October 9, 2008
Evening Show
58m
Complete
Radio Episode
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Summary
Mark Koernke and medical expert Mike Nester discussed burn wound treatment, covering topics including hypovolemic shock management, debridement, topical antibiotics (particularly silver sulfadiazine), infection prevention, and long-term convalescence. Guest Mike Lewis announced a field training exercise in Hautari, Texas for October 17-19 involving backpacking, scouting, patrolling, and rifle qualification. The show also addressed preparedness for cold weather operations, promoted USA Tomorrow newspaper and survival resources, and discussed the transition of Liberty Tree Radio following We The People Radio Network going offline.
- burn treatment
- silver sulfadiazine
- debridement
- hypovolemic shock
- field training exercise
- hautari texas
- cold weather operations
- medical preparedness
- topical antibiotics
- wound care
- convalescence
- liberty tree radio
- survival resources
- preparedness
- send a rope
Transcript
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Live 365. In this, the land of the free and home of the brave. The freedoms we secured for you we hoped you'd always keep. But tyrants labored endlessly while your parents were asleep. Your freedom's gone, your courage lost, you're no more than a slave. In this, the land of the free and home of the brave. You vie permits to travel and permits to own a gun. Permits to start a business or to build a place for one. On land that you believe you own, you pay a yearly rent. Although you have no voice in saying how the money's spent. Your children must attend a school that doesn't educate. And your Christian values can't be taught according to the state. You read about the current news in a regulated press. And you pay a tax you do not owe to please the IRS. Your money is no longer made of silver nor of gold. You trade your wealth for paper so your life can be controlled. You pay for crimes that make our nation turn from God and shame. You've taken Satan's number. You've traded in your name. You've given government control to those who do you harm so they could burn down churches and seize the family farm. and keep our country deep in debt. Put men of God in jail. Harash your fellow countrymen while corrupted courts prevail. Your public servants don't uphold the solemn oaths they've sworn. And your daughters visit doctors so their children will be born. Your leaders send artillery and guns to foreign shores and send your sons to slaughter fighting other people's wars. Can you regain the freedoms for which we fought and died? Or don't you have the courage or the faith to stand with pride? And are there no more values for which you'll fight to save? Or do you wish your children to live in fear and be a slave? Oh, sons of the Republic, arise. Take a stand. Defend the Constitution, the Supreme Law of the land. Preserve our great Republic in each God-given right. And pray to God to keep the torch of freedom burning bright. As Iowoki vanished in the mist for whence he came. His words were true. We are not free, but we have ourselves to blame. For even now as tyrants trample each god given right, we only watch him tremble, too afraid to stand and fight. If he stood by your bedside in a dream while you were asleep and wondered what remains of the freedoms he'd fought to keep, what would be your answer if he called out from the grave? is to still the land of the free and the home of the free. Well, ladies and gentlemen, you are listening to us on libertytreeradio.4mg.com, pbn.4mg.com, live 365, and go to Liberty Tree Radio. And we're also on AM and FM micro stations, CB base stations, and ultra net technologies, both east and west of the Mississippi, along with Central and Southern Alaska. We also have the seal of approval of the Beagle Lovers Association, as you can hear in the background. Wait a minute. Anyway. I was hoping you couldn't hear that. I don't know. They seem to be talking quite nicely though. It's okay. The... Mama Dog just got home and they're all happy. Oh, right. Well, the thing is that it is a beautiful day here. In fact, this is one of those classic... summer to fall days guys. We got fall but we don't have all the color yet or anything like that. There's a tree across the street, looks like it's on fire. Yellows and reds but then the rest of the woods is absolutely green, in fact dry green. It's not that it's dry, it's just getting crinkly before the color change. So really super clear this evening, really fine, fine vision. I mean because the air is crisp. and beautiful sunset. Well, that's Michigan. Tomorrow we can have four inches of rain, we'll have gray skies, and then the snow will roll in. But we'll probably get a few more days like this, what I figure. You've got the feel for it after a while. So when that happens, we're back to winter. Well, winter operations means cold, wet, and cold, dry. I'm going to warn you beforehand, we don't wait until it hits. We're a little better prepared than the average bear out there. You take your cold weather gear out, go through it, check it, make sure it doesn't have any holes, make sure that everything is stitched up, reinforced, square it away, clean it up, put it in the Ziploc bags where it needs to be, and put it in your gear if it isn't there already. It is time to start looking at again cold wet and cold dry. Cold wet phase one cold dry much more dangerous in some ways but actually much safer in others people. Once you get down to those those minus 10 and minus 20 range temperatures, the world changes. in many ways. And again, don't play Christmas story. We'll see a double-dog derriah and stick your tongue on anything metal. It'll stay there. It's going to stay there, at least part of it will. If you pull away fast enough, you'll leave a chunk, but at least you get away. On the other hand, common sense with regard to cold weather operations means that you keep your skin covered. You keep everything covered whenever possible. Ventilate to lose or shed calories. But we're looking at a weather change here. Now a couple of things real quick because we got Mike Neser here with us and we're going to continue with and follow up hopefully finish burns today. First of all, a lot of people were asking about the newspaper that was mentioned by our friends way down south. and it's usatomorrow.us that's usatomorrow.us subscription for the year is nineteen dollars and ninety five cents it's free to get a free paper a copy a free paper that means you call and you get they send you a con example this newspaper one eight hundred three nine eight five one five i'm sorry five one six one one eight hundred three nine eight five one 6-1. That's 1-800-398-5161. If you'd like to become a distributor for USA Tomorrow, it's 1-800-635-5823. 1-800-635-5823. That's 1-800-635-5823. And so again, if you want to check out the paper, you get a free copy, give them a call and a subscription. It should be monthly or semi-monthly. I think it was monthly, as I mentioned. Anyway, $19.95 for the year and free paper 1-800-398-5161. Also, for Bruce, who was up on the air with us the other day, a lot of you are looking at resources and tools that you need to stay plugged in. Keep your pen and paper on hand because we always give you solutions. Not just whining about the problem. www.snare-trap-survive.com That's www.snare-trap-survive.com. The phone number is 701-485-3528. That is 701-485-3528. And I'll tell you what, if you get a chance, give Bruce a call, find out what information he has. His site off his page, he does use PayPal. So if you guys are looking for additional tools for survival operations in the field, everything you need, that's what Bruce is into and will help you with when it comes to trapping. And between trapping and other special technologies, well, I think you pretty much have all the two-legged and four-legged critters covered. Now, we should have Mike Lewis calling in for a minute or two here, for a little bit, letting us know about the exercise coming up down there in Texas. But in the meantime, I'll tell you what other little things going on. First of all, this is LTR, Liberty Tree Radio, and We The People Radio Network is offline. Everybody that doesn't understand that, we want to make sure that you realize, sorry guys, we didn't get any warning either. Not a surprise for any of us. In fact, just in reverse, we're ready for the worst. Assume the worst you won't be disappointed. Backups to backups, plans to plans, circles within circles. Oh, that's one of the old lines from Doom. Circles within circles. Well, anyway, I'll tell you what. We were looking at a situation where we could use your assistance in a number of different ways. Not the least of which is this. Go out and contact anybody you might know that hasn't heard about this switchover yet. The Intel report is up online. We are live. If you take the time to listen in, you'll be amazed. We're also adding programming. We're going to have off-the-grid girls here after the 15th of October. I should say from the 15th October on. So be prepared for that. We also have of course new program here about oh an hour after I think it's so no actually it's right after us. About an hour after. An hour after. And that's uh Ed's gonna jump in there and give us the title for the program as a matter of fact. It's the Oz Files with Oz from Hautari and that's from 10 to 11 p.m. Eastern Standard Time here on the Riddi Tree Radio. So that's going to be an hour after us. We close at 9. There's going to be one hour in between and we are adding other programming. If you do are in contact with any of the WTPRN broadcasters that are offline right now, We'll give them the contact numbers and information, hem go to Liberty Tree Radio, plug in and make contact and we'll see what we can do to get them up on the air as quickly as we possibly can. That way everybody has a place to roost because they know how that is especially with a situation like this. We have the bandwidth, we're adding more technologies, we've already of course had this stuff sitting in the wings and we were able to deal with any breakdowns or whatever because we do have backups to backups to backups. That's how it should be. We recommend that with you every step of the way. Now, on medical and Mike, give everybody an overview. What are we going to be covering this hour? Well, today we're going to try to finish up with the burns. We're going to talk a little bit about antibiotics and a silver gene, the 1% silver sulfa diazine, applying that and some other things. And let's see, maybe biological dressings and then possible infection, invasion of the burn with sepsis. And one other thing is called curling ulcer and that may be a little bit about electrical engineering but electrical burns and that is that you should be able to wrap that up today. Very good. I'll tell you what, you stay where you are. Ladies and gentlemen, this is the Intel Report. It is Thursday. We will be back in about three minutes here on Liberty 3 Radio with Mike and Mark. Collectors, outdoor enthusiasts, survivalists. The Army Navy Store from your memory as a child is just that, on memory. But there is still one place to find everything from gas masks to ammo cans and find it cheap. MainMilitary.com. Get hard to find objects like real wool blankets for under 20 bucks. Canteen for just $2. Or Trioxane fuel for just a dollar a box. MAINE Military.com with free shipping on items over $150, not including heavy items. Find surplus items for cheap now. like 30 caliber cleaning kit for just $2.99 a piece or a dozen for $30. Flair pistols are only $25. Want to add a brand new Israeli gas mask to your collection? Kids in adult sizes are just $20. Get G3 mags for just $2 or a military fuel camp for only $16. Add this hyphen hose for another $7.99. 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For more information, send us self-addressed stamp envelope to... Ladies and gentlemen, we are back. This is the Intel Report live. It is Thursday. We've got Mike Nester here with medical support. We also have Mike Lewis, though. Mike, you're going to bring us up to speed with what's happening down there in Texas in the up and coming week. Yes, sir, Mark. One week from tomorrow. That's Friday night, October 17th. We are having a field training exercise, which we'll be backpacking with a full combat load. We're going to meet up Friday night and get dropped off. and we're going to go and hike and camp out in our area of operations and we'll be practicing scouting, patrolling, and escape and evasion. And then we'll get picked back up again Sunday morning and go to a 100 yard range for rifle qualification. And if you want to go to this field training exercise, you need to get in contact with Hautari, Texas. And it's by invitation, so go to Hautari, Texas and let us know you're interested. and then we'll get back with you with an email, the invite to the training exercise. Our website is 3w.hutari.com. For anybody who wants an opportunity to get out in the field and to train or cooperate with you guys, we're looking at a full field exercise where everybody gets to familiarize themselves with their equipment. They're going to get a chance to work with other people. They're going to work in fireteam and squad. You get to the range. Again, you get a little more supervision there. A few tricks of the trade, or at least experience with people with the same weapon that you might be training with. So this is a chance for everybody to cooperate. And that's a critical issue right now, guys. Again, focus on training for the future, which also training the trainers gives everybody a chance to practice what they preach. This is a good tit for tat exercise for everyone involved. Again, Mike, how can they get hold of you? Okay, go to the Hautari, Texas website and send us an email. The Hautari, Texas website is 3wz.hautari is spelled H-U-T-A-R-E-E dash, visit the dot hautari-texas.net. Very good. And of course you're going to be participant. Is there anything special? What is weather looking like down that way so far? Starting to chill up a little bit or are you guys still hovering around the hundreds? No, it's up in the 80s in the daytime and fixed at night. It should be a little pleasant. So here again, now that's about a 20 to 30 degree shift. It's typical we see for the fall days too. Remember that at night, this is why you want to be carrying at the very least with your backpack, your long johns, your woolly pulley slash commando sweater, and your field jacket laundry. Go along with your field jacket because you want layers. And by having layers available, if you're working into the evening and the temperature, say, takes a spike down, You're not going to be losing core temperature. That's one of the things we have to look at. You're not being weak by doing this. The idea is that you're thinking ahead. Remember, our mission is to stay in the field. We're not planning on, oh, it's 10 o'clock, 11 o'clock at night, everybody punch out, we're going home. You're going to be living in this environment. Now, as you live in the environment, you will acclimate. But because you are sort of hanging out for a shorter period of time, remember the body is not adapting to the environment that quickly. So what you want to do is make sure you carry the tools to ensure that there aren't any casualties just from weather conditions. When I say casualties, I mean you don't want to hear about people getting cold or the sniffles or ending up with other exposure problems that there really isn't an excuse for taking place. So, prior proper planning prevents piss poor performance and that's where we think ahead with this. You carry the gear, you don't carry an overage of equipment, you just, this is all minimal weight stuff. Wrap it up tight, make sure you either rubber band it, well I rubber band it anyway, and then zip lock bag or you know, vacuum bag it, it's up to you guys depending on what you use. But when you get out there in the field, the idea is to be ready to rock and roll, be ready to move. And also, remember spares, extra socks, extra glove liners. Make sure you even carry an extra wool cap or whatever headgear you're using along. You get rained on, what you do is you trade them out. You put one up in the armpits, stick it down on the crotch, inside the pants. And those areas where there's a little more body heat to work with, it pushes the moisture out. heats up the object and even if both items are wet you can trade off constantly and you're not losing it again, you're not losing core temperature. This can happen in cold or cool wet. Doesn't that mean extreme cold wet? This is just simply situations where there are changes in temperature and we want to think ahead on this one. So I'll tell you what Mike, go ahead and give all the specs out one more time. Okay, this will give everyone a chance to get out of the field and see how the gear works. It's a little more of a test than just a cap out of your car. It's good to get all your gear out in the field and make sure it all works well together and train as you fight so you can fight as you're trained. The contact information is hutari.net. That's three W's in a dot. Hutari H-U-T-A-R-E-E dash Texas T-E-X-A-S dot. That's an email information about the FTX. and if we have any other questions of course you guys can answer them send an email and they and michael do his part uh... mike nesser's here with us mike anything in particular looking at the weather change here that might be of interest well uh... you know it dipped down pretty good uh... couple weeks ago but right now we're back up bumping on a hundred i think we've gotten up into the low one hundreds lately but it's It's dipping down here into the 50s at night. There's some serious 50 degree temperature change here in Arizona in the southern Sonoran desert right now. And so again, well 30 degrees or 50 degrees, what you have to worry about is you can have casualties that suffer from exposure in 70 degree weather. If the temperature is just like you're describing 80, 90, 100 degrees and you drop down 20 degrees in the evening, well if the body is not properly protected, what happens is during that cooling process, well, it works like a radiator. It leaches the heat virtually right out of the system. Now, that doesn't mean you're going to keel over and shrivel up into a raisin, you know, freeze dried and yet very cold raisin. What it means is that you're going to see certain physical responses if you don't take action accordingly. And it's important that, again, for the fire team leaders and the squad leaders, that you pay attention to your people. Also, the training coordinator, that's his job, the S3 or the training NCO that might be in charge of the particular activity. You want to constantly be checking your people at night. You want to make sure you want to do an inspection to make sure they have their water topped off because water is another issue. And when you're in the field here's a chance where you get to find out about the whole formula of a pint is a pound. Remember that. For every pint of water that you gotta carry, that you should be carrying, it's going to be applied in weight to your overall combat load. You'll want to make sure that you know how that feels. You know, where is it sitting? Is it sitting right? Is it adjusted for my body? Do I need to change that equipment in some way? Well, that's what your buddy system is for. When you talk about that a bit, everybody jump up and down, check to see if it works, walk a mile or two, and then fire team leaders. You check your individuals, squads, you make sure your fire team leaders are doing their job, and you ask them about their people. This is all part of a process. Doesn't mean that everybody, hey, you don't have to do a full field inspection every time you stop. But you do want each person to be doing their job, and as co-managers, they help to make sure the machine runs better. Okay? So we do have exercises coming up all over the country this weekend, but Hautari, Texas, is going to be next weekend. Mike, anything else? Uh oh. I'll tell you what, Micah, if you want to stick around again, if not, I'll tell you what, we're going to go to break anyway, so stay right where you are everybody. This is the Intel Report. It is Thursday. You got Mike Lewis visiting here for a moment. We got Micah Martin here on Liberty Tree Radio, back in three. Some of you have asked me, what is send a rope? What is the purpose of that? I don't get it. Maybe it should be get a rope. But no, I want you to send a rope. Some of you may be familiar with the concept of send a brick. Sendabrick.com. Sendabrick.com, the concept was send a brick to the politician since they're too incompetent to build a wall on our border. And maybe they'll get the clue. If they are receiving pallets and pallets of these bricks every day, maybe they'll start to listen. Well, this is much easier than sending a brick. You can do it in a regular envelope. It takes two stamps instead of 20. And it's just very simple. So what you do is you go down to your orchard supply store and you get yourself a big coil of rope. Let's see there are how many feet here? I've got a hundred feet. Wow! I can send a lot of pieces of rope. So what I want you to do is you get one of these and you pick the top hundred politicians that you can't stand. Not just that you can't stand, but that have been treasonous lately and it won't be too hard. You won't have a hard time finding a treasonous politician to send a rope to. If you want, just send one every day to the White House. So take your piece of rope, you take 12 inches of it, take 12 inch length of rope, stick it in an envelope, put a piece of paper in there with the word traitor on it, and nothing else. If you're smart, you won't put your address on it. If you don't want any extra flack from them. But here's the deal. They can infer whatever they want from that word. Maybe there's traitors amongst us in the White House. Maybe there's traitors all over this nation. Maybe they're saying that you're the traitor. I don't know. Whatever they can infer, they can infer whatever they want. But if you do something so stupid as to say, you're a traitor and I want you to hang yourself. or you're a traitor and I hope you die, or you're a traitor and I want to kill you. You will have the secret service knocking on your door. So it would be my advice to you not to do that. To just simply write the word or print the word traitor on there and send it to them. See, because politicians have two things going for them. Their power and their popularity. And if they don't have their popularity, they don't have their power. So let's take that away from them. Let's demoralize the politicians who are demoralizing us. And let's do something, something of action that we can say, send a rope. And tell your friends to send a rope. My website's up, sendarope.com. Very simple, no nonsense website, no fancy frills, no nothing. I don't want any money. I want you to send a rope. You want to do something for me? Send a rope you want to do something to save this nation send a rope visit send a rope comm and send a rope to Braceback Yes, and we're back ladies and gentlemen with the third hour of the intelligence report. It's about 536 out here in Arizona time and Today's date is the 9th of October 2008. We're going to try and finish off the deal about burns. I know the last couple of weeks we've been going in it, just general things, and today earlier in the earlier program, a couple hours ago, we kind of went into it a little bit heavier, overlapping quite a few things. And we dropped off with, after we had talked about the treatment and the eschiorotomy and the sedation and the analgesia and everything. So what we're going to talk about now is just the burn wound in general. Now obviously we've mentioned numerous times and again it's so important, don't become so absorbed in treating the burn that you have to pay attention to the adequate ventilation. And you've got to treat that hypovolemic shock as the hypovolemic. Hypo means below and volumic is volume. So you've got a low volume. You get the swelling, the migration of the fluid from out of the blood vessels into the skin. And so after you have made sure that you have a good adequate ventilation and you've treated the hypovolemic shock, And then you're going to start gently cleaning the entire burn. And that's going to include the debridement of the skin, the remnants of the skin, any clothing, any debris, any dirt, or anything that's ground into the wound. Now, antibiotics, a major area of the burned wound of the infection. Now, the scar interface between the viable and the non-viable tissue. giving somebody antibiotics, not going out of any type of infection going on the surface and there's no, say for instance, if we would give somebody antibiotics in an IV bag, that's going to circulate through them and it's not going to have any effectively avascular because of the thromb. It's just kind of like from the circulation. What we're going to do is then we're going to, to see an emergence of a superinfection, Candida, and resistant bacteria. And then that's what chondra indicate, the prophylactic use of the antibiotics. Prophylactic means to give it to them just in case. So again, the Candida or the fungi or the resistant bacteria that are growing on the surface of the skin should be examined frequently for the incurrence of any infection. And if they do happen to start getting a systemic Antibiotics should be reserved for any specific, you might get an occurrence of pneumonia. And if the infection is life-threatening, they might be started while you're awaiting the results of the culture in your sensitivity studies. And antibiotics therapy should be guided by the results of the cultures in the tissue biopsy. Now if the areas of hemorrhage where it's bleeding know that the biopsy should be any invasive origin of the burn and then you're going to get a disseminated in vastravascular lagulation. I know those are real big words. Basically what you want to do is only treat and giving somebody antibiotics in their veins or anything like that is absolutely going to do no good with any on the surface of the skin because of the nature of the bird. Now your topical, and this is not your classical chemotherapy, we're thinking about treating cancer and stuff. A little historical touch on this therapy. It came in about 1964 with the introduction of a 10% trade name, and there was also a 1% sulfa, and then that was approved as a topical. Some of the advantages to the diazine is that it's relatively painless on the application and permits the wound to be managed in an open, and then it's gonna help allow frequent examination and maintenance of your joint motion. One of the problems with burns is the acid base or the electrolyte changes and crystals in the urine have not been attributed to the use of the silver, although 2.5 incidence of hypersensitivity has occurred, what we're going to do is apply this with a glove hand twice a day and now if the patient's ambulatory they can get daily showers or if they're not then we put them in maybe a tub or something and let them soak. The acetate cream in a 10% solution, what it's going to do, it's going to penetrate the in-tac applied without addressing leaving the wound visible. And so then you're not going to have that promotion of the bacteria on the skin itself. Twice a day over the entire birth or injury, the entire lens is examined every day. And after the eschar, the scar begins to step and then the debridement should be performed daily. Now in children, you want to apply the sulfamide more than twice daily to cover the boot. And then you could possibly get pseudomonas to develop comfort. especially in your syngeries, usually easily controlled by a mild analgesic. Sensitivity is real small under the cases. Usually give the person an antihistamine, a diphthahydromine, a benadryl or something like that, and then go on and continue your application. The problem is there's going to be a delayed escharicin, but the consequences of escharicin are bacterial growth, just something to be in mind that it's not going to separate as it usually does. Real quick on this point, Mike, before we get started, real quick on this point, we're talking about patient recovery time. One of the things, the first thing a lot of people are going to say here is, well, I don't have that technology on board. There are a number of overlapping solutions with regard to, for instance, the sulfa drugs. Actually, not sulfa drugs, but the sulfa topical treatments. Remember that if you go into veterinary care, A lot of the stuff is sitting there on the shelf because, and it's not considered a restricted item at all, because in veterinary care you deal with animal injuries that are the same way. And the only difference between the animal care or veterinary care support and the stuff used on humans is one's about a third to a sixth less in cost. That's the difference. Made in the same place, may have a different packaging on it, in many cases has the exact same packaging. The Silvadine solution or silva based technologies are available in veterinary care range along with the Sulfa drugs. In fact, there's a Sulfadine paste that can also be used. It can be thinned and then actually applied under certain conditions. Remember, again, we get into what's called debridement. Let's put it this way. Add the word pain to that. Okay, if anybody's ever been burned seriously, and if you've had even if it's second as opposed to full-depth third The word pain applies because there are two deer and there's two paths on this to brideman is something you have to you know, I shall we say bite the bullet and put up with if not then the recovery time with tissue damage is going to be longer and And you're going to have a different type of scarring problem that you have to deal with. Scars will build up and can build up to different depths and also create different tension with the surface and with the sub-tissue below the skin. What's going to happen is then you're going to have to deal with, basically nowadays we call it ambulatory care. Okay, well you're going to have to work first from Ground zero not with atropies so much in other words not with the muscles just simply dying off or you know I said we're reducing in size for lack of use but because there's different material build up and this is going to cause other problems where you're going to have to work on the casualty to Work those areas actually breaking down some of the scar tissue to a degree Another thing is as you are older, it will take, and it's obvious this is a formula true with everybody, as the person or the patient is older, it will take longer to recover or there are certain areas where the patient will never fully recover simply because the body doesn't necessarily produce what's needed for rebuilding those components, those elements of the body that are damaged. So these are all things that have to be taken into consideration when it comes to prioritizing your medical support too. for patients that are in greater need. There are lesser techniques that can be used for lesser injuries which allow you to prioritize equipment towards these casualties. A lot of people are saying, man, if he's that bad, I don't think we're gonna be able to help him. Wrong. It means you have to improvise, adapt, and overcome. A little sub-note on this because here again Special Forces Doctrine changed quite dramatically a couple of times here over the last 30 years. The assumption for the longest time was that, well traditionally going all the way back to the Ranger era, was that you were going to have to walk the patient out. Well then came the advent of the helicopter and with the helicopter came the idea that we can you know we can pop a smoke, we're going to send out a radio transmission, pop a smoke, drop a whirligig, pick up the casualty and evac him as quickly as we can. Now we were fortunate in most battlefield situations we could. However, then came another thing that kind of should have been expected after the helicopter, the shoulder fired air defense missile. With that came the possibility that everybody can shoot down a helicopter and of course helicopters are susceptible to small arms fire and so there was a major special forces policy change again which really was traditional goes back to the first school that you're gonna have to keep your patient alive in the field until you can get back to a major treatment area. Now the timetable was as low as seven days to as high as perhaps two weeks. where you actually have to keep it. Casualty could be a stomach wound, could be burns, could be major lacerations and perforations, could be grenade fragmentation, could be anything. The idea is that you're given the basics in the field to plug the wounds and also progressively deal with what are a series of cascading problems that take place under rustic conditions. The difference is we may not be going anywhere and still have those same issues that we'll have to apply from now on. Again, the medical system may be simply overwhelmed. So we need to look at solutions to these problems, which is why we're looking at the casualties in these, to the nth degree, so to speak, or this deep into the treatment phase. Convalescence. Now, Mike, that's another thing. Convalescence determines actually the quality of convalescence determines how quickly we can turn this casualty around, correct? Absolutely. It's going to take quite a long time for a burnt person, quite a few other the types of injuries that we've covered on this program. Probably. Some of them like your frostbite and things. Yes. It's going to take quite a long time. I'm paralleling that real quick. My father was, he was on a destroyer that was kamikaze in World War II. In 1943-44 he served on the James E. Craig and the Craig was hit off of Pelaloo with a single Betty Bomber, a Kamikaze that took out the whole aft section of the ship. The ship survived. He was seriously injured. Now he worked his way back through from a death ward where he stayed there for about 90 days through to actually ending up on the US hospital ship Solace. From the solace, he went back about five miles an hour to Pearl Harbor. In 1945, there were still burned casualties from the original Pearl Harbor attack that were finally recovering, or were still in the process of recovering and convalescing, from their injuries December 7, 1941. And that was 1945. Now of course these guys were actually pulled through. Some of them probably shouldn't have made it. It's an interesting thing about burn casualties is the psychological profile of the individual is as critical as the actual physical condition. Because you have to persevere. I will say that about burns. Again, the word pain applies. The idea is to be prepared for it. Okay, both as the caregiver as the casualty of course but also as the caregiver because you know it is this is one of those casualties where you the person is re-experiencing the injury over and over again and I think that's really critical to consider. Oh, I'll tell you what Mike it sounds like we have another caller. Who do we have? It's Mike from Louisiana finally. Hey Mike from Louisiana. Go ahead you got some input here? No, I'm just getting here on the line right now. Okay, well, I'll tell you what, I just wanted to check. How are things down there in Louisiana real quick before we step on with business? Oh, well, I've been sort of down and out. I had open heart surgery three weeks ago and I've been sort of recouping and I hadn't been Hadn't been on my usual routine, and so I'm really kind of not the one to ask. Well, it's good to see that you're here, but how's the weather down that way? It's kind of cool. It's really interesting. Arizona, warm during the day, cool, clear, 50 degrees. Michigan, exact same thing, although not 100 degrees during the day. Louisiana, for a change, cool and not too muggy? Well... Not real muggy. Oh, it's Louisiana. It's always that way. Yeah, right. But it's been cool at night. It's been getting up in the 80s during the day and in the low 60s over 50s at night. So I guess it's following. following y'alls pattern pretty good pretty close there very good well I'll tell you what Mike we'll let you rest but just stick right in there and stay tuned because we're gonna be we're covering burns right now everybody listening we got Mike Nester here probably getting close to another break I think pretty soon nope we're out we're don't worry about that we're okay so don't worry about the break and tell you what Mike We're at the point here, we're talking about, you know, we're looking at the later stages of recuperation, but also a lot of other treatments, something else I wanted to touch on. When we're talking about opening up wounds, opening up areas, and actually what literally you're going to be doing is cutting skin. I know that sounds terrible, but how many out there have ever dealt with a real snake bite? Mike, you've dealt with rattlesnakes, right? I've popped a lot of their heads off, but I've never dealt with a bite. I've come exceptionally close, at least five times to being bit, but lucky, thank God that we're not that close. Right. How many people out there have seen a person who has had a snake bite? Have you watched the actual histamine response? What happens literally is like the person's limb or area, it looks like a balloon. It's so much so that the body is trying to repulse and obviously move out the, you know, what they're doing is a reaction to the venom. But you'll actually see the tissue split. This is very, this is not an appetizing thing to have. Hopefully you're not eating a meal right now, but what happens is the skin literally splits. It stretches to the point where it's kind of like, you know, we always say, you know, ladies have stretch marks, you know, women have stretch marks if they've had children sometimes. Well, that's basically what you see, but it can be in the area where the, where the, where the venom, of course, takes hold and the limb, the body is trying to respond accordingly. Well, The same thing applies in what actually do to relieve that, or may do to relieve that, is actually open up the expansion area. Now that varies, and of course there are arguments plus or minus against that, and these have changed back and forth over the decades. With a burn casually like this, one of the things to remember is that if you actually do open the tissue up, What you want to do is typically use rolled or layered gauze that has been vaseline packed into the wound. It's got to be kept clean, but what you do is you keep it supple so that this keeps the wound from sealing again. We don't want it to build up, you don't want it to seal right away. What we're doing is we're leaving pressure to save a limb. Now this means something I mentioned before we came back correctly when we were talking the last couple hours here at different times. One of the things that you have to look at is tiered response. You're going to end up having to do a little bit of damage, so to speak, or change the body's configuration to accommodate healing in one area, which then means you're going to have to worry about working on that area that you've opened up. Now you're going to have to get that to heal from the inside out. So you're looking at more recovery time. Ideally you want to overlap this. You want this to be kind of a... you want it to... as soon as you know that you've got the body turned around you want to start working on those other wound areas and sealing them up. But you want to do it in such a way that you don't create secondary infections and you don't create other problems you're going to draw on the recovery process. Because remember you're working, you're taxing the body here with these injuries. And a lot of times people think, well man, he's just about over it. And people get anxious. They try to cut corners or they try to go get speedy on something. Don't do that. Take your time. Follow procedure. There's a reason for it. Okay, when Mike's talking about some of this stuff, you got to remember that there have been experiments people have tried, trust me they've tried, to come up with faster, speedier solutions. The idea behind this is, you know, it's not just cut and stitch. Okay, if you try to seal something back up and the wound or the tract area is deep enough What's going to happen is you're locking in? Material that normally would have to be evacuated well if it can't evacuate through a wound channel or be you know wicked out What's going to happen is the body is going to try to absorb it and you're going to it's going to take longer to heal So there are steps and procedures that can be used to expedite well to read it The formula we're using is about as good as it gets let's put it that way under the conditions that we have So anyway, I'm sorry Mike, go right ahead there. We still have how much left with burns? Oh, we've still got, let's see, we've got a good 10, 15 left. I'm not so sure we're going to get it in. One other thing is, you know, we were talking about antibiotics and tetanus and sylvadine and all these things. You know, we're putting these words out and these names out and Sure, I know it's easy to say, well, we don't have any of that stuff. You have to have a prescription for those things. The idea is to disseminate the knowledge. Someday, down the road, you may come across something in somebody's medical chest or in a blown up hospital or something. Then go into the pharmacy and then you'll go, oh, well, hey, this is this type of antibiotic. This is some type of antibiotic. I know how to use that. We need to take that with us because we can use that down the road. When we're giving out this information about the solutions and the amount and everything, this is for everybody. So just to, even if you're not a medical person, quote unquote, you'll use labels and say, Right, we don't need the birth control pills. We're not worried about the dietary supplements as far as the we don't need to lose any weight. Trust me, you'll already ban a weight loss program as it is once you're in the field. In fact, the least of your worries will be the overweight issue. Okay, so and we certainly don't want Prozac. Okay, forget the Prozac stuff. I'm sorry that stays on the shelf or gets dumped in the you know, dumped into the carburetor real quick. but there are a lot of other items that are going to be critical and that you're going to have to have on hand and you're going to have to have them in quantity. There are a lot of things, the basic rule here again, even no matter what type of laceration, burner, whatever. If you're wondering, well what can we store on the shelf or what should we be looking for that we can get right now? Guys, 4x4s, 2x2s in terms of gauze packs, gauze rolls. If you're lucky, sometimes you'll find a guy that's got a surplus store and he bought a bunch of medical junk, okay, and he doesn't know what to do with it. Well, pick through that and anything you see in the way of compresses, anything in the way of bandages. You never know. You find burn pack application kits, the whole nine yards. I have. We have over the years, many times. If you grab the stuff and he doesn't, he isn't interested in it, you get it for cheap or you get it for a reasonable price, or if you've got a whole bunch of it there, make a package deal. and then divide the stuff up accordingly. We're going to have to do a little video. In fact, I'm going to do this. I've done this in several classes on this very subject in the past. And it's just so that you can help to sort the stuff out. It doesn't have to be perfect. You just have to have it on the shelf right now, guys. And make sure it's properly stored so it's kept clean and dry. Well, Mike, we're at the top of the hour. Sounds like it. And you're going to be back with us tomorrow? Absolutely, we'll definitely give it a run at it to try and rest this thing up tomorrow. We'll finish up Burns and we'll get on to their subjects, but we're going to overlap too. There are some other things again. Guys, improvise, adapt, overcome. As always, God bless the Republic. 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