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Articles

Daily Mail diagram showing events of JAL516

Preliminary Lessons Learned from JAL516 Crash

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

đź•– 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

đź•– 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

đź•– 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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A Foley Catheter (designed for urine drainage) is used to tamponade bleeding where there is a junctional hemorrhage

Use a Foley Catheter to stop massive junctional hemorrhage in narrow-track wounds

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

…many different ways to manage these wounds, this is one technique using a Foley Catheter (designed for urine drainage) to tamponade bleeding. It is best studied in neck wounds. This…

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Dr. Shertz in his alter ego as Camp counselor "Omega" stands ruggedly in the woods training Girl Scouts to be prepared for emergencies

Be Prepared: Training your kids for emergencies

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

đź•– Reading Time, 7 minutes In support of our daughter’s experience at a local Girl Scout camp, we agreed to help rewrite the curriculum for their “Rainbow Progression” program of outdoor skills to ensure kids can be prepared. The program …

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Photo showing Dial-a-Flow hooked up to both extension tubing and to IV tubing kit.

Is the Dial-A-Flow the most operationally useful way to manage IV infusions in a low-resource or austere setting?

  • Posted by Mike Shertz MD/18D
  • Categories (C) Circulation, Travel Medicine

BLUF: The Dial-A-Flow IV regulating device is a cheap, lightweight, and easy option for administering IV infusions when traditional IV pumps aren’t available. Although it’s accuracy to deliver the exact volume of IV fluid desired can be + / – …

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