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Articles

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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An Afghan is pulled from a burning SUV lays on a stretcher with obvious burns to his arms, face and ears

Recommended EMS fluid resuscitation of burned casualties

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

🕖 Reading Time, 3 minutes Burns over 20% total body surface area (TBSA) result in increased capillary permeability and intravascular fluid deficits that are most severe at 24-hours post-burn. Cardiac output decreases rapidly post-burn. With correct fluid resuscitation, cardiac output …

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A slide from the Burn section of CM online courses, including issues for inhalation, showing a photo of a burn victim on O2

Does that Burn Casualty Need Intubation?

  • Posted by Mike Shertz MD/18D
  • Categories (A) Airway, Everything Else

Airway control remains the top priority for field treatment of burn casualties.1 Researched and written by Mike Shertz, MD/18D, not AI 🕖 Reading Time, 4 minutes Hypovolemic and distributive shock can occur in burned patients but they are usually a …

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