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Mike Shertz

Self-applied tourniquets always looser?

  • Posted by Mike Shertz
  • Categories More
  • Comments 0 comment
June 15, 2022
0

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 always giving the windlass of …

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Mike Shertz

Detective Wins Life-Saving Award

  • Posted by Mike Shertz
  • Categories More
  • Comments 0 comment
June 2, 2022
0

I witnessed a motorcycle accident while on patrol. After checking for massive hemorrhage (M), I continued to assess the patient and realized he had an obstructed airway (A), so I applied a NPA and was able to get the patient’s …

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Amyl Nitrite Inhalents
Mike Shertz

Is amyl nitrite a useful prehospital intervention in cyanide poisoning?

  • Posted by Mike Shertz
  • Categories More, Tactical CBRN
  • Comments 0 comment
April 11, 2022
0

Amyl nitrite is a highly flammable, volatile, liquid medication that is proposed as a prehospital inhalation treatment of cyanide casualties while awaiting parenteral (IV / IO) access.  BLUF: In a high-risk tactical environment with both cyanide poisoned and traumatically wounded …

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White Phosphorous exploding Over Raqqa, 2017
Mike Shertz

A Plan for Treatment of White Phosphorous Casualties

  • Posted by Mike Shertz
  • Categories More, Tactical CBRN
  • Comments 0 comment
March 21, 2022
0

With the Russian invasion of Ukraine, there have been discussions about the management of casualties injured by white phosphorous munitions. A social media post by @nardoctor sharing the DOD clinical practice guidelines was one of the first to address this …

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An evisceration on a 14-year-old who impaled himself on his bicycle handlebars
Mike Shertz

Distracting but not life-threatening: Managing abdominal eviscerations

  • Posted by Mike Shertz
  • Categories More
  • Comments 0 comment
March 6, 2022
0

Photo from a 14-year-old boy who sustained a penetrating injury to his abdominal wall after impacting the handlebars of his bike. Note the bowel perforation at approximately 7 o’clock on the bowel. This should not be reduced, as it will …

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Mike Shertz

Mayhem in the Nutcracker Suite

  • Posted by Mike Shertz
  • Categories (M) Massive Hemorrhage, More
  • Comments 0 comment
December 12, 2021
0

Marie and her family enjoy the traditional Christmas evening gathering 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 to the south of …

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