The Survival Medicine Handbook’s 4TH EDITION

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We’re pleased to announce the publication of the brand new and greatly expanded 4th Edition of The Survival Medicine Handbook on Amazon! After an entire year of putting it together, we believe the new version to be a major improvement on the Book Excellence Award-winning 3rd Edition from more than 5 years ago. We’re also happy that we can publish the new edition at the exact same price as the 2016 book, something you can’t say about a lot of things nowadays.

(Note: If you’d like to receive a personally signed copy of our book or a special signed color numbered limited edition book, go to our store at store.doomandbloom.net!)

Of course, the big question readers may ask, especially those who own previous editions of The Survival Medicine Handbook, is what’s different about this book that makes it better than the last edition? The 4th Edition has a lot more information and topics, plus many more how-to illustrations and images (about 350!) than the 3rd Edition. So much so, that the book is now physically larger. If we had kept the book the same size, it would have been over 1000 pages!

Compared to the 3rd Edition’s 10 sections, we’ve revamped the 4th Edition into 35 sections with more chapters and subchapters than you can shake a stick at. The table of contents is published below in its entirety. Every old chapter has been revised and almost all old topics are discussed in much more detail. To take some examples, the eye chapter discusses traumatic injuries and treatment in detail, something only touched upon in the previous edition. The ear chapter has added foreign objects and other non-infection related issues. Trauma sections have added blunt trauma/crush injuries, internal bleeding, specific fracture and dislocation areas, traction, new tourniquets and other useful technology like the ITClamp® and Zipstitch®. The step by step instructions, (often illustrated) many graciously given to us for the book by brand name manufacturers, include:

  • Casting a fracture
  • Applying splints to various areas
  • Inserting a decompression needle
  • Placing airways
  • Applying chest seals
  • Inserting a chest tube and drainage system
  • Reducing different types of dislocations
  • Stopping extremity and non-extremity bleeding (in different parts of the body)
  • Incision and drainage
  • Wound debridement
  • Placing a nasal pack
  • Much, much more  

Respiratory infections, food contamination, dehydration, animal-related injuries, pregnancy, integrative medicine, and skin issues are greatly expanded. Nurse Practitioner Amy has added an additional section on daily nursing care for injured and sick patients. We even discuss topics like rectal rehydration and safe burial practices. There’s a lot more, as you’ll see as you progress through the table of contents. We hope you’ll consider our new 4th Edition for your survival library. You’ll be glad you did. Oh, and check out greatly-appreciated testimonials from the experts at the bottom of the page!

TABLE OF CONTENTS

PREFACE: The fourth edition

WHY YOU SHOULD READ THIS BOOK

GETTING THE MOST OUT OF THIS BOOK

SECTION 1: PRINCIPLES OF MEDICAL PREPAREDNESS

THE CASE FOR MEDICAL PREPAREDNESS

THE NEW NORMAL

WHAT IS SURVIVAL MEDICINE?

INTEGRATIVE MEDICINE

  -Spirituality and Survival

THE IMPORTANCE OF COMMUNITY

PERSONAL GOALS AND SURVIVAL

THE PATIENT ADVOCATE

SECTION 2: BECOMING A MEDICAL ASSET

THE STATUS ASSESSMENT

   -What Are Your Responsibilities

   -What Scenario Are You Preparing For?

   -How Many People Are You Responsible For?

   -What Are Your Provisions For Special Needs?

   -What Physical Environment Will You Live In?

   -How Long Will You Needed As Medic?

   -How Do You Obtain Knowledge and Training?

MEDICAL ISSUES YOU’LL FACE

USEFUL MEDICAL SKILLS

SECTION 3: MEDICAL SUPPLIES

THE MEDIC’S BAG

MEDICAL KITS FOR AUSTERE SETTINGS

  -Personal Carry (IFAK) Kit

  -The Vehicle Kit

  -The Family Kit

  -The Field Hospital

  -How Much Is Enough?

MEDICAL SUPPLIES AS BARTER

MASKS AND GLOVES

STERILE VS. CLEAN

HOW TO DISINFECT MEDICAL SUPPLIES

ULTRAVIOLET GERMICIDAL RADIATION

SECTION 4: NATURAL MEDICINE

TYPES OF NATURAL HERB PRODUCTS

  -Colloidal Silver

ESSENTIAL OILS

  -Ways To Extract Essential Oils

  -Using Essential Oils

  -“Essential” Essential Oils

HERBAL TEAS

  -Herbal Tinctures

GROWING MEDICINAL GARDENS

  -Seeds And Cuttings

  -Harvesting

  -Useful Herbs for The Garden

CBD

BOOSTING THE IMMUNE SYSTEM

  -Sleep

  -Nutrition

  -Stress

  -Bad Habits

  -Probiotics

  -Herbs

  -Supplements

SECTION 5: THE HISTORY AND PHYSICAL

THE MEDICAL HISTORY

PRINCIPLES OF PHYSICAL EXAMINATION

THE PROBLEM-ORIENTED EXAM

   -The SOAP Note

VITAL SIGNS

   -Pulse Rate

   -Respirations

   -Blood Pressure

   -Body Temperature

   -Mental Status

THE PHYSICAL EXAM

  -Head and Neck

  -The Chest Exam

  -The Abdominal Exam

  -Extremities

SECTION 6: HYGIENE AND SANITATION

HANDWASHING

FOOD AND WATER SAFETY

  -Water Filters

  -Water Disinfection

  -Preparing Food Properly

DEALING WITH HUMAN WASTE

RODENTS AS A SANITATION HAZARD

  -Rodent Proofing a Retreat

SAFE BURIAL PRACTICES

SECTION 7: HEAT, COLD, AND ALTITUDE ISSUES

TEMPERATURE REGULATION

HYPERTHERMIA

  -Heat Cramps, Heat Exhaustion and Heat Stroke

  -Treating Heat-Related Illness

HYPOTHERMIA

  -How the Body Loses Heat

  -Symptoms of Hypothermia

  -Levels of Hypothermia

  -Treating Hypothermia

  -Prevention of Hypothermia

FROSTBITE/IMMERSION FOOT

  -Stages of Frostbite 

  -Immersion Foot

  -Treating Frostbite/Immersion Foot

COLD WATER SAFETY

  -Falling Through the Ice

ALTITUDE SICKNESS

SECTION 8: NATURAL DISASTERS

BLIZZARD SURVIVAL

AVALANCHE SURVIVAL

HEAT WAVE SURVIVAL

TORNADO SURVIVAL

HURRICANE SURVIVAL

FLOOD SURVIVAL

LIGHTNING SURVIVAL

EARTHQUAKE SURVIVAL

MUDSLIDE SURVIVAL

MARITIME SURVIVAL

  -Stranded at Sea

  -Hazards Posed by Sea Creatures

  -Near Drowning

SECTION 9: RADIATION/BIOLOGICAL/CHEMICAL EVENTS

NUCLEAR EVENTS

  -Types of Nuclear Weapons

  -Damage Caused by Nuclear Attacks

  -Radiation Exposure

  -Nuclear Reactor Meltdowns

RADIATION SICKNESS

  -Prevention

  -Treatment

BIOLOGICAL WARFARE

   -Biological Agents

   -Biological vs. Chemical Warfare

CHEMICAL WARFARE

   -Chemical Accidents

   -Treatment of Chemical Exposure

SECTION 10: HEAD ISSUES

HEADACHE

   -Types of Headaches

   -Headache Relief

TRAUMATIC BRAIN INJURIES

   -Concussions

   -Evaluation, Treatment, and Prevention

STROKES

   -Types of Strokes

   -Transient Ischemic Attacks (TIAs)

   -Identifying a Stroke

   -Treating a Stroke

EYE ISSUES

   -Eye Infections

   -Styes

   -Eye Trauma

   -Foreign Objects

   -Corneal Abrasions

  -Other Injuries to The Eye

EAR ISSUES

   -Using an Otoscope

   -Otitis Externa

   -Otitis Media

   -Otitis Interna and Vertigo

   -The Ruptured Eardrum

   -Wax Blockage/Foreign Objects

   -Tinnitus

   -TMJ

NASAL ISSUES

    -Nosebleeds

    -Placing a Nasal Pack

    -The “Broken” Nose

    -Foreign Object Removal

SECTION 11: DENTAL ISSUES

DENTAL ANATOMY

  -Dental Hygiene

  -Tooth Decay and Gum Disease

  -Diet And Decay

THE SURVIVAL DENTAL KIT

THE DENTAL EXAM

  -Toothache

  -Temporary Fillings

TOOTH ABSCESSES

  -Signs and Symptoms

  -Treatment and Prevention of Tooth Abscesses

DENTAL TRAUMA

  -Dental Fractures (Broken Teeth)

  -Dental Subluxations (Loose Teeth)

  -Dental Avulsions (Teeth Knocked Out)

DENTAL EXTRACTION

  -Other Oral Cavity Injuries

Section 12: RESPIRATORY ISSUES

UPPER RESPIRATORY INFECTIONS

   -The Common Cold

   -Influenza

   -Colds vs. Flus

   -Treating Colds and Flus

   -Treating a Fever

   -Pharyngitis

   -Epiglottitis

   -Tonsillitis

   -Sinusitis

   -Laryngitis

LOWER RESPIRATORY INFECTIONS

   -Croup

   -Bronchitis

   -Pneumonia

   -Acute Respiratory Distress Syndrome

   -Prevention of Major Respiratory Infections

NATURAL RESPIRATORY REMEDIES

CHRONIC LUNG DISEASE

   -Emphysema and Chronic Bronchitis

   -COPD and Smoking

   -Treatment and Prevention of COPD

ASTHMA

   -Symptoms of Asthma

   -Treatment of Asthma

   -Natural Remedies For Asthma

SECTION 13: HEART ISSUES

HEART ATTACK

   -Other causes of Chest Pain

   -Cholesterol and The Heart

CPR IN AUSTERE SETTINGS

   -Airway Obstruction

   -Tracheotomy/Cricothyroidotomy

   -CPR in Cardiac Arrests 

   -Maintaining An Open Airway

SECTION 14: ABDOMINAL ISSUES

ACID REFLUX

   -Gastritis

   -Peptic Ulcers

   -Treating Acid Inflammation

THE PANCREAS

THE SPLEEN

THE LIVER

   -Hepatitis

THE GALL BLADDER

INTESTINAL INFECTIONS

   -Botulism

   -Campylobacter

   -Cholera

   -Cryptosporidium

   -Cyclospora

   -Dysentery

   -E. Coli

   -Giardiasis

   -Norovirus

   -Rotavirus

   -Trichinosis

   -Typhoid Fever (and Typhus)

PARASITIC WORMS

   -Types of Worms

   -Treatment

DIARRHEA AND DEHYDRATION

   -Dehydration

   -Oral Rehydration

   -Rectal Rehydration

   -Treating Diarrhea

CONSTIPATION

   -Fecal Disimpaction

FOOD POISONING

   -Edibility testing

APPENDICITIS

DIVERTICULOSIS/ITIS

INFLAMMATORY BOWEL DISEASE

   -Crohn’s Disease

   -Ulcerative Colitis

HEMORRHOIDS

   -Incision of External Hemorrhoids

SECTION 15: URINARY TRACT ISSUES

THE KIDNEY

   -Kidney Stones

   -Kidney Infections

   -Kidney Trauma

BLADDER INFECTIONS

SECTION 16: GENITAL TRACT ISSUES

MALE GENITAL TRACT

   -Prostate Issues

   -The Enlarged Prostate

   -Urinary Retention

   -Epididymitis

   -Jock Itch

FEMALE GENITAL TRACT

   -Ovarian Cysts

   -Tubal Pregnancy

   -Endometriosis

   -Fibroids

   -Vaginal Yeast Infections

SEXUALLY TRANSMITTED DISEASE (BACTERIAL)

SEXUALLY TRANSMITTED DISEASES (VIRAL)

SEXUALLY TRANSMITTED DISEASES (OTHER)

SECTION 17: BONES AND JOINTS

STRAINS, SPRAINS, AND OTHER INJURIES

   -Sprains

   -Wrapping a Sprain

   -Sprains vs. Fractures

   -Bone Contusions (Bruises)

   -Strains 

   -Tendinitis

   -Plantar Fasciitis

   -Carpal Tunnel Syndrome

   -Orthopedic Natural Remedies

FRACTURES

   -Types of Fractures

   -How a Broken Bone Heals

   -Evaluating the Fracture

   -Reducing a Deformity

   -Traction

   -Applying Splints

   -Placing a Cast

   -Care of Casts and Splints

   -Fractured Clavicle (Collarbone)

   -Open Fracture Wound Care

   -Long-Term Fracture Care

DISLOCATIONS

   -Shoulder Dislocations

   -Wrist Dislocations

   -Finger Dislocations

   -Hip Dislocations

   -Knee Dislocations

   -Jaw Dislocations

AMPUTATION

CHRONIC JOINT DISEASES

   -Types of Arthritis

   -Natural Therapy for Joint Disease

SECTION 18: SKIN ISSUES

SKIN RASHES

   -Acne

   -Eczema

   -Atopic Dermatitis

   -Contact Dermatitis

   -Poison Ivy, Oak, and Sumac

   -Seborrheic Dermatitis

   -Stasis Dermatitis and Varicose Veins

   -Less Common Types of Eczema

   -Natural Eczema Relief

HERPES

PSORIASIS

ROSACEA

SKIN INFECTIONS

   -Impetigo

   -Cellulitis

   -Abscesses

   -Incision and Drainage

HIDRADENITIS SUPPURATIVA

TETANUS

NAIL BED ISSUES

   -Nail Anatomy

   -Nail Trauma

   -Ingrown Nails

BLISTERS, SPLINTERS, AND FISHHOOKS

   -Blisters

   -Splinters

   -Fishhooks

SECTION 19: animal bites, stings, and other issues

INSECTS

   -Bees/Wasps/Hornets

   -Fire Ants

   -Chiggers

   -Bedbugs

   -Lice and Scabies

   -Kissing Bugs

MOSQUITO-BORNE ILLNESSES

   -Malaria

   -Zika

   -Chikungunya

   -Dengue Fever

   -Yellow Fever

   -West Nile and Related Viruses

   -Mosquito Control

ARACHNIDS

   -Black Widow Spiders

   -Brown Recluse Spiders

   -Scorpions

   -Ticks

   -Lyme Disease

   -Other Tick-Borne Illnesses

SNAKE BITE

   -Pit Vipers

   -Elapids

   -Treating A Snake Bite

ANIMAL ATTACKS

   -Cat Bites

   -Dog Bites

   -Wild Animal Bites

   -Rabies

   -Treating Animal Bites

   -Skunks

LARGE ANIMAL ENCOUNTERS

   -Bears

   -Cougars

   -Wild Boars

   -Wolves

   -Alligators and Crocodiles

   -Human Bites

SECTION 20: ALLERGic reactions and anaphylaxis

ALLERGIES

   -How Allergens Cause Reactions

   -Types of Allergens

   -Drug Treatment of Allergies

   -Natural Treatment of Allergies

ANAPHYLAXIS

   -Signs and Symptoms of Anaphylaxis

   -Treatment of Anaphylaxis

SECTION 21: MINOR WOUNDS

CUTS, SCRAPES, AND BRUISES

   Herbal Treatments For Minor Wounds

SECTION 22: BURNS

BURN DEGREES

   -First Degree Burns And Treatment

   -Second Degree Burns And Treatment

   -Third Degree Burns And Treatment

   -Natural Burn Remedies

SECTION 23: BLEEDING TRAUMA

BLOOD BASICS

   -Physical Effects of Blood Loss

EVALUATION IN THE FIELD

BLEEDING CONTROL TECHNIQUES

   -Direct Pressure

   -Packing a Bleeding Wound

   -Non-Extremity Bleeding

TOURNIQUETS

   -Other Bleeding Control Devices

HEMOSTATIC DRESSINGS

   -Compression Bandages

CONVERTING A TOURNIQUET

   -Wound Care After Bleeding Control

SECTION 24: MAJOR WOUNDS

CHEST TRAUMA

   -Rib Fractures

   -Pneumothorax

   -Needle Decompression

   -Chest Seals

   -Chest Tubes

BLUNT TRAUMA

   -How Blunt Trauma Damages Tissue

   -Motor Vehicle Accidents

   -Falls from Height

   -Identifying Internal Injuries

STAB WOUNDS

    -Treating a Stab Wound

GUNSHOT WOUNDS

   -Ballistic Trauma

   -Treating a Gunshot Wound

BODY ARMOR

CRUSH INJURIES

SHOCK

SECTION 25: OPEN WOUND CARE

HOW SOFT TISSUE HEALS

   -Signs of Wound Infection

DAILY WOUND CARE

WOUND IRRIGATION

   -Making Irrigation Solutions

DEBRIDEMENT OF NON-VIABLE TISSUE

ANTIBIOTICS AND NATURAL WOUND TREATMENTS

DRESSINGS AND BANDAGES

-The “Wet-to-Dry” Dressing

SECTION 26: WOUND CLOSURE

CLOSE A WOUND OR KEEP IT OPEN?

LOCAL ANESTHESIA

METHODS OF WOUND CLOSURE

   -Tapes and Glues

   -Sutures and Staples

   -Suturing Materials

HOW TO SUTURE SKIN

HOW TO STAPLE SKIN

DRAINS

PERFORMING DRESSING CHANGES

SECTION 27: MASS CASUALTIES

MASS CASUALTY INCIDENTS

   -The Five S’s Of MCI Triage

   -S.T.A.R.T.

PRIMARY TRIAGE SCENARIO

   -RPMs

   -Scenario Results

ACTIVE SHOOTERS AND TERROR EVENTS

   -Shooter events

   -Run, Hide, Fight

   -The OODA Loop of Situational Awareness

VEHICULAR TERROR

CIVIL UNREST SAFETY

THE MEDIC UNDER FIRE

   -Zones of Care

SECTION 28: PATIENT TRANSPORT

CONTROLLED TRANSPORT

   -Transport Using Materials At Hand

   -Transport Using No Materials

SECTION 29: PREGNANCY, AND CHILDBIRTH

PREGNANCY IN SURVIVAL SETTINGS

   -Pregnancy and Childbirth Complications

PREVENTING PREGNANCY OFF THE GRID

    -Natural Family Planning

PREGNANCY BASICS

    -Diagnosing Pregnancy

PRENATAL CARE

LABOR AND DELIVERY

   -Stages of Labor

   -First Stage

   -Second Stage

   -Delivering The Baby

   -Breech Birth and Multiples

   -Third Stage (placenta)

POST PARTUM CARE

SECTION 30: OTHER MEDICAL CONDITIONS

HIGH BLOOD PRESSURE

   -Treatment and Prevention

DIABETES

   -Types of Diabetes

   -Symptoms of Diabetes

   -Treating Diabetes Off the Grid

   -Diabetic Emergencies

THYROID ISSUES

   -Hyperthyroidism

   -Hypothyroidism

   -Goiter and Other Thyroid Issues

SEIZURE DISORDERS

   -Types of Seizures

   -Syncope (Fainting) or Seizure?

ANEMIA

   -Types of Anemia

Section 31: PANDEMICS

GERMS THAT CAUSE DISEASE

   -Epidemic, Endemic, Pandemic

   -How Infections Spread

IMMUNITY

INFECTIOUS DISEASE OUTBREAKS

   -Epidemic, Endemic, Pandemic

DISEASES THAT CAUSE PANDEMICS

   -The R-Nought Number

COVID-19

THE EPIDEMIC SICK ROOM

   -Separate Areas for Injured Patients

   -Disinfectants and Contact Times

SECTION 32: NURSING CARE OFF THE GRID

NURSING CARE PROTOCOLS FOR THE SICK AND INJURED

   -Vital Signs And Charting

   -Safety And Shelter

   -Hygiene And Sanitation

   -Nutrition And Hydration

   -The Bedridden Patient

Section 33: MENTAL HEALTH

ANXIETY

DEPRESSION

   -Post-Traumatic Stress Syndrome

SLEEP DEPRIVATION

   -Sleep Hygiene

   -Natural Remedies for Sleep

SECTION 34: MEDICATIONS

ESSENTIAL OVER-THE-COUNTER MEDICATIONS

PAIN MEDICATIONS

NATURAL PAIN RELIEF

SECTION 35: ANTIBIOTICS

MAKING THE CASE FOR ANTIBIOTICS

   -Risks Associated with Antibiotics

   -Stockpiling Other Medications

HOW TO USE ANTIBIOTICS

   -Amoxicillin

   -Ciprofloxacin

   -Cephalexin

   -Doxycycline

   -Azithromycin

   -Clindamycin

   -Levofloxacin

   -Metronidazole

   -Sulfa Drugs

   -Ampicillin

   -Erythromycin

   -Minocycline

   -Fluconazole

   -Other Antifungal Drugs

   -Antiviral Drugs

WHICH AND HOW MANY?

   -Determining How Much To Store

   -Preferred Antibiotics

EXPIRATION DATES

PROPER STORAGE Of MEDICINES

   -Drug Spoilage

AND MUCH MORE!

TESTIMONIALS (Thanks, guys!)

“I have known and worked with the Joe and Amy Alton for over 10 years now. They have been an invaluable resource to my community at The Survival Podcast. I know of no other individuals who have done as much to educate the prepper community as to medical preparedness.”

-Jack Spirko, Owner and Founder of The Survival Podcast

“You can’t purchase medical preparedness like you can buy other survival and preparedness gear.  Medical preparedness is 90% knowledge and know-how! That is why I always say, the first book any prepper should own is The Survival Medical Handbook by Dr. Joe and Amy Alton!”

-Todd Sepulveda, Founder, PrepperWebsite.com, ThePrepperWebsitePodcast.com

“As a person responsible for many people. I keep my Survival Medicine Handbook nearby.  If you’re not a medical provider, this book will help you keep someone alive until help arrives. Kudos to Joe and Amy for their dedication to teaching austere medicine through their podcasts and publications.”

-Scott Hunt, Author, Engineer775 on YouTube, Owner of Practical Preppers ++tr

I’ve relied on Joe and Amy Alton for timely and important medical articles for more than 20 years. They increase the magazine’s value, and they are a part of the reason we are not simply read and tossed, but read and kept in a drawer for later rereading.”

-Dave Duffy, Founder and Editor Emeritus, Backwoods Home Magazine

“Joe and Amy Alton have long been my preferred source for any information related to medical issues in austere settings. Their Survival Medicine Handbook (4th edition) should be in every prepper library. They cover a huge range of topics, with easy to follow and understand steps for diagnosis and treatment for when the professionals aren’t available. I simply cannot recommend this book highly enough.”

-Jim Cobb, Editor-in-Chief, Prepper Survival Guide Magazine

Dr. Joe and Nurse Amy have been on the forefront of preparedness and have established themselves as experts in the world of survival medicine. I appreciate the way they are able to take complex concepts and teach them in a way anyone can understand. I’ve owned every edition of their Survival Medicine Handbook and each edition I’ve marked and highlighted!”

-Lisa Bedford, Founder, TheSurvivalMom.com

If the situation calls for you to be the medic for family or friends, the best resource you could possibly have is right here in this book. Joe and Amy Alton have used their knowledge, experience and compassion to build a reference guide that exemplifies the standard of care we should all strive to provide if we find ourselves as first responders. I am confident in trusting Joe and Amy for all my medical preparations and information and proud to think of them as part of my family.”

-Charley Hogwood, Author, The Survival Group Handbook and The Bound to Survive series, Founder of ReadyGoPrep.com

“I have found Joe and Amy and their detailed Survival Medicine Handbook to be THE “GO TO” resource that I recommend to ALL our video students.  They are trailblazers in Survival Medicine Education and I can’t think of anyone else I would recommend learning this valuable and lifesaving information more than my colleagues and friends, Joe and Amy Alton.” 

-Karen Hood, Cofounder & Owner of Survival Quarterly

Joe and Amy are among the biggest assets and contributors to the preparedness community and have been so for the past few decades.  The medical expertise they provide is a necessity to both a beginner prepper as well as those who have been prepping for years.”

-Forrest Garvin, CEO of Sun Oven & Founder of PrepperNet.Net

“In the day and age where medical specialists have more diagnostic technology, more education and testing than ever before… but seem confused and unable to pinpoint medical problems… Joe and Amy’s information gets to the root of your issue. Tried and true medical knowledge that you can read and understand.

-Jack Lawson, Author, Civil Defense Manual

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