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Articles

Applying tourniquets in vehicles to delink your skills from your training site

Training in a car, under a chair, on a table, and everywhere

  • Posted by Mike Shertz MD/18D
  • Categories MARCH

🕖 Reading Time, 2 minutes When you learn a technique, there is more recorded in your brain than just how to do the task. Where you learned it and details about the source or instructor are also all there. You …

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Once upon a time there was a Happy Little Dough Boy. He loved being in his bakery box. Until one day he was savagely attacked and severely wounded

The Happy Little Dough Boy suffers a traumatic event

  • Posted by Mike Shertz MD/18D
  • Categories MARCH

Once upon a time, there was a Happy Little Dough Boy. He loved being in his bakery box. Until one day he was savagely attacked and severely wounded. A leg was traumatically amputated, he was bleeding jelly filling profusely from …

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comparison of traditional MARCHE and MARCHE2 for CBRN exposed casulaties

MARCHE2 to manage trauma patients in a CBRN environment

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

🕖 Reading Time, 5 minutes Managing casualties in high-risk environments like active violent incidents, unstable buildings from explosion or earthquake, and houses on fire is inherently challenging. Adding the possibility of CBRN (chemical, biological, radiological, or nuclear) contamination to that …

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Unstable pelvic fractures can be highly lethal

  • Posted by Mike Shertz MD/18D
  • Categories Casualty Movement, MARCH

“Pelvic fractures are common in combat injuries and may be highly lethal. Twenty-six percent of service members who died during OIF and OEF had a pelvic fracture.” 1   This led to the TCCC committee adding pelvic binders to their guidelines …

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A green bubble showing the view of a tourniquet application under NODS

What is the literature for managing casualties with night-vision (NODs) UPDATED

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

Managing casualties in darkness is always challenging. 🕖 Reading Time, 4 minutes Typical prehospital casualty evaluation is mainly done visually with some palpation. Blood is difficult to see in lowlight settings. This has led tactical medical providers to try various …

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a photo showing a patient with a hole in their chest with blood blowing out of the hole with each exhalation. This sucking chest wound also blows, which is a sign of not dying of tension pneumothorax

A sucking (and blowing) chest wound is the sound of not dying

  • Posted by Mike Shertz MD/18D
  • Categories (R) Respiration

Video used with permission by Andrew Dennis, DO FACS, FACOS, Cook County Trauma Burn Unit, Chicago Il 🕖 Reading Time, 6 minutes Sucking chest wounds are dramatic, but rarely life-threatening. The sound of sucking & blowing is the sound of not dying …

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