12 thoughts on “The Guerrilla Hospital”

  1. Until the age of antibiotics, the biggest battlefield killers were Strept and Staph infections. Even a superficial wound can lead to sepsis and death. Imagine the quantity and types of antibiotics you must have to save even one teammate. Then consider even a non-exsanguinating gut-shot and the attendant gram negative and anaerobic pathogens, most of which today carry multi-drug resistance. Imagine the quantity of antibiotics you must have to save even one gut-shot teammate. Got Daptomycin? Ceftaroline? Quinupristin-Dalfoprisitin, the indwelling central lines to infuse it, and the staff to start and maintain the central line? Supplies and skill to anastomose or close perforated bowel without creating a stricture? thoracostomy suction? cross-match capability?

    Are you even skilled and equipped to irrigate, debride, and “prophylax” a “flesh wound”?

    The types and quantities of tools and antibiotics necessary will not be found at even your “big box” pharmacies. You will need to burglarize or raid hospital pharmacies. In times of supply-chain shortages, you will need to burglarize or raid multiple hospitals. Got the requisite skill sets?

    Got a priest for the Last Rites?

    “Be sober and watch: because your adversary the devil, as a roaring lion, goeth about seeking whom he may devour.” 1 Peter 5:8

    1. Yes Yes give up now it’s impossible you’re all gonna fail.
      I has many College degrees and all.
      Bend a knee,i are smarter yous are stoopid.
      I won’t put my name out dare gotta be anymouse.

      1. Daunting and realistic ≠ “fail.”

        Solution was offered: “…you will need to burglarize or raid multiple hospitals.” and recruit wisely.

        What part of that don’t you understand?

  2. “…after the attack I was floating on some driftwood in the middle of the Atlantic and I immediately made sure that my balls were still there. I felt tremendous joy and relief that they were intact.”

    British Seaman recounting survival of a U-Boat attack 30 years later for Atlantic WAR documentary.

    Man, I’m glad I’m a man, man.

  3. An America Foundry 7 quart/14 pint jar pressure canner, exceptional American build quality, no gasket, metal to metal seal, pressure gauge, hvy duty large wing-nut clamps.
    Sand cast in C355 aluminum alloy, a Raytheon developed aluminum alloy for nose cones on MIRV re-entry vehicles, has the highest resistance to annealing from heat, 400 deg F. at 1 hour. Good stuff. Comes with an excellent manual/cookbook/specification book. Super handy device.
    If I had to grab only one thing and bug out the door besides weapons and ammo I would grab the pressure canner.

    They are used as autoclaves also, actually sold as medical supply autoclaves. Worth every penny. So well made they are multiple generation hand down heirloom tools.

    Couple cases of pure linen and cotton bar towels. Originally got them for re-usable dressings. Cases of a dozen packages of 15 towels, make dandy re-usable sterile dressings sterilized in the above pressure cooker. Very inexpensive item.
    My wife used a package of towels sewn together end to end in a loop, and a wall mount wood hanger bar, we use it as a hand towel, as its used you move the loop to a fresh clean section, when its dirty its thrown in the wash.
    Like TP, paper towels are a wonderful convenient highly civilized sanitary product, there’s no home making paper products in quantity needed for arse-wipe and paper towels, something that requires industrial production to produce.

    A still. Above 170 proof, uncut, with heads included, makes an exceptionally fine anti-septic. A refractory column still is best. Easier than a pot still, that you have to make multiple runs of your “beer” to reach the higher ABV’s. Refractory designs enable you to dial in the proof ethanol desired. On a good day, ideal atmospheric conditions, real close attention you can get up to 190 proof. Its slow, hours to draw of a quart, but that stuff has a 1001 and one uses from cleaning wounds to making tinctures and extracts cant be made any other way.
    With basic metal fab skills and tools they are easy to build. You don’t need a 25 or 50 gallon mash boiler, 8-12 gallon pot, using 16% mash gets you about a gallon of high gravity hooch. Many plans out there, a number of reputable sellers of parts and whole rigs. Mile High Distillers has great selection & prices on parts and materials. Oh and you can produce sterile distilled water also. Water temps above 184 degrees F destroys all organisms, except botulism bacteria, which make humans sick when ingested thru the mouth into the body. Botulism requires temps above 246 deg F for defined times depending on what your pressure cooking. There’s altitude consideration also.
    And you can ferment just about anything that has complex sugars in it.
    The left over mash has many uses, particularly good for cattle, the yeast and pure proteins are very healthy for their digestion system, high test for cows, increases milk quality and production, all livestock happily consumes it, chickens thrive on it, and in your compost pole it rocks, so nothing is wasted. Its actually a far more resource effecient use of your corn or grain you raise than straght eating it. And corn stocks, chopped and used for mash, makes the finest hooch you ever passed by your pallet. Corn sticks especially old timey like White Hickory or Bloody Butcher, has amazing levels of sugars in it. And cows go total bonkers over those non hybrid corn stocks. They know whats good food.
    A still makes a useful fuel for combustion engines too. Note you need 40% more in the air-fuel ratio than gasoline.
    In grid down, a gallon of fuel for a chainsaw or gen set, tiller etc, could make every difference between barely surviving and surthrival. A sterile soaking solution for things you need to be clean. Cooking fuel, lighting, and of course, a nice civilized cocktail ain’t a bad thing. You need alchohol to wash certain compounds, or to triturate some things.
    Never mind the very good barter/trade value of ethanol. Home made prime oak barrel bourbon and sour-mash when the liquor stores are burnt down? Imagine what you can trade that for. No need for a whole oak barrel either, used pieces of oak and maple inside glass carboys, does about same thing. Much faster.
    These three things are overlapping multi use complimentary items and concepts.
    Depth of Resources not just quantity, sustainable instead of one time use. Stuff runs out eventually. Then where are you?

    1. I have a reflux still (purchased some time ago) and a neighbor who makes apple wine: much of his ‘production’ does not work for him so I make distilled spirits out of the stuff: close to pure on the first run. Many, many uses besides drinking (which I do not) up to including sterilizing things ……….. You are spot on regarding the pressure cooker (same make) – we have a 12 quart and canning is only part of what it can do …. those just ‘getting into the game’ are way far behind and maybe too late to get ahead of the curve (to use a current phrase).
      Knowledge, experience and mindset are important – they do not come all at once and many will be ‘left out’ when the bus (currently in free fall) hits the bottom.
      Great post – thank you.

  4. Hell yeah, brother. Country boys can survive.

    Wish I had some neighbors like you!

    1. You can’t have enough good neighbors.
      I think thats the one prep item thats the hardest to find.
      But yeah, your sentiments exactly returned I’m sure.

  5. As a dopey doper in the fam said make sure that you don’t run out. Stock up now while there is some time before the rolling gun battle as part of the Great Leap Forward Fundamental Transformation.
    Pain killers, pain patch such as Belbuca, burn kits, syringes, salves and ointments from lidocaine on up.
    Bandages, braces, tourniquets, space blankets, hand warmers, matches. lighters and fire starters, water filters, eye wash and pads, gauze, medical tape, band aids, sterile wipes.
    I have a decent stockpile of all of these but works for me doesn’t work for everyone.

  6. There are some who will live no matter what you do and some who will die no matter what you do. Try and focus on the ones in the middle.
    Gauze, bandages, suture materiel, disinfectants, simple (vet) antibiotics, even OTC pain meds will work wonders. Its the simple but important things like, bedpans, bedding, and cots or stretchers that will determine the level of comfort for them or work for you.
    A lot depends on the skill level of your care provider. If they feel capable of full on ether anesthesia and reconstructive surgery, cool but for the most part limited supplies and transport capacity mean most things get chopped off, sewn up, or “wait and see”ed. Hence the necessity of comfort items. Hell, if it looks bad, give em a toke, that seems to be easy enough to get nowadays.
    Burn your waste at night if it can’t be cleaned, sterilized, and re-used. Have lime and shovels on hand for them that fall behind.
    You really need to be focusing on basic stuff in quantity.

  7. tfA-t’s medical supply/pharma stock blows that shelf full of vitamins away

    tfA-t is so far ahead of team stoooput it’s laughable

  8. Lots of natural Honey, like cases and cases, and cases and even more cases. Honey bees, their natural product amazing.


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