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(C) Circulation

Home - Articles - MARCH - (C) Circulation - Page 3
Showing 13-16 of 16 results

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. 

Heart rate divided by Systolic BP = Shock index

Shock Index: a more sophisticated determinant of hypovolemic shock

  • Posted by Mike Shertz MD/18D
  • Categories (C) Circulation, MARCH
Mike Shertz MD/18D
December 15, 2020

🕖 Reading Time, 4 minutes 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 …

Read more about Shock Index: a more sophisticated determinant of hypovolemic shock Read More
An Afghan is pulled from a burning SUV lays on a stretcher with obvious burns to his arms, face and ears

Recommended EMS fluid resuscitation of burned casualties

  • Posted by Mike Shertz MD/18D
  • Categories (C) Circulation, Everything Else
Mike Shertz MD/18D
September 28, 2020

🕖 Reading Time, 3 minutes 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 …

Read more about Recommended EMS fluid resuscitation of burned casualties Read More
Dr. Shertz demonstrates how and why we use doppler ultrasound during training to prove cessation of blood flow

What does a doppler have to do with massive hemorrhage?

  • Posted by Mike Shertz MD/18D
  • Categories (C) Circulation, (M) Massive Hemorrhage
Mike Shertz MD/18D
May 12, 2020

🕖 Reading Time, 3 minutes A doppler ultrasound is a non-invasive device that uses high-frequency sound waves to estimate the amount of blood flow through your arteries and veins, usually those that supply blood to your arms and legs. A …

Read more about What does a doppler have to do with massive hemorrhage? Read More
A Crisis Medicine olive green slide discussing the JTTR evaluation of 4988 combat casualties and their Field Triage Score implications

Why Do Traditional Triage Systems Fail in Actual Events?

  • Posted by Mike Shertz MD/18D
  • Categories (C) Circulation, MARCH
Mike Shertz MD/18D
April 9, 2018

The Field Triage Score simplifies this process 🕖 Reading Time, 4 minutes. Reviews of most mass casualty events have shown that rarely is a preplanned triage system actually used in the event. Triage is a French word for sorting. Although …

Read more about Why Do Traditional Triage Systems Fail in Actual Events? Read More
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