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Articles

A painting by Suzanne Valadon, showing a woman sitting on a sofa with her arms crossed over her breasts

Chest Tube Placement: Is the Nipple a Reliable Landmark?

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

Can you use nipple location as a physical landmark for chest tube placement? Is it the same for men and women? BLUF: No. 🕖 Reading Time, 4 minutes Using the nipple as a marker for the 5th ICS as recommended …

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A slide showing K9 circulation values relative to stages of shock

Massive Hemorrhage in K9s: 4 Case Reports Using Combat Gauze

  • Posted by Mike Shertz MD/18D
  • Categories K9 TECC/TCCC

Combat Gauze has been extensively used on humans and research animals, most of which were porcine models. Despite its recommendation for use in K9 TCCC / K9 TECC, there is very little published experience on its application in actual canines. …

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21 of 24 tested STAT tourniquets failed as proven with doppler ultrasound

STAT Tourniquet: 21 of 24 applications FAIL

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

UPDATE 2024: Since our original STAT “tourniquet” experience showing it was an ineffective device for hemorrhage control, there have been two peer-reviewed, published studies finding similar results. 🕖 Reading Time, 6 minutes Most recently, 84 volunteers with no prior tourniquet …

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Two first aid cards from the Willis Cigarette Co showing proper use of a cravat & a stick wrap tourniquet

Old and Still Relevant: 1913 First Aid Cards

  • Posted by Mike Shertz MD/18D
  • Categories Everything Else, MARCH

This set of Willis Cigarette cards from the early 20th Century demonstrated first aid techniques for use in an emergency. Some say they were meant to be stored in the “medicine chest” as part of a first aid kit.

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Four photographs showing substantial injuries to various human body parts following contact with industrial high pressure water jet

Industrial high-pressure water jet injury patterns: looks like a gunshot wound

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

High-pressure water jet units deliver large volumes of water at very high pounds per square inch. Entry wounds can be small, but internal tissue damage extensive, similar to military rifles. BLUF: If the water jet is a bit further from …

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Can you make your own gel to treat a Hydrofluoric Acid Exposure?

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

🕖 Reading Time, 2 minutes Hydrofluoric acid is frequently used in the petroleum and semiconductor industry. When it comes in contact with skin, the acid burns and penetrates deeply. Fluoride in the acid binds to calcium in the body, leaching …

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