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Articles

a diagram showing the four steps in an improvised pant leg pelvic binder

Improvised Pant-leg Pelvic Binder

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

Pelvic fractures occur in 8% of major trauma patients. You can improvise a pelvic binder. 🕖 Reading Time, 3 minutes IED induced injuries resulting in traumatic lower limb amputation are associated with a 22% rate of pelvic fracture; half of …

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Crisis Medicine math showing two IO needles plus lidocaine equals question mark

IO Pain Control: What the Research Says About Using Lidocaine Before the Flush

  • Posted by Mike Shertz MD/18D
  • Categories Air Travel Emergencies

Studies suggest IO flushing is uniformly painful -especially tibial sites – and lidocaine may help, data remains limited. Many EMS protocols recommend administration of lidocaine through intraosseous access before flushing to decrease the associated pain, but how effective is this? …

Read more about IO Pain Control: What the Research Says About Using Lidocaine Before the Flush Read More
A photo showing the aftermath of passengers forcibly prying down O2 masks on a flight due to smoke. They didn't understand it would not help them

Southwest 3923: Why Oxygen Masks Don’t Save You From Smoke in the Cabin

  • Posted by Mike Shertz MD/18D
  • Categories Air Travel Emergencies

In March 2023, Southwest Airlines flight 3923, a Boeing 737 MAX en route to Fort Lauderdale from Havana, Cuba, made an emergency landing shortly after takeoff when the cabin began to fill with smoke secondary to an engine failure and …

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A cartoonized version of the newly marketed SEAL spray, appearing to have been drawn in crayon

Evaluation of SEAL Hemostatic Spray: Marketing Claims vs. Published Data

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

Recently, both a Special Forces Medic and a civilian fire paramedic asked me about a new hemostatic product being actively marketed on social media: SEAL Hemostatic Wound Spray. Like many things on social media, you have to check the veracity: …

Read more about Evaluation of SEAL Hemostatic Spray: Marketing Claims vs. Published Data Read More
A security video still showing a lobby with desks covered with spurting blood and a clear trail of blood leading to a suspect about to die from blood loss by the revolving door

Brazilian Bank Robbery: Lethality of penetrating neck wounds

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

Fatal Penetrating Neck Wounds 🕖 Reading Time, 4 minutes Originally published Feb 25, 2023, but updated based on recent events and questions from students.  This video of an attempted bank robbery in Brazil shows that some injuries are just too …

Read more about Brazilian Bank Robbery: Lethality of penetrating neck wounds Read More
Dr. Shertz demonstrating good clamshell direct pressure technique: fingers interlaced, hands around the extremity to apply white-knuckle hard pressure

Clamshell Direct Pressure

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

A Simple, Hands-On Hemorrhage Control Technique When Tourniquets Aren’t Available Researched and written by Mike Shertz, MD/18D, not AI 🕖 Reading Time, 5 minutes In our race to use tourniquets for controlling hemorrhage, we often lose sight of the value …

Read more about Clamshell Direct Pressure Read More
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