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FROM THE DESK

A friend called me several years ago about a bad accident he witnessed on a trail. Gash on the forehead, blood everywhere, an hour from the trailhead. He froze. Didn’t know where to start. The guy that fell was fine, but my friend said he felt completely useless in that moment. That conversation stuck with me, and it’s why this week is about the basics.

THE BRIEF

The Five-Minute First Aid Skills That Actually Matter

Here’s the uncomfortable truth about first aid: most of us learned it once, maybe in high school, and haven’t practiced since. We assume we’ll remember when it counts. We probably won’t.

The good news is that you don’t need paramedic-level training to handle the situations most likely to come up. You need a handful of skills and the confidence to use them. That’s it.

Skill one is stopping bleeding. Serious bleeding is the most common preventable cause of death in emergencies. The technique is simple: apply direct pressure with whatever clean cloth you have, press hard, and don’t let go. If blood soaks through, add more material on top. Don’t remove the first layer. For severe limb bleeding, a tourniquet applied two to three inches above the wound can be lifesaving. The CAT tourniquet is the standard. Place it high and tight, note the time, and get help.

Skill two is hands-only CPR. If someone collapses and isn’t breathing normally, call 911 and start pushing hard and fast on the center of their chest. About 100 to 120 compressions per minute, roughly the tempo of “Stayin’ Alive” by the Bee Gees. You don’t need to do rescue breaths. Chest compressions alone double or triple the chance of survival.

Skill three is recognizing when someone is going into shock. Cool, clammy skin. Rapid breathing. Confusion or agitation. Lay them down, elevate their legs about 12 inches if there’s no spinal injury, and keep them warm with a blanket or jacket. Shock kills quietly, so knowing the signs gives you a real advantage.

The common mistake is thinking you need to completely heal someone. You don’t. Your job in the first five minutes is to keep blood inside the body, keep the heart pumping, and keep the person stable until professional help arrives.

Take a free Stop the Bleed class or a Red Cross first aid course. It’s a few hours of your time for skills that could genuinely matter when the moment comes. You don’t need to be a doctor. You just need to not freeze.

ONE THING THIS WEEK

Watch one hands-only CPR video and practice on a pillow.

The American Heart Association has a free two-minute video showing the technique. Watch it, then spend three minutes practicing compressions on a firm pillow or couch cushion. Get a feel for the depth and rhythm. You’ll be surprised how tiring it is. That awareness alone makes you more prepared than most people.

ON THE RADAR

Silver Futures: 751 Million Ounces in Contracts, 440 Million in the Vault

The March COMEX silver contract expires March 27, and the numbers are notable. Open interest represents roughly 751 million ounces — 1.7 times the 440 million ounces the CME reports in its vaults. Registered silver (metal available for delivery) sits at around 82 million ounces, down 75% since 2020. Global silver supply has been in deficit for five consecutive years. China recently reclassified silver as a strategic material and controls 60 to 70% of global refined exports. Silver is trading above $94 per ounce. If even a modest percentage of contract holders demand physical delivery, the math gets tight.

LESSON FROM: THE ALTONS (DR. JOE & AMY ALTON)

Dr. Joe Alton is a board-certified surgeon and Amy Alton is an Advanced Registered Nurse Practitioner. Together they wrote The Survival Medicine Handbook, the most widely referenced medical preparedness book in print. One of their core principles is what they call “becoming a medical resource.” In a prolonged emergency where professional care is delayed or unavailable, the person with basic medical knowledge becomes the most valuable member of any group. The Altons stress that you don’t need to perform surgery. You need to manage bleeding, prevent infection, and keep people stable. They recommend building your skills in layers, starting with a basic first aid course, then adding wound care, then medications. Each layer makes you dramatically more capable.

WHAT’S HAPPENING

Theory Emerges That Tucker Carlson Was Used as Unwitting Channel Before Iran Strike

Tucker Carlson, a vocal anti-war critic, claimed Saturday that the CIA has been reading his texts and is preparing a criminal referral tied to his communications with Iranian officials before the U.S.–Israeli war. The potential charge: a FARA violation. According to The Atlantic, Carlson met with Trump three times in the Oval Office in the weeks before the strike, arguing against military action. Reuters reported the operation had been planned for months and was moved up when Israeli intelligence detected Khamenei meeting with senior advisers.

Those facts have fueled a theory now circulating widely: that Carlson’s access to both Trump and Tehran may have been exploited to keep Iran’s leadership off-guard before the decapitation strike. No public evidence confirms this, but the CIA investigation adds weight. Worth watching for anyone paying attention to how information moves between governments and media and the strange direction this new war in the Middle East is taking.

WHAT I’M TESTING

Adventure Medical Kits Ultralight/Watertight .7

I’ve been carrying the AMK Ultralight/Watertight .7 in my day pack as a boo-boo kit. It’s organized by injury type with clear labels. Includes wound closure strips, moleskin, antiseptic, gauze, and basic medications. The waterproof case has held up through rain and a dropped water bottle. Weighs about 7 ounces. Around $30, which is reasonable for what you get. It won’t cover major trauma, but it handles the cuts, blisters, sprains, and burns you actually encounter. For a budget option, the Johnson & Johnson All-Purpose First Aid Kit runs about $25 and covers the basics.

OVERRATED / UNDERRATED

Overrated: Massive 300-piece first aid kits. Half the contents are band-aids you’ll never use and cheaply made tools. Bigger isn’t better when you can’t find what you need in it.

Underrated: Israeli bandages. One compact pressure dressing that handles serious wounds better than a bag full of gauze pads. About $10.

StopTheBleed.org — Find free bleeding control classes near you. The single most impactful first aid training available.

AHA: Hands-Only CPR — Learn CPR in two minutes with the American Heart Association’s free video guide.

Dark Angel Medical — Quality trauma supplies built by people who actually use them in the field.

Where There Is No Doctor (Hesperian) — The classic austere medicine reference. Available as a free PDF download. Also available on Amazon.

Doom and Bloom — The Altons’ medical preparedness site with articles, podcasts, and training resources.

Red Cross: First Aid Training — Find a first aid or CPR class in your area. Many are just a few hours.

MedlinePlus — The NIH’s plain-language health reference. Useful for understanding symptoms and treatments without a medical degree.

NEXT WEEK

Next issue we’re building a family communication plan, the kind that actually works when cell towers are jammed and everyone’s scattered. It’s simpler than you think, and it might be the most important prep you haven’t done yet.

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Have you taken a Stop the Bleed class or a CPR course? That knowledge matters more than any gear recommendation.

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