Speaker 1: It's like a bunch of different illustrations of dictators all done.
Speaker 1: It's like little anime chicks. So they're all hot, so
Speaker 1: like pol Pot's this like sexy girl and a throat
Speaker 1: of skulls. But Tito they made into a milf like
Speaker 1: she's got all of her kids around her. It's the
Speaker 1: only it's the only one with kids. Um. I don't
Speaker 1: know why they picked Tito for that, but it does
Speaker 1: kind of work. This Is It Could Happen Here a
Speaker 1: podcast about which anime war criminals are hottest and it's idiomine. Actually,
Speaker 1: the idiomine in that book is pretty pretty pretty smoking
Speaker 1: as a like wearing black lingerie on a throne of skulls. Okay, nice,
Speaker 1: just kissing you make it in No, no kissinger all
Speaker 1: all like like world leaders. Um I would I would
Speaker 1: argue that, but he does not make the book. No,
Speaker 1: It's sad tragic anyway. This Is It Could Happen Here
Speaker 1: podcast Things Falling Apart and other stuff. I'm here again
Speaker 1: with my buddy James. James. Hi, Hi, Hi one. Which
Speaker 1: dictator do you think would be hottest? They were like
Speaker 1: gender ben Yeah, yeah, I don't know. I'd have to
Speaker 1: go for like one of the old timey ones press,
Speaker 1: one of the one of the one of the one
Speaker 1: of the os. Yeah. I think Kauzar Nikki had nothing
Speaker 1: to do but like look hot and he was a
Speaker 1: big workout guy. Yeah, big workout, got nice to rip,
Speaker 1: nice nice outfits, tight trousers. I think I'd probably go
Speaker 1: with him. Yeah that that scans now which was hottest
Speaker 1: as they were? Like, which is the most fuckable war criminal?
Speaker 1: That's a tough one. I'd probably have to think about that,
Speaker 1: I know, not a coming to mind. Actually, oddly that
Speaker 1: Stalin pictures of fake Yeah, not not not nearly. Actually
Speaker 1: that's sexy. Um, Joseph the Stallion, I gotta go. I
Speaker 1: gotta go with Saddam Hussein. Yeah, that's true. He has
Speaker 1: a sort of full mustache and it's good that mustache.
Speaker 1: Fox James, we should probably talk about something that's not
Speaker 1: which dictators are most falcable UM. Today we're going to
Speaker 1: chat about he fat courses UH, and about emergency UM
Speaker 1: and particularly like combat medicine, which is a more relevant
Speaker 1: topic for a lot of people. In the wake of
Speaker 1: a couple there's a mass shooting at a protest in Portland. Uh,
Speaker 1: there's been a whole lot of threats made against LGBT people. Uh.
Speaker 1: Jack poss O Biak launched a T shirt that was
Speaker 1: basically threatening a mass shooting at Disney World. All sorts
Speaker 1: of fun ship has been happening. Yeah, it does seem
Speaker 1: like we're aspiringing towards the end of times. Yeah, it
Speaker 1: certainly seems if you want to be less, you know,
Speaker 1: apocalyptic than that. It certainly seems credible to say that
Speaker 1: there's a pretty good chance people there are people listening
Speaker 1: to this who have not been present at a shooting,
Speaker 1: who will be present at a shooting at some point
Speaker 1: in their lives. Yeah. And I think given that, it
Speaker 1: doesn't make sense to like, I'm joking about the end
Speaker 1: of times, right, Like we shouldn't panic and things. We
Speaker 1: should think about ways we can protect each other and
Speaker 1: keep each other safe. Yeah. So what is a he
Speaker 1: FAT course because you recently went through. Yeah, so he
Speaker 1: FAT is an acronym right Hostile Environment First Aid training. Um,
Speaker 1: it's a British thing. I think that's the syllabus I
Speaker 1: believe is standardized by the government in the UK. So
Speaker 1: most of the courses you'll find are in the UK
Speaker 1: clustered around Hereford for pretty obvious reasons, but that there
Speaker 1: are there are a couple in the United States, and
Speaker 1: there are some in other countries too, And it's for journalists,
Speaker 1: aid workers and geo staff and anyone else who's working
Speaker 1: in an environment that would be considered like high risk
Speaker 1: or hostile and out to your point, that includes most
Speaker 1: of the United States at the minute, right, Yeah, well,
Speaker 1: I mean we are in this funds place where literally
Speaker 1: any moment could turn into a situation with the intensity
Speaker 1: of of a low density war zone. Yeah, I mean,
Speaker 1: we have more weapons and than most war zones, and
Speaker 1: also people who think it's okay to kill other people
Speaker 1: because they like Mickey Mouse, and it does seem like it,
Speaker 1: like you said, it is more likely that we will
Speaker 1: see more shootings, even bombings and that kind of thing.
Speaker 1: Like we can't say for sure, but yeah, now you
Speaker 1: you have done some of the same kind of work
Speaker 1: that that I and some other colleagues of ours have done,
Speaker 1: you know, in in hostile environments, difficult places prior to
Speaker 1: going through this course. Obviously, when we're talking about like
Speaker 1: what sort of first aid skill should people have, the
Speaker 1: most basic stuff is like how to apply a tourniquet,
Speaker 1: which we'll talk about a bit more later, how to
Speaker 1: um if it's not because tourniquets are really only for extremities,
Speaker 1: you know, you can't really turniquet a gut wound or whatever,
Speaker 1: and so for that it's more like packing it but outside.
Speaker 1: So I'm going to assume you had your more than
Speaker 1: your share of experience with that kind of stuff. What
Speaker 1: did you learn new going through this course? Like, what
Speaker 1: was the stuff that emphasized that's kind of beyond the basics? Yeah, so, um,
Speaker 1: the stuff I've done before has been some of that
Speaker 1: basic start the bleed stuff and then a fair amount
Speaker 1: of wilderness medicine stuff, so some of the improvised stretches
Speaker 1: and stuff I was familiar with. I enjoyed some of
Speaker 1: the releases they did, Like I'm not talking about like
Speaker 1: necessarily like a hand to hand combat or open hand combat,
Speaker 1: but like ways to release yourself in a non violent fashion.
Speaker 1: I thought that was very good. Ways to move through crowd.
Speaker 1: I found that very interesting. And we did a lot
Speaker 1: around how to move under fire, how to react around explosives,
Speaker 1: how to react around indirect fire, and most of that
Speaker 1: had already covered, and then some of the stuff around
Speaker 1: hostage situations, to include a simulated a hostage situation where
Speaker 1: you're blindfolded or hooded and sort of ask questions and
Speaker 1: poked with a blank firing weapon. As such, I think
Speaker 1: it's really good. You can't really have enough fix what
Speaker 1: you can have too much experience for that, but to
Speaker 1: simulate that and as realistic as setting as possible I
Speaker 1: found was super helpful. So I think, yeah, I think
Speaker 1: that was probably the most interesting thing for me now
Speaker 1: when it comes to what kind of training people can get,
Speaker 1: because the heath had courses a couple of thousand bucks,
Speaker 1: which is beyond I know. We have some colleagues listening,
Speaker 1: and I think it's a good thing for people who
Speaker 1: are going to do this kind of journalism to consider,
Speaker 1: or if you're in you know, an aid worker or
Speaker 1: someth someone who is going to be going into these
Speaker 1: situations for a living, that's but for a normal person listening,
Speaker 1: it's probably more than you're likely to want to get
Speaker 1: um or have the resources to get. So what what
Speaker 1: people because because especially in the wake of shooting is
Speaker 1: pretty much any time there's a mass shooting or violence
Speaker 1: at a protest, I will tweet about I FAX again
Speaker 1: and I FACT is an individual first aid kit. It's
Speaker 1: what like every soldier is supposed to have on their
Speaker 1: belt or on their plate carrier. And it generally consists
Speaker 1: of what are called and this is when people ask
Speaker 1: like what should I get to be ready for a
Speaker 1: shooting UM. Generally it consists of consists of two chest seals.
Speaker 1: These are called eclusive dressings. They're basically like kind of
Speaker 1: sheets of adhesive plastic. I would say that you like
Speaker 1: put over if you get shot in like the lungs,
Speaker 1: you your lungs kind of depressure rise UM, and that's bad.
Speaker 1: I'm not a I'm not a biology expert, but you're
Speaker 1: not supposed to have a whole three year lungs UM.
Speaker 1: And one of the things that you do to treat
Speaker 1: that immediately is you put this kind of addressing over it,
Speaker 1: which stops the lung from collapsing basically UM. So that's
Speaker 1: one thing you'll find it an IFAC. You'll also find
Speaker 1: what's called a combat tourniquet. There's a bunch of kinds
Speaker 1: of tourniquets. UM. I was doing a stop the bleed course.
Speaker 1: We'll talk more about that in a bit, but that's
Speaker 1: the thing everyone should do, like in terms of you know,
Speaker 1: he fat is kind of more advanced and for people
Speaker 1: who are going to professionally put themselves in shitty situations. Um,
Speaker 1: stop the bleed is for everybody. And one of the
Speaker 1: things I was having a chat with people who were
Speaker 1: teaching them, we were doing a little meeting, um, and
Speaker 1: one of the things that was brought up people always
Speaker 1: talk about, well, I wear a belt in case I
Speaker 1: need to make a tourniquet or this or that, and
Speaker 1: virtually never works, like close to zero percent success, right, Um,
Speaker 1: even when it's someone who's trained and experience providing tourniquets,
Speaker 1: like random ship does not make a good tourniquet. Tourniquets
Speaker 1: make good tourniquets. Yeah, they're more that easy to carry.
Speaker 1: They don't cheap, right, But on the same you shouldn't
Speaker 1: cheap out on them either, right, Like we've I know
Speaker 1: we've talked about this on Twitter, and I know, like
Speaker 1: Amazon sales m they also had a problem with selling
Speaker 1: fakes sort like North American Rescue I think it's called
Speaker 1: emergency rescue. I'll give you something. Yeah, North American Rescue
Speaker 1: is really good one of the so yeah, rescue essentials.
Speaker 1: So what a combat tourniquet is, because there's different. Some
Speaker 1: tourniquets are just like a plastic band almost almost like
Speaker 1: if you go to a gym, those things that people
Speaker 1: like wrap around their legs to do squats or something
Speaker 1: or lifts. It's kind of like it looks a little
Speaker 1: like that. Um and those Yeah, obviously like those can work,
Speaker 1: but they're not nearly a combat tourniquet is. Basically it's
Speaker 1: a little um like kind of nyloni fabric belt thing
Speaker 1: that you strap around and you tighten it um and
Speaker 1: velcrow it tight and then there's something called a windless,
Speaker 1: which is basically a metal or plastic stick that you
Speaker 1: then twist around. Uh, and that twisting action when you
Speaker 1: twist it, that's going to tighten it and that's going
Speaker 1: to stop the artery from bleeding. Um. And then you
Speaker 1: lock it into place. There's a little place to lock it.
Speaker 1: And so when you get a cheap tourniquet, it generally
Speaker 1: means the windlass is made out of something flimsy or
Speaker 1: the fabric at hearing the windlass to the belt thing
Speaker 1: is not very good and it will break when being tightened. Yeah,
Speaker 1: and you don't want what you don't want to do
Speaker 1: is not have enough pressure, have sort of weird pressure,
Speaker 1: because what you're going to do tomorrow, I'm not that
Speaker 1: kind of doctor. Right, is you can cut off the
Speaker 1: venus return and not the arterial flow, and that's what
Speaker 1: you can give yourself compartments in direct right. I just
Speaker 1: wanted to backtrack quickly, and we're talking about how expensive
Speaker 1: he facts are. If people are listening and they are
Speaker 1: in that kind of line of work. The International Women's
Speaker 1: Media Foundation is doing free he FAT courses for women,
Speaker 1: gender nonconforming, non binary people, and I gotta I got
Speaker 1: a grant from the Rory Peck Trust to go and
Speaker 1: do mind so for journalists. Both those are really only
Speaker 1: for journalists, and media really encourage people to apply. Yeah, UM,
Speaker 1: and that's that's great information because if you can, even
Speaker 1: if like your journalism has been sort of like citizen
Speaker 1: journalism where you're showing up at a protest and you know,
Speaker 1: taking pictures or whatever, UM, give it a shot. Like
Speaker 1: if you like, the more people who have this kind
Speaker 1: of training, UM, as a general rule, the better. UM.
Speaker 1: When it comes to stop the bleed, courses are generally
Speaker 1: going to be much more available. Some of them are
Speaker 1: operated as charities and we'll give out an I fac
Speaker 1: or something at the end. Some of them have a
Speaker 1: nominal fee. It kind of depends on where you are.
Speaker 1: I've seen both. Portland has a lot of stop the
Speaker 1: bleed courses, which is why when we had our most
Speaker 1: recent mass shooting at a protest um more people didn't
Speaker 1: die because folks had equipment and we're ready. Um, you're
Speaker 1: you should expect to spend about thirty bucks generally on
Speaker 1: a combat tourniquet um, sometimes twenty, but like the good
Speaker 1: ones are all about thirty. Um. I would shoot for
Speaker 1: something with a metal windless that's generally assign Again, there's
Speaker 1: like Rescue Essentials and a couple of other brands that
Speaker 1: are reliable. But it's called a Tactical Committee on Combat Care,
Speaker 1: which is the government finding thing it so like if
Speaker 1: you let them do the research so you don't have to.
Speaker 1: They provide a list of cornic tornic case torn cats.
Speaker 1: The one that most people have is that could cat
Speaker 1: right combat application tornic. If you get that, even if
Speaker 1: it's not the best one or the smallest lights or whatever,
Speaker 1: every that's the one most people train with. They know
Speaker 1: how to use and I think you've said this before, like,
Speaker 1: even if you don't know how to use it, if
Speaker 1: you are in a situation where it's needed and you
Speaker 1: just say I have this, have a tornic that someone
Speaker 1: might take it and use it. So Yeah, and it's
Speaker 1: it's like, it's okay if you panic, as long as
Speaker 1: you get that into the hands of somebody who can
Speaker 1: use it. But it's also important if you're going to
Speaker 1: carry it to train with it. I heard when I
Speaker 1: posted about this recently, someone said that they and their
Speaker 1: friends have a game where when they're like hanging out,
Speaker 1: somebody will toss a tourniquet at someone else and say, like,
Speaker 1: you know, right arm or something like that, right arm
Speaker 1: above elbow or something like that, and they'll have to
Speaker 1: apply the tourniquet and get it on as quickly as
Speaker 1: they can in that place, which is a good game.
Speaker 1: You're not going to like in twenty or thirty seconds.
Speaker 1: Like you know, you don't have to like injure yourself
Speaker 1: doing it, but you can you can get it on
Speaker 1: and get familiar with the motions and build like a
Speaker 1: competence with it. Yeah, work out when you're going to
Speaker 1: last through the limb and when you're gonna take it
Speaker 1: off and go all the way around. But I think
Speaker 1: standardizing one thing certainly among you and your affinity group
Speaker 1: or your friends is probably a good move. Yeah. Yeah,
Speaker 1: And it's it's one of those things the kind of
Speaker 1: injuries that tourniquets are most needed for our like arterial
Speaker 1: bleeding um, which is the kind of thing that if
Speaker 1: you don't get a tourniquet on that you're dead um
Speaker 1: very quickly, Like people will bleed out in seconds, sometimes
Speaker 1: from like a femoral Yah, you've seen an arterial bleed,
Speaker 1: and I'm sure that I know I have. I'm sure
Speaker 1: you have. You know that that person has an arterial
Speaker 1: bleat I that is a pressurized gushing of blood. It's
Speaker 1: like bright the blood arterial bleeding. It comes out in spurts,
Speaker 1: and it is like bright. It is not it does
Speaker 1: not look like when you cut your finger the blood
Speaker 1: tends to unless you're really cutting the ship out of
Speaker 1: that figure. Yeah. Yeah, you. And one of the things
Speaker 1: we did at this course, which is called at You
Speaker 1: is they had like a simulated arterial bleeds and the
Speaker 1: person was wearing it like a camelback, and then they
Speaker 1: had like a hose pipe and it was just gushing
Speaker 1: out and then you could actually sinch down on it
Speaker 1: right with the strap and that actually stopped. Now, I
Speaker 1: mean when it comes to like more advanced bleeding care,
Speaker 1: because there's some wounds where number one, if it's like,
Speaker 1: for example, too high up in your like crotch or something,
Speaker 1: you know, you're not necessarily going to be able to
Speaker 1: get a cat up there. Sometimes people will literally hold
Speaker 1: the artery closed like that is a thing that and
Speaker 1: that is more advanced certainly, um, but it is. It
Speaker 1: is also like the physics of this are very basic.
Speaker 1: If you can figure out where blood is coming from
Speaker 1: and close is that blood will stop coming out, right, Like,
Speaker 1: that's the principle of all immediate wound care for that
Speaker 1: kind of thing. Yeah, there's an acronym that you use,
Speaker 1: right Dr March, which we can go over and danger right. So,
Speaker 1: and I think this is the thing that often gets
Speaker 1: forgotten actually, especially if you're doing like somebody's start to bleed,
Speaker 1: which is focused on first aid rather than specifically in
Speaker 1: kind of combat care. But if you get hurt, not
Speaker 1: only are you useless of that person, not only are
Speaker 1: you hurt If someone comes to help, Now they have
Speaker 1: to think about which person they're going to help. Right,
Speaker 1: is how much harder to carry two people than one person?
Speaker 1: So don't do that? Uh? And then response right, so Robert,
Speaker 1: I see you've been shot. Doesn't look great? You okay?
Speaker 1: And then massive bleed, airway respiration, check head to toe
Speaker 1: and then hypothermia and you know one of the things
Speaker 1: that is so like a combat turner kit, you just
Speaker 1: generally you can keep it in like a kit. It's
Speaker 1: also fine to keep it loose in your pocket. You
Speaker 1: are not worried about sterility when you are applying a tourniquet.
Speaker 1: It does not matter if you get shipped in the
Speaker 1: wound like because they will note they'll be dead in
Speaker 1: a minute if you don't get the tourniquet on um anyway, right, yeah, yeah,
Speaker 1: you're not putting it in or whatever like it. So yeah,
Speaker 1: so that's that's one kind. And that's again you're talking
Speaker 1: about extremities, right. You can't put a tourniquet on the
Speaker 1: neck because that would kill the person. Um. You would
Speaker 1: use an inclusive a lot of times on the neck,
Speaker 1: especially if like the airway gets Again, this is stuff
Speaker 1: that you would you would get in to stop the
Speaker 1: bleed course, and I recommend people for that. So we're
Speaker 1: not going to go over treatment outside of like these basics,
Speaker 1: but we'll talk about like you should have an inclusive dressings.
Speaker 1: Two is what most effects come with. People I know
Speaker 1: who have responded to shootings say you want more like
Speaker 1: four because they are a lot wind up getting used. Yeah,
Speaker 1: I think about I think those spectly chest seals and
Speaker 1: something that I've been told by people with a lot
Speaker 1: more experience than me. It's like when you're dealing with
Speaker 1: a military setting, most people have their chest covered with plates, right,
Speaker 1: and plate carries, and a civilian setting most people want
Speaker 1: so gonna see a lot more of these like a
Speaker 1: sucking chest wounds or penetration of the thoracic cavity. So yeah,
Speaker 1: and in that setting, and they are very small, right,
Speaker 1: you can put them into back pocket of your skin
Speaker 1: e geet to, no one would notice. So another kind
Speaker 1: of thing that you'll find in an I fact that's
Speaker 1: useful is combat gauze. So there's two types of gauze
Speaker 1: that you'll get in kits. One is just gauze, which
Speaker 1: you know what gauzes um most wounds if they are
Speaker 1: not life threatening packing with gauze and wrapping is perfectly
Speaker 1: sufficient at least for immediate care. But combat gauze is
Speaker 1: impregnated with a thing called cell locks, which is our
Speaker 1: little granules. You can actually get them, just as the powder.
Speaker 1: You shouldn't because it's it's not going to be useful
Speaker 1: to you as a random person. UM. You should get
Speaker 1: it in gauze, like impregnated into gauze. But it's made
Speaker 1: from ground up crustacean shells and it basically makes blood
Speaker 1: clot very quickly. UM survivability of arterial wounds in combat,
Speaker 1: which was extremely low before cellos jumped to something like
Speaker 1: or so like. It's it's pretty remarkable the degree to
Speaker 1: which it's made certain, particularly like for moorl bleeds survivable UM.
Speaker 1: And it can be used if you've got like a
Speaker 1: serious arterial bleed. It will often be used in conjunction
Speaker 1: if it's on an extremity with a tourniquet UM. But
Speaker 1: you can just use it to pack a bleeding wound.
Speaker 1: And if you pack it and apply pressure, sometimes you'll
Speaker 1: pack the combat galls into there and then add other
Speaker 1: gals outside of it. Like. But it's it's most wounds
Speaker 1: that are bleeding aren't going to require sellock scaus and
Speaker 1: it's pretty expensive, but it's another really useful thing to
Speaker 1: have if there is like an arterial bleed. Yeah, I
Speaker 1: think actually the where we first I think Kalin might
Speaker 1: be what the stuff is called. I believe it comes
Speaker 1: from indigenous practices using it to stop bleeding. But yeah,
Speaker 1: it comes in a small package. Quicklot is the normal brand,
Speaker 1: And yeah, it's a lot of what we've learned about
Speaker 1: stopping arterial bleeds has come from twenty years of war, right,
Speaker 1: And they're obviously a lot of town sites, but yeah,
Speaker 1: learning about how to stop those things is one of
Speaker 1: the things that has got a lot better in the
Speaker 1: last dec aid or so. That's another thing. And you
Speaker 1: can always buy these kids pre made. A lot of
Speaker 1: people make various premate kids. Yeah, you can google i
Speaker 1: fac and make sure it's you know, rated, well, Dottle,
Speaker 1: do your research. Um, we've mentioned some brands here, but
Speaker 1: like it's not hard to find I Fax. They're they're
Speaker 1: made constantly And it's one of those things we talked
Speaker 1: on this show about being armed and whether or not
Speaker 1: people should should have firearms, and I'm broadly supportive of
Speaker 1: of particularly threatened people having guns. But there's downsides to
Speaker 1: having a gun. Um, a number of them. We don't
Speaker 1: need to get into the statistics, but there are a
Speaker 1: bunch of downsides to being armed. There's no downside to
Speaker 1: having an I FAC and keeping one in your car,
Speaker 1: keep one in your backpack, you know. Um, there's absolutely
Speaker 1: no way you will have a negative experience as a
Speaker 1: result of the fact that you keep an eye fact
Speaker 1: on you and it might save somebody's life. Yeah. I
Speaker 1: have a little ankle holster um that I use when
Speaker 1: I'm working in places where we wouldn't look very you know,
Speaker 1: it would look off to have it on my belt. Uh,
Speaker 1: And I don't want to carry backpack, maybe I need to.
Speaker 1: It's wrapped around my ankle. And it has a tiny
Speaker 1: combat dressing which you haven't really talked about Jesse Seal Tornique.
Speaker 1: And it doesn't have the quick clot but the combat
Speaker 1: dressing has its own goals. Yeah, we can talk about
Speaker 1: that in a second. But like I just have like
Speaker 1: I have a couple of effects. But also just in
Speaker 1: all of my light jackets because you know Oregon, usually
Speaker 1: you can wear some sort of jacket. I just have
Speaker 1: a bunch of cats and quick clot gauze packets just
Speaker 1: kind of scattered around, like there's nearly always something just
Speaker 1: in my pocket or in the center console in my car,
Speaker 1: um in addition to the actual packed I fax and
Speaker 1: yeah it's handy. Um, it's just good to have around.
Speaker 1: It never hurts to have more of that stuff, or
Speaker 1: you have the means or you know, if you are
Speaker 1: in a situation where something horrible has happened, right like
Speaker 1: what happened in Portland, if you in your truck have
Speaker 1: three or four of those and you can just be
Speaker 1: to go, go go. Does anyone know how to use these?
Speaker 1: Use these if they're in your backpack when you're at
Speaker 1: a protest, like, you could potentially save several lives. So
Speaker 1: if you have the means, said, give them to strangers.
Speaker 1: Like it's not like it's not like a gun, right,
Speaker 1: Like you can't end your life with it with quick clot. Yeah,
Speaker 1: so yeah, I would. It's a thing that everyone should
Speaker 1: feel good about having. We should note again you wouldn't
Speaker 1: want to use quick clot on a wound that was
Speaker 1: not serious, because there's some concept like it burns. It's
Speaker 1: it's kind of nasty stuff in some ways, Um, it
Speaker 1: can cause some complications for for like when the E
Speaker 1: M T s get there, Um, it's often recommended that
Speaker 1: you keep the packaging and give it to them. But
Speaker 1: if it's if someone is clearly going to bleed to
Speaker 1: death like that, then that then that's when you use
Speaker 1: quick clot And if you're questioning whether or not a
Speaker 1: wound is serious enough that someone might bleed to death
Speaker 1: from it, assume they will. Right like air On the
Speaker 1: side of that, if you're wondering is that a deadly bleed,
Speaker 1: you're probably should probably treat it as if it is. Yeah,
Speaker 1: I mean you're always better of keeping more blood inside
Speaker 1: the person, right Yeah with that, Yeah, I've been told
Speaker 1: to tape that to the person, and the same with
Speaker 1: the torn Right, we should say that there will be
Speaker 1: blood around. You can put a t on their forehead
Speaker 1: with the blood. It's pretty normal and that works in
Speaker 1: almost any language. And then you want to write the
Speaker 1: time it was applied to and again you can do
Speaker 1: that with the blood. But I have a half sized
Speaker 1: sharpe that often comes in those kids. Yeah, And it's
Speaker 1: one of those things like assuming it kind of is
Speaker 1: dependent on your situation. Whether or not you'd likely to
Speaker 1: have the time to mark that before the e m
Speaker 1: T s arrive. But it is one of those things
Speaker 1: even if it's even if your first responding is a
Speaker 1: minute and a half or two minutes with a serious bleed,
Speaker 1: that can be the difference between life and death for somebody. Yes, absolutely, yeah, yeah,
Speaker 1: And it's different what you do when carry than coming
Speaker 1: to what you do when carrey is coming. But the
Speaker 1: first steps are not right stop the blood coming out
Speaker 1: of the person. So we should probably talk about combat
Speaker 1: dressings a little bit. Yeah, yeah, there are several types.
Speaker 1: The one I've had suggested that I prefer, I think,
Speaker 1: I don't know how it's pronounced. It's O l A
Speaker 1: yes olas dressing and has a little eye cup in
Speaker 1: it as well, which you can use for in injuries.
Speaker 1: Like and someone more of qualified than me to teach
Speaker 1: you how to do that. I don't need to get
Speaker 1: into that. Yeah, but it's it's a pad with gores
Speaker 1: in it and then a sort of ace bandage, right,
Speaker 1: And what it does is is provides compression and obviously
Speaker 1: like an absorbent goals, you can also pull the goals out.
Speaker 1: A fun thing to do is to find an expired
Speaker 1: one and pull all that goals out and there is
Speaker 1: just an unfathomable amount of gores there. So you can
Speaker 1: use that to pack a wound, and practicing packing a
Speaker 1: wound is also something that you can do. They're like
Speaker 1: little little bottles. Yeah. The team I know who does
Speaker 1: stop the bleed courses will take phone rollers and cut
Speaker 1: holes in them and use that as like to so
Speaker 1: you can and you can do different sizes, right, you
Speaker 1: can actually just like get a knife and like jam
Speaker 1: at its stab at a bunch and like use those
Speaker 1: as different practice wounds. Yeah, it's a good idea. Can
Speaker 1: you pack with two fingers? You know more than that
Speaker 1: even one finger? People can pack with one finger, So
Speaker 1: like what this dressing does is opposite. It's sometimes they're
Speaker 1: called is rarely bandages, olas bandages. They often come in
Speaker 1: like a tan package the Israeli once. Yeah, yeah that's right. Again,
Speaker 1: like I would buy that from a reputable source and
Speaker 1: they come in various sizes. Emergency dressing is another name,
Speaker 1: and yeah, those are great for things where you don't
Speaker 1: need to use quick clot where you may not need
Speaker 1: yees significant bleeding but not like immediately life threatening. Yeah,
Speaker 1: in some area as well like sometimes in the forearm, right, Like,
Speaker 1: it can be hard because of these bones structures to
Speaker 1: get the tornic a to work, So like you might
Speaker 1: be able to use that start the name might have
Speaker 1: to use quick clot right, but like having those options
Speaker 1: is important. And again they're pretty small, probably the cheapest
Speaker 1: of the things we've suggested so far as well. And
Speaker 1: again and then then they make giant ones from abdominal
Speaker 1: wounds to um and so like, I actually have one
Speaker 1: of those in my truck, have a bunch of more
Speaker 1: stuff in my truck. I wrote a piece about the
Speaker 1: first aid kit for your vehicle, which might ve look
Speaker 1: slightly different, right if you imagine again, like we've talked
Speaker 1: about shootings, but car accidents. That's that's when I the
Speaker 1: only time I've had to use those dressings of in
Speaker 1: car accidents. It helped pull a fucking dude out of
Speaker 1: a truck that flipped on the way outside of Los
Speaker 1: Angeles during a rainstorm. And it's like whole fucking like
Speaker 1: right here in his hand had been gouged open where
Speaker 1: like the it was quite a bit of blood. Um.
Speaker 1: But yeah, like that that's a bit. It's not all
Speaker 1: just like action movie ship like it's something you should
Speaker 1: keep on you because there's a wide variety of things
Speaker 1: that can cause people to bleed a lot. Yes, exactly. Yeah, yeah,
Speaker 1: and I think we are we always underestimated risk of
Speaker 1: these drivings by the most dangerous thing most people do.
Speaker 1: And yet having that in your car, you know, you
Speaker 1: don't have to worry so much about carrying it. It
Speaker 1: can just always be there. Don't leave it where it's
Speaker 1: going to bake in the sun if you're in a
Speaker 1: hot place. But yeah, again, the potential for you saving
Speaker 1: a stranger's life or a friend's life. Yeah, he's high. Yeah,
Speaker 1: keep it in a center console, keep it in a trunk,
Speaker 1: you know, keep it in a trunk alongside a machette
Speaker 1: in a golf club. You know, you're always ready for
Speaker 1: anything with that. I'm never ready for golf. But aside
Speaker 1: from that, i'd be Oh, I wasn't saying for golfing. Yeah.
Speaker 1: For crime, exactly. For crime. Medical actually make a read. Yes,
Speaker 1: they make a lovely vehicle first aid kit and the
Speaker 1: very nice people to so yeah that that's want to
Speaker 1: look into. And they also do the bags. I have
Speaker 1: a mystery runch bag that also clips onto it. Replaces
Speaker 1: the hood or my backpack, and I have that in
Speaker 1: my truck and then if I'm going out, especially when
Speaker 1: I'm going out climbing, I'll just click that on and
Speaker 1: have a slightly different kit that I take just for climbing.
Speaker 1: But that's one of those scenarios where like, you could
Speaker 1: hurt yourself climbing, and even if people are coming very quickly,
Speaker 1: it's going to take you a while, right and thinking
Speaker 1: another thing, I would be prepared to self rescue. That's
Speaker 1: part of why you bring that kind of stuff. Self
Speaker 1: rescues a massive part of climbing, right, learned learning the
Speaker 1: lots sing the transfer of learning, the ways that you
Speaker 1: can get yourself off of one of you hurt yourself
Speaker 1: on the wall. And the American Alpine Club actually publishes
Speaker 1: a thing called Accidents in North American Climbing and climb
Speaker 1: this Okay, this person sunked up at this, and they
Speaker 1: did this and this and this, and they were okay,
Speaker 1: they weren't okay. So I think that's a very good
Speaker 1: practice learning from other people. And with that, a big
Speaker 1: thing that you focus on a wilderness medicine is rather
Speaker 1: than what can I bring with me, what do I
Speaker 1: have to already have with me, and how can I
Speaker 1: use that? Right? So, uh, for instance, you need to
Speaker 1: splin a leg, right you have a broken leg using
Speaker 1: a sleeping pad or something which already has its redd
Speaker 1: sleeves to do that. And that's something that like I
Speaker 1: don't want to obviously advise people too much. Yeah, I
Speaker 1: don't want to, like because again, so the difference this
Speaker 1: is useful. People should be thinking about this UM when
Speaker 1: it comes to emergency first aid, Like somebody was a
Speaker 1: broken leg. If you're not, like, there's no real response
Speaker 1: that you should like, that's not what stopped the bleed
Speaker 1: is for right, like UM. One one of the nice
Speaker 1: things about emergency medicine like this, like when you're talking
Speaker 1: about someone is bleeding to death, is that one of
Speaker 1: the ways I guess that you can you can you
Speaker 1: can separate the two kinds of like first responding, because
Speaker 1: there's the first responding where you can make it worse
Speaker 1: and if you like, somebody like breaks a bone or
Speaker 1: something and you can make that worse arterial. But yes,
Speaker 1: but if somebody has an arterial bleeding, you can't make
Speaker 1: that worse. There. It's the same thing with like UM
Speaker 1: chest compressions right when you get trained as an e
Speaker 1: M T. One of the things they'll point out is that, like,
Speaker 1: you shouldn't use UM an A E D on an infant,
Speaker 1: but you do because if they needed they're dead and
Speaker 1: in that case, Yeah, I think it's important. Also in
Speaker 1: the thing I didn't mention that I found very helpful
Speaker 1: about this court, some of the sort of psychological aspects
Speaker 1: of this is to remember that if you do find
Speaker 1: yourself in this situation and you try and help and
Speaker 1: that person dies anyway, then you did your best right
Speaker 1: and that is of value. Like I've been in situations
Speaker 1: where I've tried to help someone and they've died anyway,
Speaker 1: and I think just remembering that, like that person hadn't
Speaker 1: something terrible happened to them, and that your help didn't,
Speaker 1: you know, like you tried your best to give this
Speaker 1: that person at the chance it is not. If you
Speaker 1: are responding to somebody who has this kind of injury,
Speaker 1: there is a pretty good chance what you do won't matter.
Speaker 1: Like it's the same thing if you are giving someone
Speaker 1: chest compressions, that's very unlikely to save their life. Like
Speaker 1: a fraction of the time when that happens does it
Speaker 1: save anybody, But it can't make it worse if they're
Speaker 1: not breathing. If they're not breathing, yeah, they're going to die. Yeah, yeah,
Speaker 1: and I think you know, it's not like the movies
Speaker 1: on television, and sometimes it doesn't work. It's important to
Speaker 1: talk about that in the context. Yes, at much probably
Speaker 1: much more likely the person will survive if you're doing
Speaker 1: this stuff right, you're slapping on the torn again. You
Speaker 1: do it right, you will stop that person, yes, yes,
Speaker 1: and and but you know again it is a lot
Speaker 1: of times what you might be doing is keeping them
Speaker 1: alive long enough to get to the hospital. And you
Speaker 1: can't guarantee anything other than that they don't bleed out
Speaker 1: right there, right, And then maybe other injuries you haven't
Speaker 1: seen this why we need to check head to toe
Speaker 1: right and stuff like that, like especially in blast injuries.
Speaker 1: You might not notice injuries to the back. Yeah, shrapnel
Speaker 1: is a whole I mean, but all you can do
Speaker 1: is like try to treat what you can see, yes, exactly,
Speaker 1: and make sure that you don't miss anything by going
Speaker 1: through that doctor March procedure right, which you're learning the course.
Speaker 1: But yeah, you're having a procedure that you do where
Speaker 1: you make check so that you don't miss something that
Speaker 1: you could have stopped, because then I imagine you will
Speaker 1: feel bad. Yeah, none of what we've said we should
Speaker 1: probably bring this to a close should be seen as
Speaker 1: like the end all be all, or our attempt to
Speaker 1: give you comprehensive training on this is in no way training.
Speaker 1: This is advice on number one, the equipment that's necessary
Speaker 1: for stopping someone from bleeding to death, and number two
Speaker 1: the kinds of training you should get in order to
Speaker 1: use it, and you should seek training. You should find
Speaker 1: a stop the Bleed course. You should take a wilderness
Speaker 1: medicine course if you can. If you if you are
Speaker 1: someone who is in a field that it's relevant for,
Speaker 1: you should try to get a heap at course. UM, don't,
Speaker 1: don't just like be okay, I listened to a thirty
Speaker 1: minute podcast. I'm ready to stop a bleed. Go go
Speaker 1: get some training. Um, but definitely get a tourniquet and
Speaker 1: practice with it. You can do some training yourself. You
Speaker 1: can find videos online by reputable people who are affiliated
Speaker 1: with different rescue organizations talking about and showing how to
Speaker 1: apply tourniquets, how to apply dressings. UM that that's available
Speaker 1: and you can provide yourself with a useful amount of
Speaker 1: education and some of the basics that way. Yeah, I
Speaker 1: think just to give out some resources on how you
Speaker 1: can get the education right to stop the league dot
Speaker 1: org should be free almost anywhere you are and you'd
Speaker 1: like to get more training. Most community colleges have an
Speaker 1: e M T course that is very affordable. Yeah, a
Speaker 1: heathat course can run you a couple grand if it's
Speaker 1: not subsidized. The last time when I took my impute training,
Speaker 1: it was a thousand dollars. Yeah, I think it's less
Speaker 1: than that now. I know people don't have many students
Speaker 1: who are going through MT training and it's pretty affordable
Speaker 1: free often enduring California, it's often free. The other things
Speaker 1: you can do are wilderness medicine that is expensive. The
Speaker 1: American Alpine Club has grants like more and more diverse.
Speaker 1: Group of people should apply because all of the outdoors
Speaker 1: could do with a lot more diversity, and encourage people
Speaker 1: to apply. Yes, So for all of these training there
Speaker 1: are grants, and I would encourage more people to apply
Speaker 1: to them. But you, yeah, you can learn a lot
Speaker 1: for free or on line. You can and should try
Speaker 1: and educate your friends. Like we're saying is some of
Speaker 1: this stuff is hard to funk up. And even if
Speaker 1: you don't feel confident, confident using stuff rescue essential with
Speaker 1: North American Rescue Medical there's a place where you can
Speaker 1: buy a pre made I fact, carry that around and
Speaker 1: someone else can use it. And again for talking about
Speaker 1: like the benefits of this versus the cool looking tactical
Speaker 1: gear and guns and stuff, It's entirely possible to have
Speaker 1: a bunch of military equipment that is worse than useless
Speaker 1: if you don't know how to use it is actively
Speaker 1: a danger to other people. If you have a bunch
Speaker 1: of medical gear and you don't know how to use it,
Speaker 1: but you have it on you, you can always shout
Speaker 1: like I have a tourniquet, I have like a combat
Speaker 1: dressing or something like does anyone know how to use it?
Speaker 1: No one is going to make fun of you in
Speaker 1: the make of a mass shooting for trying to hand
Speaker 1: off your gear to someone who knows how to use it. Yeah, exactly.
Speaker 1: And like you don't have to carry around a little
Speaker 1: green multi camp out or something like you can get
Speaker 1: a bum bag put in a fucking purse, like whatever,
Speaker 1: It doesn't matter. Yeah, it doesn't matter at all. They
Speaker 1: have a very small, very compact and like a bumbag
Speaker 1: of family pack. It's very handy because you can switch
Speaker 1: it from the back to the front get to all
Speaker 1: your stuff. So yeah, you don't have to be all
Speaker 1: like tactical fucking Sammy savior. Just be sensible and safe. Yeah,
Speaker 1: even if you don't, even if you pay a neck
Speaker 1: or whatever and can't be the one to use it,
Speaker 1: you can still help save somebody's life by fucking having
Speaker 1: the ship because it's it's irreplaceable when it's not there. Yeah,
Speaker 1: I would just encourage people to not use to the
Speaker 1: elastic cornic. Yes, don't go and buy Nils up stuff
Speaker 1: because you know you can probably pay the same price
Speaker 1: to get some that's not expired and to Yeah, just
Speaker 1: be conscious buying from those reputable people. They often have sales,
Speaker 1: especially around holidays. You can you can hold out and
Speaker 1: wait for those. Um. There are pretty good resources on
Speaker 1: Reddit as well. Actually, there's a Tactical Medicine subreddit where
Speaker 1: people will sort of list their kits and often posted
Speaker 1: as a sale. So sometime's worth cruising that if this
Speaker 1: is something, Yeah, do some research. Um, you may find
Speaker 1: right now, especially from places like rescue Essentials. It is
Speaker 1: harder to get combat tourniquets because the war in Ukraine
Speaker 1: has caused a shortage of the good ones. But you
Speaker 1: can still find them. You just may need to search
Speaker 1: around a little bit. Yeah. What I found was that
Speaker 1: because you've posted about this after New York shooting, was
Speaker 1: that they were out of the straight tornicut that they
Speaker 1: were not out. They wanted to go with the pouch.
Speaker 1: Pouch you cost like six or eight dollars. I know
Speaker 1: that that that's more of an expense, but if you can,
Speaker 1: if you can afford that, then getting that's not a
Speaker 1: bad idea anyway, because that you can put on your belt,
Speaker 1: put it and have one of my backpack but hiking, right,
Speaker 1: So that's definitely something that Yeah, all right, well that's
Speaker 1: gonna do it for this episode, James, you want to
Speaker 1: plug anything. Um anarchism? Oh good, yes, absolutely, um yeah,
Speaker 1: go uh to find a hierarchy and like throw a
Speaker 1: rock at it. Yeah, just look after other people and
Speaker 1: don't resort to the state to do it. Be kind
Speaker 1: to each other and uh, get getting MP training if
Speaker 1: you can. It could happen here as a production of
Speaker 1: cool Zone Media. For more podcasts from cool Zone Media,
Speaker 1: visit our website cool zone media dot com, or check
Speaker 1: us out on the I Heart Radio app, Apple Podcasts,
Speaker 1: or wherever you listen to podcasts, you can find sources
Speaker 1: for It could happen here, updated monthly at cool zone
Speaker 1: media dot com slash sources. Thanks for listening.