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Articles

Dr. Shertz holding a VX nerve agent munition prop on the stage of CM's new Tactical CBRN course

Why is CBRN relevant now?

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

🕖 Reading Time, 3 minutes In 2017, the CDC issued an emergency use authorization for a new atropine auto-injector manufacturing company because there was a sense there were not enough atropine auto-injectors in the national stockpile. Atropine is the standard …

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A photo of a police officer's leg showing two, side-by-side CAT tourniquets properly applied to stop massive hemorrhage

Tourniquets: One may not be enough

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

If you are going to carry a tourniquet, we feel two is the minimum load-out carried on the body. Researched and written by Mike Shertz, MD/18D, not AI 🕖 Reading Time, 3 minutes The best data available indicates a 70% …

Read more about Tourniquets: One may not be enough Read More
A photo of the burly chest of an operator with an American flag and CAT tourniquet staged on the exterior of his gear, center line

Tourniquet environmental wear: is time of the essence?

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

CAT Environmental Breakage 🕖 Reading Time, 3 minutes We receive frequent questions about shelf-life and environmental degradation of tourniquets. There has been some discussion in the US Department of Defense about declaring a five-year self-life for new, unused commercial tourniquets …

Read more about Tourniquet environmental wear: is time of the essence? Read More
A diagram showing how the landmine umbrella wounding pattern occurs

Landmine Umbrella: Not for a day at the beach

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

🕖 Reading Time, 9 minutes When a casualty steps on a blast mine or is very close to an explosive charge, the explosive force travels up the leg/limb of the casualty stripping skin, fascia, and muscle off the bone. This …

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EPINEPHRINE 1 mg 10mL SYRINGE

Pressors in Hypovolemia Double Mortality

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

BLUF*: Hypotensive trauma patients need the cause of their hypotension fixed: whether that is aggressive hemorrhage control, administration of blood products, or needle decompression for tension pneumothorax. IVF is a very temporary fix; blood products would be better. Push dose …

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Narcan nasal spray

Opioid Reversal: why you should care

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

🕖 Reading Time, 4 minutes In 2002, 40 to 50 heavily armed Chechens stormed the Dubrovka Theater in Moscow, taking 850 hostages. Ultimately Russian FSB retook the theater after deploying an “unknown” gas which rendered everyone in the theater unconscious. …

Read more about Opioid Reversal: why you should care Read More
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