Three Letters Re: Stocking Up on Prescription Medications

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 …




Letter Re: Stocking Up on Prescription Medications

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 …




From David in Israel: Home Birth Report–Twin Mitzvahs

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 …




Letter Re: Maggots for Wound Debridement

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 …




Letter from Mr. Kilo Re: Medical Training – A Course Review by J.N.

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 …




Medical Training – A Course Review by J.N.

This past month, I attended a Wilderness Emergency Medical Technician W-EMT class put on by Wilderness Medical Associates at a local university. I can say that this is by far the best survival-oriented medical training I have received to date. This particular class was geared towards those who are already certified at the EMT level. The class was intense, and I learned a lot of things that were never brought up in my regular EMT classes. To start, here is a bit of background on what levels of medical training are out there. Most of these are accessible to the …




Letter Re: Priority of Training?

Jim, I noted your recent reply to someone regarding medical training and thought I’d drop you an email.  For a point of reference I’ll first state that I’m a paramedic by trade.  Knowing all people won’t be able to take advantage of the class you reference I would suggest if people are interested in learning basic CPR and first aid courses I would highly recommend they contact their local EMS offices.  This is especially true in the rural setting as many smaller services offer courses at very low cost.  For those that may have a little time on their hands …




Letter Re: Priority of Training?

Mr. Rawles: After reading your novel [Patriots], I realize that I’ve lot to learn to get truly prepared. I’m especially worried about the Asian [Avian] flu. If a human-compatible form of it hits nationwide, I think that things are gonna come positively unglued in the big cities. (Just like the picture of the collapsing infrastructure that you painted in your novel.) We are living in a house of cards. The interdependencies are so far-reaching that they make the prospect of a collapse frightening. I’m getting my “beans bullets and band aids” lined up quickly, but what about training? What’s the …




Letter Re: Alternate Sources for Pharmaceuticals

Hello Mr. Rawles Several years back, I would go with my church on mission trips to Northern Mexico, while there I would stop at the local Pharmacies and stock up on antibiotics. I bought several full treatment doses of Zithromycin, Cipro, and some Neosporin eye drops, and paid less than $50.00 American for all of it. It was not out of some dusty bottle off a dirty shelf, but boxed and in foil packs for long term storage in a clean modern Pharmacy with an English speaking pharmacist. They also had a more realistic shelf life than we have here …




David in Israel Replies to Letters Re: On Suture, Staples, and Glue for Wound Closure

The letters stating that only trained people should suture wounds are absolutely correct, you must be trained and it definitely falls into the category of a “skilled intervention.” Clearly, I did not stress this enough. A good way to get an basic level (non-skilled) orientation to using medical skills is ride along with fire and EMS, Hospitals may allow observers in the ER and other wards if you can find a good reason. A good way to form a relationship with health care providers in this situation is to do research for writing a book. After the releases are signed …




Product Review: Safecastle’s New Compact “ScramKit”

A SurvivalBlog reader in Montana recommended that I take a look at the new compact “ScramKits” being offered by Safecastle. I must say that I’m impressed. They pack a lot of survival gear into a very small space. Their “Responder Personal” kit is in effect a miniature “Get Out of Dodge” (G.O.O.D.) kit or “bug out bag” (BOB) that you should keep in your car’s glove box or center console box at all times. This kit fits in its own heavy duty belt pouch (available in three different colors) with ALICE/MOLLE attachments  I think that the ScramKit makes the ideal …




Two Letters Re: On Suture, Staples, and Glue for Wound Closure

James: After reading David in Israel I had a few further suggestions. All open wounds do not have to be sutured, in fact most wounds that are dirty should not be sutured but allowed to drain, and heal by “secondary intention” or basically healing from within. Not all soft tissue wounds need to be cleaned, and dead and nonviable tissue trimmed away. Abscess and further extension of infection can occur with a dirty wound that it sutured closed. Wash with copious amount sterile water, dilute betadine, or dilute hydrogen peroxide. Non dilute solutions often can cause more damage to the …




Letter Re: Getting Your Group to Buy In: The $20 Medical Kit, By EMT J.N.

Dear Mr. Rawles, I was very interested in the blog on the $20 medical kit. I was thinking of the situation where in the event of a major storm, hurricane, blizzard, fuel crisis, nuclear attack or where transportation and communications are severely disrupted over a wide area for an extended period, it may not be possible to get to the doctor or pharmacy or if one could get there, it may not be open due to a lack of electric power or severe damage to the facility. Instead of discussing a group buy, a more practical approach may be the …




From David In Israel: On Suture, Staples, and Glue for Wound Closure

One of the most used high skill medical interventions is suturing. In times of disaster when qualified medical practitioners are not available, suturing can be performed easily as long as it is not in nerve rich areas such as the face and hands. (Sutures in these areas could cause debilitating nerve damage and should only be attempted by a person that is specially trained.) 1- Suture. I will not attempt to describe the knot in writing but practice with forceps and pre-threaded suture packs on raw chicken or turkey skin on the bird (sew then eat). Keep Ethylon 5 and …




Letter Re: Supplementing The Medical Kit

Mr. Rawles: The two links listed below provide good basic information to supplement the low cost medical kits previously discussed on your site. This information is available free for downloading and printing. This link is to the Virtual Naval Hospital which is being discontinued due to a lack of funding. It was set up for use by military medical personnel: http://www.vnh.org/ The link below is another free link that was mainly for use where there is no doctor and pharmacy available and would be helpful in an emergency situation. One example of a good source of information is Chapter 7 …