MEDICAL: How a Tactical Enema Could Save Your Life

The Tactical Enema
The Tactical Enema

The Tactical Enema – Just like maximum security prison but without the sporks

Anyone who has ever broken a sweat knows how important it is to stay hydrated. Dehydration of just 2-3% will decrease your endurance capacity by a whopping 25%.

Just sitting in front of the Xbox will cause you to lose dehydrate (mainly through respiration), and sit somewhere cold, you’ll dehydrate quickly as your body converts stored energy into free energy to shiver (plain old metabolism uses 1.5-2L of water a day, figure 2x-3x if you’re in a cold environment).

And all bets are off if you’re playing in the sandbox.

To rehydrate properly, you need a mix of salt and water, preferably in the same concentration that your body normally is – and if you can throw some glucose (sugar) in the mix for energy it’s a bonus, plus sugar makes a salt/water mix not taste like shit (actually glucose has some good hydration properties in itself and should be added in appropriate amounts, but that’s a different article).

For some reason, this combination wasn’t fully realized and exploited until the Florida Gator football team’s doctor came up with a good and marketable mix in the 60’s, you know it as Gatorade.

Red is Always Bad
Red is Always Bad

Red is Always Bad

But let’s say your humping it out in your favorite sandbox, or you’ve “just gotten yourself turned-around” in the woods, and the Gatorade stand is a long way away.

Here’s an easy way to scratch together a decent energy-drink:

  • 1L of water ¼ teaspoon salt 6 teaspoons sugar

Or in backcountry/survival terms:

  • 1L water 1 packet of salt (from an MRE or your favorite fast-food restaurant) 6 packets of sugar

Salt and sugar packets are small and best of all free, and should be packed in your BOB or “boo-boo kit”. This method doesn’t taste great, but it’s a hell of a lot cheaper and easier to manage than carrying bottles of your favorite energy drink. And that little bit of salt will make you feel, and more importantly, perform a lot better.

An Iced Double Venti Mocha Skinny No Whip Would Hit The Spot
An Iced Double Venti Mocha Skinny No Whip Would Hit The Spot

Die Of Dehydration or take a tactical enema up the ass? Hmmmm…

The Tactical Enema

So now let’s say you’re with your dumb buddy who didn’t drink enough and is now dehydrated to the point of being stupid, or you’re teammate has some unnatural holes in his body and is pouring his fluids into the sand, and there isn’t a medic anywhere near.

You can make a “Ranger I.V.” for your buddy by mixing the contents above into a camelback/hydration carrier (preferably his). This next part is really going to define how good of friends you are. Remove or cut the mouth piece off, lube the now open end (you do have lube with your nasopharyngeal airway in your IFAK don’t you?) and stick the tube up his ass.

The colon is very good at absorbing water and salt, and short of an actual I.V., it’s also the fastest way to get fluid back into the circulation (the gut can only absorb about 250mL every 15-20 minutes). So, while it may not be the most glamorous of first-aid techniques, the tactical enema just may save your buddy’s life, or yours.

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lifeline
lifeline

~John B Correspondent - Medical and S&R John B has been an EMT for 18 years and is currently a Field Team Leader for a Search and Rescue Team, he also holds a Master's degree in Neuroscience.