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Articles

WEBINAR: The Fallout of CBRN Exposure: A Cosmology Episode

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

🕖 Reading Time, 2 minutes In 2011 Syria was felt to have had one of the largest and most operational CW arsenals in the world. They had mustard, sarin, VX nerve agents, and binary chemicals that could be combined to …

Read more about WEBINAR: The Fallout of CBRN Exposure: A Cosmology Episode Read More

Detective Wins Life-Saving Award

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

🕖 Reading Time, 2 minutes A fist hand account:  “I witnessed a motorcycle accident while on patrol. After checking for massive hemorrhage (M), I continued to assess the patient and realized he had an obstructed airway (A), so I applied …

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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  Researched and written by Mike Shertz, MD/18D, not AI  A student of our online Tactical Casualty Care course contacted us to tell us their county health …

Read more about School District Issues Counterfeit Tourniquets During National Stop the Bleed Month Read More
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, …

Read more about Capillary Refill Time: Theoretical but not sound Read More
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 …

Read more about Is amyl nitrite a useful prehospital intervention in cyanide poisoning? Read More

A Plan for Treatment of White Phosphorous Casualties

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

With the Russian invasion of Ukraine, there have been discussions about the management of casualties injured by white phosphorous munitions. 🕖 Reading Time, 10 minutes Researched and written by Mike Shertz, MD/18D, not AI A social media post by @nardoctor …

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