About   .   Advertise   .   Affiliates   .   Archives   .   Asian Avian Flu   .   Benefit Auction   .   Biographies   .   Bookshelf   .   Charity   .   Contact   .   Contest   .   Corrosive?   .   Derivatives   .   Email Us   .   FAQs   .   Glossary   .   Home   .   Investing   .   Kudos   .   Links   .   Link to Us   .   NAIS   .   Nickels   .   Peak Oil   .   Prayer   .   Precepts   .   Profiles   .   Provisos   .   Retreat Areas   .   RSS Feed   .   Support   .   Survival Guns   .   SurvivalRealty.com   .   Targets / Logs   .   Ten Cent Challenge   .   TMM Forum   .   Writings   .  

« Two Letters Re: Physical Preparation--How to Survive When Your Gear Doesn't, by T. Davies |Main| Letter Re: Nomex Flight Suits for Ground Troops in Iraq »

Monday May 12 2008

Letter Re: Triage in Emergency Mass Critical Care (EMCC) Event

Dear JWR:
I feel that there is a strong premonition in the article you flagged on Wednesday (Who Should Doctors Let Die in a Pandemic?) This hit the Main Stream Media (MSM) early this week and quickly fell off the news cycle. The topic is simply too uncomfortable. The original articles were published in the medical journal Chest (The Journal of the American College of Chest Physicians and are very dry and difficult reading even for a physician. This is unfortunate because it is a salient topic which needs to be vigorously publicly debated (instead of who got voted off – insert various “reality TV” show). It has specific implications for those of us reading your SurvivalBlog. Several recent postings in SurvivalBlog (specifically two discussions initiated by questions raised by DS in Wisconsin ) show this to be a paramount topic.

I would like to address some of these issues by means of an analogy to the area I live and work. We have a typical, financially struggling, small (100 bed) non-profit hospital serving a population area of approximately 50,000. Down the road is the “Medical Mecca” (actually more than one) with total bed capacity in the thousands. Our small hospital has an 8-bed Intensive Care Unit (ICU) which is always full, with the typical patient in one of the various states of terminal disease processes. When a critical care patient leaves the Operating Room (OR), there is the usual story of “Musical Beds”, where a patient has to be transferred to “make room” in the ICU. This usually involves transferring the least critical patient to the “Step Down Unit” (SDU). ICU patient transfers to the “ Mecca ” typically takes 24-48 hours because their beds are also constantly full. Our hospital owns four ICU ventilators, and if the number of patients requiring ventilation exceeds this, additional units have to be delivered from the “medical supply house”, which also provides rental units to the “Medical Mecca”. Due to financial constraints, there is no “surge capacity” in the system. In the typical bureaucratic system, the “mirage” of available space is accomplished by simply “redefining” a given patient from “Intensive Care” to something less, either wholly inside our hospital or by including the “Mecca” in the system (as in a “larger” system). [JWR Adds: I briefly discussed the chronic shortage of ventilators in my static article on Asian Avian Influenza. I agree wholeheartedly with your assessment of the shortfalls in medical delivery infrastructure!]

The issues addressed by the articles in Chest concerned Emergency Mass Critical Care (EMCC) events, prototypically pandemic influenza. In such a situation, even the “mirage” of available space breaks down because you cannot “enlarge” the system by including more “geographical” area since each additional area is encompassed by the same problem. The currently circulating “bird flu” H5N1 is a particularly nasty bug, more closely resembling the various “hemorrhagic fevers” than typical influenza when infecting humans. The syndrome includes pulmonary edema (fluid collecting in the lungs, i.e. drowning in own secretions), disseminated intravascular coagulation (DIC) (internal bleeding) and multi-system organ failure (kidney and/or heart failure, etc.). Treatment typically includes intensive hemodynamic and ventilatory support until the body can clear the infection and heal. Even in our relatively rural area, it would not be unreasonable to expect to have tens, if not hundreds, of patients needing this level support in order to survive. The “Mecca ” will see proportionately more demand.

The recommendations of the authors of the Chest articles are well reasoned and intelligent, but totally impractical in our financially strapped and egalitarian healthcare system. These recommendations include providing for the ability to surge to three times the ICU capacity and provide for 10 days of service without resupply. Due to shortages of trained nurses, our ICU depends on locum tenens (contract agency) nurses to staff the ICU and medical care is provided by a single pulmonologist (physician specializing in lung diseases). It is totally impractical from a staffing issue to provide 3x surge capacity. As far as inventory, 10 days is an eternity. Where will the money come from to stockpile these items and medications (our hospital only has about 30 days of operating cash on hand)? Will the staff forego a paycheck in order for this to occur? Additionally, the “medical supply house” typically only has a couple of unissued ventilators at any given time, before having to “tap into” their larger supply chain (i.e. maybe a dozen or so “extra” in the entire State). Where do you expect these to be issued in such a crisis (try not to be cynical, but I suspect it will be near the State capitol)?

The most difficult (albeit the most logical) recommendations concerns the rationing of the scarce healthcare resources. They suggest that the effort should go to those most likely to survive, instead of those likely to die (i.e. those most likely to benefit from the therapy). This is described as making a medical decision for the entire population, instead of an individual patient. The goal is to maximize survival in the population (at the expense of individual survival). The difficult question is: Who should get the resources and whom should be “redefined” into the “expectant” (i.e. expected to die) category? Should the ventilator go to the college student with severe pulmonary edema or the nursing home patient with the stroke? Should the neonatal/pediatric ICU bed space go to the 20 week premature infant or the previously healthy two year old? If only these decisions would be this straightforward. Who is going to tell the family that grandmother doesn’t meet criteria? Who is going to care for the other patients while the situation is explained (repeatedly) to these families (typically hours with each family)? Do you think that that family will quietly accept the decision or will there be riots? Do you ever wonder why during a food riot, the first thing destroyed is the bakery? Do you think healthcare providers will show up for work at an armed camp with constant rioting or stay home and care for their own family? Would you go to work in a similar situation?

As in most things health related, an ounce of prevention is worth a pound of cure. With communicable diseases, isolation and personal hygiene are the most important. These are issues which do not need to be described to the SurvivalBlog family (look at the archives), but should be seriously discussed within your own family/group. In regards to the questions raised concerning emergency medical transport and personal/retreat medical stockpiling, it is an important consideration. In such a crisis situation, transportation is likely to be futile, if not fatal. While nobody should expect to have a personal ventilator in their medical kit, a supply of IV fluids and electrolyte preparation should be standard for those who know how to administer it. Antipyretics (fever reducers) and antispasmodics/antiemetics (diarrhea and nausea medication) should also be standard fare as well as easily digestible foods. A broad-spectrum antibiotic would also be warranted for bacterial superinfection, although everyone should already know that antibiotics do not treat viral infections. The data on antivirals (amantadine, rimantadine and oseltamivir/Tamiflu) is inconclusive at best and contradictory at worst concerning H5N1 [Asian Avian Influenza], but if they are available it may be prudent to have some on hand.

It is unfortunate that the public discussion of this topic has died such an untimely death. Perhaps a little more debate would spare a few hospitals from the ultimate riots, but I am not enthusiastic, human nature being what it is. In this era of “Hope and Change”, especially with regards to healthcare, it will undoubtedly be continued deterioration. We will continue to spend the majority of healthcare dollars in the last six months of life, instead of helping the survival of those most likely to survive. In summary, logical evaluation of such a crisis leads to an illogical result (riots and destruction of the healthcare system). We will likely be left with taking care of ourselves and our family. - NC Bluedog

Permalink

« Letter Re: NOAA Weather Spotter Training |Main| Notes from JWR: »

Saturday March 1 2008

Letter Re: Being Prepared for an Avian Influenza Outbreak

Sir,
Please pass on a reminder to people to prepare themselves with a plan and supplies to deal with for the inevitable event [of an Avian Influenza outbreak]. Begin by practicing impeccable agricultural hygiene and discouraging any visitation of persons near their barn yards, hen houses and migratory wildlife flocks of geese or ducks on or near their ponds, open water sources or feed sources. This is best done with a couple of good herding type dogs who don’t mind getting their feet wet in the ponds or on the property watering holes. Our chickens are free range, yet they are blocked from the access of the open water sources, and their supple mental food and calcium sources are kept away from access of migrating and indigenous species of birds. The dogs also help with poultry predatory losses from fox, coons and hawks. - KBF

Permalink

« Letter Re: Best Items to Store for Barter and Charity? |Main| Note from JWR: »

Thursday February 7 2008

From the SurvivalBlog Archives: Start With a "List of Lists"

Start your retreat stocking effort by first composing a List of Lists, then draft prioritized lists for each subject, on separate sheets of paper. (Or in a spreadsheet if you are a techno-nerd like me. Just be sure to print out a hard copy for use when the power grid goes down!) It is important to tailor your lists to suit your particular geography, climate, and population density as well as your peculiar needs and likes/dislikes. Someone setting up a retreat in a coastal area is likely to have a far different list than someone living in the Rockies.

As I often mention in my lectures and radio interviews, a great way to create truly commonsense preparedness lists is to take a three-day weekend TEOTWAWKI Weekend Experiment” with your family. When you come home from work on Friday evening, turn off your main circuit breaker, turn off your gas main (or propane tank), and shut your main water valve (or turn off your well pump.) Spend that weekend in primitive conditions. Practice using only your storage food, preparing it on a wood stove (or camping stove.)

A “TEOTWAWKI Weekend Experiment” will surprise you. Things that you take for granted will suddenly become labor intensive. False assumptions will be shattered. Your family will grow closer and more confident. Most importantly, some of the most thorough lists that you will ever make will be those written by candlelight.

Your List of Lists should include: (Sorry that this post is in outline form, but it would take a full length book to discus all of the following in great detail)

Water List
Food Storage List
Food Preparation List
Personal List
First Aid /Minor Surgery List
Nuke Defense List
Biological Warfare Defense List
Gardening List
Hygiene List/Sanitation List
Hunting/Fishing/Trapping List
Power/Lighting/Batteries List
Fuels List
Firefighting List
Tactical Living List
Security-General
Security-Firearms
Communications/Monitoring List
Tools List
Sundries List
Survival Bookshelf List
Barter and Charity List

JWR’s Specific Recommendations For Developing Your Lists:

Water List
House downspout conversion sheet metal work and barrels. (BTW, this is another good reason to upgrade your retreat to a fireproof metal roof.)
Drawing water from open sources. Buy extra containers. Don’t buy big barrels, since five gallon food grade buckets are the largest size that most people can handle without back strain.
For transporting water if and when gas is too precious to waste, buy a couple of heavy duty two wheel garden carts--convert the wheels to foam filled "no flats" tires. (BTW, you will find lots of other uses for those carts around your retreat, such as hauling hay, firewood, manure, fertilizer, et cetera.)
Treating water. Buy plain Clorox hypochlorite bleach. A little goes a long way. Buy some extra half-gallon bottles for barter and charity. If you can afford it, buy a “Big Berky” British Berkefeld ceramic water filter. (Available from Ready Made Resources and several other Internet vendors. Even if you have pure spring water at your retreat, you never know where you may end up, and a good filter could be a lifesaver.)

Food Storage List
See my post tomorrow which will be devoted to food storage. Also see the recent letter from David in Israel on this subject.

Food Preparation List
Having more people under your roof will necessitate having an oversize skillet and a huge stew pot. BTW, you will want to buy several huge kettles, because odds are you will have to heat water on your wood stove for bathing, dish washing, and clothes washing. You will also need even more kettles, barrels, and 5 or 6 gallon PVC buckets--for water hauling, rendering, soap making, and dying. They will also make great barter or charity items. (To quote my mentor Dr. Gary North: “Nails: buy a barrel of them. Barrels: Buy a barrel of them!”)
Don’t overlook skinning knives, gut-buckets, gambrels, and meat saws.

Personal List
(Make a separate personal list for each family member and individual expected to arrive at your retreat.)
Spare glasses.
Prescription and nonprescription medications.
Birth control.
Keep dentistry up to date.
Any elective surgery that you've been postponing
Work off that gut.
Stay in shape.
Back strength and health—particularly important, given the heavy manual tasks required for self-sufficiency.
Educate yourself on survival topics, and practice them. For example, even if you don’t presently live at your retreat, you should plant a vegetable garden every year. It is better to learn through experience and make mistakes now, when the loss of crop is an annoyance rather than a crucial event.
“Comfort” items to help get through high stress times. (Books, games, CDs, chocolates, etc.)

First Aid /Minor Surgery List
When tailoring this list, consider your neighborhood going for many months without power, extensive use of open flames, and sentries standing picket shifts exposed in the elements. Then consider axes, chainsaws and tractors being wielded by newbies, and a greater likelihood of gunshot wounds. With all of this, add the possibility of no access to doctors or high tech medical diagnostic equipment. Put a strong emphasis on burn treatment first aid supplies. Don’t overlook do-it-yourself dentistry! (Oil of cloves, temporary filling kit, extraction tools, et cetera.) Buy a full minor surgery outfit (inexpensive Pakistani stainless steel instruments), even if you don’t know how to use them all yet. You may have to learn, or you will have the opportunity to put them in the hands of someone experienced who needs them.) This is going to be a big list!

Chem/Nuke Defense List
Dosimeter and rate meter, and charger, radiac meter (hand held Geiger counter), rolls of sheet plastic (for isolating airflow to air filter inlets and for covering window frames in the event that windows are broken due to blast effects), duct tape, HEPA filters (ands spares) for your shelter. Potassium iodate (KI) tablets to prevent thyroid damage.(See my recent post on that subject.) Outdoor shower rig for just outside your shelter entrance.

Biological Warfare Defense List
Disinfectants
Hand Sanitizer
Sneeze masks
Colloidal silver generator and spare supplies (distilled water and .999 fine silver rod.)
Natural antibiotics (Echinacea, Tea Tree oil, …)

Gardening List
One important item for your gardening list is the construction of a very tall deer-proof and rabbit-proof fence. Under current circumstances, a raid by deer on your garden is probably just an inconvenience. After the balloon goes up, it could mean the difference between eating well, and starvation.
Top Soil/Amendments/Fertilizers.
Tools+ spares for barter/charity
Long-term storage non hybrid (open pollinated) seed. (Non-hybrid “heirloom” seed assortments tailors to different climate zones are available from The Ark Institute
Herbs: Get started with medicinal herbs such as aloe vera (for burns), echinacea (purple cone flower), valerian, et cetera.

Hygiene/Sanitation List
Sacks of powdered lime for the outhouse. Buy plenty!
TP in quantity (Stores well if kept dry and away from vermin and it is lightweight, but it is very bulky. This is a good item to store in the attic. See my novel about stocking up on used phone books for use as TP.
Soap in quantity (hand soap, dish soap, laundry soap, cleansers, etc.)
Bottled lye for soap making.
Ladies’ supplies.
Toothpaste (or powder).
Floss.
Fluoride rinse. (Unless you have health objections to the use of fluoride.)
Sunscreen.
Livestock List:
Hoof rasp, hoof nippers, hoof pick, horse brushes, hand sheep shears, styptic, carding combs, goat milking stand, teat dip, udder wash, Bag Balm, elastrator and bands, SWOT fly repellent, nail clippers (various sizes), Copper-tox, leads, leashes, collars, halters, hay hooks, hay fork, manure shovel, feed buckets, bulk grain and C-O-B sweet feed (store in galvanized trash cans with tight fitting lids to keep the mice out), various tack and saddles, tack repair tools, et cetera. If your region has selenium deficient soil (ask your local Agricultural extension office) then be sure to get selenium-fortified salt blocks rather than plain white salt blocks--at least for those that you are going to set aside strictly for your livestock.

Hunting/Fishing/Trapping List
“Buckshot” Bruce Hemming has produced an excellent series of videos on trapping and making improvised traps. (He also sells traps and scents at very reasonable prices.)
Night vision gear, spares, maintenance, and battery charging
Salt. Post-TEOTWAWKI, don’t “go hunting.” That would be a waste of effort. Have the game come to you. Buy 20 or more salt blocks. They will also make very valuable barter items.
Sell your fly fishing gear (all but perhaps a few flies) and buy practical spin casting equipment.
Extra tackle may be useful for barter, but probably only in a very long term Crunch.
Buy some frog gigs if you have bullfrogs in your area. Buy some crawfish traps if you have crawfish in your area.
Learn how to rig trot lines and make fish traps for non-labor intensive fishing WTSHTF.

Power/Lighting/Batteries List
One proviso: In the event of a “grid down” situation, if you are the only family in the area with power, it could turn your house into a “come loot me” beacon at night. At the same time, your house lighting will ruin the night vision of your LP/OP pickets. Make plans and buy materials in advance for making blackout screens or fully opaque curtains for your windows.
When possible, buy nickel metal hydride batteries. (Unlike the older nickel cadmium technology, these have no adverse charge level “memory” effect.)
If your home has propane appliances, get a “tri-fuel” generator--with a carburetor that is selectable between gasoline, propane, and natural gas. If you heat your home with home heating oil, then get a diesel-burning generator. (And plan on getting at least one diesel burning pickup and/or tractor). In a pinch, you can run your diesel generator and diesel vehicles on home heating oil.
Kerosene lamps; plenty of extra wicks, mantles, and chimneys. (These will also make great barter items.)
Greater detail on do-it-yourself power will be included in my forthcoming blog posts.

Fuels List
Buy the biggest propane, home heating oil, gas, or diesel tanks that your local ordinances permit and that you can afford. Always keep them at least two-thirds full. For privacy concerns, ballistic impact concerns, and fire concerns, underground tanks are best if you local water table allows it. In any case, do not buy an aboveground fuel tank that would visible from any public road or navigable waterway. Buy plenty of extra fuel for barter. Don’t overlook buying plenty of kerosene. (For barter, you will want some in one or two gallon cans.) Stock up on firewood or coal. (See my previous blog posts.) Get the best quality chainsaw you can afford. I prefer Stihls and Husqavarnas. If you can afford it, buy two of the same model. Buy extra chains, critical spare parts, and plenty of two-cycle oil. (Two-cycle oil will be great for barter!) Get a pair of Kevlar chainsaw safety chaps. They are expensive but they might save yourself a trip to the emergency room. Always wear gloves, goggles, and ear-muffs. Wear a logger’s helmet when felling. Have someone who is well experienced teach you how to re-sharpen chains. BTW, don’t cut up your wood into rounds near any rocks or you will destroy a chain in a hurry.

Firefighting List
Now that you have all of those flammables on hand (see the previous list) and the prospect of looters shooting tracer ammo or throwing Molotov cocktails at your house, think in terms of fire fighting from start to finish without the aid of a fire department. Even without looters to consider, you should be ready for uncontrolled brush or residential fires, as well as the greater fire risk associated with greenhorns who have just arrived at your retreat working with wood stoves and kerosene lamps!
Upgrade your retreat with a fireproof metal roof.
2” water line from your gravity-fed storage tank (to provide large water volume for firefighting)
Fire fighting rig with an adjustable stream/mist head.
Smoke and CO detectors.

Tactical Living List
Adjust your wardrobe buying toward sturdy earth-tone clothing. (Frequent your local thrift store and buy extras for retreat newcomers, charity, and barter.)
Dyes. Stock up on some boxes of green and brown cloth dye. Buy some extra for barter. With dye, you can turn most light colored clothes into semi-tactical clothing on short notice.
Two-inch wide burlap strip material in green and brown. This burlap is available in large spools from Gun Parts Corp. Even if you don’t have time now, stock up so that you can make camouflage ghillie suits post-TEOTWAWKI.
Save those wine corks! (Burned cork makes quick and cheap face camouflage.)
Cold weather and foul weather gear—buy plenty, since you will be doing more outdoor chores, hunting, and standing guard duty.
Don’t overlook ponchos and gaiters.
Mosquito repellent.
Synthetic double-bag (modular) sleeping bags for each person at the retreat, plus a couple of spares. The Wiggy’s brand Flexible Temperature Range Sleep System (FTRSS) made by Wiggy's of Grand Junction, Colorado is highly recommended.
Night vision gear + IR floodlights for your retreat house
Subdued flashlights and penlights.
Noise, light, and litter discipline. (More on this in future posts--or perhaps a reader would like to send a brief article on this subject)
Security-General: Locks, intrusion detection/alarm systems, exterior obstacles (fences, gates, 5/8” diameter (or larger) locking road cables, rosebush plantings, “decorative” ponds (moats), ballistic protection (personal and residential), anti-vehicular ditches/berms, anti-vehicular concrete “planter boxes”, razor wire, etc.)
Starlight electronic light amplification scopes are critical tools for retreat security.
A Starlight scope (or goggles, or a monocular) literally amplifies low ambient light by up to 100,000 times, turning nighttime darkness into daylight--albeit a green and fuzzy view. Starlight light amplification technology was first developed during the Vietnam War. Late issue Third Generation (also called or “Third Gen” or “Gen 3”) starlight scopes can cost up to $3,500 each. Rebuilt first gen (early 1970s technology scopes can often be had for as little as $500. Russian-made monoculars (with lousy optics) can be had for under $100. One Russian model that uses a piezoelectric generator instead of batteries is the best of this low-cost breed. These are best used as backups (in case your expensive American made scopes fail. They should not be purchased for use as your primary night vision devices unless you are on a very restrictive budget. (They are better than nothing.) Buy the best starlight scopes, goggles, and monoculars you can afford. They may be life-savers! If you can afford to buy only one, make it a weapon sight such as an AN/PVS-4, with a Gen 2 (or better) tube. Make sure to specify that that the tube is new or “low hours”, has a high “line pair” count, and minimal scintillation. It is important to buy your Starlight gear from a reputable dealer. The market is crowded with rip-off artists and scammers. One dealer that I trust, is Al Glanze (spoken “Glan-zee”) who runs STANO Components, Inc. in Silver City, Nevada. Note: In a subsequent blog posts I will discuss the relationship and implications to IR illuminators and tritium sights.
Range cards and sector sketches.
If you live in the boonies, piece together nine of the USGS 15-minute maps, with your retreat property on the center map. Mount that map on an oversize map board. Draw in the property lines and owner names of all of your surrounding neighbor’s parcels (in pencil) in at least a five mile radius. (Get boundary line and current owner name info from your County Recorder’s office.) Study and memorize both the terrain and the neighbors’ names. Make a phone number/e-mail list that corresponds to all of the names marked on the map, plus city and county office contact numbers for quick reference and tack it up right next to the map board. Cover the whole map sheet with a sheet of heavy-duty acetate, so you can mark it up just like a military commander’s map board. (This may sound a bit “over the top”, but remember, you are planning for the worst case. It will also help you get to know your neighbors: When you are introduced by name to one of them when in town, you will be able to say, “Oh, don’t you live about two miles up the road between the Jones place and the Smith’s ranch?” They will be impressed, and you will seem like an instant “old timer.”

Security-Firearms List
Guns, ammunition, web gear, eye and ear protection, cleaning equipment, carrying cases, scopes, magazines, spare parts, gunsmithing tools, targets and target frames, et cetera. Each rifle and pistol should have at least six top quality (original military contract or original manufacturer) full capacity spare magazines. Note: Considerable detail on firearms and optics selection, training, use, and logistic support are covered in the SurvivalBlog archives and FAQs.

Communications/Monitoring List
When selecting radios buy only models that will run on 12 volt DC power or rechargeable nickel metal hydride battery packs (that can be recharged from your retreat’s 12 VDC power system without having to use an inverter.)
As a secondary purchasing goal, buy spare radios of each type if you can afford them. Keep your spares in sealed metal boxes to protect them from EMP.
If you live in a far inland region, I recommend buying two or more 12 VDC marine band radios. These frequencies will probably not be monitored in your region, leaving you an essentially private band to use. (But never assume that any two-way radio communications are secure!)
Note: More detail on survival communications gear selection, training, use, security/cryptography measures, antennas, EMP protection, and logistical support will be covered in forthcoming blog posts.

Tools List
Gardening tools.
Auto mechanics tools.
Welding.
Bolt cutters--the indispensable “universal key.”
Woodworking tools.
Gunsmithing tools.
Emphasis on hand powered tools.
Hand or treadle powered grinding wheel.
Don’t forget to buy plenty of extra work gloves (in earth tone colors).
Sundries List:
Systematically list the things that you use on a regular basis, or that you might need if the local hardware store were to ever disappear: wire of various gauges, duct tape, reinforced strapping tape, chain, nails, nuts and bolts, weather stripping, abrasives, twine, white glue, cyanoacrylate glue, et cetera.

Book/Reference List
You should probably have nearly every book on my Bookshelf page. For some, you will want to have two or three copies, such as Carla Emery’s "Encyclopedia of Country Living". This is because these books are so valuable and indispensable that you won’t want to risk lending out your only copy.

Barter and Charity List
For your barter list, acquire primarily items that are durable, non-perishable, and either in small packages or that are easily divisible. Concentrate on the items that other people are likely to overlook or have in short supply. Some of my favorites are ammunition. [The late] Jeff Cooper referred to it as “ballistic wampum.” WTSHTF, ammo will be worth nearly its weight in silver. Store all of your ammo in military surplus ammo cans (with seals that are still soft) and it will store for decades. Stick to common calibers, get plenty of .22 LR (most high velocity hollow points) plus at least ten boxes of the local favorite deer hunting cartridge, even if you don’t own a rifle chambered for this cartridge. (Ask your local sporting goods shop about their top selling chamberings). Also buy at least ten boxes of the local police department’s standard pistol cartridge, again even if you don’t own a pistol chambered for this cartridge.
Ladies supplies.
Salt (Buy lots of cattle blocks and 1 pound canisters of iodized table salt.)
(Stores indefinitely if kept dry.)
Two cycle engine oil (for chain saw gas mixing. Gas may still be available after a collapse, but two-cycle oil will probably be like liquid gold!)
Gas stabilizer.
Diesel antibacterial additive.
50-pound sacks of lime (for outhouses).
1 oz. bottles of military rifle bore cleaner and Break Free (or similar) lubricant.
Waterproof dufflebags in earth tone colors (whitewater rafting "dry bags").
Thermal socks.
Semi-waterproof matches (from military rations.)
Military web gear (lots of folks will suddenly need pistol belts, holsters, magazine pouches, et cetera.)
Pre-1965 silver dimes.
1-gallon cans of kerosene.
Rolls of olive drab parachute cord.
Rolls of olive-drab duct tape.
Spools of monofilament fishing line.
Rolls of 10 mil "Visqueen", sheet plastic (for replacing windows, isolating airspaces for nuke scenarios, etc.)
I also respect the opinion of one gentleman with whom I've corresponded, who recommended the following:
Strike anywhere matches. (Dip the heads in paraffin to make them waterproof.)
Playing cards.
Cooking spices. (Do a web search for reasonably priced bulk spices.)
Rope & string.
Sewing supplies.
Candle wax and wicking.
Lastly, any supplies necessary for operating a home-based business. Some that you might consider are: leather crafting, small appliance repair, gun repair, locksmithing, et cetera. Every family should have at least one home-based business (preferably two!) that they can depend on in the event of an economic collapse.
Stock up on additional items to dispense to refugees as charity.
Note: See the Barter Faire chapter in my novel "Patriots" for lengthy lists of potential barter items.

Permalink

« Odds 'n Sods: |Main| Note from JWR: »

Wednesday January 30 2008

Prepare or Die, by J. Britely

Throughout my life I have been caught unprepared several times and while nothing seriously bad happened, it easily could have.  I have been lost hiking.  My car has broken down in very bad neighborhoods - twice.  I have been close enough to riots that I feared they would spread to my neighborhood, been in earthquakes, been too close to wildfires, been stuck in a blizzard, and have been without power and water for several days after a hurricane.   I managed to get myself out of each situation, I thanked God, and tried to learn from my mistakes.  I could have avoided these situations or made them much less unsafe and worrisome if I had been more aware and prepared.  I have also tried to learn from the mistakes of others so as to not learn everything the hard way.  One group I assisted was a two hour drive into the mountains, out of gas, wearing tee shirts, and had empty water bottles (at least they kept them) (I have made each of those mistakes but not all at the same time).