The Dark Reality of First Aid After the SHTF
There's no denying the importance of first aid in urban prepping. Whether a small cut or something worth a call, having the tools to contend with a medical emergency cannot not be understated. But when we push into the dark corners of prolonged disaster, the realities of first aid can become a hard pill to swallow. Tourniquets and bandages be damned, the truth is rather grim.
A Whole New World
While an individual first aid kit (IFAK) can make or break survival in the best of times, many of us prepare for what's beyond. In a true urban survival scenario, emergency services would become nothing more than a history lesson - right along with the hospital and the critical care required to win out against a forever nap. Deep lacerations, penetrating wounds, and blunt force trauma all require medical intervention to respond and repair. Breezing past the inevitabilities of surgury, infection becomes an issue far greater than most are equipped to contend with, even with a pocket full of mox. So, what happens once we've done our best?
It's a Downhill Battle
Out and about, your partner manages to invite a piece of scrap to his leg. No amount of wound packing or pressure can slow the bleed, so you opt for a tourniquet. You slowly loosen the TQ after an hour and a half later to check the flow, but come up from the wound with a fresh coat of paint. The wound has picked up more bacteria than your tourniquet, permanent tissue damage is well underway, and the artery is in clear need of repair.
The End of the Line
No matter who you consult, the instruction remains the same: start a course of antibiotics in the field, and seek immediate medical attention for serious injury. End of the line texts like 'Where There is No Doctor' will tell you the same, so where does that leave us when the hospitals are down and the doctors are away? Well, for those of us who lack the surgical skills and resources required to contend with life-altering injuries, our long story would be cut rather short. At least it's tidy. So, as you prepare for the unknowns ahead, be sure to approach them with an honest assessment of how bad things can get (see: American Civil War). You only get one chance to do things right, so prepare yourself and your team accordingly.