Category: First Aid/Medical

Hi Jim, In SurvivalBlog 07/07/06, SF in Hawaii said:”(choose) hats and lightweight but sun blocking clothes over sunscreen.” I am a “Prototype Caucasian” who sun burns in 15 minutes (EEK!). In fact, without gloves, my hands burn while just driving my car here in Connecticut. I am a BIG proponent of sun blocking clothing, and have been very pleased with my purchases from Sun Precautions. Their clothing beats sunscreen, hands down! – Douglas in CT

Dear Jim, I’m a family physician and my wife has had Type 1 (insulin-dependant) diabetes mellitus since age 9. There’s an inhaled insulin (“Exubera,” manufactured by Pfizer) that offers some promise for long-term storage, as it’s a powder. It was released last winter, so there isn’t much clinical experience with it yet. Problems such as irregular absorption and possible lung injury are still under investigation. Oral insulin therapy may also suffer from irregular absorption and will likely have the same shelf-life issues as injectable insulins. The only practical long-term solution for the insulin-dependant diabetic is to extract injectable insulin from …

James: I was wondering what your thoughts on perishable things like insulin might be in a worse case scenario…. as it needs to be refrigerated at all times, and even if you were to get a large supply. How long could it last as it deteriorates quicker than pills…and pills might be easier to manufacture after a bad scenario whereas insulin would be very difficult to make. Diabetics would probably have a limited life in a TEOTWAWKI., right? – CWW JWR Replies: Insulin is indeed a problem for those that envision a long term socioeconomic disruption. However, I challenge the …

James: Regarding the article “Practical Skills for Surviving TEOTWAWKI, by Free Rifleman”: Intravenous (IV) fluid (normal saline) is inherently non-pyrogenic, pH stabilized, made of non-degrading substances, and packaged in a tough sterile wrapper. The biggest worry is that the packaging or drug ports may go bad from sunlight exposure. Check for sinkers or floaters discoloration or damage once you open the sealed outer bag. If you are really worried use a loop with a filter needle. Survival use of IV fluid usually implies a life is at serious risk so discretion would likely weigh toward use of a properly stored …

Sir: We bought two of these trauma kits, one for each of our vehicle’s glove compartment and we each carry one of the mini kits in our bug out bags. They’re all nicely vacuum packed in rugged plastic film and would be handy in case of an accident or as a “blow out kit” if one was suddenly “ventilated” by a bad guy’s handgun! – K. in Hawaii

Mr. Rawles: I have found no problems in getting the meds I need in bulk. I simply do not use the insurance. If you have co-pays, your co-pay generally is the cost of the medication. Do some calling to Costco and Sam’s [Club] (in the state of Florida you do not have to be a member to use the pharmacy.) [JWR Adds: I believe this is true nationwide under a Federal law that assures universal access to pharmacies.] Ask for the cash price and at least for generics you will be surprised to find out how inexpensive they can be. …

Jim: One more opinion on this, RARELY if EVER do medications cause ANY harm if taken past their expiration date. The only thing you MIGHT lose is some of the effectiveness of the particular drug. If they are stored in the oft-mentioned common sense fashion ( cool, dark, dessicant-added, etc.) meds are easily good for 5-10 years past their expiration date . I am a family doc with 27 years of experience in both the civilian and the military end of family medicine. Thank you for your daily dose of great information. – FLS   James: Your topic of stocking …

Sir: Regarding your blog entry on the subject of prescription medications, I wish to provide you with information regarding expiration dates: I work for a pharmaceutical company. While profit is a reason why expiration dates can be conservative, it is not due to “planned obsolescence.” Here is the way things work in the U.S.: drug companies are required to put an expiration date on all drugs. Companies are required to prove to the FDA that the drugs will remain safe and effective through the expiration date on the drug (when stored as described on the label). Generating that proof is …

Mr. Rawles: As my family ages we seem to be getting more dependent on prescription medications which I’m sure will limit our chances of survival in many SHTF scenarios. When family members are on long term prescriptions, it seems possible to set some aside for when the normal medical infrastructure may no longer be available. (Assuming the person they were prescribed for, maintains custody of the stashed meds, there doesn’t seem to be an obvious violation of the law. When the SHTF scenario occurs, the worry about law violations would probably take a much lower priority than physical survival.) It …

James My wife just delivered twins–one boy one girl. Blessed is Hashem who is good and does good. They were delivered in our home by a very competent French doctor. (French medical school has a much wider scope in traditional medicine.) Both babies were breach position but were delivered by allowing the baby’s to exit in a sitting position from a one leg out position (the assistant described it like a twisting motion), sadly I did not see exactly how this was accomplished and is beyond the scope of my [previous EMT] training. Childbirth is hopefully the most common major …

Sir: Has anyone, including you, ever posted information on your site regarding the application of maggots for treating/cleaning infected wounds and dead tissue? This topic ties in well with the subject of survival in worst case scenario situations. Thank You. – JD JWR Replies: I actually had that posted as one of my “Best of Readers Letters” and Replies. But so that it can be found via our search window or via search engines that employ Technorati tags, here it is again. (Scroll down to paragraph 22-3): ST-31-91B US ARMY SPECIAL FORCES MEDICAL HANDBOOK SEPTEMBER 1982 CHAPTER 22 PRIMITIVE MEDICINE …

Jim: OK, just my $.02 on the wilderness EMT article… The thing I see that’s missing from this article, and many like it is the focus on practice. I’ve been doing EMS long enough; and run enough calls to know that any EMS certification is a LICENSE TO PRACTICE medicine. People who get the training and don’t use it might be kidding themselves. “The body does well what it does often” — I can’t remember who said that, but it’s true. Most newly-minted EMTs that I work with aren’t worth squat in the field. Not until they have survived their …