Some images from Partisan Life Saver
We just finished Partisan Life Saver yesterday and I wanted to throw up some pictures from the final exercise. It was an amazing class (they always are amazing) and the food was absolutely phenomenal. Scout smoked some absolutely awesome brisket and Johnny Paratrooper brought a few different beers that were all superb. Check out Patriotman’s review of this course.
Hasty tourniquet application during Care Under Fire
Dragging the casualty off of the “X”
Exposing the casualty to asses for bleeding.
Applying a chest seal to a sucking chest wound. Note the NPA that has been placed in the casualty to secure the airway.
Getting the litter prepped for the casualty. Note the space blanket to protect the casualty from hypothermia. It can happen even when it’s the middle of summer. Be proactive with your hypothermia treatment.
After you’ve removed the LBE off of the casualty keep it near them. You will need to keep getting into the IFAK.
Converting the hasty tourniquet from care under fire with a deliberate tourniquet to limit the amount of limb that has blood flow blocked.
Beginning to prep the litter for transport.
Securing the casualty in the litter. You don’t want them falling out while you’re dragging them.
Fully strapped in casualty. Only the face should be visible.
Rapid transport is the best treatment we can offer our casualties. We need to get them to the next higher level of care. Reduced transport times have a direct correlation to survival rates.
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The world is becoming more of an uncertain place, make sure you have the skills necessary to handle the unexpected. We can not rely on anyone else to be our first responders.
Hope is not a good plan.
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GUNS N GEAR
Having spent some time in the dentist’s chair fixing smashed/broken incisors (the beginning of “embrace the suck” at an early age), I feel a kindred spirit for the dummy’s facial expression.
All kidding aside, no money for travel/class expenses available at present. Sorry. Life happens while making other plans. But my neighbor across the road was an OBGYN (before cancer brain tumor removal) and she has agreed to coach suturing lessons. Chicken breasts (skin on) are scheduled for the first test/practice bed. Primary in my list of “topics” will be “close or not to close” wounds. Models of first-hand-experience include serious, deep wounds to dogs, horses. Did I mention, having multi-spectrum anti-biotics on hand? Pet/fish-tank supplies are being choked off but not impossible – same stuff as prescribed for you. Print a “cheat-sheet” of what to use in what dosage for what type of infection)
Much of what I see assumes that gunshot (or other) serious wounds must be stabilized with a view to accessing that “golden hour”. In a grid down, none-permissive theatre, let’s just agree to agree that trauma will be dealt with “locally” or not at all. No “golden hour” to be attended by skilled, experienced trauma surgeons. Longer term. OK?
Stock piling ammo assumes either super-power survivability in fire-fight encounters or a bank of fungible assets (barter).
Given the type and quality of instruction offered by Partisans, the equation favors those who train and must use that training.
But I, personally, am no longer physically able to “shoot and scoot” at levels ascribed to younger “trigger-pullers”.
So. Again. The waters that guerilla fish need to swim and hide (and recover) in must be deep and broad.
Be realistic as to your station in life and work towards your realistic capabilities…
There will be a chance for _everyone_ to contribute. According to your best ability. Be ready.
We talk about the issues with the golden hour in class and how to plan for follow on care after initial handling by the partisan. I’m kind of confused by your comment.
Suturing is an important skill.
We talk briefly about antibiotics in class. But my knowledge on that subject is somewhat limited to a very specific formulary.
You talk of the importance of training, and I agree. When is the last time you took a class? Or do you only post ridiculously long comments on the internet?
At age 70, the exact date of “last class” don’t figure so much as a needlessly rude “ridiculously long” judgement. Regardless, I will still consider whatever you offer, whatever you bring to the table in future. Thank you.
As to suturing, the question of what to close up and what to “leave open” is a biggie. Haven’t dealt with gunshots but do know a thing or two about deep punctures (with debris) and dramatic lacerations on horses. Perhaps those insights will translate favorably into decision time if they drag you into my tent for ad hoc care. Crude debridement and packing outside an OR will absolutely need antibiotics if one is to recover. Again, lay in supply of a spectrum and store with a “cheat sheet” for efficacy and dosage.
Sorry.
Probably went too ridiculously long again…