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(M) Massive Hemorrhage

Home - Articles - MARCH - (M) Massive Hemorrhage - Page 5
Showing 25-30 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.

Granular or powdered agents fell out of favor over ten years ago as they “wash out” of actively bleeding wounds, are hard to get to the point of bleeding deep inside a wound
Mike Shertz MD/18D

Hemostatic powders don’t work

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

🕖 Reading Time, 1 minutes We recently discovered “active shooter kits” being marketed to agencies and schools containing granular hemostatic agents. Granular or powdered hemostatic agents fell out of favor over ten years ago as they “wash out” of actively …

Read more about Hemostatic powders don’t work 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
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
Queensland Ambulance Service HARU rig showing the back of an SUV open to reveal the Pelican case containing prehospital blood
Mike Shertz MD/18D

Prehospital Blood in Queensland, Australia

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

🕖 Reading Time, 2 minutes While recently in Brisbane, Australia I had the opportunity to ride with a High Acuity Response Unit (HARU) paramedic for the Queensland Ambulance Service. HARU paramedics are a select group of critical care paramedics with …

Read more about Prehospital Blood in Queensland, Australia Read More
Mike Shertz MD/18D

X-Stat 30 Trainer on a bleeding model

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

🕖 Reading Time, 1 minutes Using the XStat 30 trainer in an in-person class on a TrueClot wound model. The sponges immediately expand in the wound and rapidly exert pressure you can feel under your hand. *provided as demonstration only, …

Read more about X-Stat 30 Trainer on a bleeding model Read More
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