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Articles

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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A chart showing end-tidal Co2 measured with capnometer, using an EMMA

EMMA Capnography: Enhancing EtCO2 Monitoring in Respiratory Care

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

Researched and written by Mike Shertz, MD/18D, not AI 🕖 Reading Time, 5 minutes To truly understand a casualty’s respiratory status, a provider needs to know both their hemoglobin oxygen saturation, which is easily measured with pulse oximetry, and exhaled …

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A chart comparing the effects of hypertonic saline vs mannitol for increased intracranial pressure

Hypertonic Saline vs. Mannitol: What to Know About Severe TBI Treatment

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

National and international guidelines on TBI management don’t typically specify using mannitol or hypertonic saline, because there was never good data showing one was superior to the other. That may have changed. Researched and written by Mike Shertz, MD/18D, not …

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