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Articles

A green to pink gradient showing an outline of a breastfeeding child with the text, "Can women safely breast feed after chemical or biological agent exposure?"

Navigating Breastfeeding: Risks and Realities After Chemical Exposure

  • Posted by Mike Shertz MD/18D
  • Categories Tactical CBRN

Very little medical guidance exists regarding whether women can safely breast feed after chemical or biological agent exposure, or when breast feeding can resume safely if it is halted. Researched and written by Mike Shertz, MD/18D, not AI 🕖 Reading …

Read more about Navigating Breastfeeding: Risks and Realities After Chemical Exposure Read More
The cover of a spoof graphic novel titled, "the plane went down, what's in the kit? Survival Kit" with a cartoonized version of Dr. Shertz reading Robinson Crusoe and some additional photos of survival equipment from the kits

How Long Can a Human Survive Adrift at Sea? Lessons from a 76-Day Ordeal

  • Posted by Mike Shertz MD/18D
  • Categories Air Travel Emergencies, Travel Medicine

Survival at Sea: What 76 Days Adrift Reveals About Life Rafts, Water Needs, and FAA Survival Assumptions 🕖 Reading Time, 12 minutes Researched and written by Mike Shertz, MD/18D, not AI How long can a human survive adrift at sea …

Read more about How Long Can a Human Survive Adrift at Sea? Lessons from a 76-Day Ordeal Read More
a diagram showing the four steps in an improvised pant leg pelvic binder

Improvised Pant-leg Pelvic Binder

  • Posted by Mike Shertz MD/18D
  • Categories Improvised, MARCH

Pelvic fractures occur in 8% of major trauma patients. You can improvise a pelvic binder. 🕖 Reading Time, 3 minutes IED induced injuries resulting in traumatic lower limb amputation are associated with a 22% rate of pelvic fracture; half of …

Read more about Improvised Pant-leg Pelvic Binder Read More
Crisis Medicine math showing two IO needles plus lidocaine equals question mark

IO Pain Control: What the Research Says About Using Lidocaine Before the Flush

  • Posted by Mike Shertz MD/18D
  • Categories Air Travel Emergencies

Studies suggest IO flushing is uniformly painful -especially tibial sites – and lidocaine may help, data remains limited. Many EMS protocols recommend administration of lidocaine through intraosseous access before flushing to decrease the associated pain, but how effective is this? …

Read more about IO Pain Control: What the Research Says About Using Lidocaine Before the Flush Read More
A photo showing the aftermath of passengers forcibly prying down O2 masks on a flight due to smoke. They didn't understand it would not help them

Southwest 3923: Why Oxygen Masks Don’t Save You From Smoke in the Cabin

  • Posted by Mike Shertz MD/18D
  • Categories Air Travel Emergencies

In March 2023, Southwest Airlines flight 3923, a Boeing 737 MAX en route to Fort Lauderdale from Havana, Cuba, made an emergency landing shortly after takeoff when the cabin began to fill with smoke secondary to an engine failure and …

Read more about Southwest 3923: Why Oxygen Masks Don’t Save You From Smoke in the Cabin Read More
A cartoonized version of the newly marketed SEAL spray, appearing to have been drawn in crayon

Evaluation of SEAL Hemostatic Spray: Marketing Claims vs. Published Data

  • Posted by Mike Shertz MD/18D
  • Categories (M) Massive Hemorrhage

Recently, both a Special Forces Medic and a civilian fire paramedic asked me about a new hemostatic product being actively marketed on social media: SEAL Hemostatic Wound Spray. Like many things on social media, you have to check the veracity: …

Read more about Evaluation of SEAL Hemostatic Spray: Marketing Claims vs. Published Data Read More
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