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Articles

Showing 1-6 of 166 results
A chart from Downing H, Asbell DK, McCarthy E, Brumitt J. Intranasal ketamine versus intravenous opioids for acute pain in the emergency department: A scoping review. Am J Emerg Med. 2026 Jun 2;108:26-34 showing pain scores over time using IN Ketamine vs IV Morphine

Intranasal Ketamine Matches IV Morphine for Acute Pain

  • Posted by Mike Shertz MD/18D
  • Categories MARCH
Mike Shertz MD/18D
October 12, 2026

Researched and written by Mike Shertz, MD/18D, not AI 🕖 Reading Time, 4 minutes Based on 8 RCTs IN ketamine is equal to IV morphine for pain control in ED patients. IN administration is faster and less technically challenging than …

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From Long Range Patrol to Your Pantry: The Military Roots of Freeze-Dried Food

  • Posted by Laurie Shertz
  • Categories Everything Else, Travel Medicine
Laurie Shertz
October 5, 2026

BLUF: Freeze-dried food is only lightweight until you add the water. A freeze-dried military cold-weather ration takes 28 to 40 ounces of water to prepare. If your emergency food is freeze-dried, your water storage has to cover cooking as well …

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A heading slide showing a reference from an article by France et al showing Decon areas on a K9 and fur samples

Chemical Decon for Operational K9s: What Handlers Miss

  • Posted by Mike Shertz MD/18D
  • Categories K9 TECC/TCCC, Tactical CBRN
Mike Shertz MD/18D
September 28, 2026

Fur Slows Chemical Agents, But Not Everywhere Equally 🕖 Reading Time, 5 minutes Researched and written by Mike Shertz, MD/18D, not AI Operational K9s are initially protected from dermal chemical and toxic exposures by their fur. However, the length and …

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Two images, one showing a generic Apollo pager, the type used in the Hezbollah pager attack, and an exploded remnant of a pager

Ophthalmologic Mass Casualty!

  • Posted by Mike Shertz MD/18D
  • Categories MARCH, PAWS
Mike Shertz MD/18D
September 21, 2026

🕖 Reading Time, 2 minutes On 17 September, 2024 at 1530, thousands of Gold Apollo AR-924 pagers, purchased by Hezbollah exploded over the span of an hour simultaneously causing an ophthalmologic mass casualty incident at multiple locations in Lebanon. Hezbollah …

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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 …

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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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