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Improvised

HomeArticlesImprovised
Showing 1-6 of 28 results

It’s always better to have proven, dedicated medical equipment in an emergency. But when you don’t, you improvise.

At some point in your life, you will be someplace where you simply won’t have dedicated equipment available. In Army Special Forces, there is a PACE mnemonic used in planning: What’s the Primary plan? The Alternate plan? The Contingency plan? The Emergency plan? The Emergency Plan is sometimes referred to as the “Everything went to shit plan.”

If you have a fire in your house, it’s best to use a fire extinguisher to attempt to put it out while waiting for the fire department. However, you’ll settle for a bucket of water if you have to, rather than standing back watching the fire get out of control and potentially burn down your house.

Improvised techniques can save lives. The more you begin to see improvised equipment in your everyday surroundings, the quicker you’ll be able to respond and save a life without dedicated equipment.

The techniques posted here have some evidence and proof of concept to support their use in an emergency when better materials simply aren’t available. 

Dr. Shertz with Frank the Manikin pre-filming for using a necktie as an improvised tourniquet
Mike Shertz

A necktie as an improvised tourniquet? Yup. Doppler Proven.

  • Posted byMike Shertz
  • Categories(M) Massive Hemorrhage, Improvised
  • Comments0 comment
June 24, 2020
0

In this social media post, the driver shot himself accidentally in the thigh while seated in a vehicle. He was unresponsive from blood loss within four minutes. He survived after tourniquet application by responding law enforcement. Though we always prefer …

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An improvised tourniquet alternate begins by knotting the windlass at the ⅓ point of the tournqiuet
Mike Shertz

One-Third Two-Thirds Improvised Tourniquet

  • Posted byMike Shertz
  • Categories(M) Massive Hemorrhage, Improvised
  • Comments0 comment
May 2, 2020
0

A few months ago I was shown a new technique for an improvised tourniquet. Unlike the traditional military cravat improvised tourniquet that requires two cravats, this new technique only requires one. However, we have some concerns that the first step …

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Demonstration using running shorts & a shoe to create an improvised tourniquet proven with doppler
Mike Shertz

German Jogger Improvised Tourniquet

  • Posted byMike Shertz
  • Categories(M) Massive Hemorrhage, Improvised
  • Comments0 comment
March 1, 2020
0

April 15, 2013, Boston Marathon Bombing At the Boston Marathon in 2013, two pressure cooker IEDs were detonated resulting in three fatalities, 264 casualties, and three triple amputees. Although 27 “improvised tourniquets” were placed at the point of injury, none …

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a video proving with doppler the efficacy of a junctional inguinal improvised tourniquet
Mike Shertz

JSOM Improvised Inguinal Junctional Hemorrhage

  • Posted byMike Shertz
  • Categories(M) Massive Hemorrhage, Improvised
  • Comments0 comment
September 3, 2019
0

So easy even your teenager can do it. . . This improvised inguinal junctional tourniquet from the Special Operations Combat Medical Sustainment Course is presented in JSOM Vol. 19, Ed. 2 Summer, 2019, unconventional medicine section We demonstrate its effectiveness …

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An improvise tourniquet properly applied high and tight on a thigh
Mike Shertz

Improvised Tourniquets: Good to have an alternate plan

  • Posted byMike Shertz
  • Categories(M) Massive Hemorrhage, Improvised
April 25, 2019
0

Critics of improvised tourniquets say they are ineffective. Some claim, “if you’re planning to improvise, you’re planning to fail.” We disagree with this statement. Proper planning includes having a primary plan, in this instance a commercially available tourniquet, and an …

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a conga line of 12 students all place improvised tourniquets on themselves, and all 12 are successful as proven by doppler ultrasound
Mike Shertz

Improvised Tourniquets- 12 of 12 Successful

  • Posted byMike Shertz
  • Categories(M) Massive Hemorrhage, Improvised
  • Comments0 comment
February 15, 2019
0

Proven commercially available tourniquets are always our first choice. Though many say improvised tourniquets don’t work, 12 students in a recent class all successfully made them work, when using appropriate materials, verified by Doppler ultrasound. The key to a successful …

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