In our MARCH mnemonic, circulation essentially asks the question: is this patient in shock?
The preshopsital management of hypovolemic shock, without the ability to provide blood products is limited. Historically, there are a variety of clinical indicators and management strategies for hypovolemic shock; their accuracy and successes are highly variable.
The US Joint Trauma System Clinical Practice Guideline on Burn Care, published June 10, 2025, now includes enteral resuscitation, meaning oral or nasogastric (NG) tube fluids, for burn casualties when IV fluid isn’t available in the quantities required. Not Every …
Despite their frequent use by the military, “golden hour boxes“ have little independent published literature confirming their capabilities. 🕖 Reading Time, 4 minutes Researched and written by Mike Shertz, MD/18D, not AI These easily portable boxes will generally maintain two …
Recently there has been an increase in discussions regarding hypercalcemia and trauma patients. Preliminary evidence suggests being traumatically injured and having an abnormally high calcium level is just as detrimental as hypocalcemia. 🕖 Reading Time, 4 minutes Researched and written …
From 2002 to 2019, in US CENTCOM, 1,491 units of expired blood products were administered to casualties. This represented 0.4% of all blood products administered during that period.1 Is this safe, and if so, should it be part of your …
Co-TCCC considered changing the MARCH mnemonic to include resuscitation, or more specifically transfusion. Researched and written by Mike Shertz, MD/18D, not AI 🕖 Reading Time, 4 minutes In 2025, with the widespread use of blood started prehospital to resuscitate US …
Researched and written by Mike Shertz, MD/18D, not AI 🕖 Reading Time, 9 minutes Although the ideal fluid for resuscitation of trauma patients is blood, in most austere and tactical settings, particularly outside of military Special Operations, IV crystalloids are …
