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An Afghan is pulled from a burning SUV lays on a stretcher with obvious burns to his arms, face and ears
28 September

Recommended EMS fluid resuscitation of burned casualties

  • Posted byMike Shertz
  • Categories(C) Circulation, More
  • Comments0 comment

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 returns to normal values 12 …

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A slide from the Burn section of CM online courses, including issues for inhalation, showing a photo of a burn victim on O2
28 September

Does that Burn Casualty Need Intubation?

  • Posted byMike Shertz
  • Categories(A) Airway, More
  • Comments0 comment

Airway control remains the top priority for field treatment of burn casualties.1 Hypovolemic and distributive shock can occur in burned patients but they are usually a late consequence. An inhalational burn injury can double a casualty’s burn mortality.2 Upper …

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A photo of a man with full thickness burns being carried by bystanders on an inflatable toy after a burn MCI at a waterpark
28 September

What would you do in a burn MCI?

  • Posted byMike Shertz
  • CategoriesMore
  • Comments0 comment

In 2015, 499 burn casualties occurred from a fire that broke out at the Formosa Fun Coast Park in Taiwan. A “color party” was occurring with 6,000 participants in an empty swimming pool while colored corn powder was sprayed into …

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13 September

Wound Packing race Gauze vs XSTAT

  • Posted byMike Shertz
  • CategoriesMore
  • Comments0 comment

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 better than gauze packing done …

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Sea Lion bite to the arm
12 August

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

  • Posted byMike Shertz
  • CategoriesMore
  • Comments0 comment

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 …

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green laser light bounces into the lobby of the Portland Federal Courthouse as protestors attempt to injure LEO
10 August

Laser pointers as a unique wounding mechanism

  • Posted byMike Shertz
  • CategoriesMore
  • Comments0 comment

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 cause serious eye damage, the …

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