The Altons at Doom and Bloom Medical have an article published in OffGrid magazine by Recoil, issue 36 – Medical Improvisations – DIY Techniques for Survival First Aid & Hygiene
WATER BOTTLES AS FILTERS
The Altons at Doom and Bloom Medical have an article published in OffGrid magazine by Recoil, issue 36 – Medical Improvisations – DIY Techniques for Survival First Aid & Hygiene
WATER BOTTLES AS FILTERS
Ashley Adamant at Practical Self Reliance has compiled a list of twenty immune-boosting herbs and mushroom to help stave off illness.
Natural immune-boosting herbs work to support a healthy immune system, ideally preventing illness or speeding recovery. Staying healthy starts well before flu season, and all of these herbs for the immune system can play a helpful role.
Immune-boosting herbs are a big part of my families’ wellness routine, and we need all the help we can get with a doorknob licking toddler and extra snuggly preschooler in the house.
Even before children, natural immune boosters were a regular part of our lives. I worked in a hospital, and my husband flew cross country regularly for work. While handwashing and other preventative measures are obviously the first step, sometimes you need a bit of extra help when you’re surrounded by sick people on a day to day basis.
Just recently, I found myself making a batch of our favorite herbal immune booster…elderberry syrup. I’d harvested fresh elderberries in our garden that we’d grown from cuttings, and I started looking around for other herbs for the immune system to add into the mix. A short walk around the garden and nearby woods and I’d picked more than 20 different immune-boosting herbs, flowers, roots, mushrooms, and lichen.
Add in a stop at the spice cabinet for immune-boosting spices like ginger, black pepper and garlic and I had quite the spread to choose from…
(Note: I am not a clinical herbalist or healthcare provider. This is based on my own experience and research, but I encourage you to verify it with other sources. Please consult a healthcare provider before beginning any health regimen, herbal or otherwise.)
Herbs for the Immune System
Herbs for the immune system generally fall into three categories:
- Immune Stimulants ~ Generally used for a short period of time, immune stimulants are best used on a short term basis. The best time is right as you’re starting to get sick, or anytime you’ve been exposed to an illness. Those times when someone coughs right on you, or you’re about to go on a long flight where there may be extra pathogens in the recirculated air. Examples include Echinacea and usnea lichen.
- Herbal Immunomodulators (or Immune Tonics) ~ Often used over a long period of time, immunomodulators are tonics for the immune system. They’re not meant to be overtly healing during acute illness, but rather to help balance your system and promote a healthy immune response. Examples include tulsi (holy basil) and reishi mushrooms.
- Anti-Microbial Herbs ~ While they may not directly impact the immune system, they’re helpful in treating illness and maintaining health. While prescription antibiotics have their place, minor illnesses (or injuries) can be treated with anti-microbial herbs instead. Some are specifically antifungal (for topical issues) while others are more generally antimicrobial. These disserve an article in their own right, and I’ll cover them briefly at the end.
While these three classes of herbs are somewhat different from each other, the terminology often gets mixed, even in peer-reviewed scientific journals. Some, in fact, fall in multiple categories. The main thing to keep in mind is that not all herbs are for long term use and not all herbs for the immune system will have a direct impact if you’re already sick…(continued)
The Medic Shack usually teaches The Basics of Herbal Medicine as a live, in-person class, but because of the pandemic is moving the class on-line. It will tentatively start on March 28th and go for 2 or 3 weekends.
I have some irons in the fire, and one of them was a local class on the basics of herbal medicine. This was going to be at our house in Summerville SC. We can do up to 6 or so folks at a time. Well with this virus and everything all Topsy turvey, we’re going to do it on line over a few days.
This will be a live webinar, with a study guide and suggested equipment. This is not a herbal certification course like my bud Cat Ellis teaches. This is a get your feet wet on making tinctures, tisanes and decoctions, What you should treat and what should be left to the pros. Going to do a tentative start date of the weekend of the 28th of March. We can knock this our in 2 or 3 weekends. I’ll take as long as needed to make sure everyone’s questions are answered. We haven’t worked out the cost for the class, but it will be a lot less expensive than the in person one would be. Hope to see you folks there!
This may be the safest way to have classes…
Topics to be covered:
• Herbal theory
• Introduction to making Tinctures and Herbal teas
• Colloidal silver• Pain control
• Herbal clot accelerators,
• Bites, burns and Skin irritations
• Respiratory and Allergens
• Equipment and safety considerations
• Anti-microbial and Anti-viral
Chuck at The Medic Shack shares his thoughts and preparations for the COVID-19 virus sweeping the world.
The Coronavirus, Covid-19 is rampaging around the country. People are dying in America.
Okay. Got your attention now? The above statement is true. It is NOT as bad as it sounds. As of 3-4-2020 11 people have died from Covid-19. But its the delivery of the sentence that makes it menacing.
The Covid 19 virus is spreading. We are having community acquired illnesses happening We have confirmed deaths in the US from it. We have people panicking over it. People are scared and are grasping at straws of hope from some real unsavory news sources. I do not have the answers people want. Hell I’m no doctor nor epidemiologist. What I am, is a person who has seen disease break out in the 3rd world and here in the US. That has treated people as a US Army Medic, Paramedic and instructor.
So lets get to what we do know.
Coronaviruses are a group of viruses that can cause a range of symptoms including a runny nose, cough, sore throat and fever. Some are mild, such as the common cold, while others are more likely to lead to pneumonia. They’re usually spread through direct contact with an infected person. Other well-known coronaviruses include SARS and MERS
COVID-19 is similar to other respiratory illnesses and symptoms include a fever, dry cough, sore throat and headache. There may also be aches and pains, fatigue and, in some cases, vomiting and diarrhea.
While most cases are mild, some individuals may experience more severe symptoms such as shortness of breath and difficulty breathing, and may experience pneumonia in both lungs. Those with health issues or underlying conditions may also have a harder time recovering. The incubation period is still up in the air. From as little as 2 days to as much as 21. The “happy” medium is about 14 days.
It may 14 days or longer after exposure for symptoms to appear. It also appears to be contagious during the incubation period.
What’s the difference between a cold, a flu and COVID-19?
All three are respiratory illnesses but each is caused by a different virus. The cold is caused by the rhinovirus, the flu is caused by the influenza virus, and COVID-19 is caused by the novel 2019 coronavirus. All three can lead to pneumonia if complicated by other health issues or underlying conditions
The cold, flu and COVID-19 are all spread the same way, from close person-to-person interaction, though the cold and COVID-19 can also spread through airborne particles.
COVID-19 like a bad cold and the flu does it’s worse damage on those that have co-morbidity COPD, Uncontrolled Diabetes. Hypertension. Weakened immune system, overweight with general poor health. This is targeted to some dear friends I know and love. Overworked. Over stressed. Not caring for themselves. Not enough sleep. When you get weakened by health or life, your immune system is taxed.
If you add in ANY co morbidity to that you are at a high risk of getting ANY VIRUS.
Going back to one of my favorite movies, Pop Quiz hot shot You walk into a crowded grocery store. A shopper has coronavirus. What puts you most at risk of getting infected by that person? WHAT DO YOU DO???
Experts agree they have a great deal to learn, but four factors likely play some role: how close you get; how long you are near the person; whether that person projects viral droplets on you; and how much you touch your face. Also age and health are huge factors.
A virus by itself is immobile. It can not move on its own and it is to small to be moved by wind. It needs to catch a lift. A droplet of moisture, Dust. Dander from pets or people. That is why the masks come into play. No mask outside of a Level 3 or 4 suit from Fort Meade can stop a virus. They are on the average .1 to .17 microns. The best N95 can stop only to .3 microns Your surgical mask can stop particles of about 5 microns in size. N95s are in very short supply.
So short that hospitals are having a bit of a tough time to get them. And what new masks come off the line are not heading to Amazon or Home Depot. They are heading to the CDC and your health care facilities. Unless you read our article on the N95 mask, be aware that most people do not know how to properly seal one. N95 HEPA Mask
Am I worried?
To say I am not concerned about this bug would be a lie. But also I am not bouncing like a fork dropped in a garbage disposal. It is something to keep a very close eye on. Today 4 March 2020, CNBC released this headline
The headline is eye catching. But when you read into it, it is not as inflammatory as it seems. But it does raise some questions in my tin foil hat covered mind.
What can we do to protect ourselves?
- Wash your hands often with soap and water.
- Cover your mouth and nose with your elbow or a tissue when you cough or sneeze.
- Avoid touching your eyes, nose and mouth if your hands aren’t clean.
- Avoid close contact with anyone who is sick.
- Clean surfaces you often touch.
- Stay home from work, school and public areas if you’re sick.
A lot of people have been comparing this to the flu. With out getting all into Med Speak, they are similar that they are viruses. But it ends there. Look at it this way/ Both a Malamute and a Husky are dogs. They come from the same climate. The look a bit alike. After that they are totally different. They replicate in a similar manner, but the attack the body in the same manner. The Covid-19 can live for a few hours on most surfaces., It is THOUGHT not CONFIRMED that it can last up to a few days under ideal conditions.
This is where the chink in the armor of COVID-19 shows. Almost any disinfectant, that is applied according to its directions, will kill it. The old Standby of bleach will do it. For surfaces that can’t take bleaching Lysol. We have also found the old fashioned concentrate Lysol in the brown bottle. That stuff will kill ANYTHING!
For those that can’t take the harsh chemicals, embrace your hippy self!
For surface disinfection Essential oil such as Lemongrass, Cinnamon, Clove, Oregano, and Thyme are good choices for their reported antiviral properties . My wife likes to make her own consisting of 10 drops lemongrass oil, 10 drops of tea tree 10 drops peppermint. 4 ounces of 100 proof vodka and 2 ounces of Colloidal Silver. She places this in a sprayer and uses it to spray it on surfaces. No wiping. Let it dry on its own.
Good stuff. It is NOT the miracle drug that cures warts constipation Ebola freckles bad breath and bad complexions. Used and most importantly MADE correctly it is a good thing to have on hand. We use. And no we’re not blue!
Always use .999 pure silver, DO NOT USE STERLING SILVER! There is also .9999 pure but it is expensive and unnecessary. We use 1/8″ ribbon also called “bezel”.
Make Your Own Colloidal Silver
Fill a quart jar about 1/2″ from the top with distilled water and heat to boiling. The reason for this is because distilled water, not having any minerals in it, is a poor conductor of electricity. After being heated to near boiling, it will allow for the electrolysis to take place. DO NOT USE ANY OTHER TYPE OF WATER! Now make a hook on one end of each strip of silver (like a candy cane) and hang them on the edge of the jar and into the water, about an inch apart. Clip the two wires from the generator to the silver strips making sure that the clips do not touch the water or each other and that the strips do not touch each other!
You can tell when it has begun the process, you can see a what looks like smoke coming off of one the strips. If it doesn’t appear to be doing anything in a minute or so, scoot the wires a little closer together. If that still doesn’t work, sprinkle a few grains of table salt right in between the strips and it will take right off. Will it kill Covid-19? I can not answer that here. FDA rules. But we use it at home. A Damn good write up is on The Medic Shack Colloidal Silver
Sounds goofy in a way. But a lot of people do not know how to wash their hands. Correctly. Now we’re not talking the surgical scrub I do every day. Just basic hand washing.
- We Your Hands.
- Use soap. Antibacterial is not necessary.
- Scrub your hands while counting to 20. Make sure to get in between your fingers and your nails
- Rinse completely.
- Dry with a paper towel. SHTF paper towels will be like gold. Use a clean cloth towel and hang in the sun to dry. Viruses HATE ultraviolet light. Use a separate towel for each person. Seriously.
- Use that paper towel or towel to turn off the faucet.
There are different schools of thought on using a towel to turn off the water. In the medical field we used to be taught that from day one. Today some say it doesn’t matter. YMMV.
Water temperature. It doesn’t matter. Up until 2 weeks ago, I told one of my best friends to use warm water. ANNNND some studies have been published and they all agree it doesn’t matter. The soap and water combination works either way.
Alcohol and hand washing
Alcohol based scrubs. I mentioned earlier that we use a product called Avagard for surgical scrubs. I also said that we do a real scrub first thing in the morning and after eating or going to the bathroom. What I didn’t mention is why we do those old style washing up. The reason is right above y’all, In hand washing. The scrubs kill bacteria. To a point. They kill viruses. To a point. Hand washing doesn’t kill them. It REMOVES them. And it will remove Covid-19
That is why I cringe when I see a porta potty with that little bottle of hand sanitizer, Yes its better than nothing. It is however a false sense of security. That fecal bacterial that ends up on EVERYONE’S HANDS is still there. They are weakened, but they are not killed. Something to think about.
A friend of mine who is marrying a Marine friend of mine. I don’t know who to be more concerned about Sigurd getting civilized, or Jessica getting Uncivilized! She wrote this piece on a Facebook group:
Jessica Kozack The Soul Purpose
There is a lot of hype going on about the Novel CoronaVirus known as Covid-19. I wanted to discuss how to protect from viruses like Covid-19 and also the flu which is also going around. I find I always feel better when I am prepared. Aromatherapy can be quite effective in treating and preventing illness along with being supportive and healing while sick. I did have the flu a month ago. It was brought home by my daughter who caught it at a school fair and she proceeded to sneeze directly into my face uncontrollably.
I knew in that moment regardless of what I used or did I would catch it so I used aromatherapy to support us and prevent us from getting any secondary infection.
1) Wash hands thoroughly and often with good old soap and water
2) Make your own hand sanitizer with Vodka, Colloidal Silver, Aloe Vera, and essential oils that are antiviral
3) Make a cleaning and disinfecting spray using vinegar and water with essential oils and cleanse surfaces, etc multiple times a day in your home, work space etc
4)Diffusers are our best weapon for killing airborne viruses and treating respiratory illnesses. I have many diffusers and I recommend using them at this time in your home to kill virus bugs and support the immune system.
Pets and Oils
**Please be mindful of your pets and children when using essential oils. They should always be diluted and diffusers should not be located directly near your pets especially with the super bug killing essential oils as they are harsher. If someone is ill and you are using a diffuser with the super bug killer it is best to keep your pets out of this room. Pets will also walk away from a diffuser if it is to strong for them. Just be mindful.**
A diffuser works best if it turns on every 15mins with a timer and diffuses for a minute. You would need to get a timer for most diffusers.
Here is my list of essential oils.
Super Bug Killer oils a little goes a long way and never use undiluted:
Expectorant and Antiviral Oils:
Tea Tree (multipurpose bug killer)
Oils that soothe an inflamed respiratory tract:
Oils that support secondary bacterial infections and kill bacteria:
**Eucalyptus, Lavender, Cedarwood, Tea Tree, Lemon , Benzoin are safer less harsh oils to use around small children and Elderly.
If I am going to be dealing with a super bug I will have the harsh oils on hand and will use them safely and responsibly. When used safely
and responsibly they actually work most effectively and typically with no contraindications or negative impact.
Do not ingest essential oils they are 75-100x stronger than the plant, fruit, herb they are derived from. If you take anything internally keep it to herbs and supplements.
Used with permission from Jessica Kozack The Soul Purpose
And in closing:
We have talked about in past blogs on some of the herbs that MAY help fight off the virus TMS Post on Coronavirus
By staying healthy, eating right and doing your best to avoid crowded places and sick people is one of the best ways to beat this. Do your normal prepper things that we always do. DO NOT GET CAUGHT UP IN THE PANIC. Right now there is not to much to panic about. Other than your 401K taking a massive dump at the market. Right now it is almost impossible to get ibuprofen, Tylenol, basic cold and flu medicines at the local stores. There is for some reason there is a massive run on toilet paper at Costco.
You already had all that right? If not you have read our posts on cold and flu and other posts we have made on this? Good I thought so! Don’t panic. Do not over work yourself. And don’t get yourself all worked up over something out of your control. Stay out of crowds. If you feel sick STAY HOME. A lot of conferences around the country are being canceled. For good reason. As preppers we play it smart. Don’t forget that. Play it smart
The Altons at Doom and Bloom Medical have a video up on the WHO recommendations for home care of a coronavirus infected patient who has been asked to stay at home after medical evaluation.
In situations when hospitals may be overwhelmed or understaffed the WHO has released guidance for Home Care of patients with mild symptoms. All concerned patients should be first be evaluated in a medical facility before home care is initiated. These measures are meant to decrease public contacts and the spread of disease, and decrease the patient load on hospitals during epidemics and pandemics .
Learn which patients may be asked to stay home during illness and when they should be hospitalized. A link to a medical facility should be established for the entire duration of any home home care until all symptoms have cleared and the facility releases the patient and resolved. This connection will allow family members and the patient to be reassured there is contact with a medical professional for questions and concerns.
Home care takes planning and education about personal hygiene, basic infection prevention and control protocols, and how to safely care for the sick person without spreading it to other household members. Recommendations (from the World Health Organization) are detailed in this video. Also see our How To Build A Sickroom video.
Wishing you the best of health in good times and bad,
Organic Prepper: How to Prepare for Quarantine
Here’s a nice beginner how-to from Ashley at Practical Self Reliance on how to make healing salves. She includes a general recipe and then several herb-specific recipes toward the end. I like to use a calendula salve for minor skin injuries which is similar to the Gardener’s Healing Salve recipe she links. I’ve only included some of the key parts of the article below, more detail is through the article links.
Herbal healing salves are simple and effective ways to enjoy the benefits of herbal medicine, and they couldn’t be easier to make at home. Salves are semi-solid at room temperature, making them easy to transport and store. When they come in contact with skin, the botanicals go to work, released by our own body heat for absorption through the skin.
&amp;amp;lt;img class=”aligncenter size-full wp-image-13045″ src=”https://i2.wp.com/practicalselfreliance.com/wp-content/uploads/2020/02/Herbal-Healing-Salve.001.jpeg?resize=600%2C400&amp;amp;amp;#038;ssl=1″ alt=”Herbal Healing Salve” width=”600″ height=”400″ data-recalc-dims=”1″&amp;amp;gt;
I’ll admit it, as a budding herbalist I was intimidated by making my own salves. Homemade tinctures and infused oils are easy enough, just place herbs in a medium and wait.
It took me over a decade of herbal practice before I made my first herbal salve. Start to finish, the whole process only lasted about 10 minutes and I had a whole counter full of homemade herbal medicines. Why had I waited so long to try this?!?!?!
…Usually, healing salves are made with just a few ingredients. Often just three ingredients are enough to get the job done, those being herbs, oil, and beeswax…
Active Time: 10 minutesAdditional Time: 10 minutesTotal Time: 20 minutesDifficulty: EasyEstimated Cost: $5 to $6 per batch
Herbal healing salves are incredibly versatile, and this semi-solid topical herbal medicine is an easy way to incorporate natural herbal remedies into your routine.
Herbal Infused Oil
- 1 1/2 cups carrier oil (olive, almond, grapeseed, etc)
- 1/2 to 1 cup dried herbs
- 1 cup (8 Ounces) Herbal Infused Oil
- 1 ounce (or 1 heaping tablespoon) Beeswax Pistils
- Pint Mason Jar
- Fine Mesh Strainer
- Double Boiler
- (or saucepan & heatproof bowl)
- Salve Tins
- (or other containers)
Herb Infused Oil
- Add dried herbal material to a pint mason jar. Cover completely with about 1 1/4 to 1 1/2 cups of oil.
- Allow the oil to infuse at room temperature for 3 to 6 weeks before straining through a fine-mesh strainer. (Note: Some of the oil will absorb into the herbal material, so starting with slightly more than 1 cup of oil should yield about 1 cup for making a herbal salve.)
Herbal Healing Salve
- Measure about 1 cup of herb infused oil. Place it in a heat proof bowl (or double boiler). Add about 1 inch of water to a small saucepan and then place the bowl over the water. Turn the heat on low and gently heat the oil.
- Add in about 1 ounce of beeswax pistils (roughly 1 heaping tablespoon). Stir gently until melted.
- Remove the oil/wax mixture from the heat and pour it into containers.
- Allow the salve to cool to room temperature and reach a semi-solid state before using it.
The amount of beeswax used is a matter of personal preference. Feel free to use more for a firmer healing salve, or less for a softer more spreadable herbal salve…
The Herbal Academy: How to Make Calendula Salve
Join us this Thursday, January 30, 2020 at 9 PM EDT
Viral Health Threats Facing America
Dr. Joe Alton and Amy Alton, ARNP
Aka. Dr. Bones & Nurse Amy
An email will be sent out on Wednesday with the details
A must listen to podcast on the Coronaviruses!
Prepping Academy’s Podcast
You can now view the recorded video on youtube, presentation starts around the twenty minute mark:
Ashley of Practical Self Reliance has a nice, detailed article on making immune-boosting elderberry syrup at home. My family has made and used elderberry at home for a few years now. We’ve used elderberry syrup, elderberry rob, and elderflower syrup. If you don’t have elderberries at home, you can purchase commercial Sambucol – an over the counter elderberry syrup. Our young children like taking the syrups, but not the rob which has a more medicinal taste. Nonetheless I’ll include an elderberry rob recipe after the Practical Self Reliance excerpt.
Elderberry syrup is a common immune-boosting home remedy for colds and flus. It can be expensive to purchase, but homemade elderberry syrup is easier than you think…
Benefits of Elderberry Syrup
While elderberry has been a folk remedy for centuries, modern science is validating these age-old uses. Studies have found that elderberry syrup can reduce the duration of flus, as well as boost the immune system in both the healthy and sick.
Elderberry Syrup Cold & Flu Treatments
A placebo-controlled study on flu patients found that with a tablespoon (15 ml) of elderberry syrup taken 4x per day, “Symptoms were relieved on average 4 days earlier and use of rescue medication was significantly less in those receiving elderberry extract compared with placebo. Elderberry extract seems to offer an efficient, safe and cost-effective treatment for influenza.”
Another influenza study cooked elderberry syrup into slow-release lozenges, but administered a similar dosage 4x a day. The effects were dramatic…
“The extract-treated group showed significant improvement in most of the symptoms except 24 hours after the onset of the treatment, whereas the placebo group showed no improvement or an increase in severity of the symptoms at the same time point. By 48 hours, 9 patients (28%) in the extract-treated group were void of all symptoms, 19 patients (60%) showed relief from some symptoms… In contrast, complete recovery was not achieved by a single patient in the placebo group [during the 48 hour monitoring period].”
They concluded that “elderberry extract is safe and highly effective in treating flu‐like symptoms.”
Elderberry Syrup For the Immune System
After several studies confirmed that elderberry syrup can shorten the duration of the flu, another study tried to determine the effects of elderberry syrup on a healthy immune system. They found that a commercially available elderberry syrup (Sambucol) substantially increased immune activity, even in healthy people.
“We conclude from this study that, in addition to its antiviral properties, Sambucol Elderberry Extract and its formulations activate the healthy immune system by increasing inflammatory cytokine production. Sambucol might, therefore, be beneficial to the immune system activation and in the inflammatory process in healthy individuals or in patients with various diseases. Sambucol could also have an immunoprotective or immunostimulatory effect when administered to cancer or AIDS patients, in conjunction with chemotherapeutic or other treatments.”
Click here to download a pdf of only Ashley’s Elderberry Syrup recipe.
The following elderberry rob recipe comes from The Joys of Jams, Jellies, and Other Sweet Preserves by Linda Ziedrich.
In a saucepan combine equal volumes of elderberry juice and sugar or honey. Heat the contents over medium heat, stirring until the sugar dissolves. Raise the heat to medium-high and boil the mixture to a thick syrup.
Pour the rob into sterilized bottles, and cap or cork them tightly. Store the bottles in a cool, dark, dry place, where the rob should keep for at least a year.
To use, mix a tablespoon or two in a cup of hot water and drink.
We water bath can our rob when we make it. If you use honey, the high heat of both boiling and canning probably does lose some of the health benefit of honey, in which case it is mostly just adding sweetness.
The Altons at Doom and Bloom medical have a short article up on what is a coronavirus and basic prophylaxis. The article was published on Jan. 22nd, so the numbers of confirmed cases and deaths have risen.
Last week, we reported on a mysterious ailment first reported Dec. 8th, 2019, in Wuhan, China. Wuhan is the seventh most populous city in China with 11 million people. The previously unknown disease is now identified as a type of coronavirus. Medical officials are currently classifying it as a “class B” disease, which puts it in the same category as HIV/AIDS and Sudden Acute Respiratory Syndrome (SARS).
The rapidity and spread of the disease is impressive: When I began writing this article earlier in the day, there were 440 cases and 9 deaths, up from 200 cases last week. Later in the day, 555 cases and 17 deaths have been verified and other provinces in China are beginning to report cases.
(Note: I first reported on Ebola in early 2014, when 86 cases were reported. The epidemic eventually reached a total of 28,000 cases and 11,000 deaths.)
Chinese authorities have taken the drastic measure of placing the entire city of Wuhan under quarantine, including the suspension of train and airline service, a step that suggests that many more cases are still unreported.
(1/23 update: Several U.S. airports are now conducting health screenings)
Although little is known at this point about the virus, it is certain that the disease is respiratory in nature and that human-to-human transmission (including medical personnel) is likely. For most respiratory infections, contagion is usually by airborne particles.
The first U.S. case has just been identified in a 30-year-old man from the state of Washington who recently arrived from China. Similar coronavirus victims have been found in Japan, Thailand, Taiwan, and South Korea, almost all traced to an origin in Wuhan.
The Wuhan virus is from the same family of coronaviruses as SARS, which killed over 800 people worldwide in an outbreak toward the end of 2002. It is also similar to Middle East Respiratory Syndrome (MERS), another epidemic disease. Although not officially named, the new virus is designated 2019-nCOV.
Coronaviruses are viruses made from RNA genetic material. One of the larger RNA viruses, coronavirus is so named from the Latin “corona” (crown or halo), from projections on the virus which give the appearance of a crown.
Coronaviruses are thought to be responsible for a large number of common colds in humans. Coronavirus colds seem to be associated with more major symptoms like fever or sore throat than colds caused by rhinoviruses, another common cause. 2019-nCOV seems to cause even worse respiratory symptoms than the typical coronavirus. Coronaviruses can also lead to pneumonia, either directly or through a secondary bacterial infection due to a weakened immune system.
ABILITY TO CONTAIN THE VIRUS
Chinese officials are probably wise to enact quarantine orders, as there is only one lab (called a Biosafety Level 4 lab or BSL-4) in their entire country with the capability of handling severe outbreaks. Luckily for them, it is located in Wuhan. The facility can care for victims of highly contagious diseases like SARS, Ebola, etc.
Personnel in a BSL-4 lab are subject to the strictest protocols: They must change their clothing on entering and shower upon exiting. Full-body hazmat suits must be worn while working in the lab and decontaminated afterwards. The facility is required to be a separate building or a wing properly isolated with separate air filtration systems.
The chances of spread of the new coronavirus is increased by the upcoming Chinese New Year, when it is thought that millions of Chinese citizens will be traveling throughout the world.
(1/22 Update: China has just issued a travel ban for the city of Wuhan; public transportation in the city is also suspended)
Having learned lessons from our experience with Ebola, the United States is better prepared to deal with highly contagious outbreaks of infection.
HISTORY OF RECENT VIRAL OUTBREAKS IN CHINA
The presence of any biosafety 4 lab (BSL-4) inside China at all is due to the 2003 viral SARS outbreak. SARS reached epidemic proportions quickly, with 8000 cases leading to 750 deaths worldwide. Chinese authorities hope to have 7 such units built by 2025, but only the Wuhan lab is operational.
Although the use of face masks is common (and wise) in China, Wuhan has declared their use manadatory while in crowded locations. This requirement is causing a shortage of masks in the area, which could eventually lead to the same worldwide.
WHAT TO DO ABOUT CORONAVIRUS AND OTHER VIRUS OUTBREAKS
As of yet, no cure nor vaccine is available to combat coronavirus. Treatment at present focuses on treating symptoms and supporting a victim through the infection, while protecting the healthy from the disease.
Contagious illnesses like coronavirus, however, may morph into epidemics, or is widely distributed enough, pandemics. If you are preparedness-minded, you might consider a personal protection “pandemic kit” (or several) and plan out how you would care for a person with a contagious disease if the hospitals were full. Have you thought about what goes into putting together an effective epidemic sick room?
- Washing your hands with soap and water frequently
- Avoid touching your eyes, nose and mouth with dirty hands
- Avoid close contact with sick people
If you are sick, you can protect others by:
- Staying home until fully recovered
- Avoiding close contact with others
- Cover your nose and mouth when sneezing or coughing
- Keep objects and surfaces in your home or workspace clean and disinfected (bleach mixed 1:10 with water will do)
Alhough the CDC isn’t recommending this as of yet, having a supply of N95 face masks isn’t a bad idea.
By the way, while I was writing this, I received a notice sent to all physicians in the state of Florida, warning about….coronoavirus.
Doom and Bloom Medical: Coronavirus: The Next Pandemic?
The Medic Shack: Coronavirus, 2019NcoV. Do We Need to Be Worried?
The Altons at Doom and Bloom Medical have an article up on Blunt Trauma. This first part is an overview of the trauma itself and a later post will discuss treatment.
Blunt trauma is damage caused to the body by a blunt object, such as a club or baseball bat. Blunt trauma can cause bruising, scrapes, fractures, or organ ruptures. It can, in some circumstances, break the skin although a projectile that enters the body and stays there or passes through is considered “penetrating trauma”.
How does blunt trauma cause injury? According to the excellent textbook “Trauma” by Mattox, Moore, and Feliciano: The strain on an area due to trauma is related to the amount of deformation caused, factored with the amount (length) of tissue involved.
Types of Strain in Blunt Trauma
Let’s put “Strain” in four categories: Tensile strain, Shear strain, Compressive strain, and Overpressure.
Tensile Strain: Tensile strain occurs as opposing forces are applied to the same point, something like pulling apart a wishbone at Thanksgiving or, perhaps, a tug of war.
Shear Strain: Shear strain also involves two forces applied to a structure, but not at the same point. Think of a circus strong man tearing apart a telephone book.
Compressive Strain: Compressive strain is directly related to the deformation of an area of impact, similar to what would happen if I struck you in the ribs with a baseball bat or the jack collapsed while you were working under your car.
Overpressure: Overpressure is not unlike compressive strain, but applied to a fluid or gas-filled organ, crushing and, perhaps, rupturing it. An example might be sitting down abruptly on a balloon…
The Altons at Doom and Bloom Medical report that a previously unknown viral pneumonia has broken out in China, hospitalizing dozens there. They discuss what pneumonia is, treatment and prevention.
Health authorities in China are reporting 60 cases or more of a previously unknown viral pneumonia that has put dozens in the hospital. Officials note that victims exhibit fever up to 105 degrees Fahrenheit, difficulty breathing, and abnormal findings on chest X-rays.
Nothing gets my attention like a mysterious, probably viral, pneumonia showing up in some foreign land. In the last decade or so, killers like Sudden Acute Respiratory Syndrome (SARS) and Middle East Respiratory Syndrome (MERS) have entered the scene. The current infection doesn’t seem to be either of these, and lab studies have already eliminated influenza, avian flu, most bacteria, and other possible culprits. A number of victims were found to have attended a seafood market in the area.
The word “pneumonia” is defined as a lung inflammation usually caused by bacterial or viral infection. Occasionally, fungi or parasites may give rise to it. It’s a very general term and doesn’t identify the specific microbe that’s causing the problem.
It’s important to know that inflammation of the lungs may occur as a result of reasons other than infection, such as inhaling food, drink, or vomit into the lungs. This is called “aspiration pneumonia” and can be life-threatening.
Although pneumonia kills about 50,000 people annually in the United States, most of these cases are in the elderly, the very young, or those with poor immune systems. One infection that is clearly passed from one human to another is influenza. This year’s flu season is becoming one of the worst in recent memory, according to the Centers for Disease Control and Prevention (CDC). The last serious viral influenza outbreak in the U.S. was 2017…
In Spinal Protection in the Wilderness: What We’ve Been Doing Wrong for Decades the Wilderness Doc talks about the new (Dec. 2019) Wilderness Medical Society Guidelines for spinal cord protection and what it means for wilderness/remote care. Reprinted below is an excerpt, be sure to go and read the whole article so that you aren’t misled into doing something dangerous by the sample.
…If you have been a victim of a traumatic injury over the past 50 years, you have been quickly placed in a cervical collar and strapped to a backboard to “protect your spine”. Countless patients have been tortured (ok, maybe a little overly dramatic but…) for hours on end as they waited for their spines to be “cleared”.
This practice guideline simplifies the use of rigid cervical collars and immobilization all the way down to–don’t use them…
You and a friend find yourselves in the mountains of Georgia hiking along a moderate to difficult trail with some steep terrain. Your friend turns to look at an interesting bird flying through the forest canopy and loses his footing sliding off and down the steep embankment. You rush to the edge of the trail to watch as he turns over and over, falling head over heels down the 100-foot slope. Quickly, you slide down the embankment and find yourself at your partner’s side. He is awake and alert, cursing vigorously at his misstep.
You ask, “Are you alright?”
Sitting up, he replies, “Yes.” As he carefully bends his neck to the left, right, back, and front with no indication of pain of any type.
Throughout the last half-century, any physician or provider with the slightest knowledge of emergency medicine would have fainted at the thought of letting a patient go through the maneuvers described above. If asked about what should have taken place, they would tell you the patient had to be immobilized. Immediately upon arriving on the scene, the uninjured party should have counseled their companion to remain still, lie completely flat on the ground, and not move their neck.
After all, there could be an unnoticed and unidentified spinal cord injury.
We must protect the spinal cord.
Given the guidelines as presented in this paper, the patient above has cleared himself. Being alert and able to safely and without pain mobilize the neck in a full range of motion (without distracting injury) rules out a spinal cord injury. In some instances, it may be desired to provide some form of non-rigid cervical spine motion restriction. However, the rigid cervical collar has been shown to cause more harm than good…
The Altons at Doom and Bloom Medical have another good article up, this one on stab wounds. There are pictures with stab wounds on the page, so that’s a warning if you have a light stomach.
Any disaster puts your people at risk for injury. Wounds caused by sharp objects can be life-threatening, depending on the organs and blood vessels damaged.
Stab wounds are a type of penetrating trauma, which is further divided into perforating and non-perforating injuries. A perforating wound is one in which the object causing the damage goes into one side of the body and then exits through the other side. A wound from .223 or NATO .556 would, commonly, be an example of perforating trauma.
Bullets and other high-speed projectiles cause damage not only from the act of penetration, but also the shock wave produced as the bullet passes through the body. Luckily, low speed projectiles such as knives will not do this. Your concerns are related specifically to the area of entry and the structures located directly in the path of the offending instrument.
Stab wounds are an example of a non-perforating wound: the projectile causing the damage enters the body and either stays there or exits where it entered. Some sharp instruments could possibly do this, say a crossbow bolt or a spearhead, but let’s assume that you’ll be unlikely to see these.
With stab wounds, blood loss and failure of damaged organs will be the major issue. A little about blood: Blood carries oxygen to the tissues and organs and removes waste products. It is made up of several components, including:
- Red blood cells: These cells carry oxygen to body tissues.
- White blood cells: These cells work to, among other things, fight infection and disease.
- Platelets and other clotting factors: These allow blood to coagulate and lessen blood loss.
- Plasma: A yellowish liquid in which the above are suspended.
Your immediate action upon encountering a victim of a wound with a sharp instrument may save their life. The heart takes less than one minute to pump blood to the entire body; if the circulatory system is breached, blood loss becomes life-threatening very quickly.
180 lb. (about 70 kg.) adult males have approximately 9-10 pints (about 5 liters) of blood in their body. Athletes and those living at very high altitudes may have more. You can’t afford to lose more than 40% of total blood volume without needing major resuscitation. To get an idea of how much blood this is, empty a 2 liter bottle of fruit punch or cranberry juice on the floor. You’ll be surprised at how much fluid that represents…
The Altons at Doom and Bloom Medical have up an article about the usefulness of the antibiotic clindamycin as a medical storage item.
In any situation where modern medicine is not available, there will be a number of deaths that occur from injury and infection. These may occur as a result of contact with hostile neighbors or from epidemic diseases, but many will happen simply from the performance of activities related to survival. Many minor wounds will become contaminated, leading to infections that could easily have been treated with antibiotics.
In a major disaster, this and many other deaths might be avoided if antibiotics were available. You may be reluctant to treat yourself or family members with these potent drugs. This is understandable: Antibiotics aren’t candy and are best utilized by qualified medical professionals. If there are no trained personnel, however, a layman with a working knowledge of bacterial diseases and their treatments may have no choice but to use antibacterials to save a life.
Note: This is the premise of our book “Alton’s Antibiotics and Infectious Disease: A Layman’s Guide to Available Antibacterials in Austere Settings”.
There are many antibiotics, but which antibiotics accessible to the average person would be good additions to your medical storage? When do you use a particular drug? The wrong antibiotic at the wrong time can be as bad as doing nothing at all. You should have both quantity and variety to be effective as a medic in long-term survival settings.
Today we’ll take the example of a drug that is used in the aquarium industry that is identical to a medication used in humans: Clindamycin, aka “Fish-Cin”. It is also known as “Cleocin”.
Clindamycin is part of the Lincosamide family of drugs. It works by preventing the production of bacterial proteins necessary for growth. This particular medication has been used to treat everything from acne to anthrax.
Clindamycin works best on bacteria that are anaerobic, which means that they don’t require oxygen to multiply. A deep puncture wound like, for example, a cat bite would give rise to favorable environments for anaerobes. Clindamycin is versatile enough to treat or prevent certain bacterial or protozoal causes of:
- Dental infections
- Ear Infections
- Soft tissue Infections (skin, etc.)
- Peritonitis (inflammation of the abdomen seen in appendicitis and other medical issues)
- Some pneumonias and lung abscesses
- Uterine infections (such as after miscarriage or childbirth)
- Blood infections
- Pelvic infections
- MRSA (Methicillin-resistant Staph. Aureus infections)
- Parasitic infections (Malaria, Toxoplasmosis)
- Bone infections
It should be noted that although a certain antibiotic may be effective against a certain infection, that it may not always be the most effective. The drug most in favor at the moment is called the “drug of choice”. The drug of choice may change as new antibiotics are developed or new research becomes available about existing medicines…
The Altons at Doom and Bloom Medical have started a series on Chemical and Biological emergencies. In this article, they discuss various chemical agents and what to do.
In today’s modern world, it’s difficult to avoid exposure to toxic chemicals. Chemical weapons are largely prohibited by the Chemical Weapons Convention (CWC), a treaty that outlaws their production and use. Although almost all nations have signed this treaty, the risk of chemical attacks by terror organizations and industrial accidents still exist…
WHAT TO DO IN CHEMICAL EMERGENCIES
Chemical accidents or attacks, such as an overturned tanker truck or a terror event, may render an area dangerous. Common sense dictates evacuation as the wisest course of action. This is not only to prevent physical contact but also to avoid noxious fumes that may be carried by the winds. Given the wide range of chemicals, be sure to seek and rapidly act upon the advice of local emergency departments for the specific event.
Evacuation may involve going to an emergency shelter. If so, notify others of your plan of action and take additional supplies and medications that the municipality may not have in sufficient quantities. Know what their policy is regarding pets. The schools your children attend will have their own plan of action for chemical emergencies; be aware of their disaster protocols. It may be more dangerous to try to bring them home.
SHELTER IN PLACE?
Some chemical emergencies could make going outdoors risky. Leaving might put you in harm’s way. Sheltering in place is a way to protect yourself until help arrives. Sheltering in a vehicle, however, is a last resort, as vehicles aren’t airtight enough to protect you from noxious fumes.
If you can’t evacuate the area, choose a room with as few windows and doors as possible. A room with a water supply (a connecting bathroom, perhaps) is best. Some gases sink to the floor, so a second-story room is preferable. Notice how different this strategy is from most natural disaster plans, where a basement might be the safest area in the home.
Shut all outside doors and windows as soon as you are aware of the emergency. Locking and taping them will make a better seal against the chemical. Turn off air conditioners, fans, and heaters. Close the fireplace damper, vents, and any place that air can enter from outside.
Go into the designated safe room and shut the door. Turn on the radio and keep a cell phone available. If it is necessary to drink water, drink safely-stored water, not water from the tap. If you run out of water, you can drink from a toilet tank (but not from the bowl)…