Tuesday, December 22, 2015

Survival Medicine : Triage and Burn Treatment; Episode 23: Day After Disaster, Chapter 23


Episode 23:

Description of Today's Episode: In the Day After Disaster adventure, Erika, Vince and their children return to the camp as it is being devastated from another earthquake and subsequent fires. Today Dr. Ryan Chamberlin, author of the Survival Medicine, Prepper Pages, joins us to discuss how to triage burn patients in an emergency disaster situation and what some long term concerns are going to be as these people struggle for survival.

Featured Chapter Quote:
“There is nothing more you could have done and nothing more you can do now."

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 Bio-medicine 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.

Lessons from Ryan
Triaging the Burn Victims:

  • Medical tents are quite flammable
  • Without access to water, roll the patient to put out the fire.
  • Determine who has sustained the least amount of burns. 40% of total body or more burned 50% or less of survival.
  • Multiple vs. Massive casualties. With multiple casualties you would take the most wounded but with massive casualties you will take the most likely to survive. This would be a massive casualty situation.
  • Beaux formula - patient's age plus % of body burned, if it equals more than 140 they are likely to survive, with access to medical treatment. 
 Long Term Concerns:

  • Pain management. The amount of pain will depend on the depth of burns in any given area. Crazy things happen when nerves start to grow back.
  • Dehydration is the top concern! Water loss in tissues from burns cause body to start taking water from the blood supply causing the body to go into shock.
  • Infection is also going to be a major concern. The more surface area of the body exposed without the protection of skin the bigger the chance for infection.
Treatment for Burns:

  • In a modern medical setting the patient is usually painted with a topical antibiotic ointment. The typical material is Silver Silvadene but it is almost impossible for the typical prepper to stock enough and it is impossible to carry enough in a bug out situation.
  • The patient is then wrapped in gauze.
  • In a survival situation packing the wounds with sugar may be a viable solution that inhibits bacterial growth. The burned areas should still be wrapped and the patient should be kept in the cleanest environment possible.
Links:
The Prepper Pages: http://theprepperpages.com/

















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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