Letter Re: Packing your Bug Out First Aid Kit

Mr. Rawles,
After reading J.V.’s article on “Packing your Bug Out First Aid Kit” I feel the need to comment on his approach to anesthesia. Anesthesia as practiced today is safe and effective due to the training and equipment modern medicine provides. The technique of “open drop” anesthesia, which is what J.V. describes, was utilized until the mid 1960s. Aspiration, anesthetic overdose leading to respiratory or cardiac collapse occurred in major hospitals at an alarming rate. Current anesthetic death rates run at 1:30,000 cases, while in the late 1950s (a comprehensive study out of Boston) showed anesthetic mortality of 1:1,500. This poor outcome was in centers with the finest equipment and training of the time. What J.V. proposed is completely untrained individuals using diesel primer to attempt this technique on injured friends and family. I am a board certified anesthesiologist in practice for 20 years and I would not even try this if I had a bottle of medical grade diethyl ether and diesel primer is not pure diethyl ether. It contains petroleum oils that if inhaled could cause an acute lung injury. This would be just as fatal as an anesthetic overdose, just not as quick. 

Anesthesia is not a binary state of awake or asleep but rather a continuum. To perform a safe anesthetic of this type you must be able to vary the depth of anesthesia in relation to the surgical stimuli. There are time lags between administration of the anesthetic agent and its physiologic effects. Not understanding this aspect alone could cause someone inadvertently kill another by overdose. Being a prepper and an anesthesiologist, I have spent some time attempting to build a reasonable medical kit. Given the facts above, I have focused on local infiltration and regional anesthesia as the techniques of choice in the event of the end of modern medicine. Regional anesthesia focuses on blocking specific nerves using the injection of local anesthesia. There are some significant advantages to this technique:
First, the patient stays awake. Being able to talk to your patient is the best way to assess how they are doing. Second, you provide post operative pain control. Third, the equipment is portable, small and light. Regional anesthetics require a needle, syringe and local anesthesia. Local anesthetics such as lidocaine, bupivicaine and tetracaine are inexpensive, non addicting and not controlled substances. While regional can be an effective anesthetic for many surgical procedures, it is not well-suited for cases involving the chest, neck or head. However, in these cases, serious injury would most likely be fatal in a grid down situation.  Performing a regional anesthetic takes years of practice and training. 

I would caution readers that regional anesthesia is technically difficult and in untrained hands dangerous. While prepping is about being prepared, there are limits. If you are thinking about how to live in a grid down situation you are also accepting that medical care will rapidly slide back to the 1860s where most gunshot wounds resulted in amputation for the lucky and death for the rest, infant mortality was 10% – 15% and everyone knew someone that had a wife die in childbirth. Life will be brutal and short.

My best advise on how to prep fro m a medical standpoint is get all your vaccines up to date, have some antibiotics on hand, have some basic medical supplies, live healthy, pray hard and let the folks you care about know you love them.  If the grid goes down, most of the medicine provided for the seriously injured will be love, prayers and compassion as you watch them die.  You just can’t prep for the skills and missing infrastructure that medicine requires. – Dr. John F.

Avalanche Lily’s Bedside Book Pile

Here are the current top-most items on my perpetual bedside pile:

  • I got sidetracked from my planned queue of review books to read the autobiography Fingerprints of God by O.A. Fish. One of our readers sent it to me, thinking that I might enjoy it. O.A. reminds me that yes, God can ask us to do projects that would be impossible to do with just our own knowledge, wisdom and expertise. But through our daily petitioning and dependence upon Him, He will perform miracles. He will bring the people into our lives through divine appointment who are willing and able to perform the tasks to complete projects. God called O.A. and his wife to build a Christian camp on their property in North Carolina. Each chapter tells of how God brought one person after another to help in all the various aspects of building and running a camp, from building the house, digging the lake and pond, clearing brush, and even lawyers to help with finances, permits and taxes. Each of these people heard the story of what God was doing and how God led O.A. to them. They also caught the vision of the camp, offered their services and gave God all the glory. Some of you may ask, “Well, what does this have to do with SurvivalBlog topics?” My answer is: If we have a close daily walk with the Lord Jesus Christ from Nazareth (His correct title), then the Holy Spirit will guide us in every difficult situation we may encounter in our lives, now and in the event of TEOTWAWKI. Now is the time to develop the ability to hear His quiet voice guiding us! I do recommend this book. The Holy Spirit definitely guided Jim and I to meet each other much the same way as He guided O.A. Fish to build his camp.
  • Jim and I are slowly working our way through the Northern Exposure television series episodes on DVD. We are now starting into the second season. This is definitely not a show for kids. We enjoy watching it mostly because there are several characters that remind us of the real-life characters that live nearby us, here in The Un-named Western State (TUWS). The dialogue is witty, but there are a disturbing number of moral lapses portrayed, often without corresponding consequences. That is disappointing.

Economics and Investing:

Produce prices skyrocket with freeze in Mexico, Southwest. Stock up on dehydrated veggies, now!

Sid C. sent a link to some more about those fake Morgan Silver Dollars made in China. This television news piece mentions a couple of key indicators that you can use to detect fakes.

G.G. sent this: White House Expects Deficit to Spike to $1.65 Trillion

Goldrunner: The Golden Parabola

F.G. flagged this one: Will Chocolate once again become a rarefied luxury?

SAA Joe mentioned: U.S. Corn Reserves at Lowest Level in More than 15 Years

J.D.D. spotted this: Alan Simpson: U.S. Deficit Is ‘a Disaster’

Odds ‘n Sods:

Great news for Swiss gun owners: Swiss voters throw out gun law reform. I’m sure that Pro Tell members were instrumental in rallying this vote for liberty. (A hat tip to M.O.B. for the link.)

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Some SCA types muse about WWIII and societal collapse in a rousing filk ballad: Serious Steel. Despite the reference to “The Crunch”, I can’t claim to have had any influence on them. If anything, I think that they’ve been reading S.M. Stirling’s excellent “Dies the Fire” series rather than my novel “Patriots”. (Thanks to Alan B. for sending the link.)

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I just heard that Ready Made Resources now has in stock a small supply of “Just In Case” seven day food supply units from Mountain House. These are great to include in your bug out tote bins. They are  $129.95, shipping paid. I don’t need to tell you how scarce Mountain House foods have become in recent months. The supply on these particular units is so small (just 15 cases), that they are not listed on the RMR web page. Call them for details: 1(800) 627-3809.

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Pierre M. suggested this news story: South Korea chaos after ‘heaviest’ snowfall

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Readers in Canada will be happy to find an Ontario-based dealer with products available without the Customs Canada hassles normally associated with mail orders: Providence Supplies.

Jim’s Quote of the Day:

“At any given moment there is an orthodoxy, a body of ideas which it is assumed all right-thinking people will accept without question. It is not exactly forbidden to state this or that or the other, but it is ‘not done’… Anyone who challenges the prevailing orthodoxy finds himself silenced with surprising effectiveness.” – George Orwell

Note from JWR:

Great news! The recently-completed SurvivalBlog archives database will allow us to produce an archive CD of all of the SurvivalBlog posts from 2005 to 2010. It will be fully searchable, and will be provided in both HTML and PDF. Effectively, it will emulate SurvivalBlog offline, on your PC or Mac. With this CD-ROM, you’ll always have access to the SurvivalBlog archives, even if the Internet is not available. And if you are on-line while using the CD-ROM, then the links to external web sites (from both HTML and PDF) will be fully functional.

The amount of information on the archive CD-ROM is immense. The HTML file has 44.6 megabytes of text and the PDF is more than 7,200 pages long! (So I don’t recommend printing a hard copy.) The new CD-ROM should be orderable from our Cafe Press store within a couple of weeks. (Please be patient.)

The Archive CD-ROM project is now in Beta testing. I’ll post an announcement once the CD-ROMs are orderable. The price should be around $20. Subsequently, we also plan to produce annual update CD-ROMs, with additional bonus materials.

America’s Transition to Preemptive Law Enforcement

There is a disturbing trend in American law enforcement and in our courts: They have been enforcing nonexistent laws, misapplying laws, arresting people who are obviously innocent, and arresting people on suspicion that they might be thinking about doing something illegal. This is similar to the policing philosophy in England, where police often preemptively detain people and seize household goods “for the safety of all concerned”. In my estimation, this is just one notch below arresting folks for “thought crimes” (a la Orwell’s novel 1984) or “pre-crime”, (a la Philip K. Dick’s novella that became the movie Minority Report.)

Here are some recent examples:

  • In 2006, Ward Bird of Moultonborough, New Hampshire was legally carrying a firearm on his own property when he warned a mentally disturbed woman trespasser to leave his property. She later filed charges against him and he was convicted of “Criminal Threatening.” (The jury was not allowed to hear about the woman’s mental history nor her long history of filing frivolous lawsuits.) His sentence was later commuted, but he didn’t get the full pardon that he deserved. As a convicted felon he can no longer vote or own a gun for the rest of his life.

The most recent article about Rev. Henry bothers me for several reasons:

1.) From the report, all of the guns seized seem to be perfectly legal, and the largest number of any category seem to be .22 rimfires. (I counted 54 of them listed.) This is hardly some would-be mass murderer’s arsenal.

2.) The report listed all of the guns by serial number. So they obviously ran traces on them. But there was no mention of any of the guns being stolen or in an illegal
| configuration.

3.) Since when is being a clergymen incompatible with being a gun collector? If it were, then they’d have to defrock more than 70% of the ministers who live in the southern and western United States.

4.) Why did the police lay out just the black guns from Henry’s collection for the press photographers? (I guess that the majority of guns with wood stocks looked too mundane and nondescript, hmmm?)

5.) Why would the guns and ammo even be seized at all, without a criminal charge or even reasonable suspicion to believe that a crime had been committed?

6.) Why do the police so consistently store seized guns by tossing them in garbage bins, resulting in lots of dings and scratches? Would they treat someone’s collection of Meerschaum pipes, antique radios, or Hummel figurines the same way?

7.) What exactly constitutes “too many” guns? (Where I live, 230 guns would be considered “a real nice collection”, but in Texas, Rev. Henry would just be considered a novice collector.)

8.) Since statistically cars kill more people than guns each year, then why is a big collection of fast cars cause for admiration, but a large gun collection cause to suspect the worst? (Unless, of course you are an anonymous millionaire.)

Conclusion

I urge SurvivalBlog readers to be vigilant. If you see or hear of incidents of “pre-crime” policing going on in your community, then speak up about it quickly and vociferously. Cell phones equipped with built-in video cameras are now ubiquitous, so film everything if you witness a questionable encounter with law enforcement, or have one of your own. Offer to help with the legal defense of those that are wrongly accused. Write letter to the editor of your local newspaper. If the “pre-crime” policing trend is allowed to continue, we can kiss the Fourth Amendment goodbye. We must be just as steadfast about the Fourth Amendment as we are about the First and Second Amendments!

I also urge law enforcement officers to show restraint when in doubt about the innocence of a suspect. You never know when you are going to push a wronged person the wrong way. You might end facing a Brian Christine, or a Gordon Kahl, or a Joe Stack, or a Carl Drega. Whether they are right or they just feel that they’re right, sometimes people are willing to stand up and fight to the death if they believe they’ve been wronged.

Letter Re: Advice on Shotgun Shells to Store

James: Some of your SurvivalBlog.com posts recommend storing 500 rounds per shotgun, but does not mention which types of shells.

How much should I stock of the following: Slugs, 00 Buckshot, #7-1/2 birdshot, #8 birdshot.

How many of each? Any other 12 gauge ammo type?  Also, what shotguns do you use?   Thanks for publishing a great blog! –  Jim B.

JWR Replies: The ratio of shells that you store all depends on where you live.  Do you live in duck country?  Quail country?  Rabbit country? Deer country?

If you live in duck country, then you should buy mostly #2 or #3 birdshot. (I used to use #4 lead shot, until steel or tungsten shot became mandatory.) In grouse country #6 birdshot should be your priority to stock. I like to keep a lot of the #6 size shot on hand because it can also be used to shoot rabbits. The #7-1/2 or #8 birdshot is preferred by most shooters for grouse, doves, ptarmigan, and pigeons, but I generally use #6 birdshot because of its greater versatility. (I’ve also found that my Saiga semi-auto shotguns are not reliable with smaller shot, but they cycle exceptionally well with #6 birdshot when the gas port is set to “1”–wide open.) I do have a couple of cases of #8 shot 1-ounce low base loads that I keep on hand for garden pest shooting, but that is mainly when I don’t have a .22 rimfire handy.

I generally prefer #4 Buckshot for self defense–not 00 or 000 Buck. I only have about 100 rounds of 12 gauge rifled slugs, since rifles are more appropriate than shotguns for deer hunting here in The Un-named Western State. BTW, I’m planning to test the new Hexolit slugs, once I find a stocking dealer in my region. That might become my preferred self-defense load, to alternate in my magazines with buckshot.

FWIW, I do not recommend any of the exotic shotshell loads that are heavily marketed at gun shows and in gun publications. “Dragon’s Breath” for example, is just an over-priced novelty item. I do have a few tear gas “Ferret” rounds, but I wonder if a situation that warrants their use will ever arise.

You asked about shotguns. I’m mainly a rifle shooter, so I don’t own many shotguns. Here at the ranch, our family has:

  • A Remington Model 870 Marine (corrosion-resistant variant) 12 Gauge with a black fiberglass stock and foreend.
  • A Remington Model 1100 “Youth” 20 Gauge.
  • Several restored Winchester Model 1897 12 Gauge. All of these are 1898 production, so they are Federally-exempt antiques.
  • Several Saiga 12 semi-autos. Some of them are waiting for the forthcoming Kushnapup bullpup stocks, while one is about to be converted by Tromix Lead Delivery Systems into a folding-stock gun. (Since left-handers cannot use bullpup shotguns.) All of our Saigas will soon be fitted with Monster Brakes that I ordered from Carolina Shooter’s Supply. The barrels will be cut and the brakes will be high temperature silver-soldered on by a gunsmith, yielding a 18.5-inch barrel length when completed.

Letter Re: Do-It-Yourself Campfire Starters

Dear Mr. Rawles,
First thank you and thank you again for your wonderful web site. I feel I have learned so much by reading it. I developed lots of important ideas good not only for emergencies but for more “mundane” preparedness.

I want to share with you and your readers how I make simple and inexpensive fire starters for the fireplace, grill or campfire.

I get a pound of Gulf Wax [canning paraffin] ($3 dollars per box) and melt it in a mason jar in a pot of boiling water. I then take finely shredded office paper (free) and stuff it into egg cartons until they are about 3/4 full. Then I top off each compartment with the melted wax. I can make about thirty of these with a pound of wax.

They light easily and burn for about 12 minutes. They give off a lot of heat and I can start even slightly damp wood with them.

I compared the heat given off by fire starters with sawdust and drier lint by seeing how long I could hold my hand over the flame. The paper ones won hands down (no pun intended). Plus, I don’t worry about synthetic fibers from the drier and I don’t worry about wood preservatives or coatings in my saw dust. This is a must when starting my grill.

The cost is about ten cents each. Of course it would be less with waste wax from candles. I’ve heard crayons work too.

God Bless, – Bennington

Economics and Investing:

John R. sent a Seeking Alpha article with some confirmations of my warnings to SurvivalBlog readers since 2006: Derivatives: The Real Reason Bernanke Funnels Trillions Into Wall Street Banks. Here is a quote from the article: “Of course, Bernanke tells the public and Congress that the reason we need low interest rates is to support housing prices. He doesn’t mention that $188 TRILLION of the $223 TRILLION in notional value of derivatives sitting on the Big Banks’ balance sheets is related to interest rates. Yes, $188 TRILLION. That’s thirteen times the US’ entire GDP, and nearly four times WORLD GDP.”

Some insightful commentary from Charles Hugh Smith: Travesty of a Mockery of a Sham, Phase II

Imprisoned economist Martin A. Armstrong opines: The Egypt Crisis Will Engulf The Arab World, And Then Spread To Europe.

Items from The Economatrix:

MetLife Profits Fall 74% as Derivatives Loss Widens  

Odds ‘n Sods:

We are happy to welcome our newest advertiser, Missouri Storm Shelters. They have some innovative designs (pre-fabricated, bolt-together, and poured concrete), competitive pricing. They ship their metal shelters nationwide.

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Finally! Atlas Shrugged (Part 1) will come to theaters on April 15th.

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A recent post over at the Paratus Famila blog, is great reading: Country Wisdom.

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Curiouser and curiouser: The leaked campaign to attack WikiLeaks and its supporters. (Thanks to David D. for the link.)

Jim’s Quote of the Day:

“Americans are in the process of ruining themselves. They are transforming assets into liabilities, trading the real wealth that was built up over generations for the quick fix of debt. The ‘equity’ they own in their homes has fallen to its lowest level since the government began tracking it in 1965. The asset – the home – has been replaced by mortgage debt.” – Bill Bonner (Editor of The Daily Reckoning)

Notes from JWR:

Brother, Can You Spare a Terabyte? I’m still searching for an offshore server where we can house a mirror site for SurvivalBlog. The plan is that it will be automatically updated daily, fully mirroring the blog. Our current dedicated server in Utah (with the fine folks at NetFronts) works great. It is currently humming along nicely with 99%+ up-time, processing about two terabytes of SurvivalBlog bandwidth monthly. NetFronts has exceptional customer service and I have no plans to change my relationship with them. I anticipate that a SurvivalBlog mirror site will use just a fraction of the bandwidth of that used on our primary server. The goal here is to have redundancy in case the blog site is maliciously hacked, or it is shut down by a misguided bureaucrat who can’t understand the First Amendment. Ideally, the mirror server would be located in a stable country that does not have close ties to the U.S. government. Perhaps in Finland, Switzerland, Sealand, the Czech Republic, Portugal, Thailand, an island nation in the Pacific, or a nation in the southern tier of South American countries. Please let me know of you know of a company with server space that is available inexpensively. BTW, I am not presently looking for a mirror site in the U.S. or Canada. (My thanks to the several readers that have offered.) It is a question of priorities: I need to get the offshore mirror set up first.

—

Today we present another three entries for Round 33 of the SurvivalBlog non-fiction writing contest. The prizes for this round include:

First Prize: A.) A course certificate from onPoint Tactical. This certificate will be for the prize winner’s choice of three-day civilian courses. (Excluding those restricted for military or government teams.) Three day onPoint courses normally cost $795, and B.) Two cases of Mountain House freeze dried assorted entrees, in #10 cans, courtesy of Ready Made Resources. (A $392 value.) C.) A 9-Tray Excalibur Food Dehydrator from Safecastle.com (a $275 value), D.) A 250 round case of 12 Gauge Hornady TAP FPD 2-3/4″ OO buckshot ammo, courtesy of Sunflower Ammo (a $240 value), and E.) An M17 medical kit from JRH Enterprises (a $179.95 value).

Second Prize: A.) A Glock form factor SIRT laser training pistol. It is a $439 value courtesy of Next Level Training. B.) A “grab bag” of preparedness gear and books from Jim’s Amazing Secret Bunker of Redundant Redundancy (JASBORR) with a retail value of at least $300, C.) A $250 gift card from Emergency Essentials, and D.) two cases of Meals, Ready to Eat (MREs), courtesy of CampingSurvival.com (a $180 value).

Third Prize: A.) A Royal Berkey water filter, courtesy of Directive 21. (This filter system is a $275 value.) , and B.) Expanded sets of both washable feminine pads and liners, donated by Naturally Cozy. This is a $185 retail value.

Round 33 ends on March 31st, so get busy writing and e-mail us your entry. Remember that articles that relate practical “how to” skills for survival have an advantage in the judging.

Packing Your Bug Out First Aid Kit, by J.V. in Tacoma

The contents of a bug out first aid kit should not only contain band-aids and other such dressings for minor wounds.  The bug out first aid kit should also contain a vast amount of items in various classifications to be discussed below.  The use of these items has been historically documented, however care should be used in their administration and these items should be used only as a last result when no other means of medical care are available.  Persons should use these items if death is imminent and the risk of using these items would not sufficiently out weigh the potential benefits of their use.

During a survival situation, regardless of length or severity, one must constantly use what is commonly referred to in the military as operational risk management (ORM) goes through the steps to determine if the risk outweighs the potential benefit.  This type of determination can best be envisioned by determining whether one should bug out or hunker down in place.  Every single aspect of survival must be weighed to determine if the benefits are greater than the potential risks, this includes advanced medical techniques.

One of the first most important things that anyone can have in their bug out bags (or more specifically in a unit standardized location on their person) is a quick application tourniquet.  These range from varying styles and applications, though my preferred one is the Combat Application Tourniquet (CAT).  These can be had for anywhere from $15 to $20 from various web sites and various police supply stores.  Items such as these are extremely effective when used in an ambush situation where someone has sustained a wound to the extremities.  Ideally the injured person would be able to place this on himself and continue to put lead down range.  Remember what I told you last time, the most effective preventive medicine is overwhelming, well-aimed firepower.  Another way of stating this is if you kill all of the enemies you will not have to mop up as many bodies and blood of your comrades as if you didn’t defeat them.

Another thing that everyone should consider, as I previously mentioned, is a surgical kit.  These can be had from numerous sources on the Internet.  Be sure to get something that is stainless steel and can thus be sterilized with high temperature steam, such as that found in a dishwasher.  I do not recommend using a dishwasher a a sterilization method in a Rule of Law situation, however it will suffice if that is the only means of sterilization around.  Ideally I would boil the stainless steel surgical instruments in water over an open flame for one hour.

Along with a surgical kit every bug out medical kit should contain some spray bottles of Diethyl Ether, also known as Diesel Engine Starting Fluid.  This was originally used as early as 1846 as an anesthetic.  This will be of untold importance when the need arises to handle appendicitis (to be covered in a later article), Caesarean section deliveries , and even the resetting of broken bones.  Hand in hand with the Diethyl Ether should be some extra large coffee filters, at least two packs.  One simply places 10-15 coffee filters together and sprays the ether on them for approximately 2-3 seconds then immediately places it over the nose and mouth of the individual to be sedated, allowing them to breathe in the fumes.  This will allow for a numbing effect similar to that of modern anesthetics. [JWR Adds This WARNING: Please see the many warnings about ether that have been published in SurvivalBlog! Ether and chloroform can be very tricky to use, with a high risk of accidentally killing your patient. Ether is also very flammable, and it has some of the same un-even dosing and side-effect issues as chloroform. I would recommend it only for someone with current training in anesthesia, and only as a last resort if no modern anesthetics were available. Also note that engine starting fluids sold commercially are not pure Diethyl Ether. They commonly include other fractions including petroleum ether (naptha), unspecified “petroleum oils”, and heptane. They should not be used medicinally!]

Survivalists should be cautioned against the use of Chloroform as an anesthetic.  Although it is effective as an anesthetic it also has some unfortunate side effects that are difficult to manage in a kitchen table surgery scenario.  Side effects include intense vomiting, nausea, gastrointestinal problems, headache, confusion,  cardiac arrhythmias, kidney and liver damage. [JWR Adds: See the preceding warning. It has also been identified as a carcinogen.]

Survivalists should also have the books mentioned in previous articles, Emergency War Surgery, Ditch Medicine, and the U.S. Navy Hospital Corpsman handbook.  This books will prove invaluable when dealing with problems ranging from splinters to abdominal eviscerations (guts hanging out).  One should also be well versed in various surgical techniques that may become vitally important.  Various techniques to study would be appendectomies, cesarean sections (discussed in a later article), tooth extractions and treatment of gunshot wounds in various parts of the body.

The bug out medical kit should also contain some sort of anticoagulant/blood stopping devices.  Many such devices are readily available both online and at police supply stores.  These devices range from Hemcon, Quik-Clot, Celox and Zeolite.  There has also been some progress shown in some of the potato based products, however these have yet to be released to the civilian market.  Something to consider when using a hemostatic agent such as those listed above are the need for both water to minimize heat transfer, gloves to prevent the person using the agent from getting burned, and the need to surgically remove the particles once the bleeding has been stopped and operational time permits.

I would highly recommend the survivalist from using hemostatic agents except in the case of sever uncontrollable bleeding to the neck, face, or head.  These agents are not to be used, under any circumstances, in the chest or abdominal area as they may interact with the lungs and/or be absorbed by the organs in the stomach area.  For most cases of bleeding on can use a tourniquet and be just fine, however hemostatic agents are useful in the neck, face, and head provided the airway is still intact and the airway will not absorb the particles.

Every bug out medical kit should also contain a basic complement of medicines.  Whether the medicines have expired or not will have some effect on them, however most medicines can be equated to nuclear materials.  The FDA recommends medicines to expire in half the time of their half life.  That means that if you double the time the FDA states the drug is to expire after manufacture it will be half as effective (more or less there is a little more involved than this, but this is just a dummied up version to illustrate a point), if you expand that time frame out again it will now be ¼ effective.  So on and so forth throughout the life of the medicine.

Some medicines to consider would be anti-histamines such as Benadryl, sudafed, and dramamine.  Pain relievers such as Motrin, Tylenol, and Aleve.  Cough medicines such as Dimetap, Guaifenesin, and Dextromethorphan.  Also one should include at least a 3 month supply of any medicines they take on a regular basis such as heart medicines, cancer medicines, asthma inhalers and any other medicines taken on a regular basis.  One might also consider the benefits of including such medicines as are beneficial in the treatment of nuclear exposure. 

Medicines for the treatment of anthrax exposure include ciprofloxacin, amoxicillin, and doxycycline.  These medicines have efficacy for treatment of plague, tularemia, brucellosis and Q Fever.  Medicines for the treatment of Ricin poisoning include activated charcoal (which has many other uses in an end of the world medical sense).  A good web site to consult in regards to symptoms and treatments for many CBRNE agents is the eMedicine library.  Another good resource is the Army web site for CBRNE training.  One will notice that in addition to the distance courses offered online they also offer the opportunity for civilians to attend the classroom based courses for a minimal fee.

This list is not an all inclusive list, however it is designed to give the survivalist ideas that not most think of when it comes time to organizing a survival medical bag.  Due to the very nature of survival and different mindsets and preparedness/knowledge levels individual kits will vary greatly.  As stated previously the individual survivalist (or survival groups) must evaluate their own ORM and determine what types of items they would be most likely to use in the event of a complete breakdown of the health care system.  They must then determine what is beneficial, or potentially beneficial to them and load up the supplies accordingly.

It should go without saying, however given the current state of the entire world’s IQ I feel the need to emphasis that any medications or tools included in the bug out medical bag should be known backwards and forwards.  The survivalist should strive to understand not just the intended uses of such items, but also the side effects, alternative uses, possible interactions and means by which the devices work.  One should endeavor to understand all the finer aspects of the molecular interactions that medicines have on the body, for each medicine used.  It is instrumental not just for the individuals survival but also for that of the group.  The survival medic must endeavor to learn all they can about anatomy and physiology, molecular biology, pharmaceutical biology, neurobiology and pharmacological interventions for common diseases and injuries.  Being a survival medic is a life of constant, never ceasing learning and understanding of the greatest system of them all, that of the human body and it’s interactions with the world we currently or may in the future live in.