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Articles

Showing 1-6 of 162 results

Can One OTC Cut Your Risk of Traveler’s Diarrhea by 3.5X?

  • Posted by Mike Shertz MD/18D
  • Categories Travel Medicine
Mike Shertz MD/18D
September 14, 2026

The Evidence A 2021 systematic review and meta-analysis of bismuth subsalicylate (BSS) studies related to diarrhea, mostly unpublished manufacturer-sponsored, was undertaken. Though generally I am extremely critical of manufacturer-sponsored literature, particularly if it has never undergone some kind of peer-reviewed …

Read more about Can One OTC Cut Your Risk of Traveler’s Diarrhea by 3.5X? Read More
An X-ray showing a femur fracture

Do Femur Fractures Really Cause 1-2 Liters of Blood Loss?

  • Posted by Mike Shertz MD/18D
  • Categories (M) Massive Hemorrhage, Everything Else, MARCH
Mike Shertz MD/18D
September 8, 2026

Researched and written by Mike Shertz, MD/18D, not AI 🕖 Reading Time, 2 minutes We posted recently asking the question whether traction splints are worth the weight and cube. One question that came up repeatedly was: Is the dogma correct …

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Burn Casualty Resuscitation: When IV Fluids Run Out

  • Posted by Mike Shertz MD/18D
  • Categories (C) Circulation, MARCH
Mike Shertz MD/18D
September 7, 2026

The US Joint Trauma System Clinical Practice Guideline on Burn Care, published June 10, 2025, now includes enteral resuscitation, meaning oral or nasogastric (NG) tube fluids, for burn casualties when IV fluid isn’t available in the quantities required. Not Every …

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Is a Traction Splint for a Femur Fracture Really Worth the Weight and Cube?

  • Posted by Mike Shertz MD/18D
  • Categories Equipment, MARCH, PAWS
Mike Shertz MD/18D
August 24, 2026

BLUF: In a fixed medical facility, keeping a traction splint on hand is reasonable. In a rucksack or aid bag, the evidence does not support carrying one. Most femur fracture casualties have other injuries that contraindicate traction splint use anyway. …

Read more about Is a Traction Splint for a Femur Fracture Really Worth the Weight and Cube? Read More
Three photographs showing tourniquets applied to lower extremity wounds, tw of which were not medically necessary

Tourniquets in the Sahel: What a New Study Reveals About Preventable Amputations

  • Posted by Mike Shertz MD/18D
  • Categories (M) Massive Hemorrhage, MARCH
Mike Shertz MD/18D
August 17, 2026

Only 5.3% of tourniquets placed by national military forces in Burkina Faso were both medically necessary and appropriately placed. 50% of all their amputations were a byproduct of unnecessary tourniquets. Researched and written by Mike Shertz, MD/18D, not AI 🕖 …

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three images: a golden hour box in it's protective bag/cooler, a temperature reading on an open box, and a photo showing the blood contained in a golden hour box

Golden Hour Boxes: What the Data Actually Says About Blood Storage in the Field

  • Posted by Mike Shertz MD/18D
  • Categories (C) Circulation, MARCH
Mike Shertz MD/18D
August 10, 2026

Despite their frequent use by the military, “golden hour boxes“ have little independent published literature confirming their capabilities. 🕖 Reading Time, 4 minutes Researched and written by Mike Shertz, MD/18D, not AI These easily portable boxes will generally maintain two …

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