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    • Everything Else
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Articles

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 …

Read more about A hotel stay: reflections on the challenges managing casualties in a high-risk environment Read More
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 …

Read more about Head to head: Doppler vs. Pulse oximeter as a training tool for tourniquet efficacy. Doppler wins. Read More
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 …

Read more about Powerful TECC/TCCC uses for a fingertip pulse oximeter Read More
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 …

Read more about Always Learning: Basic Wild Hedgehog First Aid Read More
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 …

Read more about Deputy receives Lifesaver Award one month after online training and credits Crisis Medicine Read More
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 …

Read more about Shock Index: a more sophisticated determinant of hypovolemic shock Read More
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