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(M) Massive Hemorrhage

Home - Articles - MARCH - (M) Massive Hemorrhage - Page 2
Showing 7-12 of 38 results

Massive hemorrhage is the leading cause of preventable death from injuries.

How much blood loss is too much?

In December 1970, the US military published data on 7,800 soldier and Marine casualties from the conflict in Vietnam. In that data, specifically 10% of combat fatalities were from extremity hemorrhage. This dataset would later form the first TCCC guidelines in 1996. With the widespread adoption of tourniquets by the US. Military in the early 21st Century, death from massive extremity hemorrhage is now unusual in combat. This improvement has lead to greater awareness of massive hemorrhage from “junctional areas” like the neck, axilla/armpit, and groin, areas not amenable to circumferential tourniquet placement. To be facile at controlling massive hemorrhage, wound packing is a needed but often neglected skill set.

A Foley Catheter (designed for urine drainage) is used to tamponade bleeding where there is a junctional hemorrhage
Mike Shertz MD/18D

Use a Foley Catheter to stop massive junctional hemorrhage in narrow-track wounds

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

…many different ways to manage these wounds, this is one technique using a Foley Catheter (designed for urine drainage) to tamponade bleeding. It is best studied in neck wounds. This…

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Two tourniquets side by side, one a Gen 7 CAT tourniquet manufactured by NARescue, the other a cheap knock off with unproven and unknown efficacy, but a reputation for breaking easily
Mike Shertz MD/18D

Counterfeit tourniquets are a serious problem

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

They may look like legitimate commercial versions but counterfeits are not made to the same quality standard. Know your gear. Researched and written by Mike Shertz, MD/18D, not AI 🕖 Reading/viewing Time, 7 minutes UPDATE: Fifty counterfeit CAT like tourniquets …

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Australian explanation of kneeling in the groin. "Shark attack? Push hard halfway between hips and bits"
Mike Shertz MD/18D

What the evidence really shows… Debunking the myth of “dropping a knee;” verb choice matters.

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

🕖 Reading Time, 4 minutes Manual inguinal compression of the vasculature can work to occlude distal arterial blood flow. It may not constantly occlude during the entire time the rescuer is applying pressure and might require “readjustment” of the rescuer’s …

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A slide demonstrating the data from a Wang study that self-application of tourniquets results in looser application
Mike Shertz MD/18D

Self-applied tourniquets always looser?

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

🕖 Reading Time, 4 minutes There is a long-held belief among military medics that casualties who self-apply their own tourniquets typically put them on looser than they would on someone else. This led to a standard SF medic technique of …

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A photograph with Playmobil figures down and wounded with injuries suffered during an attack. A Playmobil sized CAT tourniquet is placed on the King in an effort to stop his massive hemorrhage
Mike Shertz MD/18D

Mayhem in the Nutcracker Suite

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

Marie and her family enjoy the traditional Christmas evening gathering at the Playmobil Castle, including dancing and a visit from Herr Drosselmeyer. Marie and her brother receive extravagant gifts, Marie’s is an exquisitely crafted nutcracker. Suddenly, there is a sound …

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A photo of a police officer's leg showing two, side-by-side CAT tourniquets properly applied to stop massive hemorrhage
Mike Shertz MD/18D

Tourniquets: One may not be enough

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

If you are going to carry a tourniquet, we feel two is the minimum load-out carried on the body. Researched and written by Mike Shertz, MD/18D, not AI 🕖 Reading Time, 3 minutes The best data available indicates a 70% …

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