SHTF First Aid: When small cuts kill

I was invited to check guy who was badly beaten by few guys, man who invited me offered me to introduce me to some man who had connection with smugglers, so i can get stuff cheap if i help this guy.

first aid

When i entered house, guy was laying on bed, could not move too much, lot of bruises everywhere on body, he was conscious, in pains, pretty much drunk. On first look he did not have some serious open injuries, my biggest concern was that i was pretty sure that he had few broken ribs, strong pain while deep breathing, and while moving his body, and clear mark of boot on his chest, obviously someone was jumping on him.

I could not do too much with broken rib, actually i only wrapped him with some layers of clothes, to improvise some kind of belt, and hope that broken rib did not induce some more serious injury to lungs, or something else.

He was coughing and spitting blood, but again i was hoping that comes from broken teeth, not from stomach or lungs. Minor cuts and bruises we just rinsed with rakia, and that s it. Nothing more we could do.

And guess, what? Few days later, i was called again, and everything was fine, except nothing was fine. One of the pretty much small cuts on his hand got infected, it was small cut, in normal times would not required sewing or stitching, maybe butterfly closure. But it turned bad.

I’ve spent days and days cleaning and removing dead tissue from that wound, trying to do something, some of his friends manage after some time to get some antibiotics, child dosage in suspension with expired date of use.

I used scalpel, not medical, it was scalpel for some wood work, i removed tissue with that, his family used mixture of honey and some pine stuff for wound, i used rakia and peace of old rubber glove to keep it open.

Anyway he survived, he did not lose his hand, but he lost function of three fingers. It was pure luck that he did not lose his life. And funny thing, not the broken ribs killed him but small cut almost killed him.

Probably nothing would happen if i had Iodine and enough sterile gauze, not to mention stuff like topical antibiotic, or Ciprobay tabs or any of this.

Now of course I’m prepared and have everything, for topical, oral, intravenous use.

Later he told me that guy wanted to hit him in the head with some agricultural tool for digging, he missed his head, he just scratch his hand with that.

Just basics can go a long way

Anyway, point is, to buy today full set for treating wounds, does not cost too much, sterile gloves, compress, forceps, butterfly closures, antibiotic treatment, povidone, hydrogen peroxide, anti tetanus shots, sutures… everything, it can be found for maybe 100$ here.

Is it worth 100$? Yes, it can worth 1000$ or 10000$ it can be priceless actually. When it comes to you or your family member it is priceless, if you helping someone else, you can say a price.

first aid set

I learned medical profession before SHTF and work now for over 20 years in medical field, mostly emergency room and see people stabbed and shot every week. Often I’m person who has to get them ready for transport when they still lay in their blood. Here are two simple things you can do now to help your chances of survival.

Just learn basic procedure for treating wounds and make sure people around you know it too. You might be unconscious when you need treatment and loved ones should know how. Too often people treat things and make things worse not better.

Most wounds that you are going to care are gonna be small cuts, lacerations. I am not saying that you are not going to be in situation to treat gunshot wound, or open fracture on leg for example, i am using laceration as a example to show some basic rules, everything else takes much more to say, and needs to be addressed as separate and big subject.

      1. Use protection if you treat wounded man, gloves, mask, face shield, gown… whatever you have if possible.
      2. Stop any massive bleeding (if it present) by direct pressure on wound, elevation (extremity) or pressure points.
      3. Remove dirt from wound by irrigation, i prefer hydrogen peroxide and sterile water, use sterile swab or sterile forceps for that.
      4. Use iodine on sterile compresses, and dress the wound with bandages.
      5. Start with antibiotic treatment (Xiclav or similar antibiotic)
      6. Inspect wound every day, clean it, then use Iodine and compresses and bandaging.

Now remember, this all matters for you if YOU are only person with some medical knowledge and some medical supplies, if there is no doctor, no hospital, in other words if SHTF for real. If there is a higher medical authority than you available, look for it.

These are some general rules, exceptions are many, stab wound you can not flush in some cases, you can kill man in few seconds if you instantly remove knife from his leg (example), is he allergic on antibiotics? What if wound become infected after few days? Antibiotic ointments oral antibiotics or IV antibiotics?… Much more to say about this. Anyway, the standard procedure will get you out of biggest trouble in most cases.

Basic EDC (every day carry) First Aid Set

Now here is my basic first aid EDC (every day carry). I have in bag with my gun. I have that bag usually with me or in car.

Military First Aid Bandage / Field Dressing, 6-pack, Camouflage, 4″x7″ with Gauze Ties
Military bandage is used to quickly plug hole in sterile way. It is first thing that you gonna put on any bigger wound, it is made from something like gauze pad and bandage all in one, point is if you do not have time to take too much time on the place, just use military bandage to cover wound, stop bleeding, and bandage it, all in one, and it is packeged sterile. This is often first thing used just after someone is shot or stabbed.

C-A-T Combat Application Tourniquet – Black by North American Rescue Brand
To stop massive blood loss.

Sterile Latex Exam Gloves, Individual Peel-Open Package, Medium, Box of 50 Pairs
There are also sets with mask and gloves in one sterile package. I use that.

Prestige Medical Fluoride Scissor, Black, 7 1/2 Inch
EMT scissors, it is very heavy duty scissors, for quick removing clothes from patient, i often use it on my job for cutting seat belt. Quickly, sharp and with guard so you can not cut or stab patient and good ones can even cut wire.

Povidone Scrub Solution, 16 Oz
Kills bacteria.

KENDALL VERSALONTM All-purpose Sterile Sponge, 4 Ply, 4″ X 4″, 2/pk – Pack 25
+ 3M Medipore H Soft Cloth Surgical Tape – 2″ wide –
+ 3M Steri Strip Skin Closures 1/4” X 3” – 10 Packages of 3
+ Kerlix Type Gauze Rolls 4″X4 yds, Sterile, 10/bag
If I have more time to treat wound or follow up treatment.

I have a bit different things but as most of you are from US or other country with Internet shops I looked products similar to mine up. As you see it is not much but it can make a big difference. Difference between life and death.