The Death of the Golden Hour and the Return of the Future Guerrilla Hospital, by Col Rocky Farr

The book referenced in the last episode of Radio Contra, this is a critical resource which should serve as a companion reference to the Where There Is No Doctor series and any of the other volumes on austere medicine you’ve got.
And if you need training (you need training)- MechMedic has a TC3 course coming up in just a couple of weeks. Come on out.the-death-of-the-golden-hour-and-the-return-of-the-guerilla-hospital-col-ret-warner-d-rocky-farr-md

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About the Author: NC Scout

NC Scout is the nom de guerre of a former Infantry Scout and Sergeant in one of the Army’s best Reconnaissance Units. He has combat tours in both Iraq and Afghanistan. He teaches a series of courses focusing on small unit skills rarely if ever taught anywhere else in the prepping and survival field, including his RTO Course which focuses on small unit communications. In his free time he is an avid hunter, bushcrafter, writer, long range shooter, prepper, amateur radio operator and Libertarian activist. He can be contacted at [email protected] or via his blog at brushbeater.wordpress.com .

13 Comments

  1. StormN February 15, 2021 at 18:56

    I do not have medical experience. I recommend The Survival Medicine Handbook by Dr and Nurse Alton. I stopped getting their emails because they believe in the Covid Pandemic BS. Still, their/this handbook is amazing. Also, I am not a big supporter of tourniquets or blood clotting items. They do have their place and we should carry them as part of our IFAKs but to be used as a last resort. I know I’m going to get flack from experienced pros on this but I stand firm on the last-resort, limited use of tourniquets and blood-clotting products.
    Pros can speak easily that the quick use of of tourniquets is life saving and safe regardless of the great pain but that is, IMO, because of the relatively quick access to hospitals and CASH units. Guerillas and freedom fighters do not have those luxuries of quick access. Amongst several sources, I have spoken with an experienced trauma nurse of many years who is shocked at the cavalier attitude in using them. Very often, it is my understanding, pressure and elevation for 15 to 20 minutes will solve much and even severe bleeding. I get it. Why should you listen to someone with no actual experience vs. experienced pros? You should do your home work here!
    As recommended, I had bought a couple of CAT tourniquets. In part because they were recommended and are slim. 5 years ago they tended to pinch. A former Ranger with outside-the-wire experience advised me to get the heavy-duty kind with the metal windlass (recon?). 2 of those will just about fill your IFAK! He explained that they tried 3 tourniquets on the severed thigh of a comrade. Of course you would need to wear them on the outside in their individual pouches.
    I have replaced mine with first-gen. RATS tourniquets. I time tested mine smearing them with ketchup and they passed.

    • NC Scout February 15, 2021 at 21:38

      Make sure they’re made by North American Rescue. Every other tourniquet is junk. Look up what COTCCC has to say about the RATS. If they don’t approve something, you shouldn’t use be running it.
      As for what you’re recommending based on elevation as a lifesaving intervention against massive hemorrhage, this is incorrect and underscores the need for training.
      Saying “we don’t have that luxury” with literally every first world piece of medical trauma gear available to you is ignorant at best.

      • StormN February 16, 2021 at 12:43

        I hope others will make a distinction between ‘severe bleeding’ and ‘massive hemorrhage’. ‘Pressure and elevation’ is too underrated to the point of being ignored and forgotten. Hopefully people will do their homework and not rely on my short comment. The luxury you referred to is not what’s in my comment.

        • NC Scout February 16, 2021 at 12:51

          Severe bleeding is massive hemorrhage.

      • SOG February 16, 2021 at 21:20

        Stormin needs a tcc course! Which You provide at a nominal fee.
        Tq and clotting agents save lives. Wound packing too. Also if u have training on certain bleeds u undo the tq.. u have a femoral bleed u need a fkn TQ get to class. I just did a TCC course with a Army medic/EMT LEO the other guy was LE and former action guy SF TQ and olias bandages first piece of kit coming out on wound. You would be wise to stock up on all products as scout said during this time of plenty. At least for the people around you that are trained.

        • Grenadier1 February 17, 2021 at 20:28

          When I took the Tc3 we were given a very good instructions on the TQ and the various models. We had the same level of instructions on the various Combat bandages and Hemorrhage control agents. As NC scout iterated this training very much mirrored what the COTCCC places in their manuals and literature in terms of what works and what does not. We were given the chance to use the TQ’s, bandages and other items and evaluate how they worked and what was the most effective. What you could use on yourself as well as how it worked on others.
          CAT
          Olias bandage
          Celox bandage
          The Israeli bandage is a close second and the Cav arms TQ was a close second for that item.
          Follow North American Rescue along with the COTCCC and you will learn what actually works and what is saving lives.
          Now these days they are pushing for the administering of Whole Blood products as close to the event of injury as possible and that is probably beyond what we can expect to do in the austere environment but the old ways of begin afraid to put a TQ in place are just not valid. 20 years of combat trauma has proven that old adage is not as accurate as once believed.

    • M6a February 18, 2021 at 17:02

      “Why should you listen to someone with no actual experience vs. experienced pros? You should do your home work here!” – StormN
      Most TCCC trained soldiers have knowledge & capabilities that go well beyond what most Paramedics or ER nurses are trained to perform or allowed to perform, not to mention access to life saving equipment that isn’t even known of yet in the civilian medical realm. The differences in access and knowledge to life saving techniques, procedures, and equipment opens up even further with those whom have ATP Certification. In short the US military leads the way in pioneering improvements to trauma care via diagnosis, treatment, procedures, and equipment.
      To say that civilian medical trauma care lags behind what the military is currently doing by a several decades is no small exaggeration.
      ER nurses are most certainly NOT “experienced pros”, the fact that you refer to them as such shows how little you know on this topic. Then you go on to argue an incorrect stance on hemorrhage control, which only skylines yourself as a severe sufferer of the dunning-kruger effect…
      You should stay in your lane.

  2. Anonymous February 15, 2021 at 20:04

    5

  3. Cavguy February 16, 2021 at 08:39

    Is that Joint Ops book a download? I tried a few ways resulting in No-Go.

  4. SOG February 16, 2021 at 18:36

    https://www.yahoo.com/entertainment/ashley-judd-photos-breaking-leg-in-congo-rainforest-185816143.html
    when there is no doctor, type event just saw this and thought of the AP article and episode regarding field hospitals and bush medicine
    this is pretty relevant as these people evac’d this actresss lady from deep in the bush with multiple fractures
    the local people reset her bone and made a field expedient liter as shown in the photo.

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