BLUF:* Isolated closed femur fractures are extremely rare, the internal thigh bleeding can be substantial, but tourniquet application in these closed injuries is not likely to help. A closed femur fracture can bleed l to 1.5 liters into the thigh musculature. …
When Deputy Just responded to a call regarding gunfire, she didn’t know there was a victim until she heard the 911 operator giving care instructions to bystanders. She arrived near-simultaneously with four other officers. As they provided security, she began …
Although not as convenient as evaluating the “Go / No Go” presence of a casualty’s radial pulse, their “shock index” is a much more sophisticated snapshot of their hypovolemic status. Shock index is a ratio of the trauma patient’s heart …
Triage systems are used by prehospital providers to “sort” casualties into essentially those who are dead or will likely die despite treatment, those with injuries that don’t really require prehospital treatment, and those with injuries that are immediately life-threatening and …
In June 2020, the TCCC Committee submitted a proposed change to hypothermia management for combat casualties. They noted there had been no review of hypothermia management in TCCC in the previous 14 years.1 So what changed? The proposed hypothermia management …
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 …