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Articles

School District Issues Counterfeit Tourniquets During National Stop the Bleed Month

  • Posted by Mike Shertz MD/18D
  • Categories Equipment

Don’t buy fake tourniquets: Use proven tourniquets, not toys. 🕖 Reading Time, 6 minutes   A student of our online Tactical Casualty Care course contacted us to tell us their county health department planned to issue teachers bleeding control kits for …

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A hand with a perfect dark fingernail polish manicure, which will defeat your ability to evaluate capillary refill time, if it works at all

Capillary Refill Time: Theoretical but not sound

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

🕖 Reading Time, 6 minutes BLUF: “Normal” values vary by age, gender, temperature (both environmental and casualty’s), and lighting conditions. Different providers will see different durations of refill time. With all these adjustments and limitations of how normal is defined, …

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Amyl Nitrite Inhalents

Is amyl nitrite a useful prehospital intervention in cyanide poisoning?

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

🕖 Reading Time, 4 minutes Amyl nitrite is a highly flammable, volatile, liquid medication that is proposed as a prehospital inhalation treatment of cyanide casualties while awaiting parenteral (IV / IO) access.  BLUF: In a high-risk tactical environment with both …

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White Phosphorous exploding Over Raqqa, 2017

A Plan for Treatment of White Phosphorous Casualties

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

🕖 Reading Time, 10 minutes With the Russian invasion of Ukraine, there have been discussions about the management of casualties injured by white phosphorous munitions. A social media post by @nardoctor sharing the DOD clinical practice guidelines was one of …

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A still photo from a video demonstrating proper placment to insert an IO into a femur

Diversifying your options: Distal femur IO access

  • Posted by Mike Shertz MD/18D
  • Categories (C) Circulation

🕖 Reading Time, 3 minutes Typically, intra-osseous access is performed either in the proximal humerus or proximal tibia in the civilian setting and sternally in the military. A recent study of 2016 US prehospital IO placements in adult out-of-hospital cardiac …

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An evisceration on a 14-year-old who impaled himself on his bicycle handlebars

Distracting but not life-threatening: Managing abdominal eviscerations

  • Posted by Mike Shertz MD/18D
  • Categories Everything Else

Photo from a 14-year-old boy who sustained a penetrating injury to his abdominal wall after impacting the handlebars of his bike. Note the bowel perforation at approximately 7 o’clock on the bowel. This should not be reduced, as it will …

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