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Articles

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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Best Parenteral Access in a CBRN Environment?

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

https://www.youtube.com/watch?v=XHOmBV4js_E 🕖 Reading Time, 6 minutes https://vimeo.com/669542533/c7bdc05235?ts=0&share=copy When providing medical treatment to CBRN casualties, to save lives, initial treatment will need to be conducted before formal decontamination can be completed. These procedures, performed in a “dirty casualty collection point,” will …

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CHEMPACK containers EMS + hosp

Strategic National Stockpile: CHEMPACK

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

Researched and written by Mike Shertz, MD/18D, not AI 🕖 Reading Time, 3 minutes The Strategic National Stockpile was created in 1999 as a source to store and distribute medical countermeasures in case of a national emergency. It was structured …

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