WRSA Sends More Of The Grid Down Hospital “Patient Assessment”

Grid Down Hospital: Part VI – Patient Assessment Overview

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The latest from the team:

Patient Assessment Overview

Entire medical text volumes have been written about a full patient assessment, and what it should encompass. This will not be one of them, but it will serve as a reasonable overview for your efforts.

The type of assessment you perform is entirely based on time and resources devoted, which dictates the scope.

The first, and largely ignored, is the Eyeball Assessment. What you see in the first few to twenty seconds of contact with your patient.

Are they conscious? Alert? Oriented to person, place, time, and events?

Breathing? Normally?

Bleeding?

Do they have any Stevie Wonder fractures, i.e. obvious deformities?

What color is their skin, as in normal nail-bed pink, or pale, jaundiced, etc.?

In short, can they walk, talk, and basically function normally?

This is a Go/No Go evaluation, and determines the likely severity of their situation, and the scope of your further efforts.

The second, usually deployed in the Mass Casualty Event (a Mass Casualty is ANY event when demands exceeds immediate resources, and could be as little as one patient), is known in the biz as the START assessment, for Simple Triage And Rapid Treatment.

A picture being worth 1000 words, here it is:

gdh-startadulttriagealgorithm

The algorithm above embiggens. Learn it, love it, live it.

Use of this algorithm enables one person, with a handful of triage tags with four color choices (which determine rather exactly your medical future) to triage multiple patients in a few seconds apiece, and then get back to focusing on the worst first without wasting resources on those who died or soon will.

There are multiple videos on YouTube covering START Triage which explain this process. A quick survey showed that they’re all bad (in being poor quality, lousy presenters, boring as f***, but..), but pick one and follow along, because they cover the information, while unfortunately being largely unwatchable.

The next level of patient assessment is used for most contacts – the Primary Assessment.

The list is a little more involved, and from this point onwards, all assessments need to be seen as only one data point. This means while true, they don’t tell you much by themselves; the key is to do multiple assessments, and note the trend, over time. That’s where they gain their true value.

This requires adequate documentation each and every time, and completeness, each and every time, at least of the pertinent items.

You want the following:

Baseline mental ability: awake, alert, oriented times four items?
Body Temperature?
(Note that even lacking a thermometer – which you shouldn’t but…- hot/warm/cold to touch is still clinically useful.)
And skin color and moisture: pink/dry is normal. Pale/diaphoretic(sweaty) is not.
(Note also that if lacking medical terminology, plain English will suffice.)
Pulse: regularity (or not), rate (beats per minute), and quality (weak/strong/bounding).
Respirations: regularity (or not), rate, including chest symmetry, and any further medical description of the respirations (which requires more than laymen-level instruction), if appropriate.
Blood pressure: With a cuff, and where (on the patient’s body) taken.
Pulse oxygenation, if you have the capability.

The above is standard from field and ER triage desks to surgical anesthesiology, and will stand you in good stead if you equip for it, learn it, and do it. Practice now, and on patients from infants to the elderly, any time the opportunity presents itself.

Ancillary equipment in any of those environments can get you more information, but you can’t suffice with less, in most instances, nor should you try.

I repeat: Documentation, Accuracy, and Trend Over Time.

Lastly is the Secondary Assessment. It is a complete review of the body from head to toe.

I can do a pretty thorough one in two to five minutes on a prone patient, even if they’re unconscious. The checklist runs to two or three pages. (Flighterdoc, I , or some other author may devote a separate essay to same in the future.) As this is where patient assessment and other medical texts come in handy, the short summary is that you look at and palpate (touch and feel) everything from the top of the scalp to the soles of the feet, which you have to be able to get to and see – which is why the doctor always wants you in that annoying loose gown first, and why paramedics cut your clothes to ribbons nine times out of ten at an accident scene. Jeans and boots are replaceable, death is not.

You are looking for obvious deformities, bleeding and/or other fluid leaks, bruising, other wounds, skin color, movement, nerve sensation, circulation, intactness of bones, normality of reflexes, or any and all deficits in the above. Head, neck, torso, abdomen, groin, arms to the fingertips, and legs to the toes, including rolling on the side to inspect everything, particularly the spinal column, from head to tailpipe, inclusive.

If the patient is awake and responsive, it also includes hearing, eye movements, and verbal expression checks, because these give you cranial nerve function times twelve (you should look these up) without a CT scan, in about a minute.

After that, you progress to things like laboratory blood, urine and fluid tests, and diagnostic imagery (Xrays, Ultrasounds, CTs, MRIs) which probably are – but need not necessarily be – beyond your scope. For one example, you can get a bedside ultrasound machine for about the price of a thermal weapon scope. One can pick out a target at 1500 yards, and the other can diagnose internal bleeding or appendicitis. You decide whether either of those things are important, and devote your resources appropriately.

You can also, even in degraded conditions, do blood laboratory work and cultures of specimens to detect infection, if you have the equipment, training, and resources. SF 18Ds are expected to meet that standard, and did so in sandbag hooches in SEAsia amidst a war. You get what you pay and train for, and your people will bless or curse you, depending on your abilities and their outcomes.

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JCD

American by BIRTH, Infidel by CHOICE

TOWR Commo Class Prep

The Order of The White Rose (TOWR) will be running a 1 Day Basic Introduction to Radio and Communication Class November 5th 2016 in the Greater Seattle Area.

Class will be 6 to 8 hours, cost is $50.00, location will be provided upon registration. Email us attowr@hushmail.com to register!

This class will touch on the following areas:
– Radio and Communications Basic Theory and Terminology
– Radio Capabilities and Operating Techniques
– Introduction to the Equipment, Radios, Antenna’s, Power, Connections and Cable
– What type of Radio should you buy, Walmart Walki-Talkie, Baofeng, UHF/VHF vs HF
– How Repeaters work and how radio waves act
– Use of Your Radio
– How to Program Your Radio
– Introduction to Scanners and their uses in your area
– Local and National Education Resources
– Introduction to SDR (Software Defined Radio) and Ham-Net

Our goals for this class are:
1st – To give attendees a basic information foundation in the area of Communications. However this is class is notintended to be provide attendees enough information to pass their Ham Radio License Test, its a start but not intended to do that.
2nd – To provide enough practical information that attendees can evaluate the use of Radios in establishing their own Communication networks for families, neighborhood, Group and nearby Groups.
3rd – The Order of the White Rose will be sponsoring Sparks31’s, 2 day Grid-Down/Resilient Communications Class in the Seattle area, June 2017. Our intent is to provide attendees enough information to get the maximum value from what Sparks31 teaches in that class. Without this basic foundation sometimes getting that value is like trying to get a drink of water out of a hydrant.
Sparks31 Grid-Down/Resilient Communications ClassInformation
– Email us attowr@hushmail.com and register for both classes now! The Sparks31 class WILL sell out!

_____________

JCD

American by BIRTH, Infidel by CHOICE

WRSA Sends: The Grid Down Hospital/The Library

Got reference?

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Grid Down Hospital: Part IV – Medical Books For Your Hospital Library

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Flighterdoc sends:

Medical Books

Where to get these books

Obviously, if you have the interest and budget, the easiest place to get these is from Amazon.com. Since you don’t need the latest editions of most of them, buying used books from Amazon, or from Half.com is perfectly adequate. You can also check Ebay, local bookstores (new or used) or most any other source. Public libraries probably won’t have a good collection of this level of medical books, and you can’t keep the books indefinitely. Some may be available as electronic books (legitimately or pirated). If you go this route then print them out. It may be much less expensive to just buy them, then pay for ink to print out a several hundred page book.

The time to get and study these books is before you need the knowledge in them. And since the quality of electronic versions can be spotty, plus electronic readers can fail, get the paper copies even though many of these textbooks (and others) are available

Medical textbooks are normally referred to by the primary authors’ name, and most of these books are listed that way. They are all listed with sufficient information that they can be identified on Amazon or whatever. Many are also available as illegal downloads, as well.

Generally, you don’t have to have the latest version of a medical textbook – but you don’t want one that is decades out of date, either.

Medical science does change, and things that were considered appropriate treatment even ten years ago are now known to be dangerous, or vice-versa, so try and use the most current books available and review several different books for a consensus for treatment.

Before you start

Medical Terminology

Chabner, Medical Terminology: A short course

Medicine has its own language, and words mean very specific things. You need to understand this language.

Medical Dictionary (Professional level). Any of the following dictionaries are fine, preference for one or another is purely personal.

Stedman’s Medical Dictionary
Dorland’s Illustrated Medical Dictionary
Taber’s Cyclopedic Medical Dictionary

Laypersons level

Merriam-Websters Medical Dictionary

English Dictionary

Sometimes you have to get to basics to understand the topic.

Basic Medical Texts: Common textbooks used in current Medical School curriculums, and following a more or less typical progression of courses. These give you the fundamental knowledge to be able to effectively use the specialty books and pocket guides mentioned later.

Anatomy – How the body is put together in a general sense. Keep in mind that nobody is exactly like the pictures, there is no such thing as ‘normal’ when talking about people – just ‘normal range’.

Netter (Drawings of how the body is supposed to look)
Rohen (Photos of how embalmed bodies actually look. Live people, and unembalmbed bodies, don’t look at all like these pictures.)

Gray’s Anatomy – The various commemorative reprints of early editions are not only wrong, they are in some cases dangerous. Avoid them as a reference source and only use a modern version which can be hard to determine since the commemorative reprints have current print dates….it might be better to skip this one for the others.

Embryology (How the fetus develops) Included for completeness, not a lot you can do about the process.

Langmans’s Medical Embryology

Histology (The anatomy and purpose of individual types of cells) If you have access to a good microscope and various stains, you might be able to differentiate cells to good purpose. At the very least understand that the body is made of different kinds of cells, which have specific purposes.

Junqueira’s Basic Histology
Wheater’s Functional Histology: Atlas

Medical Research, Epidemiology and Biostatistics – Being able to interpret reports is critical – aside from the baseline knowledge there is a skill to reading and extracting information from the reports, and understanding what they say and what they don’t say and why. The short version is that popular media reports are usually 100% wrong, and even the executive summary of actual studies sometimes are partially wrong.

Riegelman, Studying the Study and Testing the Test
Clinical Biostatistics and Epidemiology Made Ridiculously Simple

Psychiatry

Kaplan and Sadock’s Synopsis of Psychiatry

Biochemistry (What makes the different ‘machines’ in the body work. Understanding biochemistry and physiology is essential to understanding HOW to fix things, not just a checklist approach.)

Lippincott, Review of Biochemistry
Lehninger, Principles of Biochemistry

Physiology (how the different parts of the body are supposed to work)

Guyton and Hall, Physiology

These next two are only useful if you actually have the ability to monitor EKGs. An AED will NOT give you that capability.

Dubin, Rapid Interpretation of EKG’s
Garcia, 12-Lead ECG: The Art of Interpretation

Genetics

While this is taught in med school, it’s probably useless grid-down (it’s not terribly useful now, except in understanding and explaining what has gone wrong). Genetics is a rapidly expanding field, however, and the technology is becoming more available.

Microbiology

Understanding microbiology allows one to determine what illness a person may have, and which of the many different antibiotics are appropriate (if any) to treat that illness.

Pathology: What goes wrong in how things work in the body

Robbins, Principals of Pathology (any edition after the 5th, and any version except the pocket book).
Goljan, Rapid Review Pathology

Neuroscience (How the brain and central nervous system is built). While working on the brain grid down is probably a losing proposition, understanding the nervous system, especially the spine, is useful.

Snell, Neuroanatomy
Haines, Neuroanatomy in Clinical Context

Pharmacology

Katzung, Basic and Clinical Pharmacology
Pharmacology, Lippincott Illustrated Review

Clinical Skills, Physical Exam

Bates Guide to Physical Exam and History Taking: (Kind of basic, Barbara Bates was a nurse who wrote these books for nursing students, but a good intro). Get the big book, and then the pocket book as a memory aid.

Bates Videos: There are some truly boring videos that go with the Bates Guide. You can find them on Youtube.

Swartz, Textbook of Physical Diagnosis: History and Examination (better for PE)
DeGowin’s Diagnostic Examination (My personal favorite for PE)

Generally, STAY AWAY from the following:

The Dummies Series….your patients don’t need any dummies, and these books are just too basic.
Board Review Series (or similar) books – these are for cramming before medical board tests, and expect you to already have a grasp of the fundamentals. The “First Aid” series (First aid for the boards, First Aid for Surgery, etc) is also a book to stay away from unless you’re cramming for the medical boards.

Not quite Medical school level books that might be useful

These books are commonly community-college or EMT/Paramedic level training

Tortora, Principals of Anatomy and Physiology
Costanza, Physiology

Emergency Care and Transportation of the Sick and Injured – the classic book for training EMT basics
Prehospital Trauma Life Support

Medical Specialty Books

These are commonly used in the third and fourth year of medical school when students are exposed to the various specialties of medicine, and patients, and are also the basic books (there are many more) for each specialty.

Surgery

Schwartz, Principals of Surgery
Skandalakis, Surgical Anatomy and Technique
Giddings, Surgical Knots and Suturing Techniques: While I generally don’t recommend laypeople suturing, this is a good primer on how to.

Internal Medicine

Harrison’s Internal Medicine
Kelley, Textbook of Internal Medicine

Family Medicine

Taylor Manual of Family Practice
Singleton Primary Care
Rakel, Textbook of Family Practice

Emergency Medicine

Rosen’s Emergency Medicine
Tintinalli’s Emergency Medicine
Ma, Emergency Medicine Manual
Buttaraviolli, Minor Emergencies – Splinters to Fractures

Pediatrics (Kids are not just small adults)

The Harriet Lane Handbook of Pediatrics
Nelson, Textbook of Pediatrics

Obstetrics / Gynecology

Beckman, Obstetrics and Gynecology

Orthopedics

McRae, Practical Fracture Treatment
Hull and Bacon, Introduction to Dislocations
Chapman, Orthopedic Surgery

Dentistry

Halestrap, Simple Dental Care for Rural Hospitals
Nara, How to become dentally self sufficient
Oxford Handbook of Dental Patient Care

Disaster Medicine

Koening, Disaster Medicine
Ciottone, Disaster Medicine
Antosia, Handbook of Bioterrorism and Disaster Medicine

Ophthalmology

The Massachusetts Eye and Ear Infirmary Illustrated Manual of Ophthalmology
The Wills Eye Manual

Anesthesia

Brown, Atlas of Regional Anesthesia
Anesthesia, Longnecker
Miller, Anesthesia

Frequently Handy Books

Merck Manual of Diagnosis and Therapy– From the last 20 years or so

Gomella Scut Monkeys Guide

Tarascon Pharmacopia – Any edition from the last 5 years or so should be fine

Sanford Guide to Antimicrobial Therapy – Any edition from the last 5 years or so should be fine

Giddings and Giddings, Surgical Knots and Suturing Techniques, any edition is good

Trott, Wounds and Lacerations

Special Operations Forces Medical Handbook, 2nd Ed,

Physicians Desk Reference – one from the last 5 year or so should be fine, you can often get them for free from your physician or pharmacist. The pictures are most useful for identifying pills.

Book Series that may be useful; additional (not primary) sources:

Lippincots Illustrated Reviews Series

Medmaster Made Ridiculously Simple Series

The Washington Manual Series

The Oxford Medical Book Series

The Pocket Medicine Series

Current Diagnosis and Treatment Series

The 5-Minute Clinical Consult Series

The Ships Medical Chest and Medical Care at Sea

Auerbach, Wilderness Medicine and the Field Guide

Iserson, Improvised Medicine: Medical Care in Resource Poor Situations

Special Operations Forces Medical Handbook, 2nd Ed,

Ranger Medical Handbook

Special Forces Medical Handbook, ST31-91B This book is useful ONLY for the ideas on austere camp setups and veterinary medicine. The human medical information in it is of extremely poor quality, and consists mostly of war stories and old wives tales that were written down and put into a book. Be very careful with this one.

Buttaravoli, Minor Emergencies: Splinters to Fractures

Oxford Handbook: Acute Medicine

Oxford Handbook: Tropical Medicine

Oxford Handbook: Emergency Medicine

Coffee, Ditch Medicine

Issac, Wilderness and Rescue Medicine

Wilkerson, Medicine for Mountaineering

Flint’s Emergency Treatment & Management, 7th edition (out of print x 20 years, many around, the single best black bag book ever, covers camel bites – ‘Nair’ poisoning – and a million other things found nowhere else)

Medical Training and Education

There are a number of ways the layperson can get medical training. There is a sort of hierarchy to basic first aid training, usually named something like:
Standard First Aid – a one or two day class from the Red Cross
Advanced First Aid –
Emergency Medical Responder / First Responder
Emergency Medical Technician, I or Basic
Emergency Medical Technician, Advanced
Paramedic / Emergency Medical Technician-Paramedic
https://en.wikipedia.org/wiki/Emergency_medical_technician#United_States

Just because a person is an EMT-Advanced, or Paramedic, they don’t usually have any special authority when they are not actually on duty, and under the control of a medical doctor. Some states have scopes of practice for off-duty EMT’s…it pays to check out your local policies.

Wilderness Training

There are several wilderness first aid programs – such as Wilderness First Aid, Wilderness Advanced First Aid, Wilderness EMR, etc…

Except in Colorado, there is no actual official recognition of this level of training. That doesn’t mean you shouldn’t get it, on the contrary I recommend these sorts of classes to anyone who wants to learn more.

Wilderness first aid has to treat people with fewer resources, and fewer people, and often in difficult conditions (terrain, weather), and for longer periods. Unfortunately, the regular pre-hospital training programs all assume that more help (paramedics, hospital, etc) are nearby.

It is possible to get wilderness add-on ratings for existing EMR or EMT ratings, or take wilderness first aid classes. They usually take a few days more than a standard class, and involve a lot of practical field experience. From time to time other organizations (American Red Cross, Scouting USA, various wilderness adventure training programs) offer wilderness medical training. If they don’t provide certification from one of the following, I’d pass them by – you are investing some time and money in a course that may be quite good, or quite bad.

Wilderness Training Providers

Wilderness Medical Associates https://www.wildmed.com/wilderness-medical-courses/
National Outdoor Leadership Courses (NOLS)http://www.nols.edu/wmi/courses/
SOLO Schools http://soloschools.com/
From time to time other organizations may offer wilderness courses, if they are not certified to one of the above organizations standards I’d pass them by.

Online (Free) courses

Actual university (not really graduate) level courses in various medically related topics – free for the taking
Coursera https://www.coursera.org/
Accessed 15 May 2015

EdX https://www.edx.org/
Accessed 15 May 2015

Online Resources

These do not replace the knowledge above, they supplement it. Print the .pdf’s out while you can.

Ethicon Wound Closure: http://www.ethicon.com/healthcare-professionals/products/wound-closure
Accessed 15 May 2015

Ethicon wound closure manual: http://media.xn--benersttning-lcb.se/2012/04/Ethicon-wound-closure-manual.pdf
Accessed 15 May 2015

Stewart and Stewart, Austere Medical Sterilizationhttp://www.moljinar.com/page6/files/Sterilization%20v1-2.pdf
Accessed 1 Oct 2016

World Health Organization

Surgical Care at the District Hospital
http://www.who.int/entity/surgery/publications/en/SCDH.pdf?ua=1
Accessed 15 May 2015

Integrated Management for Emergency and Essential Surgical Care (IMEESC) toolkit
http://www.who.int/surgery/publications/imeesc/en/
Accessed 15 May 2015

International Medical Guide for Ships: Including the Ship’s Medicine Chest
http://apps.who.int/bookorders/anglais/detart1.jsp?codlan=1&codcol=15&codcch=3078
Accessed 15 May 2015

Basic Hospital Equipment
http://www.who.int/medical_devices/innovation/core_equipment/en/#
Accessed 16 May 2015

Global Help

Basics of Wound Care http://global-help.org/products/basics_of_wounds_care/
Accessed 15 May 2015

Practical Plastic Surgery for Non Surgeons http://www.global-help.org/publications/books/help_practicalplasticsurgery.pdf
Accessed 15 May 2015

And many others:

US Army Medical Department Borden Institute
http://www.cs.amedd.army.mil/borden/Portlet.aspx?id=aef88463-dc77-415a-8919-2ae436bd4b30
Accessed 15 May 2015
Many different specialties, all free for the download.

Hesperian Health Guides

http://hesperian.org/books-and-resources/
Accessed 15 May 2015

Home of Where there is no Doctor, Where there is no Dentist, and others geared strictly towards very basic laypeople

Epidemiology and prevention of vaccine-preventable disease
http://www.cdc.gov/vaccines/pubs/pinkbook/index.html
Accessed 15 May 2015

The Medical Aspects of Radiation Incidents
http://orise.orau.gov/reacts/resources/radiation-accident-management.aspxAccessed 15 May 2015

FEMA / DHS publications:
These were written by AMR, the largest private ambulance company in the US…I’d recommend downloading them as soon as possible and then printing them out.

https://www.amr.net/solutions/federal-disaster-response-team/references-and-resources

Available titles include (accessed 9 October 2016)

MASS MEDICAL CARE WITH SCARCE RESOURCES

ALTERED STANDARDS OF CARE IN MASS CASUALTY EVENTS

FEMA – DESIGNING A NATIONAL EMERGENCY RESPONDER CREDENTIALING SYSTEM

FEMA EMS TYPED RESOURCE DEFINITIONS

PARATRANSIT UTILIZATION GUIDE

DISABILITY EVACUATION GUIDELINES

72 HOUR GO KIT RECOMMENDED PACKING LIST

REQUIRED GROUND AMBULANCE EQUIPMENT LIST FOR FEDERAL RESPONSE

EMS SCOPE OF PRACTICE FOR AMR-FEMA FEDERAL DISASTER DEPLOYMENTS

DHS AUSTERE EMS FIELD GUIDE

DHS TACTICAL EMS GUIDE

DHS FEMA ALS AND BLS PROTOCOLS

AMR/FEMA DEPLOYMENT HANDBOOK

CRISIS STANDARDS OF CARE

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JCD

American by BIRTH, Infidel by CHOICE

A “Why” In Militia Failures, or “Ode To A Special Snowflake”

from-the-desk-of-jc-dodge

I had occasion recently to once again read over the “Militia Standards and Principles of the Light Foot”, I was once again struck by the lack of operational understanding that has been presented by a guy who apparently is only good at the “cut and paste”, and not so good at the occasional “This sounds about right” to fill in the blanks left by what he couldn’t find in manuals, or what didn’t fit his paradigm.  What’s the relevant experience of this “major” Jeffrey Stankiewicz, (or is it “colonel” today?)? NONE.

militia-fail-post3

The “commander” with his AK DMR

Here are some highlights from the “manual”,

________________________

The Geneva Conventions set forth the conditions for the recognition of legitimate militia
organizations…
ANNEX TO THE CONVENTION : Regulations respecting the laws and customs of war on
land
-Section I : On belligerents
-Chapter I : The qualifications of belligerents
-Article 1. The laws, rights, and duties of war apply not only to armies, but also to militia
and volunteer corps fulfilling the following conditions:
1. To be commanded by a person responsible for his subordinates;
2. To have a fixed distinctive emblem recognizable at a distance;
3. To carry arms openly; and
4. To conduct their operations in accordance with the laws and customs of war.
In order to fulfill these conditions we ask you to do the following:
 Obtain a suitable uniform and purchase the appropriate rank and insignia patches (see
LFMS-01-07A “Uniform Standards”).

________________________

Here’s is what the whole thing says in the GC. Note the part about “Inhabitants of a territory that has not been occupied”,

“This was the solution adopted by the Hague Regulations of 1907 (Articles 1-3), which begin with a chapter devoted to the qualification of belligerents. These articles lay down that the laws, rights and duties of war apply only to armies and to militia and volunteer corps which form part of the army. The militia and volunteer corps which do not form part of the army should fulfill the following conditions                                                                                 (Article 1):

– to be commanded by a person responsible for his subordinates;

– to have a fixed distinctive emblem recognizable at a distance;

– to carry arms openly; and

– to conduct their operations in accordance with the laws and customs of war.

The inhabitants of a territory which has not been occupied, who, on the approach of the enemy, spontaneously take up arms to resist the invading troops, without having had time to organize themselves in accordance with the above mentioned rules, shall be regarded as belligerents if they carry arms openly and if they respect the laws and customs of war (Article 2 – Levee en masse). The armed forces of the belligerent parties may consist of combatants and noncombatants. In case of capture by the enemy, both have a right to be treated as prisoners of war (Article 3)”

Why didn’t Ol’ Jeffy put that last part in there? Well because that doesn’t give them the excuse to uniform, rank, and gun up, does it? It says they can spontaneously react. Idaho Law says this about their militias,

“CONSTITUTION OF THE STATE OF IDAHO APPROVED JULY 3, 1890 ARTICLE XIV MILITIA SECTION 1. PERSONS SUBJECT TO MILITARY DUTY. All able-bodied male persons, residents of this state, between the ages of eighteen and forty-five years, shall be enrolled in the militia, and perform such military duty as may be required by law; but no person having conscientious scruples against bearing arms, shall be compelled to perform such duty in time of peace. Every person claiming such exemption from service, shall, in lieu thereof, pay into the school fund of the county of which he may be a resident, an equivalent in money, the amount and manner of payment to be fixed by law. SECTION 2. LEGISLATURE TO PROVIDE FOR ENROLLMENT OF MILITIA. The legislature shall provide by law for the enrollment, equipment and discipline of the militia, to conform as nearly as practicable to the regulations for the government of the armies of the United States, and pass such laws to promote volunteer organizations as may afford them effectual encouragement. SECTION 3. SELECTION AND COMMISSION OF OFFICERS. All militia officers shall be commissioned by the governor, the manner of their selection to be provided by law, and may hold their commissions for such period of time as the legislature may provide.” (Note, this was written before the 1903 Dick Act, so the National Guard did not exist as the NG entity. The Dick Act actually implemented the requirements above, and the Idaho Home (State) Guard was established in WWI with the formation of 4 Companies of 100 men each by the Governor)

It also says this,

TITLE 46 MILITIA AND MILITARY AFFAIRS
CHAPTER 1
STATE MILITIA — ORGANIZATION AND STAFF
46-103.  STATE MILITIA — DIVISION INTO CLASSES. The militia of the state of Idaho shall be divided into three (3) classes, to wit:
The national guard, the organized militia, and the unorganized militia. The national guard shall consist of enlisted personnel between the ages of seventeen (17) and sixty-four (64), organized and equipped and armed as provided in the national defense act, and of commissioned officers between the ages of eighteen (18)and sixty-four (64) years, who shall be appointed and commissioned by the governor as commander-in-chief, in conformity with the provisions of the national defense act, the rules and regulations promulgated there under, and as authorized by the provisions of this act. The organized militia shall include any portion of the unorganized militia called into service by the governor, and not federally recognized (this would probably be the Idaho State Guard under Title 32, see below). The unorganized militia shall include all of the militia of the state of Idaho not included in the national guard or the organized militia (this talks about those who would be eligible for drafting).

TITLE 46 MILITIA AND MILITARY AFFAIRS CHAPTER 8 MISCELLANEOUS AND GENERAL PROVISIONS 46-802. UNORGANIZED ASSOCIATIONS PROHIBITED — PARADES PROHIBITED — EXCEPTIONS. No body of men, other than the regularly organized national guard, the unorganized militia when called into service of the state (Organized Militia), or of the United States, and except such as are regularly recognized and provided for by the laws of the state of Idaho (nothing is listed about the unorganized militia in Idaho State law concerning “regularly recognized”) and of the United States, shall associate themselves together as a military company or organization, or parade in public with firearms in any city or town of this state. No city or town shall raise or appropriate any money toward arming or equipping, uniforming, or in any other way supporting, sustaining or providing drill rooms or armories for any such body of men; but associations wholly composed of soldiers honorably discharged from the service of the United States or members of the orders of Sons of Veterans, or of the Boy Scouts, may parade in public with firearms on Memorial Day or upon the reception of any regiment or companies of soldiers returning from such service, and for the purpose of escort duty at the burial of deceased soldiers; and students in educational institutions where military science is taught as a prescribed part of the course of instruction, may with the consent of the governor, drill and parade with firearms in public, under the superintendence of their teachers. This section shall not be construed to prevent any other organization authorized by law parading with firearms, nor to prevent parades by the national guard of any other state or territory.”

state_defense_forces_updated

State defense forces: army units highlighted in red, naval units in blue, those with both in green, inactive in purple

Hrmmm, the “Unorganized Militia” becomes the “Organized Militia” when activated by the Governor. Well that kinda sounds like the Idaho State Guard doesn’t it? But JC, the ISG hasn’t been activated by the Governors in years. OK, so what, that’s his prerogative, isn’t it? Do I agree with it? No. Can he do it? Yes. A number of states have “State Defense Forces” (see map), that are separate from the National Guard. Low and behold, Idaho is one of them.

So my question is, why isn’t Ol’ Jeffy consider himself part of the SDF of Idaho (or at least say that’s what they are) if he wants to serve so bad, but lacks the wherewithal of even joining the NG. Well, it doesn’t become the Organized Militia (ISG), till the Governor activates them, and I guess the Gov hasn’t felt the need in Idaho, considering he has Army and Air National Guard to draw from in emergencies. Besides, Ol’ Jeffy wouldn’t be in charge if he was in the ISG, and he needs to be in charge, right?

Here’s another gem from the “manual”,

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We are not a private militia or private para-military group (sure you are Jeffy, but you know you can’t publicly say that due to Idaho law, right?). We are citizens of the several states who are simply exercising our rights, to bear arms and peacefully assemble, to train and network with other patriotic Americans, in order that we might be a “well-regulated militia” if the time ever comes when we are called upon to defend our County, State, Nation and U.S. Constitution “against all enemies, foreign and domestic.”

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But JC, doesn’t that openly violate the Title 46 statement of, “except such as are regularly recognized (They are not) and provided for by the laws of the state of Idaho and of the United States, shall associate themselves together as a military company or organization”Well, I guess it does, but it’s not like they’re openly flaunting it on social media….right? Oh wait….Uh yeah….

Oh look, more “manual” guidance under the “Mission Statement”,

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The members of the unorganized militia shall ever stand, as have our forefathers before
us, first to God, from Whom we acknowledge the Authority of all Rights, and all the blessings of governments and to our native state.

but then this in the same section,

– To promote and propagate the militia as a well regulated (trained and prepared)
organization, knowledgeable in historical precedent and current affairs, that is composed of common citizens.
To develop a cohesive and competent command structure.
To train our members in the many disciplines necessary to the function of the militia
as a whole and to the members individually.

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Um, I do not think someone knows the meaning of the words “Unorganized”, and “well regulated/trained and prepared”.

Here’s another one under “Mission Statement”,

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– To suppress domestic insurrections and violence by supporting and assisting the
appropriate Officers of the Law in upholding and maintaining law and order in accordance with such Local, State, and Federal statutes and laws that do not present jeopardy to our God-given rights as acknowledged in the U.S. Constitution, among others (see Amendment 9, Constitution of these united States).

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Here’s the thing, they (Officials) don’t want anything to do with you Jeffy. Here’s what the Governor had to say,

“I do not in any way endorse either of these ‘militia’ groups. They have no affiliation with me, the State of Idaho, the Idaho National Guard, or the armed services of the United States.” Governor Otter then clarified his position regarding the militia even further by writing, “I do not recommend or advocate any level of involvement in militia activities.” Right after that quote by the Governor, the article went on to say this, “The militia men and women say they need the governors OK to be activated, so his position on their activities was a disappointment.”

Do I agree with the Governor not squaring away the ISG? Nope, not at all.

I don’t have the time to go into his “Rank Structure”, “Unit Structure” (Except for the SWORD crap), and required “Basic Training”, and “Uniform”,other than to say it was obviously written by someone without a grasp of reality in Combat Arms and the organization inherent within that group, and they also have a desire to implement some fantasy that seems uh…..cool I guess. Example:

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Headgear – Privates, Corporals and Sergeants will wear the GI “Boonie Hat” in woodland.
All Officers will wear the woodland BDU Patrol Cap. Combat is confusing enough (cuz Modern Warfare 3); being able to readily distinguish officers (without being overly obvious to the enemy) is of the utmost importance. (In the field on patrol, officers may opt for a boonie for its ability to break up your outline and hide you from enemy observation.)” 

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So I guess he’s never heard of why the guy with the binos or radio get’s whacked first, huh? I’m just surprised he didn’t say the “officers” needed to wear tricorn hats LOL. Maybe he wants to be like the French?

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Now we’ll talk about what he calls his  S.W.O.R.D’s ( Select Weapons, Ordinance and Reconnaissance Detachment). He calls it a SWORD Team, but the word “Team” is redundant, considering the “D” in “SWORD” stands for “Detachment”. Let’s see what they specialize and train in,

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Here’s the detachment description of a S.W.O.R.D.,

S.W.O.R.D. Teams consist of 6 men who receive extra training in one of three areas:
Designated Marksman, Land Navigation or Communications. Two men in each team will
duplicate the necessary disciplines of “Shoot, Move and Communicate”.
They will carry highly accurate rifles with higher end optics/night vision (Select
Weapons); study the theory and employment of military weapons they may encounter on a future battlefield, such as grenades, RPG’s, mines, etc. (Ordinance) (I think what I said below, also applies here) ; and practice advanced land navigation, compass/map reading and recon techniques (Reconnaissance). 

Training activities of a six man S.W.O.R.D. Team:

– Plan and conduct a surveillance/recon patrol; to include long range ops (LRRP). (Yay, he got to use a cool sounding “high speed” military acronym right at the beginning)
– Plan and implement psychological ops. (PsyOps too, WOW)
– Prepare accurate SitReps and assist Command Staff in the planning of operations.
– Identify and track enemy patrol/recon operations.
– Design and implement ambushes and raids; to include sniper operations. (So what’s the rest of your “combatants” supposed to do?)
– Know how to assemble incendiary devices made from common readily available material
(knowledge, not build illegal devices). (I guess putting that gay disclaimer will get you off the hook with the feds, huh? The problem is that academic understanding doesn’t equate to real world implementation, and that’s how you get people killed through accidents or a failure to work when it is needed.)
– Create a smoke screen.

 

Communications:
– Must complete a HAM radio training program and have a thorough understanding
of Basic Operating Procedures, Tactical Comm, CommSec, the Rapid Alert System, SitRep
and SALUTE and his unit C.E.O.I. (These are all things every combatant in a team, detachment, squad, etc. should know, they are not specialties)
– Must be able to operate all unit comm equipment. (See above)
– Build a field expedient, clandestine antenna.
– Transmit and receive Morse code.

Designated Marksman Team:
– Both must pass DMR qualification. In the field one will act as the spotter. (DMR Qual consists of hitting an 8 1/2×11″ sheet of paper 10 out of 10 times at 200 yds [4.25 MOA!!!!] within 3 minutes, and “No”, I’m not making that up, that’s their DMR Qual) 
– Conduct a terrain survey.
– Estimate range to target.
– Construct and use a ghillie suit. (What about hiding the rest of the team?!)
– Construct and use a Sniper/Forward Observation Post hide. (They aren’t even DM’s, let alone snipers)
– Conduct long range surveillance of target for intelligence gathering purposes.
– Plan and implement a enemy harassment plan. (It’s called “Shoot and scoot”)
– Plan and conduct interdiction operations on key target personnel. (Shouldn’t the TL and ATL be planning that?)

Advanced Land Navigation:
– Advanced map/compass reading (Um, everybody should know this)
– Excellent land navigation skills (see above)
– Plan, lead and execute patrols and reconnaissance gathering missions.

The Team Leader and Assistant Team Leader must be the two members of the team
trained in advanced land navigation techniques. They will plan and lead the patrols/operations,
as well as assist in the training of the other members of the team.

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First, the whole (specialized) detachment should be skilled in better than normal LandNav (You’d know that if you had ever served in Combat Arms). Second, you have two commo guys, but no medic? You have two “DM’s”(not really), but no one carrying something “Heavy” for fire suppression (like a drum fed AR or AK)? Jeffy wants this to sound all high speed, but apparently, once again, he is clueless on proper organization and application.

So why all the “Pickin’ on Jeffy”? Jeffy is an example of what has gone wrong with what was originally an important part of our history. Jeff comes up with excuses just like most of the “militia” groups out there to do things that make him, and by extension, his group, look like what he considers to be “badass”, and “military”, even when they are not. There are groups of “militia” all over this country that took what Jeffy wrote in that “manual” as gospel, and only a few that I am aware of actually questioned it (And after they sent it to me and I read it, I told them to throw it out.)

I don’t care what you call your groups, but when guys try saying they are “Constitutional Militia”, and are clueless about not only the meaning of the term, but the authority required to be that, and also the responsibilities inherent in being that, it causes a slight irritation. When a guy who says he’s “authorized” by the “4th Continental Congress” to have his militia, you might want to ask questions like “What the Hell is the 4th Continental Congress?”, and find out the “Where”,”When”, and “Who” of it.

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Hey Jeffy AKA “OWP”, I’m glad I could share my little bit of knowledge with you today. Yeah, he directed the above line at me LOL.

As I’ve said here and here , you don’t need a piece of paper to authorize you and yours to train to protect yourselves, your loved ones, and your communities. These are inherent rights given to you by God, and I don’t need a Damned amendment or parchment to tell me I can do that. If you really think you have to say your group is a “Constitutional” whatever, what are you going to do when they take it away? Yes, Jeffy, they have legal ways of throwing out the whole thing (ConCon anyone?), and in the end it doesn’t matter one lick because I know where my rights come from (and it ain’t a parchment), and just as importantly, I know what my responsibilities are. If you guys reading this want to make a difference that has substance, get off social media with your groups (if you have one), organize at the local level, and prepare for the worst case scenario. Hey Jeffy, ask your Forf consteetooshunal CONvenchun” if you can do that! Hell, I didn’t even have to bring up your background or beliefs, did I Jeffy?

MDT RBTEC Class

JCD

American by BIRTH, Infidel by CHOICE

 

 

 

Lizard Farmer’s Back

Glad to see him posting again.

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All work and no play sucks

lizard2

 

I just got back stateside a few days ago and there’s a few things I have to catch up on before I begin posting regularly again. Just a few notes to catch up:

First off I didn’t know Mike V. had passed until the day after I got back, may he rest in peace. A quick browse through Sipsey Street and sitting in on a III% teleconference last night accomplished something for me: It gave me hope. Matt V in my opinion is a more than worthy successor to the III% mantle (even if he doesn’t want it) and his emphasis on the III% catechism is spot on. Bravo Matt, keep up the fire.

A lot of folks are butthurt that Max Velocity has started charging for his forum. MDT has a good writeup on the subject in which he uses the phrase “tactical welfare”. And you know what? He’s spot the hell on. Some of us can afford to host free training, give free advice, insights, etc. because the ability to feed our families and pay the bills aren’t dependent on it. Max is what I call a “Grinder”, or a person that consistently puts out info, hosts training, and generally stays energized. If he needs to charge to pay the bills then so be it. To those that decry his charging I pose the following question: Would you rather he dump it and get a job thereby removing what he offers altogether? The loss of an asset like Max would be a serious loss to the community at large. I’ve heard nothing but outstanding comments from folks that have actually attended his training and his books are chock full of good solid info.

When I see folks that scream for “free training” or “free anything” I subconsciously assign them into the same category in my mind as the Free Shit Army – once again MDT nailed it in his post about the “EBT” card. If you disagree that a man or woman should be compensated for his efforts if he delivers a quality product then step back and take a look in the mirror. If people charge and deliver substandard training then word of mouth will eventually drive them out of the business. It’s happened before. But I’ll wager Max will be around for a while.

Next up: During my recent soiree I read Mosby’s latest book “Forging The Hero”. If you haven’t read it yet then go and buy it and read the damn thing. The Tribal insights contained in it along with the values he presents is probably the best single volume I’ve read to date. But once you’ve read it dig through and go read his source material as well. JM did a helluva job on this one.

Final note for now: Folks I am reconnecting with a lot of the groups and militias in the state and the areas around it. What I am seeing is even worse fractioning than before I left and egos run the fuck amok. Look: If you never served a day in your life, never worked in any kind of tactical field, and never really led people then you have no business being in “Command” of anything.  Likewise with rank. If you think that rank is all about authority you’re fucked in the head. It’s about responsibility. If you want to use ranks in a group fine, but if you focus on what their authority is vs. what their responsibility is then you are part of the problem and not the solution.

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I appreciate LF’s affirming what I said in my “‘Tactical Welfare’ And The ‘Malice State’” post. Having a guy like him back your play is encouraging indeed.

JCD

American by BIRTH, Infidel by CHOICE