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Adult Tourniquets for Kids’ Trauma

Photo from North American Rescue

A recent article published in the June issue of the journal Pediatrics, indicates that Adult Combat Application Tourniquets (CAT) are effective for use in school-age children.

I don’t follow the pediatric trauma literature because I’m in general office care, so this was news to me. It seems that previous studies of children and tourniquets have involved rescue mannequins and studies of average limb circumference for age group. What makes this study unique is that it is a prospective study which involved actual children ages 6-16 with actual CAT use and Doppler measurement of arterial flow.

This is good news for those with Stop the Bleed training. Solid evidence that an adult Tourniquet CAN be used effectively in a pediatric trauma situation is likely to be reassuring.

What isn’t surprising however, is the focus on “Gunshot injuries” in the article as well as in the hand-wringing commentary which follows it on the next page in the journal.

The commentator laments the,

“… appalling social conditions that make an article on how to stop 6-year olds from bleeding to death after gunshot wounds necessary in the first place.”

He goes on to scold that,

“Almost as tragic is the inurement to school shootings and resultant ease with which we, the putative guardians of children’s health, can blithely read such articles with scarcely a second thought about the existence of the larger problem: repeated mass injuries from school shootings. The United States is the clear world leader in both absolute and relative frequency of school shootings, with >250 reported since 2009.”

First of all, I can’t take this commentator who is supposed to be a physician seriously at ALL. You know why? Because he uses freaking WIKIPEDIA as one of his references for his school shooting data.

Seriously? Dude, do you even know how to do academics? You make my head hurt. How did this get published in a major journal? Oh I know – because you spouted the party line, that’s why.

This obsessive and myopic (not to mention sloppily supported) focus on “gunshot injuries” and “school shootings” obscures the value of this study and the wider benefit to pediatric trauma victims in general. What about the thousands of children who experience traumatic injury in motor vehicle accidents yearly? This is a number which far exceeds pediatric gunshot injury, yet the commentator chose the latter rather than the former as the focus of his emotional finger-waggling.

The commentator’s hypothetical 6-year old is much more likely to need a tourniquet after her mother wrecks their car than because of a school shooting. But that apparently didn’t occur to the commentator nor to the authors of the study, who used “Gunshot injuries” as their first attention-grabbing words.

This tunnel-vision is typical of the American Academy of Pediatrics and Organized Medicine in general though. I don’t know why I expected anything different. Never let facts stand in the way of the narrative, and always be sure to muddy-up otherwise good research with an emotional and political smokescreen.

XD-M OSP 10mm



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Product URL: https://www.springfield-armory.com/xdm-osp-10mm-threaded-features/

How to manage your AR15 rifle

My Last Two Brain Cells

Have you ever felt as if you don’t have two brain cells left to rub together anymore? That’s been me the past few weeks. Too much life and too many projects – getting a kid moved to grad school, trying to learn to knit, taking a spinning class (the wool, not the bike – I’m not THAT insane), learning to dehydrate foods for long term storage, working a full-time job … and working on my shotgun rehab project.

The shotgun project is making me lose the most brain cells. Although there’s not much in the way of rust, this gun is incredibly dirty. I’ve been soaking and scrubbing with various solvents and oils off and on for the past few weeks as I get time and motivation. But wow, I’m starting to think that I need to install an industrial fume hood at my house. I’m getting worried about preserving those last two brain cells. I don’t think seeing visions in my own basement is in the manual of arms for this gun. I finally moved some of the operation upstairs into the living room in front of the TV, because at least there are windows upstairs.

After I broke up the worst of the crud with Kroil, I’ve now moved on to Hoppes #9 for the detail work. That smell is bringing me back to my childhood, with my father cleaning his FIAS in front of the TV after a day chasing woodcock and grouse. The Hoppes receptors in my brain are apparently still functional after all these years. THAT was a surprise.

But it isn’t just the solvents that are getting to me. Some of it is the bargain-hunting process that is endangering my cognitive function. I got a fantastic deal on Amazon for a Magpul SGA replacement stock. It was listed as “used, in damaged original package”, and it was $23 cheaper than new. That was my score-of-the-month. It arrived in perfect condition and I am just tickled.

My deal for the month

But when I went to use another supplier for the Magpul forend, I started getting brain damage from pounding my head on the desk. The supplier (not Magpul) kept sending me emails about the stuff in my cart. (I left it in the cart while I shopped around the web for a few days) Here was this discount code and that discount code and yet another discount code – but when I broke down and tried to actually make the purchase, then those codes were no longer valid. ARGH. Talk about bait and switch. It made my brain hurt. I did finally make the purchase though, because I figured that the $23 I saved with the stock almost paid for the forend anyway. See the kind of higher math I rationalize purchases with? Only two brain cells remember? Plus the closed head injury from the desk. (There’s no photo of that deal because it hasn’t arrived yet)

I did have passing thoughts of keeping the original stock and forend and just spray painting them or something, but I finally decided that it was more work and mess than I wanted to get into. Besides, the Magpul stock has an adjustable LOP, and the forend has M-LOK so I can attach a light if I want. This is supposed to be a defensive/tactical shotgun after all. And using spray paint would have just exposed those last two brain cells to even more solvents and propellants.

Once I’m finished with the re-build project then I plan to further stress my brain by taking a defensive shotgun course. 

A quick interwebs search showed that:

Sig Sauer Academy has a two-day course

Range Master has a one-day course 

And I see that Gunsite Academy even has a three-day course for “Seasoned Citizens”

[Editor’s Note: Sentinel Concepts has one too]

Although I have not yet reached retirement age, I am finding that it takes a lot more effort than it used to to get up out of those kneeling and prone positions. Not to mention that I tore an ACL in med school and never got it fixed. (Sometimes you just can’t fix stupid.) The “seasoned” shotgun course doesn’t require those more challenging positions, so that sounds like it might be more up my alley. 

I need to get my new/old shotgun into working order first, before I pull the trigger on a class though, and I also ought to practice up a few reload skills. I haven’t tried to do fast reloads since I stopped doing 3-Gun a few years ago.

So, I think I’ve got the prerequisite skills needed to take a defensive shotgun class – now I’m  just hoping there isn’t a brain cell count requirement.

SAINT Victor .308


At just 7.8 lbs the all new SAINT Victor .308 hits like a ton of bricks without the weight of a traditional AR-10. Purpose built to offer serious power in a quick handling configuration the SAINT Victor in .308 features a 16” lightweight barrel, M-Lok free float hand guard and included flip-up sights.

Ammo Review: Sig .308 Win 150gr Elite Copper Hunting

From Sig

Sig has delved into the ammunition game hard. With practice, defensive, match, and hunting loads coming out in a wider and wider variety of calibers it is abundantly clear that Sig wants to be a heavyweight contender in ammo too.

Several of our authors hunt a variety of game. However our focus is largely on multi-role/multi-purpose arms and equipment. The Sig ECH ammunition looked like it could fill that role.

With that let’s delve into this particular .308 load from Sig.

.308 Win 150gr Elite Copper Hunting

Sig’s entire HT line feature a solid copper expanding projectile designed to retain mass on impact. Sig advertises a 1.8x average expansion meaning this hotly loaded .30 cal has a wounding diameter of .55 once the bullet does its thing through tissue.

The listed muzzle velocity is 2,900 feet per second, putting it at about a 3-4% edge in velocity over the 147gr M80. Federal M80 is the round I am using for a baseline. Weights are similar and it is one of the most common commercial loads that the .308 users of the world are running.

BG Defense .308, our ammo test bed.

I had the BG SIPR-H out of its bag running some match ammo and function testing so it was a convenient time to run the Sig load too. First thing’s first, fire a 10 round test group with M80 ball.

M80 ball is 3 MOA machine gun ammo. Out of the BG with the thick reticled VCOG it was as accurate as expected.

Next up was the Sig HT.

The solid copper round is lead free and able to be used in states that have banned the older lead core bullets either for hunting, or outright. The nickel cases provide a better environmental seal to resist moisture incursion and preserve the ammo’s effectiveness as it is carried.

And, most relevantly, they are loaded to a higher accuracy standard.

Accounting for shooting errors made on my part the group shrank by 50-66%, making the Sig and BG rifle combination capable of 1-1.25 MOA. The accuracy and consistency, even out of a suboptimal optic for precise shot placement, is highly impressive. The VCOG has a 2 MOA center dot, great on a red dot sight, not as great on a front focal plane LPVO. But it gets the job done.

Here’s the takeaway from the testing the Sig .308 HT

  • The ammunition performed reliably, no failures.
  • The accuracy was dramatically superior to M80 ball without drastically shifting point of impact from the M80 zero allowing the two rounds to be used jointly.
  • The bullet design lends itself to hunting and defensive applications with a solid copper expanding projectile. The casing adds to the environmental resistance of the ammunition lending towards its resilience being carried or stored in less than ideal moisture and temperature.

The I’ll let you know how it does once whitetail season rolls around but the performance thus far has put it in the .308 go magazines setup for my SCAR17.

Why You Need an AR-15

FROM OCALA.COM

“Nobody needs an AR-15!”

“You don’t need more than 10 rounds for any legitimate purpose!”

“These are weapons of war and no one uses them to protect themselves.”

Yet there’s a Marion County, Florida man who did need his AR-15 and he is alive right now because he had it.

SUMMERFIELD, Fla. – Two intruders, one of whom was wearing a horror movie mask, were killed Wednesday night in an apparent shootout during a Marion County home invasion, deputies said. – Click on Orlando (Story updates at the link)

The home invasion happened around 8:20 p.m. at a home in the 14900 block of Southeast 32nd Court Road in Summerfield.

Deputies said that when investigators arrived to the scene, they found one of the intruders, 21-year-old Keith Jackson Jr., who was wearing a Jason Voorhees mask from the movie “Friday the 13th,” dead. Another intruder, 21-year-old Keith Jackson Jr., and the homeowner were found suffering from gunshot wounds, according to deputies. Jackson later died, according to officials.

The homeowner is in stable condition. He was found with an AR-15 rifle next to his legs.

Scenario: Multiple Armed Assailants, Home Invasion

Number of home invaders: 4, armed with handguns

Method of contact: Plea for assistance, Known casual contact

He told deputies that a man he vaguely remembered from a Craigslist transaction knocked on his door asking for help with his vehicle. He said he told the man he couldn’t help him and went to sleep a short time later. [Emphasis added]

The homeowner woke up when he heard a loud noise and immediately grabbed his AR-15. He said he and Jackson exchanged gunfire, although he doesn’t know who fired first, according to the affidavit. Doyle then also began firing, hitting the homeowner, so the homeowner shot him, as well, records show. 

Deputies said Robert John Hamilton, 19, and Seth Adam Rodriguez, 22, were located nearby after the home invasion.

They told deputies that they and the other two men had gone to the home to steal marijuana and guns.

Rodriguez was arrested on charges of homicide and home invasion robbery with a firearm. Hamilton was arrested on charges of home invasion robbery with a firearm. – Click on Orlando

This is why you need an AR-15. The four persons involved in the home invasion used a well known technique for reconnaissance of a target and attempt to gain easy entry, the assistance plea. Having established that the homeowner was inside they waited until later in the evening and attacked in force, armed.

Their prior knowledge of the target came from a transaction thousands complete every day, online listed person to person sale of an item. Craigslist, Facebook Marketplace, and any other online classified type transaction can also throw the remainder of your property on display for those looking to get the five finger discount.

The “Assistance Plea” and variants

Image Via YouTube (How to Answer the Door to Sales People)

The assistance plea is a surveillance technique that uses a usually innocuous reason to get you to answer and/or open your door. “Hey, my car broke down.” or “Hey, can I use your phone.” are very common, both of which have been largely rendered bullshit excuses with all the ‘apps for that’ that exist to help you out of those situations.

Door to door sales and services are another common method. New roofing, general contracting, lawn services, all are plausible reasons to talk with a resident and either be invited into the house or gain more information about a domicile, both layout and contents.

Door to door services and folks looking for help are genuine real things that happen. That’s why someone scouting a location use that premise for approaching and talking to you. It’s important to try and remember given names and faces, details about vehicles and service trucks, and attempt to file that info away incase it comes into relevance later. People who select a target this way may even be legitimately employed but looking for the easy side score for money, drugs, or weapons.

Be aware. New security systems, like doorbell cameras tied into WiFi, can greatly aid in this evidence collection.

Why you need that AR, AK, etc.

Look at all the circumstances of this situation. The four armed assailants gained knowledge of the house initially by one of them contacting the resident through an online classified. The four returned to the house for “marijuana and guns.” This suggests that stuff was visible on the first encounter, there were indicators out in the open that those things could be found in the residence, the resident said something to indicate he had them, or there was enough of monetary value in the open to sell or exchange for what they wanted.

They initially used the “assistance plea” on the resident to confirm he was or wasn’t home, or to try and gain easy entry.

After confirming he was home they waited until the evening and then, armed, forcibly entered the residence. They know he’s home and they know he is armed. Do the math and consider their probable trains of thought here as they break through the man’s door.

Now is where you are sitting in the place of the resident. This is your home. Four armed individuals just broke through your door. You are outnumbered and, if you grab a handgun, you are outgunned.

What tool gives you the best chance of stacking the odds back in your favor, of surviving the fight that just came through your front door?

It’s dangerous to go alone. Here, take one.

I’ll take “What is 30+ round of 77gr 5.56, Alex”

The handgun is a tool of convenience and concealability. The rifle is for fighting. Grab your rifle. Save your life.

This man needed an AR-15, and his reason is one of your reasons too.

Springfield Instant Gear Up


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Virginia Ends Special Session… After Only 2 Hours

Reports out of Virginia are saying that Governor Ralph Northam’s special legislative session was closed after about two hours by the Republican controlled House and Senate. All 30 bills were referred to the Virginia State Crime Commission for review. The next time they will be discussed will be November… after the state election.

Northram called the session in response to the Virginia Beach shooting where a public employee killed 12 of co-workers and contractors who were working at the Public Works facility at the time. The shooter was an active employee in good standing with legal handguns. The silencer used in the attack has, as of my best information, not been confirmed as legally possessed. However there isn’t cause to suspect it wasn’t a legal NFA transfer with no prior criminal history.

The 30 bill package included the usual gun controller wet dream. C’mon Virginia, Washington expects more of you.

  • “Extreme Risk Protection” Order / Red Flag Laws
  • Waiting Period
  • 1 Gun a Month
  • “Assault Weapon” Ban
  • Magazine Capacity Ban
  • Confiscation of Prohibited items
  • And so much more!

What is entirely unclear is if any of the bills dealt with revising building security, allowing employee concealed carry, or first aid training and equipment on the premises. You know… the less important issues that could have materially saved lives and ended the incident faster.

It’s refreshing to see practical heads going through the process of vetting policy in place of knee jerk response ala New Zealand.

In better news: South Dakota went Constitutional Carry on the 1st.

Even in a ConCarry state I encourage training. I always encourage training.

Grab ammo! Grab a class seat! Go!

PROPER PISTOL PRESENTATION WITH GUNSITE’S FREDDIE BLISH

SBR EPISODE I: SHORT-BARRELED RIFLES – A SHORT CRASH COURSE

In the early days of firearms development (beginning of the 15th century), the [extremely condensed and incomplete] discovery / invention timeline looked something like this:

  • Rifling
  • Wheel lock
  • Flintlock
  • Pin-fire
  • Rimfire
  • Centerfire

Short Long-Gun History

The development occurred over a span of nearly five centuries. However, once centerfire cartridges were introduced in 1869, Winchester produced the first center-fire rifle within three or four years.

And rifle development and purchases / ownership rocketed from there.

Many rifles were engineered with v-e-r-y long barrels. These long barrels were needed to help develop higher velocity (due to the limits / slow burning rates of the available propellents at the time). However, these long long-guns were very cumbersome to manipulate and shoot.

A demand eventually developed for smaller rifles that were easier to handle. To make those rifles or muskets lighter and more compact, the obvious approach was to shorten both the stocks and the long barrels.

Though a modification as such would definitely result in lower velocities of the projectiles, and therefore lower power, the trade off was much greater maneuverability. And if this new, smaller rifle could still produce acceptable levels of power, it would be deemed a worthwhile trade.

Carbine Creation

Thus was born the “carbine,” a shorter version of a full-length rifle, that fires the same type / caliber of ammunition.

And as the development of propellents progressed and long barrels were no longer required to achieve the desired ballistics, the next logical step was to develop even shorter barrel lengths – to gain even greater maneuverability and usability.

Birth of the Short-Barreled Rifle (SBR)

SIG SAUER Modular Handgun System Receives Full-Material Release from U.S. Army

NEWINGTON, N.H., (July 9, 2019) – SIG SAUER, Inc. in conjunction with Winchester Ammunition, is proud to announce the SIG SAUER Modular Handgun System (MHS) has officially received notification of Full-Material Release (FMR) from the U.S. Army Program Executive Office Soldier, Picatinny Arsenal, NJ. MHS is collectively comprised of the SIG SAUER M17 Full-Size, and M18 Compact handguns, and Winchester Ammunition M1152 Ball, M1153 Special Purpose, and M1156 Drilled Dummy Inert.

Full-Material Release is a significant milestone for the MHS program and is the official determination that the U.S. Army has rigorously tested and evaluated the M17 and M18 handguns, and associated ammunition, to determine it as safe for use when operated within its stated parameters. The official FMR notification received by SIG SAUER on June 27, 2019 states that MHS has been fully tested, meets all operational performance requirements, and is logistically supportable within the environment it is intended to operate.

Ron Cohen, President & CEO, SIG SAUER, Inc. began, “the Army’s announcement of Full Material Release is the final stamp of approval for the MHS Program, and a true testament to the successful collaboration of the U.S. Army, SIG SAUER, and Winchester Ammunition to deliver the highest quality MHS program to our soldiers in the field. The FMR notification really highlights the safety and quality of the M17 and M18 handguns, and the success of the MHS program in its entirety.”

To date, over 59,000 Modular Handguns have been delivered by SIG SAUER, and over 44,000,000 rounds of ammunition delivered by Winchester Ammunition to the Government for MHS; in the next 5-7 years an additional 350,000 handguns and 100,000,000 rounds of ammunition are scheduled for delivery.

“We are enthused by this announcement, and honored to have all the branches of the U.S. Military participating in the MHS program. These are both important and significant steps to ensuring that MHS, the M17 and M18 handguns, and Winchester Ammunition will serve the U.S. Military well into the future,” concluded Cohen.

The M17 and M18 handguns are 9mm, striker-fired handguns featuring coyote-tan PVD coated stainless steel slides with black controls and utilize both 17-round and 21-round magazines. The handguns are equipped with SIGLITE front night sights, removable night sight rear plates, and manual safeties.

About SIG SAUER, Inc.
SIG SAUER, Inc. is a leading provider and manufacturer of firearms, electro-optics, ammunition, airguns, suppressors, and training. For over 100 years SIG SAUER, Inc. has evolved, and thrived, by blending American ingenuity, German engineering, and Swiss precision. Today, SIG SAUER is synonymous with industry-leading quality and innovation which has made it the brand of choice amongst the U.S. Military, the global defense community, law enforcement, competitive shooters, hunters, and responsible citizens. Additionally, SIG SAUER is the premier provider of elite firearms instruction and tactical training at the SIG SAUER Academy – a world class, state-of-the-art, 140-acre training facility. SIG SAUER is headquartered in Newington, New Hampshire, and has more than 1,700 employees across eight locations, and is the largest member of a worldwide business group that includes SIG SAUER GmbH & Co. KG in Germany. For more information about the company and product line visit: sigsauer.com.

While You Sat Complacent at Home…

He was studying the nunchuck! Go ninja! Go ninja! Go!

It’s not fun when that ammo can is running on empty. Double check your stock and refill before your next class, match, range day, or just in case. Don’t let the visible bottom of an ammo can or box make you sad.

Kimber EVO SP (TLE)


Kimber improves on their Two-Tone model with the EVO SP (TLE). They kept the magazine well, deepcrownbarrel and TRUGLO Tritium PRO, but they now also feature a set of TLE style G10 grip panels andbackstrap with an aggressive slant-checkering.

New Zealanders Surrender… 700 Guns

Total

As of last week reports out of New Zealand have the total number of surrendered arms in the country at 700 while the estimate on the number of now prohibited weapons hovers around 300,000.

Isn’t civil non-compliance grand!

As of last week, only around 700 weapons had been turned over. There are an estimated 1.5 million guns—with an unknown number subject to the new prohibition on semiautomatic firearms—in the country overall. – Reason.com

The New Zealand government responded in a world watched, perhaps record setting, knee jerk reaction to the horrific Christchurch massacre. Immediately the Prime Minister promised to ban the dangerous assault weapons that plagued the country. They were ‘clearly’ the only reason in all the myriad reasons that the massacre took place and banning them from private hands always works every time with no ill consequence and everyone is safe forever. The End.

Right? United Kingdom? Hold on, I’ll let you finish the morning shankings first. All is well, correct?

If you’ve been under the proverbial (or I suppose literal too) rock and are unaware of the act, the political actions since,and the resultant here is a summary.

The Massacre

A euronationalist, ecofacist, and several other descriptors that led him to being accused of both left and right wing extremism (funny that they damn near seem to be two sides of the same coin eh) named Brenton Harrison Tarrant, 28, killed 51 people and wounded 49 in attacks on two Mosques in Christchurch. He killed them while streaming it live on Facebook and has a published digital manifesto largely hidden in the bowels of the internet explaining why.

In summary, a racist piece of human garbage live streamed his attack for attention. He wanted to trigger a race war in the US to simultaneously stop our “Imperialism” and reinstate segregation or a multi-nation solution, get all non-anglos out of Europe through force, and punish Muslims for daring to be Muslim outside of the Middle East.

Typical extremist rhetoric, demands, changes that must be made, list of grievances, etc. But the attack was carried out in a modernized method of delivery that terrorists previously hadn’t utilized for reach. It targeted millennial tropes like PewDiePie and an old joke with the hands floating around the internet, and took full advantage of live stream video in a first world nation.

The use of technology for dissemination combined with the shock and scope of the carnage triggered several of the effects Tarrant wanted.

Including gun control.

The Response

New Zealand bans assault weapons quickly and says they would have a scheme to buy them all back. Mandatory confiscation of property by the government from hundreds of thousands for a crime hundreds of thousands of people didn’t commit. After this announcement the New Zealand public, many in support of doing something waited to see how it would shake out.

No actual plan was is place. The government was just going to ‘do something’ because, of course, they must. So they banned the evil “assault weapons” (semi-autos across a wide design spectrum) and promised to buy them back.

Is it a “buy back” if it wasn’t their property in the first place?

Anyway, the general feel of the whole situation is that while New Zealand does not have a 2nd Amendment protecting their natural rights of armament and the citizenry itself is not as culturally invested in its own retained armament as the United States, the citizenry is highly dissatisfied with the law and the proposed methods and amount of compensation for the turned in weapons.

If the New Zealand government had the first hint of a clue they would be offering full retail value for the firearms, without question. Such a scheme would show good faith on the part of the government for fair compensation.

Instead the New Zealand government is going to evaluate every weapon that is turned in, grade it like it would be going up for resale, and make a low percentage offer. A further cheapening of an already cheap move by the government to mandate property forfeiture without the owners committing and being convicted of a crime.

The New Zealand police expected a rate of non-compliance but it seems that the government is hell bent on doing everything in their power to assure that rate is as high as possible. Then they’re pointing to Australia and their buyback and asking why can’t it work just like that?

Well A: because that one didn’t work as well as everyone wants to pretend, and B: because New Zealand saw that it didn’t. To be sure the firearm culture of New Zealand isn’t what it is here, but they know a raw deal when they see one and they know they’re taking the blame for an action not their own.

Prohibition never works.