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Improvised

Home - Articles - Improvised - Page 2
Showing 7-12 of 17 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. 

An improvised tourniquet alternate begins by knotting the windlass at the ⅓ point of the tournqiuet
Mike Shertz MD/18D

One-Third Two-Thirds Improvised Tourniquet

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

🕖 Reading Time, 3 minutes 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 …

Read more about One-Third Two-Thirds Improvised Tourniquet Read More
An improvise tourniquet properly applied high and tight on a thigh
Mike Shertz MD/18D

Improvised Tourniquets: Good to have an alternate plan

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

🕖 Reading Time, 4 minutes 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 …

Read more about Improvised Tourniquets: Good to have an alternate plan Read More
a conga line of 12 students all place improvised tourniquets on themselves, and all 12 are successful as proven by doppler ultrasound
Mike Shertz MD/18D

Improvised Tourniquets- 12 of 12 Successful

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

Proven commercially available tourniquets are always our first choice. 🕖 Reading Time, 3 minutes 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. …

Read more about Improvised Tourniquets- 12 of 12 Successful Read More
Dr. Shertz demonstrates how to use a common pen as a surgical airway when you need to improvise
Mike Shertz MD/18D

Seat of Your Pants Surgical Airway

  • Posted by Mike Shertz MD/18D
  • Categories (A) Airway, Improvised

Emergency cricothyrotomy 🕖 Reading Time, 2 minutes Although dedicated medical equipment is always preferred, if the only thing that is going to keep someone from dying is a creative solution, you better get creative. Using everyday items, including a Zebra …

Read more about Seat of Your Pants Surgical Airway Read More
a photo of Dr. Shertz kneeling in a groin crease to stop blood flow as proven by doppler ultrasound
Mike Shertz MD/18D

Distal Hemorrhage Control: Can’t I just kneel on his groin?

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

Kneeling on the casualty’s groin for distal hemorrhage control When I was in the Special Forces Medical Sergeants course a very long time ago, I was taught a stopgap measure…

Read more about Distal Hemorrhage Control: Can’t I just kneel on his groin? Read More
Never underestimate the power of an improvised litter to make moving casualties easier. This technique works best in residential structures because in many commercial buildings, the carpet is not "wall to wall" but rather individual squares,
Mike Shertz MD/18D

Carpet to improvised litter in 60-seconds

  • Posted by Mike Shertz MD/18D
  • Categories Casualty Movement, Improvised

Never underestimate the power of an improvised litter to make moving casualties easier. This technique works best in residential structures because in many commercial buildings, the carpet is not “wall…

Read more about Carpet to improvised litter in 60-seconds Read More
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