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(C) Circulation

Home Articles MARCH (C) Circulation Page 2
Showing 7-10 of 10 results
After the officers announce their warrant, the bomb maker detonates his device, injuring law enforcement, the LEO K9, neighbors, and his own family.
User Avatar Mike Shertz MD/18D

START, SALT, and RAMP Triage in a Mass Casualty Event

  • Posted by Mike Shertz MD/18D
  • Categories (C) Circulation, MARCH, More
December 1, 2020

Triage systems are used by prehospital providers to “sort” casualties into essentially those who are dead or will likely die despite treatment, those with injuries that don’t really require prehospital treatment, and those with injuries that are immediately life-threatening and …

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An Afghan is pulled from a burning SUV lays on a stretcher with obvious burns to his arms, face and ears
User Avatar Mike Shertz MD/18D

Recommended EMS fluid resuscitation of burned casualties

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

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 returns to normal values 12 …

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Dr. Shertz demonstrates how and why we use doppler ultrasound during training to prove cessation of blood flow
User Avatar Mike Shertz MD/18D

What does a doppler have to do with massive hemorrhage?

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

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 doppler ultrasound can estimate how …

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A Crisis Medicine olive green slide discussing the JTTR evaluation of 4988 combat casualties and their Field Triage Score implications
User Avatar Mike Shertz MD/18D

Why Do Traditional Triage Systems Fail in Actual Events?

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

The Field Triage Score simplifies this process 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 there are many systems to …

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