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A still photo from a video demonstrating proper placment to insert an IO into a femur
15 March

Diversifying your options: Distal femur IO access

  • Posted by Mike Shertz
  • Categories (C) Circulation
  • Comments 0 comment

Typically, intra-osseous access is performed either in the proximal humerus or proximal tibia in the civilian setting and sternally in the military. A recent study of 2016 US prehospital IO placements in adult out-of-hospital cardiac arrests included 888 IOs in …

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An evisceration on a 14-year-old who impaled himself on his bicycle handlebars
06 March

Distracting but not life-threatening: Managing abdominal eviscerations

  • Posted by Mike Shertz
  • Categories More
  • Comments 0 comment

Photo from a 14-year-old boy who sustained a penetrating injury to his abdominal wall after impacting the handlebars of his bike. Note the bowel perforation at approximately 7 o’clock on the bowel. This should not be reduced, as it will …

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31 January

Best Parenteral Access in a CBRN Environment?

  • Posted by Mike Shertz
  • Categories Tactical CBRN
  • Comments 0 comment

When providing medical treatment to CBRN casualties, to save lives, initial treatment will need to be conducted before formal decontamination can be completed. These procedures, performed in a “dirty casualty collection point,” will require the medical provider themselves to still …

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CHEMPACK containers EMS + hosp
17 January

Strategic National Stockpile: CHEMPACK

  • Posted by Mike Shertz
  • Categories Tactical CBRN
  • Comments 0 comment

The Strategic National Stockpile was created in 1999 as a source to store and distribute medical countermeasures in case of a national emergency. It was structured to have a 12-hour response time for the delivery of products. Because there was …

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28 December

Novichok: An Emerging Nerve Agent Threat

  • Posted by Mike Shertz
  • Categories Tactical CBRN
  • Comments 0 comment

On March 4, 2018, in Salisbury, England, former Russian Military Intelligence officer Sergei Skirpal and his daughter were found slumped on a public bench.1 After being evaluated at the hospital, it was determined that they were victims of nerve agent …

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12 December

Mayhem in the Nutcracker Suite

  • Posted by Mike Shertz
  • Categories (M) Massive Hemorrhage, More
  • Comments 0 comment

Marie and her family enjoy the traditional Christmas evening gathering including dancing and a visit from Herr Drosselmeyer. Marie and her brother receive extravagant gifts, Marie’s is an exquisitely crafted nutcracker. Suddenly, there is a sound to the south of …

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