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Articles

Showing 97-102 of 155 results
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
Mike Shertz MD/18D
November 7, 2020

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? …

Read more about Does the TCCC committee’s proposed guideline change your current practice for hypothermia management? Read More
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
Mike Shertz MD/18D
September 28, 2020

🕖 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 …

Read more about Recommended EMS fluid resuscitation of burned casualties Read More
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
Mike Shertz MD/18D
September 28, 2020

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 …

Read more about Does that Burn Casualty Need Intubation? Read More

Wound Packing race Gauze vs XSTAT

  • Posted by Mike Shertz MD/18D
  • Categories (M) Massive Hemorrhage, MARCH
Mike Shertz MD/18D
September 13, 2020

🕖 Reading Time, 1 minutes Kerlix Gauze packing can generate up to 197 mmHg at the bottom of the wound and 45 mmHg on the sides. Xstat can generate 156 mmHg and 123 mmHg respectively. Although it’s unclear XSTAT is …

Read more about Wound Packing race Gauze vs XSTAT Read More
Sea Lion bite to the arm

Sea Lion Bites: Not as sexy as sharks, but still dangerous

  • Posted by Mike Shertz MD/18D
  • Categories Everything Else
Mike Shertz MD/18D
August 12, 2020

Hidden away on the Oregon Coast, the Sea Lion Caves is a 12-story high sea cave that is the largest in the world, as identified by the Guinness Book of World Records. The cave is a year-round home for Steller …

Read more about Sea Lion Bites: Not as sexy as sharks, but still dangerous Read More
Protestors using green lasers against LEO in Portland

Laser pointers as a unique wounding mechanism

  • Posted by Mike Shertz MD/18D
  • Categories Everything Else
Mike Shertz MD/18D
August 10, 2020

🕖 Reading Time, 4 minutes As both national and international attention has been focused on the violence in Portland, Oregon, one unique injury pattern suffered by LEO has emerged: intentional laser eye injuries. As an example of their ability to …

Read more about Laser pointers as a unique wounding mechanism Read More
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