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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 …

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
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 …

Read more about Say Goodbye to Airplane Nausea: A Strategy That Works Read More
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 …

Read more about Are airline seat cushions still flotation devices? Read More
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