complex, Interdependent, and Fragile. With each passing year, …


Time For Retreat Logistics Stage Two–The Soft Items

If you are a regular SurvivalBlog reader, the odds are that you already have the majority of your key logistics squared away, like food storage, tools, guns, communications gear. So now it is time to stock up on “soft” and perishable items. These include over the counter medications, vitamins, chemical light sticks, matches, paper products, cleansers, spices, liquid fuels, and so forth. You need to exercise caution when stockpiling soft items, for several reasons: 1.) Shelf Life and Deterioration. Some items like pharmaceuticals, batteries, and chemical light sticks are best stored in a refrigerator. Keep in mind that items like …


Letter Re: Sign of the Times–An Ambulance Service Shuts Down

Howdy; My name is Ed and I am a paramedic in central Mississippi. Last month a private ambulance service shut down with only eight hours notice that they would stop operations, leaving 26 counties without 911 Emergency Medical Service (EMS). Other local providers and services were able to help provide coverage. But this is difficult with increasing fuel cost, the ongoing War on Terror and overseas deployments, shortages of personnel and lack of payments from medicare and medicaid and people without any coverage. These are all are driving the remaining ambulance providers out of business. Be safe out there! – …


Three Letters Re: Advanced Medical Care and Transport After TEOTWAWKI

James, [Regarding the letter from DS in Wisconsin:] Maybe and I mean maybe there would be someone to care for a injured or sick member of your retreat group or a doctor or nurse to look at them, probably not. If you have the gas to get them there. If you can leave enough security at the retreat and enough security to take with you. Remember, this is The End of the World as we Know It (TEOTWAWKI). There are several books that should be in a medical library you might already have them: Where There is No Doctor, Where …


Letter Re: Advanced Medical Care and Transport After TEOTWAWKI

Mr. Rawles, I have been a reader of SurvivalBlog for at least a year now, and I feel it’s time to get involved. During this time I have been adding to my preps, building a library, and re-certifying my medical credentials. I have also done a lot of reading, getting many opinions concerning the future. I found one thing that I am at a loss for, and that is the subject of this letter. In all my medical re-certification courses and also in the medical library that I have put together, I have these questions: If society does go down …


Two Letters Re: Homemade Alcohol Stoves

Mr. Rawles, The recent article on alcohol stoves made me think of these ultra-lightweight, portable alcohol stoves made out of soda cans, See this Wikipedia article. I have successfully built the original Pepsi-can version using epoxy glue, as well as the Heineken-can “penny” version. I have not tested them “in the field” but both work very well indoors, and they have impressive performance, boiling 2 cups of water in 5 minutes using only 2 tablespoons of alcohol. Those who have actually used them outdoors say they outperform other small stoves even in the most extreme of conditions. Even for indoor …


Letter Re: A Special Antibiotics-By-Mail Offer for SurvivalBlog Readers

Jim: Many SurvivalBlog readers have expressed an interest in obtaining antibiotics for emergency use, for example t be prepared for another 9/11-style anthrax attack (for which ciprofloxacin has been recommended in the past by the FDA and Centers for Disease Control) or a flu epidemic. The gentleman who owns a discount pharmacy has agreed to a solution. From now until April 30, 2008, The Medical Center Pharmacy, located in the lobby of The Hillman Medical Center at 2116 Chestnut St, Philadelphia, PA 19103, will offer for sale sealed stock bottles of 100 Ciprofloxacin 500 mg tablets in their original packaging …