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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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