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Articles

Showing 1-6 of 155 results

Is administering calcium with blood causing hypercalcemia and increasing mortality?

  • Posted by Mike Shertz MD/18D
  • Categories (C) Circulation, MARCH
Mike Shertz MD/18D
July 29, 2026

Recently there has been an increase in discussions regarding hypercalcemia and trauma patients. Preliminary evidence suggests being traumatically injured and having an abnormally high calcium level is just as detrimental as hypocalcemia. 🕖 Reading Time, 4 minutes Researched and written …

Read more about Is administering calcium with blood causing hypercalcemia and increasing mortality? Read More
a beat up cardboard box labeled "expired blood" with the headline, Expired Blood Products in Military Trauma: Is There a Place for Them in Your PACE Plan?

Expired Blood Products in Military Trauma: Is There a Place for Them in Your PACE Plan?

  • Posted by Mike Shertz MD/18D
  • Categories (C) Circulation, MARCH
Mike Shertz MD/18D
July 16, 2026

From 2002 to 2019, in US CENTCOM, 1,491 units of expired blood products were administered to casualties. This represented 0.4% of all blood products administered during that period.1 Is this safe, and if so, should it be part of your …

Read more about Expired Blood Products in Military Trauma: Is There a Place for Them in Your PACE Plan? Read More

Oral Transmucosal Fentanyl Citrate (OTFC) Dropped from TCCC Guidelines, what if it’s still in your bag?

  • Posted by Mike Shertz MD/18D
  • Categories MARCH, PAWS
Mike Shertz MD/18D
July 8, 2026

🕖 Reading Time, 4 minutes Researched and written by Mike Shertz, MD/18D, not AI Oral transmucosal fentanyl citrate (OTFC) was recently removed from the TCCC guidelines. It wasn’t removed because new literature showed it doesn’t work or causes complications. It …

Read more about Oral Transmucosal Fentanyl Citrate (OTFC) Dropped from TCCC Guidelines, what if it’s still in your bag? Read More
A CRoc, JETT and SamJT junctional tourniquets laid out on a Talon litter

Junctional Hemorrhage Control: 3 Devices, 49 Corpsmen, and the Data That Should Change What You Use

  • Posted by Mike Shertz MD/18D
  • Categories MARCH
Mike Shertz MD/18D
July 6, 2026

Three Junctional Tourniquets. One Casualty. Which One Do You Reach For? Researched and written by Mike Shertz, MD/18D, not AI 🕖 Reading Time, 2 minutes Miyamoto Musashi one of Japan’s most famous samurai and author of “the book of five …

Read more about Junctional Hemorrhage Control: 3 Devices, 49 Corpsmen, and the Data That Should Change What You Use Read More
An Octaplas Freeze Dried Plasma kit laid out on a Talon litter.

OctaplasLG: Freeze Dried Plasma Reconstitution and Shelf Life

  • Posted by Mike Shertz MD/18D
  • Categories MARCH
Mike Shertz MD/18D
June 30, 2026

There is a new JTS CPG for freeze dried plasma use, updated 09 June 2026. Researched and written by Mike Shertz, MD/18D, not AI 🕖 Reading Time, 2 minutes One such product, OctaplasLG is a freeze dried plasma approved by …

Read more about OctaplasLG: Freeze Dried Plasma Reconstitution and Shelf Life Read More
Two artist renderings of white phos being used, one high in the sky with it's tell-tail trails, and one in a city

A Plan for Treatment of White Phosphorous Casualties

  • Posted by Mike Shertz MD/18D
  • Categories Tactical CBRN
Mike Shertz MD/18D
June 11, 2026

With the IDF’s recent confirmed use of white phosphorus, discussion of the management of casualties injured by these munitions is once again timely. 🕖 Reading Time, 10 minutes Researched and written by Mike Shertz, MD/18D, not AI When Russia invaded …

Read more about A Plan for Treatment of White Phosphorous Casualties Read More
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