Tuesday, November 10, 2015

Survival Medicine : Treating a Bullet Wound; Episode 17: Day After Disaster, Chapter 17

Episode 17:

Description of Today's Episode: In the Day After Disaster adventure, Erika is finally reunited with her old friend and they share stories as they wait for her husband and son to arrive at the Cool Camp. Star is still healing from her bullet wound and Erika must trust that the local nurse practitioner is up to the task of taking care of her wound despite the lack of access to a modern medical facility. Today Dr. Ryan Chamberlin, author of the Survival Medicine, Prepper Pages, joins us to discuss the realities of facing this type of wound in a real life survival situation.

Listen to the Audio Podcast



Featured Chapter Quote:
“It would be better to leave the past there in the past and just focus on the future."

Bullet Wound Lessons from Dr. Chamberlin

Steps as a First Responder:
  • Remember getting shot hurts. Whoever is injured is going to be in a lot of pain and screaming.
  • Try to compress the area.
  • Try to calm the patient down.
  • Get them out of immediate danger! 
How To Treat The Wound:

  • Remove initial dressing slowly.
  • Irrigate with clean water. It does not have to be saline.
  • Pick out any pieces of clothing that have penetrated the wound with tweezers or forceps. Usually the clothing is the biggest cause of infection.
  • DO NOT CLOSE THE WOUND - it should have a chance to constantly drain. Otherwise the infection will get pushed into blood stream. It will drain pussy material.
  • Don't worry about getting the bullet out. You can't get lead poisoning from a bullet wound. You may cause more damage looking for bullet.
  • Cellulitis, redness around wound, should be tracked by marking the edge with a ball point pen each time the dressing is changed, about 24 hrs or so. If the redness is growing you may have a problem and should begin anti-biotic treatment if available.
  • The more distal the injury the better chance of survival you have.
The Tampon Debate: Effective For  Bullet Wound Treatment or Not?

  • Dr. Ryan would not recommend it.
  • However it would work in a pinch if it's all you had and he only recommends using it on a distal injury.
  • If the injury is to the abdomen it may give a false sense of security because even though the outside bleeding has stopped the internal bleeding is the more serious problem and is now masked.
  • He recommends using Celox, Quick Clot or an alternate hemostat

Dr. Ryan Chamberlin

Dr. Chamberlin was born and raised near the Hanford Nuclear Reservation in Washington State. After graduating from Washington State University he attended the College of Osteopathic Medicine of the Pacific in Pomona California, and in 1995, graduated as a Doctor of Osteopathic Medicine and Surgery. During his post-doctoral training he became interested in Survival Medicine and in developing a way of quickly training preppers to become self-sufficient medics. In the years since he has authored four books on DIY medicine, his first being The Prepper Pages: A Surgeon's Guide to Scavenging the Necessary Items for a Medical Kit, and Putting Them to Use While Bugging Out.
Dr. Chamberlin is a Professor of Biomedicine living in Portland Oregon. He has written four guides on survival medicine, and blogs on a number of subjects including emergency preparedness, Wilderness Medicine, and First Aid kit building.

Links:
The Prepper Pages: http://theprepperpages.com/



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Sara F. Hathaway
Sara F. Hathaway is the author of the The Changing Earth Series: Day After Disaster and Without Land. She also hosts The Changing Earth Podcast which blends her fictional stories with educational survival tips. Sara grew up in the country where she developed a profound interest in the natural world around her. After graduating with honors from The California State University of Sacramento with a Bachelor of Science in Business Administration, she launched into a career in business management. In her fictional novels her research and experience with survival techniques and forgotten life-sustaining methods of the generations past come to the forefront in a action packed adventures. She has used her background in business management to pave new roads for fictional authors to follow and she delights in helping other achieve the same success. She currently lives with her husband and two sons in California where she is at work on the sequel to her first two novels. For more information and a free copy of “The Go-Bag Essentials” featuring everything you need to have to leave your home in a disaster visit: www.authorsarafhathaway.com
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