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.
In 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…
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” mantracommon in prepper and survivalist circles. We have spent countless hours on this book project, not to make money, but to genuinely improvepeople’s levels of medical preparedness.
Medicine at the end of the world
The Context of Austere Medical Practice
What do I need to know?
Emergency Care in an Austere Environment
The Clinical FAQ’s
Infectious Disease and Antibiotics
Sedation and Anesthesia in an Austere Environment
Major Surgical Procedures
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
Survival Aspects of Veterinary Medicine
Austere Medicine Sound Bites and Lessons Learned
Survival Medicine fiction