Suturing, or Closing a Wound

This is an overview of Suturing. “Sewing” a wound closed is not simply sticking needles through skin and tying knots. Different methods apply to different wounds. What I want to do here is share some YouTube suturing videos with you, and illustrate the need for training not just in method, but also in application. If you are going to add this skill to your bag of tricks, do what you can to get some professional training. Viewing of these videos isn’t “training”, per se. It is an introduction to the concept. Knowing what stitch to use, and under what conditions, can be a risk-filled proposition. Screwing this up can cost the injured person in a big way.

  1. Simple Interrupted
  2. Subdermal Mattress
  3. Subdermal Interrupted
  4. Basic Technique – 1
  5. Basic Technique – 2
  6. Intestinal Resectioning
  7. Subcuticular – Live Human

There are a lot of videos on this subject, but not as many dealing with removal. I didn’t see any of those that I liked, but you can search for them on your own. Again, knowing how to remove them is important, but just as important is knowing when, and under what conditions.

Here is the Dept of Defense Emergency War Surgery manual, 2004. These topics and others are treated within it.

 

 

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“Tactical” and Medical Training

For the average prepper working a job, making ends meet and doing as his conscience would demand of him, learning how to clear a room or house, handle a home invasion or come to the aid of someone in mortal danger would seem to be a logical addition to preps. After all, prepping isn’t solely about acquiring “stuff”. A prepper needs to know how to use that stuff, including his M1A Socom, or his M3 fighting knife, right?

There are classes galore designed to help the work-a-day prepper dad and mom get up to speed on securing their lives, along with liberty and property. I came across a nice little set of reviews for a place in the California Sierra foothills. Weapons Training School is an example of what can be found. The curriculum is wide and varied. Running down the class offerings list on the right side of their offerings page we see: Civilian SWAT Course, Concealed Carry Courses, Escape and Evade, Home Protection /Clearing, Knife fighting, etc. This mix of instruction, if well reviewed by former students, is like a buffet.

Another I found, just tooling around is, Tactical Response. TR operates mostly in Tennessee, but their class schedule shows courses being taught in CA, AZ, WI TX and OR. They have similar classes to WTS, but also include some medical.

Speaking of Medical, there is an operation I would like to visit. Medical Corps is in Caldwell, OH. They have quite a variety of things taught in a 3 day class based on US Navy Combat Medicine. At $365, I don’t think it is out of line. Learning how to repair damaged flesh is a good thing, especially if it belongs to your family.

So, if you want to learn how to use your weapon proficiently, or how to sew up a wound, the availability of a class somewhere within your means to attend most likely exists. Some simple internet searching, or a request on a popular forum, will get you the information you need. Finding it is the first part. Budgeting and scheduling are the second and third. PLAN it! Do it!

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BORVs – Security and Options

Added a new “page”, under BOV, for RVs. This one deals with on-the-road and camp security. The BORV has some major security concerns. Check out these ideas for minimizing them.

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Bug Out RVs (BORV) update

 Going to be updating the BORV section this weekend with some pictures and some thoughts on security. Now, the manifestation of these two might not be what you would expect, but they come from a standpoint of reality and setting expectations.

The more tactically minded of you, however, will have some thoughts… so feel free to shout out.

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Preparing for a Computer-less Age

What would you do without your computer, be it a PC, MAC or Linux machine? You certainly wouldn’t be reading this post, would you? Or any other post – anywhere.

Or ….. would you?

Today, you likely popped onto the net and did a few searches and found this wonderful place. You read a few things and made some mental notes. You also could be reading this as part of a printout of items you thought necessary to keep. Many preppers save copies of posts as files on their hard drives. “For later reference” they say.  “Just in case the net goes down.” But what would they do if the net and any computers they normally use took a “dump”?

The only way you would ever again get to see the priceless information you stored on your hard drive was if you had a HARD COPY of it. Printouts. Folders and binders and paper, preferably double-sided prints to save on bulk. Information in hand is, in some scenarios, the most valuable.

There are other ways to save your precious data for later retrieval. Some preppers keep CDs of their manuals, posts, articles, web sites and more. These CDs can be read by any working machine they happen across. They might also be read by a small cheap laptop or notebook that has been secured from EMP in a properly prepared ammo can. But the only sure way to have access is to rely on nothing other than some paper and your own two eyeballs.

Classify your saved info by type and priority. Begin transferring to paper using that list. At some point you’ll have it all, or at least all of what you deem to be essential. If you don’t, you’ll be working hard to save things like I am tonight… in the midst of an effort to clean up one of our machines that was slapped by a trojan, in a root kit, in an innocuous download with such cunning cover that our anti-virus, anti-malware and firewall protection failed to stop it. If the drive was toasted, we would be looking at something very similar to what was described above. As it is, I think we will survive.

What might kill us, though, would be…

  • EMP attack
  • Nuclear attack
  • Massive power surges and disruptions
  • Computer warfare
  • Engineered viral attacks on whole national networks
  • Cyber-epidemics

Got data?  Save it.

  • Backups (in house)
  • Multiple copies on  multiple drives, USB thumb drives and CDs
  • Off site storage (physical backups  stored elsewhere)
  • Hard copies (printouts)

Be sure that you also keep your anti-whatever software, and your operating system, UPDATED. It will make recoveries easier, and might prevent the need to do a complete wipe and restore.

As for storage on the actual hard drive, consider placing everything under one major sub-directory. If everything were stored under “My Info”, with useful sub-directories beneath that, a simple data backup would be to command the archiving of all information within and below “My Info”. Your programs will remember where this and that were stored, but if you have to try and figure it out without the help of your operating system, good luck.

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Celox

The more horrid scenarios inhabiting the skulls of some preppers include dramatic and bloody trauma following on loud and smokey battles against mindless hordes. Some war-game the defenses of their retreats and the possible aftermath. Still others consider what they might do if seriously injured by animal or firearm on a hunting trip. I think back to incidents where I found injured accident victims on the highway.

In all of these there is blood, sometimes lots of it. Where enough blood is lost, life is lost. If only we could stop the worst of it. Well, we can.

The military has used blood stoppers for years. QuickClot has been packed around the globe as a means of halting, or significantly slowing, the life-taking emergency of arterial bleeding. QuickClot’s main ingredient is Kaolin, a mineral that “initiates the body’s natural coagulation cascade, rapidly accelerating the clotting process.” (z-medica.com) It has a proven record of preserving life until proper medical care can be administered.

I came across Celox on a forum years ago, while looking for information on QuickClot, and was drawn to it by the comparisons.  From the celoxmedical.com website,

“When mixed with blood, Celox™ forms a robust gel like clot in 30 seconds. It works independently of the bodies normal clotting processes. Celox’s™ clotting ability has been proven to work in the cold (hypothermia) or in the presence of common anti-coagulants such as warfarin. It generates no heat and will not burn the casualty or care giver.

In clinical tests by the US marines, Celox™ was the only product to give 100% survival. It gave a strong stable MAP (mean arterial blood pressure) and was also the only product to give robust clotting with no rebleeding**.”

Celox works differently than QuickClot. Its main ingredient is Chitosan, which swells and coagulates in the presence of blood. It will function on even cold blood.

Further comparison shows that Celox does not turn hyperthermic in the presence of water, which means wet wounds, or those treated in wet environments, will not burn. It does not stick to a wound. When the physician is ready to remove it, there will be no tearing of the flesh. It easily irrigates out, and if there is any breakdown of it, it converts into a glucosamine sugar, already present in the body.

The kicker was the fact that arterial bleeds in the head, neck, torso and abdomen can be treated with this. Try applying a tourniquet to those areas and see if the injured person survives. The risk of dying from broken arteries dramatically falls if this emergency treatment is available.

I began to carry the 35 gram pouches two years ago, in my vehicle’s IFAK. It is intended for use on myself, or on anyone I come across with a life-threatening bleed. (Good Samaritan laws cover the use of it for this purpose.)  I saw a man that had died from bleeding out after a motorcycle crash. Femoral artery was torn up near the crotch. A tourniquet might have helped, and maybe not. For trips to the range and elsewhere, we carry Celox-A, which is an injectable version perfect for clean gunshot wounds. It can reach into a hole where pouring granules is difficult or impossible. Since then, they have added Chitosan impregnated gauze, trauma pads, wraps and more.

I advise, when asked, that a person should carry it if there is a concern about:

  • accidents at the range
  • defense of home
  • hunting
  • performing dangerous sports
  • traveling in a motor vehicle
  • taking part in dangerous sports and motor sports
  • working with power machinery
  • engaging in, or assisting law enforcement
  • outfitting a soldier’s IFAK
  • stocking a retreat
  • building a personal IFAK for “dangerous times”

Any situation where serious injury can occur should be attended by an Individual First Aid Kit (IFAK), or a group First Aid Kit where applicable. Repair shops and farming equipment, construction sites and machines, factory and shipping equipment and warehouse operations – all these environments and more call for responsible medical equipment to be present. Because Celox is so inexpensive, there is no excuse for not having it on hand.  And for the more serious world-changing events some envisage, it is absolutely necessary.

 

 

 

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