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Dr Bones & Nurse Amy: The Survival Medicine Hour Of Doom & Bloom

Discussion in 'Survival (Preps & Homestead)' started by searcher, Mar 16, 2014.



  1. searcher

    searcher Mother Lode Found Site Supporter ++ Mother Lode

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    Survival Medicine Hour: Expiration Dates, Face Masks, More

    January 30, 2017


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    N95 mask

    This episode of the Survival Medicine Hour, with your hosts, Joe Alton, MD aka Dr. Bones and Amy Alton, ARNP, aka Nurse Amy, discusses the significance, or sometimes, the lack of significance of expiration dates when it comes to medicines in pills and tablets. Also, face masks as a medical supply, all you need to know about this important piece of medical protection. Also, some tips on medical storage of drugs.

    [​IMG]
    expiration dates

    To listen in, click below:

    http://www.blogtalkradio.com/survivalmedicine/2017/01/27/survival-medicine-hour-expiration-dates-masks-and-med-storage

    Wishing you the best of health in good times or bad,

    Joe and Amy Alton

    https://www.doomandbloom.net/surviv...URSE+AMY'S+..........Doom+and+Bloom(tm)+Show)
     
  2. searcher

    searcher Mother Lode Found Site Supporter ++ Mother Lode

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    Guest Article: Homeopathy and Preparedness

    February 2, 2017


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    Nurse Amy and I are conventionally trained medical professionals that incorporate an integrative philosophy into our writings. We don’t know everything, however (far from it), and sometimes find writers on specific topics that are outside of our wheelhouse and cannot speak to authoritatively. Here’s an article by Becky Rupert, a board-certified homeopath, to introduce you to her field:

    When preparing for any emergency, we all know it is a good idea to have basic things on hand such as first aid kits, bandages, extra medications, analgesics, essential oils, herbs, wraps, blood stop powder, and all of those things to help us when we have minor injuries or emergencies. It is also a good idea to have extra skills such as how to make tinctures, or herbal products, or the many wonderful first aid skills taught at organizations such as the Red Cross. Suturing skills are a plus, as well as classes in nursing or EMT classes. These are wonderful adjuncts to your preparedness portfolio!

    However, I think there is one more thing that is incredibly useful to add to your “tool kit”.

    What I am going to teach you about today is a form of alternative medicine that is easy, safe and very effective in an emergency when you have no access to standard medical care. You can use this method with little cost input to start, and you can use it right now for your family in acute situations such as:
    • colds
    • flu
    • sprain
    • strain
    • injuries
    You can start learning now to give remedies in acute situations so that you can understand how to give remedies in situations where there is a dire need, so you can help family and friends with a safe, holistic healing method. It is not difficult to do, and it is very rewarding. It can require a shift in how you think about healthcare. Homeopathy is quite different from what you may be used to.

    First, some background:

    Let’s first talk a bit about what homeopathy is, what it is not, and how it can help your family! Homeopathy is a 200 year old system of medicine created by a physician and chemist, Dr. Samuel Hahnemann. In his time, physicians used toxic crude substances which had many side effects and harmed more than healed. Dr. Hahnemann devised a way of using dilutions of substances to help the body heal without the toxic effects, even if the original substance was toxic.

    Homeopathy means “similar suffering”. Remedies are made from just about anything from plants, to animals, to minerals and each has a specific pattern of symptoms associated with it. Right now there are about 5,000 remedies and more are being made every day. They are sustainably sourced and they are “FDA approved drugs”. Some are over the counter, and some are prescription based. In fact, Samuel Hahnemann wrote the good manufacturing practices that are still in use today.

    Homeopathy is not herbalism, although we may start with an herbal “mother” tincture at the base of the remedy, we often use the entire plant, something that herbalists rarely do because at times the parts of a plant may not have therapeutic value or may be toxic. In the homeopathic remedy, there are no molecules of the original substance left once you go above 12c (explained below), which renders them non toxic and safe for infants, animals, or the elderly.

    Homeopaths don’t use machines, muscle testing, herbs or supplements. We (generally) don’t make remedies ourselves (there are special pharmacies for that). Constitutional Homeopaths also don’t give you more than one remedy at a time, and we don’t use machines to figure out what remedies you need (with the exception of a computer program to go through all of your symptoms). The pellets we use are small, pleasant tasting and dissolve under the tongue. Children readily take them and usually respond quickly, as do animals.

    What do the numbers and letters mean on a homeopathic remedy package?

    The remedies all have latin names, such as apis mellifica (honey bee) and the number tells you how many times the remedy was diluted, the “C” stands for the amount of water it was diluted in, in this case, 99:1=100 (99 parts alcohol and water to one part mother tincture). If you remember your roman numerals, you will see they are common in homeopathy. There are also “X” potencies, that is 1 in 9=10.

    C potencies last longer than X potencies, but all you really need to know is to stick with 12c or 30c if you can, for best results. There are situations that 6c, or 200c is much more preferred, and if that’s the case, I will let you know. Generally, you can’t go wrong with a 12 or 30c. That is a great potency for beginners and they are readily available, and in the common remedy kits for home use.

    How does it work?

    We don’t know the exact mechanism of action of the remedies. We know they are not placebo, because they work on infants and animals very well. If you have the wrong remedy, nothing happens and there are no side effects or unwanted symptoms. There are instances when people can be sensitive to remedies and if you are the type that is very sensitive to everything around you, then I would consider having someone walk you through the process so you know how to take remedies. Sensitive folks can aggravate which means that the symptoms they already have get worse before they get better. This is rather unusual but does happen on occasion, and usually sensitive people are sensitive to so many other things such as medications, perfumes, everything sets them off. This is not to say that chemically sensitive people shouldn’t use homeopathy, I have lots of clients who are environmentally sensitive and they are often fine with remedies. We often need to dilute them a bit in about 4 oz of water.

    The wonderful thing about homeopathy is that it works to heal the entire person, mentally, emotionally, physically, all at the same time. We do not have one remedy for asthma and one for headaches, and one for eczema and one for autism, we see the person as a whole and give a remedy and potency based on that person’s unique set of symptoms. Homeopathy is so safe, you can give it during labor and delivery.

    We recommend that home prescribers use remedies for acute situations (self limiting situations such as colds, flu, injuries, sunburn), and leave the chronic situations to the professionals. Chronic symptoms are symptoms such as PMS, fatigue, headache, asthma, autism, eczema, etc.

    My clients come from all over the US and abroad and I teach them to be able to care for themselves during acute situations. I see people for acute situations and chronic ones and some people want to learn everything they can and some just want me to fix it! Either way is fine, but here we’ll get your feet wet so you can learn more. Even if the only thing you do is use arnica for bumps and bruises, that’s a step in the right direction. Carry arnica with you wherever you go and you’ll be amazed at how it stops pain fast! Learn to give some remedies in a few situations and soon you’ll be learning more and more.

    Homeopathy is a wonderful addition to your medical kit or bug out bag. Remedies are easy to use and pretty forgiving. Dosing depends on the individual, the amount of pellets is not based on body weight or age. In homeopathy, frequency of dose is what is important.

    The most important thing to remember is:
    • Give the remedy as needed, not on a schedule. If you have an aggravation from a remedy DO NOT REPEAT, wait and watch, usually this is minor and improvement will follow; then repeat as needed by putting a pellet in 4 oz of water and sip only as needed.
    • Give the remedy 2 doses before moving on to the next remedy if nothing happens… unless you are very sensitive.
    • Most people in an acute situation will know how often to take the dose, their symptoms relapse after improvement. If you have hit yourself with a hammer, and you take hypericum, the pain will come back and you will know when to repeat, more is not better!
    • In a situation like a cold, you may need 3 doses in one day to determine if you should switch to another remedy.
    • Remedies come in different pellet sizes, large pellets like the decorating balls for cookies – you can use one at a time, tiny, poppy-seed sized pellets, the dose is about 5 pellets. Generally, the amount of pellets is not important, the frequency of dose is.
    • In critical situations such as shock, you may need a stronger dose or the remedy may be needed more frequently then you expect, don’t be surprised if the remedy lasts for minutes or a half hour and you need to repeat. The doses should start lasting longer and longer until the problem resolves or you get help
    • Try to get help if the situation is beyond your skills or training
    • If there is a very high fever (104 or above), you may need to seek out care or diagnosis. Obviously, use your judgement, but some of the scenarios in this article are for those who can’t get to medical care. Medical care is important in a critical situation, if you are having a heart attack, get help if you are able. It sounds silly but people have called me in the middle of a heart attack!
    Bumps, Bruises, Head injuries, Fractures, etc.

    Arnica Montana:

    Everyone should have arnica on hand for emergencies, it a wonderful first aid remedy and often the one that people pick up whenever there is an injury. Especially useful for bruising and head injuries, I use 200c for head injuries and 30c for minor bruising. This remedy is often useful to help heal damage from surgery.

    (Dr. Bones says: I don’t have a lot of experience with some of the substances mentioned in Becky’s article, but can vouch, from personal experience, for the effectiveness of Arnica in alleviating pain from injuries.)

    Bellis Perennis:

    Bellis is in the same family as arnica and is useful for deep muscle trauma, deep incisions or heav blows when arnica doesn’t offer much help. I use 6c three times a day until it is no longer needed.

    Ruta Graveolens:

    Ruta is wonderful for ligament and tendon injuries or sprains and strains. I use 200c followed by 6c three times a day until unnecessary. I found that sprains heal in half the time with ruta.

    Symphytum Officionales:

    The best remedy for fractures, It is used after being set to knit bones quickly. I use 200c for pain if arnica doesn’t help and then 6c three times daily for 3-6 weeks. Also very useful for eye injuries at the same potencies.

    Staphysagria:

    Useful for healing cuts and knife wounds after stitching or approximating wounds. For a deep wound may need 200c one dose or 30c three times a day for 2 days.

    Calendula Officionales:

    Used in tincture or potency this is excellent for skin abrasions and can also be used diluted 1:10 parts water in eye infections, abrasions, or as eyewash. This can be also used as an antibacterial for wounds or lacerations, but some homeopaths also like Echinacea tincture for this purpose as well.

    Silica:

    This remedy is often used to expel splinters or foreign material embedded in skin. I use 6c or 30c three times a day for 2 days.

    Cantharis:

    This remedy (like all others) has many uses, but is very useful for burns and scalds, and can also be used for urinary tract infections with a great amount of burning with urination. I use 30c as needed for pain control. For sunburn I prefer sol 30, but it can also be used for sunburn.

    Apis Mellifica:

    One of the best remedies for bee or wasp stings or even anaphylactic shock, apis has redness, edematous swelling and heat. It is also used for cellulitis. If you have severe allergies it is a good idea to have epi pen around but if you don’t have one, apis may be a lifesaver. It is always a good idea to have other alternatives such as Benadryl just in case! A 30c of apis may not be strong enough of a dose, so I recommend having a 30c and 200 on hand.

    Fevers/Infection/Shock:

    Pyrogenum:

    I have used pyrogen 1M potency for tooth infections with great results, it is also generally used for septicemia. At this high of a dose, it is given only as needed for fever or pain control.

    Belladonna:

    The most used homeopathic remedy for fever, it is useful in high fevers of many kinds. The skin is usually hot and dry, and it has been used for decades for scarlet fever. Useful in situations where there are delusions or hallucinations with fever. Belladonna is very violent and sudden and is also used in heat stroke or heat exhaustion. Symptoms tend to be hot red and violent and tend to be right sided. Aggravation time is often 3 AM or PM and can be used for childhood ear infections of sudden onset when these symptoms match.

    Ferrum Phos:

    Often useful in situations where there are mild symptoms and you aren’t sure which remedy to give, ferrum phos has vague symptoms and is often given at the beginning of an illness to stop it before it starts.

    Aconitum Napellus:

    Aconite is incredibly useful in shock and there can be fright or anxiety and restlessness. There is a sudden onset of symptoms like in belladonna.

    Phosphorus:

    This is a remedy that is often useful in hemorrhaging, and nosebleeds, which are often left sided. I usually use 30c in minor cases and would use 200c in severe cases.

    (Dr. Bones says: With regards to significant hemorrhage, it’s always important to know appropriate first aid techniques like you’ll find in many of my articles on this website.)

    I hope this helps you get your feet wet with what homeopathy can do. I recommend that people use Homeopathy in every day acute illness such as colds, flu, or minor injuries to see how remedies are used. Don’t keep them on a shelf, becoming proficient with their use helps so when you really need them you will know how to use them. A side benefit is that they last forever unless they are exposed to extreme heat so you can store them long term without expiration. These are the remedies that are very useful for a bug out bag or emergency kit and can be used for the barnyard or home. We offer kits with 40 remedies for those who are interested. I hope you never have to use a kit in an extreme emergency, but I personally feel better knowing they are around if I need them!

    I wish you good fortune on your journey to health…

    Becky Rupert, ND, CCH

    Board Certified Homeopath

    Becky has been homesteading for 20 years while practicing and teaching homeopathy to laypeople to help themselves, their families and their animals. She consults with people all over the US and abroad and can be reached at beckyrupert@frontier.com or by phone EST at (419) 853-3805. Please address any of your questions to Becky.

    https://www.doomandbloom.net/guest-article-homeopathy-and-preparedness/
     
  3. searcher

    searcher Mother Lode Found Site Supporter ++ Mother Lode

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    Survival Medicine Hour: Protest Survival, Capsizing, Allergies, Pt.1

    February 4, 2017


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    Surviving a Protest

    The Survival Medicine Hour with your hosts Joe Alton, MD aka Dr. Bones and Amy Alton, ARNP, aka Nurse Amy discuss Protest Safety, How to survive a capsized boat or cold water immersion, and part one of a series on allergies. Our website https://www.doomandbloom.net/ is a source for these and other topics.

    Getting caught in the middle of the crowd in the frenzy of protesting could be dangerous, especially if you are wearing anything that identifies you as their “enemy., Knowing how to extricate yourself and be the “gray man” can help you stay safe. Don’t approach lines of police officers in riot gear, they are focused on getting the crowd under control and could mistake you for a rioter. Try to stay with friends and escape as quickly as possible. Many more tips!

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    Strategies for capsized boats or other water immersion

    If you find yourself in the water due to a capsized boat or other water incident. the first step is to try and stay calm. Always wear a life jacket if possible while boating, which enables you to stay warmer since you don’t have to kick or try to swim to keep your head above the water. If any debris is nearby, try to elevate some of your body out of the water. These and more mportant steps to take are presented in the show today.

    In an introduction to allergies, an immune reaction against an allergen occurs when it is encountered the first time, and may cause little to no reaction at all. The second exposure to this allergen is when the allergic cascade of symptoms and reactions are seen. Allergic reactions may appear in various forms. Part one of this allergie series is discussed on today’s show.

    All this and more in the Survival Medicine Hour! To listen in, click below:

    http://www.blogtalkradio.com/survivalmedicine/2017/02/03/survival-medicine-hour-protest-safety-capsize-allergies-pt1

    Wishing you the best of health in good times or bad,

    Amy and Joe Alton

    https://www.doomandbloom.net/survival-medicine-hour-protest-survival-capsizing-allergies-pt-1/
     
  4. searcher

    searcher Mother Lode Found Site Supporter ++ Mother Lode

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    13 Tips on Surviving a Protest
    February 6, 2017


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    Anti-Free Speech?

    As a Free Speech advocate, I support the people’s right to protest and make their opinions heard. Unfortunately, demonstrations in the U.S. these days are becoming more frequent and violent. From what I saw happen at UC-Berkeley, I expect them to become more extreme as times goes on.

    I haven’t been at a protest since the Vietnam era, and that was just on the way to class. Back then, I was fit enough to hightail it out of there when the pepper gas flew. However, there is so much civil unrest in the news these days that it’s a good idea to have a riot survival strategy, whether you’re involved or just a bystander. It goes without saying that your objective should be to stay away from the where the violence is occurring.

    Of course, if you walk smack dab into a demonstration, things can get dicey pretty fast. I’ve written a lot about situational awareness, and that mindset will serve you well. Here are some simple tips that will help you avoid injury at a protest:


    1. Always be in a state of “Yellow Alert”. Yellow alert simply means being aware of your surroundings and the people around you. When people are behaving strangely, take note and avoid them.

    2. Always mentally map out routes of escape as you walk along. Where’s the nearest side street? Is there a building or subway entrance that will get you off the street? If you don’t know the area, move away to where you know the lay of the land.

    3. If you have to make your way through the crowd, stay on the fringes. Don’t get caught in the masses of people surging away (or towards) the violence. If you do, they are deciding your movements, not you.

    4. Avoid confrontation with protesters. In other words, take off your “Make American Great Again” hat if it’s an anti-Trump demonstration. At Berkeley, things like this got women pepper-sprayed and men beaten.

    5. Have a bandanna handy. This essential survival supply isn’t a gas mask, per se, but it works at riots when tear gas is sprayed. Some advocate the soaking of the cloth with lemon juice or apple cider vinegar. Avoid black bandannas, though; at Berkeley, organized masked “ninjas” in black caused most of the damage. You don’t want to be confused with one of these people.

    6. Wear sneakers or other footwear that will allow you the most mobility. The only women wearing heals are reporters. Make sure you’re well-clothed so that your skin is protected. You’ll need to wash clothes thoroughly that have been exposed to tear gas, or throw them away.

    7. Be aware of the movement of law enforcement officers, but don’t approach them. Their job is tough enough, and they won’t be able to hear you above the roar of the crowd.

    8. Don’t run if you can help it. Unless everyone else is running, you will attract unwanted attention. Walk fast and purposefully around a corner, to higher ground, or other safe spot.

    9. Be inconspicuous. This may be difficult if you’re 6 foot 7 inches tall, but otherwise, do you best to be “the gray man”.

    10. If you’re with friends, stay together. If you can’t, agree on a meeting place beforehand in case you get separated moving through the crowd.

    11. Avoid being caught against walls, fences, blockades, or other solid objects. People can get crushed by masses of protesters.

    12. Carry some water, milk, or diluted liquid antacid (like Maalox) in a container if you know you’re heading into a protest area. If sprayed with tear gas, move quickly into an area of fresh air and pour the liquid on your face (especially your eyes). Drink it if sprayed in the mouth. Milk or liquid antacid are thought by some to work better than water, but there’s no hard data one way or another. The effects of the tear gas will resolve over a relatively short time in most cases.

    13. If you’re involved in a protest, carry a basic medical kit that will help to treat injuries and stop bleeding.

    It’s likely you’ll never get caught in civil unrest, but having a solid plan of action in these troubled times just makes common sense. We must be prepared for man-made disasters just as we should be prepared for hurricanes, tornadoes, and earthquakes.

    Joe Alton, MD

    https://www.doomandbloom.net/protestsurvival/
     
  5. searcher

    searcher Mother Lode Found Site Supporter ++ Mother Lode

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    Guest Post: 10 Things You Didn’t Know Were in Your Drinking Water
    February 8, 2017


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    What’s in your water?

    (Dr. Bones says: From time to time, we accept submissions from promising writers in the field of preparedness. Today’s post comes from TheBerkey.com‘s social media manager Jennifer Moran. In this article, Jennifer discusses some substances that you might not expect to be in your drinking water. Thanks to Jennifer for her submission.)

    The most common substance in this world is water and therefore it is essential that we could say by default it is greatly important! We learned that only 1% of the Earth’s water is suitable for drinking, 97% of it is ocean or sea and where does the 2% go? It is unusable, it’s frozen. Now, we always wanted what is best and safe for our drinking water. As a matter of fact, Americans drink more than a billion glasses of tap water per day.

    Your day has been sluggish and you die to drink that glass of water even from the tap just to quench you. But do you really know if whether or not it’s secure for your family? Or let me be more direct, do you even bother to know what’s on it? No matter how we can say that that water is clean by just basing it from your bare naked eyes, there are things in there that might not be good for you.

    Here are some surprising substances that you didn’t know might be in your drinking water.

    1. Lead
    Just like any stubborn bad guy, this colorless, odorless and tasteless metal can leach from lead pipes and plumbing fixtures will definitely go undetected. Excessive amounts of lead place adults at higher risk for cancer, stroke, kidney disease, memory problems and high blood pressure. At even greater risk are children, whose rapidly growing bodies absorb lead more quickly and efficiently. Just because your home is less than 20 years old doesn’t necessarily mean you’re lead-free. Just ask the people of Flint, Michigan.

    2. Fluoride
    Fluoride develops naturally in water; though rarely at the optimal level to protect teeth. Many assume that consuming fluoride is only an issue that involves your dental health. But according to a 500-page scientific review, fluoride is an endocrine disruptor that can affect your bones, brain, thyroid gland, pineal gland and even your blood sugar levels. More people drink fluoridated water in the US alone than in the rest of the world combined. In Western Europe, for instance, 97% of the population drinks non-fluoridated water. Adding fluoride is definitely a forced medication.

    3. Iron and Manganese
    Iron and Manganese are non-hazardous elements but can be a nuisance to your drinking water. They are similar metals and can cause similar problems: offensive taste, appearance, and staining. When the water is aerated they are oxidized, which creates significant discoloration and turbidity. Iron is frequently found in water supplies. Manganese is often found in water that contains iron.

    4. Perchlorate
    Perchlorate is a man-made chemical primarily used in the production of rocket fuel, missiles, fireworks, flares, and explosives. It has been found in drinking water and surface waters in the United States (at least 26 states) and Canada. Although it is a strong oxidant, perchlorate is very persistent in the environment. At high concentrations perchlorate can interfere with the production of thyroid hormone.

    5. Bisphenol A
    Bisphenol A (BPA) is an important chemical building block and additive in a wide variety of plastics. It is manufactured worldwide for approximately 3.2 million metric tons/year. This can be found in some plastic water bottles and the dangerous part is that it can leach into food and drinks. According to National Institute of Environmental Health Sciences, it may acquire health risks, especially to infants and children. One good thing: there are quite a number of BPA-free bottles that are available now. However, you still have to be extra careful: NPR reports that some BPA-free plastics may leach unwanted chemicals into your water when exposed to sunlight, microwaves or dishwashers.

    6. Arsenic
    Arsenic is a natural element that is tasteless and odorless; you wouldn’t be able to distinguish that it’s in your water. It is found widely in the earth’s crust and may be found in some drinking water supplies, including wells. Research shows that exposure to high levels of arsenic can cause health effects, even cancer.

    [​IMG]
    bacterial contamination

    7. Pathogens
    Bacteria are a natural part of life; in fact, there are many forms and functions of bacteria we couldn’t live without. Coliform bacteria may not cause disease but can be indicators of pathogenic organisms that cause serious diseases. It can cause intestinal infections, dysentery, hepatitis, typhoid fever, cholera, and other illnesses. Luckily, these pathogens are much better controlled today than they once were. We just have to be practical on having our water tested but definitely the best strategy is to get rid of these pathogens.

    8. Agricultural chemicals
    Agriculture is heavily dependent on fertilizers and pesticides that boost crop production. The major contaminant here is nitrate, found in both fertilizer and animal waster. Nitrates and other chemicals end up in our water resources, and can cause health risks. One example is methemoglobinemia, sometimes called “Blue-Baby syndrome”, in those infants under 3 months of age that are bottle-fed.

    9. Chlorine
    Chlorine is effective as a disinfecting treatment in killing off most microorganisms in the water. As a matter of fact, it is a powerful oxidant added to the water by several municipal water systems to control these microbes. While learning that the United States has one of the safest water supplies in the world because of this disinfecting agent, it is also appropriate to check it once in a while. It can be absorbed through physical consumption as well as through your skin while bathing and can severely dry skin and hair. It can also cause irritating effects to your eyes and nose.

    10. Mercury
    This silvery heavy metal can be found in various natural deposits. Mercury can flow into water supplies from improperly discarded devices containing it, as runoff from landfills & farm land, dumped by factories, or from natural deposits. With this being said, this extremely toxic liquid metal must be precaution in handling or disposing of it. Being exposed to high levels of mercury over time can cause kidney damage.

    Water can be purified of many contaminants if treatment facilities are available, but supplies must be monitored so that contaminants can be properly identified in the first place. The safest way to ensure that these toxins do not make it into your body is to have your water tested to determine which contaminants your tap water may contain. Once you have identified the contaminants present, you can select a water filtration solution that is best for you.

    Jennifer Moran

    TheBerkey.com

    (When she isn’t glued to a laptop screen, Jennifer spends time playing tennis, practicing yoga, and trying very hard not to fall sleep during meditation classes. If you have questions for Jennifer, contact her at Jennifer@theberkey.com.)

    https://www.doomandbloom.net/guest-post-10-things-you-didnt-know-were-in-your-drinking-water/
     
  6. searcher

    searcher Mother Lode Found Site Supporter ++ Mother Lode

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    Survival Medicine Hour: Allergies, pt.2, Water Issues

    February 11, 2017


    [​IMG]
    Safe Water

    The Survival Medicine Hour this week, with your hosts, Joe Alton MD, aka Dr. Bones, and Amy Alton, ARNP, aka Nurse Amy, discusses water pollutants and part 2 of the series on Allergies. Your hosts request feedback on the show and other topics you may like to hear in future episode. They would also like to have any suggestions you might have about outdoor sport or activity first aid supplies and what you might experience as first aid incidents during those activities. Write to drbonespodcast@aol.com anytime!

    Water contaminants are many and are reviewed in this episode. A guest post at https://www.doomandbloom.net/guest-post-10-things-you-didnt-know-were-in-your-drinking-water/ , by Jennifer Moran from https://theberkey.com/ is discussed and expanded upon in detail. Pollutants like lead, fluoride, BPA (Bisphenol A), iron and arsenic are just a few covered during this show.

    In this part 2 series on allergies, Dr. Alton reviews a few allergies from the last show and continues with drug allergies, atopic dermatitis, food allergies, and toxin allergies. Helpful medications that relieve specific symptoms can include Afrin (beware of too much, and you will learn why), antihistamines, and oral meds. A few natural remedies to relieve symptoms, like a Neti Pot, are reviewed. One important hint when using a Neti Pot, always make sure the water or saline is a sterile solution, or you could get sick from the contaminated solution.

    To Listen in, click below:

    http://www.blogtalkradio.com/survivalmedicine/2017/02/10/survival-medicine-hour-water-pollutants-allergies-pt2

    Wishing you the best of health in good times or bad,

    Amy and Joe Alton

    https://www.doomandbloom.net/survival-medicine-hour-allergies-pt-2-water-issues/
     
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    Allergies: What You Need To Know, Pt. 1
    February 14, 2017


    [​IMG]
    allergies: What You Need To Know

    Allergies are reactions caused by a hypersensitivity of the immune system to a substance ingested or in the environment (an “allergen”). These substances may cause little or no effect in most people, but a percentage of the population may experience significant symptoms that can affect quality of life, or even threaten life itself.

    A SHORT HISTORY OF ALLERGIES

    If you told a doctor a little more than a hundred years ago that you had an allergy, he/she wouldn’t recognize the word. “Allergy” was coined in 1906 by an Austrian pediatrician and immunologist named Clemens Von Pirquet. The word is derived from the Greek allos meaning “other” and ergon meaning “reaction”.

    Von Pirquet and his associates noted that certain people who received a variety of smallpox vaccine had more severe reactions than most. Another scientist, Charles Mantoux, used this knowledge to develop a test for tuberculosis where an allergic skin reaction to a substance isolated from the microbe revealed previous exposure. A form of this test is still used today.

    The worst allergic reaction, known as anaphylactic shock, was discovered by a french physiologist Charles Richet, who with his partner Dr. Paul Portier, injected the venom of a sea anemone into a number of dogs. Hoping to find some substance that would protect humans (called prophylaxis) from jellyfish stings, they instead found that a second injection killed many of the dogs. Since this was the opposite of protection, they termed it anaphylaxis.

    HOW ALLERGENS CAUSE REACTIONS

    Common allergens to which people are exposed include pollens, metals, insect stings, medications, and certain foods. There are also internal factors such as age, sex, race, and family history. How do these all combine to cause the physical symptoms of an allergy?

    Put simply, an immune reaction against an allergen occurs when it’s encountered for the first time; let’s say it’s a bee sting. Cells in the body called “T-cells” identify the bee venom and interact with other cells called “B cells”. The B cells, in turn, produce certain antibodies called “IgE”. IgE attaches to the surface of cells called “basophils” and “mast cells”. These cells are now “sensitized” to the venom. No physical effects are usually noticed at the time by the victim beyond the sting itself.

    When a second exposure to the allergen occurs, however, it’s a different story. The sensitized mast cells and basophils are activated and produce a large amount of histamine and other inflammatory chemicals. The flood of these into the system can cause possibly severe physical reactions.

    SYMPTOMS OF ALLERGIES

    [​IMG]
    Toxin Allergies

    Allergies may appear in various forms, from mild to life-threatening. These conditions include hay fever, food allergies, local skin reactions (called “atopic dermatitis”), drug/toxin reactions, and allergic asthma. Common symptoms include red eyes, itching, nasal congestion, difficulty breathing, and swelling. In the worst situations, a body-wide reaction called “anaphylaxis” causes rashes, major swelling, and difficulty breathing to the point of suffocation.

    Hay Fever: Hay fever is a (usually) seasonal reaction to high pollen counts in the air from certain plants. People with hay fever won’t likely have a fever, but they will have sneezing from a runny, clogged nose, red, itchy, watery eyes and “postnasal drip”, a condition where a cough is caused when mucus runs down the throat from the back of the nose.

    Different grasses, trees, and flowering plants will release pollens at different times of the year, and it is often difficult to identify what allergen is causing the symptoms. Skin “patch”, scratch, or blood tests may determine if a particular substance is causing the sensitivity.

    Atopic Dermatitis: Most people who have atopic dermatitis have had allergies before or a family member with similar problems such as hay fever or asthma. Common allergens include animal dander, dust mites, exposure to certain foods, stress, and dry, cold weather.

    The condition usually starts with itchy, dry skin.. Scratching causes inflammation, swelling, and redness, and may initiate an infection in the area. Small, oozy blisters sometimes occur that crust over with time. Although mild versions cover small areas and are improved with lotions, severe versions require more intense therapy.

    Rashes may recur over the same area time and again, leading to toughened, thick skin that appears darker than other areas. These areas are usually on the scalp and cheeks of infants but may be seen on the baby’s knees or elbows. Other areas may be affected with age, such as the ankles, wrists, legs, the buttocks, and the nape of the neck.

    Food Allergies: Four or five percent of the population is allergic to some kind of food. In children, eggs, milk and peanuts are often responsible; in adults, shellfish, nuts from trees (for example, walnuts), milk and eggs are common triggers to a reaction. It should be noted that an allergy to milk is different that intolerance caused by a deficiency of the enzyme needed to digest it (otherwise known as “lactose intolerance”.

    Drug Allergies: A drug allergy is caused after repeated exposure to a medicine. Some of the most common include Penicillins, Sulfa Drugs, non-synthetic Insulins, seizure meds, and those containing iodine.

    Drug allergies are often confused with what are called “adverse reactions”. An adverse reaction is a known ill effect that can occur with the use of a medication. For example, if a drug is known to cause nausea in some patients, that is considered an adverse reaction as opposed to an allergy.

    Despite this, many will report an allergy to a particular drug to their healthcare provider. Some of the reasons that people will write “allergic” on their medical interview sheet include:
    • The drug causes symptoms that makes them feel unwell.
    • A family member has a history of an allergy to the drug, and they assume that the same goes for them.
    • An incident in their childhood resembled an allergic reaction, so better safe than sorry.
    • Negative comments online or elsewhere cause reluctance to take the medicine.
    • Philosophically opposed to a particular type of drug (antibiotics, psychotropics).
    • An actual allergy.
    Note that a true allergy is placed last on this list; the World Allergy Association reports that less than 10% of reactions to medications are actually allergies caused by an immune response. Most symptoms that people get after taking medicine are, instead, adverse or “side” effects. It may not always be easy to tell the difference, but a true drug allergy will show immune-mediated symptoms such as hives, itchy skin or eyes, rashes, lip and tongue swelling, and wheezing. Blood pressure may drop precipitously in some cases.

    Toxin Allergies: It’s common to have local redness, discomfort, itching and swelling when a toxin, such as bee venom, is introduced into the body. Your immune system, however, may respond strongly in the form of an allergy. Common insects involved are bees, wasps, hornets, and fire ants.

    When the immune system gets involved, the reactions may be more severe, with hives, redness and swelling affecting large areas of skin. Swelling may extend to the tongue, throat, lips, and elsewhere. Stomach upset, nausea and vomiting, and diarrhea are common. The effects may take days to completely resolve.

    DRUG TREATMENT OF ALLERGY SYMPTOMS

    Allergies, when mild, are treated with medications that help relieve the specific symptoms.

    Antihistamines in oral, intranasal and ophthalmic (eye drop) form are useful to deal with the sneezing, runny nose, and itchy eyes associated with hay fever. Nasal decongestants like oral pseudoephedrine (Sudafed) and the nasal spray oxymetazoline (Afrin, Dristan) are useful drugs to have in the medicine cabinet. It should be noted, however, that the nasal sprays are addictive when used for more than three days. That is, if you stop using them, your nose will become stuffy again.

    Others like diphenhydramine (Benadryl) may help, but are prone to causing drowsiness in higher doses. Longer term therapy with intranasal steroids like Atrovent (ipratropium) or NasalCrom (cromolyn sodium) is another option. These drugs are best for long term therapy, however, as the effects are not felt immediately.

    In the worst cases, epinephrine (also known as adrenaline) is necessary as an injectable to improve symptoms that affect the entire body. A future article will discuss this type of event in detail.

    NATURAL TREATMENT OF ALLERGY SYMPTOMS

    [​IMG]
    Neti Pot

    Many experience relief from allergies when they use an item known as a “Neti pot” to relieve congestion and pressure. The Neti pot essentially looks like a version of Alladin’s lamp, and allows the delivery of sterile solutions into the nasal cavity.

    Neti pots work by thinning out mucus. The hairs in the nose, called “cilia” are aided in their attempts to eliminate mucus and allergens by the flushing action of the sterile saline solution delivered by the Neti Pot.

    Some may have doubts about the effectiveness of the Neti Pot, but research backs up the benefits of nasal “irrigation” to relieve some allergy symptoms. Nasal irrigation via a Neti Pot may help decrease the need for drugs.

    One concern related to Neti pots, however, is the importance of ensuring that you are using sterile solution when you irrigate. Non-sterile solutions, even tap water, may transmit infections directly into the body; two deaths in Louisiana were attributed to Neti pot use of contaminated water. Neti pots also must be washed after every use, as you would wash your dishes after every meal.

    A natural remedy getting some serious attention lately is Butterbur. In a recent British Medical Joural study, butterbur extract (ZE 339) four times daily equaled the effects of a popular antihistamine–without causing drowsiness!

    Goldenseal, Nettles, Resveratrol, Quercetin, and Vitamin C as well as saline spray may be helpful. Ragweed sufferers, however, should realize that some plants commonly used in herbal remedies, like Chamomile and Echinacea, might cross-react in hay fever sufferers to make symptoms worse.

    You might be surprised to know that acupuncture has some evidence for effectiveness against certain allergies. acupuncture. Based on the idea that stimulating certain points on the body can cause effects inside, a study of 26 hay fever patients found in the American Journal of Chinese Medicine and described in WebMD appeared to improve symptoms in all without adverse effects. Another experiment eliminated allergic symptoms in half the patients studied.

    Allergies can be nuisances or they can be life-threatening. In situations where we might spend a larger part of our day outdoors, as in survival, it’s important to know the signs, symptoms, and treatments when our immune systems go into overload.

    Joe Alton MD

    https://www.doomandbloom.net/allerg...URSE+AMY'S+..........Doom+and+Bloom(tm)+Show)
     
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    searcher Mother Lode Found Site Supporter ++ Mother Lode

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    Survival Medicine Hour: Anaphylaxis, Ear Infections, Hemorrhage

    February 18, 2017


    [​IMG]
    Ear Anatomy

    The Survival Medicine Hour, hosted by Joe Alton, MD aka Dr. Bones and Amy Alton, ARNP, aka Nurse Amy of https://www.doomandbloom.net/ brings you a few topics, including ear infections, bleeding control and the final part 3 of the allergy series: anaphylaxis. Monday, February 20, 2017 is President’s Day, but do you know about the pre-George Washington “Presidents”? Do you also know who held the presidential office twice, but not with consecutive terms?

    [​IMG]
    signs/symptoms of anaphylaxis

    Severe allergic reactions may cause body-wide reactions called anaphylaxis that can be life-threatening. Although few die from simple allergic reactions, anaphylaxis is much more severe and, without quick intervention, the victim can die from respiratory or cardiac arrest. Having an epi-pen handy is advisable, although you can learn how to dose with epinephrine solution from a sterile vial.

    Ear infections are fairly common in babies and children, and an ounce of prevention is worth a pound of cure. Keep your ear canal as dry as possible during and after swimming. Feed babies in a head-up position, to prevent formula or milk from entering the passages into the ear. Beware of early warning signs before the ear infection becomes severe, such as: pain and itching, drainage from the ear canal and redness and swelling in the ear canal. babies may tug at their ear.

    Plus, an introduction to hemorrhage and its effects on the human body.

    To listen in, click below:

    http://www.blogtalkradio.com/surviv...cine-hour-ear-infections-bleeding-anaphylaxis

    Wishing you the best of health in good times or bad,

    Joe and Amy Alton, aka Dr. Bones and Nurse Amy

    https://www.doomandbloom.net/survival-medicine-hour-anaphylaxis-ear-infections-hemorrhage/
     
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    searcher Mother Lode Found Site Supporter ++ Mother Lode

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    Anaphylaxis: Causes, Diagnosis, and Treatment
    February 25, 2017


    [​IMG]
    Allergies

    In a disaster or any other situation that takes us off the grid, we will expose ourselves to insect stings and poison ivy, as well as strange food items that we aren’t accustomed to. Allergic reactions may ensue in susceptible individuals. When we develop an allergic reaction, it might be mild or it might be severe. If severe enough, we refer to it as anaphylaxis or anaphylactic shock. Anaphylaxis is the word used for serious and rapid allergic reactions involving one or more parts of the body which can become life-threatening.

    Anaphylactic reactions were first identified when researchers tried to protect dogs against a certain poison by desensitizing them with small doses. Instead of being protected, many of the dogs died suddenly the second time they got the poison. The word used for preventative protection is “PROphylaxis”. Think of a condom, also known as a prophylactic. A condom protects you from sexually transmitted diseases. The word “ANAphylaxis”, therefore, means the opposite of protection. The dog experiment allowed scientists to understand that the same can happen in humans, and had application to asthma and other immune responses.

    Severe allergic reactions may cause body-wide reactions called anaphylaxis that can be life-threatening. Anaphylaxis has become a timely issue because of the increased numbers of cases being reported throughout the world. When drugs are the cause, the explanation is likely that we are simply using a lot of them these days. Why foods should be causing anaphylaxis more often, however, is more perplexing. Is genetic manipulation of food crops to blame? Could contaminants be an issue, or perhaps pollution in general? In any case, the cause of many anaphylactic events is never identified; most are lumped into the “idiopathic” category (another word for “unknown”).

    The likely causes of anaphylaxis are:

    • Drugs: dyes injected during x-rays, antibiotics like Penicillin, anesthetics, aspirin, ibuprofen, and even some heart and blood pressure medicines
    • Foods: Nuts, fruit, seafood
    • Insects stings: Bees and Yellow Jacket Wasps, especially
    • Latex: rubber gloves mad of latex, especially in healthcare workers
    • Exercise: often after eating
    • Idiopathic: This word means “of unknown cause”; a substantial percentage of cases

    Fumes from chemicals like Chlorine gas and other toxins can be dangerous in their own right without causing an immune or anaphylactic reaction.

    [​IMG]
    signs and symptoms of anapylaxis (wiki commons)

    Although few die from simple allergic reactions, anaphylaxis is much more severe and, without intervention, the victim can die from respiratory or cardiac arrest. Body-wide swelling and rashes far from the site of a bee sting, for example, would be an example of an anaphylactic reaction. Other symptoms are exaggerated versions of typical allergies symptoms, with perhaps the addition of lowered blood pressure and fainting. In some cases, abdominal tract symptoms like cramping or diarrhea could be seen.

    [​IMG]
    signs/symptoms of anaphylaxis



    Treating Anaphylaxis
    The treatment for anaphylactic shock is straightforward: epinephrine via injection. Other methods of delivery, such as oral doses of antihistamines, are generally too slow in their effect to be of much use.

    Known as adrenaline in Europe. Epinephrine is given via auto-injector, with the most popular being the Mylan Corporation’s “Epi-Pen”. The process is simple with a dose delivered to the upper outer thigh. Once given, epinephrine narrows blood vessels and opens airways in the lungs. These effects can reverse hives, swelling, severe wheezing, low blood pressure, severe skin itching, and hives.

    [​IMG]
    The “Epi-Pen”

    A recent 600% price hike from the company that makes the Epi-Pen may put the drug out of the financial reach of many. If the auto-injector isn’t an option, vials or ampules of epinephrine are available (by prescription).

    1:1000 epinephrine solution contains 1mg of drug per milliliter or cc of solution. For a person weighing 30 kg, 66 pounds, or greater, give 0.3 to 0.5 mg (0.3 to 0.5 mL) into the anterolateral thigh about the level of the bottom of your Jeans pocket. Repeat the dose every 5 to 10 minutes, alternating left and right thighs until improvement is noted (one dose if often sufficient). Remember that epinephrine will cause a fast heartbeat, nervousness and, perhaps, a number of other side effects. Of course, get the victim to modern medical care as soon as possible.

    THE HYGIENE HYPOTHESIS

    [​IMG]
    It’s okay to get a little dirty!

    The increased number of allergies seen in the modern world may actually be the product of “good parenting”. Our efforts to keep our children with their noses wiped and their hands clean are helpful to stop colds and flus but may be a factor in making them more prone to allergies and infections later on.

    In 1989, researcher Dr. David Strachan suggested the hypothesis that the failure of children to be exposed to infectious bugs and parasites may be responsible for the epidemic of allergic conditions like asthma. This was called the “Hygiene Hypothesis”. The lack of exposure to microbes have since been tied to other diseases ranging from hay fever to multiple sclerosis.

    When most of us lived on farms or in less-than-pristine cities, we were exposed to plenty of germs from a young age due to time spent outside with animals or with lots of other people. Now the majority of kids aren’t motivated to go outside or, certainly, get dirty. In the final analysis, never getting dirty as a child may be hazardous to your future health.

    Here are some things you might consider:

    Avoid antibiotics: The medical profession may have been remiss in over-prescribing antibiotics, but there are antibiotics in food as well. Indeed, 70-80% of antibiotics are given to livestock, not to treat infection, but to make they grow faster and get them to market sooner. Stick with antibiotic-free eggs, milk, and meats.

    Avoid anti-bacterial soaps: Triclosan, the active antibiotic ingredient in many brands, has recently been banned by the FDA due to the risk of antibiotic resistance and the lack of evidence of any medical benefit. Use regular soap and water for washing.

    Tailor Handwashing Strategies to the Situation: If you’re in a city where open sewers run through the streets and people are tossing buckets of excrement out the window, have your kids wash their hands conscientiously. In clean environments where there isn’t a raging epidemic, however, don’t freak out over dirty hands.

    Don’t Bathe Every Day: Not only should your kids be exposed to dirt to develop their immune system, but bathing too often might do more harm than good. Daily showers removes protective skin oils and causes drying and irritation. You’re also washing away the good bacteria that lives on your skin.

    Get Your Kid a Pet: Not every kid has the good fortune of living on a farm, but they’ll benefit from a furry pet. Dogs seem to give more resistance to colds and allergic skin conditions like eczema than cats, but early cat exposure might give more protection against asthma. Why not have both?

    Get your kids outside when they’re young: In these days where we have legitimate concerns about children’s safety, you might be reluctant to let your kids go outside by themselves. Here’s an idea: Go out with them, to parks, wilderness areas, and other places where both adults and kids can reap real benefits. How about helping them plant and manage a garden?

    The more you encourage outdoor activities early, the more they become part of the next generation’s culture; let the kids get a little dirty, and you might give them a healthier future.

    Joe Alton MD

    https://www.doomandbloom.net/anaphylaxis-causes-diagnosis-and-treatment/
     
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    searcher Mother Lode Found Site Supporter ++ Mother Lode

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    How to Control Rodents as Disease Vectors
    February 28, 2017


    [​IMG]
    Brown rats may reach 16 inches in length, including tail


    in survival settings, it’s been said that rats will do a better job of surviving than humans. Rats, mice, and other rodents are well-known causes of “zoonotic” infections. A zoonotic disease is one that can be transmitted from animals to humans. The animal in question may not have symptoms of the disease itself, but may serve as a “vector”; that is, it carries the disease to a human target.

    Rats and mice belong to the order Rodentia, from the latin word rodere (“to gnaw”). This order contains various families, including beavers, porcupines, squirrels, and gophers. As you are unlikely to have an infestation of beavers in your home, we’ll concentrate on rats and mice. Ai pair of rats could produce 1,500 offspring in one year if they all reproduced. Most rats and mice that cause issues for humans come from the “Old World”. These include:

    Brown rats (rattus norvegicus): Also called Norway rats, although they didn’t originate there (Norway has no more rat issues than other countries). Brown rats may reach 16 inches (including the tail) and are good swimmers; the term “sewer rat” was coined for them.

    Black rats (rattus rattus): Thought to have introduced the Plague to Europe through their fleas. The black rat, also called the “roof rat”, is slightly smaller than its brown cousin and is an excellent climber.

    House mice (Mus musculus): Used to living in close quarters with humans, mice are “nibblers” and can contaminate an entire pantry by taking a few bites out of multiple food items. Mice and other rodents can also chew through electrical wiring, thereby constituting a fire hazard.

    Rats and mice are some of the world’s most invasive species. Every year, a percentage of the world’s food supply is contaminated by their droppings, urine, and hair. These items, known as “fomites”, may contain disease-carrying organisms and, as such, render food unfit for human consumption.

    [​IMG]
    Long-Evans hooded rats I worked with in labs help further medical research

    Before I go further, let me tell our readers who have rats and mice as pets that they (the pets, not necessarily the owners) are generally clean, intelligent creatures. I have had the privilege of working with them in university laboratories as a student. Despite this, it is indisputable that the diseases they may carry are cause for concern.

    MEDICAL ISSUES CAUSED BY RODENTS

    From a medical perspective, what diseases might one contract from a rodent or its droppings? These include:

    Plague: The Plague is caused by a bacterium known as Yersinia Pestis. It is carried by fleas. The black rat’s arrival in Europe in the Middle Ages (and with it, its fleas) caused pandemics of the disease that wiped out a third of the population. Even today, Plague exists in developing countries and, there have been hundreds of cases in the U.S. over the past three decades.

    Hantavirus: Hantavirus, transmitted by mice in urine, droppings or saliva, causes a serious lung disease that may become fatal without the availability of intensive care.

    Leptospirosis: Caused by consuming food contaminated by rat urine, Leptospirosis causes a flu-like syndrome that progresses to kidney and liver failure if untreated. This disease can also be carried by certain livestock.

    Lymphocytic Chorio-Meningitis Virus (LCMV): LCMV may be contracted from mice urine or droppings or from pets in contact with mice, such as hamsters. It causes a flu-like syndrome that occasionally causes complications in the nervous system, especially in people with weakened immune systems or pregnant women. LCMV may cause miscarriage or birth defects.

    Salmonellosis: Infection with the bacteria Salmonella may occur as a result of handling of pet rats or mice, especially if they have had diarrhea. It causes severe diarrheal disease in humans, and is one good reason for owners of rats and mice to wash their hands after handling.

    Rat Bite Fever: Infection with the bacterium Strebtobacillus occurs from rat bites and scratches or from ingesting food or water contaminated with rat droppings. Abrupt onset of fevers, rashes, vomiting, and headaches are noted at first, with general deterioration afterwards. If untreated, there is a 10% death rate.

    RODENT-PROOFING A RETREAT

    [​IMG]
    rodent-proofing

    It’s simply common sense to take measures to prevent rodent infestation in the home and to eliminate those already there. Once an infestation has occurred, much more effort is required to dislodge these unwanted guests. Rodent-proofing a home requires careful evaluation for points of entry from the level of the foundation to the roofline. This includes sewer lines, bathroom vents, pipes and gutters, doors and windows, and vegetation near concrete slabs.

    Some rodent-proofing techniques for homes include:
    • Sealing cracks in building foundations, walls, siding, and roof joints with, for example, mesh hardware cloth or concrete patching. Rodents only need ¼ inch of opening to gnaw their way into your home. Metal mesh scouring pads or galvanized window screening (not steel wool, which quickly deteriorates) may be stuffed into crevices as a temporary solution.
    • Installing vent guards in bathroom or washer/dryer vents.
    • Placing barriers to prevent climbing rodents from going up pipes or gutters.
    • Trimming trees so that branches don’t come close to the roof.
    • Contacting the utility company for strategies to prevent rats from traveling along power lines to your house.
    • Preventing rodents, especially rats, from tunneling under the foundation by placing flat concrete pavers or gravel for the first 3 feet from the base of the house.
    Rodent control also involves careful attention to both indoor and outdoor sanitation. Here are some suggestions for the wise homeowner:
    • Never leave food or water out overnight. Keep your countertops clean and disinfected.
    • Breadboxes may seem old-fashioned, but they are there for a reason: To keep the bread away from rats and mice.
    • Never leave pet food outside, clean all bowls daily, whether they are used inside or out. Rodents love to eat dog and cat food.
    • Clean under kitchen appliances. Even a few crumbs will make a meal for a mouse or rat.
    • Keep garbage disposals and sinks clean with a cup of bleach once a month.
    • Never flush grease down the sink drain.
    • Keep toilet lids down until needed.
    • Store dry foods, even pet foods, in sealed containers at least 18 inches off the floor.
    • Construct barriers around birdhouses and bird-feeders to prevent seed from being accessible to rodents.
    • Remove any fruits or vegetables from your garden that you won’t use.
    • Keep garbage can lids tightly closed.
    • Keep the side and back yards free of debris that might serve as shelters.
    • Deny access to water by fixing leaky faucets.
    • Avoid putting animal products in your compost bin.
    IDENTIFYING INFESTATIONS

    [​IMG]
    rodent droppings (source: city of Berkeley, CA)

    If you’re not sure that your home is currently rodent-free, you might consider:
    • Looking for any partially eaten food, gnawed containers, or nesting material.
    • Inspecting your home’s interior at night with a flashlight; look especially closely at the bases of walls, as rats and mice prefer to travel along them. Little used areas of the home should be especially targeted.
    • Looking for rodent droppings. Mice and rat defecate 50 times a day; if they are in your home, you should be able to find their feces along floorboards, in attic crawl spaces, and in basements.
    • Setting out a thin layer of flour or talcum powder by areas through which rats and mice might enter your home. Place some, as well, along floorboards; rodents prefer to travel along walls. The rodents will leave tracks which will prove their presence.
    • Having cats and dogs as “mousers”. They may or may not be efficient, but they usually will alert you when a rodent is near.
    • Listening for squeaking and scrabbling noises inside walls at night.
    • Check for unusual smells. If there are a lot of rats in your home, you may notice an odor from their urine.
    ELIMINATING THE PROBLEM

    [​IMG]
    A method of rodent control not discussed in this article

    Once you have made the determination that you have rats or mice in your home, it’s time to reduce the population. It should be noted that long-term control will be difficult if you haven’t followed my earlier suggestions for indoor and outdoor sanitation.

    There are myriad mouse and rat-traps on the market and a number of poisons available to kill rodent invaders. It makes more sense to use traps, in my opinion, as poisons may leave you with a bunch of dead, rotting animals inside your walls. The stench may last a month or more, and sometimes deodorizer is needed to be inserted through a hole drilled in the wall.

    If you have a lot of rats in your yard, you shouldn’t use poisons, as they may be ingested by neighborhood pets or even children. You should, however, consider trapping boxes. These can be snap traps, electronic “zappers”, glue traps or even catch and release versions. Both rats and mice will readily go for a small amount of fresh peanut butter as bait. Advice to the soft-hearted: Brown rats, black rats, and house mice are not native wildlife; besides other damage, some will cause casualties among endangered songbird eggs and young if released.

    Glue traps are popular but controversial. They are better weapons against mice than rats. Unfortunately, they usually leave you with a live animal to kill. If you must use them, euthanize the rodent by throwing the trap and animal into a bucket of water or by striking it with a stick several times just behind the head. Another disadvantage of the glue trap is that it loses effectiveness in dusty areas or in extreme temperatures.

    Snap traps should always be placed in perpendicular fashion, with the bait side against the wall. Never use just one trap: Place a number of them several feet apart in the rodent’s usual path. Traps can be fastened to pipes with wire or thick rubber bands.

    When cleaning out a building that has been infested with rats or mice, specific safety precautions should be followed to avoid infection. First and foremost, remember that you should never handle a wild rodent, alive or dead, without disposable gloves. Masks should be worn when cleaning. Other steps to follow:
    • Open windows and doors before cleaning to allow it to air out, then leave for an hour.
    • Avoid raising dust if at all possible.
    • Steam-clean all carpeting and upholstery.
    • Clean all surfaces with a diluted bleach solution or other household disinfectant, soaking areas that held dead animals, nests, or droppings.
    • Wash all bedding linens, pillows, etc. and use the high heat setting on your dryer.
    • Eliminate any insulation material contaminated by rodent urine, feces, or nesting material
    • As ultraviolet light can kill viruses, place contaminated items that cannot be thrown away (such as important documents), outside in the sun for several hours. If this isn’t possible, “quarantine” the items for a week in a rodent-free area. This should give enough time for viruses to be inactived.
    • Dispose of any contaminated items or dead rodents in a plastic bag, and then place them in an exterior garbage can.
    • Thoroughly wash hands after cleaning. Consider showering with soap and hot water.
    We share our world with many other creatures. Some of these creatures invade our homes and can damage our possessions and, more importantly, our health. With careful attention to sanitation and the occasional surgical strike, we can eliminate unwanted guests and make our homes safe environments for our families.

    Joe Alton, MD

    https://www.doomandbloom.net/how-to-control-rodents-as-disease-vectors/
     
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    Tornado Preparedness
    March 2, 2017


    [​IMG]
    Tornadoes



    There are many natural disasters that might befall a community, but a tornado is one of the most unpredictable. Several people were killed in the last few days as a rash of storms wreaked havoc in the South and Midwest. Indeed, hundreds of people are killed yearly by tornadoes, but many injuries and deaths may be avoided with sound preparation.

    A tornado is a violently rotating column of air that is in contact with both the surface of the earth and the thunderstorm (sometimes called a “supercell”) that spawned it. From a distance, tornadoes usually appear in the form of a visible dark funnel with all sorts of flying debris in and around it. Because of rainfall, they may be difficult to see when close up.

    A tornado (also called a “twister”) may have winds of up to 300 miles per hour, and can travel for a number of miles before petering out. They may be accompanied by hail and emit a distinctive roaring sound that will remind you of a passing train. We have personally experienced this at our own home some years ago, and it is terrifying.

    There are almost a thousand tornadoes in the United States every year, more than are reported in any other country. Most of these occur in “Tornado Alley”, an area that encompasses parts of Texas, Oklahoma, Missouri, Kansas, Arkansas, and neighboring states. Spring and early summer are the peak seasons.

    Injuries from tornadoes usually come as a result of trauma from the flying debris that is carried along with it. Strong winds can carry large objects and fling them around in a manner that is hard to believe. Indeed, there is a report that, in 1931, an 83 ton train was lifted and thrown 80 feet from the tracks.


    Tornadoes are categorized as level 0-5 by the
    Enhanced Fujita Scale, which is based on wind speeds and the amount of damage caused:

    F0 Light: Winds 40-72 miles per hour; smaller trees uprooted or branches broken, mild structural damage.
    F1 Moderate: winds 73–112 miles per hour; Broken windows, small tree trunks broken, overturned mobile homes, destruction of carports or toolsheds, roof tiles missing.
    F2 Considerable: winds 113–157 miles per hour; Mobile homes destroyed, major structural damage to frame homes due to flying debris, some large trees snapped in half or uprooted.
    F3 Severe: winds 158–206 miles per hour; Roofs torn from homes, small frame homes destroyed, most trees snapped and uprooted.
    F4 Devastating: winds 207–260 miles per hour; Strong- structure buildings damaged or destroyed or lifted from foundations, cars lifted and blown away, even large debris airborne.
    F5 Incredible: winds 261–318 miles per hour; Larger buildings lifted from foundations, trees snapped, uprooted and debarked, objects weighing more than a ton become airborne missiles.

    Although some places may have sirens or other methods of warning you of an approaching twister, it is important to plan for your family to weather the storm. Having a plan before a tornado touches down is the most likely way you will survive the event. Children should be taught where to find the medical kits, and how to use a fire extinguisher. If appropriate, teach everyone how to safely turn off the gas and electricity. For a more complete supply list of items before, during, and after the storm, follow this link on tornado safety from the Red Cross:

    http://www.redcross.org/images/MEDIA_CustomProductCatalog/m4340177_Tornado.pdf

    When you are in the path of a tornado, take shelter immediately unless you live in a mobile home. These are especially vulnerable to damage from the winds. If there is time, get to the nearest building that has a tornado shelter or is, at least, solidly constructed; underground shelters are best.

    If you live in Tornado Alley, consider putting together your own underground shelter. Unlike bunkers and other structures built for long-term use, a tornado shelter only has to provide safety for a short period of time. As such, it doesn’t have to be very large; 8-10 square feet per person would be acceptable. Despite this, be sure to consider ventilation and the comfort or special needs of those using the shelter.

    If you don’t have a shelter, find the safest place in the house where family members can gather. Basements, bathrooms, closets or inside rooms without windows are the best options. Windows can easily shatter from impact due to flying debris.

    For added protection, get under a heavy object such as a sturdy table. Covering your body with a sleeping bag or mattress will provide an additional shield. Discuss this plan of action with every member of your family regularly, so that they will know this process by heart.

    If you’re in a car and can drive to a shelter, do so. Although you may be hesitant to leave your vehicle, remember that they can be easily tossed around by high winds; you may be safer if there is a culvert or other area lower than the roadway. It is not safe to hide under a bridge or overpass, however, as the winds can easily reach you.

    In town, leaving the car to enter a sturdy building is appropriate. If there is no other shelter, however, staying in your car will protect you from some of the flying debris (it should be noted that even a car can be sent flying in a powerful tornado). Keep your seat belt on, put your head down below the level of the windows, and cover yourself if at all possible.

    If you’re out hiking when a tornado hits, get away from heavily wooded areas. Torn branches and other debris become missiles, so an open field or ditch may be safer. Lying face down flat in a ditch or other low spot in the ground may give you some protection. Make sure to cover your head if at all possible, even if it’s just with your hands.


    Joe Alton, MD

    https://www.doomandbloom.net/tornado-preparedness-and-survival/
     
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    Dysentery in Survival Settings

    March 8, 2017


    [​IMG]
    dysentery may be caused by bacteria or parasites


    In survival scenarios, many believe that trauma from gunfights at the OK corral will cause the most deaths. The truth, however, is that many avoidable losses will occur due to more basic issues, such as dehydration from infectious diarrheal diseases. These most often occur from failure to assure the sterilization of water, proper preparation of food, and safe disposal of human waste. One of the many duties of the medic in austere settings is to supervise these activities.

    I’ve written about some of these diseases before, such as
    Cholera, but I haven’t discussed dysentery in much detail. The World Health Organization (WHO) defines dysentery as diarrhea in which blood is present in loose, watery bowel movements. Unlike Cholera, dysentery is a diarrheal disease that can be caused by several different organisms. It can be spread from human to human or, less commonly, from animals to humans.

    Most cases of diarrhea are mild and easily treated with fluids and avoidance of certain food products, like dairy.
    Dysentery, however, is a more serious form where inflammation of the large intestine causes watery stools mixed with blood, pus, and mucus.

    There are two types of dysentery:

    Bacillary: Most often caused by several variants of the bacteria family Shigella, but E. Coli, Salmonella, and Campylobacter may also be involved.

    Amoebic: A parasite, Entamoeba Histolytica, is more commonly seen in tropical and subtropical climates.

    Dysentery was the cause of death of many soldiers in the Civil War. In total, infectious diseases like Cholera, Typhoid, and others killed more men than bullets or shrapnel.



    SIGNS AND SYMPTOMS OF DYSENTERY
    [​IMG]
    Nausea and vomiting can be seen in dysentery and other diarrheal diseases

    About 2-10 days after infection, the patient will begin to show symptoms. Some will experience mild effects but others will progress to more severe disease. Beside frequent watery stools mixed with blood and mucus (sometimes 20-30 times a day!), you may see:


    · high fevers
    · abdominal pain and bloating
    · Excessive gas
    · Loss of appetite
    · Weakness and fatigue
    · Urgent need to evacuate
    · Vomiting


    All of the above leads to significant dehydration, which is complicated in severe bacillary dysentery by erosion of the lining of the gut, leading to ulcers that cause bleeding from the rectum. Combined with the effect of bacterial toxins, death may occur quickly without antibiotic therapy and IV fluids. Amoebic dysentery may follow a similar course or be more prolonged in nature, leading to a weakened system and the formation of pockets of pus in the liver.


    TREATING DYSENTERY
    [​IMG]
    oral rehydration salts

    As you can imagine, any form of this disease will greatly decrease the chance for survival off the grid. As the well-prepared medic can intervene early with certain medicines, a high index of suspicion will decrease avoidable deaths.

    For bacillary dysentery like that caused by Shigella, antibiotics like
    ciprofloxacin (Fish-Flox) or azithromycin (Aquatic Azithromycin) are used as treatment. Amoebic dysentery can be treated with an anti-parasitic drug such as metronidazole (Fish-Zole). Dosing can be found in our book “The Survival Medicine Handbook: The Essential Guide for When Medical Help is Not on the Way” or in various articles at doomandbloom.net. Loperamide (Imodium) and Pepto-Bismol (Bismuth Subsalicylate) are additional items that will be useful tools in the medical woodshed.

    Of course, it’s especially important to rehydrate victims aggressively. Oral rehydration salts contain electrolytes that will more effectively aid recovery. These can be purchased commercially or improvised using the following formula:

    To one liter of water (2 liters for children), add:
    · 6-8 teaspoons of sugar
    · ½-3/4 teaspoons of salt
    · ¼-1/2 teaspoons of salt substitute (used by people who can’t use regular salt. This item has potassium, an important electrolyte, and can be found wherever regular salt is found.)
    · A pinch of baking soda for bicarbonate



    PREVENTION


    [​IMG]
    prevent infectious disease with thorough washing

    Prevention of dysentery requires understanding of how it’s spread. Transmission often occurs by infected individuals who handle food without washing first or use unsterilized water. Some people may carry the organisms and show no symptoms, at least for a time. As contamination with human feces is a big factor, the medic has to closely supervise the building and use of latrines and other facilities.

    Dysentery is just one of the issues that can cause headaches and heartaches for the survival medic. With some knowledge and supplies, you’ll have a better chance to keep your family safe in times of trouble.

    Joe Alton, MD


    https://www.doomandbloom.net/dysentery-in-survival-settings/
     
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    Survival Medicine Hour: Dental Supplies, Tornadoes
    March 8, 2017


    [​IMG]
    Tornado in the Midwest

    The Survival Medicine Hour is hosted by Joe Alton, MD aka Dr. Bones, and Amy Alton, ARNP, aka Nurse Amy, of https://www.doomandbloom.net/, where you can find over 900 posts, videos and podcasts on disaster and survival strategies.

    In this episode, we’re on the road speaking in places like Memphis and New Orleans! Tornadoes have hit the area as well as the Midwest, so we discuss keeping your family safe in a twister. Plus, a rundown of what you’d need in the line of dental supplies for long term disaster preparedness.

    [​IMG]
    dental extractor

    To listen in, click below:

    http://www.blogtalkradio.com/survivalmedicine/2017/03/03/survival-medicine-hour-tornados-dental-supplies

    Wishing you the best of health in good times or bad,

    Joe and Amy Alton

    https://www.doomandbloom.net/survival-medicine-hour-dental-supplies-tornadoes/
     
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    Army Medicine ~ 1960 US Army; Army Medical Corps Doctors; The Big Picture TV-457
    Jeff Quitney



    Published on Mar 11, 2017
    The Big Picture TV Series playlist: https://www.youtube.com/playlist?list...

    more at http://quickfound.net/links/military_...

    ' From the American Revolutionary War to Korea, "THE BIG PICTURE" dramatically highlights the story of "Army Medicine" and the exploits of members of the Army Medical Service who have been the tireless, constant companions of the foot soldier. World War I presented one of the greatest challenges to the Army Medical Service and excellent footage has been chosen to tell this story, showing the professional skill of the medic. Footage from the Normandy Beachhead has been integrated into this documentary and depicts the great work of medics in the Second World War. They wrote a stirring record of courage and devotion, and frequently became doctor, nurse, and litter bearer rolled into one. Human suffering was their personal war, and the marks of that war were always visible. "They wore the old-young faces of haggard men," said a reporter who recorded their work in Europe. Action in the Pacific, captured on motion picture film, shows the medics that landed with the first waves, bringing equipment and supplies which made the difference between life and death to the island-hopping soldiers.'

    "The Big Picture" episode TV-457

    Public domain film from the US National Archives, slightly cropped to remove uneven edges, with the aspect ratio corrected, and one-pass brightness-contrast-color correction & mild video noise reduction applied.
    The soundtrack was also processed with volume normalization, noise reduction, clipping reduction, and/or equalization (the resulting sound, though not perfect, is far less noisy than the original).

    http://creativecommons.org/licenses/b...
    https://en.wikipedia.org/wiki/Army_Me...)

    The Army Medical Department of the U.S. Army — known as the AMEDD; formerly named the Army Medical Service, AMS — comprises the Army's six medical Special Branches (or "Corps") of officers and its enlisted medical soldiers. It was established as the "Army Hospital" in July 1775 to coordinate the medical care required by the Continental Army during the Revolutionary War. The AMEDD is led by the Surgeon General of the U.S. Army, a lieutenant general.

    The AMEDD is the U.S. Army's healthcare organization, not a U.S. Army command...

    https://en.wikipedia.org/wiki/Medical...)

    The Medical Corps (MC) of the U.S. Army is a staff corps (non-combat specialty branch) of the U.S. Army Medical Department (AMEDD) consisting of commissioned medical officers – physicians with either an M.D. or a D.O. degree, at least one year of post-graduate clinical training, and a state medical license.

    The MC traces its earliest origins to the first physicians recruited by the Medical Department of the Army, created by the Continental Congress in 1775. The US Congress made official the designation "Medical Corps" in 1908, although the term had long been in use informally among the Medical Department's regular physicians.

    Currently, the MC consists of over 4,400 active duty physicians representing all the specialties and subspecialties of civilian medicine. They may be assigned to fixed military medical facilities, to deployable combat units or to military medical research and development duties. They are considered fully deployable soldiers. The Chief of the Medical Corps Branch (under the Army's Human Resources Command) is a colonel and the senior-most Medical Corps officer in the Army is the U.S. Army Surgeon General, a lieutenant general...

    Both the Army Medical Department and the Medical Corps trace their origins to 27 July 1775, when the Continental Congress established the first Army Hospital to be headed by a "Director General and Chief Physician"...

    Congress made official the designation "Medical Corps" in 1908, although the term had long been in use informally among the Medical Department's regular physicians...

    The first woman to receive a Regular Army commission in the MC was Major Margaret D. Craighill in 1943. She was assigned as Chief Surgeon to the Women’s Army Corps...

    During the Vietnam era, serious physician shortfalls were experienced by the Defense Department and it was at this time (1966) that osteopathic physicians, who had previously been excluded from active military service, were first admitted to the MC. To avoid reinstating another “doctor draft”, the US Congress took steps to encourage medical students to enter the military as physicians...
     
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    Survival Medicine Hour: Dental Exams, Bleeding Control, Tourniquets
    March 12, 2017


    [​IMG]
    The basic dental exam

    The Survival Medicine Hour, on March 11, 2017, is hosted by Joseph Alton, MD aka Dr. Bones and Amy Alton, ARNP, aka Nurse Amy of https://www.doomandbloom.net/. In today’s show, Dr. Alton reviews the steps of a dental exam for those who find themselves in a remote area or post-disaster and who need to care for someone with an immediate dental issue. Expect more segments on individual dental problems that might confront the medic in remote or post-disaster settings.

    [​IMG]
    The Sof-T tourniquet

    Accidents happen everyday and you may find yourself as the person responsible for saving a life of someone who’s hemorrhaging. Severe injuries with bleeding can be scary to non-medical persons. Knowing some basic steps to stop bleeding are important to understand and share with your family members. Plus, a review of different tourniquets that might be useful for your medical kit.

    All this and more on the Survival Medicine Hour! To listen in, click below:

    http://www.blogtalkradio.com/survivalmedicine/2017/03/10/survival-medicine-hour-dental-exam-bleeding-and-tourniquets

    Wishing you the best of health in good times or bad,

    Joe and Amy Alton

    https://www.doomandbloom.net/survival-medicine-hour-dental-exams-bleeding-control-tourniquets/
     
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    Blizzard Safety Tips
    March 13, 2017


    [​IMG]
    The March Blizzard

    I find myself a little surprised to be writing about blizzard survival with Spring just around the corner, but weather forecasts are predicting a particularly nasty blizzard for the East Coast. Strong winds and a foot of snow are possible from Maryland to Maine. March came in like a lamb, but it’s acting like a lion for those in the Northeast.

    Winter storms (this one is named “Stella”) occur every year in the United States, and cause fatalities among the unprepared. 70% of deaths occur due to traffic accidents and 25% from hypothermia from being caught outside during the blizzard. With Stella’s strong winds, trees and power lines burdened with heavy snowfall may topple, causing additional hazards.

    If a blizzard knocks you off the grid but you’re still in your home (a great place to be), keep everyone in an inside room, preferably without windows. The heat from several bodies will make a small space warmer.

    Heat in the home can be conserved by shutting the doors of unused rooms and drawing blinds and curtains to add insulation. Stuff towels under the door to prevent loss of warmth from the room you’re using. If you’re using some form of alternative heat, however, make certain that there is reasonable ventilation. Prepare for mishaps by having a fire extinguisher handy.

    Staying hydrated is important. You’d be surprised how much a family uses, so fill the bathtub with water. Plumbing might be kept from freezing by allowing faucets to drip. Stock up on non-perishable food.

    Winter conditions don’t just affect people; they affect cars as well. Cold affects rubber and metal; it even decreases the battery’s efficiency. Tires become stiff and flat for the first few hundred yards. Motor oil and other lubricants become thicker at cold temperatures. This makes the engine work harder.

    Therefore, vehicles that will be doing duty in extreme cold should be “winterized”. This involves switching to a lighter viscosity oil, changing to snow tires, and choosing the right (anti-freeze) ratio of coolant to water. Gas tanks should be full if at all possible.

    [​IMG]
    Not the best time to be outside (image courtesy of pixabay.com)


    OUTSIDE IN A BLIZZARD
    You’re not a bear, so you can’t hibernate through the cold weather; you’ll have to take measures to avoid getting stranded out in the cold. Many deaths from exposure are avoidable if simple precautions are taken

    The first thing that you should do before planning a day outdoors in snowy weather is consult your weather radio for the forecast. If a storm is on the way, postpone your outing until the weather improves.

    Dress appropriately and in layers. Each successive layer of clothing traps warm air near your body. Wool is the best material for staying warm. Unlike cotton, wool will stay warm even if somewhat wet, and wicks perspiration away from the skin. Wet clothing will cause you to lose body core temperature faster. Mittens will keep your hands warmer than gloves.

    SEEK SHELTER
    [​IMG]
    A Tree Well Shelter

    Some people might be caught by surprise when a winter storm hits the backcountry. If you’re in the wilderness, seek some form of shelter immediately to get out of the wind. There are many types of shelters, but one can be made in a “tree well”. A tree well is the sunken area around the trunk in very deep snow. This area is relatively easy to excavate and, if the tree has low-hanging branches, should provide some protection from falling snow. Look for natural barriers nearby that may serve as windbreaks, but beware of slopes where you may be exposed to drifting snow or avalanches.

    The space you dig out should be small, as small shelters take less effort to keep warm than large ones. Pack your snow “walls” well, which retains heat better and can support a makeshift roof. Place evergreen boughs and debris on the floor to protect you from the cold ground. Then add some on top to make a roof. Tarps or solar blankets may also be used for this purpose, but winds might easily blow them off. Tie rocks to the corners as weights.

    If a tree well is not an option, digging a “cave” out of deep snow can serve to insulate you from the wind (think igloo). If you make a fire, be sure to have ventilation holes in your shelter. Entrances and ventilation holes should open at a 90 degree angle to the prevailing winds.

    Stay hydrated but don’t eat snow. Your body must first melt it and loses heat as a result. If you don’t have fire to melt snow, put a container with it in your clothes, but not next to the skin. Hypothermia and other cold-related medical issues are covered here.

    STRANDED IN THE CAR
    [​IMG]
    You won’t always be stranded on a busy highway

    The first question you should ask before you get in the car in cold weather is “Is this trip necessary?”. If you don’t have to leave the house in a snowstorm, don’t. Period. If you do, drive as if your life depended on it, because it does. Don’t speed, tailgate, or weave from lane to lane. Make turns slowly and deliberately, and be careful to avoid quick stops and starts

    Let’s say that, despite your best efforts, you’re stuck on the road in a blizzard. Help may be on the way, but what if it isn’t? It’s important to stay calm and don’t leave the car. It’s warmer there than outside and you’re protected from the wind.

    Wet snow can block up your exhaust pipes and cause carbon monoxide gas to enter the passenger compartment. You’ll need fresh air, but don’t crack a window on the side where the wind is coming from. If you’re in a group, huddle together as best you can to create a warm pocket in the car. Rub your hands, put them in your armpits, or otherwise keep moving; this will help your muscles produce heat.

    Maybe you can dig yourself out, but beware of overexertion in extreme cold. You’ll sweat, and wet clothes are a main cause of hypothermia. If you have flares, use them to let others know you need help.

    THE WINTER SURVIVAL CAR KIT
    There are a number of items that you should always have in your car, especially in cold weather. These are meant to keep you safe if the unthinkable happens and you’re stranded without hope of rescue. Your blizzard survival car kit should contain:
    • Wool blankets (for warmth; wool can stay warm even if wet)
    • Spare sets of dry clothes, especially socks, hats, and mittens.
    • Hard warmers or other instant heat packs (activated by shak- ing, they’ll last for hours)
    • Matches, lighters, and fire starters to manufacture heat Flashlights and candles (keep batteries in backwards until you need them to extend life).
    • Small multi-tool with blade, screwdrivers, pliers, etc.
    • Larger combination tool like a foldable military surplus shovel (some are multipurpose and can be used as an axe or saw)
    • Sand or rock salt (to give traction where needed)
    • Tow chain or rope
    • Flares
    • Starter cables (for jump starts)
    • Water and food (energy bars, MREs, dehydrated soups, candies)
    • Baby wipes (for hygiene purposes)
    • A medical kit and medications
    • Tarp and duct tape (brightly colored ones will be more visible and aid rescue)
    • Metal cup or thermos (to melt snow, make soup, etc.) Noisemaker (whistle) to signal for help
    • Cell phone and charger, weather radio
    A March storm can be as deadly as one in January. With a plan of action, a few supplies, and a little luck, you’ll survive even in the worst blizzard.

    Joe Alton, MD

    https://www.doomandbloom.net/blizzard-safety-tips/
     
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    Survival Medicine Hour: Blood Clotters, Wound Closure, More
    March 21, 2017


    [​IMG]

    In this episode of the Survival Medicine Hour, Joe and Amy Alton, aka Dr. Bones and Nurse Amy discuss improvised tourniquets and some TCCC guidelines regarding hemorrhage under fire or in normal times. Blood clotting agents are introduced and Quikclot/Celox are compared. Plus, when should a wound be closed and when should it be treated as a open wound from beginning to full recovery?

    [​IMG]
    Celox hemostatic agent

    All this and more from a Survival Medicine Hour on the road, this time in Chicago, Illinois!

    To listen in, click below:

    http://www.blogtalkradio.com/survivalmedicine/2017/03/17/survival-medicine-hour-blood-clotters-wound-closure-more

    Wishing you the best of health in good times or bad,

    Joe and Amy Alton

    https://www.doomandbloom.net/survival-medicine-hour-blood-clotters-wound-closure-more/
     
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    Dysentery and Diarrhea Prevention and Treatment
    DrBones NurseAmy



    Published on Mar 22, 2017
    The improper purification of water and preparation of food can lead to infectious diseases. One dangerous illness is dysentery, which can cause bloody diarrhea and intestinal tract damage. Joe Alton, MD, explains prevention, symptoms and treatment of this issue caused by various bacterial or protozoan infections, or even parasitic worms.
    https://www.doomandbloom.net/
    https://www.facebook.com/JoeAltonMD
    https://www.facebook.com/groups/survi...
    http://store.doomandbloom.net/categor...
    https://twitter.com/preppershow
     
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    The Vehicle as Terror Weapon
    March 23, 2017


    [​IMG]
    vehicular terror


    In these days of Pokemon Go and other smartphone distractions, you’re seeing more and more people oblivious of their surroundings. In the past, this might get you a bump on the head by walking into a lamp post. In today’s world, however, it could cost you your life.

    As an Anglophile, I have often visited London and walked from my hotel to parliament and other sites via the
    Westminster bridge. Today, on the anniversary of the terrorist attack in Belgium, someone used a vehicle to mow down pedestrians on the bridge and then, apparently, left the car to continue a rampage that has left a number of casualties in its wake. The British, after some hesitation, have labeled the event a terrorist attack.

    Vehicular terrorism is not new, with Israel the scene of multiple attacks in past years. It’s becoming more and more common in the West, however, with attacks in Nice, France on Bastille Day and in Berlin at a Christmas market. In the United States, a Somali student used his car to run over several people at Ohio State University and then perpetrated a knife attack on those who, ironically, ran over to see if he was injured. Many similar events rarely make the news.

    Terror attacks are often associated with bombs, but making a bomb requires some expertise to assemble safely. Guns, the other preferred weapon, are difficult to come by in most countries other than the U.S. Owning or renting a vehicle, however, is easy. Trucks and cars can cause mass casualties if wielded as a weapon; obtaining one isn’t an act that evokes suspicion.

    Recently, an article titled “Just Terror Tactics” was published by the English-language ISIS magazine “
    Rumiyah”. It described which vehicles will cause the most damage and called for attacks on Western crowds. “It is a simple idea and there is not much involved in its preparation,” the article said. “All what is needed is the willingness to give one’s life for Allah.”

    The article goes on: “Pick your location and timing carefully. Go for the most crowded locations. Narrower spots are also better because it gives less chance for the people to run away. Avoid locations where other vehicles may intercept you…To achieve maximum carnage, you need to pick up as much speed as you can while still retaining good control of your vehicle in order to maximize your inertia and be able to strike as many people as possible in your first run.”

    The writer also suggested attackers weld steel blades onto the front of an SUV: “They do not need to be extra sharp because with the speed of the truck at the time of impact, even a blunter edge would slice through bone very easily. You may raise the level of the blades as high as the headlights. That would make the blades strike your targets at the torso level or higher.”

    These tactics represents the new blueprint among terrorists for causing mayhem. Few people pay much attention to traffic unless they’re driving a vehicle themselves or crossing the street. The speed at which a vehicle can accelerate and turn into a crowd leaves little reaction time. Therefore, the “success” rate of this type of terror event may surpass even a gunman’s ability to cause deaths and injuries.

    I advocate for a constant state of “Yellow Alert” when in public spaces. By that, I mean a calm but vigilant observation of what’s happening around you. Look for anomalies in behavior that might warn you of nefarious intentions. For example, hopping up and down and screaming may be normal at a rock concert, but it’s an anomaly at Starbucks.

    This attitude is useful, but it’s difficult to respond quickly enough to avoid an oncoming car or truck. When a vehicle moves erratically or leaves the normal pattern of traffic, it’s an anomaly that requires quick action. Mentally noting routes of escape whenever you’re in public will give you the best chance of escaping. Just as knowing the location of exits in a mall or theatre is good policy, a heightened awareness is now important at any public area near roadways.

    For vehicular terrorists, the target will be crowds of people near the street. Their objective is mass casualties, and those pedestrians nearest the curb will bear the brunt of the attack. Consider walking on the fringe of a crowd away from the road to give yourself the most options. In the center, the masses, not your own good judgment, will dictate your movement.



    [​IMG]
    Bollards

    Municipalities can protect their citizens from vehicular terrorism by constructing barriers known as “bollards” which stop vehicles from entering pedestrian areas. These can be seen outside many government buildings and airport terminals. Expanding their use to areas that attract crowds would be an important consideration for the future.

    I’m not the only one thinking of how to deal with vehicular terror. The FBI and the Department of Homeland Security recently issued a release warning of vehicular terrorism and how to identify an imminent attack. The release acknowledges the time issues in reacting to such events, but includes the following things to look for:

    • Unusual modifications to vehicles, such as frontal reinforcement.
    • The purchase or rental of large or heavy-duty vehicles, especially if there is nervousness during the transaction, payment in cash, or lack of familiarity with the vehicle’s operations.
    • Commercial motor vehicles or heavy equipment being operated in unusual locations, such as particularly heavy pedestrian areas.
    • Attempts to approach areas closed to traffic, such as street festivals or farmers’ markets.
    • A vehicle operator’s apparent unfamiliarity with operating a commercial vehicle, such as trouble with gear shifting.
    I’ll admit that the likelihood you’ll be in the path of a terrorist using a vehicle, or any other weapon, is very small. Panic isn’t the answer, but these are troubled times; the more situationally aware you are, the safer you’ll be.

    Joe Alton, MD


    https://www.doomandbloom.net/the-vehicle-as-terror-weapon/
     
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    The Preparedness Dental Kit

    March 29, 2017


    [​IMG]
    Dental Fracture

    (This article first appeared in Gaye Levy’s Back Door Survival website)

    Many of our readers are surprised that “The Survival Medicine Handbook: The Essential Guide for when Medical Help is Not on the Way” devotes a portion of its pages to dental issues. Indeed, few who are otherwise medically prepared seem to devote much time to dental health. Poor dental health can cause issues that affect the work efficiency of members of your group in survival settings. When your people are not at 100% effectiveness, your chances for survival decrease, and anyone who has experienced a toothache knows how it effects work performance.

    A survival medic’s philosophy should be that an ounce of prevention is worth a pound of cure. This thinking is especially apt when it comes to your teeth. By enforcing a regimen of good dental hygiene, you will save your loved ones a lot of pain (and yourself a few headaches).

    This article will discuss procedures that are best performed by someone with experience. Unfortunately, you’re probably not going to have a dentist in your party. The information here will give you a basis of knowledge that may help you deal with some basic issues

    The Prepared Family’s Dental Kit

    [​IMG]
    some components for a dental kit

    The prepared medic will have included dental supplies in their storage, but what exactly would make sense in austere settings? You would want the kit to be portable, so dentist chairs and other heavy equipment wouldn’t be practical.

    We’ve mentioned that gloves for medical and dental purposes are one item that you should have in quantity. Don’t ever stick your bare hands in someone’s mouth! Buy hypoallergenic nitrile gloves instead of latex. For additional protection, masks should also be stored and worn by the medic.

    Other items that are useful to the survival “dentist” are
    • Dental floss, dental picks, toothbrushes, toothpaste or baking soda
    • Dental or orthodontic wax as used for braces; even candle wax will do in a pinch. Use it to splint a loose tooth to its neighbors.
    • A Rubber bite block to keep the mouth open. This provides good visualization and protection from getting bitten. A large-sized pink eraser would serve the purpose.
    • Cotton pellets, Cotton rolls, Q tips, gauze sponges (cut into small squares)
    • Commercial temporary filling material, such as Tempanol, Cavit, or Den-temp.
    • Oil of cloves (eugenol), a natural anesthetic.It’s important to know that eugenol might burn the tongue, so be careful when touching anything but teeth with it. Often found in commercial preparations.
    • Red Cross Toothache Medicine (85% eugenol)
    • DenTemp Toothache Drops (benzocaine )
    • Zinc oxide powder; when mixed with 2 drops of clove oil, it will harden into temporary filling cement.
    • Spatula for mixing (a tongue depressor will do)
    • Oil of oregano, a natural antibacterial.
    • A bulb syringe to blow air and dry teeth for better visualization, and as a diagnostic tool to elicit discomfort in damaged teeth.
    • A 12cc Curved irrigation syringe to clean areas upon which work is being done.
    • Scalpels (#15 or #10) to incise and drain abscesses
    • Dental probes, also called “explorers”.
    • Dental tweezers
    • Dental mirrors
    • Dental scrapers/scalers to remove plaque and probe question- able areas
    • Spoon excavators. These instruments have a flat circular tip that is used to “excavate” decayed material from a tooth. A powered dental drill would be a much better choice, but not likely to be an option off the grid.
    • Elevators. These are thin but solid chisel-like instruments that help with extractions by separating ligaments that hold teeth in their sockets. #301 or #12B are good choices. In a pinch, some parts of a Swiss army knife might work.
    • Extraction forceps. These are like pliers with curved ends. They come in versions specific to upper and lower teeth and, sometimes, left and right.
    [​IMG]
    dental extractor

    There are more types of dental extractors than there are teeth, you should at least have several. Although every dentist has their preferences, you should consider including the following in your dental kit:

    -#151 or #79N for lower front teeth

    -#150A or #150 for upper front teeth.

    -#23, best for lower right or left molars

    -#53R, best for upper right molars

    -#53L, best for upper left molars

    • Blood-clotting Agents: There are a number of products, such as Act-Cel, that help control bleeding in the mouth after extractions or other procedures. Act-Cel comes in a fabric square that can be cut to size and placed directly on the bleeding socket or gum.
    • Sutures: A kit consisting of a needle holder, forceps, scissors, and suture material is helpful for the control of bleeding after extraction or to preserve the normal contour of gum tissue. We recommend 4/0 Chromic catgut as it is absorbable and delicate enough for the oral cavity but large enough for the non-surgeon to handle. Don’t forget a small scissors to cut the string. More information on suture materials can be found later in this book
    • Pain medication and antibiotics. Medications in the Penicillin family are preferred if not allergic. For those allergic to Penicillin, Erythromycin can be used. For tooth abscesses, Clindamycin is a good choice. Antibiotics are discussed in detail in our book and in various sections of our website at doomandbloom.net
    The Survival Dental Exam

    Because your hands and your patient’s mouth are colonized with bacteria, every exam should begin with hand washing and the donning of gloves. All instruments should have been thoroughly cleaned or sterilized between exams. If an instrument has touched blood, consider using heat in the form of boiling water (or steam from a pressure cooker) as previously described in this book. Alcohol or bleach solution may be sufficient in cases where there was no blood involved.

    Have your patient open their mouth so that you can investigate the area. A dental mirror and dental probe, also called an “explorer”, are good tools to start with. Does the patient have any problems opening and closing their mouth? Are there sores at the corner of their mouths (sometimes seen in vitamin B2 and other nutritional deficiencies)?

    Evaluate the cheek linings, roof of the mouth, the tongue, tonsils, and the back of the throat. Are the gums pink, or are they red and swollen? Do they bleed easily when lightly touched by the probe?

    Are there “canker” or “cold” sores? Contrary to popular opinion, these are not the same thing. Cold sore, or fever blisters, start off as small blisters and are caused by Herpes type I virus. They mostly affect the hard gums and the roof of your mouth. Canker sores are less certain in origin. They are shallow ulcers that affect soft parts like the inside of your lips and cheeks, the floor of the mouth, and the underside of the tongue.

    Other soft tissues to check out include the tonsils. Are they enlarged? Are they or the back of the throat reddened and dotted with pus? These can be signs of tonsillitis or Strep throat.

    Once you have checked the soft tissues inside the mouth, it’s time to examine the teeth. Using your dental explorer, carefully look around for any obvious cavities. A cavity will appear as a dark pit where bacteria has demineralized the enamel. Search for fractures, missing fillings, or other irregularities. Even if there is nothing visible, however, there may still be serious decay between teeth or below the gums. Patients with this issue may have pain, otherwise known as “toothache”. You’ll find information on how to deal with toothache, broken and “knocked-out” teeth, and other dental issues in The Survival Medicine Handbook: The Essential Guide for When Medical Help is Not on the Way and in specialty books like “Where There is No Dentist”. We’ll discuss specific issues and how to treat them in future articles.

    Once you’ve identified the problem area, you can do your best to deal with the problem. With the items above, you’ll be more prepared for survival dental 99.9% of the population. Our dental kit is designed to have the materials necessary to function in a survival setting and even comes with a free copy of “Where There is No Dentist”. That doesn’t mean that, in normal times, you shouldn’t seek out a qualified dentist; whenever and wherever modern dental care is available, take advantage of it.

    Amy Alton, ARNP

    https://www.doomandbloom.net/the-preparedness-dental-kit/
     
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    Survival Medicine Hour: Disaster Deaths, Antibiotics, XStat, More

    April 1, 2017


    [​IMG]

    In this episode of The Survival Medicine Hour, Joe and Amy Alton, aka Dr. Bones and Nurse Amy, discuss an antibiotic called Clavamox that’s used in dogs and cats as a possible survival med. Also know as Augmentin, is it exactly the same as the human drug, as Dr. Alton found was the case years ago with certain fish and bird antibiotics? You might be surprised.

    Also, the military may be getting taken for a ride with the expensive prescription product XSTAT, a syringe of hemostatic sponges used for severe hemorrhages. Sounds good, but does it work and what’s behind the recommendations for the government to add this item to military supplies? And does it have any application for survival medics?

    [​IMG]
    XSTAT hemostatic syringe

    Plus, do dead bodies from natural disasters cause epidemics? Amy and Joe explore this possibility and compare it to Ebola in 2014 and other events. Lastly, a young man wants to take his 6 month old son and wife to Belize, currently under a Zika warning from the CDC. What is Dr. Bones’ opinion?

    To listen in, click below:

    http://www.blogtalkradio.com/survivalmedicine/2017/03/31/survival-medicine-hour-antibiotics-dead-bodies-and-disasters-more

    Wishing you the best of health in good times or bad,

    Joe and Amy Alton

    https://www.doomandbloom.net/survival-medicine-hour-disaster-deaths-antibiotics-xstat-more/
     
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    Sulfa as a Survival Antibiotic
    April 5, 2017



    [​IMG]
    Fish Sulfa Forte = Bactrim/Septra

    In survival settings, it’s reasonable to assume that you’ll be performing activities that aren’t part of your routine in normal times, like, say, chopping wood for fuel. When you’re doing chores to which you’re not accustomed, injuries can occur. Of course, an ounce of prevention is worth a pound of cure. Using protective eyewear, gloves, and boots may prevent an injury that could become life-threatening off the grid.

    It might be difficult to envision that a simple cut could turn lethal, but in survival, many of these wounds are “dirty”; that is, they’re contaminated with bacteria or other microbes. Today, the use of drugs called antibiotics can nip infections in the bud. in any situation where modern medicine isn’t available, however, these wounds can become problematic. If an infection enters the bloodstream (a condition called “septicemia”), things can go downhill quickly.

    A while ago, I did a series of articles and videos on antibiotics, and talked about popular drugs like amoxicillin, doxycycline, Cipro and others that you can find in aquarium and avian versions. Available in capsules and tablets that are essentially identical to those provided for human use (even down to identification numbers), the wise medic should have some of these tools in the medical woodshed for when the you-know-what hits the fan.

    Quick disclaimer: This doesn’t mean that you should be using them in normal times. Remember that it’s illegal and punishable by law to practice medicine without a license. If modern medical professionals exist, seek them out.

    Today we’ll talk about a family of antibiotic called sulfonamides, or sulfa drugs. Sulfonamides act to inhibit an enzyme involved in folate synthesis, an important part of the production of bacterial DNA. Sulfonamides are bacteriostatic, which means that they don’t directly kill bacteria. They do, however, significantly inhibit growth and multiplication, which leads to eventual elimination of bacteria from the body.

    Sulfonamides were available even before Penicillin, and are credited with saving the lives of tens of thousands during WWII, including that of Winston Churchill. Soldier’s first aid kits even came with sulfa pills or powder.

    [​IMG]
    Bird Sulfa

    A specific version, Sulfamethoxazole 400mg/Trimethoprim 80mg (veterinary equivalent: Bird- Sulfa or Fish-Sulfa) is a combination of two medications in the Sulfa family. This drug is well-known in the U.S. by its brand names Bactrim and Septra. Our British friends may recognize it by the name Co-Trimoxazole. The two antibiotics work synergistically, which means that, together, they are stronger in their effect than alone.

    Sulfamethoxazole/Trimethoprim is effective in the treatment of the following:

    · Some upper and lower respiratory infections (chronic bronchitis and pneumonia)

    · Kidney and bladder infections

    · Ear infections in children

    · Cholera

    · Intestinal infections caused by E. coli and Shigella bacteria (a cause of dysentery)

    · Skin and wound infections, including MRSA

    · Traveler’s diarrhea

    · Acne

    The usual dosage in adults is sulfamethoxazole 800-mg/Trimethoprim 160mg twice a day for most of the above conditions for 10 days (5 days in traveler’s diarrhea).

    The recommended dose for pediatric patients with urinary tract infections or acute otitis media (ear infection) is 40 mg/ kg sulfamethoxazole and 8mg/kg trimethoprim per 24 hours, given in two divided doses every 12 hours, for 10 days. 1 kilogram equals 2.2 pounds. This medication should not be used in infants 2 months old or younger.

    In rat studies, the use of this drug was seen to cause birth defects; therefore, it is not used during pregnancy.

    [​IMG]
    Silvadene cream

    Another sulfa drug, Sulfadiazine, is combined with Silver to make Silvadene, a cream useful for aiding the healing process in skin wounds and burns. Cover completely twice a day.

    Sulfamethoxazole/Trimethoprim and other Sulfonamides are well known to cause allergic reactions in some individuals. These reactions to sulfa drugs are almost as common as Penicillin allergies, and usually manifest as rashes, hives, and/or nausea and vomiting. Worse reactions, however, can cause blood disorders as well as severe skin, liver, and pancreatic damage. Those with conditions relating to these organs should avoid the drug.

    Although an allergy to Sulfa drugs may be common, it is not the same allergy as to Penicillin. Those allergic to Penicillin can take Sulfa drugs, although it’s possible to be allergic to both.

    It’s important to understand that antibiotics aren’t candy: they must be used wisely and only when absolutely necessary. The overuse of antibiotics (mostly in livestock) is responsible for an epidemic of antibiotic resistance. Having them in your medical storage, however, can prevent the medic from experiencing headaches, and heartaches, if things go South.

    Joe Alton, MD aka Dr. Bones

    https://www.doomandbloom.net/sulfa-...URSE+AMY'S+..........Doom+and+Bloom(tm)+Show)
     
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    Survival Medicine Hour: Sulfa Drugs, Uva Ursi, Quicklime, More
    April 8, 2017




    [​IMG]
    Sulfa Drugs

    In this episode of the Survival Medicine Hour, Joe Alton, MD (Dr. Bones) and Amy Alton, ARNP (Nurse Amy) examine Sulfa drug antibiotics as an option in survival settings. One of the first antibiotics, sulfa has been credited with saving the lives of tens of thousands in WWII, including Winston Churchill himself, and still has applications today in good or bad times.

    Also, the herb Uva Ursi may have some use in urinary tract infections, one of the medical issues that sulfa drugs are effective for. Find out more about this herb in Nurse Amy’s segment on natural remedies.

    [​IMG]
    Uva Ursi

    Plus, Dr. Bones discusses what disasters are most responsible for the most deaths in the U.S. over the last 40 years. The answers will definitely surprise you! Plus, some guidelines on disposal of dead bodies in post-apocalyptic times.

    All this and more on the latest Survival Medicine Hour with Joe and Amy Alton!

    To Listen in, click below:

    http://www.blogtalkradio.com/survivalmedicine/2017/04/07/survival-medicine-hour-sulfa-drugs-uva-ursi-quicklime-more

    Wishing you the best of health in good times or bad,

    Joe and Amy Alton

    https://www.doomandbloom.net/survival-medicine-hour-sulfa-uva-ursi-more/
     
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    Gallstones: Diagnosis and Treatment
    April 10, 2017


    [​IMG]
    gallstones

    The gall bladder is a hollow sac-like organ that is attached to the liver; it stores a thick liquid substance called “bile” that the liver secretes to help you digest fats. After a meal, the gall bladder contracts and bile passes through to the small intestine through tubes called ducts.

    Excess bile cholesterol can cause solid deposits inside the gallbladder that range in size from miniscule to, say, the size of a golf ball. These are commonly referred to as “gallstones”. Gallstones are relatively common; perhaps ten to fifteen per cent of the population has them. That means a large enough group of people in a survival community will likely include someone with the condition.

    Luckily, most people won’t have any symptoms. In one or two per cent, however, the stones block the ducts, causing pain as the gall bladder becomes distended from excess accumulation of bile. The inflammation caused by this condition is called “cholecystitis”.

    There are two main types of gallstones:

    1) Cholesterol stones: The grand majority; these may not be related to the actual cholesterol levels in the bloodstream.

    2) Bilirubin stones: Sometimes called “pigment stones”, this type may occur in people who have illnesses that destroy red blood cells. The by-products of this destruction release a substance called “bilirubin” into the bile and forms a stone. In other cases, however, it’s difficult to identify a cause.

    [​IMG]
    gall bladder anatomy with bile ducts and liver ( By OpenStax College [CC BY 3.0 (http://creativecommons.org/licenses/by/3.0)], via Wikimedia Commons)

    The pain associated with cholecystitis is known as “biliary colic”. It’s is cramping in nature and is usually seen in the upper right quadrant of the abdomen; it may radiate to the back. If not relieved, inflammation of the liver, gall bladder, and pancreas (“gallstone pancreatitis”) can become life-threatening in some cases.

    A serious blockage of the bile duct with corresponding liver/pancreas inflammation can lead to fever, nausea and vomiting, and a yellowing of the skin and eyes known as “jaundice”.

    Gallstones are commonly diagnosed by ultrasound, but you won’t have modern technology off the grid. The classical finding on physical examination is called “Murphy’s Sign”. Press with one hand just below the midline of the lowest rib on the front right. Then, ask your patient to breathe deeply. If the gallbladder is inflamed, the patient should complain of tenderness at the site.

    In a less politically correct era, risk factors for this condition were described as the 4 “F’s”. For historical purposes, here they are:

    Fat: The majority of those with gallstones are overweight.

    Female: The majority of sufferers are women.

    Forty: Most sufferers are over 40 years old.

    Fertile: Most women with gallstones have had children.

    Today, more sensitive souls prefer the acronym G.O.L.D.

    Genetics: Ethnicity plays a role; Native Americans and Hispanics seem to have more gall bladder issues than Caucasians, Caucasians more than African-Americans.

    Obesity: Obesity, especially in women, is associated with at least twice the frequency of gall bladder disease.

    Location of Body Fat: Those with obesity concentrated in the torso are more likely to be at risk.

    Diabetes: Those with Diabetes are more likely to have gallstones.

    The most common treatment for gallstones, other than pain meds, is to surgically remove the gall bladder (you can live without it and stay healthy). Over 800,000 gall bladder surgeries (called “cholecystectomies”) are performed every year. New methods include shock-wave disintegration of stones and acid treatments that may show promise for non-surgical therapy.

    Operating rooms, surgeons, and high technology, however, are likely to be in short supply when the you-know-what hits the fan, so it’s useful to know some alternative remedies. These are mostly taken orally::

    • Apple cider vinegar (mixed with apple juice or water)
    • Chanca Piedra, (Phyllanthus niruri), a plant native to the Amazon; translated, the name means “Break Stones”.
    • Peppermint
    • Coffee
    • Turmeric
    • Alfalfa
    • Ginger root
    • Psyllium
    • Red Yeast Rice
    • Dandelion root
    • Artichoke leaves
    • Beet, Carrot, Grape, Lemon juices
    It should be noted that hard scientific data proving the effect of the above items is still lacking in many cases. Results from use of the items in the above list will vary from person to person.

    Sadly, it is very difficult to eliminate some of the known risk factors for gall bladder disease. You can’t change if you’re forty, female, and have children. You may be able to do something about being obese, however. Dietary changes to lower fat intake may help you lose weight and decrease the risk of gallstones.

    Joe Alton, MD

    https://www.doomandbloom.net/gallstones-diagnosis-and-treatment/
     
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    Foot Fungus Diagnosis, Treatment, and Prevention
    April 13, 2017


    [​IMG]
    Tinea Pedis

    The medic in austere settings may have to deal with major medical issues; there are minor issues, however, that don’t threaten your patients’ lives, but can seriously affect their quality of life or work efficiency. In times of trouble, you’ll need your people at 110%, and many issues, such as toothaches or foot infections, can become a nuisance or worse.

    One problem that is very common (and will be more so off the grid) is foot and toenail fungus, also called “Athlete’s Foot”. When your dogs (by that, I mean your feet) are howling because you aren’t able to change socks often, Athlete’s Foot might be the cause. Expect this to be particularly relevant in scenarios where you’re constantly on the move.

    Athlete’s Foot
    Athlete’s foot (also known as “tinea pedis”) is an infection of the skin caused by a type of fungus known as Trychophyton. A fungus is a microscopic organism that likes dark and humid conditions.

    This condition may be a chronic issue, lasting for years if not treated. Neglect can lead to its spread from between the toes to hands and groin.

    It’s important to know that fungal infections are likely to be contagious. They can be passed by sharing shoes or socks and even from wet surfaces such as shower floors. Those affected by Athlete’s Foot may also find themselves with other fungal conditions like Ringworm or Jock Itch (“Tinea Cruris”).

    What Are Risk Factors For Athlete’s Foot?


    Any fungal infection is made worse by moist conditions. People who are prone to Athlete’s foot commonly:

    • Spend long hours in closed shoes
    • Keep their feet wet for prolonged periods
    • Have had a tendency to get cuts on feet and hands
    • Perspire a lot
    • Are male
    • Are older or have chronic medical conditions like diabetes
    What Does Foot Fungus Look Like?
    [​IMG]
    typical appearance of tinea pedis

    To make a diagnosis, look for whitish flaky skin between the toes or fingers., which often appear red and raw. The nails may be yellowed, thickened, and “crumbly”. Toenails may even separate from the underlying nail bed. Itching and burning in the affected areas is common and sometimes becomes severe. If the skin has been traumatized by scratching, you might see some fluid drainage. Often, the damage caused by scratching is worse than the infection itself, leading to secondary bacterial infections like cellulitis.

    Although toenails will appear yellowish in Athlete’s Foot, dark spots (brown, blue, or black) under the nail may be just debris or could be related to other issues. After an injury, a collection of blood under the nail (called a “hematoma”) will be dark and, often, painful. Less often, a tumor such as a cancer called “melanoma”, may first present with a dark or mottled appearance.

    Treatment of Foot Fungus
    If the condition is mild, keeping your feet clean and dry may be enough to allow slow improvement of the condition. Oftentimes, however, topical antifungal ointments or powders such as miconazole or clotrimazole are required for relief. In the worst cases, oral prescription antifungals such as fluconazole (Diflucan) or terbinafine (Lamisil) are needed.

    Although creams and ointments cover the skin between the toes more thoroughly, don’t use them too often; excessive moisture may delay healing.

    In the worse cases, an infected nail may require removal. If so, it may take a year to grow back.

    Patience is a virtue when monitoring the healing process, which may take more than a month for a significant case of Athlete’s Foot to resolve. In the meantime, disinfect shoes with antifungal powders on at least a weekly basis.

    Home Remedies
    [​IMG]
    cloudy vinegar useful for relief

    A favorite home remedy for Athlete’s Foot involves placing Tea Tree Oil liberally to a foot bath and soaking for 20 minutes or so. Dry the feet well and then apply a few drops onto the affected area. Repeat this process twice daily. Try to keep the area as dry as possible otherwise. For prevention of future outbreaks of Athlete’s Foot, apply tea tree oil once a week before putting on socks and shoes.

    5% Apple cider vinegar foot soaks (2-4 cups) may work as well. The acid will kill the fungus, as well as soften and break down the skin changes it causes. Use a washcloth to gently scrub the infected areas. If you notice irritation from the bath, dilute with water.

    Others recommend soaks with other items, such as black tea, cinnamon, betadine, or Epsom salts.

    Long-term therapy with Snakeroot extract may help. Apply every third day for the first month, and once a week thereafter for two to three months. Alternatively, dip a cotton ball in the vinegar and hold to affected areas for several minutes.

    Vicks Vap-o-Rub, applied with a swab, shows partial important in more than half of cases.

    One method that doesn’t work is urinating on your feet in the shower. Although there is ammonia in urine that might kill germs, it’s not strong enough to kill the Athlete’s foot fungus.

    You might have your own home remedy for foot fungus. If so, feel free to post it in the comments section.

    Joe Alton, MD

    https://www.doomandbloom.net/foot-fungus-diagnosis-treatment-and-prevention/
     
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    Medical Technology for Military Documentary 2017
    First Documentary



    Published on Feb 26, 2017
     
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    Survival Medicine Hour: Jack of Black Scout Surv., Gallstones, Fish Hooks, More
    April 16, 2017


    [​IMG]
    Jack of Black Scout Survival

    In this episode of the Survival Medicine Hour podcast, Joe Alton, MD and Amy Alton, ARNP, aka Dr. Bones and Nurse Amy, welcome back Jack of Black Scout Survival‘s popular YouTube channel to talk about his work and other important issues. Plus, Dr. Bones tells you all you need to know about gall bladder stones, a condition that affects 10-15 percent of the populations, and certainly would be an issue for the medic taking care of a large mutual assistance group.

    [​IMG]

    Lastly, some ways to remove a fish hook from an outdoor mishap.

    [​IMG]

    All this and more on the latest Survival Medicine Hour with Joe and Amy Alton!



    To Listen in, click below:

    http://www.blogtalkradio.com/survivalmedicine/2017/04/14/survival-medicine-hour-jack-of-black-scout-survival-gallstones-fish-hooks


    Some of the items mentioned in today’s interview with Jack of Black Scout Survival:

    Benchmade SOCP

    https://www.amazon.com/Benchmade-Dagger-Combo-Sheath-Skelentonized/dp/B008NBBTAS

    BENCHMADE SOCP MEDICAL EDITION

    https://www.amazon.com/gp/aw/d/B06XD3J9LR/ref=pd_aw_sbs_200_2?ie=UTF8&refRID=H44CQTRPYXX6XPD852DR&dpPl=1&dpID=51a-lo20aYL

    FELLHOELTER TIBOLT PEN

    http://fellhoelter.com/shop/

    Zebra pen f701

    https://www.amazon.com/Zebra-Stainless-Ballpoint-Retractable-29411/dp/B002L6RB80

    Wishing you the best of health in good times or bad,

    Joe and Amy Alton

    https://www.doomandbloom.net/surviv...-black-scout-surv-gallstones-fish-hooks-more/
     
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    Setting Up A Survival Sick Room
    April 19, 2017


    [​IMG]
    A hospital tent

    In normal times, we have the luxury of modern medical facilities that can isolate a sick patient from healthy people. In a survival scenario, however, most organized medical care will no longer exist, placing the average citizen into the position of medic for his/her family or community.

    Although we may be thrown back to the 19th century medically by a disaster, we have the benefit of knowing about infections and hygiene. The knowledge of how contagious diseases are spread and how to sterilize supplies give us a major advantage over medical personnel of bygone eras.

    Using this knowledge, it should be possible for a medically prepared person to put together a “sick room” or “hospital tent” that will minimize the chance of infectious disease running rampant through the community. The cornerstone of care is to deal effectively and humanely with the sick while keeping the healthy from becoming infected.

    In the face of a looming catastrophe, you must first make the decision to either stay in place or get out of Dodge. If you’re staying in place, choose a room where the sick will be cared for. That room should be separate from common areas, like the kitchen. It must have good ventilation and light, and preferably, a door or other physical barrier to the rest of the retreat.

    If the wiser choice is to leave the area, shelter is an issue that may be addressed with, for example, tents. Choose a tent as the sick room and place it on the periphery of the camp. Again, good ventilation is important to allow air circulation.

    With sick rooms in a retreat or camp, it is important to designate them before a disaster occurs. For groups where a number of people are living together, procrastinating will cause someone to lose their room or tent for “the greater good”. This invariably breeds resentment at a time when everyone needs to pull together.

    Sometimes, you may find that there isn’t a spare room or tent to assign as a sick room. If you only have a common area to work with, raise a makeshift barrier, such as a sheet of plastic, to separate the sick from the healthy. Even if you have a dedicated sick room, keep group members with injuries separate from those with infectious diseases such as influenza. Although wounds will sometimes become infected, they won’t likely be as contagious as epidemic illnesses.

    [​IMG]
    The injured should be separate from the infected, if possible

    A sick room in a retreat with air conditioning won’t qualify as decent ventilation when the power’s down. In this case, air ducts are actually more a danger than a benefit. Microbes passing through the air ducts in the sick room to other areas may present a risk for transmission of disease. Cover with duct tape. Keep windows or tent flaps open, however, except in particularly bad weather. Screening may be necessary in areas with lots of insects, or netting provided over the beds.

    Furnishings should be minimal, with a work surface, an exam area, and bed spaces. In mild weather, some of these beds can be outside, as long as shade is provided via a canopy or other means. Hard surfaces are preferable to fabric upholstery, as cloth can harbor disease-causing organisms. Even bedding might best be covered in plastic. The more areas that can be disinfected easily, the better.

    It’s important to have a way to eliminate waste products of bedridden patients, even if it’s just a 5-gallon bucket and some bleach. Containers with lids should be made available to put used sick room items that need cleaning.

    [​IMG]
    Keep a basin with soap and water at the entrance to the sick room

    A station should be set up near the entrance of the sick room or hospital tent for caregivers’ masks, gloves, gowns, aprons, and other personal protection items (have a good supply of these items). You’ll should also have a basin with water, soap, or other disinfectant. Thermometers should be dipped in alcohol.

    Many consider medical supplies to consist of gauze, tourniquets, and battle dressings, but you must also dedicate sets of sheets, towels, pillows, and other items to be used in the sick room. Keep these items separate from the bedding, bathing, and eating materials of the healthy members of your family or group.

    Having a lot of these may seem like overkill to you, but there can never be enough dedicated medical supplies. Expect to care for more people that you’ve planned for. There will always be additions that weren’t planned, and medical items will be expended much faster than you’d expect.

    Cleaning supplies should also be considered medical preparedness items. You’ll want to clean the sick room thoroughly on a daily basis. Hard surfaces should be regularly cleaned with soap and water, or use other disinfectants such as a 1:10 bleach solution. Don’t forget to disinfect the doorknobs, tables, sinks, toilets, counters, and even toys.

    Wash bed sheets and towels frequently; boil them if you have no other way to clean them. As these items may carry disease-causing organisms, wash your hands after use. The same goes for plates, cups, etc. Any equipment brought into the sick room should stay there.

    One additional item that will be important to your sick room patients: Give them a whistle or other noisemaker that will allow them to alert you when they need help. This will decrease anxiety and give them confidence that you will know when they are in distress.

    The duties of a medic involve more than how to control bleeding or splint an orthopedic injury. Medical problems involving infectious disease may take a heavy toll on your people if the sick aren’t isolated from the healthy. Knowing how to put together an effective sick room will go a long way towards helping the sick get healthy and the healthy stay that way.

    Joe Alton, MD

    https://www.doomandbloom.net/setting-up-a-survival-sick-room/
     
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    Video: Sulfa Drugs in Survival
    April 21, 2017

    Without antibiotics in your medical kit, there will be deaths in survival scenarios that could have been prevented. Using certain veterinary equivalents may be an answer as to how to obtain them. This video discusses the family of antibiotics known as “Sulfonamides”: How they work, What they’re good for, How to use them wisely, and more. Remember that antibiotics aren’t candy, and should be used only when absolutely necessary. We’re in the midst of an epidemic of antibiotic resistance in this country (mostly due to their use in livestock!). Companion video to a recent article.

    To watch the video, click below:



    Wishing you the best of health in good times or bad,

    Joe and Amy Alton

    https://www.doomandbloom.net/video-sulfa-drugs-in-survival/
     
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    Survival Medicine Hour: Black Scout, Pt. 2, Azithromycin, Sick Room Set-Ups
    April 23, 2017


    [​IMG]
    Setting up a sick room

    In this episode of The Survival Medicine Hour with Joe Alton, MD and Amy Alton, ARNP (aka Dr. Bones and Nurse Amy), we welcome back Jack of Black Scout Survival’s popular YouTube channel, who discusses a wide range of topics in part 2 of his interview with Amy.

    Plus, Joe Alton, MD examines Azithromycin as a survival antibiotic. Thomas Labs has released a new bird drug, Bird-Zithro. Is Bird-Zithro a possible candidate for treating sick birds in your aviary after a disaster? Find out all you need to know about this important drug.

    [​IMG]
    Azithromycin for sick birds

    Lastly, when an infectious disease epidemic comes to your town, would you be able to set up an effective sick room that will help the infected recover while keeping the healthy from getting sick? Joe and Amy go over what factors will make for an effective area to deal with infectious disease off the grid.

    All this and more on The Survival Medicine Hour with Dr. Bones and Nurse Amy. To listen in, click below:

    http://www.blogtalkradio.com/survivalmedicine/2017/04/21/survival-medicine-hour-black-scout-pt-2-azithromycin-sick-rooms

    Follow us on Twitter @preppershow YouTube: DrBones NurseAmy Channel Facebook: Doom and Bloom

    Wishing you the best of health in good times or bad,

    Joe and Amy Alton

    https://www.doomandbloom.net/survival-medicine-hour-black-scout-pt-2-azithromycin-sick-room-set-ups/
     
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    How To Pack A Bleeding Wound
    April 24, 2017


    [​IMG]
    Bleeding Wound

    The failure to control hemorrhage is a common cause of death in trauma situations. With the increased number of active shooter events in the United States, the average citizen should have knowledge of basic methods to stop heavy bleeding. The government’s Stop The Bleed Initiative is attempting to foster awareness of the importance of this type of education.

    In the April 2017 issue of the Journal of Emergency Medical Services (JEMS), Dr. Peter Taillac and EMT-P associates Scotty Bolleter and A.J. Heightman put forth their recommendations for the packing of hemorrhagic wounds with plain and/or hemostatic gauze such as Quikclot, Celox, and others. In addition, they reinforce the principles of direct pressure and tourniquet use to control bleeding and save lives.

    In 2012, The American College of Surgeons (of which I’m a retired Fellow) and other organizations formed a joint commission to improve survival in heavily bleeding injuries. While endorsing direct pressure as a primary technique to reduce hemorrhage, the commission reviewed evidence for the use of hemostatic gauze, finding it to be an effective tool in 90% of cases.

    Packing of wounds is useful in many situations, but not all. Wounds of the neck are problematic, for instance, due to the risk of compressing airways. Packing injuries in the abdomen, pelvis, and chest may not be effective due to the deep nature of the bleeding vessels. This is one reason why, in an off-grid setting, the death rate (called “mortality”) from these wounds is so high. Statistics from the Civil War put mortality rates for major injuries in these regions at close to 70 per cent, a figure that might be expected in long-term survival scenarios.

    [​IMG]
    Celox Gauze is approved by the TCCC

    Tactical Combat Casualty Care guidelines approve hemostatic gauze as dressings of choice for severe bleeding. These products use materials that enhance or produce clotting. QuikClot uses Kaolin, an original ingredient in Kaopectate; Celox and Chitogauze use Chitosan, a product made from the shells of crustaceans. XStat, made by RevMedX, is preferred by TCCC for hemorrhage in areas like the axilla (armpit) and groin. A new product, Xgauze, was recently described to us by John Steinbaugh of RevMedX as an effective item to control bleeding without kaolin or chitosan, using instead expanding sponges built into the dressing itself.

    [​IMG]
    Xgauze by RevmedX

    According to Dr. Taillac’s team, proper packing of wounds with plain or hemostatic gauze include the following steps:
    • Quickly and aggressively apply direct pressure with a gloved hand, clean dressing or cloth, or even the knee or elbow while breaking out your supplies. Explore the wound with your fingers to find the source of bleeding, using nearby bones, if possible, to increase the effectiveness of pressure.
    • Tightly (and I mean, tightly) pack the wound cavity as deeply as you can while continuing to apply pressure on the bleeding vessel. Pack directly onto the vessel itself. Although hemostatic gauze is effective, sufficient pressure with plain gauze may be enough.
    • Maintain pressure on the packed wound for at least 3 minutes.
    • Place a tight pressure dressing (Israeli Battle Dressing, Olaes Bandage, etc.) over the whole thing.
    • Splinting the wound will immobilize it and help prevent re-bleeds during transport.
    [​IMG]
    Direct pressure with a gloved hand and cloth barrier

    The above method, along with appropriate use of tourniquets, should be effective in controlling hemorrhage. If the dressings become saturated, however, it may be necessary to use more packing or to start over. A second tourniquet may also be needed. In normal times, this might best be done during transport to a modern medical facility. In long-term survival settings, get the victim to where the bulk of your supplies are.

    It is thought that 1 in 5 deaths from hemorrhage may be prevented by rapid action. Know the procedure and, have no doubt, you will save lives in disasters or other times of trouble.

    Joe Alton, MD

    https://www.doomandbloom.net/how-to-pack-a-bleeding-wound/
     
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    Video: Rodent-Proofing A Shelter
    April 28, 2017


    [​IMG]
    heckuva rodent infestation

    Sanitation is an important factor in staying healthy in rural homesteads and survival scenarios, and one formidable obstacle for the survival medic is the presence of rodents like rats and mice. When these animals are introduced into new areas, they cause a significant amount of environmental and economic damage. Whether in good times or bad, It makes sense to take measures to prevent rodent infestation in the home and to eliminate those already there. In this video, Joe Alton, MD discusses rodents and how to prevent them from being unwanted guests in your home, shelter, or retreat.

    To watch, click below:



    Wish you the best of health in good times or bad,

    Joe and Amy Alton

    https://www.doomandbloom.net/video-rodent-proofing-a-shelter/
     
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    Survival Medicine Hour: John Steinbaugh of Xstat, Wound Packing, Obesity
    April 30, 2017


    [​IMG]
    Packing a Bleeding Wound

    In this episode of The Survival Medicine Hour with Joe Alton, MD and Amy Alton, ARNP, aka Dr. Bones and Nurse Amy, we welcome John Steinbaugh of RevmedX to discuss his XStat product (which we previously mentioned was not an ideal product for the preparedness community), plus new products that his company has to help stop hemorrhage in wounds. Learn about the XGauze and Parabelt, plus some realities about TCCC guidelines and the issues that companies go through getting new technology to the public.

    [​IMG]
    extra weight will decrease chances for survival

    Plus, a question for Dr. Bones as a member of Jack Spirko’s popular Survival Podcast Expert Council, this time about what to do with obese group members once the trigger event occurs for a SHTF situation.

    Lastly, Dr. Alton talks about how to pack wounds effectively, and some recommendations from a doctor-paramedic team’s recent article in the Journal of Emergency Medical Services.

    All this and more in the latest episode of The Survival Medicine Hour with Joe and Amy Alton. To Listen in, click below:

    http://www.blogtalkradio.com/survivalmedicine/2017/04/28/survival-medicine-hour-wound-packing-obesity-john-steinbaugh-of-xstat

    Follow us on Twitter @preppershow

    YouTube: DrBonesNurseAmy channel

    Facebook: Doom and Bloom

    Wishing you the best of health in good times or bad,

    Joe and Amy Alton

    https://www.doomandbloom.net/survival-medicine-hour-john-steinbaugh-of-xstat-wound-packing-obesity/
     
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    An “UpTick” in Lyme Disease
    May 3, 2017


    Deer Tick Bites and Lyme Disease
    [​IMG]
    Blacklegged or Deer Tick

    Whether you’re a hiker, camper, or survivalist, you’ll be spending a lot of time in the Great Outdoors. During your off-grid adventures, you’ll be exposed to all sorts of critters that want a piece of you (watch an episode of “Naked and Afraid” to see what I mean). One of these is the lowly tick.

    Ticks are eight-legged spider-like “arachnids” that exist in various species throughout the United States. They latch onto the skin of a host for a meal of blood and transmit various disease-causing microbes (“pathogens”) to humans and animals through infected saliva.

    These diseases include:
    • Lyme Disease (also called “Lyme Borreliosis”)
    • Babesiosis
    • Anaplasmosis
    • Tularemia
    • Rocky Mountain Spotted Fever
    • Ehrlichosis
    • Relapsing Fever
    In this article, we’ll concentrate on Lyme Disease. Lyme Disease is caused by the corkscrew-shaped bacterium known as Borrelia burgdorferi, commonly transmitted by the tiny blacklegged tick, also known as the deer tick.

    [​IMG]
    Borrelia Burgdorferi

    Experts are expecting more cases of Lyme Disease due to recent mild winters and bumper acorn crops, which have increased the populations of animals that ticks like to feed upon. These include mice, a favorite of baby ticks, and deer, popular targets for adults. Because of the abundance of host animals, the Centers for Disease Control and Prevention (CDC) are estimating 300,000 cases of Lyme Disease this year, which is three times the number reported 20 years ago.

    In case you’re wondering, Lyme disease has nothing to do with limes. It was first diagnosed in the town of Old Lyme, Connecticut in 1975. Since then, Lyme has become the most common tick-borne illness in the Northern Hemisphere.

    [​IMG]
    Deep Ticks in various stages of development

    HOW TICKS SPREAD LYME DISEASE
    Ticks have a life cycle that can last two-three years and includes egg, larva, juvenile (also called “nymph”), and adult stages. For a larva to develop into a nymph or for a nymph to develop into an adult, a blood meal in needed. It appears that the nymphs cause the most cases of Lyme. The CDC estimates that about 30% carry the disease in the Northeast and Upper Midwest.

    To pass along Borrelia burgdorferi to an animal or human, ticks must first find their hosts. They do this in a number of ways: By detecting smells, sensing body heat, or feeling vibrations with movement. Usually, they hang on grasses and bushes, holding on with their back pairs of legs and latching onto passersby with their front pair(s). When the tick finds a favorable place to feed, its mouth parts pierce the skin and start extracting blood.

    [​IMG]
    Tick Removal

    A thorough examination of the entire body for ticks is warranted within two hours of returning after a day outdoors. This is most easily accomplished during a shower. Look behind the knees, in armpits, behind the ears, even the belly button.

    If the tick is found, it may be possible to just brush it off. If that doesn’t work, a number of commercial products are available to remove it. It is reasonable, however, to simply use fine-tipped tweezers to grasp it as close to the skin’s surface as possible, and pull straight upward in an even manner. Twisting or jerking as you pull may cause the mouth parts to remain in the skin.

    Thoroughly clean the wound area with isopropyl (rubbing) alcohol and apply antibiotic ointment. Wash hands afterwards. As an added precaution, launder clothing in hot water and dry in high heat. If all this is done soon after the bite occurs, infection is highly unlikely.

    DETECTION OF EARLY LYME DISEASE
    Sometimes, however, the bite goes unnoticed. Once bacteria are passed to the host by the tick (a process that often requires 24-48 hours), symptoms can become apparent anywhere from 3 days to a month afterwards. You will usually see the following: :
    • Rash
    • Fever and chills
    • Muscle aches
    • Fatigue
    • Joint pain
    [​IMG]
    Tick feeding

    In 70 per cent of patients, the rash occurs before the fever and starts as redness in the area of the bite. It often then develops into a red circular “bull’s-eye” that feels warm to the touch. Usually, very little pain or itching is associated. This pattern, which spreads over time, is called “erythema migrans” and may be enough to confirm the diagnosis. Lyme Disease, however, may be missed or misdiagnosed if symptoms are mild or, especially, if the tick bite was missed by the examiner.



    [​IMG]
    erythema migrans



    When a bite from a blacklegged tick is newly identified, preventative antibiotics may prevent Lyme Disease. A single dose of two 100 mg. doxycycline (Bird-Biotic) may suffice.

    For early infection, as evidenced by the presence of erythema migrans, rapid treatment usually results in a cure. Symptoms, however, may last for a time after treatment.

    Doxycycline (veterinary equivalent; Bird-Biotic) 100 mg. twice a day for 14-28 days is indicated, or in children (must be over 8 years old) 4mg/kg twice a day for 14-28 days (max of 100 mg.) Avoid doxycycline in pregnant or breastfeeding women.

    Alternatively, Amoxicillin (veterinary equivalent: Fish-Mox) can be used in pregnant or breastfeeding women at dosages of 500 mg 3x/day for 14-28 days. 50 mg/kg is the dose for children younger than eight years of age (maximum 500mg 3x/day). Azithromycin (Bird Zithro) has been mentioned as a second alternative and can be used in those allergic to Penicillin-family drugs.

    LATE STAGE OR CHRONIC LYME DISEASE
    Late stage infections with Borrelia burgdorferi result in a more diverse set of Lyme symptoms, some quite different from those seen early. These may occur months after the tick bite and include:
    • Neck pain and stiffness
    • Severe headaches
    • Multiple rashes away from the site of the bite
    • Joint pain and swelling in knees and other large joints
    • Bell’s palsy (nerve damage that causes drooping on one side of the face)
    • Heart problems such as irregular heartbeats
    • Dizziness
    • Shortness of breath
    • Inflammation of the spinal cord (called “meningitis”)
    • Shooting pains, numbness, or tingling in the hands, feet, or face
    • Memory loss
    Many of the above symptoms may persist for long periods. As of yet, there is not a proven cure for chronic or late stage Lyme disease, but a vaccine is now in development. We’ll discuss some strategies are to deal with this debilitating condition in a future article.

    [​IMG]
    Don’t forget the high-tops!

    PREVENTING LYME DISEASE
    An ounce of prevention is, they say, worth a pound of cure, and this old saying is particularly relevant when it comes to infections caused by tick bites. For prevention, consider:
    • Long pants and sleeves on the trail
    • Thick socks and high-top boots (tuck your pants into them)
    • Walking in the center of trails
    • Using insect repellants like DEET (20% or greater) on skin (oil of citronella or lemon eucalyptus are natural alternatives)
    • Applying Permethrin 0.5% insecticide to clothing, hats, shoes, and camping gear 24-48 hours before using (proper application will even withstand laundering)
    • Thorough exams after a day outdoors; pay special attention to children and dogs
    [​IMG]
    0.5% Permethrin for clothing

    Paying close attention to the little things, especially ticks, will make sure that your outdoor activities are healthy and memorable (in a good way).

    Joe Alton, MD

    https://www.doomandbloom.net/an-uptick-in-lyme-disease/
     

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