Tag Archives: medical

Vehicle stuff

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As I mentioned earlier, one of my regrets is that I didn’t take my FAK with me on my trip to Venus Jr. I was wondering if, in fact, I had in that FAK the items I would have needed for that particular episode…specifically, a non-adhesive dressing of some type, some rolled gauze, and some tape. Turns out, yes, I had all that in there. Cool. But then I figured I better double-check what might be lacking. As it turns out, I seem to have never gotten around to distributing burn jel into that particular kit. So, off to Amazon for Burn Jel…both the ‘ketchup packets’ of the stuff, individual dressings, and a bottle of the stuff.  I’ve used this product in the past for some kitchen accidents and it works wonderfully. In fact, I’ve had some burns bad enough to keep me awake at night and this stuff has made it so I can sleep.

This little episode of gear-inspection was also driven by the need for me to review, update, replenish, and re-gear my in-vehicle supplies. In the winter I try to keep a big ol’  Pelican case of winter survival gear in the vehicle ‘just in case’. But, during the summer-ish times there’s not as much need for that much bulk and mass taking up space. Since the summer stuff doesn’t require as much bulky clothing and sleepgear as winter, I use a medium size pack. Its the well-made and highly-recommended SpecOps Brand Recon Ruck.  Don’t let that MSRP fool you, they can be had for a lot less. I think I got mine on sale somewhere for around $80..but, that was a while ago. Anyway, the nice thing about it is that it can be used as a non-frame pack (like a Med. ALICE pack) but can also be used in conjunction with an ALICE frame, which are pretty ubiquitous and affordable. Yeah, the ALICE was supplanted by the MOLLE packs but this isn’t for humping the boonies, its for just keeping my gear in one place. Anyway, highly recommend.

The only real difference between the winter and summer gear is, as I said, bulky sleeping gear and extra clothing. I don’t carry extra water because SOP is to have a 5-gallon jerry can of the stuff on hand.

I live in one of the more densely populated parts of Montana, so sitting on a road somewhere and not seeing a soul for days at a time is fairly unheard of. However, I don’t plan to never stray from this part of Montana. Sometimes I like to go to gun shows in far and distant lands..like Kalispell, Butte, Helena, Billings, etc. And then there’s a much greater possibility that a vehicle issue might put you in a position to twiddle your thumbs for quite a while. But, between the standard vehicle gear and my Bag O’ Tricks, I like my odds.

And, of course, no matter the season the prevailing wisdom is Stay With The Vehicle. Or Else.
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If you find this entertaining, please consider ….

Bag O’ Tricks – Owie version

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The problem with posting about anything you carry around or store is that, no matter what it is, there’s always some moron who says “What if…”. For example, if you say you have enough fuel stored to run your generator for three weeks, they’ll chime in with something brilliant like “But what if the disaster runs four weeks?”. If you said you had fuel for five years they’d come back with “Yeah, but what if the disaster runs six years?”. I genuinely believe that if you said you had enough food to last you fifty years they’d come back with “But what if the disaster lasts 51 years?” and not realize they’re being idiots.  It’s because of morons like that I usually don’t bother giving exact quantities of things I keep around. It’s just so irritating, y’know?

Anyway….

From time to time, I mention the Bag O’ Tricks. It’s nothing dramatic, it’s just a bag with a lot of things that would be useful across the board if I get caught somewhere. It’s not a ‘get home’ bag, it’s not a ‘bugout bag’, and it’s not a ‘bailout bag’. It’s just a bag with things that I like to have around in case something unexpected happens. I’ve mentioned it before. Matter of fact, last time I was asked about it the response I gave was very similar to the opening paragraph:

The problem is, no matter what I write, some idiot will chime in with “But what about…”, “You dont need…”, “You should have….”, and that sort of thing. I’ll give you an example… everytime someone posts something about how much food they have it goes like this: “We keep enough stored food for [X] months” and someone says “But what if the disaster goes on for [x+1] months?”. Doesn’t matter how long the timeframe is…if I said I had enough food for twenty five years some idiot will jump in with “But what if the crisis lasts 26 years.” Those kinds of conversations annoy me to no end. So…no junk-on-the-bunk dumpout of the Bag O’ Trick. Just a once in a while thing where I pull something out and mention it.

So, whats in the bag? Well, I’ve touched on a couple things that I keep in there. But, of course, there’s more. Imma pull an item out at random and we’ll see how that goes. :::fishes around in bag:::

Behold:

On the right is the Maxpedition first aid pouch. It’s got QuickClot, compress banadges, rolled gauze, various bandages, tape, pads, non stick pads, burn gel, triple antibiotic, etc, etc. (And by “etc”, that probably covers 90% of “What about…”). These aren’t supposed to be an ‘end of the world’ type of thing…they’re just to let me get myself patched up and functionable until I can get to a more detailed treatment. Woulda come in dang handy a week ago.

On the left is the very nice tourniquet kit from North American Rescue which I’ve posted about before. These kits, as well as the individual tourniquets, come on sale every so often and I really would recommend at least a couple. I also strongly encourage you to pay a little more and buy directly from NAR because the Chinese fakes of these are all over eBay and Amazon. This is not the sort of gear you want to take chances with and try to save $15 by getting one off eBay no matter how honest the seller seems. Don’t do it.

Both of these have MOLLE webbing and straps so I normally just attach them to each other to keep them handy. I do, however, need to get a nice waterproof bag to keep them in since you never know what sort of conditions you’re going to be under when something goes wrong.

But, there you go….one more trick outta the Bag O’ Tricks.

Fall guy

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I’m not super-extensively well-travelled. I’ve been to portions of Europe several times, but in a touristy capacity. I’ve never been to the ‘stans or that region. But..I can say that I’ve seen varied living conditions to give me a pretty broad base of experience.

So, I ask with all sincerity, why…why…WHY,,would anyone live in Texas? I just spent a couple days in the Houston area and I have never, ever, EVER!!11!11111 seen a climate less hospitable to human life. There was heat, humidity, fire ants, scorpions, and unrelenting sun baking everything. People say “So what? You just go from one air-conditioned building to another.” Dude, if you want to live in an artificial environment because the natural one outside your door will freakin’ kill you then you may as well be living on Mars. SpaceX needs volunteers to colonize Mars? Send the Texans…theyre already living in a climate that will kill you just as soon as look at you. They actually went to war with Mexico for that place? You know that saying, “All my exes live in Texas?”…well, yeah..because most people tell their exes “go to hell”. Well, there you go!

So..why was I there? I was helping someone move. I volunteered. And since I had to fly, I mailed a Glock and S&W 642 to myself ‘just in case’. What I did not mail ahead, and I should have, was one of my IFAKs. I didn’t want to take one in my luggage because I didn’t feel like having the grepos at TSA rummaging through my QuickClot and Dermabond. Bad move. Why?

Well, after several hours of unloading a storage unit into a rental truck in 103 degree heat, being covered in dirt, bruises, scrapes, and sweating faster than I could powerload on Gatorade, it was time to wrestle a ginormous fridge up the ramp to the truck. And….at the top of the ramp, it went sideways. I jumped clear to avoid ‘death by Frigidaire’ and I rolled up to my feet. The fridge missed me but I was a tad bruised.

  • Them: are you okay?
  • Me: Yeah. The only thing that can kill me is me.
  • Them: are you sure you’re okay?
    Me: Yeah, my heel feels a bit weird though.

And I took off my shoe and beheld this:

A close look showed a hole in the bottom of my shoe. When I leapt clear of the ramp, one foot landed in a bin of tools. Something drove right through my shoe and tore a hole in the bottom of my foot.

So, NSTIW, sitting on the curb by the storage unit wondering why I stupidly sent ahead my pistols and not my first aid kit. I had to scrounge through the storage unit…found some ancient Bactine, an elastic bandage, and a clean paper towel. Well, you do what you can, where youre at, with what you have.

SO..bandaged it up as best I could and carried on until I could send someone into a Walgreens and, like some scene in a gangster movie, have them go to the checkout clerk while carrying an armload of gauze, pads, tape etc, and trying not to be suspicious.

After that, it was..better. But it needs to be..ah..trimmed..in a few places. Hence, the doc in the box. (also some tetanus shot and keflex.)

So, other than wearing a more resilient pair of shoes, what could I have done differently? I should have been smart enough to realize that doing something like loading/unloading a truck could lead to this sort of thing and I should have mailed one of my first aid kits ahead. Failing that, I should have gone to Walgreens before I started the job and purchased materials to be prepared ‘just in case’. Honestly, I shoulda sucked up the $60 to ship and just mailed my Bag O’ Tricks to myself. That woulda covered me for bloody near anything that might go wrong.

Moral of the story: ‘remote’ preps don’t start and stop at guns.

And I shoulda just swung by Home Depot and grabbed a few Mexicans to unload /load the stupid truck.

Also, Texas might as well be the surface of Mars.

Article – How long you can take medications like ibuprofen and aspirin after opening them

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One of the things on the Preponomicon that I am trying to get into the green is some OTC medications. Presumably, these things are going to sit on a shelf for, at least, several years. Does aspirin turn into some sort of toxic acid a few years after its ‘Best By’ date?

Just like food, medication is required by law to have an expiration date on its packaging. But how long past that date can you keep using your over-the-counter and prescription drugs? And is it safe to take expired medicine?

INSIDER talked to medical experts to find out how long you can keep using some common medications after opening them.

The answer, it seems, is ” a usefully long time”. But, honestly, this is one of those times where I’m probably going to disregard the common advice, as well as the small financial hit, and simply throw out and replace my 500-tablet bottle of ibuprofin every five years.

Hunter S. Thompson’s Continental breakfast

However, up until a few years ago I was still using a gigantic bottle of Advil that I’d bought at CostCo with an ‘Expiration date’ in 1997. Made my headaches go away just fine.

TL,DR: your Tylenol, Advil, and aspirin are GTG for about 5 years.

 

ETA: I was sent this in email:

The military did a study back in the 80’s examining the bioactivity of stored drugs…  And found that almost all of them were good to go years after their expiration dates. These are drugs that were stored in climate controlled warehouses, in original factory packaging.

ProTip:  Don’t buy one big bottle of a drug, buy lots of little ones… Drugs are hermetically sealed at the factory, and once  you open them and start shaking things out, moisture gets in and starts degrading the drug.  Not to mention whatever you may introduce with your finger..

For drug storage, put the unopened drugs in a refrigerator – don’t freeze them.  Why keep them cool?  In general (rule of thumb time) for every 10-degree C reduction in temperature a chemical process (like a drug, degrading) experiences, the rate of the process reduces by 1/2.  So, your drugs will last about 4 times longer in the refrigerator at 2-c, then at room temperature at 22-c.

Why not freeze them?  Because they may degrade (especially liquid or ointment products) and separate (the various components freeze at different temperatures).  When they thaw, they melt at different temps too, and don’t reconstitute.  This is ESPECIALLY important for drugs like insulin, a protein: Freezing the protein breaks it apart, and then it is done.  No longer useful…   So, cold:  Not frozen.

The military did a study back in the 80’s examining the bioactivity of stored drugs…  And found that almost all of them were good to go years after their expiration dates. These are drugs that were stored in climate controlled warehouses, in original factory packaging.

Disclaimer:  I am a physician. I am NOT your physician.  This is not medical advice.

https://www.propublica.org/article/the-myth-of-drug-expiration-dates

https://www.fda.gov/emergency-preparedness-and-response/mcm-legal-regulatory-and-policy-framework/expiration-dating-extension

Tourniquet arrival

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You guys remember a couple months back I told you the tale of the son of a buddy of mine who had a bit of an accident while processing his deer and almost bled out. He was lucky in that he was able to get to a neighbor who called 911 for him. (As it turned out, when your hands are slick with blood the touch screen on your smartphone becomes quite unresponsive.)

A few weeks after that, while looking around the /gundeals Reddit, I came across a deal on some tourniquet kits from a respected dealer. Well, they finally shipped.

Two is one, yadda yadda yadda. I must say, I’m very impressed with the value here. It was, as I recall, about $50 ea and the tourniquet is usually about $30 of that. And while there are better deals to be had on Amazon and eBay it was absolutely not worth the risk of winding up with made in China knockoffs spawned from Peoples Glorious Moulding Factory #52.

It occurs to me that the tourniquet itself is not actually visible in the picture. Its in an exterior pouch separate from the zippered one. But, trust me, it’s there.

Nearest Stop The Bleed course, for me, is in Hamilton (40 miles) at the end of the month but I have a scheduling problem. Gonna have to keep an eye open,.

Tying one on

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As I’d mentioned last year, it seems like tourniquets are sort of a ‘newest and coolest’ sorta thing for the ‘serious’ first aid kit. I’ve been into survivalism for a long time and any references in fiction and non-fiction to tourniquets was almost always of the ‘loop a belt around it’ sort of variety. There were no ‘dedicated’ or purpose-built tourniquets that were readily available for Joe Sixpack survivalist…or if there were, you seldom read about them or came across them.

Cut to today’s episode. I’m talking with a fella I know and ask what’s up in his world. Turns out, his adult son had to go to the emergency room last night. Why? He was home, had a deer hung up and was cutting it up when he came to a frozen part of it. He put some extra oomph into his cut to get through it and the knife went into his wrist and severed a radial artery. Being alone and not precisely sure of how much damage he’d just inflicted on himself, he wrapped a towel around it and applied pressure. And applied. And applied. And the puddle at his feet just grew larger. So, he walks over to his neighbors house where the neighbor takes one look at him and calls 911. Medics arrive and….they apply a tourniquet …since at this point he’s about a quart low. They hustle him to the hospital and stitch up the leak. How close was he to cashing in his chips? Hard to say, I wasn’t there. But I am told that the amount of blood loss was rather significant and without something stopping it he probably would have been in some big trouble.

So, apparently there is a reasonable chance of need for a tourniquet outside of the apocalypse. Its not something I ever really thought to add to the first aid gear I keep around here because…well…it never seemed terribly likely to be needed. That mindset has now, of course, been kicked to the wayside. I’ll be finding a reputable vendor (to avoid Chinese fakes) and ordering a couple up for myself and one for a friend.

In talking to a few other people, it seems that severe cutting injuries resulting from deer processing/skinning/butchering are not that uncommon. Makes sense. Some guy standing alone in his garage with a hanged deer or elk slips and cuts himself deeply…I can totally see finding him the next day or two later laying DRT on the floor. Never thought about it before, but I can see it happening.

This is how you learn.

Mylar after two years of exposure

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A few years back I picked up a heat-sealer and a supply of heavy-duty mylar pouches. The goal was to use them to store small first aid items in a protective package that would be impervious to dirt, moisture, etc. (Links are still good in that post, so if you want your own sealer and bags go hit those links.)

SO, I went through my extensive piles of first aid supplies and pulled out the basics, loaded them into a mylar bag, and sealed them up. This was, ostensibly, for me to basically throw under the seat in the vehicle.

At some point, I needed to clean out the accumulated detritus in the vehicle and loaded all the loose items that were kicking around (water bottles, pens, loose ammo, maps, e-tool, etc.) into a milk crate and kept that milk crate in the vehicle. One day, I needed to maximize the space in the vehicle so I pulled out the milk crate and tucked it away in a corner of the yard while I did what needed doing. And then forgot about it. That was two years ago.

So, I was straightening things up and found this mylar pouch of first aid supplies that had been sitting out in the elements – snow, rain,sun, heat, cold – for two years…completely unprotected. Seems like a good opportunity to see how it held up.

Two years in the sun, rain, snow, heat, and cold of Western Montana. Dusty, but otherwise undamaged.

Tear it open and take a look inside. Contents appear to be undamaged and just fine.

Everything appears as good as it was when I packed it up two years prior.

Unfortunately, I loaned my heat sealer to someone last year and despite my occasional requests for it back they’ve not returned it, so unless they get a sudden dose of responsibility I’m probably going to have to order another one. I still have a goodly supply of pouches and the evidence seems to show that they are very good at protecting important items from the elements. In addition to the obvious things like a bit of first aid supplies, small objects that need to stay clean and dry would be suitable candidates….small electronics like radios and such spring to mind.

I rather like the convenience of having several of these pouches sitting in a bin in storage and I can just grab one and throw it in a pack or bag if I’m going somewhere. And when you buy the stuff in bulk like I do, it’s ridiculously cheap to put one of these together. Cheap enough to the point that I can just give them away to friends and like minded individuals, keep on e in every bag, stash a bunch at some offsite location, etc. Of course, if you’re willing to pop for the larger size pouches you can put together some extensive kits.

By the by, these pouches are the resealable kind…so once open, the contents can be put back inside and the bag ‘zipped’ closed. But if you really wanna go the suspender-n-belt route you could easily stuff a ziploc bag in there to perform the same function.

Saving space

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So youre a somewhat serious survivalist and you’ve come to the conclusion that a few medical supplies might not be a bad idea to stash back for the day the hospitals are overwhelmed and supplies are short. Off to eBay you go. And you realize that for the price of, say, two boxes of band aids at the local supermarket you can buy an entire case of 2,500 band aids from eBay vendors. Good band aids, too…not made in China crap. Same for gauze, pads, tape, etc, etc.

And then you realize that while 2,000 packages of 4×4 gauze might be useful after the apocalypse, until that time apocalypse happens it sure takes up a lot of room.

Thats pretty much what happened to me. As I was rearranging things the other week it occurred to me that the bulkier first aid supplies took up a lot of room. Not because they were bulky on their own, necessarily…but rather because there was so much of it.

Since I had the vacuum sealer out, I figured that perhaps vacuum sealing some of these items might cut down the space they took up, in addition to providing a lovely level of protection.

How much space? Well, lets grab a couple boxes of 3×8 non-adherent dressings and check…


So there’s a full box of dressings. Fifty per. Let’s see how they stack up…
One stack of fifty compresses down to a rather significantly smaller package.

So after a few hours I compared ‘before and after’. For example, the original box that held 18 ABD pads now held 35. That’s about a 50% savings in space and a thousand percent increase in protection from environmental factors.

The end of this long story is that I managed to clear off almost an entire shelf’s worth of supplies and compact them down to fit into one large plastic tub…and in the process add a layer of survivability to the packaging. (Everything was packaged in paper envelopes, like you get a band aid in, so there wasn’t exactly a tremendous amount of resistance to humidity, moisture, dust, dirt, etc, going on there.)

Do I ever think there’s going to be a time in my existence I need 50 rolls of rolled gauze? Man, I hope not. But once you divvy everything up between your primary location, the Beta Site, first aid kits, vehicles, etc, you can wind up going through quite a bit of stuff.

My first go-to for eBay medial stuff is these guys. After that, it’s just a matter of knowing the SKU or product number of what youre looking for and searching eBay. Oh…and having one of these.

 

Single-serving burn gel

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I’m a big fan of the Water Jel burn relief product. This stuff is the most awesome thing in the world for taking the pain out burns. Years ago I made the mistake of picking up a lawnmower by the exhaust manifold. Ow. I literally could not sleep unless my hand was clutching a bag full of ice cubes, the pain and ache was that strong. Nowadays, I slap some of this stuff on it and -presto- the pain goes away. Nothing magical, its just a topical anesthetic, but when you burn yourself, especially on parts of the body that really make you feel it…like fingertips…the stuff is a wonder.

20150605_181355I keep the large bottle of it around the house but thats really too large for most first-aid kits. Fortunately, they offer single-serving ‘ketchup packets’ of the stuff. Several of these are going into the various FAKs that go in the hunting/fishing bags. Nine times out of ten the burns I get outdoors are the simplest and stupidest ones….those stupid wire handles on the canteen cup. Its a long day of chasing Bambi, you stop to heat some water on the esbit stove to mix up some lunch, your hands are a little cold so you don’t notice how hot the wire handles are at first, and…ouch. And while burns are never fun, the ones on fingers..esp fingertips….really suck. So…a couple packets of this stuff will go into each FAK.

As I was ordering the stuff up offa Amazon I noticed they even make a ‘military’ kit that is suitable for white phosphorus injuries. Kinda cool, although if I’m in a situation where there is a genuiune risk of Willy Pete injuries then things have truly gone off the rails.

I’d posted a while back about Water Jel but didn’t mention the extremely convenient single-serve packets. I ordered them up a few days ago and they just arrived. Figured I’d mention it because it is some really awesome stuff and there’s really no excuse for not having some in your kits when you can get it in something as convenient and small as the single-serving packets.