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(M) Massive Hemorrhage

Home - Articles - MARCH - (M) Massive Hemorrhage - Page 6
Showing 31-36 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.

X-Stat 30 Trainer on a bleeding model

  • Posted by Mike Shertz MD/18D
  • Categories (M) Massive Hemorrhage, Equipment
Mike Shertz MD/18D
September 15, 2018

🕖 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
Dr. Shertz demonstrates wound packing 4-different ways with a Phokus wound cube

Wound packing 4-ways with the Phokus Wound Cube

  • Posted by Mike Shertz MD/18D
  • Categories (M) Massive Hemorrhage, Equipment
Mike Shertz MD/18D
September 1, 2018

🕖 Reading Time, 1 minutes Teaching wound packing has always been challenging as there are few good wound packing models. The Phokus wound cube has 4 different wound profiles and has a realistic texture. In this short video, see the …

Read more about Wound packing 4-ways with the Phokus Wound Cube Read More

XSTAT 12 Trainer on a Hog Thigh

  • Posted by Mike Shertz MD/18D
  • Categories (M) Massive Hemorrhage, Equipment
Mike Shertz MD/18D
August 15, 2018

🕖 Reading Time, 1 minutes Used the X-Stat trainers in class today on a hog thigh with a simulated femoral artery laceration. This narrow wound track is a challenge to pack with Kerlix Gauze, the X-Stat 12 applicator worked awesomely.

Read more about XSTAT 12 Trainer on a Hog Thigh Read More
A bar napkin, sitting next to a beer, listing the hateful eight signs to look for before administering prehospital blood in a trauma patient

Prehospital Blood Administration and the Hateful Eight

  • Posted by Mike Shertz MD/18D
  • Categories (M) Massive Hemorrhage, MARCH
Mike Shertz MD/18D
May 18, 2018

🕖 Reading Time, 3 minutes One of the best parts of the Special Operations Medical Association annual meeting is connecting with your peers and discussing issues we all deal with.  One evening, while having a bar napkin discussion about prehospital …

Read more about Prehospital Blood Administration and the Hateful Eight Read More

Improvised Pant-leg Tourniquets

  • Posted by Mike Shertz MD/18D
  • Categories (M) Massive Hemorrhage, Improvised
Mike Shertz MD/18D
January 29, 2018

🕖 Reading Time, 2 minutes Researched and written by Mike Shertz, MD/18D, not AI 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 …

Read more about Improvised Pant-leg Tourniquets Read More
A photo showing the small time savings of using a single routed 7th gen CAT vs a 6th generation double eyelet routing.

Single vs Double Routing of the Eyelet on the CAT Tourniquet

  • Posted by Mike Shertz MD/18D
  • Categories (M) Massive Hemorrhage, Equipment
Mike Shertz MD/18D
January 11, 2018

Change in CAT tourniquets from 6th to 7th generation 🕖 Reading Time, 4 minutes In October 2015, the 6th generation Combat Application Tourniquet, or CAT, with its double-eyelet buckle was discontinued, in favor of the 7th generation CAT which has …

Read more about Single vs Double Routing of the Eyelet on the CAT Tourniquet Read More
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