Who’s On Call: Medical Care When The Lights Go Out

Good questions.

To say the least, 9-1-1 will not be operational.

The medical care you have will be what you can piece together, both now and then.

Tempus fugit.

12 responses to “Who’s On Call: Medical Care When The Lights Go Out

  1. Speaking of lights out, I keep getting slower and slower responses from Freezoxee as I’m using it and then it becomes unusable, and then I can even connect. Anybody? Anything?

  2. Alfred E. Neuman

    Reblogged this on FOR GOD AND COUNTRY.

  3. Great article. Triage in the field is not something everyone can do. To have to possibly leave a child or loved one or friend in order to help someone with a better chance of survival is about as hard as it gets.

  4. SemperFi, 0321

    I’ve made a habit of always keeping my prescriptions up to date. Whenever a Dr. offers me pills I take them, whether I want them or not.
    Painkillers and antibiotics go into my backcountry first aid kits, along with a Boost oxygen can. We’ve had several people die here from altitude sickness.
    What’s amazing is how many friends have NEVER had a decent first aid class, let alone Wilderness First Aid. Somehow gunshot wounds and bear attacks only happen to flatlander dummies. And this is in peace time. Wait until SHTF, they’ll be screaming for non-existent medical care until they expire.
    Another thing to pay attention to is the amount of Typhoid Mary’s you see even today, sick as hell with the flu and wandering around in public sharing it with every friend and family member they can. Prepare for these medical time bombs to be everywhere.
    Medical supplies are just like your AFAK, they’re for you, not the dumbass who didn’t prepare.

  5. Johnny Paratrooper

    Good News. You are tough. You are brave. You are not alone.

  6. Johnny Paratrooper

    Hey.
    Something I learned from the small tactics and team dudes.
    You can put on 4 tourniquets. One on each limb, and secure them with a little piece of 550 cordage. It really doesn’t feel all that bad. kinda like having a half a thigh holster and half a shoulder holster on.

    Anyway, If you get shot, just tighten up and drive on. No unwrapping and threading you leg or arm through.

    IRL you can prep this before a raid, assault, or whoever is on watch and QRF or RRT

    You honestly could do it without putting your rifle down, assuming you were not completely torn to shreds.

    • Johnny Paratrooper

      For the record, QRF is Quick Reaction/Respone Force. You are in constant contact with each other. Coordinating. There are briefings.

      RRT is Rapid Response/Rescue. They go in blind for the most part. It feel s IMHO blind because you never got briefed. No time. No space.

  7. In most areas, the EMT course at the local community college is one semester. Do it.

  8. So the question is do you have the basics to set up a small Battalion/Company Aid Station racked and stacked in your bug-out/in preps? Partial ideas: Splint sets, litters, litter stands, canvas cots for hospital beds, 3 & 5 gallon buckets for waste/flood washing floors/extra body parts, fold up tables (Sam’s/CostCo) for OR work, expired plaster casting rolls for broken/sprained ankles, hygiene pads for battle dressings, plain ol’ cotton sheets for beds/dressings/gauze wraps, fold-up tree saws for amputation work, surplus hemostats, spreaders, needle drivers. Turkey fryer/pressure cooker for an autoclave. Think 1860s field medicine!

  9. Nature is your friend. Indian ghost pipe can be used to create a very effective pain tincture. Effective as in one drop and your pain sits beside you. Can also be used for those who may be in anxiety attack from say oh, maybe SSRI sudden detox? PTSD episodes etc. Might be useful info. Next week we’ll explore wild lettuce.

  10. https://raconteurreport.blogspot.com/2013/03/equipping-disaster-clinic-space.html
    https://raconteurreport.blogspot.com/2013/03/equipping-disaster-clinic-basic-stuff.html

    Those are for basic care, and haven’t changed in 5 years (nor fifty).
    You’re not going to be doing surgery of any type with that, nor CPR, and people having heart attacks, strokes, major trauma, etc., or anything requiring surgical intervention are going to die.

    I repeat, are going to die.
    In short, you’re going to need a helluva big plan to do dead body removal and incineration/disposal, without getting to biblical levels of plagues.

    What changes in SFTF medical care, is not the categories, but what goes in each one.
    IOW, we currently triage patients with four color codes in disasters, and 5 levels in the hospital. A 1 is somebody who comes in getting CPR. A 5 is a hangnail or the sniffles.
    In a disaster, somebody not breathing after a headtilt is a black tag (think skull and crossbones).

    In SHTF, the 1s and 2s are going to die, and so will a lot of the 3s.
    The disaster tags are mainly going to be black, and green.
    Red and yellow will become black, in varying amounts of time.
    Either you’re going to die soon, or later, or you’re probably going to be all right.

    Without anesthesia, antibiotics, medicine of any kind, or even decent pain relief, it’s 1800 again.
    If you have no running water nor sanitation, it’s 500 B.C.

    Medical care won’t be about having enough 1st choice, 1st world items.
    It’s going to be having 2nd, 3rd, 4th, 5th, 6th, 7th, 8th, 9th, and 10th level choices when you run out of 1st choice, first-world, 21st century standard -of-care ideals.

    And when you lose 21st century items, you need to recall that Florence Nightengale and Clara Barton saved more lives and created a more drastic uptick in survival rates than every physician combined did from Galen to just before Pasteur.

    In short, in medicine, if you want good outcomes, cleanliness is next to godliness.
    Clean treatment, clean supplies, clean beds and clinics, clean practitioners, cleaned up patients, along with clean water, healthy food and lots of it, and the discipline of Marine drill instructors times Catholic nuns.

    A clean water supply, running water, flush toilets and showers, soap, and a functional septic system will solve more problems than everything else combined, along the lines of the 80/20 Rule.

    This is also why archaeologists will tell people that the history of successful cities is generally a record of the ones with the sense to move upwind and upstream from their own shitpiles, sewage effluvia, and garbage dumps, over time. The rest were wiped out by plagues.

    21st century standards of care are what get you from 80% survival rates to 99.5% survival rates.
    Lack of it means the body count goes up by 40X.

    Read up on what it’s like to die from tetanus.
    Look up the normal course of illness for things like diphtheria, whooping cough, measles, mumps, chicken pox, cholera, typhus, polio, meningitis, etc; things which were largely beaten into submission (at least we did, before the rise of Dr. Jenny McCarthy and the anti-vaxxers). Then look up malaria, yellow fever, chagas disease, and parasitical infections like lice, scabies, ringworm, etc., and dozens more, which are endemic throughout Shitholia and Trashcanistan nations to this day.

    The day after the medicines and vaccines go away, all this moves in next door.