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Articles

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 …

Read more about What is the literature for managing casualties with night-vision (NODs) UPDATED Read More
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 …

Read more about A sucking (and blowing) chest wound is the sound of not dying Read More
Regular and super-absorbant tampons compared to two 4x4s, their rough equivalent; a roll of training combat gauze; and a roll of Kerlix Gauze.

Heavy flow is not massive hemorrhage: Tampons don’t belong in IFAKs

  • Posted by Mike Shertz MD/18D
  • Categories (M) Massive Hemorrhage, Equipment

🕖 Reading Time, 6 minutes Recently we posted a video outlining the challenges of using hemostatic granules as compared to gauze. In response, we were surprised by how many people advocated for tactical tampons to control massive hemorrhage in a …

Read more about Heavy flow is not massive hemorrhage: Tampons don’t belong in IFAKs Read More
Granular or powdered agents fell out of favor over ten years ago as they “wash out” of actively bleeding wounds, are hard to get to the point of bleeding deep inside a wound

Hemostatic powders don’t work

  • Posted by Mike Shertz MD/18D
  • Categories (M) Massive Hemorrhage, Equipment

🕖 Reading Time, 1 minutes We recently discovered “active shooter kits” being marketed to agencies and schools containing granular hemostatic agents. Granular or powdered hemostatic agents fell out of favor over ten years ago as they “wash out” of actively …

Read more about Hemostatic powders don’t work Read More
An anemic portable first aid kit containing half a dozen bandaids, two cleaning wipes, and two 2x2 gauze pads

A First Aid kit is not an IFAK

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

Although an IFAK is technically an Individual First Aid Kit, it should more appropriately be thought of as an Individual Trauma Kit. 🕖 Reading Time, 4 minutes First Aid kits and First Aid courses, as most people commonly think of …

Read more about A First Aid kit is not an IFAK Read More
an advertisement from a medical supply company for their so-called active shooter kit, we pose the question, "is it really?"

Gear Mongering: Why Stop the Bleed is becoming big business 

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

🕖 Reading Time, 10 minutes The same week we learned about a School District in Florida who bought 800 cheap knock-off tourniquets, we also learned our daughter’s school initially purchased a tourniquet with no evidence to support it works. The …

Read more about Gear Mongering: Why Stop the Bleed is becoming big business  Read More
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