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Let There Be Truth.

Washington DC
Government, the military and industry have sunk billions into special protective measures for leadership, staff and critical systems in case of nuclear war. But for John Doe, the taxpayer who foots the bill – and his family? . . . Read on.

By Frank Williams (Journal of Civil Defense, Jan-Feb 1978)

Silent steel doors – like a scene from science fiction – lead into an outsize buried complex. They shut behind you. Deeper silence. The sleek subdivided space spread before you is encased in a heavy jacket of reinforced concrete. Utilities, clocks, furnishings are shock-mounted. Systems are redundant. Special valves protect ventilation shafts and pipes. Supplied with its own food, its own water, its own power, its own accommodations, its own fuel – completely independent of outside help – it can be a sealed-off “home” to a select group for two to four weeks. This in a brutal, close-in nuclear attack environment.

Is this protective shelter that government has built for people?

No. It is shelter that government has built for government. One of many.

Well, you might ask, where are the shelters government has built for people?

And the answer is simply that government does not build shelters like this for people. Not in the United States. Government builds them for government. For emergency operations. Some are highly sophisticated. Some are less so. Over 4,000 such shelters exist for officialdom, for the military.

But not for the people. Why? What’s to happen to the people?

Authorities in Washington have for years – with dignity, conviction and persuasion – pointed out compelling reasons for a “low-key” civil defense: It would be useless, because protection is not possible. It would be provocative, because the security afforded would cause the Soviets to take offense. “Overkill” proves that everyone would be killed many times over. It would cost billions to protect the public. We must maintain our people in a “hostage” status and exposed to annihilation to show good faith. Destruction is more effective than protection. It is pessimistic to think of nuclear attack. The whole thing is “unthinkable.” Therefore unamerican. And unimportant. It might interfere with weekends.

You might also ask – If protection is such a low priority for people then why is it such a high priority for government?

And this would be a good question. Perhaps an embarrassing one.

President Carter might well ponder it. He might ask why in a nuclear crisis carefully, laid plans exist to spirit him and his advisors quickly out of Washington and airborne where they will be out of reach of incoming nuclear weapons, why key military and government crews will fan out to buried bunkers that circle Washington? And why most of his neighbors – the children, the women, the people of Washington, D. C. – will be left to fry, sizzle and pop under the attack?

Is this the “American way”? A part of Potomac dogma?

Perhaps the most dramatic of the government’s shelters – one which illustrates best the attention given to protecting “the vital few” – is the military North American Air Defense Command in Colorado. Buried under millions of tons of granite, tunneled over 1,000 feet into Cheyenne Mountain,’ it consists of windowless multi-story stainless steel buildings mounted on mammoth coil springs. It boasts many other special features.

It is superb protection – built obviously by those, who believe that such protection is necessary and effective and well worth the cost.

But outside Cheyenne Mountain churches, schools, homes and commercial buildings – eggshell structures– stretch across Colorado, across the United States. Those in target areas would crumble under the direct effects of nuclear explosions. Those in locations remote from explosions would for the most part offer pitifully inadequate protection against fallout. No more than “nuclear traps.” This deplorable pattern of neglect is why serious scenarios have for years predicted 100,000,000 initial deaths for the United States in an all-out nuclear attack.

What is the rationale that permits government to take taxpayer money to protect itself and to ignore the taxpayer? What moral code allows leadership to condone this protection for itself and exposure to death for those whom it serves?

Industry also gives us examples of survival preparedness. AT&T, for instance, has during the past twelve years constructed vast underground communications lines with buried, reinforced two-story control centers to serve them. These lines crisscross America, carefully avoiding cities and military installations (except for spur lines), and are built to withstand the shock of nearby nuclear detonations. Well over $1 billion has so far been spent on these lines –a good deal more on this one project alone (for cables) than the United States Government has spent during this same period to provide a civil defense agency for its 217,000,000 human charges.

Do Americans really want protection?

A recent American Security Council nationwide poll report shows that 91 % of the people queried (of a total of 135,841) wanted ABM protection against nuclear attack. 1% said “No.” The rest were undecided. An accompanying poll report showed that 89% of the respondents thought an agreement between Russia and the United States not to protect their peoples (which reportedly took place in 1972) was objectionable. Such responses are not really new. They show that a great majority of Americans think that government has provided for their protection. In the light of proud American heritage this is a logical assumption.

The Russian, too, assumes such protection and has it. The Chinaman assumes it and has it. The Swiss. The Swede. The Finn. The American is fooled, deceived. He is a deliberate “hostage.”

In this way, in a land where leaders preach human rights without letup, the citizen himself is deprived of his most basic and most precious human right – the right to survive. While our leadership worries and frets about the rights of people in other nations around the world, and at home rights for Blacks, Indians, women, the poor, the handicapped, the aged, the young, the sick, gays, old soldiers, prisoners and whatever, has it forgotten the right of the working citizen to have his tax money applied to making his life safer?

Apparently.

A goodly number of Washington studies are now in progress to respond to the recent surge of interest in civil defense. One of them, the White House civil defense review by Greg Schneider’s “Reorganization Project,” is scheduled to wind up by the end of February. It is in all probability the pivotal study. As an “in-house” effort its conclusions may well be influenced by Administration policy, which appears not to favor any meaningful upgrading of civil defense. It should be recalled that other White House civil defense studies such as the Gaither and the Lincoln reports (both of which strongly recommended a greatly improved civil defense posture) were in effect ignored. Pentagon studies which showed the tremendous life-saving potential of a proper civil defense have also been ignored. Today’s Secretary of Defense, Harold Brown, feels that American opinion would not support an upgraded civil defense program and discounts the Russian effort. His answer to the pleas for planning protection for the people (similar to that which he enjoys as the Pentagon chief) is to say that we must not be led to “replicate” Russian civil defense.

So, can we count on current studies being taken seriously in Washington?

Congress has indicated that if by March no Administration action has been taken to correct the tragic civil defense imbalance then Congress will act on its own.

In reviewing the Schneider’s report when it goes to him on February 28th, President Carter would do well to keep a few salient points in mind, among them:

(1) That protection for government, the military and industry is taken very seriously and that a tremendous investment has been made in it.

(2) That protection for himself and his advisors is taken even more seriously and that his move to an airborne command post is ready to be implemented on a moment’s notice at any time.

(3) That the American taxpayer pays handsomely to buy this protection.

(4) That the American taxpayer has no such protection, is himself – with his family – left exposed, at the mercy of an attack.

(5) That the myths and excuses for maintaining his exposure are effete platitudes, credits only to aggressor propagandists.

(6) That Pentagon studies (as well as others) show that good civil defense measures would bring survival expectancy up from less than 50% to around 95% – near that of the Soviet Union.

(7) That human rights – in addition to faith, food and freedom – include the No. 1 right of the people to be considered for survival in nuclear warfare.

(8) That a tough home defense would make aggression against the United States unwise, unrewarding, a long-shot gamble, and much less likely. With such a development we would truly be opting for the highest possible peace odds.

President Carter has said to the country: “I’ll never lie to you.” He is certainly very serious about living up to his promise. He rules out the lie. But neglect to face an issue squarely, neglect to cover a question fully and failure to speak out frankly and accurately can be tantamount to the lie. Silence can be a lie. Mark Twain called the “silent lie” the worst kind. That it is. And it is a highly developed art in our national capital.

We hope Mr. Carter remembers his Georgia roots. On civil defense we need a lot of common sense, a lot of candor, a lot of courage. Mr. Carter needs to give the taxpayer back some of what the taxpayer has given him: protection. It’s that simple.

Let there be truth.

Roadblocks to Civil Defense

Eugene Wigner

By Eugene P. Wigner

A renowned physicist and civil defense analyst probes behind the mask of apathy in the United States. (Originally printed in the first Journal of Civil Defense, May-June 1968, Vol. 1 No. 1)

I have often tried to explain the need for a vigorous civil defense effort, why and how such an effort would go far in preserving peace and how it could save many millions of lives if war should come nevertheless. “Why Civil Defense?” would be an apt title for this subject because we want the civil defense effort to be strong and vigorous. But my subject is also the opposite: “Why No Civil Defense?”. What are the roadblocks? Why isn’t the civil defense effort as strong and effective as we would like it to be? Why is there not a popular demand for it? There are, it seems to me, three principal reasons for this.

The first reason is the power of the anti-civil defense establishment. What provides this strength? What are the motives of the establishment?

There are, of course, those who would like to see our country become a second or third-rate power, the nakedness and vulnerability of its people forcing its government to accede to the demands of those governments whose people are better protected or who care less for human life. Persons who have these desires are, however, small in number, and they contribute but very little to the undeniably very great strength of the anti-civil defense establishment. Can this establishment muster valid arguments against civil defense? I think it can, and this is the reason for citing this cause for our lagging civil defense efforts as the first of my “principal reasons”.

If we install shelters, store food and other supplies, we make preparations against an attack on our country. Such preparations naturally set us apart from those against whose attack we protect ourselves and render it more difficult to develop a true friendship between the governments of communist countries and ourselves. This is the theory of Festinger, often derided by social scientists, but I do think there is something to it even if not in the extreme form propounded by Festinger. It is, of course, true that the hate propaganda of the other side also interferes with the development of the true friendship, and it is sad – very sad – that this is never criticized by the anti-civil defense establishment.

The second reason why the civil defense effort is not more vigorous and why there is not more public demand for it is that it is unpleasant to think about disasters, particularly disasters as severe as nuclear war. Let us note that insurance policies offering compensation in case of fire are called fire insurance policies, but that the policies protecting our families in case of our death are called life insurance policies. No similarly euphemistic name has been invented for civil defense, and it would not help much if one were invented. Building shelters would remind us in any case of a great and terrible calamity that could befall us, and we all are reluctant to think about such calamities. Why dig a hole in the ground where one may have to live for weeks if one can, instead, walk in the sunshine? We have a tradition for work, and many of us enjoy it, but we do not have a tradition of thinking about disasters which may strike us. However, whereas our reluctance to face the temporary nature of our sojourn in this world does not, as a rule, shorten our lives, our reluctance to protect ourselves may bring war nearer.

The third reason that we do not take civil defense very seriously is that we are all too conceited. Sure, other people have been stricken by disasters, other nations have been wiped out or subjugated. But this cannot happen to us, we say. It is not even decent to think about it. I once went to see the now deceased Albert Thomas, who prevented a good deal of civil defense legislation from being enacted in the House of Representatives. He listened to me for a few minutes and then said: “Take it easy, young man, take it easy. This country is so strong it does not need any civil defense.” Most of us would express this self-defeating doctrine less clearly and less bluntly than did Mr. Thomas. But what he said is present in the minds of all of us. On a peaceful day like today, when we are absorbed by so many more pleasant thoughts, is it not unreasonable to think about some country attacking us with nuclear weapons?

In a very real sense, I believe, it will be a test of the democratic ideal whether our people can resist burying their heads in sand or not, whether or not they, can muster the foresight and maturity to carry out the unpleasant and unpopular task of protecting themselves, their country, and their freedom against dangers which seem far away. Nothing but illusory comfort can be gained by closing our eyes to these dangers.

 

  • Eugene P. Wigner – 1963, Nobel Prize in Physics won for contribution to theory of the atomic nucleus and elementary particles specifically the discovery and application of fundamental symmetry principles.

Managing Pain in a Pinch

Pills in woman hands.

by Cynthia J. Koelker, MD

Excerpt from Armageddon Medicine, How to Be Your Own Doctor in 2012 and Beyond

The daily queue of suffering seems endless. Toothache, stomachache, headache, earache, back pain, leg pain, joint pain, neck pain, sore throat, sore feet, sore muscles, sore eyes. People come to you seeking relief – relief from their pain, and relief from fear. Are you up to the task of helping others, or ready to run away? Becoming a healer is not for the faint of heart.

If and when the medical community collapses, those left to carry on will need an armamentarium of tools to deal with pain. Even if it’s only your own problems and those of your family that you’ll be facing, learning how to relieve pain now, before you’re in the midst of crisis, will spare you needless worry. Pain is the #1 symptom that drives patients to physicians today. Pain will remain a fearsome opponent tomorrow, no matter what catastrophe brings the world to its knees.

Pain and fear go hand in hand, two sides of the same coin. Fear is pain’s best friend, its evil ally. Relieve one and the other may subside, at least to tolerable levels. I know what it is to fear pain. Every time I visit the dentist my childhood dread of drilling on a nerve rears its ugly head. It’s not a rational process. My childhood dentist didn’t believe in novocain. I’ll never get over it.

People can often tolerate an amazing degree of pain if given hope that the condition is only temporary. Labor pain is every bit as bad as any other sort of pain, yet how many women suffer through hour after hour of gut-wrenching torture without requesting so much as an aspirin? People will also endure an incredible amount of pain if they believe good will come of it – such as a new baby, or saving another’s life.

As a healer, you’ll need to dispense more than a dose of narcotics. Having enough medical knowledge to understand a disease process will help you foresee the course of the disease and offer hope of recovery. Even if you cannot relieve the pain, you can relieve fear – both fear of unending pain, and fear of being alone. If you lack the tools to deaden the pain, don’t think you’re doing no good. Like a child who wants his boo-boo kissed, adults, too, want to know that someone cares.

In this regard, doctors are not necessarily the best healers. Physicians are aloof by training and sometimes by nature. Once you try helping others, you’ll learn that part of the patient’s suffering becomes your own. Taking on the pain of the world is a crushing burden. Doctors cannot function when they are overwhelmed by too heavy a load, and so often limit their emotional involvement. But emotional involvement is a powerful salve. An infant with an earache may be comforted in its mother’s arms. “Hold me” may be a laboring wife’s request of her husband, knowing he cannot take the pain away.

I emphasize the non-medicinal treatments of pain because: 1) sooner or later they may be all you have; 2) stretching your supply of pain relievers will help you treat more patients; and 3) many people are intolerant of or allergic to pain medications.

The best way to relieve pain is to eliminate the underlying cause. Deliver the baby, lance the abscess, pass the kidney stone. Pain is your friend when it comes to diagnosis, but sometimes you’ll just have to treat it regardless of cause.

The English language has many words for various kinds of pain: aching, stabbing, burning, stinging, piercing, numbing, cramping, throbbing, tingling, smarting, lancinating, agonizing, and nagging, to mention the most common. The type of pain will clue you as to both cause and severity. The fluent or bodily-aware patient will be able to describe their discomfort in some detail. Others will simply say they hurt.

Beyond what a patient may say, their body language will alert you to the intensity of their distress. A smiling teenager flirting with her beaux does not need narcotics, even though she says she’s dying of pain. A silent man curled up in the fetal position has something serious going on.

The art of medicine includes deciphering both what a patient wants and needs. Some patients request no medicine, if they can only be permitted a day off work. Others prefer to pop a pill and keep going. In America, we overmedicate because we rest too little. Sleep is a powerful analgesic. If pain medication is not available, simply getting a person to rest and/or sleep may be the ticket to relief.

Doctors use many classes of drugs to alleviate or prevent pain: anti-inflammatories, steroids, narcotics, antidepressants, anti-anxiety drugs, anti-seizure drugs, beta-blockers, calcium channel blockers, triptans, muscle relaxers, sedating antihistamines, caffeine, nitroglycerin, antacids, oxygen, anesthetics, and even alcohol. We don’t always know how these drugs work. A patient does not have to be depressed for an anti-depressant to relieve pain. Thinking beyond traditional pain medications will broaden your ability to offer relief.

On treating pain-

Whereas patients focus on pain abatement, doctors often focus on functional improvement. Generally speaking, physicians do not necessarily aim for complete relief of pain, but rather sufficient improvement to permit adequate functioning. Relieving all pain can actually make a situation worse, allowing the patient to injure himself. A truck driver with chronic back pain may say he’s feeling no better, but now is able to unload his cargo. A migraine patient may report her headaches are as bad as usual, but hasn’t missed a day of work in a year. It is difficult to measure how much a patient hurts. It’s much easier to measure how well a patient functions.

Despite current medical thinking, I’m not much of a believer in patient-reported pain scales, though others find them useful. Among my patients, they seem to make little difference in clinical treatment, at least with chronic pain. Patients have difficulty remembering how much they were hurting last week or last month compared to now.

The one situation where a pain scale may be useful is where short-term observation (hours to days) of a hurting patient is possible. Asking the patient to report pain on a scale of 0 to 10 may yield a measure of improvement, or lack thereof. In the current medical environment, pain scales are often more a matter of documentation than a meaningful addition to medical care. It makes little sense to collect the information if it is not going to be used as a basis for treatment. Patients must understand the scale well to offer significant feedback. Many patients will report their pain as 8 or 9 out of 10 when it is obvious from their behavior that it is not this intense. If you are going to use a pain scale, take the time to explain it thoroughly. It also helps to use words or pictures to demonstrate the degree of pain, as in the list* below. Check online if you want an example with pictures.

0 – No pain

2 – Annoying

4 – Uncomfortable

6 – Dreadful

8 – Horrible

10 – Agonizing

When doctors evaluate pain, one of the immediate goals is to determine if it is life-threatening or not. Is chest pain a heart attack? Is abdominal pain appendicitis? If you think you have an emergency on your hands and have the option of referring to a hospital or physician, please do so. But the goal of this discussion is to focus on what you can offer on your own, without emergency back-up. Here are a few examples to consider:

Up to this point, we haven’t mentioned pain relievers per se. Oxygen, positioning, and nitroglycerin may not only improve the underlying problem, but also relieve the patient’s discomfort to a degree. As for direct pain treatment, you probably won’t have injectable morphine available, but oral Vicodin, Percocet, or even tramadol may offer some relief. Nausea frequently accompanies severe heart pain, and you may need to treat with OTC meclizine or a prescription anti-emetic (Phenergan, Vistaril, Compazine) to allow the patient to keep narcotics down. Also, if the patient is agitated, calming him may decrease his oxygen consumption, thereby decreasing chest pain. Valium, Xanax, or Ativan (all controlled prescription drugs) may be helpful.
Say a patient is experiencing excruciating chest pain in association with a likely heart attack. What can you do about it? First, give the patient an aspirin, to thin the blood a little, and perhaps limit further damage. This will not alleviate the pain, but may do some good in the long run. If you have oxygen available, have the patient inhale it at a rate of 2–3 liters per minute (per the machine’s gauge). The pain of a heart attack is partly due to inadequate oxygen within the heart muscle, somewhat like leg pain in a runner, and improving oxygenation may lessen the discomfort. Assuming you don’t have oxygen available, have the patient lie in the bed with his upper body propped up on several pillows. This decreases the work of breathing compared to lying flat, with less demand on the cardiac muscle. Next, give nitro. Nitroglycerin lessens heart pain by opening up the coronary circulation, thus delivering more oxygen to the heart. Nitroglycerin sublingual (dissolved under the tongue) offers very quick but short-term relief; nitroglycerin paste, patches, or delayed release capsules offer longer-term relief, but are slower to take effect.

Medically speaking, this is about all you can do – but still it’s not all you can do. Hold the patient’s hand or rub their neck, if this seems to comfort them. Offer a cool washcloth if they are sweating. Allow a calm, supportive family member to assist you. Keep disturbing or anxious relatives out of the room. Offer to pray with the patient, if this seems appropriate. Offer fluids unless the patient is vomiting. Two reasons fluids are withheld in the hospital are that the patient is getting an I.V. anyway, and that a surgical procedure may be around the corner, with associated anesthesia and risk of vomiting. Your post-Armageddon patient is not going to undergo a heart bypass or stenting, and does not need to suffer dehydration on top of a heart attack. Be careful, though, if the patient is short of breath, as excess fluids may worsen a case of congestive heart failure.

Now, whatever you’ve done with the equipment at hand, don’t blame yourself if the patient dies. We are simply not in control of everything. You did not cause the patient’s heart attack and you’ve done what you can to help.

Your next patient is a 45-year-old woman, complaining of chest pain as well, but who doesn’t appear ill. Chest pain in a person under about 50 years of age is more likely related to the lungs, ribs, or digestion than to the heart. In an asthma patient, when the lungs are tight and the patient is short of breath or wheezing, opening the airways (with an inhaler or steroids) may do more to relieve pain than any pain reliever. If the patient is breathing normally but complains of pain on inspiration, this is usually pleurisy (inflammation of the lining of the lungs) or rib-cage pain. Either way, anti-inflammatory medicine such as ibuprofen, naproxen, or even aspirin is helpful. (Remember, though, that if you’re wrong and the pain is coming from the stomach, these drugs may aggravate the problem.) In our index case, there is definite tenderness when you palpate along the rib margins. The heart and lungs cause pain, not tenderness. If rib tenderness is present, you can be fairly confident the problem is musculoskeletal, that is, not serious, and again an anti-inflammatory should help relieve the discomfort. Heat or ice (and not wearing an underwire bra) often help as well.

Next in line is your 30-year-old nephew who works hard and parties harder. His chest is hurting, too, sort of burning, and you can see he’s hung-over. Home-brew will be available even in the worst of times. Chest pain due to acid reflux (often aggravated by alcohol or anti-inflammatory medications) requires a different approach altogether. Pain medication is not the answer. Decreasing the amount of stomach acid refluxing into the esophagus will alleviate this pain. Baking soda and liquid antacids offer almost immediate relief, which is a diagnostic test in itself. Any of the OTC antacid reducers (Pepcid, Tagamet, Zantac, Axid, Prilosec, Prevacid) will afford longer-term acid suppression. Since these medications will not be available forever, avoiding heartburn triggers is only sensible (NSAIDs, alcohol, tobacco, spicy food, fried or fatty food, citrus fruits, tomato products, chocolate, caffeine – yes, avoid all the good stuff).

At first your 40-year-old cousin thought the pain was in her right lung, but now it seems focused in the upper abdomen, toward the right. She’s pretty sure it came on after eating half a jar of peanut butter. The pain is dull to sharp, mostly aching, but with cramps coming in waves, with intermittent nausea. This type of pain is typical of gut pain, probably stemming from gallbladder irritation. With gut pain, narcotics may help, but NSAIDS (anti-inflammatory drugs) should be avoided. Sleep, relaxation, a hot bath, and abstaining from eating also offer partial relief. These same measures help individuals with colitis, kidney stones, kidney infection, diverticulitis, and other intra-abdominal irritations.

Very light massage is a technique that helps gut pain by distracting the mind from the deeper pain. This is part of the basis for the efficacy of effleurage, a TENS unit (transcutaneous electrical nerve stimulation unit), and even a hot shower. Just as an Internet connection can only carry so much information at once, the human nervous system can only process so much neural input at one time. The heat of a hot shower takes at least several minutes to penetrate sore muscles, but partial relief begins the moment the skin is stimulated. Laboring women sometimes massage their own bellies to lessen the deep pain. Anyone can experiment with this superficial massage technique, which works not only for gut pain, but other deep pains as well. Light oil massage works similarly.

Deep massage is best described and taught by a professional masseuse, which I am not. But even an untrained friend can give a good backrub that relieves the tensions of the day. I’ve had many patients obtain as much relief from a professional massage as from medication or physical therapy. The relief may be short-lived, and the massage may need to be repeated in a day or two, but this natural remedy is used worldwide for pain relief. In fact, in countries where there isn’t a drugstore on every corner, touch therapy is the primary mode of pain relief.

Doing anything at all is nearly always better than doing nothing. Placebos, which have no physical basis for helping, still do so about a third of the time. Hope is a natural narcotic, and people will try a multitude of peculiar and likely ineffective therapies on the basis of hope alone. This is also how so many crackpot therapies work their way into the health care field. Anything, even a sugar pill, will help somebody. Part of the benefit is mind over matter; part is giving your body time to heal on its own. Many patients who think an antibiotic cured them overnight were simply going to be better by the next day anyway. Applying cool cabbage leaves to tender, engorged breasts is purported to relieve the discomfort, but perhaps grape leaves, lettuce leaves, or a cool wash cloth would accomplish as much. Still, applying cabbage leaves lies in the realm of “doing no harm,” plus it gives the mother something active to do. People prefer to be in charge of their own bodies.

As a physician I struggle with the need to be honest with my patients versus the desire not to deprive them of the placebo effect. Modern medicine prides itself on “truth.” But for anyone who believes in a certain therapy, even one proven by medical science to be ineffective, for that individual the relief is real. After an Armageddon event, the placebo effect may be a doctor’s strongest ally. A placebo may be a pill, a procedure, an activity, or a dressing. Whatever you do, choose your placebos wisely and first, do no harm.

Natural remedies also include biologically active chemicals such as opium and salicin (from which aspirin is derived). Through the years, the pharmaceutical industry has developed many refinements, but these two are the original basis of all narcotics and anti-inflammatory medications, including codeine, morphine, hydrocodone, oxycodone, ibuprofen, and naproxen. When supplies of pharmaceutical pain relievers run out, healers will need to resort to the original, naturally-available painkillers.

White willow bark contains the natural pain-killer salicin. For a full discussion, see the University of Maryland Medical Center (UMM) website, which includes details of dosing, drug interactions, side-effects, and recipes for willow bark preparations made from commercially available supplies.[1] Of course, stockpiles of willow bark will run out as quickly as stockpiles of aspirin, and it makes more sense to learn to recognize the tree, and either locate it within your community or plant your own. Other types of willow may also be effective.

 

Willow Bark Tea Recipe (from UMM)

 

Boil 1–2 teaspoons of (commercially-available) dried

white willow bark in 8 ounces of water

Simmer 10–15 minutes and let steep for half an hour.

Drink one cup 3–4 times daily as needed.

Narcotics are the strongest pain relievers and will be the hardest for preppers to come by. Doctors are extremely unlikely to prescribe enough to stockpile and so, aside from learning to prepare your own, are there any alternatives?

Tramadol is a prescription painkiller, nearly as strong as codeine or hydrocodone, at least in the narcotic-naïve patient. People who get a “high” on narcotics are not fond of this drug. Whereas a few years ago it was quite expensive, now the cost is on a par with ibuprofen. Because it is less likely to be addicting, doctors are happy to use it more freely for many conditions ranging from headaches and stiff necks to sciatica and broken bones. If you have a good relationship with your doctor, you may be able to obtain a small supply, which you should plan on reserving for serious pain. The normal dose is 50–100 mg every 4 to 6 hours.  (Note: This paragraph was written in 2011, before the change in approach to pain medicine nationwide.  As of 2017 it is much less likely your doctor will give you even a small supply of tramadol unless you have a current need.)

Secondly, the combination of Tylenol plus an anti-inflammatory is nearly as strong as the narcotics hydrocodone or codeine, and in many patients, works as well or even better. As long as a patient can tolerate the ingredients separately, they are well-tolerated in combination. With 500-count bottles of Tylenol, ibuprofen, and naproxen sodium readily available over the counter at minimal cost, anyone can lay in a good supply for future use.

Of course, anti-inflammatories (NSAIDs) are not tolerated by every patient. Any NSAID may cause stomach discomfort or even an ulcer with prolonged use. They should always be taken with food to minimize contact with the stomach lining. Some patients are able to tolerate an NSAID if they take an acid-lowering drug (such as Pepcid, Zantac, Prilosec, or Prevacid). Allergies to NSAIDs are not uncommon, and sensitive individuals may develop hives or wheezing.

For musculoskeletal pain (strains, sprains, fractures, injuries), the NSAIDs, narcotics, and Tylenol are useful, but again, don’t limit yourself to thinking of pills as the only way to alleviate pain. Rest, ice (or heat), splinting, wrapping, and taping are all measures that decrease pain by lessening the stress on the affected body part.

Again, the main point is to get beyond thinking that pain pills are the answer to pain. Yes, they have their place, when the pain is disabling and nothing else works. But overall, especially with the supply of narcotics severely limited, do what you can to avoid them, and save the “big guns” for situations that truly warrant their use.

Checklist – items to include in your medical supplies:

Tylenol and OTC NSAIDs – ibuprofen, naproxen sodium, and aspirin
Prescription tramadol, narcotics, muscle relaxers, sleep aids, antidepressants, beta-blockers, calcium channel blockers
Oxygen tank or concentrator; extra tubing
Hot water bottle or reheatable rice bag
Athletic tape; Coban; elastic wraps; ankle, wrist, finger, and hand splints; slings
OTC Prilosec, Prevacid, Pepcid, Zantac (or generics); liquid Maalox; baking soda
Oil of clove for dental (nerve) pain
Actions to take:
Learn about using willow bark at the University of Maryland Medical Center Web site (at http://www.umm.edu/altmed/articles/willow-bark-000281.htm); also, locate a local source of willow bark or plant your own trees.
Study up on massage and effleurage techniques
Download a pain scale you find useful

[1] University of Maryland Medical Center: http://www.umm.edu/altmed/articles/willow-bark-000281.htm

*originally  written as “table below”.

Radiation Issues

The explosion of a nuclear bomb in the city.

The explosion of a nuclear charge in a big city.

By:  Sharon Packer (TACDA Board Member)

The nuclear threat from North Korea has prompted many callers during the past few weeks, asking about the effects and attenuation of radiation.  There is a great deal of misinformation about radiation from fallout. The following old rule of thumb for shelter design still holds true. NBC shelters should have four feet of dirt cover, or three feet of concrete cover to give a minimum PF level of 1,000 from fallout. If a “rainout” should occur, or if the sheltered area is within 1.5 miles of a potential primary target, the shelter will require a minimum of eight to ten feet of cover. Shelter entrances require careful engineering, as most of the radiation exposure will come from these entrance areas.

I recently reviewed a series of articles about Nuclear Weapons Effects, written by Carsten Haaland, of the Oak Ridge national Laboratory. The entire series of articles can be found in our Journal of Civil Defense published in 1990. Some of you may be fortunate enough to still possess these journal articles. I have re-typed, in part, the section on ‘Fallout’ and ‘Rainout’ for this current article.

 FALLOUT FROM NUCLEAR DETONATIONS

Carsten M. Haaland, Oak Ridge National Laboratory

 What is Fallout?

Fallout is the radioactive dust that comes back to earth as a result of a nuclear explosion at the surface of the earth, or at an altitude low enough for the fireball to engulf solid materials. Fallout dust may look like sand, ash or crystals, depending on the kind of material engulfed by the fireball. If the material engulfed is ordinary earth or sand the fallout will look like sand, but if the engulfed material contains calcium to the extent found in concrete buildings or coral, the fallout may look like ashes. Large dense particles will descend faster than very small particles. For this reason, fallout particles several hundred miles downwind from a nuclear surface burst will be very small, somewhat like particles in atmospheric pollution, and the nuclear radiation from the fallout will be greatly reduced.

The danger of fallout arises from the intense and highly penetrating nuclear radiation emitted from it, which produces a potentially lethal hazard to people in the vicinity unless they have protection. Large areas, covering hundreds to thousands of square miles, depending on the yield and number of surface detonations, can be poisoned with fallout such that radiation from the contaminated area is hazardous or lethal to an unprotected person passing through or dwelling in the area, for periods of days to weeks after the detonations.

Sharon's article #1

 

How is Fallout Produced?

When a nuclear weapon explodes near the ground, the instantaneous release of incredible energy makes a huge pit or crater. Tons of earth in the crater are instantly changed from solids into hot gas and fine dust, by the tremendous heat and pressure from the bomb explosion. This hot gas and dust, together with vaporized materials of the bomb itself, form a giant fireball that rises like a hot-air balloon to high altitude. This material spreads out, cools, and becomes more dense as it rises. The fireball stops rising when its density reaches the same density as the atmosphere into which it has risen.

Some of the dust and heavier particles that are drawn up with the fireball form the stem of the mushroom cloud. The dust in the cap of the mushroom spreads out horizontally when the fireball stops rising, and begins to be shaped and drawn along by the winds at that altitude. This dust cloud can be carried for hundreds of miles by the upper winds. The dust falling and drifting to the earth from this moving cloud becomes the radioactive fallout with which we are concerned. Somewhat confusingly, the process itself; that is, the dust’s action of falling and drifting to the ground, is also called “fallout”.

The dust in the stem and in the mushroom cloud becomes radioactive mostly from the fission products created in the nuclear explosion that become stuck to part of the dust particles. The air around the particles does not become radioactive, and neither do the ground-surface materials on which they settle.

The smallest particles of fallout can be carried hundreds of miles by the wind before reaching the earth. Most of the fallout will come down to the ground within 24 hours after the detonation. Very small particles come down very slowly and may be spread over large areas of the earth’s surface in the downwind directions over time periods of many days, even weeks. This delayed fallout is sometimes called “worldwide” fallout, although most of the fallout comes down in the hemisphere in which it is produced (Northern or Southern). Fallout that arrives within the first day or two after the explosion poses a much greater threat to human life than does delayed fallout.

Because the rate of fall of a fallout particle depends on the size, shape and density of the particle and on the local winds (Haaland, 1989), the pattern of deposition on the ground can be highly irregular. The pattern shown in Fig. 1 resulted from measurement of radiation intensities on the ground after the nuclear test named TURK at the Nevada Test Site in 1955, a 43 kiloton tower shot (Glasstone, 1977). The pattern shown in Fig. 2 shows how an “idealized” fallout pattern is used to estimate fallout on the city of Phoenix, Arizona, resulting from a hypothetical ground burst of a 10 megaton nuclear weapon on Luke Air Force Base (Haaland, 1987a).

 

Sharon's article #2

 

Radiation from Fallout

The radioactivity from fallout decays and fades away by natural processes. The radioactive materials produced by the nuclear explosion are unstable. These materials change (or decay) into a stable condition by shooting out nuclear radiation, such as alpha, beta, and gamma rays. Gamma radiation is by far the most dangerous of the three kinds of fallout radiation, because it can penetrate the entire body and cause cell damage to all parts, to the organs, blood and bones.

A more detailed discussion of the kinds of fallout radiation and their potentially harmful effects may be found in Radiation Safety in Shelters, CPG 2-6.4, 1983, available from the Federal Emergency Management Agency, Washington, DC. The penetration of gamma radiation through matter, dose-factors for the body, comparison of fallout radiation with initial nuclear radiation, and other topics, are discussed in great technical detail in Fallout Facts for Nuclear-Battlefield Commanders (Haaland, 1989). Methods of providing protective shielding from lethal fallout contamination have been presented by Chester (1986) and Spencer (1980).

Decay of Radioactivity

Some materials decay into their stable form faster than others. Those that change fast produce intense nuclear radiation in the first few moments after a nuclear explosion. Those that decay more slowly, such as cesium-137 and strontium-90, may be responsible for measurable nuclear radiation years after the explosion. These particular radioisotopes may enter the body through the food chain and may remain for long periods in certain parts of the body. The increased radioactive emissions from these isotopes (above the normal radioactive emissions from potassium-40 which exists in our bodies) may increase the potential for various cancers.

Because many materials in the fallout cloud decay quickly, the nuclear radiation from a given quantity of fallout is most intense in the first moments after detonation and its intensity rapidly falls to lower levels. This behavior can be approximately described by a rule of thumb called the seven-ten rule. This rule applies only to fallout of the same “effective” age. If the fallout results from unclear detonations that all exploded within a few minutes of each other, then the “effective” age is the same as the actual age, the time measured from the mean time of the detonations. If the fallout is produced from detonations that are separated in time by more than a half-hour or so, then the average decay rates of the different clouds of fallout are sufficiently different. The concept of “effective” age must be applied to estimate the decay rate of the composite fallout. Methods have been developed for determining the effective age of composite fallout from simple measurements by a survey meter and the use of a monogram (Haaland, 1989).

The seven-ten rule states that the measured radiation intensity from a given quantity of fallout particles will decay to (1) one-tenth as much when the fallout becomes seven times older than the effective age at the time of measurement, (2) one-hundredth (1/10 x 1/10) as much when the fallout becomes forty-nine times (7 x 7) older than the effective age at the time of measurement, and so on. The unit of time can be seconds, minutes, hours, half-days, days or whatever period of time is appropriate for the situation. For instance, if the measured level of radiation is 1,000 R/hr., after 7 hours the radiation level will decay to 100 R/hr.  After 7 x 7 hours (about 2 days) the radiation level will decay to 10 R/hr. After 7 x 2 days (about 2 weeks) the radiation level will decay to 1 R/hr.

 

Sharon's article #3

 

Rainout

If the air is humid, the nuclear explosion may start a local rain. The fireball from a low-yield nuclear detonation, less than a few hundred kilotons, may not rise above the troposphere. In this case, if it is already raining or if the explosion starts a rain shower, much of the radioactive material will come quickly to the ground as “rainout”. A light rainout produced low-level fallout-type radiation after the Hiroshima and Nagasaki detonations, even though the fireballs did not engulf solid materials on the ground. Radiation from rainout could be extremely intense and localized if the fireball does not rise above the rain cloud, because the fallout cloud has not had a chance to spread out as it does when carried a long way by the wind, and it has not had as much time to decay. If the rainfall is heavy, the fallout may be washed into gutters, ditches, and storm sewers, from whence it may be carried into streams and rivers. In this case the earth surrounding the ditches, sewers and streams, and the water itself will provide shielding to greatly reduce the fallout hazard to local residents. However, radioactive material, like dirt and sand particles, can collect in unpredictable locations under these circumstances to produce highly lethal concentrations. A radiation survey meter will be needed to help detect, and avoid remaining in such locations.

Conclusions

Fallout radiation is a potential hazard that must be considered in the event of nuclear attack. The magnitude of the area covered, the geographical shape, and the levels of radiation intensity CANNOT be precisely predicted. Protection by shelters is possible, and radiation management through the use of rate meters and dosimeters will reduce the potential risk.

It’s Wise to Blend in

gang street

A John Farnam “Quip” – July 7, 2017

 

“A great deal of intelligence can be invested in ignorance,  when the

need for illusion is deep.”

Saul Bellow

 

It represents enormous conceit to believe that police can do  anything

to stop crime, particularly violent crime.  What we do is  deter/displace it.

We discourage it at a particular moment, and thus move  it to other places.

That’s about it!

 

There is nothing we can do to “make people obey the  law.”  All we can

do is make them wish they had.  In most of Western Civilization, our

tools for accomplishing the latter are extremely limited and  largely

ineffective, and becoming less effective all the time!

 

As individual Operators, we can make ourselves, our routine,  and our

personal environment, as invisible and unattractive as we are able, to  both

conventional criminals and violent leftist political ideologues.   There is

little we can do to influence world events, which are currently more

than a little frightening and ominous.

 

Something every Infantry Officer learns early in his  career:

“Any position can be taken, when the attacker is willing to pay the price.”

 

Thus, sufficient determination and commitment will overcome  all

“access controls.”  When VCAs must be physically stopped, you will have

no choice but to personally, decisively effect the “stopping”.  You’ll

get  dirty, maybe wet!

 

“Proactive security” is mostly myth.   Some still insist that people with

evil, violent intent can somehow be  “detected” shortly before they

carry out their terrible crimes.  Mostly  wishful thinking, and “false positives”

create all kinds of civil-rights  issues!

 

The only reliable predictor of individual future behavior is

individual past behavior.  Best advice is to have nothing to do with

people  who have displayed toxic behavior in the past.  Get away from

them, and get  them out of your life!

 

To reiterate:

 

1) The only authentic “first responders” to precipitous,  violent

criminal acts, are prospective victims directly at the scene, at the

critical moment.  Even then, they are effective in preventing/limiting

carnage only when armed, trained, alert, and pivotally decisive.

 

2) Imagining that it is possible to predict/prevent spasmodic,  violent

criminal acts through “scientific preemptive measures” represents a

fatal fantasy.  Don’t bet your life on it.

 

3) Imagining that “access control,” no matter how sophisticated nor

formidable, will suffice to protect you from harm, represents  another

fatal fantasy.

 

4) Imagining that police/security personnel will arrive “in  the nick

of time” represents yet another fatal fantasy.

 

5) Imagining that it is somehow “immoral” to effectively defend  oneself,

including the precise application of deadly force, is a foolish  concession to

naive liberals/leftists.   Liberals are only too anxious  to “sacrifice”

the lives of others (but never their own), in order to “preserve  their

sensibilities”.

 

6) Only the well-armed, well-trained, aware, and otherwise

well-prepared have any chance of living through a violent attack by

traditional  VCAs, or as we’re seeing in increasing numbers, violent leftist ideologues.

 

“There are only two kinds of men in this world: Honest men and

dishonest men. Any man who says the world owes him a living is

dishonest. The  same God who made you and me made this Earth. And, He

planned it so that it  would yield every single thing that people on it

need.  But, He was careful to  plan it so that it would yield up its wealth only in exchange

for honest labor.

Who insist on sharing that wealth, while contributing nothing, are dishonest.”

Ralph Moody

 

/John

John S. Farnam, president of Defensive Training International, is one of the top handgun instructors in the world. He has personally trained thousands of federal, state and local law enforcement personnel, as well as non-police, in the serious use of firearms. In addition, he has authored four books on the subject — “The Farnam Method of Defensive Handgunning,” “The Farnam Method of Defensive Shotgun and Rifle Shooting,” “The Street Smart Gun Book,” and “Guns & Warriors – DTI Quips Volume 1.” (For all book orders, contact Vicki at vk.farnam@gmail.com)

North Korea Nuclear EMP Attack: An Existential Threat

We here at the American Civil Defense Association felt this was important to share;

Statement for the Record
Dr. William R. Graham, Chairman
Dr. Peter Vincent Pry, Chief of Staff
Commission to assess the threat to the United States from
Electromagnetic Pulse (EMP) Attack
To
U.S. House of Representatives
Committee on Homeland Security
Subcommittee on Oversight and Management Efficiency Hearing
October 17, 2017

North Korea Nuclear EMP Attack:
An Existential Threat

During the Cold War, major efforts were undertaken by the Department of Defense to assure that the U.S. national command authority and U.S. strategic forces could survive and operate after an EMP attack. However, no major efforts were then thought necessary to protect critical national infrastructures, relying on nuclear deterrence to protect them. With the development of small nuclear arsenals and long-range missiles by new, radical U.S. adversaries, beginning with North Korea, the threat of a nuclear EMP attack against the U.S. becomes one of the few ways that such a country could inflict devastating damage to the United States. It is critical, therefore, that the U.S. national leadership address the EMP threat as a critical and existential issue, and give a high priority to assuring the leadership is engaged and the necessary steps are taken to protect the country from EMP.        (Read entire address here.)

When You Know the Storm is Coming.

iStock_stormseason

We know there are all kinds of great lists out there, especially pertaining to emergency preparedness.  We love this one by blogger, Mike Smith, and wanted to share …

Get them done immediately!

  • Get prescriptions refilled now, especially if your doctor must approve the refill.
  • If you have a relative at home that requires electricity for life-assistance purposes, you will want to move he or she outside of the higher wind zone.
  • If you can get an electrician to install a generator, get it done. Do not try to install a generator yourself. 
  • If you don’t have a generator, get a power inverter or two. Radio Shack and similar stores sell them. They are a “poor man’s generator” and will keep your cell phone, laptop, and similar items charged. Tell the person in the store what you want to run off it so you get one of the right size. Do not try to run the inverter for hours at a time as that is tough on your car’s battery. Charge the cell phone (for example) and let the charge run all the way down, then use the inverter to recharge.
  • Keep your car’s gas tank full.
  • If you live in a 250-year flood plain (you can check at city hall or your library) or on the coast figure out your evacuation strategy now. Make your list of things you will take with you. Be prepared to leave at short notice.
  • Bring in outdoor furniture and other items that could become airborne.
  • Fill a few gas cans (the type you would use for your mower) to have extra in the event of power failures.
  • Purchase extra food staples. Without power, stores will be closed. Things that require less preparation are better. Bottled water is especially important. Get a Coleman stove.
  • Purchase extra batteries for your cell phone and other essential equipment.
  • If you need insulin or other medicine that must be kept chilled make plans now.
  • Consider what you would do if you were without electricity for a two weeks. If you have an invalid living with you that requires electricity, there will be areas that will be without for weeks. Be proactive.
  • If you live in a heavily wooded area, does someone in your vicinity have a gasoline-powered chain saw? Does it have fuel and a reasonably good chain/blade? Test it, now.
  • Get to an ATM. Without power, credit card readers and ATMs will not be working. In a disaster, cash is king.
  • If you are in the high wind or flood area, thoroughly photograph your home and possessions now. You will need it for insurance purposes. This includes trees, shrubs, etc. Then, if using a digital camera, upload to internet so it will be there after the storm in case the worse happens. Be nice to insurance adjusters!

Whether you evacuate or not, stockpile some good books, magazines, board games and keep a good attitude. Look at this as one of life’s adventures.

There is nothing wrong with a few prayers!

(found on http://www.mikesmithenterprisesblog.com/ )