CAT Environmental Breakage We receive frequent questions about shelf-life and environmental degradation of tourniquets. There has been some discussion in the US Department of Defense about declaring a five-year self-life for new, unused commercial tourniquets in the inventory. Certainly, even …
When a casualty steps on a blast mine or is very close to an explosive charge, the explosive force travels up the leg/limb of the casualty stripping skin, fascia, and muscle off the bone. This is similar to “blunt dissecting” …
BLUF*: Hypotensive trauma patients need the cause of their hypotension fixed: whether that is aggressive hemorrhage control, administration of blood products, or needle decompression for tension pneumothorax. IVF is a very temporary fix; blood products would be better. Push dose …
In 2002, 40 to 50 heavily armed Chechens stormed the Dubrovka Theater in Moscow, taking 850 hostages. Ultimately Russian FSB retook the theater after deploying an “unknown” gas which rendered everyone in the theater unconscious. 130 hostage deaths occurred from …
The term “junctional hemorrhage” first appeared in the medical literature in December 2009. It refers to injuries and bleeding occurring at the transition zones between the extremities and the torso. Although not an extremity, the neck is generally included in …
With the increasing frequency of vehicles being used as weapons by violent extremists, and ISIS’s encouragement of its followers to rent SUVs and trucks for this purpose, it is worth reviewing the trauma literature of pedestrians injured by automobiles. (UPDATED …