Q. What’s the best way to treat rattle snake bites in the wild?

Thanks –Lorenzo.

A. Lorenzo, please check out the “Venomous Snake Bites” chapter (excerpted below) from Dr. Weiss’ A Comprehensive Guide to Wilderness & Travel Medicine, 3rd.

Treatment

The definitive treatment for snake venom poisoning is the administration of antivenin. The most important aspect of therapy is to get the victim to a medical facility as quickly as possible.

Signs and Symptoms of Envenomation

• One or more fang marks (rattlesnake bites may leave one, two, or even three fang marks).

Dear Doc,

I get a headache when I hunt elk from a camp at 11,000 feet, despite
living at 5,700 feet and cross-country skiing at 10,800 feet with no
symptoms. Is there a threshold when it comes to altitude illness?

Thanks in advance, Marilyn.

Hello Marilyn,

There is a threshold, but unfortunately it is different for everyone. While one person may experience a high altitude headache (the cardinal symptom of acute mountain sickness) at 11,000 feet, others may get a headache at 8,000 or none at any elevation in the lower 48.

Dear Doc,

Request Opinion on defibrillator aboard 57 trawler heading for Bahamas, Jamaica, Panama, Costa Rica, on to Mexico, San Diego. Crew includes 3 gents, late 50′s, one is diabetic Type 2, on medication. One female, healthy, 57 yrs. There is no O2 on board or defib at this time.

Thanks, Kate

Hello Kate,

Here’s an interesting question that came in over our blog today:

Q: I’d like to make a vest out of the SOL Thermal Bivvy-  should the seams be sewn or will an iron work to weld seams?

A: My advice is to sew the seams, rather than trying to weld them.  If using an iron to weld seams, I would be worried about excessive heat weakening the fabric or causing the two layers of the fabric to separate.

***

Here are some questions that people reading our blog have submitted recently…

Q: How do I verify the expiration date on your oral rehydration salts?

A: The manufacturer of the oral rehydration salts we use does not include and expiration date on the package, as rehydration salts aren’t classified as a drug by the FDA.  Because this product is fairly inert (unlike a pharmaceutical), I wouldn’t have a problem stocking a packet that was a few years old in one of my own kits.  However, if you are concerned that your product is too old to be used safely, you can contact our customer service department and arrange a replacement.

Q:  used the heatsheets emergency bivvy (3.8 oz). next morning discovered a lot of moisture in the bivvy. this gave rise to an extra cold and damp start to the day. is this a common with the bivvy? many thanks for a small but important bit of kit. it may not seem like the back country but when i am here in northern ireland events can turn bad.

A:  Condensation inside the bivvy is par for the course with this product – since the material itself is not breathable, moisture accumulates fairly rapidly.  This is why we classify the Heatsheets Bivvy as an emergency product – since, in an emergency, it is necessary to preserve heat and get warm at all costs, even if condensation results.

Here are answers to a couple questions that have come in through the AMK website over the past week.

Q: I do SAR and have to carry for myself and a subject.  Your 2.0 Bivvy sac is small and light, but for another $25 to $50 and maybe 16 oz more I could get a 40 degree “rated” bag.   I would always carry at least your 2.0 Bivvy but am considering a lightweight down bag for those cold nights.   If your Bivvy was “rated” at 40 – 45 degrees, it would be a no brainier to always carry two of your bags.  Have you done any testing to get a temperature rating on your 2.0 Bivvy?

Question:

I have a question about QuikClot – does it work and is it contraindicated for any type of injury?

Thanks,  Michael Z.

Answer:

Hi Michael-

Thanks for your question about QuikClot.  In short: yes, QuikClot is very effective at speeding the clotting process.  It has been tested in numerous clinical trials and in real world situations involving military, law enforcement, and emergency first response personnel.  The formula that we use does not generate heat (like the “old” QuikClot) and thus will not leave burns on the wound site.

Question:
I’m back packing through Asia for 6 weeks and would like to know what you would recommend for a first aid kit in case of an emergency.  Thanks, Dan R.

Answer:
Dan,
For 6 weeks in Asia, I highly recommend our World Travel kit plus a Suture/Syringe Medic. The World Travel kit is designed for trips like yours, with comprehensive wound-care supplies and a large suite of medications for pain, flu, and stomach maladies.

Question:

I bought a pack of the GlacierGel to use on the ball of my foot, and despite following the instructions they quickly fell off.  Just wondering why that was?  For the time they were on it did drastically reduce the pain, so job well done there.  Is it just the nature of the bottom of the foot, and if so how do you recommend keeping the in place?  Sean M.

Answer:

Hi Sean,