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Articles

A cartoonized gingerbread mass casualty with red frosting & sprinkle covered broken gingerbread cookies laying in snow

Rethinking Triage: Could Intuition Outperform Formal Systems?

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

Very little has changed or improved in MCI triage in 40 years Researched and written by Mike Shertz, MD/18D, not AI 🕖 Reading Time, 12 minutes In 1986, an article was published discussing “new concepts in triage.”1 The authors identified …

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Two ominous looking martini glasses sit with an absinthe green background and a Mr. Yuk sticker

Averting Methanol Disasters: Essential Evaluation and Treatment Tips

  • Posted by Mike Shertz MD/18D
  • Categories Travel Medicine

Methanol, sometimes known as wood alcohol, is most commonly found in windshield washer fluid. Outbreaks of unintentional ingestion in “tainted” beverages have occurred, mostly in low-resource countries, leading to death.

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Diagrams comparing burn BSA from two different methods

How to accurately estimate burn size to ensure proper patient care

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

Estimating burn size is not just a technical detail; it’s a critical component of effective burn management. Researched and written by Mike Shertz, MD/18D, not AI 🕖 Reading Time, 3 minutes Mis-estimation results in over or under-transfer to burn centers, …

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Two charts comparing EtCo2 levels to Venous lactate levels in trauma patients

Why EtCO2 Levels <35 mmHg Signal High Risk in Trauma Patients

  • Posted by Mike Shertz MD/18D
  • Categories (C) Circulation, MARCH

A growing body of literature shows EtCO2 levels closely and inversely correlate with venous lactate, a marker of anaerobic metabolism. BLUF: Operationally, if your trauma patient has an EtCO2 <35 mmHg, they have a significant risk for occult shock, a …

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An array of alcohol prep pads with a Crisis Medicine Air Travel Emergencies card as the background

Say Goodbye to Airplane Nausea: A Strategy That Works

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

BLUF: If you are providing care to a commercial airline passenger with nausea and vomiting, consider having them “sniff” an alcohol prep pad as first line treatment. In a review of 49,100 in-flight medical emergencies on commercial airlines, 6% included …

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A photo showing the underside of a commercial airline seat with red retaining strap and the safety card diagram of its use

Are airline seat cushions still flotation devices?

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

Researched and written by Mike Shertz, MD/18D, not AI 🕖 Reading Time, 2 minutes I was starting to wonder if any commercial airline seat cushions were still usable as flotation devices since they’re never briefed on routes I tend to …

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