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Showing 1-6 of 92 results
Mike Shertz

Deputy receives Oregon Sheriff’s Association Lifesaver Award one month after online training

  • Posted byMike Shertz
  • Categories(M) Massive Hemorrhage, (R) Respiration
  • Comments0 comment
January 15, 2021
0

When Deputy Just responded to a call regarding gunfire, she didn’t know there was a victim until she heard the 911 operator giving care instructions to bystanders. She arrived near-simultaneously with four other officers. As they provided security, she began …

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Heart rate divided by Systolic BP = Shock index
Mike Shertz

Shock Index: a more sophisticated determinant of hypovolemic shock

  • Posted byMike Shertz
  • Categories(C) Circulation, MARCH
  • Comments0 comment
December 15, 2020
0

Although not as convenient as evaluating the “Go / No Go” presence of a casualty’s radial pulse, their “shock index” is a much more sophisticated snapshot of their hypovolemic status. Shock index is a ratio of the trauma patient’s heart …

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After the officers announce their warrant, the bomb maker detonates his device, injuring law enforcement, the LEO K9, neighbors, and his own family.
Mike Shertz

START, SALT, and RAMP Triage in a Mass Casualty Event

  • Posted byMike Shertz
  • Categories(C) Circulation, MARCH, More
  • Comments0 comment
December 1, 2020
0

Triage systems are used by prehospital providers to “sort” casualties into essentially those who are dead or will likely die despite treatment, those with injuries that don’t really require prehospital treatment, and those with injuries that are immediately life-threatening and …

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Co-TCCC guideline update hypothermia management showing a sleeping bag, HPMK, and other options
Mike Shertz

Does the TCCC committee’s proposed guideline change my current practice for hypothermia management?

  • Posted byMike Shertz
  • Categories(H) Hypothermia Prevention, MARCH
  • Comments0 comment
November 7, 2020
0

In June 2020, the TCCC Committee submitted a proposed change to hypothermia management for combat casualties. They noted there had been no review of hypothermia management in TCCC in the previous 14 years.1 So what changed? The proposed hypothermia management …

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An Afghan is pulled from a burning SUV lays on a stretcher with obvious burns to his arms, face and ears
Mike Shertz

Recommended EMS fluid resuscitation of burned casualties

  • Posted byMike Shertz
  • Categories(C) Circulation, More
  • Comments0 comment
September 28, 2020
0

Burns over 20% total body surface area (TBSA) result in increased capillary permeability and intravascular fluid deficits that are most severe at 24-hours post-burn. Cardiac output decreases rapidly post-burn. With correct fluid resuscitation, cardiac output returns to normal values 12 …

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A slide from the Burn section of CM online courses, including issues for inhalation, showing a photo of a burn victim on O2
Mike Shertz

Does that Burn Casualty Need Intubation?

  • Posted byMike Shertz
  • Categories(A) Airway, More
  • Comments0 comment
September 28, 2020
0

Airway control remains the top priority for field treatment of burn casualties.1 Hypovolemic and distributive shock can occur in burned patients but they are usually a late consequence. An inhalational burn injury can double a casualty’s burn mortality.2 Upper …

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