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Articles

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 Researched and written by Mike Shertz, MD/18D, not AI We receive frequent questions about shelf-life and environmental degradation of tourniquets. There has been some discussion in the US Department of Defense about …

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

That’s not🕖 Reading Time, 4 minutes Researched and written by Mike Shertz, MD/18D, not AI 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 …

Read more about Landmine Umbrella: Not for a day at the beach Read More
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 …

Read more about Pressors in Hypovolemia Double Mortality Read More
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
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 …

Read more about Plan for a training accident Read More
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 Researched and written by Mike Shertz, MD/18D, not AI The term first appeared in the …

Read more about Junctional Hemorrhage: The next frontier for hemorrhage control Read More
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