Coming Attractions

wilderness simulation bleeding

Good news:


Given current trends, it seems things may become “sporty”, as CA puts it, in short order. I defer to you, the reader, as to your opinion as to when that may happen.

But let us ponder a thought experiment: if you knew, with confidence, that Ugliness was to occur within 5 years (or 10, or 1) what would you do to prepare?

Would you do things differently now?

How would you get the know-how?

What about logistics, etc if there was a firm deadline?

And especially, from whom would you obtain truly useful medical know-how, in a field where experience trumps education and degrees?

Various of the medically inclined readers (to include myself, Aesop, and Ivy Mike) are developing a series of medical prep posts. With profound apologies to Ms. Rowling, we rather jokingly refer to this effort as the “Hogwarts School of Grid-Down Medicine and Wizardry”. Our intent is to prepare you for the day in which modern Western medicine is unavailable. This may be due to lack of electricity, wilderness expeditions, adverse weather, zombies, or whatnot.

While we intend to capitalize on as much previously developed content as possible, we will not simply collect or regurgitate information. This is a School, after all. As far as possible, we will encourage doing.

Stay tuned…

Doc Grouch

31 responses to “Coming Attractions

  1. Outstanding.

  2. part-time doctoring goes hand-in-hand with part-time soldiering, so more training would be better. my best guess is the flames get turned up to “broil” in spring of 2017. you didn’t think the republicans would save us did you? the “free sh@t army” is getting just too big an appetite.

  3. Could be next week . The Secret Service said a few day’s ago that they’re more concerned now than ever that an attempt could be made on el Jefe’s life . ( God forbid ! ) His getting off the mainland for 17 days could be planned to isolate him , while his E.O. to enforce his U.N. arms treaty is put in motion . Doubt it ? . Did you all see how quickly the Repugnant Party bowed to Cesar’s whim’s Saturday ? . So far , he’s gotten EVERYTHING he’s wanted .

    • Hopefully someone will deal appropriately with the treasonous SS swill instead. Burn them in hell where they belong, along with their filthy whores.

  4. See also “The Patriot Nurse”:

  5. Needs to be more than just basic first aid.
    Really needs to be more than just treating gunshots as well.

    The docs know this, I am posting this for the reader to ask themselves,
    How do you deal with a wounded person AFTER the initial injury is stabilized?
    How do you keep them in bed, monitor their vitials, and keep them in medication?
    How do you feed these wounded people?
    How do you keep them in a sanitary environment?
    How do you treat muscle and skeletal rehab?

    This shit does not just happen in a 3 minute movie montage.

  6. Bailing wire fixes everything….

  7. You know what would be nice to see is how to set up a medical room/hospital on different budgets…Like what instruments, materials, bedding, drugs,machines etc on a $1000, 10,000, 100,000 or something along that line…

    • Thats where i am going with my questions…
      For example. I have an Autoclave that opens up a lot of possibilities.

    • $1000 and a smile will get you a great night with a willing nurse, but not much else. Remember that a single Tylenol pill costs $25 in today’s medical environment. A field hospital will be well into the millions.

      • The 25 bed hospital we are setting up in Libera for the Ebola crowd will cost $22 million, if that gives you a frame of reference.

        • actually, a half-paper cup of apple juice dropped off by a friendly ER nurse a few weeks ago just got billed to me @ $707.62. That gives me an even better frame-of-reference. The billing operation is going to receive a check for 62 cents

        • I think you misunderstood me Im not trying to set up a government hospital…Trying to figure out what to have on hand with the funds I have at the moment and I’m sure others are too…

          • I have asked the same question. I am afraid that Doc actually understood the question.

            Alternative: talk to your med pals and find what happens to the “expired” gear. It can’t be used (lawyers) and you may be able to intercept useful stuff en route to the shredder/incinerator.

          • Ed Grouch, MD

            The less flippant answer is that experience trumps training, and training trumps gear by a mile. With limited funds, the most important thing you need is know-how. That’s the main reason we are starting the site.
            I would send you to this class:
            After that you would know what to do with any leftover from your $1000.

  8. Boon Vickerson is out there

    Hell ya!
    This is an outstanding service you guys are planning on.
    I can’t express my appreciation and gratitude for this kind of know how.

  9. Bottom line is that some things will never be adequately taught without doing them professionally, so neworking/meat-space is going to be crucial to PRE-identify MD/RN/EMT folks you can trust.

    Also, if I knew things were going to happen next year, I’d PT more, because not getting hurt in the first place is the best medicine. If it were 10 years, I’d also PT more, because by then I’ll be ten years older and really need it.

  10. I am fortunate that my wife has her doctorate in dentistry and bachelors in nursing.

    In regards to grid down dentistry, the most practical solution is extraction. No need for suction, or much aside from a couple tools, cotton to pack the socket, Motrin and lidocaine.

    A few months ago she pulled one of my molars without needing any electric.

  11. Bailing wire fixes everything….

    It is the Harley Davidson Universal Repair Kit.

  12. As a RN I applaud your efforts and education. Doc Grouch and Aesop helped me get through the Ebola ruckus awhile back. They had information when the main characters (.gov) had all the out dated information. I currently scrounge as much medical supplies as I can get, plus buy some. I figure it will pay off when the SHTF. Whne it goes down I figure we will be like field hospitals when I was a MEDIC back in the day.

  13. Different Anonymous

    Check ebay for old equipment selling for a small percentage of original price, and for new equipment “for veternary use only”. Take for example an overhead light for surgery. It has to be cleanable and it has to work, and if shouldn’t break and fall into the patient if you accidentally hit it. But look at modern equipment that gets you that $22M for 25 beds, and it seems built to survive surgery during an earthquake. Aim to satisfy the medical needs, not the “malpractice” insurance lottery defensive needs. Go back to allowing teens to attend patients as volunteers for training, and you don’t need so much fancy electronics.

  14. Look at how the Viet Cong managed the care of wounded in the jungle. I’ve seen pictures of VC doctors and nurses caring for wounded while knee-deep in water. You can “get by” with a lot less than a modern hospital if you have to. Knowledge is crucial. Equipment is important, but not as crucial. Now is the time to stockpile consumables, especially those that won’t go bad or have expiration dates. But you need to know what to do with them. Now is the time to learn.

  15. As a street EMT and TCCC, it is all about getting the patient to a higher level of care in the best shape possible. As a wilderness EMT, it is all about trends and managing them for an extended period of time. Gunshot wound. Got a tq on it, stopped the bleeding. Cool. Now what? Do you know? You had best find out. Even if you happen to have a surgeon on staff with a minimum of gear and drugs, your outcomes are going to be poor. Got a respiratory therapist? An occupational therapist? Don’t kid yourself, your ability to practice medicine is going to be right behind in importance to shoot, move, communicate. Everything changes operationally when your medical capabilities revert to pre WW 2 levels. Take the time to ponder the fact that first aid has never been better than it is right now, but the aftercare has never been as fragile. Providing that care is going to be the real trick.

    • “Take the time to ponder the fact that first aid has never been better than it is right now, but the aftercare has never been as fragile. Providing that care is going to be the real trick.”

      Worth repeating and emphasizing. Over and over. To put it another way:

      First aid (clear the air way, stop the bleeding, stabilize the fracture, protect against shock, the same as it ever was, but with better supplies and techniques) is now, or will soon be, in a diminishing returns relationship with high tech trauma care in so far as expectations of positive outcomes is concerned.

      Fantasies about “field medical care” wrt “the coming festivities” will be worse than no good.

      Harden your hearts.