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April 5, 2008

IFAK Essentials Series: Asherman Chest Seal

Filed under: Equipment — Gunny @ 11:06 am

For this session of my IFAK Essentials Series, I’d like to touch on the Asherman Chest Seal (ACS). Every serious trauma bag should include an ACS, and IMO, every bug out First Aid Kit (FAK) should include at least one instance of the same. The Asherman Chest Seal is a mainstay of the US Armed Forces and after reading this article, you’ll understand why having one or two is vital to your survival FAK.

In the event of an end of the world scenario, the likelihood of suffering a Gun Shot Wound (GSW) or other serious chest trauma is magnified. By adding a $10 Asherman Chest Seal to your FAK, you significantly improve your patient’s odds of survival in the event of a sucking chest wound or deflated lung.

WHY YOU NEED AN ACS:

Open chest trauma often results in a Tension Pneumothorax (collapsed lung). This is due to the introduction of air into the Pleural Cavity which, after only a few breaths, deflates the lung rendering it useless. With only one functional lung, your patient is now in serious trouble as his body fights for a lack of oxygen.

^Xray of a left side Tension Pneumothorax.

^Cross section of a left side tension pneumothorax.

^Illustration highlighting (in blue) the Pleural cavity.

^Illustration highlighting (note the very edge of the lungs) pleural cavity.

The ACS fixes this condition by allowing only blood and air to escape through the flutter valve shown below. With each breath, the patient will force air from the Pleural cavity and in doing so, will re-inflate his lung on his own, allowing more oxygen into his blood system.

Collapsed lungs can also place undue pressure upon the heart and circulatory system thusly putting your patient in further danger.

HOW TO USE THE ACS:

Simply open the package, use the provided 4×4 of Kerlix (see images below for detailed pictures) to cleanse the wound site as much as possible, expose the adhesive on the ACS and place the ACS directly over the wound site.




^The problem.


^The solution. (Shown here is a properly placed ACS which has resulted in expulsion of air from the Pleural cavity allowing the lung to re-inflate)

DETAIL PHOTOS OF THE ACS


ACS removed from one of my medical kits.

Back of the package which is made of a rather sturdy transparent plastic. Some medics have reported using this plastic on occasion to secure another chest bandage, though I haven’t been able to find any evidence of same.

Package opens from a fold/over corner.

Back of the ACS out of the packaging.

The back of the valve is covered with a small 4×4 of Kerlix type gauze which should be removed and used to wipe away any excess blood from the adhesion site in order to help the ACS stick to the patient properly.


Top of the ACS showing the flutter valve which is essentially a large set of rubber lips (no jokes).

To expose the adhesive side of the ACS simply flip it over and grasp the small circular pull tab. The wax backing will peal off entirely and should be discarded.

Wax backing and exposed adhesive.

Closeup of exposed adhesive with patient end of the flutter valve.

Top of the ACS after exposing the adhesive.

ACS’s AS CARRIED BY ZOMBIE SQUAD MEMBERS


zXzGrifterxZx’s Trauma Bag


NFA’s Trauma Bag


SARFool’s Medical Roll


Gunny’s Stretcher Bag

EDUCATIONAL RESOURCES:

Army Study Guide

Thoracic Medical Journal Publishing

ICVTS Review of the ACS as used in clinical trials

EXCELLENT US Army PDF on pneumothorax injuries. Must read for any medic

WHERE TO BUY

Expect to pay between $11-$15 for each unit.

SUPPLY CAPTAIN
GOLDEN HOUR MED
PACIFIC RESCUE
GALLS
EBAY

Thanks for the read everyone. As always, if you’d like to comment on this article, please feel free to visit us on Zombie Squad’s First Aid Forum.

For Those Who Clean Your Soda Can

Filed under: Survival — Off Duty Ninja @ 11:05 am

I would like to talk to you today about something that is less conservation oriented, but none the less relevant PAW information. You may have receive an e-mail or been told by a friend warning you about cleaning the top of your soda can because contamination from rat or mouse urine could kill you. Well like most e-mails, rumors, or wives tales only a grain of truth resides in it. While hygienically good, it is mostly false. The widely circulated story is apparently designed to warn everyone to clean the outside of a can before drinking.

The rumor says, for those uninformed reading this, a person (from Maui, Ohio, etc etc) had been exposed to rat droppings in a contaminated area. A couple days later the man is described as feeling something like the stomach flu, achy joints, headache and nausea. Within two days he was weak, ill, had yellow jaundiced eyes, and low blood sugar. He was the, allegedly, rushed to the hospital to the emergency room where he died within hours. According to the story nobody connected his death with the droppings until doctors asked whether the clerk had been in a warehouse type setting, or exposed to rat droppings depending on the version you hear.

Both TruthorFiction.com and Snopes.com has searched the news stories and death records and has not found anything to corroborate these stories. As I said before, like many rumors, it has some truth in it but not enough to link it to a specific name, place, time, or date. The most commonly forwarded rumors are the ones containing health warnings. We mostly care for those we send them to and when we hear something that might be a threat to them we pass them along. The problem with many of these is mostly they hold not provable facts, and have been fabricated to substantiate a person fear.

It’s possible that this rumor was the result of a very real concern over what is called Hantavirus Pulmonary Syndrome (HPS). According to the CDC Center for Disease Control, this condition can occur in humans and usually results from breathing FRESH, not ingesting dried as the rumor goes, of very specific mouse droppings; such as, deer mice, cotton mice, rice rats, and the white footed mouse.

An outbreak of the HPS took place in 1993 in the four corners area of the United States (the area of the US that Arizona, New Mexico, Colorado, and Utah meet for our international readers). The CDC emphasizes that it is not spread by ordinary house mice or common rats, nor can be contracted by breathing dry fecal matter, or injecting dried matter.

As said before it’s a good idea, hygienically to clean your can.

http://en.wikipedia.org/wiki/Hantavirus_pulmonary_syndrome

http://www.snopes.com/medical/toxins/raturine.asp

http://www.truthorfiction.com/rumors/r/raturine.htm

April 4, 2008

The Zombie Workout - interview with The Slackmistress

Filed under: Survival — Administrator @ 1:54 pm

Your Personal Evacuation Plan, collecting the proper gear for your Bug Out Bag, and First Aid Training are only parts of the whole Zombie Squad philosophy of being prepared for anything. A good Physical Fitness plan is also a key component to your survival. After all, you can have all the training and gear in the world, but if you can’t run more than a half a block without weezing and throwing up, you’ll be nothing but a Flesh Twinkie for the undead in a Zombocalypse.

A while back, Blogger The Slackmistress created The Post-Apocalyptic Workout, a blog dedicated to her inspiring journey to transform herself into a finely tuned instrument of survival against the shambling hordes. With the ultimate goal of not ending up on the menu of the walking dead, The Slackmistress is training herself physically and mentally, and she’s sharing her progress through videos, updates, and personal challenges to her readers. She shares her incredible story with Zombie Squad’s favorite whipping boy, Kyle, who interviewed her via email:

What exactly is the “Zombie Workout” or “Post-Apocalyptic Workout” and where did the idea come from?

Literally, this is how it came about:
http://www.zombieworkout.com/2008/03/intermission-fo.html
My husband and I were sitting on the couch on Christmas Day, drinking beer and eating cookies and watching the remake of Romero’s “Dawn of the Dead.” I started to think about Post-Apocalyptic Movies and how most everyone had some sort of skill or plan. When I got right down to it, my plan was “stay put until help arrives” or “scream loudly.”

The workout is to get myself into fighting shape for the zombie revolution and the post-apocalyptic world. Everything from being able to grow food to firearm use to RUNNING FOR MY LIFE. I was thinking of this as a year-long project but jokes aside, this is really a lifelong project. Which can be kind of overwhelming, when I think of it. Which is why it’s broken down into eight-week chunks.

What sort of reaction do you get from your friends and family in regard to this workout plan? Have they started whispering about you or putting more space between you and them? Have you motivated any of them to follow your lead towards getting prepared?

They think I’m crazy. Not Asylum-Crazy, but “isn’t it cute, she’s preparing for the Zombocalypse” ::pat pat::. First of all, my family is a bunch of smartasses, and so are my friends, so I popped out of the womb prepared for razzing. However, most of my family is sort of Post-Apocalypticly Useless (see: http://slackmistress.blip.tv/#700164 ) so THEY WON’T BE LAUGHING WHEN THE ZOMBIES COME, WILL THEY?

Alas, I have not motivated any family, but Internet Friends and Blogreaders have stepped up to the task. Sadly, none of them live nearby so I can’t slack off and then count on them when the proverbial poop hits the fan.

I do tell my husband that I love him, but he’s got a brain and opposable thumbs so I’m saving the dog and he’s on his own. Honest communication: a key to a happy marriage!

What are some of goals and training classes you have planned for your Post-Apocalyptic Workout?

I’ve already taken Basic First Aid and Infant, Child, and Adult CPR at the Red Cross. I’m going to learn lockpicking and firearms during this challenge, and I’ve got growing food, storing food, foraging, water purification, starting a fire sans matches, climbing/buildering, and orienteering. Of course, all of these skills aren’t a do-once-and-you’ve mastered them so even after I’ve learned them, I’ll continue to hone them with practice.

Physically, I’ve been doing a lot of running. I started out not being able to run longer than a minute and now I run 45 minutes a day, three times a week. I’m working on increasing my endurance and some basic muscular endurance and strength training. I’m also trying to pare about 10-15 pounds off my frame to make me a little faster (or to make me look like Linda Hamilton in Terminator 2.)

What has been your favorite part about this training regimen so far?

The people I’ve met and corresponded with have been incredibly generous with their time and knowledge (that includes you Zombie Hunter folks!) If all y’all are representative of who’s going to restart civilization and begin a new society, I’d say let’s get this Apocalypse over and done with already.

It’s also given me a new perspective on personal responsibility and physical fitness. Clearly I’m not a one-woman Post-Apocalyptic Action Hero. I may never be one. But I’m thinking of health and welfare in a broader perspective - more than “wow, I need to lose fifteen pounds to fit my ass into a size 2″ and more “I need to get in shape to be able to outrun something that thinks I’m food.”

Is there anything in particular that you’ve learned during your training journey that surprised you or changed your opinion on the way you felt about something?

Hunting. Mind you, I haven’t done it yet, and I don’t know if I can or could. I wrote about it in a blog post (http://www.zombieworkout.com/2008/01/day-19-hunt-the.html) :

“It’s not the act of killing that scares me. It’s the idea that animals seem innocent. Hapless. Minding their own business. If I knew that Mr. Deer was a jerk who cut people off on the freeway on the way home from his job at the puppy-kicking factory, I’d be picking venison out of my teeth as I type this.”

People wrote about their hunting experiences - compared to how most meat is raised, hunting is way more…kind? Maybe that’s the wrong word. Humane? I eat meat, and even though I search out grassfed and organic and cage free and free range and all that garbage, I don’t think I could pick out my lunch and kill it. I am the first to admit that I am the most annoying kind of dirty hypocrite.

New Zombie Squad members often report that they find themselves spending more time analyzing their surroundings throughout the day to decide how they would survival a zombie out break or other disaster if it happened at that moment, while at the grocery store, work, school, laundry mat, etc. Have you noticed any new found obsession with this since the workout started?

YES. Now I’m 35, so I took Driver’s Ed back in the spring of 1988. They showed us all of these groovy films (yes, FILM!) on driving safety and such, and one of the films was ALWAYS LEAVE AN OUT, meaning always leave yourself an escape route when driving in case a madman comes barreling onto the freeway. Whenever I go somewhere new, I always think “where’s my out?” This is also why I think Buildering - scaling buildings - would be an awesome zombie-evading skill to have, because it gives you “up” as an escape option.

Your blog focuses on your individual development in preparation for the coming zombocalypse. Recent training films have showed us that sometimes working as a team can be more effective than remaining on your own. What steps, if any, have you taken to create a team of like-minded people who can be relied upon in an TEOTWAWKI* situation?

Working as a team is way more effective, I think. I must admit that I have taken no steps, minus putting out the blog. So, um, when the zombies come, I can just give you guys my number, right? Hello?

Your goal of conditioning yourself to be able to run away from zombies is great. Have you also given thought to where you will run and how you will survive once you get there?

Yes! Orienteering, building shelter, foraging, food growing and water purification are all Yet To Come. I also play a MEAN game of charades.

When are you going to start preparing for robots and aliens? We all know those are the real threats to our way of living.

Robots: I already worship at the Altar of my MacBook, so I’m pretty much screwed here. Aliens? There’s an anal probing joke to be made here. Just imagine I made it.

You guys rule, and I promise to stop in more often. I am always in need of people to help me out with the Post-Apocalyptic Workout, so if you’re in the Los Angeles area, look me up!

http://www.theslackdaily.com
http://www.zombieworkout.com

The Urban Food Chain and You!

Filed under: General — Off Duty Ninja @ 1:53 pm

A simple desire to feed the birds may set up a food chain that includes predators and scavengers.

My neighbor used to toss seeds onto her driveway every morning for a flock of pigeons. Soon afterwards, a red-tailed hawk took up residence in a large cottonwood tree with a clear view of the driveway.

Slowly but steadily, the number of pigeons dwindled, to the delight of some homeowners who didn’t want the birds roosting and defecating on their houses. After the supply of pigeons disappeared, however, the hawk remained. It fed on a variety of songbirds that were attracted to birdfeeders.

When it started killing songbirds, some of the neighbors weren’t as happy about the hawk.

When people in cities complain about predators hanging around their homes, my first question is: Do you feed birds? Most say, ‘Yes’. Anytime you set out food for birds, you start a food chain that often extends far beyond the birds you had in mind.

Bird feeders bring in songbirds, but they also attract mice and other rodents, including squirrels. In turn, these prey animals attract more predators, such as house cats, red foxes and coyotes. In some cases, bird feeders can become the equivalent of a predator feeding station.

Feeding birds in winter and early spring can help them survive when food sources are scarce but in the late spring and summer, when birds of prey and other predators are feeding young, birds at feeders are hit hard.

People often create sources of food for animals without realizing it. Yard and streetlights that remain on all night attract a variety of wildlife. While walking my dog on a winter evening in a Kansas City suburb, I watched an owl swoop down from its perch on a streetlight to catch a mouse eating seeds that had fallen from a feeder. Lights also attract insects, which then bring in bats, frogs, toads and other predators that eat them.

Water gardens, a popular addition to many city and suburban backyards, provide a year-round source of water, and another place where predators can find a meal. Sometimes your pets become prey. For example, people who purchase expensive Koi fish for their water gardens often train the fish to come to the surface for food. This works to the advantage of raccoons that find easy pickings in the shallow water. The Conservation Department’s urban wildlife biologists also receive complaints of herons snacking on pet fish.

In a water garden my friend owns, he uses black plastic to line the rock waterfall that aerates the pond. One day, among the goldfish he had rescued from the bait shop, he discovered an eastern garter snake. Not only do snakes love to hang out in rock gardens looking for insects, but they also like to lie under black plastic liners that absorb the sun’s rays and allow them to warm up quickly.

Personally, I like snakes and would rather have them in my yard than the mice and crickets they eat. But people who are not enamored of reptiles should forgo building rock gardens, stacking firewood or placing black plastic near their homes.

Feeding dogs and cats outdoors is another way people start food chains. Bill Heatherly, a former urban wildlife specialist in Kansas City I spoke with, received a call from a couple who regularly fed their pets in the backyard. Before long, a raccoon family moved into the couple’s attic to be close to the steady supply of food.

Another Kansas City resident fed her cat indoors, but allowed the feline access to the house through a pet door, said Heatherly, who is now a wildlife programs supervisor. The woman wondered why her cat was suddenly eating more food and splashing water all over the floor. It remained a mystery until early one morning when the woman confronted a raccoon in the hallway of her home.

A single raccoon can be a nuisance, but imagine the man in Kansas City who started out with one raccoon eating his dog’s food. It wasn’t long before the food attracted more and more raccoons until 30 were scratching on his door demanding food each evening. The man and his small dog were afraid to go outside, and he was afraid to quit feeding them. Wendy Sangster, a wildlife damage biologist in Kansas City, suggested that the man move the food away from the house a little at a time until the raccoons stopped coming to his deck. Eventually, the man was able to stop feeding the horde altogether.

Not all stories turn out as well. At the Lake of the Ozarks, a man was intentionally feeding a pair of foxes from his back porch. After the foxes had a litter of kits, the man fed them, too. As they grew older, the kits, which were not afraid of people, began chasing children and fighting with dogs in the neighborhood. Local Conservation Agents asked the man to stop feeding the foxes so they would stop associating people with food. When the man refused to cooperate, the foxes had to be trapped. Luckily the story ends well with the foxes being relocated to my Forest Preserve. They have reintegrated with the wildlife and are suitably feral again.

Whether fed intentionally or not, crows, starlings, opossums, skunks, foxes, coyotes, bears and other animals are attracted by pet food. Commercial dog food is so high in protein and other nutrients that much of it passes through the animal’s system undigested.

Rats stay well nourished by eating dog feces in urban areas where people don’t regularly pick up after their pets. If rats are well fed, predators move in to eat them. Red foxes and coyotes are two species that do well in urban areas by preying on rodents, carrion, squirrels and, occasionally, pets.

In West St. Louis County, coyotes are attracted to subdivisions surrounded by green space. Many people admire picturesque backyards with no fencing, so they use underground electronic fences to contain their pets. For coyotes, these fences present no barrier and make it easy for them to occasionally prey on cats and small dogs.

Coyotes clean up a lot of rodents and carrion. There are many benefits to having coyotes around and, besides, they are here to stay. If we have the habitat, we will have predators. We need to learn to live with them, but not to attract them too close to homes.

In addition to removing food sources, I recommend making noise to scare coyotes away when they get too close to houses. If coyotes aren’t challenged, they won’t run away from people and may become so bold that they have to be removed.

Sometimes it’s hard to know when you are adding an element to a wild animal’s food chain. Cities that require people to use plastic trash bags for curbside garbage pickup provide a feast for many animals and birds, especially crows that are adept at breaking open packages. This may help explain why some crows peck holes in black leather car tops in the St. Louis area. A vendor at a suburban St. Louis golf course had no idea that his outdoor concession stand would become part of the urban wildlife food chain when an enterprising crow discovered it could open potato chip bags.

Most people expect to deal with nuisance animals when they plant vegetable gardens. Tender, young plants, as well as their fruits, attract raccoons, squirrels, rabbits, skunks and groundhogs. Simple fencing will keep out most animals. Avoid planting sweet corn unless you are willing to share with raccoons, and don’t grow nut trees unless you are prepared for an abundance of squirrels and other rodents.

Plants that are not normally thought of as food also may become a link in a food chain. Scott McWilliams, a wildlife damage biologist, told me about a man in a small community south of Joplin who landscaped his well-manicured yard with roses he planned to enter in a flower show. He called the Conservation Department after the deer found the roses to be tasty. McWilliams’ solution was a wooden fence, which saved the roses but changed the owner’s landscaping plans.

Conservation Department Ombudsman Ken Drenon hears from lots of people in Kansas City, St. Louis, and Springfield who have discovered that their new landscaping projects attract deer. Flower bulbs, hostas, clematis and willows are some of the more popular snacks. Drenon offers another solution to prevent deer damage; planting vegetation that deer don’t like to eat. Some examples of native plants reported to be deer-resistant are purple coneflowers, butterfly milkweed, wild ginger, wild geranium, American holly and most varieties of ferns.

The Conservation Department’s “Grow Native!” program can help you attract birds and animals to your yard by providing a natural supply of native foods and habitats through the use of native plants.

Conservation Department animal nuisance complaint specialists suggest that people avoid trying to attract as much wildlife as they can. Provide water, food and shelter only for a limited number of animals. Too many animals can become a nuisance for a neighborhood, cause substantial property damage and spread diseases among wildlife.

For most people, it’s a thrill to observe wildlife close to home. Just be sure you are prepared for the extra company. Try to anticipate how your activities might set up a wildlife food chain, or you, your neighbors and wildlife will pay the consequences.

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