Survival Medicine

In normal times, once you have stopped the bleeding and applied a splint or dressing, the emergency is “over.” You sit and wait for an ambulance or rescue helicopter to arrive and your part is over. In an austere setting, however, the medic must follow the status of the wound for more than a few minutes or hours. You’re in charge until the person is fully recovered. Constant, diligent wound care i...

A world weary of one viral pandemic is now experiencing the early stages of another: In the last three months, more than 88 countries have reported a total of more than 30,000 cases of the disease called monkeypox, which was previously restricted to parts of Africa. That’s more than we saw in the 2014 Ebola epidemic, so the survival medic should know about it. Plus, flooding in Kentucky takes more...

t’s summer, and this is the time that people head out to the shore and take in the Great Outdoors. Millions will do just that, and the vast majority of beach-goers will experience nothing but a great time. On occasion, however, a person may run afoul of a sea creature during their time in the water. It’s their home, after all, and some can get pretty aggressive when disturbed or when looking for a...

Well, it’s summer and a lot of folks are heading out into the great outdoors. In a disaster or any other situation that knocks us off the grid, we’ll be exposed a lot more to things like insect stings and poison ivy, as well as strange food items that we aren’t accustomed to. Being in contact with all this stuff may cause Allergic reactions in susceptible individuals. When we develop an allergic r...

Today Nurse Amy and Dr. Bones talk about the health benefits of chamomile.  Yes, a regular MD and nurse practitioner touting the benefits of herbal tea, how about that?  Hey, in times of trouble, you gotta use all the tools in the woodshed! Plus, a thorough discussion on the basics of IV therapy, with emphasis on essentials and practical tips to get fluids into a dehydrated patient. Learn how to r...

A bill entered in California’s state legislature has gone where President Biden’s “disinformation bureau” couldn’t. Bill AB-2098 gives power to the state’s medical board to investigate and punish doctors whose advice and treatment regarding COVID-19 varies from their perceived “applicable standard of care.” The medical establishment now has “disinformation” authority over others who dare to voice...

It’s a rare individual who has never had a nosebleed and a lot of people have, over the course of their lives, been the recipient of a punch in the nose or other facial trauma. Dr. Joe and Nurse Amy Alton discuss nosebleeds, nasal fractures (broken noses) and foreign bodies in the nostrils of children in this episode. Also, Amy Alton, NP discusses the usefulness of valerian root off the grid for v...

More than 20 million Americans experience some form of hormonal dysfunction related to the thyroid gland, so you can bet that the off-grid medic will eventually come across someone with it. You've gott to know  know how to recognize these conditions and improve them, if possible. This can be way harder off the grid than in today's modern world, but you might still be able to do something that help...

How long do you think you’d last when the SHTF if you can’t hear the zombies sneaking up on you muttering something about tasty, tasty brains? The ear is the organ that controls, not only hearing, but balance as well. It’s a rare parent who hasn’t had to deal with ear problems at one point or another during their life. In some cases, It could be a chronic issue that makes an otherwise healthy chil...

Some of our friends have discouraged us from speaking about the small possibility of a nuclear event in the unstable and uncertain future, but everyone should know about them, not panic, and understand that survival is possible in many cases. Dr. Joe Alton discusses different types of nuclear weapons and meltdowns, types of radiation, percentages and radius of damage, symptoms of radiation sicknes...

In this topic-filled podcast, Dr. Joe Alton and Nurse Practitioner Amy Alton discuss corruption in the medical establishment that has led to bad messaging and advice for the current pandemic, and why this happens in a highly politicized society. Also, Dr. Alton cover cold injuries like frostbite and immersion (trench) foot, and other cold exposure issues. Nurse Amy tells you all you need to know a...

In good times or bad, families may face any number of events where trauma causes injuries. In the United States alone, there are over 37 million emergency department visits annually due to some type of trauma. Off the grid, it stands to reason that activities of daily survival performed by those unaccustomed will greatly increase the number of traumatic wounds. This week, Dr. Joe Alton discusses w...

Well, we survived our first cold wave of the year down here in South Florida, where the temperatures dived all the way down into the high fifties. We’ve heard rumors that some places get even colder in winter, so, even though they’re probably just rumors, the Altons talked last time about general hypothermia. This time, they’ll talk about cold water safety in survival settings. Plus, Dr. Bones (Jo...

The environment plays a large role in your success as medic in survival settings. If you don’t take weather conditions and other factors into account, you have made the environment your enemy, and it’s a formidable one. One major issue is cold-related illness, otherwise known as hypothermia. Normally, the body core ranges from 97.5 to 99.5 degrees Fahrenheit (36.5-37.5 degrees Celsius) when taken...

Many of the medical items in your storage, like instruments and some dressings, may come already sterile, but in survival, dressings are consumed and the sterile instruments become dirty. This leads to the question of how to sterilize your reusable items and produce a store of sterile supplies. Dr. Joe Alton discusses how best to disinfect reusable and even some disposable items in the aftermath o...

Although science has made great progress against bacterial disease, our advances against viruses are still in their infancy. Now, potentially good news is being reported in the battle against the current pandemic: An experimental oral drug known as molnupiravir reduces the risk of hospitalization and death in phase III clinical trials. Today Joe Alton MD (aka Dr. Bones) and Nurse Practitioner Amy...

The control of major hemorrhage (called “hemostasis”) is the territory of paramedics and trauma surgeon in normal times. In survival scenarios, however, the family medic is unlikely to be either of these. Although direct pressure on a bleeding wound may stop the bleeding, there are times when it just ain’t enough. In such cases, tourniquets are the best first course of action, but they can’t stay...

For the survival medic, increasing international tensions means that knowledge about nuclear events and the physical damage associated with them is a worthwhile topic to know about. Short of an asteroid hitting Earth or an ultra-deadly pandemic disease, we mean more deadly than COVID, no disaster has the potential to destroy society as much as a nuclear war. Even “minor” radiation accidents, such...

In the US, almost twenty percent of the population has problems with anxiety, which is defined as feelings of apprehension, nervousness, and unease. It might be about an imminent event, a current situation, or may be of unknown origin. For example, Israel announced that Iran will complete a nuclear weapon in 10 days, and that was 9 days ago. Also, are we going to need a vaccine passport to travel,...

Last week The Altons said It’s a cruel, cruel summer, like the 80s song goes, and if you live on the coast or considering a trip to the beach during the dog days, you have more than sunburn to worry about. There’s all sorts of critters in the sea that can cause trouble, even close to shore. I’m not talking about sharks, it’s shark week on Nat Geo and some of you are probably all sharked out. I’m t...

It’s a cruel, cruel summer, like the 80s song goes, and everywhere from Oregon to Montana to New York City can experience big problems this year with blackouts taking out the AC and making homes and businesses into sweatboxes more often than ever before. In the west, wildfires have burned three times the acreage this year as compared to last year at this time. So, the family medic better be prepar...

Well, a lot of you might be wondering where we’ve been and why we took a hiatus from our podcasts and videos. It because ol' Dr. Bones had pneumonia, and recovery for me has been slow going. I have acid reflux, and it’s not just heartburn, it goes all the way up to my throat, a condition called laryngopharyngeal reflux. Laryngo means the voicebox, and pharyngeal is all about the throat. So one nig...

Six people are dead in the South after at least 23 tornadoes tore through Alabama, Mississippi and Georgia last week. The damage in places like Coweta County is Georgia, well, it looks like a bomb went off there. Five people lost their lives in Calhoun County, Alabama, after the state was hit with 17 reported tornadoes. Sounds like an apocalypse movie? Nope, stuff like this happens this time a yea...

In this audio episode of the Survival Medicine Podcast, Dr. Joe Alton and Nurse Amy Alton discuss chronic medical problems in survival scenarios, such as thyroid issues and high blood pressure. We mentioned in a recent show that the family medic won’t have lab tests and fancy diagnostic imaging like MRIs and CT scans to help with medical issues if some disaster throws us off the grid. You, medic,...

In a disaster, especially a long-term one, the family medic has to be able to handle a lot of different emergencies. Some of these are clearly survivable, such as a broken finger, and some are not, like a bullet to the brain. It’s important for the medic to have a realistic attitude towards the hard facts. Being realistic won’t make decision-making easier, but it might make it clearer. If you’re d...