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Improvised

Home - Articles - Improvised - Page 3
Showing 13-17 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. 

Mike Shertz MD/18D

Rolling Chairs to Evacuate Casualties

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

🕖 Reading Time, 1 minutes It’s challenging to creatively free think under stress. Plan on using chairs to evacuate casualties. With rolling chairs, you can really move out. See more improvised techniques in our articles archive.

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Chairs can be used to carry a casualty easier and more efficiently.
Mike Shertz MD/18D

Battlefield recover chairs as improvised litters

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

🕖 Reading Time, 1 minutes Carrying casualties is hard. Tools are designed to fit in your hands. Chairs can be used to carry a casualty easier and more efficiently. You might also like to check out the article on a …

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A collage of photos showing Mike's technique for creating an improvised tourniquet from the casualty's own pants: cut up each leg strips 2-4" wide that include the seam (for strength), wrap the upper thigh, and use a windlass to tighten the tourniquet.
Mike Shertz MD/18D

Improvised Pant-leg Tourniquets

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

🕖 Reading Time, 2 minutes Our first plan to manage massive extremity hemorrhage is to use a proven commercially available tourniquet. Barring that, create an improvised tourniquet using a cravat, or a strip of fabric, with a windlass for leverage. …

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Photos demonstrating using a casualty's pants as an improvised pelvic binder by cutting the pants up the front, winging the legs out, wrapping them tightly and tying around the casualty's pelvis
Mike Shertz MD/18D

Improvised Pant-leg Pelvic Binder

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

Pelvic fractures occur in 8% of major trauma patients. You can improvise a pelvic binder. 🕖 Reading Time, 3 minutes IED induced injuries resulting in traumatic lower limb amputation are associated with a 22% rate of pelvic fracture; half of …

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A diagram showing an improvised tourniquet with four steps illustrating the process including ensuring there is a windlass that is tightened
Mike Shertz MD/18D

Tourniquets Require a Windlass

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

It is not a tourniquet if if does not have a windlass. 🕖 Reading Time, 7 minutes Recent news articles describe many cases of the public placing “tourniquets” without windlasses on injured individuals to stop bleeding.  However, if you look …

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