More bargain hunting

As I mentioned earlier, the local K-Mart is going outta business. They’ve been progressively marking things down more and more. I’ve been keeping an eye on the ‘health and beauty’ section since that’s where the first aid supplies hang out. Today everything there was marked to 30% off lowest price…AND..for today only there was an additional 10% off on the final price. That translates out to ..uhmm….carry the one….an effective 37% discount. Well, heck, that’s more than one third off. Wouldn’t you capitalize on that as well?

I’m kind of a snob, so what I was after was name-brand stuff. Mostly Johnson & Johnson bandages, gauze, pads, etc, etc. Those were top of the list. The stuff that remains there, while still attractive to my needs, is low priority stuff so I’m content to set back and wait for the final 50% off or whatever they wind up doing. If it’s still there, great…if not, I won’t care.

As I commented to the wife, as the discounts got more and more intense (20% became 25% became 30%, etc.) the crowd definitely became a little more…interesting. We’re in what could arguably be considered a slow economic collapse and people are jazzed about saving 35% on a SpiderMan t-shirt. Screw that…priorities, man….be less thrilled about that and more thrilled about finding essentials and other useful items that’ll help keep you in one piece as the uncertain future unfolds.

So, much like the animal kingdom, as one beast falls the scavengers come in and take what they can from it’s corpse. That’s the food chain, and not everyone enters at the top.

Today’s purchases will get tucked away in the uber-awesome Hardigg medchest where they will quietly sit…safe, secure, and unaware of the passage of time…until that day when they’re needed.

Now if I could just find a smokin’ deal on an EU3000………..

Why it pays to compare prices

The local K-mart is going out of business. For the last couple weeks everything has been marked down further and further. I’ve been stopping by once a week to see if theres anything I need that has got a ‘must buy’ price. So, I go in there today and trot over to the first aid aisle. Can never have too much gauze, Neosporin, band aids and rolled gauze. I’m something of a snob, so I priced out the Johnson and Johnson stuff. Everything was 20% off the lowest marked price…okay, thats a fair discount but nothing to jump up and down about. I noted down the prices and figured I’d check and see what the other places in town were getting…so I could see if I was getting 20% off of an already good price or if I was getting 20% off of an overly expensive price. Headed over to Walgreen’s to compare prices and found that with the 20% discount from K-Mart the prices were pretty good….except that, as it turns out, this week Walgreens has buy-one-get-one-free on J&J first aid stuff….which essentially comes out to a 50% discount. So, even with the original price at Walgreens being slightly higher than K-Mart’s base price, it still comes out to a better deal going with the BOGO instead of K-Marts 20% off lowest price.

Which means that if I had given into my impulses and bought the stuff at K-Mart rather than check prices elsewhere, I’d've gotten less value for my scarce greenbacks.

Moral of the story: shop around, it pays.

Now….off to an ATM, and then to Walgreens to stock my lovely Hardigg Medical Chest.

Swiss canteens back at SG, drugs

The Swiss military canteens are back at SG. These are nifty canteens and I haven’t seen them offered for quite a while. Ignore the picture you see at the SG link, the cup goes on the bottom of the bottle, where it snaps into place. The nice thing about these is that they’ll fit any container that will normally hold a Nalgene bottle, but it has a slimmer profile making it easier to insert/withdraw from the container. I like them for the impromptu ‘field kitchen’ kit I take with me hunting. Last time I bought these, the price was much better but even at the current price they are a good piece of gear. When I bought mine it was a mix of regular top and NBC-compatible top. I have no idea if this batch have the NBC lids but even if they dont, theyre still a great product. If I didnt have a dozen tucked away in storage I’d pick up a few more.

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It’s amazing what you find when you clean out the medicine cabinet in the bathroom, isnt it? We have a plastic tote filled with various medications and whatnot we’ve acquired over the years from things like minor surgeries, wisdom teeth episodes, etc, etc. I was rummaging though it the other day and there’s actually a pretty good stash of painkillers and antibiotics in there. Nice to know. May have to lock those up in the safe with the guns and the gold…and for the same reason – someday they’re going to be very necessary to maintaining our health and safety. Reminds me of the scene in “The Postman” (book, not movie) where Gordon comes across a stash of pre-apocalypse antibiotics and painkillers. He marvels at his good fortune and imagines that they could be used to buy his way into the safety of one of the organized communities. I have no such ideals, since I don’t see that kind of thing happening…but I can see a point where having some ampicillin or oxy could be helpful. The moral of this story is to check out your medicine cabinet and you might be surprised what useful leftovers you may have. Having said that, you may wanna move that stuff outta the medicine cabinet since, apparently, drug-seeking folks tend to ask to use your bathroom and then loot your prescription meds while theyre in there.

Single-use foil packets

I was going through one of the first aid kits (FAK*) today and checking to see if anything needs to be replaced (or upgraded). One thing that makes my life so much easier (and more compact) are the small Single Use Packets of various medications. One thing I try to keep in all my FAK is a small quantity of triple-antibiotic ointment. (Usually just referred to as Neosporin….same as just about any copy machine is referred to as Xerox.) ALthough the small vinyl tubes of ointment contain more, I like the small disposable foil packets for the compact FAK that I keep in my everyday bag or in the small first aid kits that go in our hunting/outdoor bags. The larger kits, where size/weight isn’t an issue, get the regular tubes of the stuff, but for keeping things as small and light as possible while still hedging my bets I prefer the ‘ketchup packets’ of medication.

img_0266I find these to be the handiest and most compact packaging for this sort of material. However, there are drawbacks. The first is that while the foil packets are about as durable as a ketchup packet from McDonalds, they can still be damaged if theyre not packed away safely. Second drawback is, obviously, if you only carry a half-dozen of these in your kit you can wind up running short if you’re having an exceptionally bad day. To my way of thinking, for the average hunting/fishing/geocaching day outdoors, five or eight of these is about the right amount. If I were doing a multi-day trip in the sticks, or running out the door with a rifle to combat the zombies, I would certainly take one of the more substantial and larger first aid kits.

It’s imperative that if you use stiff like this that you check these kits at least once a year. For example, the folks at Bactine make little wipes that come in a foil package, much like the old WetNaps. Problem was, as I discovered, that after sitting in a pack, being compressed, and bounced around was very ungood for the packaging. So…the Bactine wipes got replaced with the somewhat more resilient foil pouches of Neosporin.

One other product I really like that is packaged in a similar way is burn jel. This stuff is awesome. Not the sort of thing you use for someone you’ve pulled out of a burning APC, but if you’ve burned your hand on a hot canteen cup, gun barrel, or exhaust pipe this stuff is great. Given the choice between burns or cuts, I find burns to be far more debilitating. I’ve had some nasty burns where if I took my hand out of a washcloth full of ice cubes the throbbing would keep me from sleeping. So, yeah, a burn gel with an analgesic element to it is nice.

Someone a few posts back (Ok, specifically, here) asked what I keep in my first aid kits. You know, thats gonna be quite  post…it’s going to take a while to work up. Broadly, there’s four different ones around here. The smallest are the ones that go in a bag when we go biking or fishing or that sort of thing. The next one up is the larger, more comprehensive one goes with me when Im going to be on my own or away from help longer than just a simple day of fishing/hunting or back far enough in the sticks that if I get hurt I’m just going to have to stay put and wait for the SAR guys. Third largest are a couple surplus medic shoulderbags with all sorts of stuff. These are the ‘grab a case of MRE’s, some ammo, a pack, and beat feet’ kits…it’s similar to the other kits but the quantities are larger and there a few other things in there. Final one is the largest, an old Brigade Quartermaster’s EMT bag I picked up, oh, about twenty-five years ago. That one sits at the house, always in the same location, and is the general home first aid kit. It’s loaded down with large quantities of bandages, dressing, gauze, antibitic treatments, burn gel, compress bandages, sterile water, etc, etc, etc. I’ll work up a post on exact contents later in the week and maybe have a post up about it next week.

* = It’s not just me, right? There’s an amazing amount of ‘standard’ acronyms in this interest of ours…SHTF, EOTWAWKI, FAK, BOB, etc, etc.

How not to find a good deal

I was tinkering with my Wish List on Amazon, which I use mostly as a reminder list of things to get or investigate, when something jumped out at me: Israeli Bandage, 4 Inch for $3.02 each. Why, thats a huge savings over just about everywhere else. The information shows the price is $3.02 + $4.99 to ship. No problem, I think, and dump 20 into the shopping cart. I head to the checkout and the total? $60.80 + $99.80 to ship.
Are you outta your freaking mind? I ship stuff for a living, I know what shipping costs are and there is no way on Croms cruel earth that it costs a hundred bucks to ship, at most, a 10# package. Needless to say, I can see how they manage to swing the low price of $3.02. The real price is $8.01 and free shipping. Suddenly not as razoo a bargain as it seemed.

Moral of the story: you gotta check the fine print on those deals or youre gonna find out real fast that wasn’t a deal at all.

Medical reading

Obviously I haven’t read every book on the subject, but I’ve read quite a few. The ones I turn to most for information and that I think are most worth having:

Where There Is No Doctor – This is one that tops everyone’s list. It’s written for the Peace Corps type who finds himself in a Third World country trying to provide medical aid. The most valuable part of the book, in my opinion, is the appendix at the back listing medications and their uses, brand/generic names, and recommended dosages. This is the sort of info you need when you’re scrounging through burned out pharmacies, wrecked ambulances and abandoned nursing homes looking for medications to keep you or someone you love going. You can usually find a .pdf of this book for free online, but it’s always good to have a printed copy handy. Number one title on pretty much everyone’s list of medical reading.

Wilderness Medicine, Beyond First Aid, 5th Edition – This book has been around a while. An excellent source of information. Many first aid manuals basically treat every situation with “…seek professional medical help immediately.” Well, yeah, that’s great when the power is on, the roads aren’t jammed with cars, and tracers aren’t crisscrossing the night like fireflies. This book addresses the notion that it might take a while before you can get to the emergency room. What makes this book so useful, in my opinion, is that the author recommends and lists out the contents of various ‘modules’ that make up a kit. For example, there’s a topical bandaging module (20 different items), Non-prescription oral medication module (ten items), etc, etc. If you like to have someone else make up a list for you of where to start when it comes to packing a kit, this is a good one. Even if you have your own ideas, the lists are an excellent starting point. A very useful book.

Medicine for the Outdoors: The Essential Guide to Emergency Medical Procedures and First Aid, 5e (Medicine for the Outdoors: The Essential Guide to First Aid &) – An excellent companion to, and possibly slightly better than, the previous text. This is a densely packed trove of information. Being more of an ‘outdoor adventure’ scenario-based book there’s plenty of stuff on the perils you run into camping (poison ivy, poison oak, bad mushrooms, altitude sickness, blisters, etc) but sometimes part of the apocalypse is going to , in fact, be like a long, drawn-out camping trip.

Surgical Knots and Suturing Techniques third edition – Unfortunately, when it isn’t like a camping trip, the apocalypse is going to look a lot like a cross between Mad Max and North Korea…plenty of violence with plenty of shortages of essentials. I’m a big fan of closing a wound with something that doesn’t involve needlecraft on my skin, but sometimes Dermabond and butterfly bandages just aren’t going to do it. This book gives you the basics on taking that surplus surgical kit you picked up at the gun show and actually using it. It’ll be a grim day when you need the info contained in this book, and the next one I list, but better to have it than not.

Ditch Medicine: Advanced Field Procedures For Emergencies – When you need the information in this book, you’re in a situation where it’s going to take a lot more than bandaids and aspirin to pull you through. This is another book that is not for the squeamish, but even if you are a bit sensitive to things like traumatic amputation and flaps of muscle and skin waving in the breeze you should force yourself to read through it anyway so you at least have some ideas of whats going on. It’s not pretty, but if nothing else it’ll make you think twice before doing something stupid that could get you maimed or injured.

The Merck Manual of Diagnosis and Therapy, 18th Edition – An excellent reference that covers just about everything that could go wrong in normal times. By that, I mean it doesn’t really cover things like gunshot wounds, radiation poisoning, or anthrax exposure. But for figuring out what that clicking noise in your wrist is, or what that thing growing between your toes is, this book is tops. Also an excellent, excellent text for familiarizing yourself with medical terms, body part nomenclature, nutrition and a few other things. It’s kinda like a Chilton manual for the human body.

Another great reference is Physicians’ Desk Reference 2011 (Physicians’ Desk Reference (Bookstore Version)) (you can sometimes get these free as doctor’s offices update them and discard the old ones. Another source for this book? Law firms that deal with malpractice.) If you’re doing the wrecked-ambulance-looted-pharmacy thing this book is going to go a long way towards making sure that those pills you grabbed are the right ones.

There are some other recommended texts that I haven’t gotten yet but that I’ve heard excellent things about. For now, these are the best books I have on the subject. I have several other books but they’re all on the same subject. However, much like how you should always consult more than one reloading manual when working up new loads for your gun, I have no problem with having three or four books on advanced first aid or medical treatments since there is no such thing as too much knowledge. (I lamost said ‘too much information’, but there is a difference between knowledge and information.) The information contained in these books is also handy in figuring out what you should stock up on for yourfirst aid kits and home medical kits.

Speaking of….there’s a school of thought that says you should never stock any medical supplies that you don’t know how to use. The idea is that if you have them, but don’t know how to use them, you may wind up using them and doing more harm than good. This is true, that is a possibility. But you know what else is also a possibility? That there will be talent (a doctor, a nurse, an EMT, a PA, etc.) who you’ll run into who does know how to use that stuff and can provide the talent if someone will supply them with the gear. Don’t think so? How many times do we read about car accidents, airline flights, and similar events where someone is hurt and a doctor or nurse happens to be nearby or passing by and offers aid? So, the way I see it, go ahead and stock things you don’t know how to use…just don’t use ‘em. Leave that for the folks with the talent (or for trading to the folks that need it.)

Containers and kits

I upgraded the first aid kit I carry around in my bag the other day. Previously I was using an organizer from Outdoor Research. It was a tri-fold zippered organizer that worked well, but it could stand an improvement. First aid kits are fairly personal things, so I almost never find a commercial product that does everything I want. Many of them are simply an assortment of bandages and antiseptic. Part of me feels that if you have an injury that only requires a Bandaid and some Bactine, you arent really injured. However, another part of me realizes that small ‘Mickey Mouse’ injuries can get really serious, really fast if you leave them untreated and they get infected.

Originally, I was going to replace my previous first aid kit container with one of these from Maxpedition:

It had a good amount of room for all the necessities that might be called for in your average stomping-around-in-the-boonies misadventure and I really liked that it was detachable from the velcro-backed MOLLE panel. Problem was, it’s big and bulky…too bulky for most simple trips out fishing or hunting or geocaching. Great for a more extended trip or something where you’re carrying a larger-than-usual pack or where trouble is expected to be more likely than usual, but otherwise….too bulky.

So, next one was this:

This one still gave me plenty of room and organization options but was a bit less bulky. This is what I currently carry in my Tactical Tailor bag that goes with me most places. I like that it has MOLLE attachment points, as well as a couple D-rings, so I can attach it to my gear or just put it on a carabiner swinging off my pack. This is an excellent compromise between size and bulk.

Like Goldilocks said, the third one was just right:

This is the one I wound up buying several of. It’s got enough room I can stuff it with the things I anticipate needing in a non-EOTWAWKI situation, but still packs down small enough I can keep a bin full of them and toss one at the wife when she heads out the door to go hiking with the dog and say “Hey, take one of these.” For hunting, fishing and that sort of thing, where I dont want to carry a lot of gear and a lot of bulk, I go with this. It even has enough room for one of these fabulous little kits (Which I highly recommend. Sealed in a pouch to make ‘em waterproof and dirtproof, these things are awesome.)

(By the by, each first aid kit we have has a printout, in tiny type, stuffed into it with a list of materials and quantity contained within. This makes things extremely handy when calculating amounts needed to keep on hand for restocking and replacing.)

Now, I’m not going to tell you what to put in your first aid kit, that’s actually another post I have lined up for next week (or maybe the week after), but what do you do once you’ve used your first aid kit? Well, you have to restock it, of course. For storing bulk medical supplies, that lovely Hardigg Medical Chest from a few posts back would be perfect. Trouble is, $200 is a lot for what basically amounts to a waterproof Snap-On tool chest. (Plus availability is something of an issue…I see they’ve sold out and are outta stock….again.) Fortunately, there are cheaper options. I was actually tempted to get one of these older-style medical storage chests but these are simply the outer container. Like the Hardigg, they originally had a ‘dresser drawer’ style interior that is sometimes available elsewhere. However, any large waterproof container is suitable for stashing medical supplies if you organize it right. Many of these older style containers are sold locally at the surplus store as ‘bearproof’ boxes for storing edibles when out camping.

I’m very much liking this smaller, and much more affordable, container. Just the right size for stuffing in a truck box, in the rafters at your hunting cabin, or under the counter at your shop. I’ve something similar that I keep a couple medic’s shoulderbags in. The bags contain pretty much a little of everything and are identical to each other (well, yeah, of course theres more than one). This way,  in a we-gotta-go-now-now-now situation I can just snag one and run out the door with the rest of the gear if I don’t have the time or space to grab everything.

For better or worse, what with the floundering economy and the impending ‘overhaul’ of the health care system, being able to handle the minor medical emergencies that spring up is probably going to be even more important than it is now. Just having the materials on hand is going to make a big difference. Even if there isn’t a shortage or availability issue, .gov keeps mucking around and time-tested OTC medications that we’ve relied on for years are getting nerfed….heck, even my favorite The Green Death (aka NyQuil) had to reformulate and now isnt quite as effective as it used to be. So, yeah, stockpiling medications is in the cards.

At some point, I’ve got to sit down and make a list of all the books I’ve got here on the subject. I’ve got a bunch, but only a handful are, in my opinion, absolutely mandatory for any well-stocked survivalist’s library.

Hardigg Medical Chest w/ Drawers at SG

The lovely lass at The Trooper’s Gal pointed this deal out. It’s the Hardigg Medical Chest with drawers. I got one of these last year without the drawers and it’s a nice piece of gear. With the drawers? Ten shades of awesome.

Sportsman’s Guide apparently has some. Price? $199.99…about a twelfth of the new price, if SG’s listing is to be believed. SH408 is a code for free shipping, but you’ll still be on the hook for the ‘heavy item’ fee.

Overkill? Probably. Pretty much any waterproof large container would work for this sort of thing but these cases are purpose-built for keeping your emergency medical supplies safe, dry and clean. Like a lot of really cool military surplus stuff, I expect that these will be ‘out of stock’ shortly.

Article – Greek Crisis Dries Up Drug Supply


For patients and pharmacists in financially stricken Greece, even finding aspirin has turned into a headache.

Mina Mavrou, who runs a pharmacy in a middle-class Athens suburb, spends hours each day pleading with drugmakers, wholesalers and colleagues to hunt down medicines for clients. Life-saving drugs such as Sanofi (SAN)’s blood-thinner Clexane and GlaxoSmithKline Plc (GSK)’s asthma inhaler Flixotide often appear as lines of crimson data on pharmacists’ computer screens, meaning the products aren’t in stock or that pharmacists can’t order as many units as they need.

“When we see red, we want to cry,” Mavrou said. “The situation is worsening day by day.”

This part is especially interesting:

The reasons for the shortages are complex. One major cause is the Greek government, which sets prices for medicines. As part of an effort to cut its own costs, Greece has mandated lower drug prices in the past year. That has fed a secondary market, drug manufacturers contend, as wholesalers sell their shipments outside the country at higher prices than they can get within Greece.

Government control of pricing is leading to products being sold elsewhere where better profits can be realized. I am shocked! Shocked, I say, to find there is capitalism going on here!

This sort of thing is to be expected any time .gov throws price controls on anything. Scarcity is usually the result as artificially low prices encourage waste. Don’t think so? If gas was $1.00 a gallon right now would you drive more or less than you do now?

Anyway, the lesson here is twofold: 1) .gov control of medicine pricing is a bad idea and 2) it’s entirely possible that what’s in your medicine cabinet now can wind up being all you have.

I’m reminded of the old saying: If you’re not part of the solution, you’re part of the government.

FAK FAQ

When I go wandering around the boonies, go fishing or hunting, or otherwise meander off the beaten path I usually take a small first aid kit with me. Since I have some time on my hands this week (the missus is off at a class for her work) I’m using the opportunity to restock, and perhaps upgrade, the first aid kits. First thing is to find a suitable container. I like softside containers because they’re easy to stuff into a pack, can be clipped to the outside of a pack with a carabiner, and are a bit more flexible to use than a solid container. The drawback, naturally, is that they do not offer the protection of a hardcase. However, the kits themselves are small enough that I can just drop one into a ziploc bag if I need to keep it waterproof (usually not that big a consideration since when its buried in my pack its pretty well protected from the elements). The case I’ve been using is this one from Maxpedition. It manages to hold the usual assortment of gauze pads, bandaids, tape, antibiotic cream, rolled gauze, pain relievers and still have room for an Israeli combat dressing and one of these nifty Trauma Pak kits. And, since one is none, two is one, and three is two (I guess) I put together several identical ones. And, just to be weird, each one is a different color.

Maxpedition actually makes a couple of pouches/organizers suitable for this sort of thing. The main one that I use is this one. It’s nice, but a bit on the bulky side. It holds a decent amount of gear, although it is definitely designed more for ‘serious’ injuries rather than your usual simple first aid. I say that because the most easily accessible parts are the parts designed to hold large objects like rolls of gauze, compress bandages, etc, while the small things like bandaids, antiseptic wipes and small stuff like that is in a fairly tough-to-access pocket. However, I’m of the opinion that if your injury can be fixed with Bactine and a bandaid then, well, youre not really injured. Im more concerned with the stuff thats going to take stitches, Dermabond or staple gun to fix.

By the way, that FR-1 pouch has a band of velcro for attachment of name tags, etc. I picked up a blood type patch and a first aid cross patch to put on it. I got them here. These guys have an excellent selection of those sorts of things and the quality is quite good. (And, yes, I did get this one for the BioWeapon.)

The three kits that you see at the begininng of this post will wind up being the ‘extra’ ones kept around. You know, the ones for when your heading out the door to go fishing and you think “Hmmm…I better grab a first aid kit just in case…”. I expect they’ll get bounced around and used for roadtrips, range trips, dog adventures and the other episodes where I (or the missus) are not normally carrying my Bag O’ Tricks which already has a kit in it. And, as we say, one is none etc, etc, etc.

I’m sure someone will ask in comments what the contents of the kits are. Its one of those things that Im just not really going to get into because no matter what I list someone will chime in with “But, you really should have this…” and before you know it you’ve turned a fairly compact package into something the size of briefcase loaded down with all sorts of things. First aid kits and bugout bags, man….two things that no matter how you put them together someone will always say youre doing it wrong because you dont have [item] in it.