Doom and Bloom: How to Perform a Neuro Exam

Dr. Alton and Nurse Amy from Doom and Bloom have put out a video on how to conduct a neuro exam.

The medic for a survival group needs to be able to stop a wound from bleeding and splint an ankle sprain. For a long-term situation, however, a caregiver needs to know how to perform exams that would identify other medical issues. Here’s Joe Alton MD giving you a demonstration of a simple exam of the nervous system that would tip you off to a number of problems.

Nurse Amy acts as a volunteer for this video. While her exam is normal, future videos will discuss a number of neurological problems that the medic should be able to identify.

TACDA: Survival Landscaping

The American Civil Defense Association has an article up on Survival Landscaping — how to use permaculture to provide food in the event of a long term disaster.

…According to Marjory Wildcraft of www.thegrownetwork.com, it is just too land intensive to realistically support a family on the hunter-gatherer system. She states: “Let’s start first off with the almost magical dream of the pure hunter/gatherer. I often hear this one from those concerned about a collapse of civilization. Just how much land does it take to support you without destroying all the wildlife and plant populations? How much area do you need in order to live sustainably as a hunter/gatherer? Since there are so few actual hunter/gathers left alive on the planet, and the few places where they do still exist tend to be jungles which look nothing like anything in North America, we will turn to anthropological data. The quick and easy answer is that traditional peoples used on average, about 10 square miles per person. Ten square miles is 6,400 acres – that is for one person.”

So what’s the answer? It just might include creating your very own self-sustaining food supply. Call it survival landscaping, permaculture, sustainable agriculture or whatever you like. The goal is to work with nature to create a truly sustainable system. A garden paradise that requires little or no human intervention once established. Due to the “natural looking” nature of this type of landscape most individuals would never suspect the amount of life-saving food growing in the tangle. Thus protecting your food supplies in plain sight.

The objective is to create an environment which requires very little human intervention once it is established.

The ideal permaculture design produces food year after year without weeding, pruning, tilling, fertilizing or using pesticides and herbicides. The system is perfectly balanced for the local climate. It is possible to accomplish permaculture landscape on a half-acre city lot as well as in a more spacious country environment. Permaculture takes many years to establish and become resilient to changing conditions.

Selection of plants is critical to take best advantage of local climate conditions, ensure natural balance and to extend the harvest throughout the entire growing season. There are a growing number of great reference books to guide you through the process. Many of the authors recommend a more “natural or wild looking” landscape which is perfect for a remote bug out location, but may not be welcomed in a gated community…

Click here to read the entire article at TACDA.org.

Related Resources:

The Prepared Homestead – Provides permaculture training, assessment and design.

Strategic Landscape Design – Provides land planning and permaculture consulting.

Brushbeater: First Line Survival Kit

NC Scout at the Brushbeater blog has an article up about first line survival gear, i.e. the gear that you keep on your body to sustain you until you can be rescued or reach other gear or resupply.

Combat arms soldiers are taught the process of layering equipment- a first, second and third line– which support our mission both individually and as a team. The third line is our ruck sack with mission-specific equipment, the second, our fighting load. In dire straits these two are expendable. The first line gear is a set of items worn on the body always which keep us alive until we link up with friendly forces. It is a concept that serves anyone into wilderness and outdoors living quite well when the unexpected happens.

CSARIn training we first establish a baseline and then create standards to meet them. If it’s small unit tactics, that begins with individual skills including quiet movement, observation, land navigation and marksmanship graduating to team formations and battle drills. If it’s communications, we first create competent operating skills then move into basic radio theory. With survival, it’s focusing on individual sustainment skills to keep you alive and successfully rescued.  No matter what your fantasy is about ‘bugging out’ , the reality is you’re not going to last long in the wild without a prior skillset, a few basic items, and someone there to eventually recover you. If the world has become upside down and you find yourself in a real-deal survival situation, the first goal is rescue and everything you do between the time of the incident and getting rescued is geared towards keeping you alive.

Survival Rule of Threes

The general survival rule of thumb is the rule of threes:

  • 3 minutes without oxygen
  • 3 hours in a severe environment without shelter
  • 3 days without water
  • 3 weeks without food.

While its physiologically correct, the rule leaves out the psychological factors which cause the bad decisions ending up in a tragic story…

Click here to read the entire article at Brushbeater.

Survival and Austere Medicine, 3rd Edition Link

In 2017, the Remote, Austere, Wilderness & Third World Medicine discussion board moderators released their third Edition of the Survival and Austere Medicine ebook. The third edition grew to over 600 pages compared to the second edition’s 200+pages.

While the original content of the FAQ and the subsequent edition remains valid, we thought it was time it underwent an update again. We hope you will find it useful. It is offered in good faith but the content should be validated and confirmed from other sources before being relied on even in an emergency. It is a tool to help you with medical care in an austere or ‘grid-down’ environment.
When the original FAQ and previous edition were written, there were very few books aimed at the “Practicing Medicine after the End of the World as We Know It” market – however over the last couple of years several books of varying quality have been published, offering information on this topic.
We like to think we are the original “Medicine at the End of the World” guide and our uniqueness in the current market place comes from our history and that it is the collaborative work of a group of experienced medically orientated preppers and survivalists. Between us, we have extensive experience in pre-hospital, austere, remote and third world medicine – both with the military and NGO’s. We do this stuff – we understand the limits of the environment and the issues of supply and improvisation. We have trained lay people to do complex medical procedures and provide health care in their remote communities. We have undertaken community medical needs assessments and the delivery of health care after natural disasters. We have given anaesthetics and done surgery in tents in the back of beyond. While the [stuff] hasn’t hit the fan in Western Countries yet, you don’t have to look far to find accurate analogies to likely Collapse Medicine and between us we have experience working in these locations and situations. This makes our book unique.
The other unique fact about this book is that it remains free! It’s a labour of love for us and we have enjoyed the comradery of putting it together. We are passionate about helping to improve the neglected ‘Band-Aid’ bit of the “Beans, Bullets and Band-Aid’s” mantra
common in prepper and survivalist circles. We have spent countless hours on this book project, not to make money, but to genuinely improve
people’s levels of medical preparedness.

 

Short Contents:

Medicine at the end of the world

The Context of Austere Medical Practice

What do I need to know?

Organizational Issues

Medical Kits

Clinical Assessment

Emergency Care in an Austere Environment

The Clinical FAQ’s

Infectious Disease and Antibiotics

Sedation and Anesthesia in an Austere Environment

Major Surgical Procedures

Wounds

Family planning, pregnancy, and childbirth

Considerations in Children

Austere Dental Care

The Basic Laboratory

Sterilization and Disinfection

Medical Aspects of Nuclear, Biological, and Chemical Warfare

Medical Aspects of Shelter Living

Austere Mental Health Care

Nursing Care in an Austere Environment

Botanical and Herbal Medicine

Primitive Medicine

Survival Aspects of Veterinary Medicine

Austere Medicine Sound Bites and Lessons Learned

Survival Medicine fiction

Reference Books

PDF Link from the Austere Medicine site (22MB)

Local PDF Link if the above does not work (22MB)

Related:

DHS Austere Emergency Medical Support Field Guide (5MB)

The Ship’s Medicine Chest and Medical Aid at Sea (3MB)

Ethicon Wound Closure Manual (3MB)

Emergency War Surgery 4th Ed. (7MB)

Fundamentals of Combat Casualty Care (7MB)

Communicable Diseases Following Natural Disasters (97KB)

Surgical Care at the District Hospital (7MB)

Primary Trauma Care Manual in District and Remote Locations (744KB)