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Articles

Air Travel Emergencies by the numbers, a blue background with a shadow of an airplane

Air Travel Emergencies by the Numbers

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

🕖 Reading Time, 10 minutes Although commercial airline crashes are rare, worldwide a commercial aircraft has an emergency evacuation every 11 days.  If you’re a passenger involved in an emergency evacuation, it’s likely the flight crew’s first actual evacuation too, …

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K9 TCCC Updates

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

🕖 Reading Time, 2 minutes In May, 2023 the Canine Combat Casualty Care Committee updated the K9 TCCC guidelines for the first time since 2019. Admittedly, the changes were fairly limited, mostly applicable to IV, medications, and to put the …

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A medical diagram showing the blood supply to the hip

Best Practices: Tourniquets & Closed Femur Fractures?

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

Updated 18 January 2024 BLUF:* Isolated closed femur fractures are extremely rare, the internal thigh bleeding can be substantial, but tourniquet application in these closed injuries is not likely to help. 🕖 Reading Time, 4 minutes A closed femur fracture can …

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Daily Mail diagram showing events of JAL516

Preliminary Lessons Learned from JAL516 Crash

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

🕖 Reading Time, 4 minutes The emergency evacuation of Japan Airline flight 516 January, 2024 (https://www.bbc.com/news/world-asia-67865132) after it caught fire from a collision with another aircraft during landing is a representative example of an unplanned evacuation. They occur with little …

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An artistic diagram of a skull showing the base of the skull

What can we learn from case reports of NPAs gone wrong

  • Posted by Mike Shertz MD/18D
  • Categories (A) Airway

🕖 Reading Time, 6 minutes There has been recent discussion about the rarity of significant complications from nasopharyngeal airway (NPA) placement. Many chalk the cases of inadvertent intracranial placement as essentially “something that never happens.” We were asked by a …

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4 diagrams showing the relative measurements of an NPA against different facial anatomical structures

Using facial features for proper sizing of an NPA?

  • Posted by Mike Shertz MD/18D
  • Categories (A) Airway

🕖 Reading Time, 7 minutes The ability of a nasal pharyngeal airway (NPA) to maintain a patent airway is dependent on both the NPA’s internal diameter and length. Proper placement of a nasal pharyngeal airway ideally involves the tip of …

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