Archive for July 2014

Trauma Medicine for Massive Hemorrhage: Combat Gauze versus Celox

If you are looking to update your medical kit with effective and proven products, consider adding hemostatic agents. Over the course of the wars in Iraq and Afghanistan trauma medicine has markedly improved with hemostatic gauze being one major advance. These clotting agents have proven so effective; they are standard in every medic’s trauma kit on the battlefield. As such, it is worth comparing the two most popular brands sold under the names QuickClot®Combat Gauze and Celox.
First of all, one should understand that clotting agents have been around for some time and have undergone an evolution in both composition and the mechanisms by which they work. Both Combat Gauze and Celox are the current result of this evolution and are far safer and more effective than their earlier ancestors. For example, the original QuickClot® essentially cauterized a wound with heat from a chemical reaction, which caused serious burns and contraindications. As a result, it was removed from medical kits and replaced with newer and better hemostatic agents. Today’s products are impregnated with hemostatic agents that facilitate blood clotting by complimenting or enhancing the body’s natural clotting faculties to stop massive hemorrhaging. Both Combat Gauze and Celox do this well, but which is best? Both also are used broadly by military, law enforcement, and rescue units around the world. However, these products are not cheap so if one is to invest in only one product, I recommend Celox for your medical kit.
Hemostatic agents in Combat Gauze and Celox allow for the formation of much larger clots than normal, which are more stable and more difficult to dislodge. This is critical for effective stoppage of heavy bleeding, especially, when a patient will have to be moved and clots could be jarred loose such as on the battle field. Further, both require the gauze to be used with constant firm pressure to be effective and allow the clot to form. Both are essentially used in the same manner. The specific location of the massive hemorrhage is located in the wound (usually a severed artery or large vein), is quickly wiped clean so that the wound location is identifiable, and the gauze is placed firmly and directly upon the bleed. For penetrating wounds such as gunshots, the cavity is then packed tightly being careful to maintain constant pressure on the bleed location while completely filling the void with tightly packed gauze. The packing is then held in place with a compression dressing. The gauze should be so tightly packed that it forms a gauze golf ball in the wound channel. The critical aspect for effective application of both products relies on their correct placement on the bleeding vein or artery and the maintenance of constant pressure until the bleeding stops. It is also worth noting that plain sterile gauze packed in a wound in the same manner using direct pressure is also still highly effective for stopping hemorrhaging.
Even though both products essentially are used the same way, Celox has notable advantages. First, in tests and operational employment, the Celox simply worked better at stopping serious bleeds. When similar wounds were unpacked in a surgical setting, it was clear from the degree of blood saturation that far less blood was lost in a patient when Celox was used. Specifically, in like wounds that severed the femoral artery of patients, Combat Gauze was unpacked and laid out showing over 12 yards of blood saturation whereas Celox showed approximately 12 inches before the gauze was blood free. This large difference could mean the difference between decompensated shock induced by severe blood loss and then the death of a patient or the complete prevention of hemorrhagic shock and survival of the patient. Further, the thicker Z-Folded Celox was much easier to handle and pack into wounds than the old school style of rolled Combat Gauze. Nothing is worse than having an entire roll of sterile gauze unwind into the muck on the ground just as you are trying to pack the wound of a severely hemorrhaging patient.
Evaluations of wounds treated with Celox and Combat Gauze also revealed that the clots formed by Celox tended to be larger and more stable. This may be due to how Celox and Combat Gauze clot. With Celox, the clotting agents are inherent in the compound so that they react instantly when they come into contact with blood. However, Combat Gauze relies upon concentrating the body’s own clotting agents (platelets) as they contact, accumulate, and react with the gauze. This is problematic since often, as a body enters shock from blood loss; the body naturally shunts blood flow from the core preventing the critical clotting compounds from reaching the wound site and the gauze. Further, when intravenous fluids are given without the addition of platelets, it reduces the effectiveness of Combat Gauze’s clotting mechanism because the fluid dilutes the blood’s natural clotting compounds.
Celox and Combat Gauze both help blood to begin clotting, but Celox is designed to work across a much broader range of patients. Specifically, Combat Gauze is designed to work with the narrow body chemistry of healthy fighting age patients. Celox on the other hand is designed to be effective across a much greater range of patients to include geriatric, those taking medications, and those taking blood thinners. This alone makes Celox a better “civilian” choice where it is more likely the patient will not fit into the perfect physically fit specimen of a fighting age soldier. In short, Celox employs a hemostatic agent that applies to everyone, whereas Combat Gauze is only designed to be effective in healthy fighting age soldiers.
In the recent DoD comparative study, Celox Gauze had the least overall blood loss, the highest survival and the highest overall hemostasis of all products. This study corresponds to the empiric evidence that I have gathered over the years using a variety of these products operationally.

By Guiles Hendrik
July 8, 2014
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Department of Homeland Oppression and the FBI Target Gun Owners in Walmarts across Virginia

Think your latest purchase of a firearm or ammunition from Wal-Mart was innocent? The Department of Homeland Security (DHS), aka Department of Homeland Oppression, in coordination with the FBI doesn’t think so and wants to know who you are. In fact, they believe you may be a potential domestic terrorist according to reports from Wal-Mart sales managers.
Over the last two weeks our field reporters dispersed across Northern Virginia to question sales representatives selling sporting goods throughout Virginia after rumors surfaced of agents questioning sales representatives. What they found should is shocking. In Wal-Mart after Wal-Mart, our reporters were able to verify that FBI and or DHS special agents had recently visited the stores requesting information on any suspicious buyers. According to sales managers working in the retail chain Wal-Mart, special agents requested information about anyone that appeared suspicious, attempted to buy ammo in bulk, or made anti-government comments. The special agents inquired specifically about anyone that made statements relating to sovereign citizen movements and buyers that seemed out of place to the sales manager warning that they could be potential domestic terrorists. In the event the sales manager had information, they were instructed to contact various agents from the FBI and DHS.
Make no mistake; DHS and the Justice Department consider you a threat to the US. If you buy ammunition in bulk to save money, exercise your constitutionally protected First Amendment, or are otherwise having a bad day your name and information could be passed on to the FBI or DHS for investigation as a potential terrorist. This information then goes to fusion centers across the nation where you are labeled and placed on watch lists as a domestic threat. Often this information is then used to generate faux “probable cause” to obtain a search warrant that will be justified under the nebulous national security exceptions to the rule of law and basic civil “RIGHTS.” Once a warrant is obtained, agents will execute a high risk, “no-knock” warrant most likely in the middle of the night and heavily armed to arrest you and ransack your home looking for anything they can construe as a threat. Often things as innocent as duct tape, old wire, and water barrels that many of us have in abundance are cited as “bomb making” materials or evidence of “terrorist” activities. God forbid if you are caught with a book that is politically incorrect on top of the duct tape and old wire.
If you think you have nothing to hide because you are “innocent” and have done nothing wrong, don’t be fooled because you are not exempt. Remember, all it takes is the impression of a Wal-Mart sales clerk to get labeled. Who knows, perhaps, you came across as unfriendly, maybe you were disturbed that they didn’t have any 9mm ammunition in stock, or maybe the sales clerk is just a bad judge of character. Either way, it doesn’t matter in a spy state where intimidation tactics abound and citizens are coerced into spying on their fellow neighbors by the government. Many honest Americans have had their lives ruined by being “swatted” or by unjustly becoming the subject of investigation by an overly militaristic gestapo agent at DHS or the FBI. Being “watch listed” is an extremely dangerous threat. We have seen numerous examples of how these “tips” have led to egregious acts on the part of law enforcement. At best you are questioned and labeled for surveillance. However, the worst examples include raiding the homes on innocent victims, which led to the incarceration of harmless citizens, pets being shot, children kidnapped by Child “Protective” Services, and even the killing of the unsuspecting homeowner that reached for a gun in self-defense as gestapo agents broke down their door in the middle of the night.
You need to protect yourselves. Option one is to maintain a low profile and not use traceable means of commerce such as credit cards instead of cash when purchasing guns or ammunition from retailers. However, that alone apparently constitutes you being a potential threat according to memos released by DHS and doesn’t solve the issue. A better method may be to use sunlight to disinfect and inoculate your local stores before the feds can hijack your information. Use the size and finances of these companies to fight our battle for freedom. To do this, directly contact your local sporting goods retailers and have a frank, honest, and open discussion about these gestapo tactics with their management. Make it clear to store managers that you are not comfortable shopping at their stores if you know you are going to be spied on and your information potentially handed to the government. Insist that your privacy is respected and demand proof. Further, ensure their employees are briefed on the underhanded government tactics and how that violates basic civil liberties.
Contrary to what the government desires, companies still require profits to exist and no matter what the government wants, the companies; especially large retailers like Wal-Mart, will begin to push back against the government (legally if necessary), when they are boycotted and their profits begin to shrink. We have witnessed this in the case of internet companies and NSA spying. Even Google and AT&T have begun to legally push back against government spying as they recognize their profits are not immune and free men and women across the globe will take their business elsewhere if their privacy is not ensured. The bottom line is if the management pushes back on protecting our basic civil rights, organize local and regional boycotts of the retailer. Make it impossible for them to conduct profitable business if it becomes clear that they are supporting domestic targeting of innocent Americans. When the knowledge of what the retailer is doing goes viral, contemporary precedents suggest that the retailer will cave to customer demands.

By Guiles Hendrik
All rights reserved.
July 14, 2014

The O’Reilly “Fiction:” Setting the Factor Straight

Against my better judgment, I decided to watch a segment of “The O’Reilly Factor” on Fox News to hear his points on the latest developments in Iraq. In O’Reilly’s defense, he has been a brilliant talk show host and highly successful writer and businessman. However, at the end of the day, O’Reilly is still a journalist with limited real world expertise on many of the topics he provides commentary on. Specifically, O’Reilly poses as an expert, but is totally lacking in experience when it comes to matters of military application and foreign affairs. O’Reilly has never served in combat, is not an intelligence analyst, and so far has not demonstrated himself as a policy maker. So to no surprise, when I tuned in, O’Reilly was expounding his usual pompous, ill informed, bomb them all rhetoric with respect to the Islamic extremist army dubbed ISIL or ISIS. Within thirty seconds of listening to O’Reilly’s poorly informed diatribe, I remembered why I had stopped watching Fox. As such, I feel as though Fox News and Bill O’Reilly needed some better informed input to ensure Fox lives up to its “fair and balanced” moniker and openly challenge O’Reilly to a debate on Iraq policy.
First of all, I want to make it clear we lost in Iraq. Bill O’Reilly is still grasping to a false reality and believes we actually accomplished strategic objectives (won) in Iraq before our retreat. The fact the US was defeated is tough to deal with, but nonetheless fact. It in no way diminishes the honor of our veterans. Suggesting otherwise to those that cannot dissect honor from the success or failure of an army in battle is ridiculous. The notion that loss in battle or war dishonors our troops is no more logical than suggesting soldiers of losing armies across thousands of years of recorded history had no honor. For example, the many British army units fought with the utmost honor in the American Revolution, soldiers fighting for the Confederate Army during the American Civil War fought with great honor, and Rommel’s Afrika Corps has been distinguished again and again for its honor by historians, but all of the above armies ultimately lost their respective wars. In fact, honor is not hinged upon whether one wins or loses, but in how one conducts himself in combat. Iraq was never pacified and never made safe for Americans, but we maintained our honor. The US certainly isn’t calling the shots across the nation now. The end state achieved was a strategic setback for US interests across the region by strengthening our foes. No matter how much the Obama Administration whitewashes our retreat from Iraq, the enemy was still fighting and still holding ground when we left.
For those of you who did not fight in Iraq and have not visited Iraq since our retreat, you should know that Mosul was never pacified and maintained its status as a hotbed of Al Qaeda (AQ) activity. Neither President Bush nor President Obama finished the war. To the present day, Mosul has been a part of the ratline of jihadists making their way to fight in Syria. In fact, US intelligence has been well aware that Mosul has been a key staging point for AQ training and equipping jihadists en route to joining ISIL for years. Mosul has also been effectively “no-go” territory for westerners and has been controlled since before the US retreat by Sunni extremists. As such, the fear and panic that ISIL has “captured” Mosul is overstated. It is true they kicked out the token government forces, but the Iraqi military never controlled anything beyond the ground below their feet hiding behind the walls of abandoned US military bases. Beyond kicking out the token Iraqi forces, the only difference appears to be ISIL formally cemented their previous control of that city and surrounding regions with the execution of anyone supporting the Iraq government. So, if O’Reilly was consistent and well informed, he would have recognized that Mosul and neighboring cities like Tikrit with a large presence of Sunni extremists “falling” to ISIL was not in and of itself a game changer.
Second, O’Reilly fails to remember that it was the Sunnis, during the “Awakening,” that allied with US forces to fight the Shia militias attacking and killing Americans daily. In fact, I distinctly remember Sadr’s brigades of Shia militia backed by Iran attacking US military personnel with zeal throughout the war. I also remember the Shia going from house to house in what was originally mixed Sunni-Shia neighborhoods of Baghdad and ethnically cleansing the population. The Shia death squads brutally murdered any Sunni they found and turned Baghdad into a Shia city. However, it is now the Sunni extremists that O’Reilly has repeatedly called “savages” that deserve to be bombed. I would argue to O’Reilly that both factions have lived up to the pejorative term savage and have demonstrated their eagerness to kill Americans before their fellow Iraqi time and again and as such, we should be happy to leave them to their demise. In short, they are getting what they deserve and I see no reason Americans need to be again placed in the line of fire and paying to “save” savages that want us dead while they are busy killing one another.
Third, O’Reilly has totally forgotten that it was Maliki and the Iraqi government that refused to grant the US a Status of Forces Agreement (SOFA) that would have protected our troops and allowed them to remain in Iraq beyond their set date of retreat. True, President Obama used the SOFA as a means to justify the US retreat out of Iraq, but nonetheless, the Iraqis wanted American forces out of their country. O’Reilly should perhaps volunteer himself for military service in a country that he is not invited and where killing, even in self-defense, will be deemed murder. Perhaps he does not realize the very real legal dangers our troops will be faced with as they return to Iraq. O’Reilly’s insistence on the deployment of military forces creates a conundrum for the troops because they are being deployed outside of war, to a sovereign nation, and violating its laws. Does O’Reilly actually believe Maliki’s word that our troops will now receive immunity and that President Obama will do whatever is necessary to ensure Maliki is held to his word? I think not.
Third, O’Reilly just doesn’t seem to get the fact that the war as fought under Bush was a disaster and later under Obama was also a disaster. I guess O’Reilly missed the fact that when the war began, Saddam Hussein was killing extremists for free and had nothing to do with 9/11 beyond being the fall guy for Saudi Arabia. It was Saudi Arabia, not Iraq, which was responsible for carrying out a state sponsored act of war against the US on 9/11. This fact is why Representative Walter Jones from North Carolina wants the classified 9/11 Report released so that the public will know the truth and the lies perpetrated by the US government. If US strategy was effective, there would be LESS, not more extremists. Of course it is overwhelmingly clear our strategy failed judged by this bar. O’Reilly also seems to forget that by toppling Saddam’s regime, we created the vacuum that allowed these extremists to flourish to the point they now occupy their own autonomous Islamic state. When this point is made, O’Reilly flies into defense mode and charges the person as an “apologist.” O’Reilly solely blames the Islamists, but fails to recognize the very clear order of events of cause and effect leading to this situation. O’Reilly can believe what he wants, but is not allowed to create his own facts and cherry pick from his arbitrary timeline of events. For example, O’Reilly makes the point that we invaded Iraq to rid the country of Saddam and for humanitarian purposes. On this point alone, O’Reilly must have deleted his memory files much as the IRS seems to have deleted emails. We did not invade Iraq for the purposes O’Reilly states. We invaded Iraq because we were made to believe that Iraq was an existential threat that possessed weapons of mass destruction (WMD) that it would not turnover to U.N. inspectors, was going to use the WMD against the US, and was supporting AQ. Nothing short of creating this existential threat would have brought American into the war. As the invasion kicked off and the contrived lies became clear, the Bush Administration had to save face. The Administration then made a deliberate policy decision to change the motive for the war effort to regime change and humanitarian issues. As such, O’Reilly’s stated purpose for the war is completely fictitious. Further, O’Reilly has chided every democratic administration for humanitarian military operations, but somehow thinks he can hang on to that rationale to defend the disaster Bush created in Iraq.
O’Reilly claims we did Iraq a great favor by ridding the country of Saddam, but again, suspends logic by implying that a full invasion was the only way to “rid” Iraq of Saddam. O’Reilly has to know that there were numerous opportunities and plenty of other options to eliminate and or contain Saddam and any threat he could have possibly posed to the US. In stating this, O’Reilly totally undermines the deaths of near 1,000,000 Iraqis throughout both wars with Iraq. More importantly to me, he also dishonors the American veterans that fought in Iraq by incorrectly believing that perpetuating political lies and propaganda he somehow brings honor to their unnecessary injuries and deaths. Only by telling the truth and prosecuting the political liars within our own government that sent them out to fight a senseless war would he actually do these honorable men and women justice. However, O’Reilly continues to pander to his establishment masters to the disgrace of all who served. Although the likes of Karl Rove, Donald Rumsfeld, and Dick Cheney may applaud O’Reilly, Bill becomes vile in the eyes of veterans those traitors sent to an illegal war. I am positive that very few of the million dead Iraqis posed even the slightest threat to America and would be much happier if they were alive for starters. I am also confident that the thousands of Americans who lost loved ones or that were horribly wounded would also be better off alive and well today, even if Saddam was still in power. No matter what O’Reilly believes from his ivory tower about how we improved the lives of the average Iraqi, the millions of wounded, displaced, starved, and dead would find comfort in knowing the US would never come to “help” Iraq again.
Fourth, our bombing didn’t work, yet, O’Reilly is adamant about the positive effects “heavy bombing” would have for the US against ISIL. O’Reilly seems to think that if we just carpet bomb one more convoy we will win. He seems to “know” that our pilots can positively identify targets flying at nearly the speed of sound or faster and often from above 35,000 feet as long as the “bad guys” are in the open desert. I would laugh, but he is actually serious…and using his own words, a buffoon. I guess he fails to understand how the fact ISIL is operating with the same US provided military vehicles that the Iraqi military is using can complicate targeting. If perhaps, O’Reilly had actually served in combat as a Joint Tactical Air Controller, he would know that his line of logic is ridiculous, but since he did not, let me enlighten him. Just because there is a convoy of trucks with guns in the Middle East does not positively identify the convoy as “bad guys.” In fact, the factions fighting often look indistinguishable even from the ground and much less so from the air. Without good intelligence and legitimate boots on the ground observing, identifying, and marking targets for air, O’Reilly’s airstrikes will not only be futile, but 100% counterproductive. I also think that O’Reilly must have somehow shelved the knowledge that ISIL possesses “Stinger” missiles. Even though I would argue that the likelihood is the bulk of these man portable, surface-to-air missiles are advanced Soviet designs smuggled into Syria by our very own CIA from Libya (hello Benghazi), the missiles nonetheless exist and pose a significant threat to our aircraft operating at low altitudes. I wonder if the loss of an American pilot and an F-16 is worth it to O’Reilly?
Finally, O’Reilly went on to say that ISIL does not recognize the Iraq-Syrian border and that we must pursue ISIL into Syria. I do not disagree that the border has long since ceased to exist and that to prosecute an effective campaign, you must not allow the insurgent sanctuary. Too bad we didn’t use this same logic in Afghanistan where even the dullest of officers recognized that to decisively defeat the Taliban, one must either secure the border or cross into Pakistan, but I digress. Moving back to bombing ISIL in Syria, O’Reilly completely demonstrates his hypocrisy and wins the award for pinhead. Time and again, O’Reilly has been on air demanding President Obama support the rebels in Syria and has attacked the Administration repeatedly for not doing enough, yet, he fails to realize that he is simultaneously demanding we bomb ISIL and support ISIL. O’Reilly is naïve and or ignorant if he fails to make the connection that we have been covertly organizing, arming, training, and equipping the rebel forces in Syria to fight President Assad and it is these same forces, which are now rampaging throughout Iraq. The savages that O’Reilly demands we bomb are the savages we created just like in Afghanistan and Libya. In fact, if we bomb ISIL at their points of origin as O’Reilly suggests… in their training camps in Syria (Jordan and Turkey too O’Reilly), I wonder if he realizes we will be killing American special forces and CIA ground branch officers currently training these terrorists. So I ask O’Reilly, who are the good guys and who are the bad guys because I am very confused.

By Guiles Hendrik
All rights reserved.

New White House Scandal Emerges: US Covering Up Loss of Stinger Missiles in Syria to ISIL

Media reports (see: http://www.foxnews.com/world/2014/06/16/us-made-stinger-missiles-have-likely-fallen-into-isis-hands-officials-say/), later tacitly confirmed by the Department of Defense (DOD) before burying the subject, have identified that ISIL possesses Stinger Missiles.  The US manufactured Stinger missile is a highly potent, man portable, shoulder launched, anti-aircraft missile that has advanced technology to defeat aircraft counter measures.  To see a video of various Stinger Missile variants in action click here: (http://www.military.com/video/guided-missiles/surface-to-air/the-fim-92-stinger-missile/1107957918001/).  These missiles pose an extreme threat to any low flying aircraft to include passenger jets.  The missiles are considered a highly sensitive weapon system and are heavily controlled due to their potential lethality.  As such, the DOD goes to great lengths to prevent these weapons from falling into the wrong hands and they are accounted for individually.  Nonetheless, these very dangerous weapons have somehow made their way into the hands of ISIL extremists.  The scandal and cover up precipitate from the answer of how these weapons found their way into the hands of ISIL.

The White House would have been happy if the media had never reported that ISIL possessed Stinger missiles.  However, it soon became clear that ISIL did possess the missiles and this could not be suppressed (http://www.washingtontimes.com/news/2014/jun/17/iraqi-shiites-take-a-stand-against-sunni-extremist/?page=2, https://en.wikipedia.org/wiki/Islamic_State_of_Iraq_and_the_Levant, http://www.military.com/video/guided-missiles/surface-to-air/fsa-downs-helo-with-stinger-missile/2207383115001/; http://beforeitsnews.com/strange/2012/08/cia-provides-stinger-missiles-to-syrian-freedom-fighters-2442552.html).  Therefore, the White House created a narrative about how the US missiles found their way into terrorist hands.  The White House blamed the Iraqi military and claimed the Stingers must have been captured when ISIL overran Iraqi military bases in Mosul.  There is just one major problem with this claim.  The DOD did not provide the Iraqi military with Stinger missiles and none were stored in Mosul.  The truth is that the Stinger missiles ISIL possess were not captured and did not come from Iraq.  The White House is fully aware of this fact and has intentionally attempted to cover up the truth.  The Stinger Missiles ISIL possesses are missiles the CIA directly provided “moderate” rebel groups in Syria to help them overthrow Syrian President Assad.  President Obama cannot plead ignorance on this matter because he had to personally sign the covert action “finding” to arm the rebels with Stingers.   President Obama granted this approval after the rebels pleaded for a capability to shoot down Syrian military aircraft that were persistently bombing rebel positions.  Counter to President Obama’s claims of supporting only “moderate” rebel factions and our “ability” to ensure any military weaponry the US provides the rebels would not fall into extremist hands, this is exactly what has occurred.  President Obama has at best allowed and at worse given terrorists anti-aircraft missiles and is now in complete denial mode!

The White House has been caught in another lie and the media is simply too bought and or too ignorant to identify another major cover up right in front of them.  Minimal investigative journalism would have allowed a decent reporter to put the pieces together on wear in fact the ISIL Stinger Missiles actually came from in Syria.  What makes this most recent White House scandal so damning and dangerous is the fact that, as we have warned, these anti-aircraft missiles will most likely be used against civilian passenger jetliners in the near future to kill Americans.  WHEN it happens, the Obama Administration will no doubt be “caught by surprise” and will have a readymade excuse blaming someone else (like the Iraqi military) for their utter dereliction of their duties to protect Americans.  It is your job to make sure the word gets out and you can help fix this if you contact media outlets and your elected representatives and grill them over this scandal.  Demand all military aid and support for the terrorist backed rebels in Syria be immediately cut off.  Further, demand a full investigation into how these missiles were given to terrorists and insist on prosecution of those responsible under the federal acts prohibiting material support to terrorist organizations.

For more see:

http://voiceofrussia.com/2012_10_24/Russian-Military-Chief-US-supplying-anti-aircraft-missiles-to-Syrian-rebels/

 

By Guiles Hendrik

All rights reserved.