Pre Planning Your Scene · Having A Good Partner Is Very Important! · Duty · PPPPPPP!

Should I Stay, Or Should I GO?

Aesop, of The Raconteur Report, recently had an exchange with “B”, the proprietor of the “In The Middle Of The Right” blog

“B” had opined that the advice provided by Sumdood, a “Newspaper Doctor”, quoted in The Daily Mail, was wrong. He then elaborated upon his perspective why, in his area, waiting for their version of EMS was more likely wrong, than not (outside of specific outlier circumstances).

Aesop, who has been an ED RN for many years, presented a contrary appraisal, suggesting an action plan wherein in nearly every single case, calling EMS, and awaiting their arrival was more likely to be a superior plan, than any “snatch ’em up and boogie to the hospital” alternative plan of action. He then enumerates his concerns with that get-up-and-go course of action.

“B” responded, citing his rural setting and the assertion that he, “B”, a civilian, could make the trip in his personal vehicle in an estimated 16 minute trip, compared to his estimate of EMS responding in around 15 minutes, and an estimate time-to-ER adding up to something like 35 minutes. He opines that contrary views seem ”..let us say, city-centric”.

I responded as follows, edited for typos:

“You do make some good points. OTOH, having lived in a rural county (our hospital was the only one in two counties this away, or three counties, thataway), I, as a former medic, can authoritatively state that having your partner drive the ambulance, is orders of magnitude better, from a patient care perspective, than you barreling yonder to your local hospital. There are, of course, exceptions. If you have the expertise to differentiate A from B, or G, then feel free to make that determination. As I told my daughter ref her wheezing child, do you know CPR? Can you perform same in a moving automobile? What’s your notification plan, to warn the hospital that you’re coming in hot with a critical child?

One Weird Trick? Your local medics, at whatever level of licensure, CAN do those things, DO have those capabilities. Yes you likely can phone whoever, WHILE driving essentially “Code 1”, AND wondering how you’re gonna provide care, while simultaneously driving, navigating, communicating, and assessing your patient.

Reflect on the deleterious effects of task stacking, on each one of those mission critical tasks, while under stress that most of us will never have experienced in our lives.

Which one of those tasks are you willing to compromise?

So, yeah, there will be occasions wherein scoop-and-go is reasonable and prudent. In my experience on thousands of EMS runs, and decades as ER RN those are uncommon.

Like, use-a-tourniquet-as-a-civilian uncommon. “

Mr. “B” replied, citing his assessment that his local EMS “was only a transport service”. He asserted that “...even heart attack victims...” received this level of care. Again I responded. 

“TBH, field care of an MI or an ischemic/hemorrhagic stroke is, at best, ongoing assessment, supplemental oxygen. Again, every fraction of a second you are watching traffic is another fraction of a second you are NOT assessing your patient. Conversely, every fraction of a second you glance at your patient, is a fraction of a second for some kid to run into traffic/some granny to bust a red light/other trip stopping additional calamity.

But, you are correct. Aesop’s years in ER, my 2+ GENERATIONS of EMS and ED experience mean nothing, because “city”. Or something.

You indeed DO know your AO better than I do. You, indeed, know the risks you are willing to undertake, better than I do. And, finally (in both senses of that word), you know the risks that you are willing for your loved ones to assume, in this hypothetical situation.

My 2 cents worth of advice, is worth exactly what you paid me for it.

I’ll E-mail you, your change.

I genuinely hope that you never need to field trial your plans. Just as I pray that I never again have to field trial my own plans.”

Another exchange, with my response:

(“B” observes:) “THEN a 16-18 minute drive to the ER (close to 35 minutes) is better than a 16-18 (or even less, yeah, I am that good of a driver with the equipment to match, even under the stress you refer to…I’ve done it once before) minute trip to the ER for a real medical professional to treat is the better option? ”

(Reltney McFee responds) Well a coupla things: in my experience, folks who are in arrest, generally have measurably better outcomes (even if any outcome from an arrest trends toward “dismal”), should they receive, say “16-18 minutes…” of, say, cardiopulmonary resuscitation. Hell, taking your numbers, even 45 minutes of CPR is more likely to produce a “good” outcome (for whatever value of “good” you select) than 16 minutes of anoxic cardiac arrest.

Again, your circus, and you ought to organize your monkees in the manner that you think is best.

Aesop and I are presenting alternate viewpoints, that’s all. In my case, since around 1988, I have been in rural areas as EMT, ER RN, and midlevel provider. Again, in my case, I have carried a pager for my local fire department exactly so that SOMEBODY would show up at someone’s house, who was having the worst day of their lives, in order to attempt to mitigate same.

My opinion derives from 2 generations in the sick people business, in rural areas. No, not Four-Corners-Of Arizona rural, but Upper-Midwest rural.

Should a summary be worthwhile, my baseline is to encourage everybody to become an EMT, at least at the basic level. It’s around a semester at Lansing Community College (to select a venue near to my “neighbor”, Eaton Rapids Joe, aka ERJ), and should you find yourself in hard circumstances, you will NEVER EVER think, “Gosh, I sure wish I had known less about that problem!”

If you have read ERJ’s thought experiments formulated as tales, you have narratives of scenarios wherein basic EMT skills might be life saving. Hell, if you listen to “B” from In The Middle Of The Right, you will hear him describe living in an area where, should YOU! Have basic EMT skills, your family will for a fact be measurably safer than if you do not.

As with anything I tell y’all, (hell, for that matter, with anything I tell my patients!), none of you are in my chain of command. You are, however, in my “chain of nag”, so, consider yourselves nagged to train up. Hard times are looming, and whatever form that they take, you will not ever think “Dammit! I wish I had not known how to respond to that!”, when “that” threatens your child, or spouse, or neighbor.

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Fun And Games Off Duty · Humility · oops! · Pre Planning Your Scene

“A ROOKIE MISTAKE”

So, TINS, TIWFDASL….Ok, I was NOT FDASL, rather, I was en route home from vacation. TDW-Mark II and I had made it about to mid day, and it was time to stop for a pit stop. We were at the awkward point where we weren’t hungry, yet, the gas tank was about 2/3 full, but Nature Called.

So, I entered the rest area, and entered the stall to set a spell. Now, cue the Rookie Mistake. I had secured my sidearm, locked the door, settled in, and started to relax. Now, boys ‘n girls, what did I overlook?

Yep. Was there any toilet tissue in the stall? Nope.

I looked again, thinking that, occasionally, there is a spare roll hidden behind some sliding door or something.

Nope.

No newspaper left behind. (DYSWIDT?)

No magazines.

By this point, I was well into, well, my “celebrations”, and the absence of tissue was appearing to present a dilemma.

Then I recalled that my Dear Departed Father had drilled into his childrens’ heads to ALWAYS have a handkerchief. That, I did have. It occurred to me that, for those of a cottony bent, one might consider employing a bandanna (for, I did indeed have a bandanna!) as a, well, hygienic tool.

I did so, and discarded the kerchief into the trash on my way out.

And washed my hands very, very thoroughly.

Fun And Games Off Duty · Having A Good Partner Is Very Important! · Housekeeping · Humility · oops! · Pre Planning Your Scene

We ate our survival food!

AND LIVED-AND LEARNED- TO TELL ABOUT IT!

Smarter folks than I have deliberated upon food storage, and typically counsel us to lay up that which we eat every day. Under stressful conditions, most folks poorly tolerate additional novelty. I have a tale illustrating the folly of storing that which you have never eaten before.

I have eaten freeze dried foods before, most memorably on a seven day backpacking trip to a National Park. My partners and I deliberated in depth on meal plans, reading widely on the issues of back-country backpacking in the middle of Lake Superior.. Our first night’s meal produced the review that “This mess tastes like salty cardboard!” By the third night, the meal appraisal was that “this mess tastes like salty cardboard. Say, are you going to finish that?” On our final night on the trail (night #6), we agreed that “This mess tastes like salty cardboard. And, they sure are stingy with the portions!” One might imagine that I would take a lesson from this experience. One might be mistaken.

I suppose it was half a dozen years later, circa 1995, that we took one particularly memorable vacation. Money was tight (…in contrast to today, right?), and I had the bright idea that we could save money by a) camping, and b) eating the survival food I had bought as a bachelor, on special, from some mail order survival supply house since closed. My normally clear thinking wife went along with this idea, as I suspect that she herself had had her fill of town living and daily routine.

As per our routine, we packed up, collected kids, and set off for a state forest campground (again, frugal accommodations). We set up the camp and set to fixing dinner. Life Lesson Number One: think through your camping menu. I glibly assumed that I’d open the can of freeze dried beef patties, and we’d have burgers over the campfire. It developed that freeze dried beef requires a bit more prep than “open can: heat meal. Repeat”. For example, if the patties are not re hydrated, they retain the texture of charcoal briquettes. For another, if they are prepared by the freeze dry house with (say) stew in mind, then they will not perform particularly well when you desire them to hold the shape of, for example, a hamburger. Indeed, they will perform just as if they were about to be crumbled into a stew. That likely will prove unsatisfactory to the children eagerly awaiting burgers. I had, foolishly, spoken my mind regarding the possibilities these freeze dried foods had presented. The lesson of managing expectations remained for me to master another day.

In addition, some greater variety in the menu than “burgers” would have been welcome. This would serve both as backup in the event that plan “a” did not meet expectations, and balance the meal. I did neither.

Number One Son, a smart aleck even at that tender age, noted that the patties briquettes were quite flammable. He dubbed them “fire starters”, and proclaimed them more successful at this than as food. This was not especially helpful as Their Mother and I attempted to extemporize a suitable meal within our constraints of time (dark approaching) and money (not much). He, on the other hand, amused himself greatly.

I had thought that I could redeem myself with freeze dried ice cream. Again, think it through. My children typically do not embrace novelty, and freeze dried ice cream was not an exception. The “not ice”, “not cold”, and “not creamy” observations were precursors to Number One Son (again) determining that these were to be known as “pot scrubbers”, due to their resemblance to nylon abrasive pads used for dish washing. Evidently, this resemblance was both in texture as well as taste, although I do not know how he had researched the taste of scrubbing pads. Not a success.

After a night’s sleep, we awakened to face the Breakfast Conundrum. Typically, we would enjoy scrambled eggs, bacon, toast and juice for camping breakfast. Some of these items were snatched from the frig at home. As it developed, I had a can of freeze dried eggs. In addition, I had no clue as to how to transform the yellow dust into breakfast. In short, breakfast fail.

It seems that adding water and scrambling is not a winning strategy breakfast wise. The result, runny yellow syrup, wasn’t especially appetizing in appearance. In addition, it didn’t respond very well to my efforts to scramble it. It never did take on the consistency of eggs, it did not fry up at all well, and (this may be a surprise to you who haven’t been following closely) the children and Long Suffering Spousal Unit (LSSU) were not impressed the least bit favorably. We went with the jelly sandwich alternative breakfast strategy, and moved along with our day (“…there is nothing to see here, folks! Just move along…”).

That evening, the LSSU bravely leaped again into the campaign of canned beef. This time, having learned from my Dinner Fail the previous evening, she created some sort of stew, blending (re-hydrated) freeze dried beef from the can with canned vegetables and seasonings. She thereby created a repast even the eldest child pronounced satisfying and wholesome. A good time was had by all, dishes were washed, and the evening festivities commenced.

In the morning, we awakened. The LSSU evidently was inspired overnight, because she set to breakfast with enthusiasm, wisely chasing me away from the food prep area. Recreating her victory of the previous evening (this time with the freeze dried eggs, christened “Yellow Rain” after our last poisonous experiment), the LSSU adapted the preparation such that food, recognizably scrambled eggs, appeared as if by magic upon our plates along with the toast, sausage and juice denied us the previous day. Another Meal Win for the LSSU.

The years passed, things changed, stuff happened. Eventually, my marriage failed and I found my (teenaged) sons left home alone while I worked two jobs, and my (soon to be ex) wife was out Ghawd Knows Where, without establishing a meal plan for my children. I worked (more!) overtime and purchased a freezer and lots of food to stock it. I cooked in liter lots on my day off, and repacked it in “unit dose” containers, which I then froze. Voila! When the boys called me at work seeking food, I could tell them to snatch a meal from the freezer, microwave it, and dig in. To address the potential for power failure and loss of freeze, I began to purchase extra cans of the food I was using regularly. I expanded my stock to canned meats, so as to have something to make (say) spaghetti with in the event of power failure.

This year, I realized that I had not established a plan to rotate my canned foods. Indeed, I had no idea which cans would out-date at which time. I remedied this problem, and arranged my cans on a modified “first in-first out” system, with the new cans going in the back. I wrote the out-dates on the top of the cans in bold marker (so as to approach idiot resistance). In the process of this endeavor, I noted a couple of cans that were approaching out-date-hood. The years had taught me lessons that I heeded.

First, the canned chicken and dumplings that had looked so appealing in the picture on the can, found new life as a casserole. My clever (if naive and innocent) girlfriend (she is, after all, spending time with ME) whipped up a casserole of the canned dumplings with some canned cream soup, added a little flour and some seasonings from the spice cabinet, and baked it up for about 40 minutes. We enjoyed that for a couple of meals.

That success behind us, we turned out attention to the soon-to-out-date sloppy joe mix. Perhaps it was cheating of a sort, but I thawed some of my (copious) frozen ground beef from the previously mentioned freezer, and whipped up some supper for my two youngest sons. Toasting some (previously) frozen buns, a meal fit for an adolescent resulted for however briefly it lasted in the face of two hungry teenaged boys!

I then turned my attention to the canned chicken nearing its own out-date with destiny. One of our household favorite recipes is Chicken tetrazzini. This is a chicken dish, in a cream sauce served on noodles. The only non-storage food I used was the milk (not dried), margarine (although I keep a considerable quantity in my freezer), and wine. Otherwise, storage food all down the line. It also was a successful effort. I awakened each morning of my boys’ visit to find empty tetrazzini containers assembled in the sink. The one container that I managed to hide from my sons served as my dinner at work tonight.

To summarize the lessons learned: Store what you eat every day. Rotate your stores (ya know, like by eating it). Think through your menu. Recognize that (you or) your children may not embrace novelty. Freeze dried food has a learning curve: travel that curve at your leisure, not under stressful circumstances. Tabasco, as well as other spices, are your friend. If you are going to experiment with new stuff, perform those experiments during good times, not when the county loses power (or during whatever crisis convinces you to eat your survival food).

Gratitude · Pre Planning Your Scene

A Model For A Twelve Month Checklist: Part Three

This was first published on Survivalblog https://survivalblog.com/2023/01/27/12-month-preparedness-checklist-part-1-reltney-mcfee/ The publisher, James, Rawles, kindly allowed me to reprint it here, for your benefit. Thank you, Jim!

Abruptly changing gears, and (at least for now, on this topic) demonstrating some foresight, August is time to repack my Bug Out Bag (or, in my case, most likely to be a Get Me Home Bag). I checked licenses and documents of various sorts in May: in August I check the copies I have with me in my BOB. You may elect to carry hard copies, or copies on a thumb drive, or on an encrypted thumb drive. If hard copy, assessing condition/legibility of these documents that you elect to have with you, is reasonable. If hard drive, well, function test your drive, and make sure (a) that you can read the documents, as well as (b) that you can recall, and successfully enter, your key so as to access encrypted documents.

August is a good time to begin to change my summer load out for my winter/autumn load out. Doing so in August allows me time to address shortfalls or spoiled items, before the need for a cold weather bag drops on me.

BUG OUT BAG

Prep winter bag: inspect, inventory contents: (condition)(serviceability)(out-dates)

Change out BOB food, water

Change to winter bag 15 September

Emergency Cash: (Amount? Specie? Bills or coins?)

Documents: Marriage/professional licenses/certifications. ID. (passport copy?) Deed, vehicle titles. (thumb drive vs hard copy)

(FINISH CHECKS FROM JULY)

RECURRING CHECKS

FLUSH HOT WATER HEATER

CHANGE STORED WATER

CHECK RADIOS AND BATTERIES

SERVICE AMMO CAN DESSICANT PACKS (if not performed in July)

September is the month that I have selected to apply to medical and first aid matters. Should my CPR, first aid, or other training approach need for renewal/re-certification, I have 3 months to accomplish same in this calendar year. In my circumstance, my employer provides funds for continuing medical education, and this is a reasonable target for such an expenditure.

In addition, we put up the camper for the winter around this time, and that should be a trigger to inspect the camper itself, and, along with that, the supplies that go with it. Removal of the first aid kit and boo-boo kits from the camper, triggers a review of the contents of all the medic bags, first aid kits, and boo boo kits. After all, after a summer in the trunk/back seat/other of the camper/vehicle one/vehicle two, it’s reasonable to wonder what these hot adverse conditions have had on the contents. Tape, in particular, tends to coalesce into a useless gummy mass, and that ought to be identified, and replaced, BEFORE I find myself at the roadside at a rollover collision. Or, more prosaically, BEFORE I send my foot through the rotted deck of a trailer that I am loading, abrading the bejabbers out of my leg, and allowing me to provide all and sundry a continuing medical education moment on Field Care Of The Mark 1, Mod Ø Geezer-on-Anticoagulants Hematoma. Ya know, hindsight IS 20/20!

Since I am a midlevel, and routinely suture wounds (where that is appropriate), I have suture sets. I recheck these, evaluate for contamination as well as out-dates, and replace/repack as indicated.

Since I attempt to keep a couple of month (or more) cushion of my essential prescription meds, it is (again) reasonable to inventory these meds, and while doing so, take note of out dates. Similarly, over-the-counter (OTC) medications: decide what your desired baseline stock level is, decide the stock level that will trigger a restock shopping trip, and decide what your assortment of OTC meds ought to look like. AND! FOR EVERY MEDICATION THAT YOU STORE, KNOW, BEYOND QUESTION, THE DOSAGE, INDICATIONS, CONTRAINDICATIONS, ADVERSE REACTIONS (SIDE EFFECTS), AND OVERDOSAGE SIGNS OF EVERY MEDICATION THAT YOU ANTICIPATE ADMINISTERING TO SOMEONE! WRITE! THAT! STUFF! DOWN!

AND, KEEP IT WITH YOUR MEDICATIONS!

MEDICAL/FIRST AID

Check medic bags: Out-dates, spoiled supplies (TAPE!)

HOUSEHOLD MED STORES

OTC MEDS

(I have grandchildren in my life, so I not only keep OTC meds for TDW-Mark II and myself, I also put aside pediatric meds)

Acetaminophen/Ibuprofen/Naproxen/Nasal Steroid Spray/Cetirizine/diphenhydramine/Sore Throat Spray/Liniment (may be known in your household as “muscle rub”)

Inventory. Out-dates. Restock/Shopping List

PRESCRIPTION MEDICATIONS

Inventory.

Check out-dates.

Generate a restock/shopping list.

FEMININE NEEDS

Contraception

Menstrual Products

EMERGENCY CHILDBIRTH KITS

RECURRING CHECKS

Medic Bags/First Aid Kits/Boo-Boo kits: Replace meds, inspect contents

BOB: Change out for Winter load out

Check Radios and Batteries

October has a short list of evaluations. That provides an opportunity to do those checks that got past me earlier in the year.

WATER

Change stored water

Inspect, test assemble water filters.

RECURRING CHECKS

Check radios and batteries

Change BOB food, water

(have ALL the guns been cleaned?)

(has ALL the ammo been inspected and inventoried?)

November, having opening day of firearm deer season, is a sort of secular faux-holy-day in rural The Un-Named Flyover State. THAT precipitates thoughts of meat, and THAT triggers the thought that the freezers need defrosting, their contents require inventory, and restocking is pending.

FOOD

Freezers

Defrosting

Inventory Contents: Beef. Chicken. Bread. (other: decide for your household)

Compare present stock to desired baseline

Generate shopping list

Canned Food

Inventory

(Have any cans outdated or spoiled? What does that tell me about my baseline stocking levels, and required adjustments?)

Dried Milk

Dried Cheese

(MREs, freeze dried foods, etcetera)

RECURRING CHECKS

Check radios and batteries

December is the opportunity to review the preceding year’s plans, successes, and failures. Indeed, December 2022 was the month in which I developed this “calendar”, so as to systematize my checking up on my preps. I gathered scattered checklists, and assembled them into one document. I attempted to level the workload from month-to-month. (a cursory review of my efforts will reveal that THAT is a process improvement opportunity!) I drafted a few plans for 2023, and provided a copy to TDW-Mark II for critique/review. This document is a result of that review, this past December.

YEAR IN REVIEW

Review previous year:

What months went well?

What months went poorly?

Which preps went well?

Which preps went poorly?

Severe shortfalls? Where? Why?

Overstock? What/where? Why? (what was it that revealed an overstock to indeed be an overstock?)

Spectacular fail? Describe. Why did that fail? How to remedy?

Spectacular success? Describe. What went well? Could it have been improved further? How?

PLAN FOR NEXT YEAR FROM ABOVE ANALYSIS

Fitness plan for coming year

Bugout Plan: Review, walk through, identify fails, how to remedy?

Financial plan for coming year. (How did last year’s plan go? Why success/why fail?)

RECURRING CHECKS

Check radios and batteries

Check, change if indicated, BOB food and water

Let’s see what December 2023 reveals! I pray that my preps are even more dusty than they are at present, and that all the ammunition that I expend is expended at the range!

Housekeeping · Pre Planning Your Scene

A Model For A Twelve Month Checklist: Part Two

This was first published on Survivalblog https://survivalblog.com/2023/01/27/12-month-preparedness-checklist-part-1-reltney-mcfee/ The publisher, James, Rawles, kindly allowed me to reprint it here, for your benefit. Thank you, Jim!

March is Personal Care Supplies, because I lack imagination, and it had to be somewhere, right?

Notice that I have question marks beside feminine products, as well as contraception. TDW-Mark II and I are out of the baby business, but if you, or some woman in your life is NOT definitively out of the baby business, plan for “romance”. I guarantee that somewhere around number 60 on your “Top Ten Things I Want To Do In TEOTWAKI” list, is deliver a child for a woman that you love. Under austere conditions. Likely, in the dark.

Similarly, if there are (or will be) women of near child bearing age in your household during Hard Times, they will think very highly of your having planned for their periods.

PERSONAL CARE

Razors # 52

Toothbrushes # 52

Dental Floss # 24

Toothpaste #26 tubes

(Feminine products?)

(Contraception?)

CLOTHING REPAIR

Sewing Needles #25

Buttons #100 (assorted sizes)

Thread (12 spools)(various colors, weights)

Shoelaces (#24)(different lengths: shoe length, boot length)

Patching Material

TREADLE SEWING MACHINE

Belts (#4)

Needles #100

Sewing Thread (12 spools)

RECURRING CHECKS

FLUSH HOT WATER TANK

CHANGE STORED WATER

CHK RADIOS/BATTERIES

April is gardening and outdoor items. Yes, I DO realize that active gardeners likely begin their planning in, oh, February. (That might be one reason that this is “A Model”, and not “THE MODEL”, eh?)

As you may guess from my map list, I work something like two counties over from my residence. So, when fully polished, my return home plan has multiple alternate routes, that do not rely upon the expressway system being open, with at least one alternate following tertiary roads. If I am forced to hike home, way-points that allow me to top off my water will be welcome. Identifying alternatives during leisurely meanders home seems like a prudent way to spend some time.

MAPS: LOCAL: COUNTY

(my county)(the county to the north)(south)(east)(west)

(county maps en route to work)

(topo maps for the above)

(state highway maps: my state, state north/south/east/west)(frequent destination states)

Gazetteer (see above list of states)

Water Sources (about home)(en route to work)

GARDENING:

Seeds

Fertilizer

Tools

Canning Jars #48

Canning Lids #300 +

Pressure Canner

Pressure Canner Gasket x 4

(Solar) Dehydrator

RECURRING CHECKS

Check Radios/Batteries

CHANGE BOB Food and Water

May is communications and finances. For one thing, it appears reasonable to assess how the budget decisions made in December, are coming along, before the wheels come off /I get too far along with the year. Doing these ruminations in May provides some time to correct assumptions that did not develop, as well as to adapt and rethink in the face of new realities, should such crop up.

In addition, inspecting my communication gear, and associated licenses, helps me get into gear for Amateur Radio Field Day, held annually on the last full weekend in June.

FINANCES

Status of Rainy Day Fund (compare to goals)

Status of particular savings accounts (eg, new vehicle, new camper, Moar! Guns!, etcetera)

Progress on paying off target accounts (credit card, student loan, mortgage, etcetera)

Check house deed

Vehicle titles, license plates

Out dates of licenses? (driver/concealed carry/amateur radio/GMRS/professional licenses and certifications)

Lay hands on marriage license, passports, other important papers. Are they where you thought that they were? Are they as secure as you intended for them to be?

RECURRING CHECKS

Check medic bags.

Change out meds in subordinate first aid kits: vehicle/camper/house

Service ammo can desiccators

Check Radios and Batteries (I have it twice, because it is THAT important!)

Clean Guns

June is the month to assess the animals: are their vaccinations current? How is that Veterinary Medic Bag coming along? (Hint, hint…) In addition, while I am out and about, June might be a nice month to function test my generator, and, following the thought that a power failure might require my generator to function, would it not be nice to have, gosh, LIGHT, while poking around getting such things set up?

Why, now that you ask, yes! Yes, light would be pleasant! I checked the batteries in January, and this month’s check both rides on January’s coat tails, as well as specifically focuses on the lights that I carry daily. Years ago, I was an RN working ICU on midnights. On a couple of occasions, the mains power failed and (to my dismay) the emergency generator at the hospital employing me did NOT power up.

It gets might, mighty dark in an ICU at oh-dark-hundred! I now carry two belt flashlights because “1 is none, and 2 is 1”. Due to this “2=1, 1=none” calculus, I also have two pen style flashlights in my shirt pocket at all times, as well as one coin cell click light on my badge, and an Streamlight Proton Light (powered by 4 x LR 41 batteries) on my key ring.

ANIMALS

Are vaccinations current?

Veterinary care supplies: (list)(out-date)(status/condition)

GENERATOR

Function Test/Run under load (heater)

Preventative maintenance: oil change? (Belts/other) need (inspection/servicing)?

LANTERNS AND BATTERIES (see battery list for locations)

Battery charge?

Battery condition?

EVERYDAY CARRY LIGHTS

Penlights

Click Light

O Light

Sure Fire light (on belt)

Thor Fire light (on belt)

RECURRENT CHECKS

Check Radios/Batteries

Change BOB Food and Water

July is the month I captioned “Transport and Security”. Transport, because TDW-Mark II and I like to travel and camp. You might wonder if that might be something to accomplish in, say March or April, rather in the thick of let’s-go-camping season. You would be correct in this wondering. Your list might well juggle which task(s) get assigned to which month(s), which is as it should be.

For myself, every month, when I enter into my checks, I review just that thought, and fine tune my calendar just a bit.

Security audits consist of, fundamentally, assessment of potential threats, and review of plans to address each threat. Some of the threats are addressed by responses to other threats. For example, should you have a plan for Antifa style rioting, it is likely that your plans would prove helpful in the event of a Zombie uprising. On the other hand, a plan for a B & E of your dwelling might not successfully address the hazards to be found in a wildfire approaching your home. You need to triage, or rank-order, what threats you consider a significant threat, and plan for those easily thwarted, and those whose attack would be catastrophic. THAT analysis is an entirely different topic, but you ought to annually consider what threats that you may face, and evaluate your plans to address them.

TRANSPORT

Gasoline: Amount, age, condition. Stored safely? (generally, storage in accordance with fire codes maps pretty neatly onto safe storage)

Propane: Amount, age, condition. Stored safely?

Kerosene: Amount, age, condition. Stored safely?

Charcoal: Amount, age, condition? Stored safely?

Butane: Amount, age, condition? Stored safely?

TRANSPORT: Medic bags/first aid kits/Boo-boo kits (my vehicle)(TDW-MarkII’s vehicle)(Camper) (house)

Out-date check. Condition check: visually inspect.

SECURITY

GUNS

Inventory. Clean/lubricate

AMMO

Inventory. Visually inspect: condition/age/recharge desiccant packs.

Restock/shortfall list

SECURITY AUDIT:

House

Vehicles

Clean, service guns for vehicles

Recurring Checks

CHECK RADIOS AND BATTERIES

Housekeeping · Pre Planning Your Scene

A Model For A Twelve Month Checklist

This was first published on Survivalblog https://survivalblog.com/2023/01/27/12-month-preparedness-checklist-part-1-reltney-mcfee/ The publisher, James, Rawles, kindly allowed me to reprint it here, for your benefit. Thank you, Jim!

It has been said that amateurs study tactics, professionals study logistics. I have attempted to put things aside for rainy days, and, with Mr. Biden at the helm, and Mr. Buttigieg as Secretary of Transportation, well, my achy knees tell me that rainy days are a’coming.

This last November, I had the epiphany that I needed to check the condition as well as charge of my batteries. This is a task for me semi annually. I inspect for signs of leakage, I test the strength (using a voltage meter: Radio Shack used to sell them for $10-$20, once upon a time), and contemplate whether I have enough of each size. Unlike ammunition, “MOAR!” is not always the correct answer, for, ammunition keeps nearly forever if kept cool, dry and in the dark. Batteries have a self discharge phenomenon, and both rechargeable as well as alkaline (and carbon-zinc), or “primary”, batteries, will lose their charge over time. (“Primary batteries” are single use, and their charge derives from the chemicals with which they are made. “Secondary”, or rechargeable, batteries can be brought back up to charge, after discharge, although after a sufficient number of charge/discharge cycles, they gradually lose their ability to accept and hold a charge.) Therefore, in an ideal bunker, I would have just enough that I would have fully charged batteries in service, and enough fully charged replacements to cycle back and forth, so that no battery would die a lonely, unused, death, way back in the back of my battery shelf.

I am still striving for that level of efficiency.

When I checked this past month, to my disappointment, I found that most of my rechargeable batteries had discharged. Once I see if they will accept and hold a charge, I will know if they are in need of replacement, or simply every month assessment.

I have some primary cells, for items that are frequently used. I have an LED penlight fueled by AAA batteries, and another identical penlight, except that this LED emits in near UV. That is handy for illuminating rashes, sometimes revealing luminescence typical of certain strains of dermatophytes. You might recognize the rashes caused, such as “ringworm”, or dandruff, or athlete’s foot, among others. Not all the dermatophytes glow under UV, but when it does, it is an “AHA!” moment. (yeah, I am a midlevel provider.)

My Sure Fire and Thor Fire flashlights use CR-123 batteries, and ride in holsters on my belt. They are bright, “Light-up-the-yard” lights. There are two, because should one fail, it is likely that the other will function. I have spare batteries in my “Bag Of Tricks” (h/t to Felix The Cat as well as Commander Zero of “Notes From The Bunker”)

Our vehicles each have one or more “torches”, to differentiate the hand held lights, from the headlamp, the light-up-the-interior-of-the-vehicle lanterns, or the LED warning flashers. One torch is powered by CR-123 batteries, two are powered by C primary cells (the second torch, and one handheld flashlight)

The LED flashers are powered by AAA batteries, and are intended to allow oncoming traffic to see that there is something (Me!) in the roadway, in the event of a breakdown, collision, or other night time deviation from normal. It turns out, when you buy “budget” rechargeable batteries, they have fewer charge/discharge cycles in their make up, than quality cells. Guess which will replace the unsatisfactory batteries? Yep: buy once, cry once. Or cheap out, and cry. In the dark.

Subsequent to my battery experience, I developed a calendar of sorts. Each month has it’s own focus, such that I do not spend every single day off in any one month in my subterranean lair, checking off stores against a checklist. If all goes smoothly, I might get my inventory done in an afternoon. As a starting point for those who might be interested, I have included a representative sample of my present-draft month-to-month checklist.

The batteries that power my hand held radios are on an every month check, because if they are required to be placed in service, they are likely to be required NOW. Secondly, they are powered by battery packs, and the lead times, in good times, to obtain replacements are measured in days-to-weeks. These are NOT “good times”, and therefore vigilance regarding the radio batteries, and their state of charge, is prudent.

My lead off check list is my recurring checks. I list it first, because failing to perform these checks every six months/every month/ as planned, may lead to Bad Things. For instance, failure to check and replace my bug out bag, or first aid kit meds, might lead to administering out dated, for example, Tylenol. THAT might place somebody into liver or kidney failure, and THAT just might be bad, from a kharma perspective, and a “First Do No Harm” perspective, as well as a liability/litigation perspective.

RECURRING CHECKS

Clean Guns every 6 mos

15 Jan/15 June

Ammo Can Desiccant every 3 mos

15 Feb/15 May/15 Aug/15 Nov

Radio Batteries every month and as indicated

Stored Water change every 6 mos

change 15 Mar/15 Sept

Flush Hot Water Heater every 6 mos

15 Mar/15 August

BOB Food/Water change every other month/even months

BOB summer/winter gear: change every 6 mos

change 15 Apr/15 Oct

Jump Kit/Car Kit/Boo Boo Kit change every 6 mos

check, change 15 Sept/15 May

Generator: Function Check. Run under load. (every 6 mos)

Apr 15/Oct 15

My January checklist is Lights/Heat/Fire, well, because it’s dark in this, The Un Named Fly Over State in the winter, as well as remarkably cold. (well, EVERYBODY remarks upon how cold it is, so, I suppose, THAT makes it “remarkable”, right?) Some of the things on this list, such as “check lanterns”, or “check heaters”, perhaps ought to be performed in more pleasant weather, prior to the likelihood of, ya know, REQUIRING these things to properly function. But, I drew this up in the winter, and am now in the first year of implementation. As may be imagined, there is editing in my future!

LIGHTS/FIRE/HEAT

LIGHTS

Lanterns:

propane: Inspect, Function test

battery: Inspect, Function test (inspect batteries!)

AC light bulbs: Inventory, Inspect

Flashlights: Inventory, Inspect, Function Check

Batteries for Flashlights: Inventory, Inspect, Test charge (see Battery checklist for locations, baseline stock levels)

FIRE

Matches: Inspect

Lighters

Pocket: Inspect

Barbecue: Inspect

Candles: Inventory, Inspect (3 each day, 30 day supply)

Candle Lanterns (Mason Jar)(Pop can)

Charcoal: (3 bags)(store in tightly closed metal trash can)

Firewood

Solar Charging (Trickle)(100 watt)

Generator: Function Check. Run under load. (q every 6 mos)

Generator Fuel (amount stored)(fuel stabilizer)(condition)

Butane/Propane stoves: Function check. Fuel stored: amount, condition.

Propane heater: Function check (has batteries: Check same)

Kerosene heater: Function check. Fuel (amount)(condition)(fuel stabilizer) (has batteries. Check same)

Fire extinguishers. Inventory. Check condition.

FIRE PLAN: Review, rethink as indicated. Walk through.

RECURRING CHECKS

Clean Guns

Check Radios and Batteries


February was christened “Paper/Cleaning/Household” Month, because, basically, it’s the Third Anniversary Of The Covid TP Freak-out. Should you have a reason to check your own paper (etc) stores in a different month, be my guest. OTOH, making such a check in February, and identifying a deficit, gives you a couple of months to make it right, before Spring Cleaning pops up.

PAPER/CLEANING/HOUSEHOLD

TP: 52 rolls/person/year

(TP x 4 persons x 1 year = 200 rolls)

(TP x 8 persons x 1 yr = 400 rolls)

KITCHEN

Scrubbiesx12

Dish soap x 12, 75 fluid oz ea

Plastic flatware

Paper plates/cups/bowls

Bleach (unscented) gallon x 4 (8?)

Trash Bags, 13 gal, 200 bags/box, x 4 boxes

Trash Bags, 30 gal, 200/box, x 4 boxes

Trash Bags, 55 gal (contractor), 30/box, x 2 boxes

Zip Lock bags (freezer), quart, #100

Zip Lock bags (freezer), gallon, #100

Paper Towels, roll #24

Aluminum Foil, roll, #10

Dish Pans, #3-6

Plastic Wrap, roll, #10

BATH

Bar soap, # 52 bars

Shampoo # 12 bottles

Shampoo (Nizoral), #4 bottles

Deodorant (Me) (TDW) #13 each

Lotion, bottle, 20 oz, #12

Liquid hand soap, bottle, 40 oz, # 13

Baby Wipes, package, 100, #36 (VACUUM SEAL)

LINEN

Sheets x 4 sets/bed

Bath Towels x 2/person

Wash Cloths x 2/person

Pillow Cases x 4/bed

Laundry Bags x 1/person

Blankets x 2/person

Cleaning

Mop/Bucket x 2 (x 4?)

Lysol/Pine Sol x 6 bottles

Whip It x 6 bottles

Scouring Powder x 6

Toilet Cleaner x 6

RECURRING CHECKS

RADIOS/BATTERIES

CHANGE BOB FOOD/WATER

SERVICE AMMO CAN DESSICANT

Fun And Games Off Duty · Fun With Suits! · guns · Life in Da City! · oops! · Pre Planning Your Scene

Never Fuck Around With A Brooklyn Boy

My Dad was from Brooklyn, He told me, when I was a lad, “Never fuck around with a Brooklyn Boy!”

That is sound advice.

I used to work with a guy who, one time, when his wife was ill, and he was the only income in their two income household, fell behind on some bills. He is an ex street medic, himself, and, well, not in the “shit” business: he did not talk shit, he would not take shit.

So TINS, this one tine he received a call from one creditor, who, once my friend had explained that he, the creditor, would not be receiving money in the near future, and would indeed be paid, once the finances in the household were approaching stabilty, responded (the creditor), “Oh, so you do not think that I can find you?”

My friend paused, and counseled this asshole. “Well, no, I do not think about that issue, one way or the other. But, now that you have brought it up, it is my opinion that, should your luck be exceedingly poor, you just might, indeed, find me. Have a nice day!”


My friend never saw that jackwagon, ever.

Years and years ago, I fell behind on my mortgage. (something about unemployment…) I was in touch with my lender, thinking that absence of surprise would be to my advantage.

Wrong.

I asked about any sort of program for an unemployed soul, whereby I could make partial payments, and have the arrearage added to later payments.

Nope.

Could I miss a couple of payments, and have them added to the tail end of my mortgage? I would continue to pay interest.

Nope.

Well, after buying groceries, and sucklike, gotta tell you that there simply was NOT the money to pay the house payment.

So, one day, a month or two into this niceness, I received a phone call from the mortgage company. The mortgage company asshole on the other end of the line advised me, “We are going to come out to inspect the house.”

“Why are you telling me this? You can drive by any time that you like.”

“Uh, no. We will come in and inspect the house.”

(my response)”Uh, no, you are not. You might make an appointment to come out, when I am home, and it is possible that I might escort one of your personnel to view selected portions of my house, but you are not simply going to ‘come in and inspect the house’. Not going to happen.”

(Mortgage Asshole) “You think you can stop us?”

(me) “Interesting that you should ask that question. Yeah, I know that I can stop you. If you do, indeed, plan to simply waltz in here without my permission, send orphaned bachelors, because whoever you send to walk on in, will be carried out.”

“Is that a threat?”

(me) “Nope, that is a prediction. Let’s consider this: you have just now threatened to have stranger or strangers break into my occupied home, and I have told you that that sort of activity will end poorly, for everyone. You threatened me with a B and E, I told you what my response will be. Your move.”

Oddly, nobody came over to “inspect” the house. What a surprise.

Duty · guns · Having A Good Partner Is Very Important! · Life in Da City! · Pre Planning Your Scene

Dressing For Success

One time, my family gathered at a restaurant in Greektown, celebrating one occasion or another. This was in Downtown Da City, and, at this time, there had developed the phenomenon of flash mobs, wherein high spirited youths would apparently spontaneously congregate at one location or another, and in the course of the festivities, civilians, otherwise uninvolved with the group, would be assaulted and robbed.

TDW-Mark II and I spoke of such an event, and the potential for same to develop when our children, and grandchildren were at hand, and decided that this Would Be A Very Bad Thing. We selected our wardrobes accordingly.

It turns out that my son in law, my daughter, and my brother, all feel similarly about this sort of thing, for, when I counseled my sister in law, a very nice (and very naive) soul that, “If a group of folks all enter this restaurant all at once, I will tell you to take the children into the kitchen of the restaurant, and keep them there. Under no circumstances are you, or any of the children, to re enter the dining room, unless one of us physically arrives to escort you out!”

She protested, “But, we aren’t allowed into the kitchen!”

I showed her my wolf grin. “If I tell you to do so, I guarantee that nobody will say a word about you and the children being in the kitchen. The noise will be way, way too loud for you to hear them, if they were to do so!”

She looked puzzled. My son in law explained. “Mary, if Brenda grabs the kids and beelines to the kitchen, two things: do not be left behind, and do NOT get between her and the kitchen door!”

“Why is that?”

“If you are between Brenda and the kitchen door, and one of the ‘celebrants’ starts into the kitchen, he will be shot. Do not be in the way.”

Mary turned back to me. “Why would they try to go into the kitchen?”

I wolf grinned her way, again. “Because I had failed to kill them.”

My son in law chimed in, “I will have missed them, too!”

TDW-Mark II joined in. “Me, most likely I will have run out of ammunition. I do not plan to miss!”

My brother observed, “And, I will police up the stragglers, if any!”

Looking aghast, Mary declaimed, “You cannot believe that anybody would try to hurt somebody at random! I just do not believe such a thing could happen!”

TDW responded, “You just keep on believing that. In the meantime, if The Stretcher Ape tells you to get into the kitchen with the kids, do so right fucking now, pretty please?”

Housekeeping · Pre Planning Your Scene

BATTERY MONTH

It has been said that amateurs study tactics, professionals study logistics. I have attempted to put things aside for rainy days, and, with Mr. Biden at the helm, and Mr. Buttigieg as Secretary of Transportation, well, my achy knees tell me that rainy days are a’coming.

This being November, it is Battery! Month! Semi annually, I inspect my batteries, and assess their charge. I inspect for signs of leakage, I test the strength (using a voltage meter: Radio Shack used to sell them for $10-$20, once upon a time), and contemplate whether I have enough of each size. Unlike ammunition, “MOAR!” is not always the correct answer, for, ammunition keeps nearly forever if kept cool, dry and in the dark. Batteries have a self discharge phenomenon, and both rechargeable as well as alkaline (and carbon-zinc), or “primary”, batteries, will lose their charge over time. (“Primary batteries” are single use, and their charge derives from the chemicals with which they are made. “secondary”, or rechargeable, batteries can be brought backup to charge, after discharge, although after a sufficient number of charge/discharge cycles, they gradually lose their ability to accept and hold a charge.) Therefore, in an ideal bunker, I would have just enough that I would have fully charged batteries in service, and enough fully charged replacements to cycle back and forth, so that no battery would die a lonely, unused, death, way back in the back of my battery shelf.

I am still striving for that level of efficiency.

When I checked this month, to my disappointment, I found that most of my rechargeable batteries had discharged. Once I see if they will accept and hold a charge, I will know if they are in need of replacement, or simply every 3 month assessment.

I have some primary cells, for items that are frequently used. I have an LED penlight fueled by AAA batteries, and another identical penlight, except that this LED emits in near UV. That is handy for illuminating rashes, sometimes revealing luminescence typical of certain strains of dermatophytes. You might recognize the rashes caused, such as “ringworm”, or dandruff, or athlete’s foot, among others. Not all the dermatophytes glow under UV, but when it does, it is an “AHA!” moment.

My SureFire and ITP flashlights ride in holsters on my belt. They are bright, “Light-up-the-yard” lights. There are two, because should one fail, it is likely that the other will function. There are two, because should one fail, it is likely that the other will function. I have spare batteries in my “Bag Of Tricks” (h/t to Felix The Cat)

Our vehicles each have a “torch”, to differentiate the hand held lights, from the headlamp, the light-up-the-interior-of-the-vehicle lanterns, or the LED warning flashers. One is powered by CR-123 batteries, two are powered by C primary cells (the torch, and one handheld flashlight)

The LED flashers are powered by AAA batteries, and are intended to allow oncoming traffic to see that there is something (Me!) in the roadway, in the event of a breakdown, collision, or other night time deviation from normal. It turns out, when you buy “budget” rechargeable batteries, they have fewer charge/discharge cycles in their make up, than quality cells. Guess which will replace the unsatisfactory batteries? Yep: buy once, cry once. Or cheap out, and cry. In the dark.

Each month has it’s own focus, such that I do not spend every single day off in any one month in my subterranean lair, checking off stores against a checklist. If all goes smoothly, I might get my inventory done in an afternoon. As a starting point for those who might be interested, I have included a representative sample of my battery-and-lights checklist.

BATTERIES

EDC: UV Penlight AA x 2

Penlight AA x 2

Surefire CR-123 x 2

ITP CR 123 x 2

Proton Light

Keyring LR 41 x 4

Badge LR 41 x 4

Bedside

Surefire G-2 CR 123 x 2

Ultrafire 18650 x 1

Camper: Lantern Box

Coleman Quad Lantern #1 D x8

Coleman Quad Lantern #2 D x 8

Siege Light #1 D x 3

Siege Light #2 D x 3

Siege Light AA AA x 3

CAR LIGHTS

TDW Car

Torch C x 2

Headlamp AA x 2

LED Beacons AAA x 3 each (6 beacons)

My Vehicle

Torch C x 2

Headlamp AA x 2

LED Beacons AAA x 3 each (12 beacons)

Small Handheld light CR 123 x 2

Large Handheld Light C x 4

Medic Bag Surefire CR 123 x 2

Field Phones

Set #1 (2 phones x 2 D cells each) D x 4

Set #2 (2 phones x 2 D cells each) D x 4

Night Vision

AA x 4

Red Flashlight Toolbox

Mini Mag Lights x 2 (2 AA ea) AA x 4

Ray o Vac x 1 (2 AA) AA x 2

Mini Mag 3 cell AA x 3

Sure Fire Hurricane Light (weak CR 123, holds 12)

CUMULATIVE TOTALS, FOR EACH TYPE OF BATTERY

AA x 24 in service at any one time

AAA x 64

CR 123 x 8

18650 x 1

LR 41 x 8

C x 8

D x 30

Duty · Pre Planning Your Scene · Protect and Serve

Another post, from another website

Bad Dancer (commenting at Gun Free Zone blog) says:

October 21, 2022 at 9:50 am

Thank you for the article and links Reltney McFee I’ve read it several times and will go through it again to make notes soon. I appreciate you sharing your experience and advice.

I’m building a few kits as Christmas presents this year. Are there any supplies you recommend added for a family that has a 1-2 year old?

Thank you for reading. Outstanding question! With regard to families that have toddlers (or infants), my first pass suggestions would sound very much like, “What did you want on your last camping trip, that you did not have?” along with, “what sort of comfort item does your child love?”

If I were to add to that, I would look to my own “Grand Kids Are Here: What Might I Need RFN?” (GKAHWMINRFN) supplies. Now, remember, I’ve been a paramedic, paramedic instructor, ED Registered Nurse, and mid level provider since Jimmeh Cahteh was the HMFIC (OK: President).

On the top of my “GKAHWMINRFN” bag is a pediatric BVM (Bag-Valve-Mask: commonly referred to as if they were all branded as Ambu Bags). You might be happy with a pediatric sized rescue breathing mask of some sort, or, easier to pack, mastery of mouth-to-mouth resuscitation.

Near the top would be comfort items, so as to both distract the child, as well as help the child “buy in” to the procedures to be performed. Blankets, pacifiers, stuffed animals: whatever floats the child’s boat.

Remember that children, particularly infants and toddlers, are NOT simply pint sized adults. Due to differences in body surface area, kidney function, maturity of their livers and other factors, they may metabolize medications quite differently from adults. So, just slapping some QuikClot on Little Johnnie’s wound may be a problem. OTOH, here is what I did find in a reference that I use, myself, clinically every day:

“Compared with standard sponges, the use of the kaolin-impregnated sponges in 31 infants undergoing the Norwood procedure had a significantly lower intraoperative use of blood products and lower incidence of perioperative bleeding requiring return to operating room for hemostasis (0 versus 41 percent) [44].” (source: https://www.uptodate.com/contents/overview-of-topical-hemostatic-agents-and-tissue-adhesives?search=quick%20clot&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1#H2249912903

That means, better bleeding control. THAT suggests that a kaolin-impregnated sponge (QuikClot), at least, is not inappropriate for use on bleeding in children that is not otherwise controllable by dressing, direct pressure, and (in extremis) tourniquet-ting. So, small (2×2, 3×3) dressings impregnated with QuikClot appear to be reasonable.

Splinting materials for fingers, limbs, or whatever, are going to be a challenge, both because children do not, as a rule, comprehend the entire “lay still while I splint you” thing, nor the bit about “do not wiggle about, you will work you way out of this splint, and your injured (whatever) will hurt, and be injured further.” So, however much tape or gauze you THINK that you will need, you are wrong, and will require considerably more than you guessed. Unless, of course, you have made it a habit to secure IV armboards to infants and toddlers, several times a day, for the past several years. If you have done so, and done so successfully, please tell me when/where your classes will be, and save me a seat.

Another tangent from adult IFAK/Jump Bag/Holy Fertilizer kits, and child directed emergency care, is that children will both dehydrate, as well as become hypothermic way, way more rapidly than adults, and, once they have burned through their reserves, will crash and burn, often irretrievably. The axiom is that children generally do OK with their injuries, until they don’t. And, when they don’t, they crash biggly. Adults generally slowly decline, until they die. Therefore, measures to protect a child from heat loss are important. That means blankets and knit caps in appropriate sizes. The foil “emergency blankets” are a mixed bag: they are not going to get saturated in whatever bodily fluid is present (good thing), but they are not going to trap heat in a maze of air pockets formed by a Mark 1, Mod Ø fuzzy/fleece/wool blanket. (and you will notice the difference). Select thoughtfully.

Another feature of kid injuries, particularly infants and toddlers, is that they are top heavy. Their heads are a greater proportion of their body weight than adults, and that means that their initial point of impact may be more likely to be their heads, than their hands/wrists/forearms. Therefore, when you are in the hot seat, you need to be suspicious of the possibility of a head injury, when children fall. You have learned to spine board/cervical collar/secure for transport, head (and that is often spelled N-E-C-K) injured patients, right?

Right?

Another needful skill, that you pray is never needed.

That is it for my off the cuff, just got home from work and warmed up my laptop, answer to your question.

Thank you for the stimulating inquiry. Gonna be food for more rumination!

Reltney McFee