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Articles

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 …

Read more about EMMA Capnography: Enhancing EtCO2 Monitoring in Respiratory Care Read More
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 …

Read more about Hypertonic Saline vs. Mannitol: What to Know About Severe TBI Treatment Read More
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 …

Read more about Chest Tube Placement: Is the Nipple a Reliable Landmark? Read More
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. …

Read more about Massive Hemorrhage in K9s: 4 Case Reports Using Combat Gauze Read More
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. Researched and written by Mike Shertz, MD/18D, not AI 🕖 Reading Time, 6 …

Read more about STAT Tourniquet: 21 of 24 applications FAIL Read More
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.

Read more about Old and Still Relevant: 1913 First Aid Cards Read More
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