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Articles

An WW2 poster with a cartoon of a gas mask with the phrase "smells like garlic... Strong vesicant"

Understanding Sulfur Mustard: History, Impact, and Modern Contexts

  • Posted by Mike Shertz MD/18D
  • Categories Tactical CBRN

Sulfur Mustard remains a credible threat 🕖 Reading Time, 4 minutes Sulfur mustard, a chemical warfare agent (NATO code HD) was first used during WWI and continues to be a credible chemical threat over one hundred years later. It is …

Read more about Understanding Sulfur Mustard: History, Impact, and Modern Contexts Read More
A woman places a tourniquet on a bleeding casualty's leg

How Misleading Data Could Change Tourniquet Protocols

  • Posted by Mike Shertz MD/18D
  • Categories (M) Massive Hemorrhage, MARCH

A recent French article voiced a concern for overzealous pre-hospital tourniquet use; the data is not as supportive of their conclusions as the article makes it seem. Researched and written by Mike Shertz, MD/18D, not AI 🕖 Reading Time, 9 …

Read more about How Misleading Data Could Change Tourniquet Protocols Read More
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 …

Read more about Rethinking Triage: Could Intuition Outperform Formal Systems? Read More
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.

Read more about Averting Methanol Disasters: Essential Evaluation and Treatment Tips Read More
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, …

Read more about How to accurately estimate burn size to ensure proper patient care Read More
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 …

Read more about Why EtCO2 Levels <35 mmHg Signal High Risk in Trauma Patients Read More
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