Backcountry Pilot • Survival Gear

Survival Gear

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Re: Survival Gear

Our Offshore Emergency Medicine course happens in half a dozen nautically minded locations and fills every time. Animas Airpark in Durango would probably be the first place I'd want to try it, but I've also talked to the folks at Surfside north of Minneapolis.

We'll see, I think it would be alot of fun to make it happen.
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Re: Survival Gear

An interesting read, and a reminder of why a thick book is priceless as survival gear.

http://www.alaskadispatch.com/article/z ... wilderness

Gump
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Re: Survival Gear

GumpAir wrote:An interesting read, and a reminder of why a thick book is priceless as survival gear.

http://www.alaskadispatch.com/article/z ... wilderness

Gump
I knew Proust had to be good for something...
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Re: Survival Gear

GumpAir wrote:An interesting read, and a reminder of why a thick book is priceless as survival gear.

http://www.alaskadispatch.com/article/z ... wilderness
Gump


You read?
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Lynn Sanderson (Dirtstrip) passed away from natural causes in May 2013. He was a great contributor and will be missed dearly.

Re: Survival Gear

Gotta brand new box of crayons.

Gump
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Re: Survival Gear

That book is the main reason the French are the way they are.
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Re: Survival Gear

GumpAir wrote:An interesting read, and a reminder of why a thick book is priceless as survival gear.

http://www.alaskadispatch.com/article/z ... wilderness

Gump

https://movies.netflix.com/WiMovie/Hey_ ... id=2361637

http://youtu.be/2xCPHQBp6Gg
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Re: Survival Gear

dogpilot wrote:One of the things to consider when you look at your survival gear. You will most likely be injured. I went through a few survival courses with both the Navy and the Air Force. They told you to expect to be injured. Many here are obsessed with guns, well you may not be able to use them. They also taught us, tongue and cheek that we where more likely to hurt ourselves with it than do anything useful. They do come in handy as signaling devices (noise and .38 cal flares). When I was a NOAA pilot doing Arctic research, we where required to carry large caliber handguns, primarily to make noise and scare the bear off (we did actual darting and tagging of them). The common wisdom was to file the front sight off, so when the bear shoved it up your exhaust pipe, it didn't hurt so much.

Things you will most likely need are QuickClot, eye antibiotic, triangular bandage, burn treatments and irrigation fluids (your urine works well on YOUR wounds (it is sterile to you)). Why this stuff? Well lacerations are common, your windscreen shatters and you get plexi in your eyes , you sprain or break bones (typically your wrist and legs, as folks hold onto the controls through the crash and violent feedback of the controls breaks your wrists or thumbs and the rudder will break you leg or ankle). Then, planes burn, surprisingly well.

I have used this ex-Army vest for a long time. It is mesh, so it works in all climates. Has loads of pockets for various small survival items and a spot to put people's precious guns. Well, most of the world does not allow you to have a gun, and this was the case in S. America where I flew a lot and Africa, where I flew even more. Everybody else had guns, just not us (The little pin flares work just as well as a .38 up to 15'). However, when I do carry, I use my S&W Combat Magnum .357/.38. Good power, accurate, shoots flares, makes lots of noise, can kill a deer, or a squirrel with shot shells. You do not have to ever clean it, will always work and any moron can use it. I also carry the little survival gun shown. It is an Armalite .22 made specifically for the Israeli Air Force, to fit in an F4 seat pan. Good luck finding one, they only made a few hundred. It folds up small, holds three mags and is especially accurate and light.

Radios are really nice, but they won't work or the battery will be dead when you need it, or at least it always seems so for me. Spot is a nice touch, again hope it works. I have an old ACR Eprib that is SOLAS qualified and has a 20 year battery, still plugging along. Mirrors and smoke are the best signaling devices and I have a small ACR strobe. Flares seem like they should be good, but I have had friends actually hit the helicopter with them and they failed to notice. The best flares are the 25mm rocket parachute flare. They are big, heavy, expensive and are hard to find now. You can get self contained pop out SOLAS parachute flares that do work.

Lots of the items are climate specific. In Alaska, in the spring & summer you really, really, really want mosquito headnets. The rest of the world, repellent more or less works. In the tropics you want to carry Cipro, Flagyl or Septra DS. All these work on the infections you WILL get from the water. These infections WILL kill you from dehydration and electrolyte loss, not a joke, seen it. You need at least 6-8 oz of water immediately after the crash. You will need to take a pee almost immediately to flush out the stress toxins from the enormous dose of adrenaline you received from your adrenal glands in response to the accident. A small amount of food, like a power bar and some electrolyte powder. You need to concentrate on the 1st 48 hours, cause after that your gonna die (statistics).

I have had friends crash on the ice with a nice, well equipped NOAA helicopter. The pilot was more or less OK, the mechanic had a really healthy (or unhealthy, depends on your point of view) deep gash running the length of this thigh. The first thing that happened was the tail boom broke off and sank in the ice lead. Well that is where the ELT is. They had some old EBC-102's in their pocket. But the signal was bouncing off the hills near Nome and where actually stronger than the signal going straight up. So for days they looked in the hills, not the ice. Luckily WX came in on land and shielded that signal and they finally located the true position and found them. Took 3 days, one more and at least the mechanic would have died.

[pics deleted]

great info, thanks. Any recommendations concerning the eye antibiotic? Amazon link perhaps?
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Re: Survival Gear

Good Discussion

Eye antibiotic is over the counter in Canada, in the U.S. you will need a prescription, which is not hard to get.The oral antibiotics listed would be great for the jungle, Zithromax and Keflex would be good choices for someone sticking to North America.

I disagree on the quick clot. Originally it was designed for blast injuries where diffuse bleeding that was difficult to control. It has mostly failed to accomplish this in the military's experience and thus most army medics have gone back to direct pressure, tourniquets, and packing penetrating trauma with sterile gauze. Something to use as a tourniquet would be nice to have, a triangular bandage would work, but there are some out there that you can put on yourself. Quick clot is not ready for prime time, it is expensive, creates heat when it is applied, and has been found to put clots into circulation that are detrimental to patients. With lots of use in the field the military cannot show any difference in survivability with these products over non clotting bleeding control products. I know it is still being bought by the military, but so is a lot of stuff of dubious value

You can flush a wound with urine, a better idea is drinking water. Whatever you are doing to treat your water for human consumption makes it perfect for wound irrigation. Get a 60 cc syringe from your local ag store, a wound should have a liter of water flushed through it, and then covered with a good dressing.

I am still working on a two day class for pilots, just working on a website and figuring out when and where. Topics will cover 2 different areas:
Preparation for incidents with a good med kit and communications and survival gear.
Medical skills to asses and treat the likely injuries coming from an unplanned arrival in a remote setting, how to call out for an appropriate rescue, and how to deal if that rescue does not come.

Specific Topics will include:
Principles of wilderness rescue
Trauma assessment
Head injury assessment and treatment
Shock assessment and treatment
Spine assessment and treatment
Extrication and stabilization skills
Stabilization of bone injuries, splinting
Patient packaging
Overview of environmental topics including hypothermia, near drowning, hypoxia/altitude, toxins/bites/stings, lightning.
Building a med kit that matches your mission.
Emergency communications options.
Adult CPR

The class should be fun, we do alot of scenarios and keep it interesting. I run courses all over the U.S., Canada, and in Europe as well for a variety of folks, I am looking forward to getting a bunch of pilots together.

Brad
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Re: Survival Gear

Well, it would be nice to have something OTC that at least comes close to meeting the same intent as the eye ointment that has been packaged in mil aircrew survival kits. I'd like to include it in the survival kits that I'll be marketing.

I already have an Israeli bandage as part of the kit as it provides both bandaging and direct pressure with the ability to apply it one handed. (it won't work after sunset on Fridays and other Jewish holidays ......... no, I'm kidding lol)
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Re: Survival Gear

Durango Skywagon wrote:I disagree on the quick clot. Originally it was designed for blast injuries where diffuse bleeding that was difficult to control. It has mostly failed to accomplish this in the military's experience and thus most army medics have gone back to direct pressure, tourniquets, and packing penetrating trauma with sterile gauze. Something to use as a tourniquet would be nice to have, a triangular bandage would work, but there are some out there that you can put on yourself. Quick clot is not ready for prime time, it is expensive, creates heat when it is applied, and has been found to put clots into circulation that are detrimental to patients. With lots of use in the field the military cannot show any difference in survivability with these products over non clotting bleeding control products. I know it is still being bought by the military, but so is a lot of stuff of dubious value


Thanks for this info. My latest data was that it was something like a miracle tool and that vendors were improving formulas, particularly related to heat, but that was several years ago. Thanks for the update.
Last edited by rw2 on Wed Apr 17, 2013 8:21 am, edited 1 time in total.
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Re: Survival Gear

Brad,

Thanks for the update on Quick Clot! I never had to use it on major trauma before. We didn't have it in Africa, so we used the tried and true methods. I only used quick clot for road rash resulting from gravity misunderstandings on bicycles. It really works well on that. If you do a class in Durango, we will defiantly come, excellent restaurants in Durango.

If you want to come to Flagstaff and do a course, I can arrange it at the airport and get it promoted and provide facilities, I am one of the Airport Commissioners. We can get a wide audience from Phoenix, Prescott and Sedona.
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Re: Survival Gear

I'm surprised that people keep talking about Quikclot and how it burned tissue (all true) but then don't consider the current, revised version. It now uses kaolin instead of zeolite to address the burn issue.

There is also Celox. Which, of all places, I saw in WalMart lol (south Florida stinks when it comes to the good places, no REI, no Cabelas, nada, the most comparable is Bass Pro). Then there is also HemCon.

Now some would prefer a pre-treated gauze over powder/granules and I would agree with that. No spill/waste and certainly easier to apply one handed.

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Re: Survival Gear

In cold climates/seasons it's important to have extra hats and mittens, particularly wind proof types. I'm always astonished by how cold I get just standing on a ladder fueling the plane on a cold, windy day, and that's when I haven't been banged up by having had an off-airport unplanned landing. Wind-proof gear is really important during the winter.
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Re: Survival Gear

Well, it would be nice to have something OTC that at least comes close to meeting the same intent as the eye ointment that has been packaged in mil aircrew survival kits. I'd like to include it in the survival kits that I'll be marketing.

I already have an Israeli bandage as part of the kit as it provides both bandaging and direct pressure with the ability to apply it one handed. (it won't work after sunset on Fridays and other Jewish holidays ......... no, I'm kidding lol)


Dosen't matter, I'm a Consertive.
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Re: Survival Gear

Good point on the new formulations, Danpass, for me its still a tool that I don't see the need for, as in my experience the bodies clotting combined with direct pressure of the rescuer or patient has always done the job. Those Israeli dressings are great, there's a new one called an "H" dressing that I like and have used in the field.

Thanks Dogpilot, I'll let you know as it comes together.

Brad
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Re: Survival Gear

danpass wrote:I'm surprised that people keep talking about Quikclot and how it burned tissue (all true) but then don't consider the current, revised version. It now uses kaolin instead of zeolite to address the burn issue.


Brad is spot on with respect to Quickclot (zeolite) and HemCon (chitosan.) I have been fortunate to have sat in on the lectures and the Navy has done some cool studies in this area. There is solid data on the newer Hemostatic agents like CELOX ( also chitosan.) If I remember correctly, the best was the impregnated dressing and NOT the granules.

In a nutshell, CELOX was shown to be "a viable alternative for the treatment of severe hemorrhage" with key here being "viable alternative." The fact is that "well aimed direct pressure" is still just as good with the most important words being "well aimed."

Here is a link to the abstract: http://www.ncbi.nlm.nih.gov/pubmed/18211317

KISS (keep it simple stupid.) Dont stuff a med kit with items you simply dont need. I remember being at a wilderness medical conference where there was a vendor who was all proud of his portable back country ultrasound. I was listening to him bestow the virtues of the device and after his speech, I asked him how my findings were going to change my field treatment. He looked a bit dumfounded.... What he was failing to realize is that the treatment for a hot belly is evac. It doesnt matter what is causing the pain. An ER doc who is used fancy gizmos, bright lights and cold steel is sometimes a worse backcountry medical provider than the 16 year old WFR who has been taught to look at these issues in a binary manner. Severe pain in the abdomen = trip over. Get em out. If your stuck and really cant get out, definitively knowing your buddy has appendicitis is just merely interesting.

What to stuff in an emergency med kit is an age old point of contention. I have sat in a room for over an hour listening to MD's and PHDs debate what drugs are most important. It usually comes down to what their specialty is, but there are a few that are agreed on... A broad spectrum antibiotic for your region, altitude Rx if you are high, and a loading dose of Tyl / NSAIDS for minor pain mgmt so you can suck it up and hike the F out of there.

An important but often overlooked bit of kit for the survival kit is something for the spirit. In our ambulance service we have a tab in the notes called "psychological first aid." I laugh every call, but always give a solid dose. For this reason, I keep a small harmonica, a deck of cards, and two tiny vodka bottles. Nothing will help more when all the chips are down than a game of solitaire, a laugh, and a riotous tune.

I wouldn't get to nutty in the kit. A handful of 4x4s, some bandaids, 4 or 5 rolls of cling, some vet wrap, an ace wrap, two cravats, two or three large safetypins, some 2" medical tape, a trauma dressing, an Israel Bandage (or similar,) your personal Rx if applicable, and a CAT tourniquet (although if your alone and you actually need your tourniquet, its prob not going to do you any good being in your med bag.) Im not sure i would waste my time on eye antibiotic, but if it floats your boat...
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Re: Survival Gear

Speaking of survival gear..... sort of.
We landed in Ft. Myers last night after spending 15 hours in the ass end of a couple of airline flights to do, hopefully, a final inspection of a new(ish) airplane to replace our 35 year old G2. Behind the hotel is a Bass Pro Shop. Today has been designated as get rid of jet-lag day so I headed over to Bass to clear my head. I had to buy a map to find my way out of the place. It makes the big 5 I'm used to look like a freaking mailbox. I'm now safe back in my hotel room.
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Re: Survival Gear

Been looking for a good survival vest and I found this on eBay the other week. Its almost new and was a bargain at $25. I took the harness out and its really light and comfy. Has plenty of pockets and room for more if I need them. Vest is totally adjustable (one size fits all) I havent populated it with any kit since the Skywagon is still not flying yet, but I think this is a good solution for some remote flying. (also fits my SW 357 under the left arm)

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Re: Survival Gear

danpass wrote:Well, it would be nice to have something OTC that at least comes close to meeting the same intent as the eye ointment that has been packaged in mil aircrew survival kits. I'd like to include it in the survival kits that I'll be marketing.

I already have an Israeli bandage as part of the kit as it provides both bandaging and direct pressure with the ability to apply it one handed. (it won't work after sunset on Fridays and other Jewish holidays ......... no, I'm kidding lol)


A number of years ago, I embedded a spruce needle in the cornea of one eye. The wound would be reopened at night as the scab adhered to the eyelid. Docs talked about laser surgery, etc.

I went to a smart eye doc new to town, and he handed me a tiny tube of Muro 128 ointment. Said put some of this goo in your eye just before bedtime. Problem fixed.

Now, anytime I irritate an eye, or they're dry, a bit of that stuff fixes it.

And it's over the counter. Not cheap, but a tiny tube will last a loooong time.

Muro 128. Hard to find in drugstores sometimes, I get it from Drugstore.com.

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