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Articles

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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Social Media post announcing Deputy Meg Just's OSSA Lifesaving Award after taking Crisis Medicine's TC2 class

Deputy receives Lifesaver Award one month after online training and credits Crisis Medicine

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

🕖 Reading Time, 3 minutes When Deputy Just responded to a call regarding gunfire, she didn’t know there was a victim until she heard the 911 operator giving care instructions to bystanders. She arrived near-simultaneously with four other officers. As …

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Heart rate divided by Systolic BP = Shock index

Shock Index: a more sophisticated determinant of hypovolemic shock

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

🕖 Reading Time, 4 minutes Although not as convenient as evaluating the “Go / No Go” presence of a casualty’s radial pulse, their “shock index” is a much more sophisticated snapshot of their hypovolemic status. Shock index is a ratio …

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After the officers announce their warrant, the bomb maker detonates his device, injuring law enforcement, the LEO K9, neighbors, and his own family.

START, SALT, and RAMP Triage in a Mass Casualty Event

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

Triage systems are used by prehospital providers to “sort” casualties 🕖 Reading Time, 12 minutes into essentially those who are dead or will likely die despite treatment, those with injuries that don’t really require prehospital treatment, and those with injuries …

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Co-TCCC guideline update hypothermia management showing a sleeping bag, HPMK, and other options

Does the TCCC committee’s proposed guideline change your current practice for hypothermia management?

  • Posted by Mike Shertz MD/18D
  • Categories (H) Hypothermia Prevention, MARCH

In June 2020, the TCCC Committee submitted a proposed change to hypothermia management for combat casualties. 🕖 Reading Time, 3 minutes They noted there had been no review of hypothermia management in TCCC in the previous 14 years.1So what changed? …

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