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Articles

As Robert Meyer Burnett films, Mike works on a casualty who has an NPA placed and is secured in a Skedco litter.
18 December

Tactical Casualty Care: Now available on a computer, tablet, and TV near you

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

Background on our online Tactical Casualty Care courses For years students have asked about the feasibility of teaching the tactical first aid, or Tactical Casualty Care courses, outside of the Pacific Northwest. Unfortunately, to put on the class takes a …

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A t-shirt which appears to have the front ⅓ covered in fake blood. In reality, it's only 250 ml of fake blood, or 8 ounces.
15 December

Visual Estimation of Blood Loss

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

Knowing the quantity of blood loss helps estimate the likelihood of shock Having a sense of how much blood a trauma patient “spilled” on the ground can be very helpful for understanding and estimating the casualty’s potential for shock. Unfortunately, …

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10 November

Hypothermia Prevention: A critical and often missed lifesaving piece of the emergency medical training

  • Posted by Mike Shertz MD/18D
  • Categories (H) Hypothermia Prevention

Once a casualty’s massive hemorrhage is controlled, rescuers must turn our attention to the rest of the M-A-R-C-H pneumonic, specifically, to hypothermia prevention. Does the casualty have an open airway, or do they need help maintaining their airway? How are …

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Dr. Shertz demonstrating good clamshell direct pressure technique: fingers interlaced, hands around the extremity to apply white-knuckle hard pressure
02 October

The Value of Direct Pressure in Hemorrhage Control

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

In our race to use tourniquets for controlling hemorrhage, we often lose sight of the value of good direct pressure as a hemorrhage control technique. Proven commercially available tourniquets are almost always going to be better options for controlling significant …

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10 August

Improvised: Junctional Tourniquet OPS Core Helmet / Cairns Fire Helmet

  • Posted by Laurie Shertz
  • Categories MARCH

An OPS Core Helmet or Cairns Fire Helmet used to stop junctional hemorrhage with two CAT tourniquets. Proof of concept of a junctional hemorrhage tourniquet idea first suggested by Full Spectrum Training, now proven with doppler ultrasound.

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a diagram showing an improvised tourniquet with a 2-4" wide strip of fabric and a windlass
27 July

Twist the Stick: It’s not a tourniquet without a windlass

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

Recent news articles describe many cases of the public placing “tourniquets” without windlasses on injured individuals to stop bleeding.  However, if you look a little deeper, most of those well-intentioned “tourniquet” applications weren’t actually tourniquets at all and may endanger …

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