The Fall of Hospitals

[Proud Prepper]

Hi guys.

I would add a pressure cooker to the medical supplies, as a pressure cooker can work as an autoclave to completely sterilize medical materials.

Also, I may have missed it . . . but where are the urinary catheters? Any number of illnesses and injuries may lead to a difficulty in urination, so where are the catheters? Does anyone here (besides Dr. Jenner) know how to put one in? What about the urinary tract infections that can happen with catheters?

What about Hibiclens (antimicrobial surgical soap)?

Preventing infection seems to be the bigger priority than trying to cure everything by throwing antibiotics at it in a haphazard manner without having formal medical training.

Although 2% glutaraldehyde is often the first-line agent for endoscopic disinfection, its adverse reactions are common among staff and it is less effective against certain mycobacteria and spore-bearing bacteria. Chlorine dioxide is a possible alternative and an automated washer-disinfector fitted with this agent is currently available. This study was conducted to evaluate the effectiveness of chlorine dioxide in endoscopic disinfection after upper gastrointestinal examination. In vitro microbicidal properties of chlorine dioxide solutions were examined at high (600 ppm) and low (30 ppm) concentrations against various microbes including Pseudomonas aeruginosa, Helicobacter pylori, Mycobacterium avium-intracellulare and Bacillus subtilis in the presence or absence of bovine serum albumin (BSA). Immediately following endoscopic procedures and after application to the automated reprocessor incorporating chlorine dioxide at 30 ppm for 5 min, endoscopic contamination with infectious agents, blood, H. pylori ureA gene DNA and HCV-RNA was assessed by cultivation, sensitive test tape, polymerase chain reaction (PCR) and reverse transcriptase-PCR analysis, respectively. Chlorine dioxide at 30 ppm has equivalent microbicidal activity against most microbes and faster antimicrobial effects on M. avium-intracellulare and B. subtilis compared with 2% glutaraldehyde, but contamination with BSA affected the microbicidal properties of chlorine dioxide. Endoscopic contamination with microbes, blood and bacterial DNA was eliminated after application of the automated reprocessor/chlorine dioxide system. Thus, chlorine dioxide is a potential alternative to glutaraldehyde. The use of automated reprocessors with compatibility to chlorine dioxide, coupled with thorough pre-cleaning, can offer effective, faster and less problematic endoscopic disinfection.

CDS Wound irrigant.
Brief Summary:
This research is being done because the investigators are trying to examine the safety and effectiveness of this wound cleaning liquid, CACD (chlorine dioxide). The investigators are trying to see if this liquid has the ability to decrease infection rates and decrease the scarring effects from the healing process. In animal studies, CACD has been shown to decrease scar formation and decrease the risk of wound infections. CACD is also used for the treatment of burns to decrease infection rates and improve wound healing. CACD is not FDA approved for this specific use, but it is FDA and USDA approved for reducing bacterial contamination on meat and food products for human consumption. In addition, an investigational drug (IND) application has been submitted to the FDA for this study. The FDA has approved the use of this solution for this study.

Condition or disease	Intervention/treatment	Phase
Wound - in Medical Care	Biological: chlorine dioxideBiological: saline	Early Phase 1

 

[lonewolf]

if I stocked everything that was suggested on survival type forums over the last 12 years including all the chemicals and medical gear I would need a large warehouse to store it all in which is just crazy.

 

[erqueen75]

Hi guys.

I would add a pressure cooker to the medical supplies, as a pressure cooker can work as an autoclave to completely sterilize medical materials.

Also, I may have missed it . . . but where are the urinary catheters? Any number of illnesses and injuries may lead to a difficulty in urination, so where are the catheters? Does anyone here (besides Dr. Jenner) know how to put one in? What about the urinary tract infections that can happen with catheters?

What about Hibiclens (antimicrobial surgical soap)?

Preventing infection seems to be the bigger priority than trying to cure everything by throwing antibiotics at it in a haphazard manner without having formal medical training.

Did someone say urinary cath???!!!
With a 3000 cc bag for bladder irrigation for the win!!!
Nurses are odd creatures, but we love our patients
Erqueen75

 

[Proud Prepper]

And as for antivenom, does everyone here realize that several different kinds may be necessary? And that it can take up to 10 or 15 vials of antivenom to turn around a snakebite victim? Also, that this much antivenom can cost as much as $18,000.00?

Are all of you confident that you can tell the difference between an eastern diamondback, a timber rattler, a water moccasin, and the different kinds of pygmie rattlers?

Or that bites from a copperhead or a pygmie rattler (Sistrurus sp.) almost never need antivenom even if the snake injects a large dosage of venom?

Again use CDS, solution of chlorine dioxide, for use in the local or systemic treatment of acute poisoning by toxins from plants, fungi, marine animals, amphibians, reptiles, spiders or insects, and thereby induced clinically relevant symptoms or conditions of the human or animal organism. It contains 5 to 3000 mg / l (ppm) of dissolved chlorine dioxide (CIO2) and, when ready for use, is essentially free of chlorate ions, hydrochloric acid and gaseous chlorine or contains these components in a maximum concentration of 1% of the respective chlorine dioxide concentration.

Chlorine Dioxide was not called the universal antidote by NASA scientist just for the fun of it.

 

[Kevin L]

Did someone say urinary cath???!!!
With a 3000 cc bag for bladder irrigation for the win!!!
Nurses are odd creatures, but we love our patients
Erqueen75

I think it's great that you love your patients.

I was a paramedic for over a decade, and I couldn't stand most of my patients. I thought they were mostly s____heads.

 

[spazatak]

Thanks for this doctor.
I know you wrote you didn’t want to talk about it, but I’d like to know... Are the lack of beds or overcrowding in your hospital due to medical professionals quitting? And are the majority of the Covid cases Un-Vaxxed or Vaxxed?

thanks

 

[MOS0231]

This will piss people off even more:
At least two states have instructed medical providers to prioritize monoclonal antibody treatments for those “most at risk” from Covid-19 after having their supplies cut by the federal government, with Tennessee making the controversial decision to recommend that nearly all vaccinated Covid patients in the state be denied access to the life-saving drugs.

https://www.forbes.com/sites/jemima...qobByvKkdAGs3Wg6Y7WzBajeNFhSw&sh=76b25090ad71

What damn sense does that make?
And, the feds cutting the supply?

If I did not know any better, this admin is cutting the supply to certain states to make those governors look bad.

 

[user 7000]

Where are the ACLS drugs? Without them, you'll never get past "shock, shock, shock"...

 

[DrJenner]

What damn sense does that make?
And, the feds cutting the supply?

If I did not know any better, this admin is cutting the supply to certain states to make those governors look bad.

There are states that are using up most of the supply. So now it's being rationed and will be given to the unvaccinated as their chance of dying is greater than vaccinated. This is triage/crisis standards of care and happening all over. It's just going to get worse.

 

[DrJenner]

Where are the ACLS drugs? Without them, you'll never get past "shock, shock, shock"...

Ah, you would need more post ROSC care to keep someone alive.
I could post drugs if you wanted to set up a makeshift hospital/clinic.
Epi, vasopressin, sodium bicarb pushes (my favorite haha)
D50, CaCl, Magnesium, Lidocaine push
neosynephrine stick, atropine. ... The list could go on!

I mean unless someone has an underIying cardiomyopathy and the VT/VF is due to structural remodeling, you're right you really need the drugs.
This is more for that walkie talkie person who comes in and is in VT and you can shock them out of it.

 

[DrJenner]

Thanks for this doctor.
I know you wrote you didn’t want to talk about it, but I’d like to know... Are the lack of beds or overcrowding in your hospital due to medical professionals quitting? And are the majority of the Covid cases Un-Vaxxed or Vaxxed?

thanks

It's multi-factorial
1. Seasoned nurses are getting sick of being treated like sh!t by administrators and leaving to go take travel assignments where they can make more money.
2. Majority of covid are un-vaxxed, have had a few vaxxed through (mainly older with chronic conditions)
3. Our covid numbers are rising, and we are boarding ICU patients in the PACU (post anesthesia care unit). As such nurses are taking 3 patients (when usually they take 2) and this is further contributing to their burnout.

 

[DrJenner]

The ENT will be useless unless you know what you are looking at or for.
We have one and actually have a bottle of antivenom (Further down the list) My wife knows how to use them, but I do not.

Yeah unless you need the extractor to get stuff out of kids noses, ears etc.
You wouldn't believe the stuff that kids get stuck in their orifices. Hahah
I bet @erqueen75 and @Kevin L would have good stories about that. I have a few as well. LOL

 

[EastenerWesterner]

Yeah unless you need the extractor to get stuff out of kids noses, ears etc.
You wouldn't believe the stuff that kids get stuck in their orifices. Hahah
I bet @erqueen75 and @Kevin L would have good stories about that. I have a few as well. LOL

If they are anything like dogs, I would.
Dog came in for eating a sock. My wife scoped and showed it to owners. Nope, it was wrong color. 2nd one was too.
She finally got the right color on sock #9.

 

[Kevin L]

Yeah unless you need the extractor to get stuff out of kids noses, ears etc.
You wouldn't believe the stuff that kids get stuck in their orifices. Hahah
I bet @erqueen75 and @Kevin L would have good stories about that. I have a few as well. LOL

As a paramedic in South Florida for over a decade, I have lots and lots of stories.

 

[Proud Prepper]

Where to get IV bags - normal saline or lactated ringers?

 

[Kevin L]

Where to get IV bags - normal saline or lactated ringers?

Lactated ringers and normal saline can be ordered from vet supply places the usually come in 500 ml and 1000 ml bags, and normal saline (not Ringer's Lactate . . . but there are rare, oddball exceptions to this) also comes in 250 ml bags.

Normal saline would probably be preferred over Ringer's Lactate because:

1) Ringer's may be incompatable with certain IV meds, while saline is generally compatable with everything.
2) Normal saline can be used to irrigate burns, eyes, wounds, and infections.
3) People are generally not allergic to normal saline, however Ringer's can trigger an allergic and/or hypersensitivity reaction . . . but keep in mind that this objection is weak, as reactions to Ringer's--when used properly--are very, very rare.
4) Normal saline can be used in a colonic.
5) Normal saline can irrigate a bladder, and it can be used for gastric lavage.
6) It can be used to flush emergency meds (like epinephrine 1:10,000) down an endotracheal tube.

So, I would keep normal saline around. It does go bad over time--perhaps from chemicals leeching from the synthetic materials that make up the bag, or possibly from bacteria that eventually penetrate the seals--so store in a cool, dry, dark place.

I doing research on wine coolers (for storage, not the drink) that maintain a steady 55°F.

I will have one that's solar powered, and I'll store all my medical stuff in that.

Also, anyone interested in a discussion of survival medicine needs to be buying a bedside commode and a few fold-up walkers from Goodwill and/or the Salvation Army thrift stores. These items can be found for less than $10.00 if you shop thrift stores near retirement communities (no shortage in Florida).

Also, if one can find a hand-crank antique hospital bed with side rails, then that would be a good idea as well if you have a spare bedroom.

Privacy screens can be made with a cord stretched across the room with sheets hanging from it.

 

[EastenerWesterner]

Lactated ringers and normal saline can be ordered from vet supply places the usually come in 500 ml and 1000 ml bags, and normal saline (not Ringer's Lactate . . . but there are rare, oddball exceptions to this) also comes in 250 ml bags.

Normal saline would probably be preferred over Ringer's Lactate because:

1) Ringer's may be incompatable with certain IV meds, while saline is generally compatable with everything.
2) Normal saline can be used to irrigate burns, eyes, wounds, and infections.
3) People are generally not allergic to normal saline, however Ringer's can trigger an allergic and/or hypersensitivity reaction . . . but keep in mind that this objection is weak, as reactions to Ringer's--when used properly--are very, very rare.
4) Normal saline can be used in a colonic.
5) Normal saline can irrigate a bladder, and it can be used for gastric lavage.
6) It can be used to flush emergency meds (like epinephrine 1:10,000) down an endotracheal tube.

So, I would keep normal saline around. It does go bad over time--perhaps from chemicals leeching from the synthetic materials that make up the bag, or possibly from bacteria that eventually penetrate the seals--so store in a cool, dry, dark place.

I doing research on wine coolers (for storage, not the drink) that maintain a steady 55°F.

I will have one that's solar powered, and I'll store all my medical stuff in that.

Also, anyone interested in a discussion of survival medicine needs to be buying a bedside commode and a few fold-up walkers from Goodwill and/or the Salvation Army thrift stores. These items can be found for less than $10.00 if you shop thrift stores near retirement communities (no shortage in Florida).

Also, if one can find a hand-crank antique hospital bed with side rails, then that would be a good idea as well if you have a spare bedroom.

Privacy screens can be made with a cord stretched across the room with sheets hanging from it.

Vet supply places have been on limited supply for over a year. At one point we had to bring some out of date ones in for use.

 

[Proud Prepper]

Make your own medicinal and herbal tea with a low cost expreso machine. Like shikimic acid tea, to prevent blood clots from covid shots and there spike proteins.

 

[Proud Prepper]

Vet supply places have been on limited supply for over a year. At one point we had to bring some out of date ones in for use.

Mountainside medicine website, had what I needed.

 

[EastenerWesterner]

Mountainside medicine website, had what I needed.

Just stating what from experience and what the one with 9 letters tells me.

 

[erqueen75]

My apologies if this has been posted before, thought it was too good to pass up while talking about I.V. Fluids...

https://www.thecalculator.co/health/Parkland-Formula-Calculator-for-Burns-698.html

 

[erqueen75]

Holy Schnikes!!!
A Kocher costs $349.50!!!???
That is madness...

and Mayo's are $279.95!!!!???

No wonder healthcare costs are outrageous!!! And all I got for my first raise as a nurse was either 0.10 or 0.20 cents an hour. Bullpucky!!!

 

[user 7000]

I think it's great that you love your patients.

I was a paramedic for over a decade, and I couldn't stand most of my patients. I thought they were mostly s____heads.

I've got a couple Foley's.
The only patients I ever had issue with were the ones we'd take from the nursing homes to dialysis. If I ever get there, my wife has instruction to kill me.

 

[Kevin L]

I've got a couple Foley's.
The only patients I ever had issue with were the ones we'd take from the nursing homes to dialysis. If I ever get there, my wife has instruction to kill me.

Are you a paramedic or an EMT?

 

[DrHenley]

I had some experience with catheters a long time ago in a galaxy far far away, LOL. I was a hospital orderly before going back to college.
Hospital got bought out and the new administration (Humana, if I recall correctly) only allowed me one cheap plastic glove (kind of like the ones used in food service) to use for catheterization.

I fought it and won.

 

[DrHenley]

It's hitting the fan in North Carolina...
https://www.zerohedge.com/covid-19/...reds-employees-after-covid-19-vaccine-mandateNorth Carolina Hospital System Suspends Hundreds Of Employees After COVID-19 Vaccine Mandate

 

[user 7000]

Are you a paramedic or an EMT?

Medic. Also worked as a Tech in the ER.

 

[Kevin L]

Medic. Also worked as a Tech in the ER.

I was also a medic for 11 years until I was sidelined with a work injury.

It was an interesting job.

 

[DrHenley]

https://www.theguardian.com/us-news/2021/sep/23/us-public-health-workers-pandemic-burnout

 

[user 7000]

I was also a medic for 11 years until I was sidelined with a work injury.

It was an interesting job.

Same here. The job is hard on the body, and I got into it later in life. I'm paying for it now, though I miss it everyday.