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Articles

A white board showing the Range directions for calling 911 in the event of a training accident, including the address and phone number

Plan for a training accident

  • Posted by Mike Shertz MD/18D
  • Categories (S) Security & Awareness, MARCH

🕖 Reading Time, 3 minutes While helping teach a class with InSights Training Center at West Coast Armory Indoor Range, I was really impressed to see they posted emergency instructions in the event of a training accident if 911 must …

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Neck wound qualifies as junctional hemorrhage

Junctional Hemorrhage: The next frontier for hemorrhage control

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

The term “junctional hemorrhage” refers to injuries and bleeding occurring at the transition zones between the extremities and the torso. 🕖 Reading Time, 4 minutes The term first appeared in the medical literature in December 2009. Although not an extremity, …

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The destroyed exterior of the Marriott Hotel in Jakarta after the 2003 bombing

A hotel stay: reflections on the challenges managing casualties in a high-risk environment

  • Posted by Mike Shertz MD/18D
  • Categories (S) Security & Awareness, Travel Medicine

Researched and written by Mike Shertz, MD/18D, not AI 🕖 Reading Time, 5 minutes There is nothing like a brief stay in 2020 Portland, Oregon, when it looked nearly war-torn to force you to rethink your security and tactical medical …

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A CAT tourniquet, Nonin Pulse Ox, and Doppler displayed on a table

Head to head: Doppler vs. Pulse oximeter as a training tool for tourniquet efficacy. Doppler wins.

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

🕖 Reading Time, 5 minutes BLUF:* Is there a role for using a fingertip pulse oximeter as a training tool for tourniquet placement? We believe the answer is no. Considering the relative expense of a quality, FDA approved model pulse ox, a …

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Nonin 9550 Pulse Oximeter

Powerful TECC/TCCC uses for a fingertip pulse oximeter

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

🕖 Reading Time, 5 minutes BLUF*: For the pulse oximeter’s O2 saturation reading to be valid, the device must also be consistently identifying the patient’s pulse. If the pulse waveform or notation isn’t steady, the oxygen reading isn’t valid. Fingertip …

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Two hedgehogs with injuries, one with a tiny cast on its left arm, the other with a 'cone of shame' for unknown injuries

Always Learning: Basic Wild Hedgehog First Aid

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

🕖 Reading Time, 5 minutes As a professional instructor, it is important to keep learning and improving your knowledge base. As an SF soldier, having some familiarity with any topic is beneficial because you never know what will come in …

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