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Articles

News article announcement about a firefighter getting shot performing CPR during the Las Vegas shooting

UPDATED: Prehospital resuscitation of traumatic cardiac arrest?

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

🕖 Reading Time, 8 minutes UPDATE: Is trying to resuscitate trauma patients with prehospital cardiac arrest futile? Conventional wisdom was that it was futile because the expectation of survival was too low. Newer research shows survival rates may be higher …

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A slide demonstrating the data from a Wang study that self-application of tourniquets results in looser application

Self-applied tourniquets always looser?

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

🕖 Reading Time, 4 minutes There is a long-held belief among military medics that casualties who self-apply their own tourniquets typically put them on looser than they would on someone else. This led to a standard SF medic technique of …

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WEBINAR: The Fallout of CBRN Exposure: A Cosmology Episode

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

🕖 Reading Time, 2 minutes   In 2011 Syria was felt to have had one of the largest and most operational CW arsenals in the world. They had mustard, sarin, VX nerve agents, and binary chemicals that could be combined …

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Detective Wins Life-Saving Award

  • Posted by Mike Shertz MD/18D
  • Categories MARCH

🕖 Reading Time, 2 minutes I witnessed a motorcycle accident while on patrol. After checking for massive hemorrhage (M), I continued to assess the patient and realized he had an obstructed airway (A), so I applied a NPA and was …

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School District Issues Counterfeit Tourniquets During National Stop the Bleed Month

  • Posted by Mike Shertz MD/18D
  • Categories Equipment

Don’t buy fake tourniquets: Use proven tourniquets, not toys. 🕖 Reading Time, 6 minutes   A student of our online Tactical Casualty Care course contacted us to tell us their county health department planned to issue teachers bleeding control kits for …

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A hand with a perfect dark fingernail polish manicure, which will defeat your ability to evaluate capillary refill time, if it works at all

Capillary Refill Time: Theoretical but not sound

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

🕖 Reading Time, 6 minutes BLUF: “Normal” values vary by age, gender, temperature (both environmental and casualty’s), and lighting conditions. Different providers will see different durations of refill time. With all these adjustments and limitations of how normal is defined, …

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