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Articles

A collage of photos showing Mike's technique for creating an improvised tourniquet from the casualty's own pants: cut up each leg strips 2-4" wide that include the seam (for strength), wrap the upper thigh, and use a windlass to tighten the tourniquet.
29 January

Improvised Pant-leg Tourniquets

  • Posted by Mike Shertz
  • Categories (M) Massive Hemorrhage, Improvised

Our first plan to manage massive extremity hemorrhage is to use a proven commercially available tourniquet. Barring that, create an improvised tourniquet using a cravat, or a strip of fabric, with a windlass for leverage. If no other tourniqueting materials …

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A black slide listing 8 common MARCH pneumonic for addressing injuries in tactical casualties
23 January

MARCH Versions

  • Posted by Mike Shertz
  • Categories MARCH

The MARCH mnemonic is a superior model for evaluation of trauma patients compared to the traditional A, B, C model. The Airway, Breathing, Circulation model fails in root cause analysis: The ultimate goal of having an open airway is to …

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Photos demonstrating using a casualty's pants as an improvised pelvic binder by cutting the pants up the front, winging the legs out, wrapping them tightly and tying around the casualty's pelvis
22 January

Improvised Pant-leg Pelvic Binder

  • Posted by Mike Shertz
  • Categories (M) Massive Hemorrhage, Improvised

Pelvic fractures occur in 8% of major trauma patients. You can improvise a pelvic binder. IED induced injuries resulting in traumatic lower limb amputation are associated with a 22% rate of pelvic fracture; half of which are unstable ring fractures.  …

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A photo showing the small time savings of using a single routed 7th gen CAT vs a 6th generation double eyelet routing.
11 January

Single vs Double Routing of the Eyelet on the CAT Tourniquet

  • Posted by Mike Shertz
  • Categories (M) Massive Hemorrhage, Equipment

Change in CAT tourniquets from 6th to 7th generation In October 2015, the 6th generation Combat Application Tourniquet, or CAT, with its double-eyelet buckle was discontinued, in favor of the 7th generation CAT which has only a single-eyelet routed buckle.  …

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A Samurai, shot with seven arrows, holds a broken and bloodied sword overhead while he continues battle
25 December

Japanese Samurai Woodblock Print

  • Posted by Mike Shertz
  • Categories More

Utagawa Kuniyoshi (1797-1862) one of the last great masters of the Japanese ukiyo-e style of woodblock prints and painting. Although he depicted a broad range of subjects, he was most famous for his depictions of the battles of samurai and …

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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
  • 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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